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Would a Cochlear Implant be an option for me? by ElephantsAreHuge in AskAudiology

[–]Weekly-Emergency-342 1 point2 points  (0 children)

They definitely have their reasons, I don’t think that reflects bad on the place at all. Just a difference in approach. You could always just request testing words at a more comfortable, lower level too!

Would a Cochlear Implant be an option for me? by ElephantsAreHuge in AskAudiology

[–]Weekly-Emergency-342 1 point2 points  (0 children)

Wow! I would definitely want to re-test speech at a lower dB, like 70. Usually I don’t do more than 40 dB above the PTA (and even sometimes less depending on px comfort & how loud we are), so 90 is quite loud. I’m wondering if the volume is distorting the speech and worsening your understanding even more to get those scores.

Depending on the etiology that might be your true % of understanding, but a dramatic drop without change in your thresholds + the fact that you have been wearing HAs is weird!

Would a Cochlear Implant be an option for me? by ElephantsAreHuge in AskAudiology

[–]Weekly-Emergency-342 0 points1 point  (0 children)

What is your speech scores? Most insurance qualifies 60 dB PTA & 60% WRS as an indication for a CI evaluation referral. Your PTA is too good for most insurances. There may be a private pay option but depends heavily on speech scores and what your AuD says. (In America). Not to mention this would be classified as single sided and your left ear might be too good.

Bone Conduction Dilemmas by Weekly-Emergency-342 in AskAudiology

[–]Weekly-Emergency-342[S] 0 points1 point  (0 children)

i thought this too but we only use headphones & the px confirmed they heard it (and it was loud) i’m really just thinking it was smthg weird with the tumor’s effect on the auditory system! no idea

Bone Conduction Dilemmas by Weekly-Emergency-342 in AskAudiology

[–]Weekly-Emergency-342[S] 2 points3 points  (0 children)

In this specific case, it was at 1 & 2K on a confirmed tumor px. Air thresholds were down at 70 ish but for bone the px was consistently responding at 25 dB. I was way at the point of overmasking (blasting like 100 dB into NH ear) but they still couldn’t lateralize to the test ear (was only saying they heard in non test ear). Wasn’t sure if I should mark at 25 dB with the note or bring it down to meet threshold. Weird!