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Oticon More 1 - programs

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Question here (my audi is asking Oticon as well). My hearing has dropped (haven’t updated my here) and I am on the cusp between the 85 and 100 receivers. I have Meniere’s so that also means that my hearing fluctuates on any given day - which makes it “fun”.

So my question is whether I can have 1 program with my 85 receiver; and a 2nd program with my 100 receiver so that I can switch out as needed?

This is of special interest to me because I just learned (will discuss with audi at follow up this week) that Oticon offers a microshell up to the 85 specifically for the Oticon More that is supposed to significantly enhance the hearing/performance.

Last question (maybe) I have custom molds. My 85 receiver micromold (audi has 3d scan) very comfortable no slipping. When the audi ordered the 100 receiver mold (using same scan) it was created with a canal lock. It is very uncomfortable. Audi has already grinded it down (as it had created sores/inflammation) in my ear. I was told to not wear it for 3-4 days to let my ear heal. Since I did not have any issues with the fit/slipping with the 85 is it mandatory that the higher receiver dictate using the canal lock?

Initial impressions of the More 1 have been good (when I can wear it) just trying to prepare everything for the follow up appt.

I also read on a different post here from last year that it is recommended to have the audi set the noise suppression at highest level (10).

AND for the life of me I can’t remember how to update my audiogram on this page.

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@nicmger said:

So my question is whether I can have 1 program with my 85 receiver; and a 2nd program with my 100 receiver so that I can switch out as needed?

I wanted the very same - I was told “NO” - You can not specify different power receivers for different programs. (Maybe you will get a different answer. I would be interested to know.)
I suggest you make the switch to P100 receivers and program accordingly. You can have 2 General programs. That is where your Audi can “trick” the software to mimic an 85 receiver program, but you are actually wearing a P100, and you wear the 85’s on those sensitive days. The receivers are easy to switch out.
You are going to need a patient, caring Audi, and good communication.
The P100 mold does not require a canal lock. If the mold itself is comfortable and doesn’t slip, ask the Audi to grind it completely off, and smooth it. And order molds without the lock. You can also specify hypoallergenic.

I have the 100db receivers with acrylic ear molds. My receivers are imbedded in the molds. I would think your audiologist could create separate programs for you that could work for your different issues.

@nicmger said:

So my question is whether I can have 1 program with my 85 receiver; and a 2nd program with my 100 receiver so that I can switch out as needed?

The general answer is no, but there is a workaround if your audi is game.

The answer is no because when you program your hearing aid in Genie 2, you must specify which kind of fitting you have in order for Genie 2 to come up with the optimal prescription for your programs based on the indicated fitting. The assumption is that you’re going to be using just 1 fitting type and not constantly swapping 2 different fitting types in and out.

But, having said that, if your audi is game, you can choose which fitting is going to be your main one, then for the secondary fitting, have the audi select that secondary fitting and work with you until you’re satisfied with the adjustments for the secondary fitting. Then what you do is take a snapshot of the fine tuning page for the default program 1 f that secondary fitting. Then have your audi revert back the Genie 2 programming to select the primary fitting, and let Genie 2 prescribe the default program 1 as is for the primary fitting, then create a program 2 in there and change the values in the Fine Tuning in program 2 to EXACTLY how it was programmed based on the snapshot you took for the secondary fitting. This way, program 2 is what was prescribed for your secondary fitting, and when you wear your primary fitting, use the default program 1, but when you switch to the secondary fitting, then you’d have to remember to switch to program 2.

Can I have 1 program for my left and 1 program for my right HA? or louder in the right ear? As the hearing loss of the right and left ears are different. I am using More 1 with a power dome and 100db receivers. When I switched to level 4 in the right ear using Oticon On Apps and 0 for the left ear, I hear a soft sound in the right HA, overall perceived as slightly better when the left & right were at level 0 in the Apps. Appreciate your kind guidance.

@danka said:

Can I have 1 program for my left HA and 1 program for my right HA? or louder in the right ear?

Each program has volume adjustment for both ears independently. So there would never be any reason for you to have a program for one ear and another program for the other ear, because you can only use one program at a time anyway.

But I understand what you’re asking. It seems like in your default program 1, the amplification in the right ear (your worse ear) is still not sufficiently loud enough for you to hear. You can simply ask your to go into program 1 in Genie 2 and raise the overall volume in your right ear to more than it is right now → to the volume level that’s equivalent to the level 4 in the ON app if you were to manually do it. Then going forward, in program 1, you will get that level 4 equivalent so you don’t have to manually adjust it all the times.

But if you really want 2 program, with the default program 1 as is, but have a program 2 where your right ear volume raised to the equivalent of level 4, so you can switch back and forth depending on the situation you’re in, then yes, that’s doable, too. Just ask your HCP to do it for you.

Thanks @Volusiano . You are right. What I meant is loudness for the right ear. As the right ear has a greater hearing loss so increasing the volume on a 100db receiver would be the right choice. At level 4 with the Apps, the TV noise is still soft but perceived as fullness of sound quality. I might have to ask Audi to move up at least 10db or more in the next coming appointment. Is 10db or higher advisable?

It’s probably best to try it at the office and just do incremental 1dB gain increase until you feel like you get a more balanced soundscape with both ears, rather than trying to quantify how much to increase up front without really hearing it first hand for yourself.

Make sure to bring some kind of sound source with you (maybe some kind of portable speakers that can deliver good enough bass (since this is where your remaining hearing on your right ear is in the lows only) with some content (like maybe music with good strong bass) to test it out if your ’s office doesn’t have a similar setup you can use.

Below is an example screenshot of the Fine Tuning page. Your HCP can select either the Loud, Moderate, or Soft (or all combinations in between) for your right ear and increase the gain one at a time. Each Plus is a 1 gain increase according to the Genie 2 help. Also notice the Reserve Margin for your right ear on the upper left corner and for your left ear on the upper right corner. As your HCP increase the gain for the right ear, its Reserve Margin may start dropping down in value, meaning that it’s going to max out soon. When you start maxing out, you can see the red color turn darker, indicating the max out.

image

In reply to @Mago

Mago thanks so much for all of your insight. My audi said “no” to the two different programs for 85 and 100. Said she reached out to Oticon as well. Two different updates on the 100 receiver power mold. She said that the 100 receiver required the canal lock but was able to grind it down (two separate appts) to make it more comfortable.
I had some last few HRA dollars to use up in Dec so I purchased the 85 microshell that is specific to the More. Just picked that up today so will figure out how that seems to perform vs the 100 that I have been using. And then determine which one I will use and fine tune the program.
Going into the appt today my feedback to her was the 100 receiver (when I plug my good ear to focus on the bad) was clear good sound but just quieter. Like the radio volume - if my good ear is set to 10 my bad ear is hearing it at a volume 6. Because it was the higher receiver she did have it set way down.
For the new custom 85 microshell, She made a couple of adjustments (can’t recall what) on the speech. Wanted to leave everything else for now as I wear it for a few days.
INTERESTING is that my Costco Philips aid I had them update it to reflect the from my audi. No other adjustments (yet). Using the regular 85 micro mold. That (without tweeking) brings in the volume and all of the higher registers and certainly background sounds in music. But is losing the lower register sounds. Just funny to me that same audiogram and one aid is “loud” but not as great on hearing; the other is better with the hearing but quiet. LOL

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