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    Basic principles to consider when fitting a hearing aid.

    Today there is more science and research into the fitting of digital hearing aid technology than ever before. In order for a successful fitting, several steps and variables must take into account in order to optimize the benefits of wearing a hearing aid:
    1.  The proper diagnosis of the hearing loss, including assessment for auditory neuropathy.
    2.  The appropriate selection of the model. technology, and features of the hearing aids.
    3.  The proper measurement and adjustment (programming) of the hearing instruments to the            loss.
    4.  The fit of the ear mold/s (often times this can be the weakest link of the fitting).
    Other factors to be considered are: patient's expectations regarding the use of hearing aids, their committment to use them full-time, age, degree and type of loss, cognition, short-term memory, auditory neuropathy, type of environments the patient lives and works.
    I often say to my new patients that "the fitting of a hearing aid is not like buying a television or a toaster". It involves adaptation to a digital electronic instrument pumping sound through a damaged ear in order to make certain speech sounds more audible. What the brain does with this sound takes time to adapt.


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