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Heard the Latest?
by David Constantine

100% digital hearing aids are changing the rules of aging print article     
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The Baby Boomer generation shows the largest increase in persons needing some kind of hearing amplification, according to the National Health Interview Survey.  The reason for this, according to audiologists, is eardrum damage caused by loud noise.  "We're seeing that more and more of the world has become noisier, that there is more access to noise.  People go to more concerts, loud bars, loud parties. They use Walkmans, listen to loud music at sporting events - the world is just a noisy place," says Elizabeth Alsgaard of the Hillcrest Hearing Center.   

Thirty years ago, hearing loss may have come in handy, by allowing you to get out of the draft, or giving you an excuse for not listening to your parents.  But now hearing loss is anything but hip.  Losing your hearing carries with it the stigma of old age; unlike poor vision, which affects the old and young alike, hearing loss is associated with the elderly.  For many who perceive a gradual loss of hearing, admitting their loss is sometimes difficult.  Admitting it would mean having to wear big, ugly, uncool hearing aids like your grandmother.  This is no longer an unavoidable fact of life. 

The Digital Difference

Digital hearing aid technology has changed the rules of aging.  The difference between the old conventional hearing aids and the new digital hearing aids is similar to the difference between a 1955 Buick and a 2000 Porche.  100% digital hearing aids contain their own microchips that control and adjust sound to respond to the sound environment.  The digital processor can sample incoming sound one million times a second.  It also can adjust over one hundred different parameters a second. And digital aids can automatically execute complex operations with incredible speed.

While traditional hearing aids amplify all sounds equally, digital hearing aids are programmable and allow different frequencies to be amplified separately.  This enables audiologists to customize each aid to individual needs.  In addition, digital aids adjust the volume automatically when you encounter a sudden change in the sound environment.   For example, the Widex hearing aid features a 20-bit processor that can perform 40 million calculations a second.  This enables the aid to maintain a sound quality that is unavailable in conventional aids.  "It's an easily adaptable hearing aid; I mean that it is easy to fit on a patient.  It takes fine-tuning (return visits to the office to get the hearing aid to sound the best possible for the patient).   Once the patient reaches that point, they are able to carry on, so it is not a hearing aid that brings the patient back over and over and over," says Alsgaard.   She reports that most patients only require two return trips to her office.

 
Traditional hearing aids amplify all sounds equally.  Digital hearing aids are programmable and allow different frequencies to be amplified separately.

He Hears Your Pain

The most popular style of digital hearing aid is the Completely in the Canal (CIC) aid worn by President Clinton.  A CIC is roughly as tall as a quarter and is placed in the ear canal, almost completely out of sight.  They can only be seen from a direct profile. 

There are still other options available for people with hearing loss.  Programmable hearing aids are composed of analog circuitry, much like the conventional aids, but can be programmed by a computer in a doctor's office.  The aid is less expensive than the 100% digital aids, and has many of the same capabilities. 

Type of Hearing Aid Technology
& Circuitry
Amplification
Price Range
(per ear)
conventional
uniform to all frequencies
$607 - $1295
Programmable
Computer in dr's office programmed to accomidate patients sound needs
$995 - $2345
100% Digital
Digital contains an independent computer chip. Chip seperates incoming frequencies. Can adjust automatically to changes in sound environment
$1545-$3000

The future of hearing amplification is promising.  The very latest innovation in hearing aids is the "Songbird" aid, which is disposable.  It lasts about 30 to 40 days and costs around $80.  Intended for those with mild to moderate hearing loss, the Songbird offers advantages that digital aids do not.  The Songbird is cheap, comfortable, and highly adaptable.  As technology changes, the Songbird will adapt, so that any new innovations will be built into the next one purchased.  Songbirds will soon be available to the public.

 

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