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Re: I've had it, anyone else?

"bubba" <JSmith@wherever.com> wrote in message
news:y5OdnUx2jdA91VbanZ2dnUVZ_v6rnZ2d@giganews.com...
>> I would suggest you ask this audie to provide you with the settings
>> print outs so you know what is happening technically each time you get
>> an adjustment.  Also ask to borrow the Connexx 5.2 disc and make a
>> copy....of course only for your personal informational use.
>
> Printouts???  Don't think they have the capability, despite having a
> computer that is able to print out bills/receipts, etc.  They have never
> managed to save the settings to disk in a patient file or folder, and I
> have asked for that to be done at each sitting, just to use for
> references.

If they are using the Hi-Pro, then all your sessions are recorded in NOAH,
the base program. They may not know how to retrieve old data, though. It is
tricky.

The program reads the data in your aids, and asks if the programmer wants to
use the program calculated data or that resident in the aid. Tell the
audiologist to use the data from the aid and fewer errors will occur.

>My audiograms consist of hand-drawn red and blue dots on a piece of graph
>paper that has been re-photocopied so many times that the dB and frequency
>readings are nearly illegible.  No computerized audiograms here, much less
>canal mics, etc.  So far as for testing the aids, I don't think they have a
>proper test chamber.  The only test I've known them to perform on the aids
>is to stick the end of the mold into the end of a stethoscope tube that has
>had the stethoscope diaphragm cut off and listen to see if they are making
>sound.  How that helps them to understand what I'm experiencing
>acoustically is a bit beyond me, since they aren't impaired.


How does a cardiologist know whether your heart is having a problem, simply
by listening with a stethescope? They don't have heart disease!

One listens for abnormalities that the hearing impaired might not hear, but
can cause distortion, which the patient hears as static, etc. The hearing
aid stethescope is possibly the most important tool an audiologist has for
evaluating an aid, next to the patient's description of the problem.

>
>>Also ask to borrow the Connexx 5.2 disc and make a
>> copy....of course only for your personal informational use.
>
> I'll give that approach a try, since knowing about the actual programming
> functioning would help me communicate my needs to them better<g>.  Given
> the silent moans I perceive when they see me coming, they might just do
> it. Isn't Connexx up to ver 5.4 now?
>
>> The old serial HiPro has had several software upgrades and as far as I
>> know handles all of the newer aids.
>
> Do you mean software upgrades as in the Connexx software, or are there any
> sort of firmware upgrades that might need to be made in a used Hi-Pro?
> From the one glance I've had inside a Hi-Pro, I don't remember seeing
> anything that looked firmware upgradeable, but I'd better be certain.

When you hook it all up, the program will tell you if you need a firmware
upgrade.
One thing I've wondered about from you self programmers who use NOAH, how do
you justify having paid for a license? Do you just lie? Is that ethical?

>
> I'm really NOT out to cut out the middle man in this deal, and don't
> begrudge any profit my audie may make, as I consider his time to be
> important (and his livelihood).  Also, he's a nice guy, but we just don't
> seem to be able to get all the pieces together at the same time.
> Everytime we fix one issue, we manage to break something else that shows
> up in a different environment.  If  I could somehow magically combine all
> the different good things he has done at different sittings, and delete
> the mistakes from various sittings, and roll that into one hearing program
> for these aids I would be quite satisfied.  I also detest the current
> marketing strategy employed by the industry as voiced by many here.   It
> makes even one that intellectually knows what part of the money goes where
> to feel a bit guilty in taking up so much of the audie's time "for free".
> I, too, would prefer the pay-as-you go model, with separately purchaseable
> insurance, service, etc.  I'd really like to feel like I was getting
> optimal function from these aids before I go off the deep end and dive
> into a pair of high end aids that I may well not need at this point.  The
> audie is actually against going into the high-end units, and I suspect
> that it has as much to do with their skill in programming 16 channel aids
> as anything else. They cringe whenever I ask questions about the new
> Phonaks, probably partly because they don't handle them, and don't have a
> programmer for them.

They probably find them daunting from a technological point of view. Phonak
will dispatch a trainer to help them help you, if they will just ask. Most
manufacturers do that. Starkey has an ability to hook into the program over
the internet while the patient is in the office and a trained specialist
audiologist at the factory will handle difficult, unusual programming
problems.


Dr. Ridenhour

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