DIY School Hearing Aids (v2.2)

Oh, I guess you can use Simulation
"Even if no instruments are connected, you can still open the In-situ Audiometry tool in simulation mode. However, you cannot enter results."

Either Audiogram or in-Situ can be used as the starting point to calculate/Rx/Prescribe you Gain settings. But I don't think that an Audiogram is required for in-Situ.
 
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MikiBL said:
I thought that until I get the NW, I would enter the In-situ audiogram as done by my audiologist
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Audiogram (derived from an Audiometer in soundproof booth) and in-Situ (listening to beeps in your hearing aids) are two different things. Though, perhaps you can practice in-Situ in simulation.
 
REM adjustments are discarded when/if you use in-Situ so read Step4 in the DIY School PDF File (02 How to Program your Hearing Aids) which describes how to save your important REM-adjusted settings.
 
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MikiBL said:
And a question:
Why the Genie instructions for In-situ Audiometry say this:
"Make sure you added an audiogram in the Noah or Client step before performing In-site audiometry in Genie or Genie 2."

What if there is no conventional audiogram?
Can In-situ be sufficient for a standalone base?
And for simulation? And while I wait for NW to come, can I put in the In-situ audiometry that my audiologist did for me?

And this is not clear to me:
"Remove any REM AutoFit results before you conduct In-situ Audiometry.."
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I still don't know what you are reading? "275496UK_IFU_OT_Genie_2_24.2_Original file"? Maybe a website URL would help.

Your Audiologist usually does PTA/ Pure Tone Audiometry (in a sound proof booth) and you press a button when you hear the tone. Then he/she may insert a probe into your ear canal and do REM/Real Ear Measurement to make adjustments.

Though, It is possible that your Audi performed remote fitting with in-Situ instead of PTA?

Can you say which method was used?
 
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Performing inSitu in a Simulate session might give you a small degree of familiarization with the inSutu process. But you cannot save the results and see how it would sound, so what's the point. Simulate never connects any hearing aids to the fitting software. It's good for practice, it's good for exploring software functionality. But you cannot listen to the results of your changes.
 
When purchasing a hearing aid (Oticon OWN1, ITC with bluetooth), in-situ audiometry was performed and installation was performed.

I am not satisfied and I know that I will always be better because I will have time and patience to try various recipes, then Speech Rescue, Noise Reduction, Environment Configurations and many other features.

Until I get (if it comes from Ali) NW, I want to familiarize myself with the software as much as possible, and I can only do that in simulation mode.

In addition to the model of my device, I would like to enter in the software the audiogram (in-situ) that my audio technician did for me and that I have printed out. If I could enter that audiogram somewhere in the simulation, I would also get recommended gain curves for various recipes ((Fitting Formulas) and that would be interesting to me.

I have downloaded several editions of the Genie manual, for versions from 2017 to this latest one for 2024.

These quotes:
"Make sure you have added the audiogram to the Noah or client step before performing In-situ audiometry in Genie or Genie 2."

"Remove all REM AutoFit results before performing in-situ audiometry.." ...

can be read in each of them.

I can't find the link I downloaded the latest version from, but it's the same text I'm talking about on all of them, so here it is:
Instruction for Use Genie 2
That quote is on the page 16.

Greetings
 
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You need to read some of the (Intended user - Hearing care professional) instructions with a grain of salt. For example; DIYers don't use the Noah database system.

Normal fitting uses PTA to produce an Audiogram. That Audiogram is entered for a Client manually, at the CLIENT / Audiogram Step; or automatically by software from the Audiometry equipment used. After insuring that Acoustics (vent size / receiver size depending on model) are set correctly, and then when you proceed to the FITTING step your Rx/Gain/Prescription is calculated based on the client's Audiogram plus Acoustics.

But you didn't get normal fitting. You got a Remote fitting using inSitu in place of PTA, and also without REM adjustments.

Since you have no additional REM adjustments to worry about losing, and since (Remote fitting via inSITU) is of no great value, then you can recreate your Rx/Gain/Prescription from your own inSITU measurements plus correct Acoustics.

Though, you should save the original settings before you perform your own inSitu measurements (just in case you wish to revert back). Practicing inSITU without hearing any tones is of no great value.

c1.jpg
 
I know that the Noah database is used by professionals with a larger number of patients and that I do not need it.
And in these Oticon Instructions for using Genie, you can read how to use Noah and how to use the stand-alone database.
In the document I sent you the link for, it is stated in several places.

Why do you say I didn't get a normal mount?
The technician did not use headphone testing, but placed this hearing aid in my ear and made an audiometric recording with the in-situ method! It claims to be more accurate and realistic than the PTA test with headphones.
It was not done by remote editing, but at his office.

I'd like to put that chart in simulation mode until the Noahlink wireless arrives so
I can then do some new audiometry in-site.
And it would be done carefully, not hastily as these technicians do.

When I have the NW, I will first plug in my hearing aid and make (save) the current original settings.
And then I would make a second, then a third, etc. session with various settings and tested which suits me and saved each one.
I could always go back to the original or the one I like.

I expect it can be done like this.
 
MikiBL said:
Why do you say I didn't get a normal mount?
The technician did not use headphone testing, but placed this hearing aid in my ear and made an audiometric recording with the in-situ method!
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OIC; Sorry, that is what I thought you were saying. Well that is a very unusual fitting. Best Practice is (PTA/Pure Tone Audiometry + REM).

MikiBL said:
It claims to be more accurate and realistic than the PTA test with headphones.
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I don't think so. First time I have seen a claim that inSITU is more accurate than PTA/Pure Tone Audiometry. Is certainly is cheaper, no need to buy the expensive Audiometer and REM hardware. Some PPL seem to like it better. But AFAIK; Best Practice is still (PTA/Pure Tone Audiometry + REM).
MikiBL said:
I'd like to put that chart in simulation mode until the Noahlink wireless arrives
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I don't think that (Genie 2 / inSITU) stores an Audiogram that you can use. I think it uses your mouse-click readings as input to Calculate/Rx/Prescribe you gain settigs without converting those readings into a Chart/Audiogram that you can reuse.
MikiBL said:
I can then do some new audiometry in-site.
And it would be done carefully, not hastily as these technicians do.
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Why does it matter what you do in SIMULATE mode if you cannot listen to the results, or even hear the test tones without a hearing aid programming device?
iu
;)
 
Is certainly is cheaper, no need to buy the expensive Audiometer and REM hardware. Some PPL seem to like it better. But AFAIK; Best Practice is still (PTA/Pure Tone Audiometry + REM).
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He has the equipment for a classic hearing test, which he also used when I used to come with the old device.
And for REM, I don't think there is, but I'm not sure.
I don't think so. First time I have seen a claim that inSITU is more accurate than PTA/Pure Tone Audiometry.
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He claims and I cannot contradict him.
In a DIY setup, I will definitely have the in situ audiometry only option. And of course, without REM.

How does my software load the original settings? I turn it on and it recognizes all the values that are stored in the device itself?
This obviously does not include the original audiogram?! When I have NW and perform in situ audiometry, if it differs from the original, all calculated parameters will also differ.
Should I then save it under the same client as the new session?

Why does it matter what you do in SIMULATE mode if you cannot listen to the results, or even hear the test tones without a hearing aid programming device?
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Well, if I could enter that original audiogram, I would also get all those diagrams, so I would also see how they change with the change of the selected prescription, with various changes of some functions, etc.
Specifically, my audiologist used the NAL-NL1 and set up 4 programs: General, Speech in Noise, Comfort and MyMusic.
These first three are not good for me.
I think that I miss the low tones, even the high ones, and that the middle ones are too loud.
Even when I'm in a cafe, the surrounding noise is unbearable

.I will probably go to my audiologist before the NW arrives, so if I had an idea from the above which prescribes and functions give a slightly flatter curve, I could suggest it to him.
That would make more efficient use of time with him.

I hope you haven't lost your patience :)
 
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MikiBL said:
How does my software load the original settings? I turn it on and it recognizes all the values that are stored in the device itself?
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It recognizes that the DateTimeStamp from the last session in your Standalone Database (of lack thereof) differs from the DateTimeStamp from your hearing aids, and typically asks which to use. Maybe first connect is slightly different?
MikiBL said:
This obviously does not include the original audiogram?
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There was no original audiogram (because the fitting was inSITU), and I don't think that Oticon fitting software carries a separate copy of the Audiogram inside the hearing aids settings. Some fitting software (like Phonak Target I believe does).
MikiBL said:
Well, if I could enter that original audiogram, I would also get all those diagrams, so I would also see how they change with the change of the selected prescription, with various changes of some functions, etc.
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I am unsure of what diagrams we are referencing. But if you enter the same Audiogram/Acoustics/settings choices, then the fitting software would calculate/Rx/prescribe the same gain settings.
MikiBL said:
specifically, my audiologist used the NAL-NL1 and set up 4 programs: General, Speech in Noise, Comfort and MyMusic.
These first three are not good for me.
I think that I miss the low tones, even the high ones, and that the middle ones are too loud.
Even when I'm in a cafe, the surrounding noise is unbearable
Click to expand...
I like the Oticon Intents use of AI for noise reduction and don't have much of a problem with speech-in-noise since I started wearing the Oticon Intents. I will try to ind that topic.
MikiBL said:
I will probably go to my audiologist before the NW arrives, so if I had an idea from the above which prescribes and functions give a slightly flatter curve, I could suggest it to him.
That would make more efficient use of time with him.
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I can only guess, and you have not posted a link to an image of your Audiogram, (as example; click mine in my Signature below) when you are logged-on.
 
Thanks for these answers.
I believe they will use me.
I haven't run the software yet so that I can learn as much as possible beforehand and have less doubts for the first use. But I'll try as soon as I get there.
As for Intent, I just bought this OWN device and only one. I know it's not good, but that's my financial capabilities. If it are fimprove, I will buy others. I've already been and got used to only one because one of my old devices was broken and the remaining one served me for a long time.
So I also want this new one that I have now to be the best it can be and to set it up nicely.
 
You're welcome Bro. None of us know everything. But each of us contribute to our group knowledge.
 
Looking for the Phillips HearSuite software for the 9050 hearing aids if possible. Thanks.
 
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