Buying
a Hearing Aid
Answers
to common questions
I Don't Hear Well.
What Should I Do? What Should
I Expect?
Because some hearing problems can be medically corrected, first visit
a physician who can refer you to an otolaryngologist (an ear, nose,
and throat specialist). If you have ear pain, drainage, excess earwax,
hearing loss in only one ear, sudden or rapidly progressive hearing
loss, or dizziness, it is especially important that you see an otolaryngologist.
Then, get a hearing assessment from an audiologist (a nonphysician
health care professional). A screening test from a hearing aid dealer
may not be adequate. Many otolaryngologists have an audiologist associate
in their office who will assess your ability to hear pure tone sounds
and to understand words. The results of these tests will show the
degree of hearing loss and whether it is conductive or sensorineural
and may give other medical information about your ears and your health.
• Conductive Hearing Loss
A hearing loss is conductive when there is a problem with the ear
canal, the eardrum and/or the three bones connected to the eardrum.
Common reasons for this type of hearing loss are a plug of excess
wax in the ear canal or fluid behind the eardrum. Medical treatment
or surgery may be available for these and more complex forms of conductive
hearing loss.
• Sensorinural Hearing Loss
A hearing loss is sensorineural when it results from damage to the
inner ear (cochlea) or auditory nerve, often as a result of the aging
process and/or noise exposure. Sounds may be unclear and/or too soft.
Sensitivity to loud sounds may occur. Medical or surgical intervention
cannot correct most sensorineural hearing losses. However, hearing
aids may help you reclaim some sounds that you are missing as a result
of nerve deafness.
Where Do I Go to Get Hearing Aids?
Because federal regulation prohibits any hearing aid sale unless
the buyer has first received a medical evaluation from a physician,
you will need to see your physician before you purchase a hearing
aid(s). However, the regulation says that if you are more than 18
years old and are aware of the recommendation to receive a medical
exam, you may sign a waiver to forego the exam.
An otolaryngologist, audiologist, or an independent dispenser can
dispense aids. Hearing aids should be custom fitted to your ear and
hearing needs. Hearing aids purchased by mail-order typically cannot
be custom fitted.
How Expensive Are Hearing Aids?
Hearing aids vary in price according to style, electronic features,
and local market conditions. Purchase price should not be the only
consideration in buying
a hearing aid. Product reliability can save repair costs and the
frustration of a malfunctioning hearing aid.
What Kinds of Hearing Aids Are Available?
There are several styles of hearing aids:
• Behind-the-ear (BTE) hearing aids are placed over the ear and connected
with tubing to custom-fitted earpieces.
• In-the-ear (ITE) hearing aids fill the entire bowl of the ear and part
of the ear canal.
• Smaller versions of ITEs are called half-shell and in-the-canal (ITC).
• The least visible aids are completely-in-the-canal (CIC).

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additional photo <click>
Hearing aid options, which are appropriate for
your particular hearing loss and listening
needs, the size, and shape of your ear
and ear
canal, and the dexterity of your hands will all be considered
in
deciding what type of hearing aid is the best for you. Many hearing
aids have special telecoil "T" switches to aid in use
of the telephone and certain public sound systems. Discuss your
need
for a T-coil switch while you are considering hearing aid options.
Will I Need a Hearing Aid for Each Ear?
Usually, if you have hearing loss in both ears,
using two hearing aids is best. Listening in
a noisy environment is difficult with
amplification in one ear only, and it is more difficult to distinguish
where sounds are coming from. If, however, the quality of hearing
in one ear is very different from the other, one hearing aid may
be better than two.
What Other Questions Should I Ask?
• Ask about charges for the hearing evaluation,
dispensing fee(s), and future servicing and repair.
• Inquire about the trial period policy and what fees are refundable if
you return the hearing aid(s) during the trial period.
• Ask about the warranty coverage for your hearing aids and the consumers'
protection program for hearing aid purchasers in your state.
What Will Happen at My Hearing Aid Fitting?
• The hearing aids will be fitted for your ears.
• Then, while wearing your hearing aids, you will be tested for word understanding
in quiet and in noise and for improvement in hearing tones.
• Next, you will receive instruction about the care of your hearing aids,
the batteries used to power them, a suggested wearing schedule, general expectations,
and helpful communication strategies.
• You will also practice properly inserting and removing the hearing aids
and batteries.
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additional photo <click>
How Should I Begin Wearing the Aids?
• Start using your hearing aids in quiet surroundings, gradually building
up to noisier environments.
• Note where and when that you find the hearing aids beneficial.
• Be patient and allow yourself to get used to the aids and the "new" sounds
they allow you to hear.
• Keep a diary to help you remember your experiences.
• Report any concerns on a follow-up appointment.
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What
is audiology?
Audiology is the study of hearing and hearing disorders. It
is concerned with hearing conservation (preserving our
hearing by preventing hearing loss), the evaluation of
the nature and severity of hearing loss and the rehabilitation
of individuals with hearing impairments.
What
is an audiologist?
An
audiologist is someone who holds a degree and national
certification in audiology. In many states, an audiologist
must also be licensed. An audiologist’s interest
is the identification of hearing loss, the measurement
of that hearing loss’ severity and the rehabilitation
of the person with hearing impairment. An audiologist
is also involved in the identification of balance disorders.
How
does someone become an audiologist?
An
audiologist must have at least a Masters degree in audiology
from a nationally accredited college or university. Following
graduation, the new audiologist must participate in a Clinical
Fellowship program. The new audiologist works under
the supervision of an experienced, nationally certified
audiologist for nine months to insure that he or she is
capable of meeting professional standards and providing
quality services. Following successful completion
of the Clinical Fellowship program, the audiologist receives
the Certificate of Clinical Competence from the American
Speech, Language and Hearing Association (ASHA).

William
L. Simpson II, CCC-A
A lifelong
resident of Southern Louisiana near Lockport, Simpson received
a bachelor's degree in Speech, Language and Hearing Therapy from
LSU and A&M College. He then received a Master’s
in Audiology from LSU Health Sciences Center in New Orleans. He completed
an internship in Audiology at Veterans’ Administration Hospital
in Oklahoma City, Oklahoma. His past work settings include a hospital,
a residential facility, private practice and universities. Simpson
has been practicing Audiology for more then 24 years and has
extensive experience in: diagnostic testing of hearing and balance,
hearing aid services, hearing conservation, teaching and aural rehabilitation
therapy. Regularly attending seminars and conferences to keep up-to-date
with the changes in the field of Audiology, his current focus is
on diagnostic testing of hearing and balance.

Catherine
C. Lo, MA, CCC-A, FAAA
• Fellow, American
Academy of Audiology
• Licensed Audiologist / Hearing Aid dispenser,
Louisiana Board of Examiners for Speech
Pathology
and Audiology
• Certificate of Clinical Competence,
American Speech-Language and Hearing
Association
• Master of Arts in Speech Pathology and
Audiology, Louisiana Tech University
“My
goal as a dispensing audiologist
with Southern E.N.T. is to
find the best
hearing aid possible for
you. I have in-depth knowledge
of hearing loss
and extensive experience
in fitting different hearing
aids from over 10
manufacturers allowing me
to customize the hearing
aid according to your unique
needs, lifestyle and resources.”
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