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Coordinator
Elizabeth Levine-Davis, M.A., CCC-A/F-AAA

The Hearing Aid Dispensary
The Hector Giancarlo, M.D. Center for Communicative Sciences
The New York Eye and Ear Infirmary
230 Second Avenue
New York, NY 10003 (in Manhattan)
TEL: 212-979-4166
FAX: 212-533-4371

Browse the Hearing Aid Dispensary:
Getting Fitted | How Hearing Aids Work | Digitally Programmed Hearing Aids | Types of Hearing Aids | One Aid or Two? | Getting Acquainted with Your Hearing Aid | Assistive Listening Devices | Ear Plugs | ENT Evaluation

 
 

Getting Fitted for a Hearing Aid

It is often said that a successful hearing aid fitting is as much an art as it is a science. At the New York Eye & Ear Infirmary's Hearing Aid Dispensary, our audiologists have been successfully fitting and dispensing the finest quality electronic hearing systems since 1988.

Our highly trained professional staff has assisted thousands of people with diagnosed hearing impairment compensate for the natural patterns of hearing loss.

Detecting Hearing Impairments 

If you suspect you or a family member or friend has a hearing impairment, a physician must first be consulted to rule out any medically correctable cause. The family physician may refer you to an otolaryngologist ( a physician who specializes in diseases of the ear, nose and throat).

The U.S. Food and Drug Administration requires that a licensed physician examine and provide medical clearance for hearing aid use within three years of the purchase of a hearing aid (unless the person signs a waiver). Hearing assessment will be performed by a licensed Audiologist / Hearing Aid Dispenser.

Custom Fitting for Individual Hearing Needs

Even the best hearing aids cannot bring damaged hearing completely back to normal. Considering the many types and severities of hearing loss and the variety of available hearing instruments, selecting the hearing aid system that will best serve an individual's hearing loss and particular lifestyle and personality is a formidable task.

The new and experienced hearing aid user must be committed to the rehabilitation process; they must put forth every effort to become accustomed to amplification and they must communicate their goals, their needs, and their expectations to the audiologist from the start. The potential hearing aid user must furnish the audiologist with all requested information needed to determine the most appropriate hearing system. The audiologist will assist the hearing user to learn to use their hearing instrument to its fullest capacity.

It is the policy of the New York Eye & Ear Infirmary's Hearing Aid Dispensary to offer each person a 45 day trial period with their new hearing instrument. This policy allows the audiologist to make all necessary changes or adjustments in the newly purchased amplification system as the purchaser uses the hearing aid in various listening situations.

If a person simply cannot adjust to amplification within the 45 day trial period, the hearing aid may be returned for a refund (minus a pre-determined service fee). 

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How Hearing Aids Work

  • Microphone - picks up the sound and sends it to the amplifier
  • Receiver - inside the hearing aid, sends the amplified sound into the ear canal
  • Amplifier - inside the aid, selectively makes the sound louder
  • Volume Control - usually outside the aid, adjusts the loudness
  • Battery - supplies the power

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Technological Advances: Digitally Programmed Hearing Aids

The New York Eye & Ear Infirmary's Hearing Aid Dispensary can provide its clients the most sophisticated hearing aid systems available today. The same technology that is being used to program the microchips of computers is being utilized in digitally programmable hearing aids.

Digital Hearing Aids quickly convert sounds into a series of numbers. The computer chip inside of the hearing aid quickly processes and arranges that series of numbers many millions of times per second to make soft sounds audible and loud sounds comfortable, while simultaneously reducing background noise.

The audiologist programs this type of hearing aid to amplify different frequencies to different degrees, to fit the user's pattern of hearing loss. In addition, these hearing systems have different programmable memories that make it possible to choose different settings depending on the listening environment (e.g. restaurants, meetings, church , etc.).

This new technology, offered by the Hearing Aid Dispensary, is most helpful to people who have tried conventional hearing aids, those who live or work in a noisy environment, and those who are particularly sensitivity to loud or low frequency sounds. 

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Types of Hearing Aids

 
Behind the ear hearing aid In the Canal hearing aid
Behind the Ear (BTE) - All the components are encased in a small slim case worn behind the ear. Sound is conducted to an earmold through a plastic tube. These aids tend to have larger controls which are easier for some people to adjust. May be fit to all degrees of hearing loss, from mild to profound. In the Canal (ITC) - All the components are contained in a housing that fits in the ear opening and the ear canal. The sound is conducted into the ear by the receiver in the canal. There are adjustable volumes, with small controls. These aids are less visible in the ear than the ITE type hearing aids. For mild to moderately-severe hearing losses.
 
Completely in Canal hearing aid In the Ear hearing aid
Completely in Canal (CIC) - All components are contained in a molded housing that fits completely in the ear canal.The receiver is located in the canal and there are usually no outward adjustable controls. The hearing aid can usually not be seen from the outside. For mild to moderately severe hearing losses. In the Ear (ITE) - all the components are contained in a housing that fits in the outer ear and extends into the ear canal. The sound is conducted into the ear by the receiver in the canal. There is an adjustable volume control which requires greater dexterity than BTE styles. For mild to severe hearing losses.
 

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One Aid or Two?

For most people, binaural (two) hearing aids are recommended (when appropriate) in the presence of bilateral hearing loss. This provides better balance of sound, better localization of sound, and a better signal to noise ratio. A new user may wish to purchase one hearing aid initially and then purchase a second aid at some later date. The audiologist will determine what is indicated for each individual.

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Getting Acquainted with Your New Hearing Aid

Learning New Ways to Hear

  1. Start the conversation. Don't wait for others to speak to you first.
  2. Move closer and position yourself so that the speaker's face is well lit and you can easily see it clearly.
  3. Watch the speaker's face, lips, and gestures for clues to what is being said.
  4. Relax. Don't strain to hear every word.
  5. Enlist the support of family and friends during your adjustment period to your new aid.
  6. Wear your new hearing aid. The more it is used, the faster you will adjust to it.
  7. Try to turn off all background noise.
  8. Confirm what you hear.

Asking the Speaker a Question

  1. Speak at a normal voice.
  2. Talk naturally and distinctly.
  3. Get your attention before they start speaking.
  4. Ask the speaker to rephrase their comments if you misunderstand them.

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Assistive Listening Devices

The Hearing Aid Dispensary offers a wide range of assistive liste ning devices designed to either be used alone or in conjunction with a hearing aid. These devices include telephone amplifiers, infrared systems to be used for television viewing or the theater, and various alerting devices for the clock and doorbell.

The Americans with Disabilities Act requires communication access for people with hearing loss in certain employment, education and recreational settings. This requirement can often be met with the use of assistive listening devices.

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Using Ear Plugs to Reduce the Damaging Effects of Noise Exposure

It has long been documented that continuous exposure to loud noises can result in damage to the tiny hair cells that line the inner ear (the cochlea). The Hearing Aid Dispensary can fit clients with custom ear plugs designed to reduce the damaging effects of noise exposure.

In addition, we customize special ear plugs specifically designed for musicians and singers. Ear plugs may also be purchased , upon physician's request, for patients with damage to their tympanic membranes or to be used post surgically with tympanostomy tubes.

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Evaluation by an Otolaryngologist (ENT doctor)

Patients with suspected hearing problems must be seen by an otolaryngologist who specializes in disorders of the inner ear prior to audiologic testing or remediation. If a hearing disorder is suspected, you may call 212-979-4340 for a medical referral or to receive additional information.

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