After reviewing my posting from yesterday, I realized I left out a few observations and comments I should have made.
The article revealed and reflected, that I was really impressed with the sincerity and thoroughness, of the participating Hearing Aid Dispenser.
I am adamant that the virtues, or lack of, of the Provider classified as a Hearing Aid Dispenser, regardless of whatever other title they may hold or claim, which is what they have to be, and what license they have to have, at least in the State of California, if they are engaged in the Sale and Fitting of Hearing Aids.
This Provider (Hearing Aid Dispenser) exemplified Integrity.
Getting back to the formal testing, I failed to mention that he also performed what is called a Bone Conduction Test.
This is accomplished by placing a headset or device,over the head with a small vibrator wired and connected to the Audiometer which allows for a signal identical to the Pure Tone to be transmitted directly to the Cochlea through the bone of the Skull. The Transmitter (Vibrator) is placed directly over the Mastoid Bone, or in the best possible position. The Transmitter is usually rotated over the Mastoid, while a loud constant signal is transmitted, to the position where the Signal is heard the loudest. That is considered the Best Placement Position.
Each Signal from the Audiometer is transmitted, the same as the Pure Tone Sequence, and the Response Threshold is established and recorded on the Audiogram, using a different symbol.
The Ears are Open to the Environment and the Sound Proof door is left open, since the ambient noise or environment is not a negative influencing factor.
The Purpose of this test, is to determine whether Sound is being obtructed by Ear Wax , of which we already knew there was none because of the Video Otoscope Examination, or whether the Transmission of Sound was being restricted because of Malfunctioning Middle Ear Bones.
A Disease, usually hereditary, can freeze the 3 Hearing Bones, the Smallest Bones in the Body, yet Fully Developed at Birth (Must be a reason) which probably means we can hear before we can see, when born. Worns the Baby if a Lion enters the Cave.
If the Bones aren't functioning correctly, they won't transmit the Signal resulting in what is Called an Air-Bone Gap, which means the Bone Conduction Hearing Threshold is better than the Air Conduction Threshold, because of either an Ear Wax Obstruction (Plug) or Frozen or Rigid Ear Bones.
In order for Eax Wax (Cerumen) to be responsible for Preventing Sound Transmission, the Composition of the Wax has to be Hard and Complete.
Any Opening, even as thin as a Human Hair, .003 for a White Male, allows all the Sound Necessary to Hear Correctly to pass through to the Ear Drum (TM).
The Dexterity and Flexibility of the Tympanic Membrane is Critical to performing its Function. It vibrates at the rates of Sound Movement.
There is also a Test to Evaluate the Condition of the Tympanic Membrane.
Presence of Existance of an Eardrum is not necessary to Hear.
Some People are born without Eardrums.
Perforated Eardrums usually heal by themself, unless there is an infection.
Eardrums are Punctured by Physicians and Drainage Tubes installed, to treat Infections resulting in Drainage.
Diseased Hearing Bones can also be replaced.
Perforated Eardrums warranted non-participation in the Armed Forces, because Gas Masks don't cover the Ears, and Poison Gas can enter the Body through Eardrum Performations.
Ear Canals can be flushed or irrigated by each Individual to keep them free of Earwax, the same way we use Mouthwash, a flushing action.
The Solution can be a mixture of Vinegar and Water, room temperature, or Peroxide.
The difference between Standard 2% Peroxide and a Packaged Product for Earwax Management is that Debrox, for example, contains 6% Peroxide and also contains a lubricant, Glycerin. DEBROX costs a lot more than a 12 oz bottle of 2% Peroxide.
This Extraordinary Hearing Aid Dispenser, did dwell on, and explain the Connection between Social and Professional Activities and Lifestyles, and the Various Levels of Hearing Aid Circuits available.
He had prepared Charts reflecting the Features of Each Model Hearing Aid and He also had Printed Price Sheets reflecting the Costs of the Various Hearing Aids.
The only Negative Observations I made about his Presentation are that he didn't enter my Audiogram into a Computer and Program the Hearing Aids that He placed on my Ears to my Loss.
He took a chance that however they had been programmed, might have sounded good to me. Actually they weren't bad.
He did not explain all the Features and Options and Benefits, available because of Digitial Signal Processing, and any particular Model of Hearing Aid.
He could have, and should have, used the Computer in Simulated Mode, to Demonstrate the Differences in the Circuits of the Various Models of Hearing Aids.
I emphasize the Sincerity, thoroughness, and Obvious and Expressed Integrity of this Hearing Aid Dispenser, because I consider the Hearing Aid Provider (Dispenser) to be the Most Important Part of the Hearing Aid Acquisition and Usage Equation.
The Provider is 1/3, the User is 1/3, and the Hearing Aid is Only 1/3.
A lot of People, Users and Providers, think that only the Hearing Aid matters or is Important.
They don't know the Hearing Aid Business, and all that it entails.
The Negative Problems I have with the BRAND Miracle-Ear, is that NO OTHER PROVIDER CAN SERVICE OR PROGRAM THEIR HEARING AIDS BECAUSE THE SOFTWARE DISTRIBUTION IS RESTRICTED TO THEIR FRANCHISES.
THEIR PROVIDERS (HEARING AID DISPENSERS) BEING EMPLOYEES, COME AND GO, OVER A PERIOD OF TIME.
EACH EMPLOYEE IS DIFFERENT. NO CONSISTANCY OR HISTORY OF A RELATIONSHIP.
THEY HAVE LIMITED PRODUCTS AND SERVICES.
THERE IS PRESSURE (MOSTLY ECONOMIC) TO ONLY SELL NEW HEARING AIDS AND NOT TO NECESSARILY DO WHAT IS TO THE BEST INTEREST OF THE CLIENT (HEARING AID USER).
In this Particular Office, by this Particular Provider (Hearing Aid Dispenser) Their newest advertised Model, the ME 950 was not used for the Demonstration.
The Optional Remote Control for the Hearing Aids was not Presented or Discussed, nor was the Optional Battery Charger.
The ME 950 is also the Product with the Receiver In The Canal and it was not Presented of Discussed.
Never the less, because of Character of the Provider (Hearing Aid Dispenser) I would highly recommend this Guy to anyone I know in the Market for a Good Hearing Aid Provider.