Jabra Enhance Pro 30 Programming

REM settings are adjusting the gain … not the audiogram … the best you can do with DIY is In-situ.
To have REM with the other audiogram, you will have to take it to Costco and have them use it to reprogram your aid and then do the REM setting.
Is your listed audiogram the one from costco or from the other aud. ?

The listed audiogram is from the other audiologist. The one from Costco seems a bit overamplified. I have apd, tinnitus, tensor tympani and stapedial myclonus syndrome, and hyperacuity and need sounds to be really down. Like low gain hearing aids are better for me. Things like bird chirping bugs me, pencil tapping, etc.

Your problem is beyond my pay grade to help you … maybe one or two of the audiologist that are around here will see this and offer some help.

@Um_bongo
@Neville

Given the issues above; there’s more to this than meets the eye.

Firstly, any program is going to recommend barely any gain due to the flat audiogram.
Secondly: the dome/mould recommendation will likely be very open -which will disappear any low frequency output.
Thirdly: Given the risk of hyperacusis, I’d perhaps wind down ALL the G90 (high) levels too.

I’m not saying you should ‘throw away the playbook’ but…….

1, Turn off the loud outputs (g90)
2, Try tulip domes.
3, Tell the SW you are using moulds (which allows you to invoke sounds below 1KHZ).
4, Put in a flat gain across all frequencies (with some extra in the LF if you’ve got large canal).
5, Add 2nd and 3rd programs based on P1 with a couple more dB gain on each frequency.

Doing this allows you to toggle between your preference without over egging the level. Just keep the loudness in check, plus you can add in more base when it suits.

Edit: That’ll be $500. Mainly for the nearly 3 decades of experience, professional fees, public liability insurance, treatment insurance, shop rent and rates.

Why tulip or open domes versus occluded domes? Just curious, because one audiologist told me the same thing and put tulip domes on the Jabra Enhance Pro 30. At the time I had Starkey Edge AI 24’s that audiologist put occluded domes.

I have experimented with LP MP and HP receivers, the M and P are capable of more output, but the software compensates for that and outputs the same gain.

You need ‘some’ occlusion to keep the response of the aid flatter.

If you occlude them too much you’ll potentially get your voice back at you which can make wearing the aids acoustically uncomfortable.

The tulips have a few advantages which make them a fair suggestion:
1, They offer partial occlusion with a level of canal impedance that will shed some of the highest energy sound but retain the rest.
2, They are oval/tapered which makes them fit well in lots of canal sizes.
3, The two halves of the shape act like grain of wheat design to retain it in your canal.

Edit: The Receiver - you could try a 1S receiver, but the medium will work too. The level of gain at lower levels is determined by the software, not so much by the receiver size.

1. What is meant by g90?
2. What is meant by flat gain?

Hi. I know it has been awhile and so far doing good with the programming, but wanted to know what is the purpose of the target rule? Like Audiogram+, NAL-NL2, etc What should I be putting for my case?

Hearing aids don’t just amplify everything the same. They have the basic objective of trying to make the user better able to understand speech in every circumstance. That’s quiet speech, loud speech, voices of different types (women, men, children), at the same time or sequentially. There are different ideas of what works best, when you should give a bit more gain and when you shouldn’t, how the compression should vary with different speech levels. Stuff like that. The different rules are different opinions of what works best. You can try different ones and see which works best for you.

@Deadman42 said:

Like Audiogram+, NAL-NL2, etc What should I be putting for my case?

The science-backed for speech understanding is NAL-NL2 (loudness equalisation) and DSL 5.0 (loudness normalisation philosophy). The DSL 5.0 comes with adult and 10 dB louder pediatric version.

Regarding your acoustic hypersensitivity, I would recommend NAL-NL2 for the time being. However, the next generation, NAL-NL3, which is ~13 years younger, will be available soon (probably from 2026) and has a normal audiogram thresholds module.

Fitting algorithm, like NAL-NL2 calculates proper gain in each frequency based on your audiogram. That gains are calculated differently for:

• quiet 50 dB inputs (G50),
• conversational 65 dB (G65)
• loud 80 dB (G80).

There is also calculated limit like G85 or G90, which @Um_bongo mentioned above, which is necessary to fitting MPO properly.

Finally tried the in-situ and my audiogram changed.