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Oticon Intent 1 Help

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Edited

Hey guys! I’m so glad I’ve found the forum.

I obviously need some help with my new (first) - Oticon Intent 1. I’ve bought them a month ago after a trial. I’ve seen (heard) some improvement but I’m not sure my audiologist is very good at his work. On my last appointment (5th in a row) he asked me what my hearing loss was (although he’s seen my of course).

Im uploading photos of two of the settings he made.

20260718_155254With this setting I felt okay (although I was hearing new noises) but I didn’t understand speech well.

20260718_155301 This one was made after I told him I don’t hear speech. Then speech got better but I’ve heard a ton of additional sounds that made my head ache.

On my last appointment he got back the 1st setting and lowered low frequencies because I said I feel movement in my left (worse) ear when listening to baby songs from a music book. He taught it’s bass (I’m with open bass domes) but it doesn’t get better. The speech is also lost again.

I want to tell him exactly what to change but Im also lost in translation. Could someone help me?

20260718_165648
These are my audiograms. I also have it in my profile.

Thanks in advance.

10 people in this conversation22 min readJump to latest
Edited

As an audiologist I am very unhappy with the standard of care being provided to you based upon what you have posted.

I don’t believe any competent audiologist would ever fail to measure your hearing thresholds at the interoctave frequencies (0.75, 1.5 and 3 kHz in this case) for such a steeply sloping loss. If this is the only hearing test they have access to they have no idea as to what your true hearing threshold configuration is and are incapable of accurately programming hearing aids using even a first-fit algorithm. That this is the entered into Oticon software tells me everything.

In all likelihood you’re being both over and underamplified in places. We just don’t know. Please find yourself a new audiologist if at all possible. If this audiologist is under supervision please talk to their supervisor as they need more closer monitoring and education. If this is the state of audiology practice in your country I’m really sorry but it isn’t safe practice.

Unfortunately Im linked to the center I bought the HAs from. Other centers are working with other brands. And Im not sure this center will let me work with another audiologist of theirs. That’s why I’m searching answers myself.

The are made in another center and in a hospital. They’ve seen them in my current center and said they didnt need to make one themselves.

Im not sure what to do. I just spent 5000 euro on the HAs that are not adjusted well and now I have to spend 10 euro for each new appointment, but on top of that it gets worse than better.

It seems like it is a systemic problem of a lack of basic competence amongst the people you’re working with. Where are you based? There might be someone higher up in the local professional societies you can reach out to for help.

Edited

It looks like the in your profile on this site uses more datapoints than the one entered into the hearing aid software. Why is this hearing test not being used for programming?

Edit: my mistake, it doesn’t.

I don’t know. Everytime I try to comment something with the audiologist he just makes new settings and tells me to go home and see how it goes. It was so hard to make him print these settings for me, like it’s some kind of a secret.

I would ask to work with another audiologist when booking an appointment with reception. Say that you aren’t making progress with them and you’d like a second opinion.

I’d also ask for advice from your local professional body which manages both surgeons and Audiologists. You can find their website here.3

Yes go for it! in-situ fittings are as good as any, plus you’ll get results on the fly, this way you’ll save a lot of time and hassle.

Edited

In reply to @Idontundestand

I wouldn’t recommend it with Oticon hearing aids. Their in-situ hearing test isn’t a reliable measure of hearing thresholds. At the very least I’d recommend getting a more comprehensive hearing test from an audiologist outside of the hearing aid centre.

In reply to @tenkan

The statement “in-situ fittings are as good as any” is not based on evidence and doesn’t state what “any” is the comparison being made.

In-situ audiometry is most accurate with the Widex Sensogram, but most in-situ audiometry across manufacturers hasn’t been properly validated for its accuracy which will vary greatly depending upon the coupling of the device and the environment in which testing is taking place. I wouldn’t recommend doing this for a baseline hearing test for programming hearing aids especially where low-frequency hearing is near-normal as it will result in inaccurate results.

The OP is already dissatisfied with the fitting of their hearing aids. I don’t think adding additional sources of error to the programming is going to move things in the right direction and I disagree that it will save them time or hassle.

I know that you’re all into self-programming @tenkan, but for first time users of devices who have no experience of what good device performance is self-programming can be opening a pandora’s box of problems. If you don’t know what good is, how can you achieve it yourself?

Well we all know your into pro fittings only being an audiologist, but I’m sorry to say that in a lot cases people are dissatisfied with the results, even after untold adjustments etc, so in these cases it’s a good idea to and get things sounding how you like things to sound, obviously the Audiologist wouldn’t have a clue! I don’t see a lot of evidence backing the in-situ fittings in Genie2 being as bad as your saying, the OP is totally dissatisfied with their current clinic and Audiologist, it’s past time to move on, they will definitely save time and stop the hassle by DIY projects at home, no more wasted time in making appointments for a start! Plus saving money on travel is got to be good, yeah I think this is a perfect case for DIY, it’s a real mess their in now, programming one’s is not rocket science and for the average person very easily done, pandora’s box is already opened..

I have been learning about self fitting from this forum for the past few years. About a year ago I started trying In situ for my Oticons and it was a programming epiphany for me. I am still amazed at how clearly I can hear now. Even my wife’s low mumbling talk. My neighbors, even across the street from me, people in stores and crowded buses. The main thing I found was to do it in as silent an area as possible and use the absolutely lowest sound you can hear at each frequency. Also do not forget to use the feedback analyser.

In reply to @tenkan

@tenkan said:

I don’t see a lot of evidence backing the in-situ fittings in Genie2 being as bad as your saying

Manufacturers only supply information that represents their products in a positive light. When you work in the industry you learn all the pitfalls and sometime they tell you about problems with their existing products that they have fixed in their new ones. For example, the high failure rates of Oticon MORE MiniRITE’s that used the replaceable Li-Ion batteries due to moisture ingress via the incompletely sealed battery door.

Edited

I’ve talked to my audiologist and he said it’s possible that they make more detailed but they don’t practice Real Ear Measurement, so maybe I should search for another center that do both.

I didnt expect the process to be so long, hard and disappointing.

Not a single center in Bulgaria makes for Oticon, Phonak only :pensive_face:

May I ask if your intent hearing aids seemed to be performing better during your trial period than the are now, the reason I ask is I recently purchased a pair of intent 1’s , which to be honest im over the moon with however if that wasn’t the case and say for instance I was in your situation, I have 4 months to return them for a full refund, no questions asked, if this is on offer to yourself, personally I’d return them and with your refund find another intent supplier with better reviews than ( i can only imagine) that of your present supplier,. It’s such a shame to my read what issues your dealing with because the intent 1 has been a life changer for me. Not only that , they aren’t exactly cheap to buy either . I wish you luck in solving this unfortunate situation

Unfortunately, I don’t have a return option. The other two companies offering Intent didn’t have a trial period before purchase, which is why I didn’t go with them. Today, I’m getting a more detailed and I hope the adjustment after that will be better. Otherwise, I’ll buy the Bluetooth device and try to adjust them myself at home. It might take some time, but I have no other options unless I travel to another country—which is unthinkable for me with a 1-year-old baby. Thank you all for the support!

In reply to @Idontundestand

Real-ear measurement equipment typically works across manufacturers. I don’t know of any Phonak-specific equipment. If it’s a matter of access to the Oticon software, if you have a laptop you should be able to get the audiologist to programme the aids using their real-ear measurement machine and your laptop and software.

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