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New to hearing aids and this forum questions on Phonak receivers, domes

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Hello, I have Phonak Audeo I 90-R aids with #1M-6.0 receivers, 90% of target program and sm vented dome (l) and medium vented (r).At 1st follow-up visit the rt dome was changed to medium as small was falling out. The program was changed as I was and am having trouble with understanding and hearing on the rt side. I realize that my needs may be complex due to my patterns of hearing loss.

After research and reading many posts here I have the following questions: does the m level receiver seem appropriate, especially for my rt ear? Should we be considering a different dome? My audiologist is very collaborative and listens but I will soon be at end of the trial period.
TIA for any recommendations.

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Medium is ok, because of your reverse slope loss, personality I’d go with custom molds with the correct size vent, best fit and no “dropping out” with a canal lock, you say you have a great Audiologist so work with them to get the best results possible, maybe even ask to extend the trial for a few weeks more to get the results your looking for.

I have an that resembles your in some ways and use the Phonak I90 Spheres. I would suggest you try a P receiver in the right ear. If you decide to keep the Phonak Infinios I would agree with tenkan that using earmolds made by Phonak with vents based on your audiogram would be a positive step. I use and like Phonak’s cShell molds.

I agree with raylock1 above.
And the , CAN extend the trial period. It really is ENTIRELY up to him.
Heck, I Have had many months extended sometimes. Just has to click a button in the software.
Also, If you are trialing aids, why not trial the Sphere. Say that you heard from many people they are great, and since you are investing in something that will last, and your right ear can use all the help it can get… why not trial a set of those.
And I ask them to explain the various materials of the molds. Cause they also come in Titanium! Discuss with them, the benefits of a deeper mold that closes off the outside sound more. What I don’t know, is if in cases like yours, if the aid should also handle low frequencies with little gain and no compression as well as the higher frequencies, so that the tonality and timing would be the same… and other processing features. If so you want a tight fit. Another issue is how your ears sweat or wax up. Lots to discuss. So it is good they have patience with patients.

Edited

20250511_211646
Here is how it looks on one old man with glasses
I wear so the wire does not take hardly any space

In reply to @lty80p

I wear glasses and have no problem with the Phonak I90s. Interesting enough, I trialed the smaller Widex and they kept popping off my ears every time I removed my glasses.

In reply to @raylock1

Definitely agree with P receiver! That will ad better discrimination in more noisy situations independenty of Spheric features. I also wear glasses with no problem and with even 0R P receiver.

Good morning, I am still working through my adjustment phase and fortunately have a light professional schedule this week. As soon as I put my in today there was static in both ears as if searching for something. ( Yesterday this happened when I forgot to exit the TV program.) Today nothing will fix it. All apps are up to date, I’ve turned Bluetooth on and off, turned the aids off and on, unpaired and re paired the aids and deleted and reinstalled the myPhonak app. Now the app won’t connect to my aids and iPhone Bluetooth says all 3 are connected. I have also turned Nordlayer on and off. They worked fine with it. Any advice is greatly appreciated TIA

Do you still hear the static with your phone turned off? Have you tried rebooting your hearing aids?

To do this press the lower part of the multi-function button for at least 15 seconds. It does not matter if the hearing aid is switched on or off before you start pressing the button. After 15 seconds, the hearing aid will restart with the indicator light blinking green (copied from the Infinio manual)

Edited

Yes, I still hear it with phone off and I did reboot them. They have also been chiming randomly. I have an appointment on Friday so if all else fails we can address it then.

I have older hearing aids. Paradise P90R’s and Power Receivers.

I finally learned to people here who really helped me some time ago. I got moulded inserts. SlimTips? from Phonak.

They are so much better for me. I hear better; I understand a little bit better. I don’t have to keep pushing in the inserts like I had to with the I used a long time. And finally, I’m not as exhausted as I used to be about 1:30 pm at work. That was due to difficulty hearing.

Finally, I keep reading comments. If I were buying hearing aids I would buy the most recent. I’m going to use them a long time.

In reply to @lty80p

Hello, it’s been quite a while since my last post. The ongoing information and discussion on this forum are immensely helpful. Here is a synopsis of my situation: I did select the i90 spheres and received them at the end of May. Since then I have had 11 visits with my audi. (This is not at typo- I go to an excellent speech and hearing program at a Big 10 academic health system.) They were finally returned to Phonak after multiple adjustments, , etc. and were replaced. Phonak sent the new pair with their large vented domes. (I have also tried numerous dome types, sizes and brands). The good news: The 2nd set does not have the major static, the threshold to trigger Spheric speech in loud noise was lowered, and I have it as program I use to turn on manually (not very often as the autosense does it pretty well). I can hear and understand low pitched voices much better. The outstanding issues are 1. the right aid battery drains much faster than the left regardless of how much the spheric program is on and with spheric use for a few hours it plummets. 2. There is constant low level noise in both ears that can be reduced by turning the volume down by at least 3 levels (not helpful) or decreasing the treble quite a bit and sometimes reducing the middle as well.3. There is still trouble with speech clarity at times in a variety of programs. 4. In spheric mode I can hear and understand people a table or 2 way, but I can’t hear the person directly across from me. 5. I do have power domes that she gave me “in case” the vented domes don’t work.” I have sent all of these issues to her and expect that she will respond today and offer another appointment. So my questions are : 1. I do want to try the power domes before getting custom molds- is a new REM necessary with them? 2. She really doesn’t think a p receiver will help with clarity and sharpness. Several of you have recommended a P receiver for my right ear. Any additional thoughts? 3. Have I missed anything? TIA for your help.

@lty80p said:
  1. There is constant low level noise in both ears that can be reduced by turning the volume down by at least 3 levels (not helpful) or decreasing the treble quite a bit and sometimes reducing the middle as well.

Try soft noise reduction in Target software. That feature lowers amplification of sounds quieter than, IIRC, 40 .

@lty80p said:
  1. I do want to try the power domes before getting custom molds- is a new REM necessary with them?

Yes, it must be done after every changes of acoustic properties like venting, kind of domes/earmolds, depth, etc.

@lty80p said:
  1. She really doesn’t think a p receiver will help with clarity and sharpness. Several of you have recommended a P receiver for my right ear. Any additional thoughts?

If you have good in quiet - good speech understanding with your right ear - P receiver may be definitely beneficial.

In reply to @lty80p

@lty80p said:
  1. She really doesn’t think a p receiver will help with clarity and sharpness. Several of you have recommended a P receiver for my right ear. Any additional thoughts?

Additional thoughts:

MPO: A Forgotten Parameter in Hearing Aid Fitting21

It is important to select a hearing aid with a sufficiently high such that the desired gain plus the input levels would not be limited by the MPO. The same considerations should also be applied to setting the MPO on a hearing aid in order to...

Effect of maximum power output and noise reduction on speech recognition in...18

An MPO that was 10 lower than the default could negatively affect the signal-to-noise ratio () of the listening environment. However, NR could compensate for the degradation in SNR.

These articles emphasize the important role of a sufficiently high MPO, especially when hearing in noise. Note that theemphasize the important role of a sufficiently high MPO, especially when hearing in noise. Note that the first article presents a situation with an SNR of +15 dB speech in noise, so quite favorable, but with too weak receiver intelligibity can be poor.

Thank you! I have another appointment Tuesday and we already plan to return the right aid to Phonak because of the battery problem after I return from a business trip.,

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