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Products and Equipment > Amazing NHS audiologist

SarahC
#1 Posted : Wednesday, April 20, 2011 3:48:31 PM
Rank: Newbie


Joined: 6/8/2011
Posts: 0
Hi Everyone,
I have just had the most useful, helpful and informative appointment with an NHS audiologist ever. I didn't think that this was possible! I have been offered a Phonak Nathos CRT, which I didn't even think the NHS did. Does anyone else have the CRT (receiver in the canal/ear) model? What's it like? This audiologist was so helpful I really felt that he cared and listened. If every NHS audiologist was like this life would be so much better. Just thought I'd share this good news with you as no one I know would understand!
gazdoubleu
#2 Posted : Wednesday, April 20, 2011 9:37:56 PM
Rank: Senior Member


Joined: 6/8/2011
Posts: 520
Hi SarahC

Ask your Audiologist about the Nathos Micro with slim tube which is almost as discrete as the CRT version.

Reason I mention this is for future-proofing and reliability. If everything works fine with the CRT then all is well and good.

If not the Nathos Micro will work at least as well as the CRT standalone (and probably be more reliable) but also, it will take an audio shoe, should you need a conference mic and FM receiver.

This sort of thing you could get funded if you applied to access to work.

see <a href="http://www.pcwerth.co.uk/downloads/conference-microphone-DC-10.pdf" target="_blank">http://www.pcwerth.co.uk/downloads/conference-microphone-DC-10.pdf</a>

The only way to couple a CRT Nathos (which doesn't even have a loop coil) to one of these mics is via a Phonak icom which is a good product but not the simplest way to connect to a conference microphone.

The Nathos Micro Slim tube aids look like these, (although I'm not sure re. colour choices)

<a href="http://www.hearingcenterusa.com/store/phonak-certena-microtube-bte-pr-81.html" target="_blank">http://www.hearingcenterusa.com/store/phonak-certena-microtube-bte-pr-81.html</a>

The Nathos CRT models look like these

<a href="http://www.hearingcenterusa.com/store/phonak-audeo-yes-v-pr-87.html" target="_blank">http://www.hearingcenterusa.com/store/phonak-audeo-yes-v-pr-87.html</a>

CRT's breakdown more than slim tubes and are more susceptible to wax and moisture ingression.

Their performance has to be checked regularly as even the slightest contaminant in the receiver will affect performance if it gets past the wax guard.

If a slim tube gets blocked you can change it yourself or clear it yourself with a nylon wire.

That's one of the biggest reasons most NHS trusts are shy of CRT aids, i.e. they don't have the capacity to support unecessary reliability issues.
SarahC
#3 Posted : Thursday, April 21, 2011 8:01:45 AM
Rank: Newbie


Joined: 6/8/2011
Posts: 0
Hi,
Thanks for your help. The audiologist didn't mention the Nathos micro. Does this have a dome on the end? The reason I ask is that I have grommets so cannot have domes as there is a chance the grommet will fall out and the dome will fall off and go through the ear drum into the middle ear (apparently this has actually happened!). Therefore I need the slim tip (if this is the one with a little mould on the end of the wire - am I right?). Does the micro come with this option? Also, is the micro suitable for all types of hearing loss? When I went to a private audiologist (just to see what they had!) I was told that my hearing was to bad for a slim tube, although he was talking about a different brand altogether. Also, my hearing fluctuates so I need lots of different programmes and things, and apparently on the NHS only certain models are available with programmes, etc.

On another note, the microphone thing that gazdoubleu mentioned - I have seen similar things before. In a large room of 31 pupils, would you have to pass the microphone round to whichever pupil wanted to speak? I really feel this would not work, and would be too slow for a lot of our discussions.

Anyway, thanks for all your prompt advice, as ever.

PS I can't get the links to hearing center usa to work - don't know if this is just my computer?
gazdoubleu
#4 Posted : Thursday, April 21, 2011 12:15:11 PM
Rank: Senior Member


Joined: 6/8/2011
Posts: 520
Hi Sarah C

An is right, any fitting you can get for the CRT you can get for the micro including a custom slim tip.

Try holding the control (Ctrl) key down as you click on the links. Some comps might block the links otherwise.

The other issue I forgot to mention is that the Nathos Micro has a local button which (unless the NHS has a revised design) the CRT doesn't.

On the micro it can be used as a volume control or to change programs.

For that functionality on the CRT you would need a remote control.

You would definitely benefit from the flexibility of either volume control or program options, preferably both because of your fluctuating hearing loss.

I'd also be cautious about fitting a CRT with someone wearing grommets as there is even more chance of getting fluid on the receiver (speaker) in the ear.

Ever thought of training as a Teacher of the Deaf or Educational Audiologist btw? I know people who could tell you what the job is like.
gazdoubleu
#5 Posted : Thursday, April 21, 2011 12:45:06 PM
Rank: Senior Member


Joined: 6/8/2011
Posts: 520
Hi again

Found this

<a href="http://www.hearingaidforums.com/showthread.php?t=9326" target="_blank">http://www.hearingaidforums.com/showthread.php?t=9326</a>

near the bottom you can see the 'blurred' fitting ranges. Not that much difference between the micro and the CRT
gazdoubleu
#6 Posted : Thursday, April 21, 2011 12:48:22 PM
Rank: Senior Member


Joined: 6/8/2011
Posts: 520
No, you don't have to pass the mic round BTW
SarahC
#7 Posted : Tuesday, May 24, 2011 11:10:42 AM
Rank: Newbie


Joined: 6/8/2011
Posts: 0
Hi
Gazdoubleu - Thanks for all your advice (on other threads as well as this one!). My hearing has been dropping off so rapidly that I am getting worried about my job. I think by the time I actually get the phonak nathos crt aids, my hearing in the low frequencies will be too poor for them anyway, then I'll have to wait another 6 weeks for the super power version, by which time my hearing will have dropped...

Anyway, rant over. As I said I am seriously considering my long term career options. You mentioned that you know people that could give me more information about being a teacher of the deaf, or educational audiologist? Please could you pass on my contact details to them, if they are willing? I love teaching, but I don't think I have more than a few years left in mainstream education, at the most.

Thank you again so much.
gazdoubleu
#8 Posted : Tuesday, May 24, 2011 9:14:11 PM
Rank: Senior Member


Joined: 6/8/2011
Posts: 520
Hi Sarah

Do you want to hang back until the new forum is up for private messaging? I'm not too keen on putting my email on a public forum.

In the meantime you may get some joy on the Batod website <a href="http://www.batod.org.uk/" target="_blank">http://www.batod.org.uk/</a>

You might want to look at this link as Manchester is the nearest course for you

<a href="http://www.psych-sci.manchester.ac.uk/postgraduate/taught/deafeducation/" target="_blank">http://www.psych-sci.manchester.ac.uk/postgraduate/taught/deafeducation/</a>

Wendy McCracken had a lot to do with the course at one time. You can find her email on the this site.

<a href="http://www.mhs.manchester.ac.uk/aboutus/allstaff/" target="_blank">http://www.mhs.manchester.ac.uk/aboutus/allstaff/</a> (alphabetical by surname)

I can give you the personal email of my main contact once we can pm.

Good luck
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