Could I get some advice please, Audiogram uploaded. (musician)

amazing thank you very much for your informative and detailed reply, that helps a lot.
I have already done a fair bit of research on headroom etc, and good to find out what that warble effect was, I was also getting a chorusing/phasing type effect, which was hard to get used to.

The hearing aids were definitely helping, but when I had the custom moulds fitted and the thicker tubes, all they do is whistle so I haven’t worn them for years, but going back to my local NHS hospital on the 27th of this month, to get a new pair, with lots more knowledge gained from this site particularly and from my own research. I should be able to communicate my needs better.

Thanks again for your time, its very much appreciated

I have seen your custom moulds in your other thread (https://forum.hearingtracker.com/t/these-are-the-moulds-molds-i-received-four-years-ago-that-kept-feeding-back-advice-please/59269?u=sterei (member archive))
I can see now, your ear canal is really very small. I suspect, these moulds did not provide enough occlusion. This might be the reason for the feedback / whistle you mentioned.
It is technically much easier for hearing aids to prevent feedback if the canal is as closed as much as possible.
With older aids the main strategy was to reduce gain in the certain freqency where the feedback occures.
In addition, the tube-technique didn’t help as well, since the speaker was closer to the mic. The nowadays used receiver produce the sound right in the ear, so feedback-tendency is reduced.

Im sure, the mould/dome is a very critical part to get you a good fitting. You probably will need to test with different versions.
I hope, the small ear canals do allow to use the receivers. They need a bit more space than a simple tube.

Great thank you so much, that helps to explain a lot of my problems.
I very much appreciate your time.

Thank you

@sterei said:

I hope, the small ear canals do allow to use the receivers.

Receivers in the canal won’t really change his auditory experience compared to BTEs with standard tubing.

I too am a musician who performs, writes, and records in my own studio. My loss in the high end isn’t as severe as yours, but is also a ski-slope curve.

I’ve done a few things that help:

1. In my studio, on the master channel (using Logic on a Mac), I set an EQ curve that is the inverse of my loss. I engage the EQ curve when I am actively mixing, and then disable it just before I write or bounce the mix. That way, I am hearing it the way my ears need to hear it while working on the song, but I am not writing it to the final mix. To do all this, I remove my hearing aids.

2. I do the same thing as 1 above when I am listening with headphones - to my music or anyone’s music. Since I can’t set a custom EQ curve on an iOS device using Apple’s apps, I’ve found third party players that support custom curves. Doesn’t help with Apple Music app, but helps immensely with non DRM songs, etc. After I write the mix on my computer, I’ll listen to it this way for checks and balances. I’ll note that I am not wearing hearing aids when doing this.

3. For hearing aids, I settled on Costco KS-9 as they are the best fit, and the best I’ve tried for my loss and ears. I found that feedback rejection distorts music as it involves an oscillation to mitigate what the hearing aids perceive as feedback (think pure tones, or close to pure tones - think “C” at the 8th fret of the high E string), so, I have a separate MUSIC program I use when performing or listening through speakers in an environment where there are other people listening. And, I tweak them myself, though this gets into having to find someone who will give you a copy of the software needed. And you’ll need an interface that works with your aids. But that lets me get the best sound I can out of the aids for music. For every day use, I need to have the Feedback rejection engaged.

Anyway, those are the things I do and, for the most part, it all works rather well.

Bob

Nice explanation @uburoibob

@uburoibob said:

In my studio, on the master channel (using Logic on a Mac), I set an EQ curve that is the inverse of my loss. I engage the EQ curve when I am actively mixing, and then disable it just before I write or bounce the mix.

As you also seem to be able to program/“tweak” your HAs yourself - as well as altering the feedback settings etc, have you also been able to customise a specific music programme the same way - ie with an inversion of your loss? I have been wondering if this is the theoretical HA “ideal” programme for a performing musician…

@uburoibob said:

I’ve found third party players that support custom curves.

Would you mind mentioning the player/app? I have been searching for equalisation options for my Mac/ios set-up but most have way too few channels and very limited range (-12 to +12 db Max) that makes them less than useful with my loss…

Cheers

In general, the basic idea as I understand it behind hearing aids is to provide a correction that is essentially the reverse of your hearing loss curve. So, it was pretty much minor tweaking on the basic music setting provided with the aids. I got ahold of Phonak Target software and messed around until it sounded good/natural to me. NoahLink Wireless is the interface that works with my Costco KS9 aids.

As far as apps for iOS, Playertronic has a nice parametric EQ. There is also HDPlayer Pro, which is wonderful. ‎HDPlayer - Video and audio player on the App Store

As far as adjusting the curve, you can always go below flat with the low end EQ to get more range from the high end. I’d shoot for making the curve look right, reflecting the steps on your audio gram, but backwards, and use the full 24 dB range of plus/minus, finally riding the overall volume up to compensate for the lower frequencies being reduced on the curve. Usually the EQ has a gain control for the entire EQ. But that might run into distortion. So, I’d say go as far as you can with master volume. Hope this helps.