Does my audiogram properly match the attached REM results

The issue is that most voices are not understandable and I’m having to do my own investigating. Phonak support is non-existent and I have spent too much time and $ trying to get to the bottom of this. On the surface the audi appears to make corrections, but no cigar. It does appear that the REM results are the basis for the issue… I’m attempting to confirm that thought here on this forum…

Appreciate your interest here.

Many thanks, Nick
Sign me frustrated…

The key at least for me has always been an audiologist that is willing to listen to my frustration and my suggestions. Not saying which brand of aids will work for you but I have found that Oticon is my best choice. My audiologist preforms the REM testing to ensure my aids can meet the needs of my hearing loss. But my aids are set to my needs and not what REM suggests. And most audiologist and hearing aid suggest that I need a lower level of power in my receivers than I am using. Most audiologist and hearing aid software set aids to a 'comfortable ’ settings which is worthless for me to be able to understand speech. Comfortable settings is typically 80% of prescription for your hearing loss. My aids have to be at least 100% prescription for me to understand speech. Most patients complain that at that level the aids are too loud. And i admit that my aids had to be stepped up over a 2 year time frame for me to have time to adapt to the louder sounds.

After much consternation, a few months ago, I created this comparison, which I only submitted to the audi yesterday. I don’t believe anything ever came of my previous more subtle attempts to convey the implications associated with the graphs. But I would be willing to bet that settings reflecting that graph would have beneficial effects.

BTW, I’m a 50+ year computer geek and have written hundred of thousands of lines of code over the years.

One other thing on this; I bothered to overlay the left and right sides in Photoshop and was able to change the opacity of the top (left) REM graph so that one would be able to more readily discern the differences between them.

Ironically the REM readings are almost identical and don’t appear to reflect the obvious differences/necessary settings noted in the hearing test.

I’m no expert, so I need to understand that my above assumptions are grounds to move forward on. I’m guessing that this is going to come to a head very soon…

What is totally confounding on all this is that 3 audiologists, making settings on 5 manufacturers products and 4 different models all rendered settings that sounded the same…

???

Just occurred to me to let you know that I have stumbled on a change to a modified setup that makes a vast improvement overall, but is still not right. The only mode that I have created has default mid-tones, slightly increased bass and slightly more increased treble. Of course, those changes are applied to both right and left aids and when making any changes, the volume settings that you may have adjusted are lost.

The other change that I have noticed helps is to lower the Noise Cancellation to an acceptable level. It does affect the perception of voices to some extent and I guess that means the algorithm is not perfect???

You’re significantly under aided in mid and high tones.

There’s really no point in people advertising that they offer REM services if they don’t know how to interpret the results and re-tune the aids accordingly.

So you know, The software has a built-in mode view called On Target which would show you how far away the solid lines are from the dotted lines.

Sorry, I misunderstood. Yes, the screen you’re referring to is a very helpful one which clearly shows where a HCP is falling short