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Second Appointment After Being Activated With Nucleus Nexa 8

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Have not reported in a couple of weeks because not much to report since May 22 surgery, June 11 activation, July 2 follow-up and latest July 30 Audi appointment. Aside of Kanso 3 experience.

I wore the Kanso for a month straight for 8-12 hours a day. No real difference in N8 and Kanso as far as hearing experience. But, I have decided that the two processors that I receive from Cochlear will be both N8’s. and returned the Kanso. With 4 magnets fell off a few times and was hanging from the hairclip that came with it. That hair clip is a frustrating little piece and pulls on hair when Kanso falls off, putting on and taking off. I may get used to this but more potential falling off is a concern. Along with the Kanso being at least twice as thick as the N8 magnet attachment. Pressure and discomfort when I have a cap on and I would not even try doing any activity with it - I have golfed a couple 9’s in the N8’s without issue.

I am bi-modal with a sphere in my non-implanted right ear. I have had a couple of situations to test how these do in specific situations. I feel that I am pretty much the same as with pre-surgery with two sphere’s in as far as day to day. I was at a wedding reception and loud. Nucleus on own - forget it. Sphere in spheric with Nucleus just about same as two spheres. Loud restaurant the same. I feel that this will only get better. Making out some if not a lot of streamed words so this is progressing. Next report will have more data.

I spend pretty much daily time for 2-4 hrs reading to self, streaming audiobooks, Hearoes or Co-pilot. She did not do word recognition and will do so at next appointment on 9-11 (I did ask her to change date) and start specific programming. I think that she only cranked it up a few. Her report is below. I do not really understand it all. I also read BiModal User’s new thread on questions to ask and I am light years behind understanding electrodes, music, forward focus, Scan, Scan 2 etc etc. Too new, I guess.

=

RE: Type A tympanogram, which is characterized by normal ear canal volume, normal static admittance and normal middle ear pressure.

LE: Type A tympanogram, which is characterized by normal ear canal volume, normal static admittance and normal middle ear pressure.

Aided thresholds = soundfield testing was performed with the implant and an earplug in the right ear, and thresholds were obtained to narrow-band-noise (NBN) stimuli between 20-35 from 250-6000 Hz (35 dB HL at 500 Hz only).

Programming:

Patient was programmed with the N8 processor today. Parameters included strategy ACE, mode MP1+2, 978 Hz rate, maxima 8 and 45.6 PW. Implant site was checked and no redness or edema was observed. Size 3i magnet remains appropriate. Impedances were measured and were found to be stable compared to previous measurements. Datalogging revealed 3.9 hrs hours of wear time per day.

The following programming changes were made:

  • Ts and Cs increased 5 CU overall.

The N8 processor was programmed as follows:

P1: Map 7 with SCAN

P2:

P3:

P4:

Estimated battery life: ~15 hours a day

Oh, and a bit different subject but maybe some feedback . My residual hearing in my implanted ear is zero, as expected. I have left sides of Lumity Life and Sphere’s that are no good to me I would guess. Not sure they support Cros or if it would even matter or if they would be of any use to anyone. I wear the rights bimodally. Also have a 312 set of Costco KS9 (marvels) that I do not use. Maybe classifieds or small contribution from anyone to pay ship or pick up in Chicago………….??

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I missed this thread. Would have asked this earlier otherwise.

Can you give us an update on word understanding from your implant only.

Are you doing rehab without the hearing aid on? Only using the for rehab?

Hearing aids are not left or right. They can be switched easily.

In reply to @smeltjr

@smeltjr said:

I think that she only cranked it up a few. Her report is below.

Yes, that is that 5 CU (clinical units) noted in her report.

@smeltjr said:

I also read BiModal User’s new thread on questions to ask and I am light years behind understanding electrodes, music, forward focus, Scan, Scan 2 etc etc. Too new, I guess.

Ask her about PDF with explanation of N8 features and benefits. It's accessible in her Custom Sound Pro fitting software.

@smeltjr said:

Datalogging revealed 3.9 hrs hours of wear time per day.

There's at least 10 hours per day needed to greatly improve chance of success.

Nucleus Smart app counts hours with listening to speech.

@smeltjr said:

The N8 processor was programmed as follows:

P1: Map 7 with SCAN

P2:

P3:

P4:

Ask her about 4 programs, each one with gradually more stimulation that previous with maximum volume.

@smeltjr said:

Parameters included strategy ACE, mode MP1+2, 978 Hz rate, maxima 8 and 45.6 PW. I

ACE - stimulation strategy, it probably will be replaced by FMS if you have Nexa system

MP1+2 - stimulation mode - monopolar

PW - pulse width - the higher, the higher the impression of volume, but this is widened when the possibility of increasing the pulse amplitude runs out

@Bimodal_user said:

There's at least 10 hours per day needed to greatly improve chance of success.

I am going by memory about this. I believe this hours measurement is based on speech, not just wearing the processor.

I agree that number needs to be higher for best hearing therapy.

I just took a look at my hours in speech averages in the Nucleus Smart app. The past 7 days it was in the 2-3 hours per day range.

@Raudrive said:

I am going by memory about this. I believe this hours measurement is based on speech, not just wearing the processor.

IIRC, >10 h/day of general use, including at least 3-4 h of speech, but this is out of my memory, so I may be wrong about that 3-4h part. It's very hard to get >10h of speech.

@Bimodal_user said:

It's very hard to get >10h of speech.

I know a few people this wouldn't be an issue!:grin:

I paid attention to this number with my first implant for a couple weeks. It took all the fun out of rehab and my new hearing. I blew that number off and did my own thing concerning rehab. My word understanding really improved after that.

Hey. Thanks for input.

I get it and the main driver behind the low hours was that I was trying the Kanso that was not programmed to my phone, her system, etc. The 3.9 was what I went back to daily reading to myself, TV and stream with just Nucleus that was programmed and wearing Kanso or watching TV without the sphere rest of day.

I gave the Kanso back (too thick and wonky with the hair clip) ,and have two N8s and I have them both. I will be down alot, and did not wear for at least a week as I was hospitalized ICU a week with Sepsis and Septic Shock(see Nascar Kyle Busch, now dead). I am fine now - a miracle and very strange. I much have my wife to thank. My third maping has been moved back to 9/30.

For the record, I also have long hair. I purchased a clip that goes from my Kanso and attaches to my ear via cuff (jewelery). It works well. I agree that Kanso is definitely thicker. I have gravitated more towards my N8 primarily because it is paired with the app and I don't want to have to unpair/pair ongoing and the app lets me adjust volumes etc. Also when it is windy and my hair blowing around it was annoying that adjusting my hair could knock the Kanso off. I still have it but do wear the N8 more.

I didn't have any real issues with the magnets - in fact ended up with the lowest magnet strength because otherwise it was too strong/caused headaches. :)

Good luck on your journey! Excited for you.

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