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Hearing aid fitting: In desperate need of improvements?

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In reply to @Bimodal_user

A little bit, yes. I think Cliff is BOTH a savvy businessman AND a guy who honestly wants to promote best practices. There’s always the chance for the business side to get a bit too heavy, but I think Cliff’s heart is in the right place and my interactions with him support that. I can see the vision of providing a more stringent oversight for American audiologists, he just doesn’t have the resources to follow-up. Up here in Ontario our professional college is set up to oversee early practice skills development through their initial mentorship program, take public complaints and police the profession (including removing professional licenses), and complete annual random auditing to support good practices among audiologists (not , which are a separate body). We pay in annually to support this. So in audiologist in Ontario already has more oversight than Cliff can provide and being on that list is mostly marketing.

Found this: Council of the College of Audiologists and Speech-Language Pathologists of Ontario - Public Appointments Secretariat1
I’m unclear. Is the College a governmental body or is it a private organization? The state (Ontario) has clearly given it powers but I’m unclear if it’s private or government. In California we have a Board of Registered Nursing that handles licensing and discipline but it is a governmental agency.

Edited

In reply to @1Bluejay

@1Bluejay said:

How do you spell “GORGEOUS”?!?!?

Uh, it may be difficult :sweat_smile:

By writing: “Przepiękny” (literally meaning “overbeautiful”)

By saying (I wrote phonetically):
“Pshy-pienk-nY” (masculine singular)
“Pshy-pienk-nA” - “A” at the end spoken as “A” in “America” (feminine singular)

“Pshy-pienk-NEE” (masculine plural)
“Pshy-pienk-nAE”) (feminine or neuter plural)

(based of reading by Google Translator voice) :sweat_smile:

For example: “Przepiękny aparat słuchowy” - “Gorgeous hearing aid”

In reply to @Neville

I would go nuts if I had your job, or probably any job that required me to engage with irrational customers. A friend sent me a screenshot of a post from another forum where I’m guessing there might have been some uninformed speculation. :slight_smile:

Untitled

Probably not, no. Though, every audiologist I know does. Canada tends to be higher on uptake than other places.

In reply to @Dusty

Well pronouns started floating around professional emails because poeple thought that was very smart process to start. I questioned the pronouns and lost insurance contracts over it and relationship with manufacturers over being upset about it. then realized the same insurance contract holders are the same manufacturers and they are all in one pronoun bed together talking about everything else except hearing loss thats why everyone continues to suffer on this very site. 9 thousand dollar deals times 400 people is millions. I have 1k clients. I still dont have a house. Let me know if you need any more insite.

In reply to @Bimodal_user

Same story. Its very interesting how everything comes in pairs. Algorhyms. I cant spell. Because your loss takes a big drop I woud go ahead and recommend custom molds to keep that power in even tho 250 seems good enough without. U have a better chance than the other guy that soft tips would work but 1k drops so low I would just get the molds. Real ear is obsolete if the dome doesnt seal the canal when you put it in at home. Custom molds help solve this

Sorry, do you just not understand how slit venting works, or the relationship between the impedance of the structures around the 1-2cc residual volume?

There’s a significant number of losses that can be well fitted with appropriate domes. I like custom canal sleeves too. It’s probably better to avoid expressing an unsubstantiated opinion on a preferred fitting choice as you stand a fair chance of upsetting someone who has actually found a perfectly good fitting for them with a suggestion that they should be hearing differently or ‘better’.

That’s my empathetically derived answer, or woke answer, if you prefer.

Uh hate to inform you I dont need to take your direction. This forum is for patients to ask for care when they have already been to you and failed. If you want to tell me how to work email me and wait for my response. Until then I can work my way you can work your way. I give you permission. This is not a provider proof off its me helping disabled people and you butting in to try and correct me. You cannot. Tell the patients they arent smart enough and thats why they cant hear and see what they say. Until then I will offer solutions to disabled people when they ask… because you dont pay me to keep my mouth shut. Hope this gives you some clarity on the situation and where to direct your directions to. The customers needing the help exclaiming it on this site. Custom molds will fix 70 percent of em. Youre welcome. Good enough for me good enough for them because they are already SOL. Thanks bro

In reply to @Um_bongo

I was answering specific questions with specific loss where the bass was significally lower than expected for domes to work in my opinion potentially I let them know that could be the reason they are struggling. U tried to one up me with generalizations pathetically

In reply to @Ryan_Conklin

@Ryan_Conklin said:

Well pronouns started floating around professional emails because poeple thought that was very smart process to start. I questioned the pronouns and lost insurance contracts over it

I’ve received emails with pronouns in them. Didn’t hurt me in the slightest. If you claimed to be harmed then that’s both advertising your disgruntlement, and inviting the other party to find someone they like better.

@Ryan_Conklin said:

9 thousand dollar deals times 400 people is millions

I’m easily entertained so I’d love to see the paperwork for the lawsuit over these “stolen” millions. No charges or lawsuit = no theft.

@Ryan_Conklin said:

I have 1k clients. I still dont have a house.

Hmm, using your math and logic that’s 9 million bucks! Congrats. Wondering if there could be 9 million real estate agents worldwide who’d like to have your phone number.

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