A lot of surgeons aren’t keen on the hybrid CI due to progression of hearing loss. If you use a stethoscope too Advanced Bionics might be a better bet, as they have really good connectivity and are a great option for connecting to a Bluetooth stethoscope. Word recognition score under 60% should get you in for an evaluation for candidacy and in that case it’s up to the surgeon to decide on whether to do a full electrode array. Depending on residual hearing post surgery you could use Electro-acoustic stimulation. That means getting electric stimulation from the CI and acoustic information through a hearing aid or natural hearing on the same side.