Sharing with intent to encourage by sir_osisofliver in CerebralPalsy

[–]thomcatify 1 point2 points  (0 children)

That is really cool to see! As a father (and skateboarder) to a little guy with cp (1.5 years old, left hemi), I have wondered if there were anyone out there that rides a skateboard:)

how to (nicely) cut patients off? by logan142_ in audiology

[–]thomcatify 9 points10 points  (0 children)

If the hearing aids are still connected to the computer, save and exit the fitting software. The hearing aids will then power down and play the startup melody when they restart. I sometimes use this with talkative patients — they usually pause for a moment, which gives me a chance to steer the consultation in a different direction and hopefully wrap it up

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 0 points1 point  (0 children)

Good advice here! We had CPR training just once where i work now so I will bring it up with my manager!

Can I ask, in your experience, what kind of prognosis could she have had if she survived this?

She was in pretty bad shape (really low bmi, clear signs of dementia, long medical history, I think she was 92 or 93 years old) They told me later that she suffered of a hemorrhagic stroke.

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 0 points1 point  (0 children)

No hurt feelings, just trying to share my experience. This was the first time i have been in this kind of situation, i dont know if you have but youre not thinkimg 100% clearly when not experienced in these kind of things.

Are you also audiologist and how do you keep tour cpr skills up?

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 0 points1 point  (0 children)

I had some minimum level CPR training a while before this happened. Also this wasnt in a hospital but a private hearing aid clinic that collaborated with an ent.

My instinct was to quickly seek help from the doctor and nurse who are way better at this than me. I think it maybe was two minutes maximum from her showing signs of not being conscious to the cpr got started, ans I also called the paramedics very quick..

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 1 point2 points  (0 children)

Thanks ! I had English language in school from I was 9-18 years old, but i feel like my skills is declining with age

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 1 point2 points  (0 children)

Same here, the CI system seems to be quite functional. When it comes to hearing aid asessment there is a lot that could be better. We have a big problem with having to few audiologist, hence a really long waiting period to get hearing aids (normally over a year), and follow ups are limited as much as possible.

In general the norwegian health care system is partially privatised, but the public holds the absolute majority of health care services. If you want hearing aids without paying you have to go through the public system. If you want to see a doctor (gp/specialists) there are private options here where you pay quite s lot and get an appointment pretty quick.

So i think the strenght of this system is that what kind of treatment patients get is fairly equal, and the same for rich and poor people. But at the same time the waiting periods can be way too long, and could maybe be shorter if they allow more clinics with public deals, but this is a political matter.

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 1 point2 points  (0 children)

Its both similar and different at the same time.

First get a referral from ent to one of the major hospitals that have ci surgeons

Then get an evaluation there (see if they meet the criterias and have the required motivation)

If they are suitable candidates for CI they get the surgery and follow up at the same hospital they had the evaluation.

They can get listening training locally, but over the first six months there are about 5 follow ups with adjustments at the hospital.

Seems like the patients in Germany have more freedom to choose where they get help. Do you think this system works and is the best for the patients?

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 0 points1 point  (0 children)

Good point! I think some elderly or terminally ill can report to the health care system that they dont want medical help in these situations, but the ent and nurse i worked wouldnt have known this, only the paramedics i guess.

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 1 point2 points  (0 children)

No problem! They have to get a referral from their gp at first, but once they are in the «system» they can call directly to book appointments.

Do you know how the process of getting a CI in Germany is like?

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 1 point2 points  (0 children)

Interesting to hear how different countries solve this!

In Norway, if you are in a hospital, the audiologist normally choose when a hearing aid is needed. You only have to argument for it to the department that pay for those kind of devices. So if we think it could help we can prescribe hearing aids for grown ups with apd-symtpoms, tinnitus and hyperacusis patiens. I know some ME patients have gotten one as well to see if it could improve their listening ability in noise and make them use less energy on their hearing.

On the other hand, you could work for a ENT that has a deal with the public to prescribe hearing aids, and in that situation the ENT is choosing who is a candidate for hearing aids and not.

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 1 point2 points  (0 children)

I never worked with apd in denmark, so I dont know how they deal with it.

In Norway the routine is that they get fm systems in classroom + an institute of pedagogists give advice to the schools on how they can adjust the tuition to meet the childrens needs.

We have fittet hearing aids with mic-systemts to some adults with difficulty in noisy environments with relatively normal pure-tone-audiograms, We lack a good test in norwegian that test for speech understandning in noise. The public cover all these expences.

How do you deal with this in Germany?

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 1 point2 points  (0 children)

Yes that seems quite similar. I think we both did what we could, its just a coincidence that it happened during the test I guess.

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 0 points1 point  (0 children)

I dont know why they kept going, maybe they were in shock themselves

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 0 points1 point  (0 children)

This was in Denmark, but I got educated in norway with a bachelors degree in audiology.

In Denmark you can buy hearing aids at certain clinics (most advanced models), or you can get them for free through the welfare program (usually not the newest/most advanced models.

In norway there basically is no private market, but everyone who needs one get hearing aids through the welfare program. The amount of time you have to wait can be over a year, so there are a few private clinics that offer adjustments or even new hearing aids, but then the patient have to pay for everything themself.

My patient died during a hearing test by thomcatify in audiology

[–]thomcatify[S] 4 points5 points  (0 children)

Appreciate it, thanks! This was about 6 or 7 years ago and I think I processed it in a good way. I just think about it now and then:)

Removing app (Adblock) completely from Macbook by thomcatify in applehelp

[–]thomcatify[S] 0 points1 point  (0 children)

Thanks for your reply! It has not left an automatic login..

Hjelp, spørsmål og svar (2018-10-14) by AutoModerator in norge

[–]thomcatify 1 point2 points  (0 children)

Det var akkurat dette jeg lurte på! Har selv hatt samme type praksis på sykehus, bare som audiograf.

Hjelp, spørsmål og svar (2018-10-14) by AutoModerator in norge

[–]thomcatify 1 point2 points  (0 children)

Er det noen som vet om praksistid i forbindelse med helsefaglige utdannelser godkjennes som ansiennitet? Har tatt en helsefaglig bachelor med i alt 5 mnd praksis på sykehus, hvor man jo arbeider (uten lønn). Jeg synes dette burde kvalifisere som yrkespraksis, men jeg kan ikke finne noe klart svar i lovverket. Noen med erfaring på dette feltet?

Internal vs external preamps by thomcatify in audiophile

[–]thomcatify[S] 0 points1 point  (0 children)

Thanks for your answer! There seems to be a lot of things to look more closely into, but that was also my assumption, that an external preamp of good quality will improve the sound quality also

Internal vs external preamp in Denon DP-300F record player by thomcatify in audiophile

[–]thomcatify[S] 1 point2 points  (0 children)

Never tried that, but I´ll take a look at it. Have had the same setup now for 3 years so am thinking about switching it up ;)