I'm an audiologist by career (and former university professor) and a beginning player. The Forum and all the comments have been helpful to me, and so, I figure it's "pay-back" time on my side.
(I have no commercial connection to any hearing aid manufacturer or to any hearing aid distributor).
Some things to consider about hearing aids.
1. The majority of hearing aids built in the US are 100% custom made. The circuity is built into an acrylic shell made from an impression of the outer ear/outer part of the ear canal. So, one decision about hearing aids is size: full shell (in bowl of outer ear) to "completely-in-canal" (which sometime are, sometimes not...depends on the individual's anatomy). In Europe, they still favor the "behind-the-ear" type which has to be coupled with a custom earmold to deliver the sound the the ear canal.
Second decision is level of technology:
(a) from hard-wired (but adjustable) to digitally progammable and (b) type of processing--from analog to digital processors. There are circuits available that have some of the characteristics of each. There is a lot of confusion about differences between the traditional analog vs. the digital processors. The primary electronic advantage (IMHO)of the digital processors is the speed and frequency selectivity of compression triggers. Analog type hearing aids have always had compression circuits; the digital processors are just better...thousands of dollars better, I'm not convinced...there are no compelling studies in my professsional literature yet that state convincingly that digital processors are that much better. Still, they have another advantage which I like for a first time user, and that is, they operate automatically (no volume control...analog aids have volume controls).
Critical Pieces of Advice:
1. If you have adult-onset, primarily higher frequency (in the 1000 to 6000 Hz range)hearing loss in BOTH ears, you will do best with a binaural fitting (this is not a con job...there are several acoustic advantages to binaural fitting).
2. Hearing aid sales are regulated by the FDA which allows the purchaser of a hearing aid to have a 30 day trial with return right, money back (different states interpret this in different ways; California law is very strict on ALL money to be returned...no "fitting fee" or other hold-backs allowed). So, if you're unsure about whether a hearing aid is right for you, remember you have the 30 day trial period.
3. Find a hearing aid professional who is well recommended by others and who seems willing to spend time with you, both to explain your options and for follow-up.
4. Ask whether you will get a "real-ear" test using an ear canal microphone (this displays the aided, actual ear canal response of the aid on a computer screen and permits accurate settings and adjustments).
5. Hearing aids are not perfect devices. Remember also, that the bias in setting a hearing aid response is to make speech more audible (not music). Also, there are several organic aspects of an individual's hearing loss that affects the quality of the fitting.
Some people will do better than others.
6. Finally, don't delay. Most of the people who could benefit from using hearing aids wait three to five years before they obtain hearing aids. This is unfortunate because your friends and family have to put up with you and it's a lot more work, inconvenience and potential embarrassment for all.
Hope this has been helpful.
Feel free to email me if you have a question:
ivorypeter@aol.com
Peter
PS In June 2001, the VA opened up the hearing aid benefit to all WWII (VA eligible) veterans. It used to be that you had to be either service connected for hearing loss or were 50% SC-disabled to qualify. SO, if you served in WWII, you are eligible..check with the Audiology service at the VA medical center in your area.