The Extended Wear Lyric Hearing Aid
If you've been researching hearing aids at all you've probably come across the new Lyric extended wear hearing aid. Your audiologist puts it in your ear about 1/4 inch from your eardrum and it stays there until the battery wears out, usually a couple months or so. Since I've fit quite a few of these now I'll give you a brief overview of the benefits and drawbacks, so that you can see if it's right for you.
First, I want you to know that there are some medical considerations that have to be made before your audiologist can fit you with this hearing aid. I won't go over all of them here, but if you're on any type of blood thinners, if you're a diabetic, or if you've had radiation to your head, sorry, you're out. For a more detailed list, contact the audiologist in your area that provides the Lyric hearing aid or go to the Lyric web site.
Benefits:
1. You really can't see them. I had one patient surprise her physician when he looked into her ear. Other than that, even your hairdresser doesn't know for sure!
2 Very comfortable. Most of my patients don't feel it at all. Some are vaguely aware that it's there.
3.Sound Quality. This is the aspect I was most concerned with. My very first patient was an experienced hearing aid user with a good quality hearing aid. He states the sound quality is better than anything he's heard before. Since then I've had many patients say the same thing. I've only had a few patients say that they liked the sound quality of their other hearing aids better.
4. Ease of use. Really, you just hear 24/7, although you do have the option of turning the device to sleep mode if you want to. You also have the option of adjusting the volume at will. Easy to do.
So here are some of the drawbacks:
1. You have to find a provider in your area. Although there are more and more providers every week, there may not be one in your area yet. This is because the training to insert the Lyric is rather extensive and not every audiologist will be willing or able to fit the device.
2. You have to have the right size ear! In my practice about 50% of the patients that come in can be fit with the device. Think about it: the microphone, amplifier, battery, computer chip and housing all have to fit deep into your ear. It's a very small device that comes in many sizes, but your ear may just be a bit too small, or your ear canal may not be long enough. Something only your trained audiologist will know.
3 Adjustment: Did I say ouch? Most patients get fit with the device and never feel it but others have some rather significant pain until their ear adjusts to having something in it all the time. This usually lasts only a few days. Also, until the right size is determined there may be multiple visits to your audiologist in the first month. Don't feel bad if this happens, your audiologist expects it at first.
4. Return visits. The devices will die evenutally and you'll have to have them replaced a few times a year. Something to consider if you live out in never never land. Otherwise you just see your audiologist for a 10 minute visit every few months.
5. Expense. The Lyric is the only device of its kind and it took millions to develop. If you can afford it, the sound quality and ease of use will be worth it. If you're on a budget, there are many other incredible hearing aids out there at all price points that will do wonders at helping you to hear your best.
If you have any questions about the Lyric or any other type of hearing aid let me know. I'll give you a direct answer or find someone who can.
Happy Hearing my friends!
Dr. Barbara Jenkins
www.AdvancedAudiology.info
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Jan 21, 2010 at 10:18 AM Thanks Dr Jenkins for this informative blog.
I have a couple of questions:
1. How does a person shower or swim with them in their ear?
2. How does cerumen impact the performance of the device...and how do patients keep their Lyric clear from cerumen?
Jan 21, 2010 at 1:12 PM The Lyric is fit deep enough into the ear so that normal showering or bathing should not affect the device. Some patients do have some difficluty with this however so we can make an ear plug with a very short canal to protect their ears from the moisture.
If you're going to swim we recommend that you take the device out because we don't want the water pressure to move or dislodge the device. It's very easy to remove the hearing aids but then you will need to see your audiologist to have them put in again. If you're an avid swimmer this probably isn't the hearing aid for you.
Cerumen is less of a problem with the Lyric than you would immagine. Since cerumen is produced in the outer part of the ear canal it usually just falls out naturally, and doesn't have the opportunity to get deep into the ear where it usually gets stuck. Also, each time you remove the device to fit a new one (two to four months) you are in fact cleanning your ears!
Dr. Barbara Jenkins
AdvancedAudiology.info
Feb 10, 2010 at 11:27 AM I had Lyrics and for the first 3 days they were wonderful - crisp, clear sounds and I was barely aware there was anything in my ears. Then, within a couple days of each other, the sound deteriorated. I woke up and it seemed like my hearing was blocked or like I was under water. I could barely hear anything, one ear especially was actually worse than my 'normal' bad hearing. The aids hadn't died, I could still turn them on, off, standby, volume changes, but it didn't make much difference in the blocked, underwater sensation. Any ideas why this happened? I did not get water in my ears. I ended up removing them after waiting a few more days to see if somehow they'd improve and am unsure about trying again for fear of being disappointed again. Thanks for any information you can offer.
Feb 10, 2010 at 5:11 PM How disappointing Lesa. What you've described is common when the device is first being fit. Unless your audiologist is able to examine the devices or how they are in your ears it's hard to say exactly what happened. It could be a few different things as that has happened in my office also. About 50% of these patients I'm able to find a cause and make it work.
I'd go back and try again Lesa. If you're one of the patients who just can't wear them, then you can try another hearing device. But it can take 2 or three visits to get it right. Let me know how it goes for you.
My best,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Feb 24, 2010 at 3:47 PM Thank you for the informative post.
You mentioned it's expensive. How expensive it is? Approximately how much does it cost?
Feb 24, 2010 at 4:58 PM The price will vary by a few hundred dollars in different offices. The price usually includes a year of audiology service (evaluation, consultation, replacing the device each time, looking into the ear, cleaning the ear as needed, and adjustments) and as well as all the devices you may need per year.
Average will be about $1700/$1800 or so for one device per year and $3400$3500 per year for two. You can also purchase them some places for $450/$500 or more per device, but that usually ends up being more expensive in the long run.
Since there may be a wide variance across the country I suggest that you ask your audiologist what they charge. Overhead expenses vary greatly office to office.
Feb 26, 2010 at 8:33 AM One question: why can't diabetics wear them?
Mar 2, 2010 at 2:46 PM Fitting insulin-dependent diabetics was contraindicated because their immune system is suppressed. The concern is if there is an infection, it could go to the bone-then there may be difficulty in healing. They can still be fit if they have a medical clearance from their physician.
Mar 4, 2010 at 7:06 PM When my Lyric hearing aid was removed to replace with a new one it pulled part of the skin from the inside of my ear. I had to leave it out for 2 weeks. How can I prevent it from sticking when removed again.
Mar 31, 2010 at 7:20 AM That can happen with some ears but fortunately it usually happens only the first time or two. The skin in your ears is very fine and it's ot use to having anything in it.
Ask your audiologist to provide you with some ear conditioning drops (different from ear wax removal drops) to condition your ear and get it healthy prior to putting it in again. The drops are made from all natural oils. Once your ear is healthy and your audiologist is sure there is no ear wax hiding in the corners you should have no problems.
Dr. Barbara Jenkins
Board Certified Doctor of Audiology
May 1, 2010 at 1:24 PM I have had lyric for a week. One morning, my left ear feels like it is wet inside..gels gooie I has to turn it to level 1and everything sounds tiny. What is wrong. Can I do something to fix it.
May 2, 2010 at 11:10 AM The adjustment time for a Lyric is about 5 days or so. If it's been longer and you still feel it in your ear your audiologist may have to take it out and reset it.
There are some patients who's devices work themselves out due to excessive jaw movement (no, I'm not saying your talk too much :-). Your audiologist will know if this is a problem for you or not. This migration of the Lyric device can cause you to feel it, feel plugged, or cause feedback (squeaking or whistling).
The tinniness may be due to something as simple as your brain hearing high frequency sounds it's not use to. After your brain has adjusted in a few weeks to a few months, it won't sound tinny anymore. It will just sound natural. Of course it could be that there are just too many high frequencies too fast for you. Again the best thing is to see your audiologist sooner rather than later so that it can all be taken care of and you'll hear better sooner.
My best to you,
Dr. Barbara Jenkins
May 15, 2010 at 9:19 AM Went to audiologist and very disappointed. I wanted the unit replaced. Instead she dried it and made some adjustments to the background levels . What a waste of $60.
It sound like a blown out speaker that rattles in my head. Sounds like paper shuffling is very loud. Sounds are like they are coming from in my ear instead of from outside my head.
May 16, 2010 at 1:57 PM Hi Barry,
The Lyric works well for most patients, Barry. If you're an experienced hearing aid wearer then you know what the adjustment is to hearing better, however if you've never worn hearing aids before it may be that you need to let your ear adjust. Remember that whatever type of device you get there will be a brain transition time.
I suggest that you return to your audiologist and see if a new unit is clearer for you, and to have the background noise or high frequency emphasis turned down if possible. Since I don't know you or your hearing it's difficult for me to tell.
Good luck my friend. And if they don't end up working for you, remember that there is a device out there that will. Don't give up. Your hearing is much to important to take for granted.
My best,
Dr. Barbara Jenkins
Jul 3, 2010 at 4:40 PM I have been a lyric user for 2 years [one ear only - the other ear doesn't require it] and am very pleased with it. I had quite a few problems the 1st 6 months - including bad jaw pain for awhile, but have done well with better placement of the device [not too far in, in my case]. I no longer turn it off or adjust volume. Just basically let it be and change it out after 90 days [as opposed to waiting for it to 'die' - which once happened in the middle of a very important business meeting!]
My question is about the 'no swimming' advisory. How much water will it tolerate [based on what you've seen] and what is the best way to protect the ear so that I could put my head in the water while swimming? Since I have it in one ear, I can at least swim on my side.
Also - I've heard and read that a 'waterproof' device is being developed. Do you have any more specifics on this...what is the timeframe? Will there be an additional charge for it?
Jul 4, 2010 at 11:57 AM Thank you for posting, Stephen. Your success and perseverance in adjusting to the Lyric will undoubtedly help others.
Good news about the no swimming advisory. Recent studies done with active patients have shown that the device does better than expected during swimming for some people. Success is predicated on the depth of your ear and other factors.
I suggest trying the pool to see what happens. Swim (not too deep) the day before you have your next insertion scheduled (just in case). You can move that appointment up a bit if you want to. After the pool it's usually best to set a hair dryer on cool or warm and blow it into your ears for a minute or two when possible, or at least shake your ears out. Some people need custom ear plugs (made by your audiologist (I like the full shell "Aquanots" made by Westone, with very shallow canals).
Good luck Stephen, and let us know how it goes for you. The "newest" generation of Lyric hearing aids are pegged to go out next year some time, but that's all Top Secret. No rushing quality.
Hey if any of you have any general questions for me about hearing loss and hearing aids or tinnitus, please see my other posts on this site, or just ask me here. I'll create a new post if needed.
My best,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Jul 14, 2010 at 6:18 PM it was nice to read but i cant think its fully right. thanks.
Jul 25, 2010 at 10:09 PM Dr. Jenkins,
I have had my Lyrics for three days and I love them!
I listen to a lot of high-end audio so I am very concerned about the audio quality.
What adjustments are available by using the Lyric software program?
It looked like there was a low frequency cut-off.
Is the default setting 500 Hertz?
If so, what has been your experience in increasing this cut-off up to a higher number?
What other adjustments, other than volume, are there?
You are great!!!
Thanks!!!
Rick
Jul 26, 2010 at 6:20 PM Hi Rick,
I'm so happy that you're having success with the Lyric.
There are multiple settings available on the Lyric that your audiologist has control over. The low cut is determined primarily by the slope of your hearing loss (if it's across frequencies or just in the highs). There is also a high-fidelity boost and more.
I suggest that you let your ears adjust to the prescription setting for a few months before you ask about having them adjusted for your musical appreciation, as your brain needs time to build new axons to interpret the new sounds appropriately. After about three months you can play with the settings a bit for additional fidelity if you wish.
Enjoy the sounds around you Rick, and thank you.
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Aug 27, 2010 at 12:23 PM Dr. Jenkins,
Many thanks for sharing your expert advice and user experiences with the Lyric.
Since my hearing loss started near the age of 40 (genetic), I have spent thousands of dollars over the past 20 years going from analog to digital in-the-ear devices that have been OK.
When I put the lyric in my ears I thought I had a new lease on life - I cried! I could hear sounds I haven't heard in probably more than 20 years!
Unfortunately, I couldn't use them because my ears itched like crazy in the middle of the night and I ended up popping one out - an allergic reaction. So disappointing!
What I hope for is that there will be newer versions of lyric that are made of materials that don't cause such a reaction or, at least, that they are designed for user input and removal. Additionally, I understand that the R&D must be paid for. At the steep price of around $3000 per year, it is not a something the average person with a hearing loss can afford since most insurance companies and medicaid don't offer ANY reimbursement for the cost of hearing devices.
I will keep checking your postings for encouragement and additional information.
The Lyric is truly uniquely on the right track!!
Thanks,
Jo Ann
Aug 27, 2010 at 4:03 PM I have some ideas for you Jo Ann. I hope one of them works.
First, the materials they use are medical grade, so allergic reactions are very rare. I would suggest that you use some type of Ear conditioner (your audiologist can provide one) to condition your ears for a week to ten days prior to trying again. There is one called EarGene or Nutrell or others. They will make sure that your ears aren't too dry or irritated , which can cause the itching you experienced. Just make sure that you don't use it the morning of the fitting.
Second, if, after you've been fit again and it still doesn't work, do not give up. They are working on more sizes and upgrades behind the scenes that should help you out, maybe by next year.
Of the hundreds of ears I've seen I haven't had a true allergic reaction to them yet, so I hope that the above works for you. Let me know how it goes.
All my best,
Dr. Barbara Jenkins,
www.AdvancedAudiology.info
Aug 28, 2010 at 8:31 AM I'm a 63 yr. old male, a former audiologist from many years ago, who has developed my own hearing impairment, mild to moderately-severe sensorineural in my left ear, and worse in my right (probably unfittable). I have used a vented, inexpensive, in-the-ear aid for 9 years, and am thinking of the Lyric aid for several reasons: (1) problems with the occlusion effect, even with my aid's output in the lows being minimal, (2) wind noise when outside, a frequent problem (3) no telephone switch, (4) feedback/gain limitations due to venting, and (5) maybe being a little vain too. I bowl regularly in a noisy bowling alley and watch a lot of TV, but can't get enough amplification of highs due to feedback/hearing loss. I have an appointment in 2 weeks with a Lyric provider, but I'm wondering if the Lyric can provide enough amplification for me in the 1000 Hz to 4000 Hz area to help me. I know that it has high frequency boost and low frequency cutoff settings. I'm retired, and it's 65 miles to the nearest Lyric provider, but I don't mind the trip. I'm guessing that my ear canal is big and long enough, since I'm not a tiny guy (6'2", 190 lbs.). I'm now off blood thinners, but I do take 1 aspirin daily per doctor's orders. Any thoughts, other than try it and see?
Aug 28, 2010 at 9:25 AM Hello Ron,
I have multiple patients who are wearing the Lyric hearing aid in an ear that has "too much loss". I suggest that, even if it is out of the range in your bad ear, you should try it anyway.
It's funny but some very large men have little ears and other tiny ladies have large canals. Also one of your ears could be deep and large and the other could be a lot shorter. It will be interesting for you to find out.
I have a few suggestions for first time fittings:
1. Your audiologist will need to have a very clean ear to work with, and if they have to remove a lot of ear wax on the day of fitting it can cause slight inflammation. Therefore, use ear drops for a few days prior to the visit if possible. If your ears tend to be dry, use an ear conditioner. This is especially true for you, Ron, since your drive time is significant.
2. Understand that it may take a few visits to get it just right, due to variances in ear canals and jaw movement that can cause the device to move. Don't get frustrated and trust your audiologist.
3. Every patient who has an ear that fits with the Lyric comfortably has absolutely loved it. I hope that you're one of those patients, however if the Lyric doesn't work well for you now, newer ones of different sizes are always in the works.
Remember that if the Lyric doesn't work well for you, please try a different device. I suggest for you a CIC with a push button for different programs. Siemens has a new smaller one that works with Blue Tooth for the phone and TV, and it's very easy. It would be good for the wind noise, phone, TV and feedback issues you're having. Make sure you get the 01 series for the best feedback control.
My best my fellow audiologist. Please be sure to come back here and tell me how things went.
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Sep 1, 2010 at 8:00 AM Appreciate your prompt response to my questions re: the Lyric, but I'm left with as many questions as answers. I'm trying to decide which provider to go to first, my local Audiologist (a very good one, who invented the Dry & Store system, also my old professor, but not a Lyric provider), or to go to the Lyric provider 65 miles away. I looked at some Siemens aids like the Nitro CIC, with lots of gain in the highs, but I'm not sure if that's the one you mentioned. I have huge problems with the occlusion effect with my present vented aid (a Siemens low budget digital that's 9 yrs. old) even with the low output dramatically reduced, maybe because my voice is so low and strong. So I guess that I'm worried about a CIC aid, and the increased possibility of occlusion problems. But I'm also worried about an analog aid without some of the digital noise features, since I'm in significant noise maybe 10-15 hours per week. How's the adjustability of settings for the Lyric, merely volume controls? Your other comments probably don't apply to me much. I have always had low cerumen production, and my right ear bottoms-out above 500 Hz to the point that mid-frequency auditory masking must always be used in testing. I understand that the Lyric has a 500 Hz cutoff, so all it may do in my right ear would be to occlude it and reduce my existing low frequency hearing there. I have an aid for the right ear, but it has done me little good in the past. My wife says that I should go to the local audiologist first, but I'm inclined to see the Lyric provider first instead, mainly because of my occlusion problem, but I'm still concerned about noise reduction capability in the Lyric. Sorry to be such a pest, but the thoughts of a lease of $1700 per year for life on the Lyric make one ponder, especially on a retired income. Sign me Totally Confused.
Sep 1, 2010 at 12:06 PM Dear Ron,
Me thinks that you may be thinking too much! Any hearing aid you get will help you to hear better, so don't be too worried about getting the "exact right one". There is no such thing.
I hate to say this but your wife is right. If you were my brother I'd have you go to your current audiologist, whom you trust, and try whichever hearing aid that he suggests. Trust your audiologist! Because of his education and expertise he knows more about what's best for you than you would ever be able to learn on your own. He knows of your concerns and will work with you.
I suggest that you do it soon. Worrying about specifics and thinking of new problems just keeps you from moving forward. This is a great time to get a new set of hearing aids because technology really has improved greatly. Also, get the best hearing aid that you can for your loss. Skimping on your hearing health has never been successful.
My best to you and your wife. She will appreciate your new hearing aids probably as much as you do :-)
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Sep 7, 2010 at 7:01 PM Hello Dr. Jenkins!
I am a very new Lyric wearer, and this is the first hearing aid I've worn. Overall, I'm extremely pleased with the device. In my Left ear, I have severe hearing loss. In my Right ear, I have the bottom end of 'normal' with a notch into moderate loss. The combined effect of the two is terrific!
However, in the Left ear, when I am outside, or in monumental indoor spaces, I tend to hear a roar constantly. Then, when I am indoors, the roar stops. This does not happen in the Right ear. Also, when I hold my hand to my Left ear, it whistles. Does this sound to you like a fitting problem on the left side, or is it something I just need to get used to?
Thank you!
Harlan
Sep 9, 2010 at 7:56 AM Hi Harlan,
Thank you for your question. There may be a slight leak in the left ear or it could be because you're running the device at full throttle on that side. You may have to have it adjusted acoustically or physically. Since I don't know your settings or your ear, I'll leave that in the qualified hands of your audiologist.
Until you get in for the adjustment try turning that ear down one or two settings in those situations only. That should help.
Glad to have been of service. Take care,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Sep 18, 2010 at 6:52 AM Hello dr. Barbara:
I have been wearing the Lyrics since January 201 and love them.
I have had some problems in my left ear with occlusion and issues with not being able to clear my ear upon descent on an airplane....
Normally I do not know the right ear is inserted, but lthe left ear with the occlusion is a continueous problem astarting about 4 weeks after insertion. Lastly what is the average life of the lyric?
Sep 19, 2010 at 10:56 AM A question:
How often do you fly?
If it starts about 4 weeks after insertion it may be the oils or wax from your ear plugging the device. If it causes you frustration just have your audiologist replace that device every month. Problem solved.
There is no real average life for a lyric. The battery can last up to 6 months, however the device usually weakens or dies prior to then due to the chemistry and anatomy of each ear. Debris can plug the device over time or it can move or migrate in the ear. It's best to ask your audiologist what your issues are as they will be different from someone else's.
My best and happy hearing!
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
www.AdvancedAudiology.info
Sep 26, 2010 at 8:13 AM I have had the Lyric hearing devices since last January. I loved them at first - did not have to have them changed out for over 4 months. However, since that time I have had to make repeated trips (1 1/2 hours each way) to have the right one replaced due to failure. It always starts with a cracking/popping noise for a few days and then the device stops working. Any advice would be appreciated because this is causing me a lot of frustration and my audiologist is at a loss as to what may be causing the problem. Lyric reps do not respond to my inquiries.
Sep 26, 2010 at 3:10 PM Hi Cheryl,
Well a few things could be going on. I have to say it's the same with standard hearing aids at times too. Sometimes it's one hearing aid that tends to break down.
First, do you tend to sleep on one side verses the other? We've found that if you sleep with one side down, the side that's up can collect more ear wax because it doesn't have a chance to fall out. Try sleeping with the problem ear down for a while and see what happens.
Second, I recommend that you get a custom ear plug for the bad ear. It may be that, because of the size or angle of the ear, more water is getting into that ear. A custom plug made full shell with only a one cm canal should work wonders. Wear it for showers or swimming.
Don't give up, and hopefully as more audiologists are trained in the devices, there will be an audiologist closer to you to help out.
My best!
Dr. Barbara Jenkins, BCABA
CEO - Advanced Audiology
www.AdvancedAudiology.info
Oct 1, 2010 at 6:00 PM I have had the lyric aids for three weeks now and am having trouble keeping them from moving out away from my ear drum. I started with small/small devices on both ears and when i went back for my appointment at two weeks both sides had moved out 3mm. The audiologist inserted the next size small/mediums in both sides and after 2 days i felt the tip of the right one again coming out. I saw the audiologist again and the left had moved 1mm out and the right 3mm out. He pushed the left back in and inserted a medium in the right. Two days later 3mm again on the right side medium one and the left side had stayed. He removed the right one and saw some inflammation so we are waiting for four days before reinserting the right one--once again a small/medium one. The left ear is 4mm in and is now staying and the right one that is a problem is supposed to be in 6mm. I will be at 30 days end of next week and wondering what your experience has been like with patients with my problem. i love the devices better than any i have used in the past 23 years.
Any advice would be greatly appreciated.
Oct 2, 2010 at 11:11 AM Dear Jeff,
Thank you for writing as this is a stumbling block for quite a few patients and you question will help others.
First, ask your audiologist to remeasure the depth and see if the right device can be put in just a bit more deeply. It's not that the measurements are done incorrectly as much as each canal is physically different and one 6mm can be angled differently than another 6mm. If he remeasures and sees that it can be put in even a millimeter or so more deeply it should hold on better.
Second, ask your audiologist to fax Lyric corporation that you are having some issues and see if they will extend the trial for you by a few weeks. Usually this is no problem.
All my best and please write back to let me know how it goes.
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
www.AdvancedAudiology.info
Nov 7, 2010 at 5:21 AM I had the lyric and had to stop using them. I went thru about 8 of them. My ears would become blocked after about 3 weeks of use. When I had them taken out each time , my ears were full of blood. They would let them heal for a few weeks then re insert then it would happen again.
I loved them when they worked, but 3 weeks of use then the blood filling my ears was not good.
Have you heard of this? When they worked they were great.
Any suggestions for an alternative product. Any othe aids that are small and not visablr?
Nov 9, 2010 at 7:22 PM Hi Barry,
There may be a few reasons why the Lyric irritated your ears. Usually if there's bleeding initially we can adjust size or depth for it after your ear heals. I have a suggestion if you want to try them one more time.
First, give your ear a good 8 weeks to heal. A few weeks will not do the trick as the blood will form a scab and then if a new device is put in too soon, it may pull the scab and start the bleeding all over. For those of you reading this who aren't Barry, don't be scared. It's not typically a big deal.
Second, after you ear has healed make sure that it's super clean. NO Q-TIPS. They actually cause irritation and make it worse. You can use ear conditioner (not ear wax remover). Ask your audiologist to suggests one to get your ears real healthy.
Third, since you've had this difficulty, have your audiologist get on of the trainers in to help out. A fresh pair of eyes may do the trick. I hope this works.
There are a handful of non-extended wear mini hearing aids that are almost invisible that you can try. I only recommend the ones that are custom made as the stock ones can hurt, and with your history we don't want to take the chance. Ask you audiologist to suggest a few to you. I don't know your hearing loss so I can't be specific.
I hope that this helps. Good luck my friend.
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Jan 9, 2011 at 7:43 PM I have been wearing the lyric device since October 2010 the first few months were fine. Now I am having problems with my left ear every two days it keeps going out you can hear popping and cracking and one day nothing I was sitting and talking to someone and it just went out. The last time the ear was a little irrated and red on the inside so we left it out for several days before putting another one back in now the same thing again has happened it has gone out could it be something in the ear causing this to happen?
Jan 12, 2011 at 1:06 PM Hi Kim,
There could be a few things going on but without seeing into your ear it's difficult to say. Make an appointment with your audiologist.
1. Have them measure where the device is to make sure that it hasn't migrated out and is irritating a new area of the ear.
2. Moisture may have caused it to pop and crack so have them check in your ear and the device to see if both are healthy and working well.
3. As soon as this starts to happen don't wait for days to see if it will come and go. It's always best to see your audiologist right away to reduce your frustration, improve your hearing and prevent any ear irritation.
I hope this helps Kim. Happy hearing!
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Jan 13, 2011 at 8:23 AM I had the same problem - solved it with the use of earplugs while showering. Although the Lyric is water resistant, sometimes because of the shape of the ear canal water gets down in and shorts the battery.
Jan 14, 2011 at 4:55 PM Good observation Cheryl. Custom earplugs can also be made with very short canals especially for the Lyric from a company called Westone. Just have your audiologist put "for Lyrics" on the order form and have them cut the canal short.
Good luck.
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Jan 19, 2011 at 6:53 AM I am 50, have mild to moderate hearing loss, and work in an environment where, unfortunately, a lot of people correlate hearing loss with senility so it was important for me to go in for an invisible hearing aid. I recently had Lyric inserted in only one ear as the other ear could not accept even the smallest one. I have never used external hearing aids before so am not able to compare. I am sharing my experience here for the benefit of people who are interested in this aid.
I have a mixed opinion about the aid.
First- the cost. It is expensive and costs more than the cost of my Honda civic over 7 years. But I am still prepared to spend that if it helps.
Secondly, it is invisible and hearing improves for sure. To give an example, the clarity for listening to TV improved to ~80% as compared to 50% before. Now the volume needed is significantly less, so that helps with others in the room.
But there are other issues as well. It increases a lot of other sounds significantly. In a grocery store the sound of the carts, people, etc drives you crazy. While watching TV, if something else is making a sound like a fan then that gets increased as well and you need to switch the fan off. I have to switch the lyric off in the shower as it increases the sound significantly.
At work, it improved my hearing significantly but also increases other noises sometimes to the extent you want to switch it off. In the gym it was a similar scenario.
But if you switch it off, even in standby mode, your hearing is definitely more diminished than before. If it is switched off completely, it is like a big ear plug.
Whilst driving on the highway, the wind noise increases significantly to the extent you have to place it in standby mode.
I did a hearing test on line myself at the univ of south wales website, and found that on lower frequencies and very high frequencies, it did poorly than my other ear (my hearing is practically the same in both ears). In the standby mode, there was significant reduced hearing across all the frequencies so it is not like your previous hearing.
I hope to get my audiologist to try and tweak it further and see if it helps during the trial period.
I had to remove it 2 weeks after as i developed pain in my right ear and it felt so good when it was removed. But i do plan to get it reinserted and try it for the rest of the trial period as if i can get it to work for me, i still feel it would be great! By the way, i plan to try the Starkey Otolens if this does not work. It seems a better alternative, as it can be removed and reinserted by yourself.
Jan 19, 2011 at 9:15 PM Dear Isaac,
Good blog as your comments are common and should help others. These sound adjustments are true for standard hearing aids as well as for the Lyric.
Your audiologist can adjust the device to reduce more of the background noise without reducing the gain for speech. As for the discomfort, that sometimes takes a while but then goes away over time. I hope this is true for you.
There are multiple mini CICs on the market as well as the Starkey device you mentioned. You should ask your audiologist which is best for you. The Ole by Persona Medical has good sound quality. There are others coming out in the next few months that I can't discuss but will be worth the wait. Also remember that the new Lyric comes out in the next couple months as well.
I'll let you all know about any new developments. Until then ask me about any type of hearing aid or the Lyric, and Happy Hearing!
Dr. Barbara Jenkins
www.AdvancedAudiology.onfo
Feb 19, 2011 at 9:43 AM I tried the Lyric for 3 days and had considerable discomfort but tried to perservere. Then my tinnitus & some dizziness started up (Meneire's)so I removed the devise. I'm not sure if the Lyric caused this or if it was cooincidental based on weather patterns we've been having. The ear continues to be painful even after removing the device. Initially the audiologist wasn't sure if I could wear this because of having a short ear canal but managed to get one in there. I like the clarity of sound it provides & would like to try it again at some point. Are there any clinical trials testing smaller Lyric's that you can reinsert yourself?
Feb 20, 2011 at 3:14 PM Dear Bea,
They are working on a new smaller device but it may be a year before it comes out. Until then, there are some new smaller CIC or completely in the canal hearing aids that have just come out. One by Siemens just comes out next week, so ask your audiologist if they will try something like that for you. There is no reason to wait another year to hear your best.
Regarding the Meneire's, there is no reason to think the Lyric had anything to do with your recent phase because that is due to an inner ear imbalance, not an outer ear irritation.
Good luck with your better hearing, and let me know if you have questions with any other hearing device.
Regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Feb 25, 2011 at 2:29 PM Why does the use of blood thinners disallow using a Lyric hearing aid? Is there any way around this problem?
Feb 26, 2011 at 5:38 PM Dear Jim,
The ear canal is a very sensitive place. There is bone, then blood vessels, and then a very thin layer of skin. Because of this irritations that may not otherwise be an issue can sometimes cause bleeding. When a patient uses blood thinners, as you know, this can be an issue.
Speak to your physician about what you use. If it's just small dose aspirin or the like you may be fine. I'm sure you understand the risk, but I how that you can try them.
If you cannot try the Lyric this is a reminder that there are new (out this week) smaller standard hearing devices out. Ask your audiologist if they would work for you.
All my best,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Feb 28, 2011 at 1:36 PM Thanks for your previous response. I'm considering giving the new Siemens iMini a try as soon as my inflammation subsides from trying the Lyric. Do you have any info on this product other than what's posted on the Web? I know it is molded to your ear canal & can be removed by the wearer at any time, which is a plus for me. Does the wearer change batteries or is this another product that must be replaced every 3-4 months? Are costs comparable to the Lyric? Any added info you have would be greatly appreciated.
Feb 28, 2011 at 3:49 PM Dear Bea,
The imini and other micro sized hearing aids are designed to be taken out every night, and battery changed every week. They are all pretty new but the computer inside them is not brand new. This is good because we have a track record of how well they work and the computer is pretty reliable.
Ask your audiologist about it and any other micro-mini they would like you to try. There is always something that will work for you, it just takes longer for some than others.
Warmest regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Feb 28, 2011 at 3:49 PM Dear Bea,
The imini and other micro sized hearing aids are designed to be taken out every night, and battery changed every week. They are all pretty new but the computer inside them is not brand new. This is good because we have a track record of how well they work and the computer is pretty reliable.
Ask your audiologist about it and any other micro-mini they would like you to try. There is always something that will work for you, it just takes longer for some than others.
Warmest regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Mar 14, 2011 at 10:28 AM what is your experience with the new Starkey amp hearing aids.
My audi thinks they will be an excellent backup to my lyric
in the event they die while travelling.
thoughts?
Mar 14, 2011 at 1:47 PM Dear Jim,
I agree that you should have a back up set of hearing aids if you don't already have an extra pair.
Your audiologist is the best person to decide what type are going to work for you. There are a multitude of mini CIC hearing aids out there now, many just being introduced at the Academy of Audiology Convention in Chicago next month. Ask your audiologist for two suggestions and the plus' and minus' of each and go from there. The Starkey may be what's best for you, and another device for someone else.
I think you're doing the right thing. All my best,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Mar 31, 2011 at 4:10 PM As a nurse I have a stethoscope in my ears A LOT. I usually just take my current aids out before putting on my steth, which can get really tedious. Would the Lyrics be a possible solution.
Mar 31, 2011 at 4:36 PM Hi David,
I have two physicians and a nurse as patients with the Lyric. I also have one who can't use the device. Whether it works for you or not is predicated on two things:
1. Fit: If your ear canal is too narrow, has bony outgrowths or is not long enough, then you may be out of luck. Thankfully a smaller device is in the works to fit even more people. If you try one now and it doesn't fit, keep your ears open for the newer version.
2. Ear chemistry and physiology: Sometimes the device will fit well enough but then work itself out due to TMJ or other jaw and ear canal issues. Sometimes there is an earwax issue more troublesome than most.
I recommend that you visit your audiologist to see if the Lyric is an option for you. If it works you'll love it. If it doesn't at least you'll know.
My best,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
www.AdvancedAudiology.info
Apr 22, 2011 at 8:34 PM When will the newer, smaller version of Lyrics hit the market? The company has told me very soon and a fully waterproof version by the end of the year, do you have an eta on the smaller version?
Apr 23, 2011 at 10:16 AM All in good time my friend. First, let me make it clear that I do not work for Lyric or InSound Medical. I just provide the Lyric to my patients when it is appropriate.
Having said that, InSound is making sure that the device does what they say it will do, so there have been set backs in time as they work through reliably and size issues. I have heard from inside the company that they are getting closer, but that the process cannot be rushed.
Whether it will happen in 4 months or 12 months, even the people who work there don't know for sure. I do know that they, as well as any prospective patients, would like it sooner than later. We will just have to wait and see.
My best,
Dr. Barbara Jenkins, BCABA
www.AdvancedAudiology.info
May 7, 2011 at 6:07 AM I have only been wearing the Lyric for 5 days now, and while some sounds are significantly louder with the Lyric, I am struggling with sound on the telephone. Sound seems to fall flat on the telephone, and increasing the volume does not seem to make much of a difference. Increasing the volume gives that "blown out speaker" effect. Is there anything that can be done about this in terms of changing settings? I have a low-frequency loss. Do people with high frequency loss have better success with the Lyric in your opinion?
Also, noisy situations are a little overwhelming. I just want to hear people's voices better rather that "all" the sounds. Can the Lyric be adjusted in this matter?
I am trying my best to "adjust" to new sounds. I am glad to see such a forum that cover a wide array of topics. People's posts remind me that I need to be patient with the adjustment process.
May 7, 2011 at 3:33 PM Hello Jennifer,
It's best to call your audiologist for an adjustment as both the problems you describe can be addressed with a computer tweek.
When we put anyone with a low frequency loss in a heairng aid, they're going to hear more noise. The reason is that we are aplifying what is in the real world. It's not the hearing aid's fault that the car tires are so noisy on the road, or that you hear rustleling noises now. Those are all sounds that all of us blessed with normal hearing can hear. We've just long since learned to block them out.
It will take time for your brain to block them out again. Until your brain does that work, have your audiologist tune down the noise a bit.
With your persistence you will hear and understand speech better over time. It takes the brain about 90 days to adjust to a new sound level, and than is with the Lyric or any type of hearing aid.
All my best to a clearer tomorrow for you!
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
AdvancedAudiology.info
May 9, 2011 at 6:26 AM Hello Dr. Jenkins! I am a satisfied (actually, more than satisfied) Lyric wearer. I think they are astounding in every way. My question is: do you have any information on when a waterproof version is going to be produced? Also, I have severe to profound hearing loss in one ear. Do you know if/when Lyric's maker will be producing a 'more powerful' version? Thank you!
May 10, 2011 at 12:43 PM I've had my lyric for 4 days. The left ear fit was good. The right ear was tight so it didn't go in as far. I'm having some pain (sometimes stabbing) in the right ear. Will this go away or am I doomed to a different kind of hearing aid.
May 12, 2011 at 2:22 PM One thing I have to say about the Lyric - when they work well they work very well.
Multitudes are awaiting the unveiling of the new better, smaller device. Here's the story from the inside: InSound Medical will start beta testing the new device "soon". How soon soon is is still unclear (I kinda like that last sentence :-).
A select few offices will do the testing. When InSound Medical is sure that the devices do all that they are supposed to, then they will be released to the other offices. I can tell you that there are many others who wish to know more details, however as of today no more information has been released.
I'll let you know more when I know more. Deal?
Warmest regards (it's snowing here in Denver, in May)
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
AdvancedAudiology.info
May 12, 2011 at 3:15 PM Now now my friend, getting a different type of hearing aid doesn't mean you are "doomed". Chin up.
Having said that, it is very possible that the LYRIC may still work well for you. First, go directly to your audiologist or take the device out yourself. There should not be any stabbing or severe pain. I've had many patients who's devices shift and cause pain, but when we replace them or try another size they are just fine. The longer you keep it in your ear the longer you may have to wait to try it again so take it out now. Discomfort - possibly, Pain - never.
You may need to have your ear fully irrigated with water by your audiologist prior to fit, and then use an ear conditioner like "Nutrell" (ask your audiologist) to condition your ear prior to your next fit. Your ear isn't use to anything being put into it, so the conditioner is like a facial for your ear canal. Very helpful.
Good luck with your next fitting, and if per chance you can't use the device, other companies offer quality options. One I like (if it fits) is a new one from Siemens called the iMini. Very tiny but you can take it out and put it in yourself. Others include the "Otolens" from Starkey and more.
Happy Hearing!
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
AdvancedAudiology.info
May 26, 2011 at 5:49 AM I am trying to gain a better understanding of the dynamics of sound to best communicate my needs to my audiologist. Is background noise considered a low-frequency sound? I am thinking that I want to slightly reduce background noise on my lyric to better hear people's voices. Also, character (or range) has been lost in some people's voices, I think mostly in women and children. Does this sound like I should slightly increase the high frequencies? My lyric is "almost there" in terms of gaining optimal sound quality. I am hoping that some adjustments should do the trick. Thank you.
May 26, 2011 at 11:10 AM Hi Jennifer,
There are a few things your audiologist can do for you, but it's predicated on your hearing loss. Let her know that you want more high fidelity, as there is an adjustment she can easily make for that. Also, background noise encompass all frequencies, but let her know which sounds specifically are most bothersome. For example the refrigerator, dishes clanging, or car noise. She will be able to make an adjustment for those as well.
I do want to caution that you are suppose to hear all those background noises. It may be that you just need time to let your ears adjust to what you should hear, instead of having your hearing aids adjusted to what you think you should hear. It takes about 90 days on average for you to understand speech better in background noise, not because of the hearing aids, but because it's your brain that does the understanding.
I hope this helps, and happy hearing!
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
www.AdvancedAudiology.info
May 26, 2011 at 10:46 PM Hey thanks for the great blog and information. I recently tried the lyric and it did not work well for me because I have a slight bend in my ear canal but my audiologist told me there was a newer, smaller lyric arriving soon. They wouldn't give me details on when but was wondering if you knew more info so I don't go out and try another hearing aid and then lyric come out with one soon after. I have mild hearing loss so a product like this would be great if it worked for me.
Jun 1, 2011 at 8:28 AM "Very soon" is a relative term. The new Lyric has been coming for more than a year now. They are making sure that it works well, so there's no rushing when doing it right.
I suggest that if you haven't tried another hearing device that you do so. You may find that you hear wonderfully with it and prefer being able to take it out when you want. Siemens makes a product with a rechargeable battery that you only change once per year. Many manufacturers have mini CICs now. Go to an audiologist who provides multiple manufacturers, so they don't just let you try one manufacturer.
If you try another device and you still just want the Lyric, at least you will know that you're doing whats best for you.
All my best,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
www.Advanced Audiology.info
Jun 11, 2011 at 5:06 AM Is there some sort of suppression or compression feature on the lyric? I find that in noisy environments, the volume of people's voices drop dramatically and then the volume of voices go back up when the background noise disappears. This happens in restaurants and places with music especially. My audiologist and I tried decreasing the low frequencies a bit, but this still seems to be an issue. Is there any way to change what seems to be a compression issue?
I always appreciate your feedback. Thank you!
Jun 15, 2011 at 6:57 PM Hi Jennifer,
Thank you for your question. There are a few different ways your audiologist can adjust for the problem you're having. Since I don't know your hearing loss or the settings on your device, I suggest that your audiologist contact InSound Medical and get answers she needs. This will help her with other patients as well.
InSound has multiple audiologists who deal with these questions every day, and the audiology trainers I've met are very competent. I myself contact them now and then for advice.
Work with your audiologist and I'm sure you'll be hearing better in no time.
Warmest Regards,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
www.AdvancedAudiology.info
Jun 21, 2011 at 11:13 AM Update on my Lyric. The reason I was having the really bad pain - the measuring tape was left in my ear! I am waiting for my ear to heal so we can try it again.
Jun 21, 2011 at 9:53 PM Dear Bev,
The measuring tool stuck in your ear? At least now you have a chance to see if the device really will work for you. I'm glad that it was something easy.
Let your ear heal for a few weeks and try again. I have my fingers crossed for you! :-) Please let us know how it goes.
Warmest Regards,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
www.AdvancedAudiologi.info
Jul 3, 2011 at 8:32 PM I have tinnitus in my left ear. I have constant ringing which has left me with a hearing problem in that ear because it masks sounds. Fortunately my right ear has decent hearing. Can a hearing device (in particular - the Lyric) give me back some hearing in my left ear?
Jul 6, 2011 at 10:37 PM Dear Jane,
First, tinnitus does not cause hearing loss, however whatever caused the hearing loss may also be what's causing your tinnitus.
Any type of hearing aid, including the Lyric, can help with hearing loss. If you chosen appropriately, hearing aids help with tinnitus as well. I suggest that you discuss your hearing loss and tinnitus with your audiologist to make sure that you get the correct hearing aid to do both. Most hearing aids don't have the frequency response to help with high-frequency tinnitus.
The Lyric device is appropriate for many people with hearing loss, and I have patients who benefit significantly with reduced tinnitus with the Lyric.
Hearing loss and tinnitus are both important medical conditions that should be treated by an audiologist. Don't put off your visit. Your be hearing more effectively in no time!
All my best,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
AdvancedAudiology.info
Jul 9, 2011 at 7:32 AM I have had my lyric in both ears for 4 weeks. I cannot tell I have one in my right ear. My left ear keeps making popping/cracking sounds. Does this mean that there is a size issue? I almost feels like it is not sealed in position. Any thoughts?
Jul 10, 2011 at 8:15 AM Hi Denise,
Four weeks is a great start! There could be many reasons for the cracking sound or the weakness.
1. Depending of individual ear chemistry and shape, some patients get 4 weeks per device, some get four months. It may be that yours are getting week due to moisture and ear wax from your ear and that will unseal the device and cause migration or movement. The movement will manifest as weakness or popping much of the time. There is no way to know unless your audiologist gives it a look.
2. The device could have gotten external water into it. Usually this will dry on its own and be fine in an hour or so, but due to the chemicals in the water or the chemistry of your ear, it may be the end of your current device. In other words, time to replace.
3. It could be a short or defective device. In your case this doesn't seem plausible, as it has worked well for weeks. This usually happens in the first few days.
Anyway, four weeks is fine. Let's hope that your next set lasts for eight!
Take care,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
AdvancedAudiology.info
Jul 10, 2011 at 10:26 AM I have had Lyric hearing devices for approximately 1 1/2 years (I have written you before). After dealing with the water issue (earplug) everything has been fine up until the last replacement in June. The left ear is great but the right is very tender and sometimes feels plugged although the device is working. My provider is 100 miles away - just curious about what could be causing the discomfort.
Jul 10, 2011 at 5:57 PM Welcome back Cheryl.
There is a chance that a build-up of wax could have formed and gotten moist behind the device. Alternately, the Lyric could have moved or migrated into an area or position that's not favorable to your ear.
I recommend that you schedule a return to your audiologist and take the Lyric out prior to your visit. Usually I would have you go with the device still in, however due to your distance, if you take it out before hand you can let your ear rest in case there is any swelling or irritation.
I usually recommend my Lyric patients get a thorough ear cleaning at least once per year. Again, due to your distance, I suggest that you have your PA or physician do this for you if they are closer. That way your ear will be completely clean and healthy prior to the next fitting.
I know that you don't want to take the device out, but hopefully you have a back-up hearing aid and even if you don't, at least you have the left ear for now.
Please let me know how it goes.
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
AdvancedAudiology.info
Jul 19, 2011 at 10:01 AM I removed the right device a week ago Sunday and had both replaced yesterday. Unfortunately the new right one is also becoming painful which I don't understand since I have hardly felt them since the initial adjustment period back in January of 2010. I will hang in there until the new smaller ones are available.
Jul 19, 2011 at 5:26 PM Just a thought or two Cheryl:
Usually, when there is new pain it has to do with some ear wax that may be hiding in the upper "cave" portion of the ear canal. Alternatively, there could have been a "rub on one spot that has now become sensitive, similar to a pair of shoes or the nose-guards on glass'.
1. If the ear pain becomes more than just irritating, please take the device out. It should not hurt, and if there is an irritation, it may just make it worse.
2. Have your ear cleaned (you can use drops with an irrigater if you are away from a doctor) and then let your ear rest for a few weeks to heal any irritation you may get. Then try again.
3. If it worked once it can work again. Your audiologist can put your subscription on hold while your ear heals, so that you aren't charged for the time.
All my best to you Cheryl,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
www.AdvancedAudiology.info
Jul 19, 2011 at 8:39 PM Any word on those new smaller lyrics? I know a lot of people are waiting on it as the current model only fits less than half of the general population.
Jul 20, 2011 at 6:36 PM I think we should all post a guess as to when the new smaller Lyric will come out. We've been waiting for ma year and a half now. The inside reps don't even know for sure.
I would guess they will be out by in select offices by October and in full swing by January, however this is just a guess.
As I previously stated I will let you all know as soon as I know for sure. There are literally hundreds of patients waiting for the smaller Lyric hearing aids, but Insound Medical just wants to get it right before they go out.
My best!
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Jul 21, 2011 at 6:15 AM My audiologist said that the Lyric rep she spoke to said probably January but could be as late as April. I will try to be patient. Thank you so much for your help.
Jul 21, 2011 at 11:12 AM Any time there is actual pain - take the Lyric out. When you're ear adjusts to the Lyric hearing aid there should only be discomfort.
The yellow spots were most likely just ear wax and skin debris, but I suggest that you have your audiologist give you some ear conditioner. You should wait until the ear has healed (usually a week or two) and then try again. I'm confident that all will go better next time.
My best,
Dr. Barbara Jenkins,
AdvancedAudiology.info
CEO - Advanced Audiology, Inc.
Aug 8, 2011 at 12:52 AM I'm wondering if they followed the same procedure they used on me. During my first fitting they had an actual ENT, not just the Audi measure the depth and width of my ear canals, checked sizes, curvature, etc. all to make sure that the initial fitting was right. Once that got set, the numbers were recorded and the Audi just uses this device that inserts the Lyric to the pre-determined depth to be sure it doesn't go in too far or not far enough. I have had Lyric hearing devices for approximately 1 1/2 years (I have written you before). After dealing with the water issue (earplug) everything has been fine up until the last replacement in June. The left ear is great but the right is very tender and sometimes feels plugged although the device is working. My provider is 100 miles away - just curious about what could be causing the discomfort.
Aug 8, 2011 at 6:52 PM Dear Jennifer,
Have your audiologist look in your ear canal as you move your jaw up and down and from side to side and chew. The change can move the Lyric device in active canals.
Also, have your audiologist adjust the device a few mm in deeper or out more. It could be that part of the device could be hitting the side of the canal and shifting the sound pressure off and on.
Another possible solution would be to have your audiologist move the cross-over frequency or the amount of gain for soft and loud sounds. The can alter the sound pressure reaching your ear. Sound is measured in "SPL" or sound pressure level, and the closer the Lyric is to the eardrum, or the tighter the fit, the more "pressure" you'll note in the ear. This may be what happened in your case. This is not necessarily a bad thing, but you need to adjust it or adjust to it :-)
Show these suggestions to your audiologist. He will know which ones are appropriate for you.
Best of luck,
Dr. Barbara Jenkins
AdvancedAudiology.info
Denver, Colorado
Aug 8, 2011 at 7:09 PM Dear Industrial Deafness:
There should be no difference between an audiologist fitting and an ENT fitting. Both are trained enough, but some of individuals in either camp are better than others.
Regarding the discomfort, you need to be sure that there isn't any actual "pain". Just like a pair of shoes can cause some irritation over times, the Lyric has been known to do so.
Prior to your next visit, take the Lyric out of your ear two days early and let it rest. If there is any inflammation it should die down in time. Also, put some ear conditioner into your ear. If your audiologist didn't give you any, you can try a bit of olive oil or aloe oil (not gel) if your skin tends to be dry. It's kind of like a facial for your ear :-) Make sure that you don't have a perforation in your eardrum first, however.
Sometimes dry skin can get irritated even when it hasn't been so previously. The conditioning and rest should clear it right up.
Let us know how it goes my friend.
Dr. Barbara Jenkins
Denver Colorado
Board Certified Audiologist
AdvancedAudiology.info
Aug 14, 2011 at 6:12 PM Hey Barbara, great blog... I was reading towards the end of it and saw the questions on the new smaller version of Lyric. I also was not a candidate and my audiologist told me Lyric keeps everything private but they have been told Fall of this year is the scheduled release time, any thoughts on that? Or is it just another hopeful release date.
Aug 14, 2011 at 9:04 PM Dear Tim,
I'm putting my bet on full release by February. But your bet is as good as mine. Here's the scoop...
Lyric does have the smaller device in testing in a very few patients. They have to be sure that it works appropriately, and the process takes longer than you would think. I applaud InSound for not rushing the process.
Even the insiders don't know for sure when the deice will be out. It's predicated on the patient outcome. Let's hope that it goes well. I just remember being told it would be out by January of this year, then March, then...
Patience is a virtue. It's kind of like a grown-ups Christmas. It just can't get here soon enough!
All my best,
Dr. Barbara Jenkins, BCABA
Denver, Colorado
www.AdvancedAudiology.info
Aug 23, 2011 at 8:13 AM Thx for the info, I sent an email to the customer service at lyric about it and this is what I got back from them...
Thank you for your interest in the Lyric" hearing device from InSound" Medical.
We are working on a next generation device that is waterproof that should be available by the end of the year. Another device that can fit more people (is smaller) should be out in the near future. At this time we do not have a release date. You can check back at www.lyrichearing.com for updates.
So I guess they are planning on releasing 2 new devices soon, do you know if the waterproof one will be smaller as well?
Aug 23, 2011 at 11:32 AM I've seen the new Lyric hearing aids and they are significantly smaller. This will be good even if you can wear the current device, as the deeper fit will prevent moisture and migration more. Most people won't need the fully waterproof device.
The waterproof device is more difficult to get in a smaller size, and that's why it will take longer. I wouldn't wait for the waterproof one, however, unless you do a lot of swimming and such. As soon as the smaller one is out make your appointment. The smaller Lyric hearing aid should fit almost anyone!
Here's to patience.
Dr. Barbara Jenkins
Denver, Colorado
AdvancedAudiology.info
Aug 23, 2011 at 12:38 PM Ok thats great news about the new device but I'm confused, did you mean the smaller device should be out sooner now since you have seen it or are you still hoping for a February Release in the US?
My guess is if the waterproof one is by the end of the year then the smaller one should be before...
Aug 23, 2011 at 8:45 PM The smaller one first, release any time from January to April 2012.
The waterproof one end of 2012.
Dr. Barbara Jenkins
Denver, Colorado
AdvancedAudiology.info
Aug 29, 2011 at 1:50 PM Since the new Lyric will be considerably smaller and will be further down into the ear canal I was wondering if this will make it more difficult for the wearer to remove.
Aug 29, 2011 at 6:33 PM Good question Cheryl.
Significantly smaller is relative. We are talking a millimeter or so. It shouldn't be a problem for most. Anyway, we shall see when the time comes.
Warmest Regards,
Dr. Barbara Jenkins
Denver, Colorado
Advanced Audiology, Inc.
AdvancedAudiology.info
Sep 2, 2011 at 6:04 PM Hi Dr. Barbara,
My old audiologist is closing up her practice so I saw a new audiologist for the first time last week to get the Lyric. (I previously had been trying out a couple different models before I decided to go with the Lyric). I know that my canals are smaller than normal, but my audiologists both determined that I was a good candidate for the Lyric. When I had my Lyrics inserted, I immediately felt pain in my right ear. I told my audiologist and she re-inserted. This didn't help at all, and I thought it might wear off after a while. An hour later, the pain was so bad that I returned to my audiologist's office and told her. She said that my ears should adjust in a few days and that this was normal. I thought I had a high pain tolerance, but the pain was terrible. I ended up going to my old audiologist in tears, and she backed them up for me. She determined that the Lyric was in far further than she would have recommended. Backing it out helped a lot, but I have still been experiencing soreness and occasional sharp pain in both ears. Still, this pain is far less intense than when they were initially inserted. I have two questions: 1) Given that a whole week has past since the Lyric was inserted, should I be concerned that I am still experiencing (less intense) pain, and 2) Could this pain have been caused because of my audiologist's negligence? If so, I may consider switching. Thank you so much for any feedback you can give me.
Sep 3, 2011 at 1:50 PM Dear Lauren,
Ouuchh! Here's the thing. You may very well be a candidate for the Lyric, and I'm sure that the audiologist's measured you well, but paid and discomfort are two different things. Any time you have a sharp pain, I recommend removing the device. If you keep it in, whatever is causing the sharp pain may inflame and just make the situation worse.
There is a good chance that the Lyric may be just fine for your right ear, but let's see if we can start over with a new plan in hand.
1. Remove the device if you haven't does so already.
2. Have your audiologist look in your ear to see if there is any irritation they can identify. It could be a piece of previously unseen earwax rubbing, or a bend in the canal that mandates a change in the depth placement.
3. Have your audiologist give you some ear conditioner drops for a week or so to get your ear canal ready for your next trial.
4. Have the audiologist re-measure your ear canal. You may be between two sizes, or the depth may have to be altered, if possible. Just because you measure a depth of 6 doesn't mean it has to go in that deeply.
I have experienced the same situation with my patients. I am confident that either audiologist can fit you, but it just may take time. If I had been the second audiologist the same thing may have happened. Just remember - some discomfort is to be expected, pain should not be tolerated.
I hope that you get the right ear to work well for you. If not, you may just have to be like the hundreds of others out there waiting for the smaller size.
Please write back and let me know how it goes.
All my best,
Dr. Barbara Jenkins
Denver, Colorado
www.AdvancedAudiology.info
Sep 5, 2011 at 5:59 AM What's the most common way to identify that the Lyric needs to be replaced? I am having trouble distinguishing between when there is a problem with the Lyric or it just needing to be replaced. Could a clogged sensation be a sign that the Lyric should be replaced? Or would there be cracking noises? Also, can being sick and having clogged ears affect the Lyric? Thank you!
Sep 5, 2011 at 7:54 PM Hi Jennifer, Hi Thomas,
I'll answer both of your questions together.
You will want to replace your Lyric at the point when it becomes weak, distorted or dies. This will vary from person to person. After you've had two or three replaced, you should talk to your audiologist about scheduling a "pro-active" removal. You would schedule a week or so prior to when you anticipate that it will start to weaken or die. There is no reason to keep it in your ear if it's not giving you full benefit. If you are no longer hearing well, it's time to replace it.
Some of my patients have appointments every six weeks or so, others, every four months. Lyric will allow as many devices as needed for each ear, within reason. Each case is considered individually if there are special circumstances.
I hope that this answers both of your questions. Good luck and happy hearing.
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Denver, Colorado
www.AdvancedAudiology.info
Sep 9, 2011 at 5:14 PM Hi Dr. Barbara,
Thank you for your response above. I made an appointment to have my audiologist take out the devices because I was worried about taking them out myself. The appointment was this morning and in between that time, both devices stopped working. (It has been exactly two weeks since they were inserted). When my audiologist pulled my left side out, the pain was terrible. Then blood started pouring out of my ear. I was crying and trying my hardest to remain calm, but it was very painful and alarming.
My audiologist said she had never seen this happen and had the receptionist drive me to an ENT doctor. The doctor flushed out my ear and removed the right side device as well. The right side was also bleeding but not as badly. I need to go back in on Monday so the doctor can confirm that there is no permanent damage. I had in fact been taking ibuprofen pretty regularly since I got my Lyrics installed, which may have explained why there was so much blood. However, this doesn't explain why it was so painful to dislodge the device, and why both devices died in my ear within two weeks. (My audiologist said that the blood wouldn't have caused the devices to fail)
You mention in the comments above that blood can be normal. However is blood, accompanied by intense pain normal? This whole experience has been very traumatizing. As a 27-year-old in grad school, I was very hopeful that this would be a good invisible option for me. However, this has been a very troubling experience, and I just truly hope that there is no permanent damage to my ears. Have you ever encountered a case like this, or is this very rare? Thank you again for your help.
Best,
Lauren
Sep 9, 2011 at 8:31 PM I hope that this reinforces the difference between discomfort and pain. There should never be pain with the Lyric, and in fact, most patients don't even experience any discomfort. As soon as any pain is noticed you should take it out to prevent irritation that can make things worse.
The ear is very vascular, so it bleeds quit easily when irritated. That's why patients on blood thinners aren't candidates in my office. With all the ibuprofen you took, that may be what happened. We will have to wait to see what the ENT says, however most cases like yours are due to ear canal issues and heal themselves. If it makes you feel better, I have never seen a serious issue with the Lyric, so don't worry over this weekend.
Give your ears a good time to heal, at least a month. Have your audiologist try one of the new mini hearing aids. I like the Siemens iMini the best because it's very,very tiny, but also more comfortable than some of the deep fitting hearing aids. That way you can take it out whenever you want without worrying about it.
Let me know how it goes for you, Lauren. No matter what you choose to do, I'm impressed that you are working to find the best hearing aid for you. Keep it up.
Dr. Barbara Jenkins, BCABA
2010 National Audiologist of the Year
Academy of Doctors of Audiology
www.AdvancedAudiology.info
Sep 16, 2011 at 7:59 PM I am in my trial period for Lyrics (second week). I have two questions. First, I have recently started experiencing jaw pain on my right side when I bite down. I am only wearing one Lyric at the moment in the right ear as I am waiting for an abrasion to heal in the left before it is reinserted. Therefore, I assume that the pain in the right jaw is associated with the only Lyric that I am currently wearing in the right ear. Cause for pain? Remedy? Second, I am experiencing a thumping sound with the Lyric as well. My audiologist tells me this is normal when I move the jaw, which causes the ear canal to change shape? The thumping occurs frequently and is fairly loud. Is there a way to reduce/get rid of the thumping? Thanks.
Sep 19, 2011 at 8:47 PM Dear Jack,
I hope that the jaw issue subsides in a day or two. There are various nerves that traverse the auditory system, and a couple can be irritated by the pressure of a hearing aid, or a Lyric. It should be comfortable by now, so I would suggest that the audiologist takes it out and looks around, just to be sure that nothing is going on. Of course there is the possibility that it's unrelated to the Lyric fitting, but best way to be sure is to have it taken out and see if it goes away.
Thumping? Hmmm. Not sure about that one. It could be that the smaller, deeper part of the Lyric is moving when you move your jaw. Again, I suggest that it be taken out for a look.
Take you time with the Lyric. As many happy users will tell you, once everything has been worked out, they can work wonderfully for many people. I hope that you are one of them. Let me know how things go. It will help us all learn.
All my best,
Dr. Barbara Jenkins
Denver, Colorado
Sep 29, 2011 at 6:21 PM This e-mail is a follow up to my previous e-mail regarding jaw pain. The jaw pain did subside. However, the lyric died about a week later (three weeks total in ear). The audiologist said that my ears produce a fair amount of wax and that the Lyric's short life could have been a result of either excessive ear wax or migration. She then inserted another one in my ear, which died three days later (today). There was little/no wax on this one. In your opinion, what could have been the cause of the Lyric dying? My audiologist tells me that my ear canal narrows significantly deeper in the ear (and I think has a high arch??) so I don't think that she is able to insert the Lyric very deeply in. Thoughts? Suggestions? I will be quite upset if I am not a candidate. Based upon these facts, are you able to give me your opinion as to what the problem is and/or if I may not be a candidate? How long should I continue to try to make this work? Thanks.
Sep 29, 2011 at 6:41 PM Thank you for the great information you are providing in your blog.
I've been using the Widex CLEAR440 for the past two months, I found it to be a very good device but had to return it because it would switch programs randomly. I have tinnitus and the Zen feature on that HA attracted me to it. One problem I have with all BTE aids is perspiration, when I play golf and some other sports its a real issue and I have to take it out. Do you think the Lyric would be suitable for someone with tinnitus and loss of hearing at the high frequency level.
Oct 3, 2011 at 9:00 AM Dear Jack,
If you are still having pain and fit issues after multiple attempts at use, I would suggest that you wait until the new smaller version is available. Phonak now owns Lyric, and they will release the smaller device first quarter of next year. I have seen it, and it is much smaller and shorter, so your audiologist will be able to fit it in deeper into narrower canals. This is usually the best way to make sure the device doesn't migrate out or have moisture problems.
Let me know how it goes after you are fit with the smaller device. I'm confident that it will help.
My best,
Dr. Barbara Jenkins
AdvancedAudiology.info
Denver, Colorado
Oct 3, 2011 at 9:32 AM Dear Barney,
Great post. Let me answer this in two sections:
Tinnitus: I hope that your audiologist mapped your tinnitus to find the best frequency response to enhance on your hearing aid to reduce your tinnitus. Without knowing where your tinnitus is, it is difficult to know which hearing aids will have the ultra-high frequency ability to reach it. I am not a big fan of putting "music" in a hearing aid to mask tinnitus until we can see if we can reduce it without the music. Your tinnitus is often not the same frequency as the point of most hearing loss, so please have this done if it hasn't been.
Any hearing aid, including the Lyric, may help your tinnitus. IF you have bothersome tinnitus while trying to sleep, the Lyric may have the advantage.
Moisture: Siemens AQuaris is a new hearing aid that is completely waterproof. I even have patients who swim laps in it with no problem. Perspiration would not ever be an issue with this device, and it's made to fit securely behind the ear, so golf should be easy. It is much less expensive than the Lyric, and if you like the idea of taking it in and out this would be a good option. It also has a high fidelity boost in it that may help you with your tinnitus.
I suggest that you look at the benefits of both and then try them. Please write back and let us know what you discovered. Either one, if it works for you, is the right one.
Happy golfing!
Dr. Barbara Jenkins
AdvancedAudiology.info
Oct 3, 2011 at 10:03 AM I see you mentioned Phonak now owns Lyric, is that any indication that the next generation will be mass produced and offered at a lower subscription price?
Oct 3, 2011 at 10:08 AM No way to know my friend, but don't hold your breath for any time soon. I'll let you know as soon as I do.
Dr. Jenkins
Oct 27, 2011 at 11:19 AM I don't suppose you can post any pics of the newer Lyric II coming out? Thanks for the info, great blog!
Nov 1, 2011 at 8:33 PM The new Lyric devices won't win any beauty awards, that is, unless you're one of the people waiting for it's arrival! It's just a smaller version of it's former self.
The new device is being fit in 4 offices now, but due to production and marketing considerations, it is currently going to be introduced late first quarter of 2012. Thankfully there have been only minor issues with the device, so they anticipate few delays or difficulties.
Ask your audiologist to put you on the "call back" list when they come out. At our office we are going to have an open house just with current patients so that they can be fit first.
I'm sure that my bloggers will be the first to know.
All my best,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
Denver, Colorado
www.AdvancedAudiology.info
Nov 2, 2011 at 10:46 AM Awesome, hopefully we will see it out in the next 6 months.... but still kind of skeptical about the size difference, right now I think about 50% of people can use the current generation, what do you expect a realistic percentage to be for the newer smaller one?
Nov 2, 2011 at 5:30 PM The newer generation will make it so about 80% of our patients will be an appropriate fit. We still have to deal with medical issues and ear anatomy issues that are unrelated to ear canal size, but it will afford many the opportunity that don't have it yet.
Because of the shorter size, many who currently wear the device but have difficulty due to moisture will garner a longer "in ear" life. The deeper the fit, the more protected the Lyric will be from environmental contaminants.
I'm just as excited as you are to get the new devices. I'm sure we'll get a lot of feedback when the time comes.
Warmest Regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Nov 8, 2011 at 1:29 PM I am in the 3rd week of trial peroid and still trying to determine just what is ''normal '', as aparently I have not known that level of hearing in quite some time. I have the same effects as though you were wearing ear plugs ..... hear my voice echoing , hear hear beat when background noise is not present, hear a pounding as I walk ..... are these symptoms normal with the Lynic ?? will I get used to them and they will go away ?? Audioigest keeps saying give it more time and ''we will see '' ..... your thoughts please
Nov 9, 2011 at 12:15 PM Dear Don,
Have your audiologist adjust the device acoustically, or re-check the fit. The symptoms you are having should be adjustable. If he or she is not sure how to adjust them, have him schedule an appointment with a Lyric trainer and the two of you. It will help you and it will educate your audiologist more.
I hope that the Lyric works well for you, but whatever device you end up with, you will appreciate hearing in the long run.
My best to you,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Nov 15, 2011 at 6:15 PM Hello, came across what I think is a pic of the new smaller lyric device releasing in 2012... Looks like the middle is enclosed in plastic/glass as opposed to the current model. Does this mean it will be digital or is it still going to be analog?
Nov 16, 2011 at 7:10 PM First, no real new encasement. The shine you see may be a reflection. The device will still be analog, which is fine. The device sits so close to the ear drum that the analog will sound more natural that a standard hearing aid for many.
We may get a digital device some day, but I'm just happy that this one is so small and sounds so clear for most patients.
Regards,
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Dec 10, 2011 at 9:17 AM I think you may have addressed this a few times on the forum, but any word on when a Lyric may come out that can be worn underwater? I am nervous about not having the Lyric on next summer now that I rely on it so much (I love the beach and swimming!).
I am looking forward to the smaller device coming out. I am hopeful that the smaller device will give me that extra clarity that I need. I still feel like the device needs a bit more refinement in sound.
Thank you!
Dec 10, 2011 at 5:12 PM OK Jennifer, here's the scoop:
1. There is no "waterproof" hearing aid coming out. The "water resistant" device is the one currently being used. It was introduced earlier. It is recommended that you swim above water with it. I have a patient who snorkels with it in but she wears a custom earmold and earband when she does so. Lyric does not recommend underwater use as the water pressure may dislodge and move the device. Also, water can get behind it and may cause an outer ear infection.
2. The smaller device has been tried with great success in many offices. Phonak will release it when it sees fit. Word is is that this will be first quarter of 2012. It is 30% smaller and will fit deeper for most patients, so water and environmental problems should be minimized.
3. Regarding the sound quality, speak with your audiologist about that. There are multiple adjustments that may help you to hear more clearly. Each person is different, so best of luck to you in that regard.
We are all awaiting the new device. It can't come soon enough!
Merry Christmas!
Dr. Jenkins
www.AdvancedAudiology.info
Dec 13, 2011 at 4:23 PM Hello, what about the cost of the lyric hearing aids? I read the Sonova Semi-Annual Financial Report posted on their Investors Website Page and it said the newer version will have a 50% decrease in COGS.... Does that mean the Retail Price will be going down anytime soon?
I don't see how they are allowed to charge $3500 a year for something so essential to society.
Dec 13, 2011 at 8:35 PM Good question. So far I haven't heard about any price adjustments.
It took Lyric 10 years and tens of millions of dollars to develop a battery small enough and medically safe enough to get the Lyric to work, so I'm sure that they have a lot of R&D to make up for. Also, Sonoava just recently purchased Lyric from its founding company, and there are probably details about that we are not privy to. Add to that the increase in time that this device takes from the audiologist when compared to a standard hearing aid. There is also more training expense to Sonova to train the audiologists in this new product. Not as necessary with a standard device.
It would be nice if the cost would go down, but since this is a one of a kind device it may be a while. As to being essential to society, they may argue that they also provide many standard style hearing aids at more affordable prices that work quite well for most. Sonova is a privately held company, so they can charge whatever the market will allow.
I wish I could be of more help, but remember, I don't work for Sonova or any other manufacture. As long as they can make a profit at their current price, they'll probably keep charging it.
Regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Jan 22, 2012 at 4:49 AM Dear Dr. Jenkins,
I just got the Lyric hearing aids about a week ago and trying to give the slight pain and discomfort some time to subside/normalize, if indeed that happens. However, I was wondering if there are any studies/reviews about the effects of Lyric on long-haul (in excess of 5 hrs) flights. I travel extensively for work and for personal reasons and am curious as to how I might feel when traveling.
Thanks in advance for your input.
Amjad
Jan 24, 2012 at 10:47 AM Dear Amjad,
Good luck with your fitting, however watch the discomfort. If it ever gets to the level of pain, or if it's a sharp sensation, please see your audiologist. Any discomfort should subside within the first week or so.
I know of no studies regarding long flights, however I have fit hundreds of ears and have not heard of any Lyric specifically going out due to flights. Many of my patients are international travelers and many have gone on European vacations with them in with no problems.
Best of luck to you, but don't let that "slight pain" go on without checking it out.
My best to you, and safe travels,
Dr. Barbara Jenkins, BCABA
Board certified doctor of audiology
www.AdvancedAudiology.com
Jan 28, 2012 at 3:55 PM Husband is wearing a Lyric set. He is 81. We are fortunate that he continues to maintain his drug collection business because of the secluded one with one office setting. Also,pleased with the fact that we can actually talk in bed with the lights off. Nice being able to talk to each other without facing one another! This product made a first nice conversation ability for both of us in more than 15 years! Problem? Cant go out in even small groups due to background noise much less enjoy a concert. Eating out is a challenge trying to choose a quiet restrurant that dosent make him an outcast because he cannot understand the conversation. I still have to answer for him when he is asked for his choice of dressing. Many adjustments at the audi office this last year. Now being told that the co. my audi works for is going to quit carrying Lyric due to an increase of $1,000 annually! Only reason we can manage this luxury is because I am several years younger than my husbband and still working. When I retire we are doomed! Our retirement will not be golden, it will be mostly silent and frustrating. We have referred many clients because friends have been so impressed with his improvement. Now we are sorry as they will be in the same fix we are. Is there any hope anywhere? Will VA ever use Lyric? Transplant? Another company? Thank you. really enjoyed your sharing.
Jan 29, 2012 at 10:25 PM Dear Nancy,
I'm glad that the Lyric is working well for your husband.
1. I don't know what your husband's hearing is like, but there are adjustments on the Lyric that will reduce background noise somewhat. Just remember that it's not the hearing aid's fault that there is background noise in the world. No matter what hearing aid you get, it's the brain that has to process the sound and getting rid of background noise gets better with time.
2. I don't know of any increase in price for the Lyric, so it may be that the company your audiologist works for is in competition with Phonak, the new owner of Lyric. If that's the case, there may be another audiologist who still carries Lyric at the same price you are use to. Check it out. Try an independent doctor of audiology if there is one in your area.
3. I suggest that you try one of the new hearing aids that go into the ear but that your husband can remove. Get the best quality you can afford for the daytime, so that he can hear clearly and it can reduce background noise as much as possible. You can then purchase a very low end set of tiny hearing aids for him to wear at night, so that he can still hear you. This should be the lowest technology you can get, as it just has to pick up your voice and there isn't too much noise to process. Even after purchasing both sets, your total out of pocket expense will be less that the Lyric over a five year period.
I hope that this has helped out. Please let me know if you have any other questions, or if I can help you and your husband more.
Sweet dreams to you both,
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Feb 24, 2012 at 11:30 AM Hello, any news on the smaller lyric coming out anytime soon? Or just another delay again....
Feb 26, 2012 at 10:43 AM Getting closer and closer my friend. Although Phonak is keeping a lid on it, I would put my bet on it coming out the end of March, when the national audiology convention takes place. The devices have been in some ears already with good results. It's all in the marketing...
Any time now,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Feb 27, 2012 at 3:01 PM Thats good to hear, http://blog.lyrichearing.co.uk/ ... that site confirmed they will be releasing it at the convention March 28th. Hopefully won't take much longer after to release to the public.
Feb 27, 2012 at 4:28 PM After the release they will slowly introduce the Lyric into different offices. It may take months for it to be fully available, but at least it will be here soon.
Regards,
Dr. Jenkins
www.AdvancedAudiology.info
Colorado Tinnitus Treatment Center
Mar 4, 2012 at 7:05 PM Does any body know following-
1.This is correct that Lyric is not suitable/recommended for diabetic patients.
2.Does Health Canada has approved lyric hearing aid in Canada?
3.Why lyric company did not mention any thing that Lyric hearing aid is suitable or not suitable for diabetic patients?
4.Lyric is of opinion that fixing of lyric hearing aid is decision between Audiologist and Patient? does these explanations of Lyric company will be accepted by Health Canada.
Matter is serious in nature-why details for safety and recommendations has not been mentioned Lyric comapny.
5.Better hearing Institute mentioned on this web site page that for diabetic lyric hearing aid is not recommended,where does Better Hearing Institute stand?
Mar 5, 2012 at 7:13 PM Dear hpb
It sounds as if you should contact your Lyric representative directly for the answers to your specific questions. They will know about the Canadian issues, as well as any contraindications or medical issues you need. Have your audiologist contact their Phonak rep, as Phonak now owns Lyric. If anyone else out there knows the answers please let us know here.
Regards,
Dr. Jenkins,
Mar 27, 2012 at 5:23 AM Hey Dr. Barbara
I have tried the Lyrics in the first week of January and fell in love with the sound. I could hear EVERYTHING Easily and Naturally. It sounded so beautiful and felt so nice to finally hear as clear and effortlessly in a long time. I was now ready to enjoy dating again (which I hadn't feel comfortable with in a few years). The problems I had were that the first fitting didn't had discomfort when first being put in but later after two days discomfort arised. I had to take out one side because it was a little intolerable and then two days later the other side died. Got fixed back up with different sizes and the lyrics lasted a month and died. Was told I may have excessive ear wax. But it sounded so great I wasn't going to give up on it. My audi said it fits well into my ears I just gain a lot of moisture or wax. Tried lyrics after this twice and they both died after two weeks. I always have a squealing sound before they die in one ear and then that moveable feel in the other before it dies. Do you know why my aids die so quickly or if there is something I can do so they don't. I alternated taking showers to baths since I began wearing them and don't wash my hair and they still die. Nor do I sweat aggressively. I have already paid the 3000 for them and just don't want to give up on them. What should I do? There is no such cost to finally being able to hearing so well. :)
Mar 28, 2012 at 6:16 PM Hi Michelle,
I wouldn't give up quite yet. I have a few suggestions:
First, have your audiologist make you some custom ear piece with minimal canals. Most of the ear piece manufacturers now make them specifically for the Lyric devices. That way you can wear the plugs in the shower or bath without worry that the moisture is causing your problems. Alternately there is a product called "Ear Bandits" that your audiologist can get that works like a headband to protect your ears from moisture.
Second, the new devices will be coming out any day now, so when they do ask that you be fit with them. They will fit more deeply into the canal so that there is less of a chance that moisture will be a problem.
Keep with it at least for a few more weeks. If your cerumen is really the issue we may be at a sticking point (pun intended) but lets rule out the moisture thing first.
My best Michelle, and please let us know how it goes.
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Denver, Colorado
Apr 3, 2012 at 10:40 AM Now that the next generation lyric hearing devices have been officially announced, when can we see a pic of it or expect it in the US??? Thanks!
Apr 3, 2012 at 5:17 PM The device was shown at the audiology conference in Boston last week, however it will roll out slowly to different offices. Each clinic will receive the new devices as their inventory of the old version depletes, and as the audiologists are retrained to fit the new device. You should be able to go to the Phonak website and see a picture of it.
The anticipation has been difficult, but finally, they should be able to fit everyone within the next two to three months.
Regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.info
Apr 6, 2012 at 11:53 AM Hello Dr. Barbara,
Here is a follow up to my previous inquiry here: I went back to get a new set placed in and the left went out the next day in my ear (although once I took it out it was still on). I made an appointment with the ENT and yesterday he told me I had sinus drainage in my ear, nose and throat. Wow. I never knew I had allergies, but he applies I do (I have noticed that my nose has been itchy and draining a little these last past weeks or months). He prescribed me some medication and told me to come back in a week and then we can try to lyrics again. Do you believe this may have been a reason my lyrics died so fast? Your response is very much appreciated.
Thanks!
Apr 6, 2012 at 8:24 PM Dear Michelle,
The sinus problem would only be an issue if there was a perforation or hole in your eardrum. Otherwise there would be no way for the nasal secretions to get into your outer ear. The ear drum separates the outer ear (or ear canal) from the middle ear so unless there is a hole in it there will be no movement of fluid between the two. Your audiologist most likely already did a tympanogram on you prior to fitting you to be sure.
You could have an outer ear infection, which could cause the device to die prematurely. I think it's best to get clarification from both your ENT and audiologist as to if this was a factor for you or not. Also have them show you a photo of the ear and explain what is going on more clearly to you.
I hope that "third times a charm" for you Michelle. If not, you should have one of the new smaller devices fit, although they are not fully available yet. An alternative would be to have your audiologist order the Eclips by Siemens. It is a very small mini hearing aid like the Lyric but you take it out every night.
Good luck and let me know how things go.
Regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Apr 7, 2012 at 8:27 AM Michelle - I don't see any mention of you requesting custom made earplugs yet. I had the same problem in my right ear - the device would go out after only a few days consistently. Dr. Jenkins suggested the ear plug for me and since I've had it my Lyrics now last at least four months. Please give it a try, especially since you have already paid for a year's subscription.
Apr 7, 2012 at 12:52 PM
Good point Cheryl.
Michelle: After the ear has been cleared medically have your audiologist make custom Lyric earmolds. Westone makes them and they will prevent water from getting into your ears while showering. They are like standard earmolds for water but they have very short canals.
Thanks Cheryl!
Dr. Barbara Jenkins
Apr 8, 2012 at 9:04 AM In regards to the new generation Lyrics, are they built differently with better performance? I know there is now an option to get a smaller size, but are there also additional changes? I like the Lyric, but after playing with multiple settings, I still can't seem to get to a comfortable place in noisy environments. Noises seem so loud and lack clarity.Turning down the volume, unfortunately, turns down people's voices. I am hoping that the smaller Lyric will give me some more clarity.
Apr 9, 2012 at 1:01 PM Dear Jennifer,
Good Question Jennifer.
The new device is shorter so there should be less difficulty with environmental factors. Additionally the new devices will have a better front protection against wax and such. Other than that I don't know yet whether there have been software adjustments or not. When they are actually introduced to the full population - now "this summer" sometime, I'll be able to give you an update.
Regards,
Dr. Barbara Jenkins
Apr 11, 2012 at 12:59 AM Went to get my 2 lyrics changed last week. The audi provided me with the new smaller devices. The were horrible! Left ear died in 1 hour after insertion, right ear has giving me many problems for the past week.
I have worn the lyrics for the past two years with only minor issues. It appears they are switching to the smaller sizes and will not be manufacturing the older style in the future.
Lyric followed up with the Audi office and informed it was all do to a recall of certain devices that have recently shipped. I will get the old syle back later this week but I'm concerned about the quality and fitting me with the new devicesin the future
Apr 11, 2012 at 8:49 PM Dear Greg,
Now I'm glad that they didn't ship me the new devices yet!
When Lyric first started five years ago they had issues with production as well. They have four manufacturers and if one has a problem we usually don't know it until we start to fit them in ears. This happens with the old device also.
Don't let it frustrate you too much Greg, and for the rest of you, patience is worth it. I'm sure that the new ones, eventually, will do well. It's just so darned crazy that after waiting for two years for them they don't work from the get go...
If anyone else has experience with the new Lyric device please let us know.
Regards,
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Apr 11, 2012 at 10:36 PM I received the new Lyric about 6 weeks ago. To put this in context I have been a Lyric wearer for almost 4 years, and once I got past fitting issues in the first few months, I have had almost no issues with it. I only require it in one ear. I never turn it off or down, I swap it out every 3 months, and generally forget that I have it. Other than the swimming/water submersion limitation I have been very pleased with it.
When I received the new version I was told that it was still in testing, and that a number of the test devices had been recalled because of battery issues. But I agreed to take it anyways - and am glad that I did. I immediately felt the difference in size when I got it. It is so small that you really don't feel it at all in the ear canal. Definitely a more comfortable fit. The one issue I've had is more radio-type feedback than the prior unit - which forced me to use a lower setting. I went back because of that issue - and was told that it has to do with sizing - that I may need to use a larger size than with the previous unit. After adjustment, I still feel that feedback is a problem at higher volume levels, so that is the one issue that I still have to get resolved. But I have not had any battery issue.
I would encourage everyone to try to the new unit. I think you will enjoy the smaller size and feel the difference. With the new unit, it doesn't feel like I have any device in my ear. I would not want to go back to the larger unit now that I have had the smaller one.
Apr 12, 2012 at 11:26 PM Thank you Stephen,
I hope that your input has helped Greg and others.
It really comes down to the issue of fit again, and everyones ears are different.
Stephen, I'm sure that next time if they put in the next larger size the "feedback" type sound you hear will dissipate so that you can turn the device up again.
Greg, as soon as your office gets a new shipment schedule yourself for another trial. I hope all goes well, and make sure to let us know.
Sincerely,
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Apr 28, 2012 at 9:00 AM Hi, Dr. Barbara Jenkins, I've really enjoyed reading this blog and am very interested in getting myself a Lyric hearing aid. I was wondering if the smaller size and it being with a new company will affect its sound quality any?
Thank you in advance.
Apr 30, 2012 at 12:18 AM Dear Ken,
It's difficult for me to comment on your difficulties because I'm not sure what your hearing loss is. Since you are still in the beginning stages of the device, I suggest you give it a few more days but contact your audiologist for an adjustment. The Lyric can have high frequency and low frequency boost or reduction, as needed. I'm sure that if you're hearing is within the guidelines for fitting, you will be able to work with your audiologist to get them tweaked just right.
Here's to hearing beautiful music again!
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
Colorado
Apr 30, 2012 at 12:21 AM Dear Alexander,
The smaller size of the new Lyric wouldn't affect sound quality. The difference between the two devices is the distance from outside the ear. They both fit the same distance to the ear drum, so physics won't be affected too much. The benefit will be that more people will be able to wear the device, and also they should be more durable than before.
I look forward to your comments once you get fit Alexander. Please remember us and let us know your thoughts.
My best,
Barbara Jenkins, AuD, BCABA
www.AdvancedAudiology,com
May 15, 2012 at 11:21 AM Any update or have you heard anything from Lyric about the next version release yet? Seems like they are being overly secretive about it even after announcing and releasing to audiologists back in March....
May 16, 2012 at 12:41 PM Dear Tim,
Here's the story on the Lyric device:
The Lyric use to be made in the USA. Phonak purchased the company last year and added manufacturing sites in China and Singapore. Unfortunately a few months ago many of the devices were being returned defective, as we would get only a day of two of life from them. Phonak then had to cease production of both the old style and the new style until they could figure out the problems. As of today audiologists still can't get any of either style.
We are currently going through our back-up stock and we are told to tell our patient's that they are working on it. There is no timeline when any of the devices will become available, tomorrow, next week,...
They will need to make up the backlog of the old devices first before they can get the new ones in. Also, each audiologist has to be re-trained on the new device, which may take a while.
Frustrating I know. Not much anyone can do. There is a new hearing aid out from Siemens called the Eclips that fits just as deeply into the ear but you take it out every night like a standard hearing aid. I have ordered a few of them for my patients who don't want to wait any longer for the Lyric. It's not the same but the closest I've seen and there are positives and negatives to each. Worth looking in to.
And so it goes,
Dr. Barbara Jenkins, BCABA
CEO - AdvancedAudiology, Inc.
May 18, 2012 at 11:39 AM Interesting about the Eclipse. Can you wear it in the shower or while exercising? Is it expensive and available in digital? While the lyric has been better than most hearing aids in most settings, I am still struggling with finding the right settings in noisy environments, a year after being a Lyric user. My audiologist and I have tried many different changes. Either I get sounds that seem flat (lack of range)or noises competing with each other rather than me hearing a variety of sounds at different volumes. Does that make sense? Hopefully something will give....
May 19, 2012 at 1:41 PM Dear Jennifer,
The Eclipse is a standard hearing aid, and depending on the size of your ear you can wear it while exercising, etc. The larger the inside of your ear, the more of the circuitry will fit inside. This is good for wind noise, etc. I would recommend that you take it out while showering, however, as it is not waterproof.
Either the Eclipse or the iMini come in various technology levels, read various prices. Since the cost of a Lyric over a five year period is close to $15,000, the cost of either of the standard devices is a much lower price over time. They are both digital and so are very flexible.
Ask your audiologist to make an impression to see if they will work. If they don't at least you know that you've tried them. The Eclipse needs a special tip for her to make the impression, so make sure she is familiar with it. Not all audiologists dispense all the different brands of hearing aids, so make sure that she can do this for you. If she cant do the Eclipse she may be able to try you in an iMini, almost the same thing with the same computer, but it doesn't fit quite as deeply as the Eclipse or Lyric.
My best to you. I'm sure that when you find the right device for you, you will be ambassador for others.
Regards,
Dr. Barbara Jenkins, BCABA
AdvancedAudiology.com
Jun 17, 2012 at 11:56 AM Thanks. I read your article in Hearing Health (found it in my audiologist's office) comparing the Lyric and Eclipse. The Siemens web site provided little information about the Eclipse, but it appears that it has only a single program. Doesn't that present some significant drawbacks in someone with moderate loss? Can you provide some further insight, comparing the Lyric and Eclipse?
Jun 19, 2012 at 7:17 PM Dear Doug,
Both the Lyric and Eclipse have just one program due to size. The more options put into a device the larger it becomes, and when the goal is the smallest hearing aid possible, options have to be sacrificed. Both fit deeply into the bony part of the ear for the smallest fit possible, and both have soft interiors for best comfort. Both fit about the same degree of loss as well, up to a severe loss.
The number of programs you need isn't predicated on the severity of your loss. It's your specific and unique needs that are more important. If you have a moderate hearing loss but are retired and don't get out much, a single program may be just fine. If on the other hand you are active or working, you may need two or three to adjust to different listening environments.
The benefits of the Eclipse are that you can remove it when you want to. I have patients who love their Lyrics, but they like to swim or have to remove them for medical reasons now and then. This necessitates a visit back to my office to put a new one in. For some patients who live close it's a non-issue. For those who live in the mountains it's a hassle. I recently fit Eclipse on two of those patients and they like the idea of being able to take them out at will.
Both the Lyric and the Eclipse are beneficial to sports enthusiasts. They are less likely to come off when using a bike helmet or traversing a mountain than the traditional behind the ear device.
The upshot is that it's really about your specific needs, Doug. Talk to your audiologist about all your options. When you get hearing aids there is no one solution, and what is best may not be what's best for someone else with your same hearing loss.
All my best to you,
Dr. Barbara Jenkins, BCABA
www.AdvancedAudiology.com
Jun 27, 2012 at 9:57 AM New smaller lyric wearer here... having feedback issues and the sound quality not as clear as the old version... muffed sound... increasing volume doesn't help. Comfort of smaller size not noticeable... disappointed.
Jun 27, 2012 at 7:17 PM Hi Tom,
How frustrating! I have a suggestion. Make sure that your audiologist is putting the device in deeply enough. If there is more volume between your eardrum and the end of the device that with the old one, it will be interpreted by your brain as dead space and may sound more muffled. It's called the "occlusion effect" and it's worth looking in to. This should also keep it from feeding back.
I hope this helps, otherwise when your lease comes up you may want to consider one of the new ultra mini CICs. I have two Lyric patients who just tried the Eclipse from Siemens and like it. Although I had two who tried it and didn't. Each patient is different. Also there are other devices from other manufacturers. Whichever your audiologist likes best is usually just fine.
For more about ultra-mini hearing aids you can go to spring issue of Hearing Health Magazine and look up the article called "Mini Gems" www.hearinghealthmag.com.
Tom, please write and let us know if the occlusion fix worked for you.
Good luck!
Dr. Barbara Jenkins, BCABA
www.AdvancedAudiology.com
Jun 27, 2012 at 10:11 PM Thanks so much for your thoughtful response on 6/19. I understood all that you are saying in respose to my earlier inquiry (6/17) except the very first line.
For some more background, I used the Lyric for the trial period and generally liked it .... I had some fit issues that were largely resolved when I went to a medium/medium from a medium/ large. I am in my 50s, and an active professional...meetings, events, phone calls, conference rooms, etc. Not sure that is all relevant to the first line of your email, but I guess the more information you have the better.
In any event, I was confused by the first line of your 6/19 response....the Lyric is perhaps (?) a single "program" but there are five or six volume settings ....is that also the case with the Eclipse? It appears from what I have been able to learn is that there is a single volume setting and a single program with the Eclipse. That said, because it is digital as opposed to the Lyric which is analog, the single Eclipse program may have some other benefits like improved sound quality and background noise dampening. Any thoughts or comments on that? Frankly, I think the thing that stands in my way on the Lyric is the cost.
Many thanks!
Jul 2, 2012 at 7:46 PM Hi Doug,
The Lyric has one program with 5 vol settings.
The program is specific to your hearing loss and your needs. You may have one for quiet and one for noise and one for in the car. Then there would be a volume adjustment within each program. Think of it like a radio. You choose your station based on your needs or wants at that moment, and then you adjust the volume within that program after it's set.
With smaller CIC hearing aids many have opted for no external VC due to size, however some hearing aids have a remote you can use to adjust. Or you can have a push button put onto the hearing aid that works like a VC but is smaller. So many options, so little time.
I'm not sure what is best for you or what your specific needs are, but let your audiologist know your concerns and she should be able to choose from all the manufacturers to get what's best for you.
My best to you, and have a happy 4th,
Dr. Jenkins
www.AdvancedAudiology.com
Jul 8, 2012 at 12:08 AM Got re-sized with the new smaller lyrics... the sizes are different from the originals, medium/small, just medium. No feedback problems no, but the sound quality is noticeably reduced, speech quality not the same. Right side has to be set higher then the left, didn't have that requirement with the old lyrics. Still disappointed. I suspect to make them smaller, they couldn't match the sound quality of the originals.
Jul 8, 2012 at 2:33 PM Should a lyric be fitted by an audiologist or is a "hearing instrument technician" qualified?
Thank you.
Jul 12, 2012 at 12:07 PM Dear Tom,
Lyric worked so hard on the new little device and there were no major acoustic changes other that the ear placement. Any time there is a change in the ear canal resonance due to an altered placement, acoustics will be modified (pure physics). That said, I hope that over time your ear adjusts, or that your audiologist will be able to adjust it for you. The concern is a real issue, and only time will tell if everything gets back to normal.
Keep us informed please.
Dr. Jenkins
www.AdvancedAudiology.com
Jul 12, 2012 at 1:19 PM Dear Roberta,
Because of the potential ear damage, etc. Phonak has traditionally trained only audiologists. Audiologists have seven to eight years of college, an internship year and clinical rotations before they take the national boards to be licensed. Hearing aid dealers are not required to have gone to college, so there is a higher liability. Even audiologists have to then be specially trained by Phonak prior to providing the device.
Whether Phonak changes its policy or not, I would recommend seeing an audiologist for this type of device. I know from experience that each fitting is not perfect, and there have been medical issues with the device.
I hope that answers your question.
My best,
Dr. Barbara Jenkins
Jul 12, 2012 at 2:45 PM Dr. Jenkins,
I have now had the new, smaller version of the Lyric installed for 5 days, and, beyond a shadow of doubt, for me, they are barely noticeable, even relative to the standard version in which the one in the right ear always made its presence know. Sound quality of the new ones is somewhat improved, but I have a quite dramatic loss in my unaided left ear from years of shooting, flying, etc., and that loss is still only partially mitigated by the left Lyric. It has of course the program in it that was installed as a function of my unaided audiological exam. Question for you: is it ever appropriate to update the Lyric program based upon an audiological exam performed with the Lyrics in place? Would that not show what additional "tweaks" might be made to the embedded profile(s) to compensate for the loss in my left ear? FWIW, the Lyrics allow me to wear an aviation headset for flying and a noise canceling headset for rifle shooting w/o any whistling, feedback, or other acoustic anomalies. Only downside is that I cannot replace them, and my ears are veritable wax manufacturing plants. :(
Jul 12, 2012 at 11:29 PM Dear Tony,
It's nice to get more positive input regarding the new smaller device.
Regarding your question: what you are asking is that your audiologist perform a "REal Ear measurement while the device is in your ear. This is something that I haven't done yet but it is certainly possible. It measures the actual output at each frequency at your eardrum. Ask your audiologist to do this and then let us know how it goes, as it's a great idea for those who are having difficulty with the acoustics of their new settings.
Alternately you can have your audiologist test you in "sound field" without your Lyrics, and then again with them in the same setting. It will give you the same results. Make sure that she tests you in 2dB increments instead of the usual 5 for best results.
I look forward to hearing what you find.
Till next time,
Dr. Jenkins
www.AdvancedAudiology.com
Jul 12, 2012 at 11:57 PM Finally was able to try the lyric. I have been waiting since August of 2010 for the smaller version. I was so excited and amazed by the sounds I was hearing. I had specifically asked about their compatability with phone use for work and was told there would be no issues. Three hours after i had them inserted I showed up to work and first phone call I answer- static beeps silenceleft ear plugged. I did not even have time to try to fix it before I had to answer the phone with my right ear- pop static beep off! Seven minutes into my day with plugged ears and panic ensued. After a few minutes i tried to turn them both back onandthe right did come back on and not the left. Had to take out the left when i got home. Any ideas on what happened with the phones? Scared to put one in both ears again.
Jul 13, 2012 at 3:53 PM Hi Dr. Jenkins,
I have plugged ears due to sinus congestion. What can I do to relieve this while wearing the Lyric hearing aids? I'm wondering if using a neti pot or any other remedies will be effective or do the hearing aids need to be removed temporarily in order for a remedy help?
Thank you.
Roberta
Jul 13, 2012 at 7:17 PM Hi Roberta,
The neti pot should be no problem for the Lyric. However, your doctor won't be able to tell if you have an accompanying ear infection if the Lyric is in your ear.
Anatomy 101: The Lyric device fits into the "outer ear" or "ear canal". The ear canal is separated from the middle ear by the ear drum. The middle ear is separated from the back of the throat by the eustachian tube. As long as you have an intact eardrum (which would necessarily be checked prior to being fit with a Lyric), there is no way that the water from the neti pot could get to your Lyric.
Now if you have a middle ear infection (between the ear drum and the eustachian tube, I would ask your ENT prior to using the neti pot, just to be sure no other infections are introduced. He or she may ask you to remove the device just so they can see into your middle ear.
In conclusion, if your personal doctor or ENT has checked you and given clearance, then you should be good to go.
Hope you feel better soon Roberta,
Dr.Barbara Jenkins
CEO - Advanced Audiology, Inc.
Jul 13, 2012 at 8:35 PM Thank you again for your help. Do you have any suggestions for relieving the plugged ears other than over the counter decongestants? I don't like to take drugs so mainly do homeopathic, holistic or home remedies.
Thanks.
Roberta
Jul 17, 2012 at 12:45 PM Hello Jeri,
It was probably that you have a phone with a very strong magnet in it. As you know the magnet in the Lyric communicates with the magnetic wand. Some phones have magnets strong enough to set them off. See if you can put another phone (usually a newer one) in place of the one you tried to see if it works that way. Otherwise you can try a headset instead of having he headpiece next to your ear.
Let us know how it goes.
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Jul 17, 2012 at 1:04 PM Hi Roberta,
Unless you've been medically cleared there is really no way I can offer a suggestion. Anything I recommend would be purely conjecture and not necessarily in your best interest. Just go to see you primary doctor. You will have to remove the Lyric but it's easy for your audiologist to pop back in again. I would rather you er on the side of medical safety just in case there is an infection or other issue. I know htis isn't what you wanted to hear but I hope that you understand.
Regards,
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Jul 17, 2012 at 3:29 PM I have tried to put on a lyric hearing aid once and i loved it...but after a while my ear wax is blocking the lyric hearing aid..do you have any suggestion that i can do about my ear wax blocking hearing aid? because i really love the lyric hearing aid but it doesn't seem to fit me because of ear wax blocking it...
Jul 18, 2012 at 12:12 AM Welcome Willie,
Ear wax, or cerumen, is the number one cause of Lyric dysfunction over time. Unfortunately human physiology places the area where cerumen is produced right at about the same place the faceplate of the Lyric sits in the ear.
When your audiologist gets the new smaller devices I would suggest trying again. This new device is a bit better at repelling earwax, and it fits a tad deeper in the canal. Hopefully, deeply enough for you to alleviate some of this problem. You may be the patient who needs a new Lyric every 4 weeks or so, but if that's the case just schedule your appointments ahead of time so that you don't have to go without hearing.
Hope this helps. Please write back if you do try it and let us know how it helps.
Regards,
Dr. Barbara Jenkins
Colorado's first Board Certified Doctor of Audiology
Jul 18, 2012 at 4:33 PM Finally 2 weeks ago I started wearing the new smaller lyric. I have never worn any devices before and i was waiting patiently for the smaller lyrics to come out. I was not a candidate for the larger ones. Three hours after I had them placed I arrived at work and answered my first phone call and the left one blew out. Five minutes later answered with the right ear and had the same problem. Finally I tried turning them back on and only the right one came back on. Apparently the left one was defective. I am not going to put one back in the left ear quite yet. I want to adjust to the one before I try the second one again. I am having quite a bit of occlusion occuring in the left ear. I was told that was normal. My voice sounds nasally and feels like i have water stuck in my ear. However, I can hear well out of the ear. The other problem I am having is sound bouncing. Sometimes it is hard for me to tell which direction the sound is coming from(not all the time). Also occasionally it feels like I am hearing out of one ear at a time and it bounces from one ear to the other- not sure how to describe this??? Have you had these complaints before? Phone turning them off/sound bouncing? Just curious. Maybe this is not for me? Thanks in advance for your advice.
Jul 20, 2012 at 11:19 AM Dear Carrie,
First regarding the phone issue, read the post from Jeri.
If you are using only one device you could easily feel a lopsided sensation until you get the other one. The nasal sound may or may not go away with a second device, and could be a fit issue. Sometimes putting it in more deeply or out a millimeter or two may help. Those are issues you and your audiologist can deal with and adjust during your trial.
I suggest you give them a trial together. Trying one at a time may not be good for you. Remember if it doesn't work well for you, there are other mini options that may. Siemens, Widex and others have good deep fit options. Ask your audiologist about trying one of them as well. They are not extended wear, but you can take them out and put them in at will, and they are still very very small. Ask about the Eclipse or the iMini, or a comparable one from another manufacturer.
I hope that the Lyric still works for you. Let us know.
Happy Hearing,
Dr. Barbara Jenkins
www.Advancedaudiology.com
Aug 16, 2012 at 11:58 PM I'm still hoping they improve the sound quality of the new smaller devices. I have to turn one side 2 levels higher then the other to make them even. Migration of 1 - 3 mm is a problem also. Too bad they are discontinuing the old models.
Aug 20, 2012 at 8:01 PM Do you know when the smaller version will be available in the NC region yet? Still waiting to hear back about it, thought they would be done rolling out by now.
Aug 21, 2012 at 11:06 AM To Tom:
Any time you alter the physical dimensions and/or size of something it alters the amount of sound pressure to the ear. This is what's happening to you, Tom.
I would see if they can put the device in a tad more deeply into your canal. I'm not sure if they can or not, as your ear canal may be too short, but it's worth a try. Also have your audiologist adjust the power from the programmer to see if that helps you any.
I too wish that they would keep both devices, but because the training is different for both, I think its easier to train all new audiologists from now on only in the one protocol. Let us know if this helps.
Best of luck,
Dr. Barbara Jenkins
CEO - AdvancedAudiology.com
Aug 21, 2012 at 11:28 AM Dear Tim,
Phonak has begun group regional training of audiologist to fit the new device. Second week in October is Phoenix, third week is Philadelphia, fourth week is Atlanta and November is San Francisco.
Your audiologist will be selected to go to the training closest to them if possible. Ask your audiologist when he is scheduled to attend.
Hope this helps,
Dr. Barbara Jenkins
Advanced Audiology, Inc.
Aug 21, 2012 at 2:51 PM Dear Michelle,
Sorry it took a while to respond to your stethoscope question. I have been on vacation with not computer or phone. Wonderful!
I have two physicians who use a stethoscope with their mini CIC and Lyric hearing aids. What's most important is the ear bud size. Usually the larger the better so it stays outside the canal, especially when your hearing aid is not in very deeply.
Second, with the Lyric, your audiologist may have set the device to reduce the amplification of soft sounds. This is great in a restaurant but horrible if you are trying to hear respirations or heart beats. See if she can increase the gain for soft sounds for you.
If that doesn't work well for you, the stethoscope that the doctors use and really benefit from is the "Thinklabs Rhythm digital electronic stethoscope. Get the ANR2 for second generation ambient noise rejection. The one I have in the office is ds32a+, but there may be a newer one out now.
I hope this helps. Let us know if this works or if you decide on another one, so others may benefit.
My best,
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Aug 27, 2012 at 12:42 PM In one of the above comments you answered a question about showering swimming. You said that it shouldn't be worn while swimming. Well the tv ads are misleading because they show a woman who supposedly wear's lyric coming out of a pool.
Aug 28, 2012 at 1:37 AM Good question Robin. Let me clarify...
The Lyric hearing aid can be worn in the pool or showering form many but not all wearers. If your ear provides an optimal fit, and if it is deep enough, it should not be a problem to go into the pool with them in. It is not recommended to submerge completely or deeply into the water, as the water pressure may dislodge the device or move it in your ear, causing pain. Also the pressure may cause water to seep behind the device, and in rare cases cause an ear canal infection.
I have some patients who have, with the protection of ear bands, swum with them in the ocean while snorkeling, but this is a rare treat. Each person's physiology is different, so discuss your options with your audiologist, and try it out. You may be one of the lucky ones!
Regards,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
Aug 28, 2012 at 3:22 PM I have been told that I have very small ear canals. I have been trying the Lyric's for 1 week. They don't sound clear, the sound isn't natural like in my BTE aids. My voice sounds like I'm under water. I wasn't able to wear the origianl Lyrics they were too big and I wear a small in the new ones. With this size ear canal would the Eclips or iMini's work for me? There isn't a provider with in a few hours of me. The ones I called said they wouldn't know without looking (which I understand) but I thought maybe if you fit them and the Lyric size would give you an idea you could let me know if they only do larger sizes like the older Lyrics and I wouldn't waiste the time checking. Thank you, Heather
Aug 29, 2012 at 3:14 AM Hi Heather,
Size is a consideration in hearing aids, but never if it sacrifices sound quality.
Although I can't be sure, it is improbable that either the iMini or the Eclipse will work well for you if the Lyric was too small. The diameter would be OK, but if your ear canal is too short, those devices may not work either.
I hope that you reconsider your BTE hearing aids. I'm sure that they are very small. If not, try either the Widex Passion or Siemens Pure SE. Both are tiny and light weight. Starkey also has a tiny BTE that I like. It's all predicated on your hearing loss, however, as you know. Talk it over with your audiologist and see what she thinks. She will be able to order any manufacturer for you to at least try one in the office.
Siemens does make a Motion SE CIC that is not quiet as small as the imini (a millimeter or two larger), but depending on your ear size they may be able to fit a large open vent in it to get you the natural sound quality you are looking for. Again I don't know your hearing loss or your ear enough to say for sure.
All my best to you Heather, and please visit again if you have other questions.
Dr. Barbara Jenkins, AuD, BCABA
www.AdvancedAudiology.com
Aug 31, 2012 at 8:06 AM I have been a Lyric user for just over a year now. I wear the small size (will be trying the new smaller size in 2 weeks!), and every couple times I get the Lyric replaced, I have an issue with feedback. My audiologist tries to play with the positioning of the Lyric to reduce the feedback, but sometimes I have to then switch to the larger size to stop the feedback all together. However, I do not find the same sound quality with the larger size. There is less clarity. Do you have any feedback on how feedback may be reduced minimized so that I may wear smaller size?
Aug 31, 2012 at 11:24 AM Dear Jennifer,
By the time you need your next replacement your audiologist will probably be trained in the new Lyric. Since they are no longer going to make the current devices, this will be a mute point.
Your audiologist is correct in that it's usually a fit issue. Just like being off a micron or so will affect your new dental crown, a shift in depth, angle, or even the amount of moisture in your ear can affect feedback.
I have my feedback patients take the Lyric out the night before the re-fit and put in Nurtrell or another ear conditioner in their ear that night. This conditions and hydrates the ear well for the next day (kind of like a facial for your ear). This plumps it up just a tad.
It sounds like you are between sizes, and the small barely fits. This should help until the new ones come in.
Good luck,
Dr. Barbara Jenkins
Sep 4, 2012 at 1:09 PM I just tried on the new smaller lyric from 8/10-9/4 2012. It start to squeak crazy this morning and it died in the afternoon. My right lyric was pulled out less then a week. The right side for lyric can fit very deep in my ear canal, and the left only half. I am going to call my audiologist. Does this mean it doesn't work for me?
Sep 5, 2012 at 11:11 AM Don't worry just yet Willie,
Whenever you try to fit a new device you risk the chance that minute movements or fitting alterations can offset a secure fit. I remember when the Lyric came out the very first time. The fitting protocol was cumbersome and we had to see patients sometimes three times before we got an optimum fit. This new smaller Lyric is going to be just a bit more touchy than the last because we have to keep the fit secure with less material actually touching the ear.
Your audiologist is probably doing just fine with the fitting, though he may not have found the "sweet spot" yet. Don't give up. Try it again and maybe a third time. At least that way you will know that you've done all you can, and hopefully in the end it will fit better than ever.
I hope better fitting and better hearing are in your future!
All my best,
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Sep 12, 2012 at 9:18 PM Last post as I am growing frustrated with the process. The smaller lyrics ended up not working for me. They would wiggle out in a matter of a week or two. I would have them replaced and they would feel great and once again after 7-10 days they would wiggle out again. My audiologist suggested phonaks ambra nano. I was excited after looking at it online because it did look invisible in those images and diagrams. However, since my canals are so short and small and agled strangely, I was very dissapointed in how they look. Not even close to invisible. You can see all of it. My audiologist has said that this was as good as it would get. Any other suggestions for a product that might be more invisible? Lyric should sell the device to insert the hearing aid as well and it would be perfect.
Sep 16, 2012 at 11:25 PM Hi Carrie,
I feel your pain. It's upsetting for me as well when a patient's ears and the Lyric just don't get along.
Regarding your audiologist's recommendation - there are multiple other hearing aids that may work well for you. It sounds like she works for Phonak so that's all she knows. Find an audiologist who is independent and works with multiple manufacturers. I suggest that you try a Widex or Siemens ultra-mini hearing aid. Have them put in a slit vent with the smallest matrix that you can use. That will keep the size the smallest possible. Make sure the manufacturer knows ahead of time to make it as recessed as possible and don't ad any fancy stuff that may take up room. Good luck.
Also, consider an ultra mini RIC hearing aid. This is the type that fits on top of the ear and the small receiver fits in the ear. I'm sure that you've tried one previously, but there are now some very tiny. Each manufacture has a very small one. Ask your audiologist to show you the smallest from two or three manufacturers.
Just remember that sound quality trumps size. Easy for me to say :-). Please let me know how it goes. I'll keep cheering for you.
Dr. Barbara Jenkins
AdvancedAudiology.com
Sep 25, 2012 at 10:14 PM Ok, so I finally got fitted with the new Lyric, and like many others that posted previously, I am noticing a diminished effect. While I hear lots of background noises more loudly and clearly (probably due to closer proximity to eardrum), people's voices are softer, and the loud background noises are taking over (dishes, cars, motors, fans)! I am so hesitant to play with settings as getting the settings right with the old Lyric took forever! Do you think the Lyric may just need to go in a little deeper? Or maybe it just has to be turned more? Is that a possibility? I also need to try and adjust as I just got fitted today! :) It's so nice to see people's posts and realize that I am not crazy and alone.
Sep 26, 2012 at 10:44 AM Hi Jennifer,
Your audiologist should be able to adjust the amount of gain for soft sounds with their computer so that softer background noises are less noticeable. They can also increase the gain in the speech frequencies for normal voice. This should help. Putting it in deeper could be dangerous, so trust their fit for now and let us know how it works.
My best,
Dr. Barbara Jenkins
www.AdvancedAudiology.com
Sep 26, 2012 at 7:38 PM I have had the Lyric devices for a few years now with very few problems. I have not been fitted with the new smaller ones yet but will be sometime in the next couple of months. What I am wondering is if the new devices fit closer to the ear drum will it be more difficult to remove if one should cease working? This is a concern since my audiologist is quite a distance away.
Sep 26, 2012 at 8:26 PM Good Question Chery.
The Lyric fits no closer to the eardrum than the previous device, however since it isn't as long it will go in a bit further than the previous device, but only by a few millimeters. I have not heard of any issues with it being more difficult to take out, so lets hope that there aren't any.
If anyone has had this issue please let us know.
Let's see what happens Cheryl.
Dr. Jenkins
CEO - Advanced Audiology, Inc.
Oct 15, 2012 at 11:56 AM I have been wearing Lyric for 4 days. So far, it seems to be working great with one exception. I am experiencing an occasional stabbing pain in both my ears, and some continuous dull pain as well. I am thinking it will go away in a few days. Is this type of pain common when patients first start wearing Lyric?
Oct 15, 2012 at 8:54 PM First rule of Lyric: No sharp pain!
Dull pain is usually due to the ear canal adjusting to the pressure of the device. Sharp pain may be due to the Lyric shifting too close to the eardrum or rubbing on a hidden piece of ear wax, which can cause blistering.
Remove your devices and have your audiologist give you some ear conditioner to use for a few days prior to re-inserting it. I'm sure everything will be fine second time around!
Regards,
Dr. Jenkins
www.AdvancedAudiology.com
Oct 29, 2012 at 11:11 AM Any update on when Lyric 2 will be available in more places?
Oct 30, 2012 at 2:37 AM Dr. Barbara Jenkins
Hi!I have a hearing problem on my right ear,and i am interested to try this invisible hearing aid,but i didn't know where to find available hearing aid clinic/hospital or professional who offering this services,I am working in Abu dhabi U.A.E,another question,from costs of 3k-4.5k dollars a year as i read in your blog if I only purchase 1 how much is it?or is it the same process as you are wearing 2 hearing aids and you went back to the clinic every 3 months to replace the battery.
thank you very much
Arnold
Oct 30, 2012 at 5:25 PM Hi Tim,
Lyric 2 is in most locations now. If your office does not yet provide it, it is most likely due to a delay in training. As soon as your audiologist signs up for training they will be able to provide it for you. Phonak has been offering training about once a month in different areas.
So far it has worked well for most people, so good luck.
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Denver, Colorado.
Oct 30, 2012 at 5:31 PM Dear Arnold,
Welcome from the USA. Lyric was created and developed in the United States but was sold a year or so ago to Phonak Corporation in Europe. The best way to find out when the Lyric may be available in the UAE would be to contact Phonak directly and ask. Also, check your area to see where the nearest Phonak distributer is. They can be trained to provide the Lyric as well.
The price varies depending on where in the USA you purchase it. In general it is about $1800 per ear. There may be an additional professional fee of a few hundred dollars, but this is usually a one time fee.
There are also some very small almost invisible hearing aids from other companies that may work for you. They are less costly and you can take them out yourself at night. This would make it easier if you live far from your audiologist.
I hope this helps.
Dr. Jenkins
www.AdvancedAudiology.com
Nov 2, 2012 at 12:27 PM Hi Dr. Jenkins,
I have mild to moderate sensorineural hearing loss in a cookie bite pattern. I tried the original lyric but could not keep them in because of small canals. I just tried the lyric 2 but I could not hear anything out of my stethoscope with them except for my own heart beat. We tried multiple ear tips and different stethoscopes including an amplified one. I ended up taking them out after my month trial because of that. My audiologist now suggests a behind the ear device, but I am reading that people have to take their aids on and off to use their scopes with them. Is there a solution that is completely in the canal that would accommodate using a stethoscope?
Thanks!
Neema
Nov 6, 2012 at 8:20 PM Dear Neema,
This is a common issue, but there are good options.
1. Have your audiologist re-try the Lyric but have him or her maximize the gain for soft sounds. The program is set to reduce the gain for soft sounds (leaves, footsteps, etc.) but that decreases the respiration and cardiac sounds needed for medical workers.
2. Most of my physician and nursing patients do have difficulty with BTE hearing aids. I would first try a super mini CIC hearing aid with as large a vent as your ear allows. Siemens iMini and Widex mini CIC are my two favorite for this application, but other manufacturers are getting better with these as well. Make sure that your audiologist puts in the special instructions that the device has to be as deep as possible, and that you do not want any wireless or push button options that could make the hearing aid larger.
3. Get a canal hearing aid that is just a bit larger but allows for a push button on it. That way your audiologist can have one program that maximizes soft sounds, and another maximizing speech.
I have to admit that I have a pediatrician who just can't wear her hearing aids during patient care hours due to her small ear canals. She uses the Thinklabs Rhythm digital stethoscope and does quiet well. As soon as hours are over, she puts on her hearing aids and enjoys communicating with her family.
Best of luck,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
Denver, Colorado
4. Try the type that goes behind the ear in the audiologists office and bring your stethescope with you. Check out how well you hear the staff before you purchase it.
Nov 9, 2012 at 10:05 AM Dr.Jenkins,
Thanks so much for your advice and help. I have a follow up appointment with my audiologist next week and will follow your recommendations. I wish you were closer, I would definitely come and see you.
Thanks,
Neema
Nov 9, 2012 at 10:12 AM I'm sure that your audiologist will work with you to get everything worked out, whether it's with Lyric or another device. My best to you.
Blessings,
Dr. Jenkins
Nov 12, 2012 at 6:01 AM I got fitted with the new small lyrics about 3 weeks ago. First 2 weeks was good. Then one day into the middle of 3rd week, I started to get popping sound - this sounds something like you putting your finger in your ear when there is a bit of water in there. The next day when I woke up, it was gone. After that day, I've been getting the sound almost everyday for some time every morning after I wake up. I tried drying it up by facing the ear (yes, this happens always in the same ear, the other one is unaffected) towards the table fan. This always works. The sound goes away after a few minutes in front of the fan ( did not have a hair dryer handy so tried the fan). So far, all this does not seem to have affected the sound quality/working of the device.
What might be causing the popping sound? Is it moisture in excess produced by the ear? Because I know in this case, external water has not got in since I am pretty much careful around water and wear shower caps always when I shower.
Nov 12, 2012 at 8:58 PM How interesting Ruth! Although I have not heard this one before there are a few things that may be attributing to your symptoms.
The Lyric moves with jaw movement and gravity. Try sleeping with the affected side up for a few nights to see if it sets better. If you sleep with the affected side down gravity can shift it and that would cause a break in the seal.
The depth of the device may need to be adjusted next visit, or even the diameter to get a tighter seal.
If there is any irritation in your ear it could cause it to "weep". Have your audiologist check to make sure there is no irritation or allergic reaction (yes it can happen on just one side).
Only use a hair dryer on cool if you do try that until you see your audiologist next. Also, there are custom earmolds your audiologist can get for you for the shower so you don['t have to use a shower cap, if all else works out.
Please write back and let us know what happens, for my benefit and for the other readers as well.
My very best to you,
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
Nov 14, 2012 at 11:08 PM One device lost its volume. Sleep mode works as before, but all other levels are without any volume. The new lyrics HAVE NEW problems!
Nov 19, 2012 at 11:12 AM Dear Tom,
Yes change does bring its new headaches. Loosing the volume but knowing that the battery still works is usually an issue with either ear wax and/ or moisture plugging the faceplate of the device. Since the device sits deeper into the ear, the part of the ear that produces the wax may be closer to the faceplate in your case. Less likely, it could be you received a lemon, in which case a simple replacement will fix everything. This is very rare but it can happen.
Have your audiologist check the device where it sits now and see if it has moved any and then try it again. Hopefully your next device will work without problem for months to come.
Keep us posted.
Dr. Barbara Jenkins,
www.AdvancedAudiology.com
Nov 20, 2012 at 10:48 AM Hi there!
I've been wearing Lyrics for over a year with amazing results, could not love them more :-). However, I just got fitted with the newer, smaller version and I've had some issues with the sound for the first time. They are comfortable in my ears, but I'm experiencing an odd sound distortion that I've never had.
At odd times while I'm having a conversation with someone, both mine and their voices get all distorted and robot-sounding.... I have to lower my voice and talk in a quieter tone, and that seems to help a bit.
I've never had this happen - it's like my aids are reacting to certain noises and shorting out while I'm talking. Even my own voice triggers this at times.
Any advice? Or anyone else ever had this happen? I'm not sure if it's the smaller size, or if I need to have them replaced.
Thanks :-)
Michele
Nov 20, 2012 at 10:13 PM Hi Michele,
There are a few different things that may be going on. First, since it only happens with sporadic sound inputs, it may be that the device is just shorting in some way and next time you won't have this issue. Second, have your audiologist check to see if the programming is set the same as before. It may need to be adjusted a bit. When the device is fit differently in the ear, physics can play strange games with too much loud input (your own voice added to others) vibrating at the eardrum. This is the most likely scenario. Lastly, if you experience temporary breaks in the seal or movement of the Lyric in your ear while talking, that can also change the physics and input next to your eardrum. Have your audiologist check the fit and depth and if you are between sizes, try the larger Lyric.
I'm glad that Lyric is working for you, and am sure that after a bit of tweaking all will be fine.
Happy Thanksgiving!
Dr. Barbara Jenkins, Aud, BCABA
Colorado's first Board Certified
Doctor of Audiology.
Nov 28, 2012 at 9:40 PM I have been wearing the Lyric for over a year now. With both, the older and newer smaller Lyric, and at various different settings, I seem to have recurrent issues with the Lyric compressing and reducing the volume of sounds when there are multiple sounds in the environment. This is particularly apparent when my settings are at higher levels (low-freq up, high freq boost, and soft lows up), and in noisy environments. It's a catch 22 b/c I need the higher levels in normal speech environment, but volume is significantly muted in noise (esp speech). I have not seen too many posts with similar concerns, so I am just curious if this happens to others as well- the Lyric muting sounds? Lyric otherwise works well.
Nov 30, 2012 at 9:12 PM Dear Jennifer,
What you are experiencing is in fact a compression issue. Since the Lyric device is too small to put in a lot of optional controls, they default to the one that they believe is best for you. If we amplify the low frequencies enough to give you more power and clarity for a hearing loss in that range, more noise will be heard (noise is mostly low frequency in nature). Depending on how your audiologist has the device set and your loss, it may be reducing low frequencies in noise, which is great unless you need those frequencies to hear better.
Tell your audiologist about your issues and s/he may be able to adjust the amount of gain for the low frequencies to balance both your needs. I have to tell you that this can be an issue no matter what type of hearing aid you have.
If anyone else has had this issue and has had it resolved, let us know.
Sincerely,
Dr. Barbara Jenkins, AuD, BCABA
Board Certified Doctor of Audiology
Dec 12, 2012 at 12:58 PM I just got my Lyrics yesterday and of course hearing things I apparently haven't heard in years. A little discomfort but no pain so I am assuming I am just getting use to them.
The issue is this....
most speech and other sounds sound like they are coming out of a very cheap small speaker.
Very tinny. Sounds like the "speaker " is being over driven to describe it better. A lot of sounds are like fingers snapping
Is this something that my brain will adjust to since i am hearing better or is it an adjustment issue?
Thanks for all the info on this blog
Dec 12, 2012 at 9:21 PM Hello Don,
The tinniness is probably a combination of your ears and the device.
When you hear new sounds your brain cannot interpret them correctly for a while (it has to learn what the sounds stand for to process them correctly). That may take a week to a few months depending on your loss. The Lyric may be set to give you optimum benefit, but if your brain isn't ready for it, it will sound tinny and too sharp.
Suggest to your audiologist that he reduce the gain for high frequency sounds just a bit to take the edge off. Your ears will still learn the sounds, but it will be easier. Similar to increasing the weight when lifting weights - Adding 5 pounds may be more appropriate than adding 10.
This should help, and happy hearing!
Dr. Barbara Jenkins
CEO - Advanced Audiology, Inc.
Dec 13, 2012 at 8:41 AM Hello I recently tried the lyric 2 and my ears were still too narrow for them to fit comfortably. Is there anything else or the horizon for invisible hearing or an even smaller lyric coming out in the future?
Dec 13, 2012 at 10:26 AM You have to realize that you are trying to fit an amplifier, microphone, receiver, computer chip and a battery that lasts 5 months into a device as small as a peanut without the shell! It's amazing that they can do so much with so little space already.
If your canals are really that small, your best option is to go for one of the almost invisible CIC devices. Believe me, most people still won't see it and the ones who do really don't care. I hope you give them a try because people notice your hearing loss a lot more than they would notice a hearing aid.
In direct answer to your question, everyone is always working towards better and smaller. Someday there will be something smaller, but it could be years away, and in the mean time you will miss out on hearing so much.
All my best to you Tom,
Dr. Barbara Jenkins,
www.AdvancedAudiology.com
Dec 14, 2012 at 11:51 AM I understand. I have a pair of iSyncs already so was just looking for a easier solution. I have read up a little on the new Envoy Esteem implants that are supposedly better quality than any HA amplifier. Have you heard of any feedback on this or have your own feedback on the implant?
Thanks for the great blog
Dec 14, 2012 at 3:02 PM I wrote an article in Hearing Health Magazine Spring 2012 issue that may help you with questions about the Envoy. I also suggest that you contact the company for any updated information from this year. Hearing Health Foundation is completely unbiased and not for profit, and the subscriptions are free. Let them know Dr. Jenkins sent you :-)
Hope this helps.
Dr. Barbara Jenkins, Aud, BCABA
www.AdvancedAudiology.com
Jan 8, 2013 at 4:50 PM I recently tried the new Lyrics with disappointing results, although the sound quality was excellent.
The left ear started to ache after about 2 weeks and eventually the device would suffer feedback even in standby mode overnight and switched itself off. I had to remove it and found the ear canal was bleeding a little. That could have been caused by the removal. Ten days later, the right ear started to feel permanently blocked - I thought I had blocked sinuses on that side and was flushing the my nose and tubes with saline solution. Other than the stuffed up feeling, there was no pain on the right side.
In the end the volume started to fade on the Lyric and I visited the audiologist, who removed the device. There was a lot of watery wax in the ear (pretty foul smelling). His feeling was that the Lyric was causing irritation and that the wax production was something I have to live with. As such, the Lyric is not for me in his view.
I am not sure we necessarily have given them a fair trial but don't know whether his view is necessarily correct either - I haven't seen any similar comments here. He recommends a behind the ear device but I would also like to try say the Siemens Eclipse.
Any thoughts?
Regards
Alan
Jan 8, 2013 at 8:30 PM If you really liked the sound quality of the Lyric I would recommend trying again. In our office it oft times takes a couple trials to get it just right. Having said that, it's predicated on your ear health, something I can't know.
If your audiologist doesn't want to try the Lyric again I do recommend the Siemens Eclipse. I have a few previous Lyric patients who are using it due to cost or fit issues with the Lyric. The ear piece fits deeply into the ear so the sound quality is near the same. It is a tad larger than the Lyric, but since no one sees it anyway, that's not a concern.
Good luck, and pleas let us know how it goes.
Dr. Barbara Jenkins
Board Certified Doctor of Audiology
Jan 9, 2013 at 12:36 PM Dear Dr Jenkins
Many thanks for the helpful comments. I'll keep you posted! Unfortunately neither the Starkey models nor Siemens Eclipse are available for the moment in Switzerland. A trip to Germany may be called for.
Regards
Alan
Jan 9, 2013 at 6:58 PM I do suggest a trip to the closest country that carries Siemens, as they are much more available than Starkey in Europe. You may wish to consider both the Eclipse and the iMini. If you wish to come to beautiful Colorado, we would welcome you here as well :-)
All my best,
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc
Jan 10, 2013 at 8:56 PM I have the same problem as Jennifer in #206. I am completing my second year with Lyrics in both ears. (I have moderate to severe hearing loss. I am supposed to use BTE, but I do not like them.) The Lyrics are great.. I feel this is the closest to natural sound; I can use a cellphone to my ear without feedback; and when I am outside and it is windy, it is not as annoying as a regular hearing aid. But in a restaurant or some noisy environment, or if a fountain is nearby (running water), the Lyric compresses sound (or the sound is "clipped"), so if there is a conversation while this is happening, I can no longer follow it. I love the Lyrics, but because of this (and not being able to remove this hearing aid when I swim - I use ear plugs), I am going to look at alternatives at the end of my subscription term.
Jan 12, 2013 at 8:13 PM Dr. Jenkins,
I would like your opinion of the Phonak Ambra Nano size wise to the Siemens Eclipse as far as visibility is concerned. I did a trial of the Lyric which I loved but they kept working their way out of my ears after about 2 weeks. I loved how they sounded and they were more discreet than the Ambra Nano that I ended up with. I am also not crazy about the plugged feeling that I have with these as opposed to the Lyric. I wish that Phonak would sell the device to insert the lyric with and my husband could reinsert them as needed. I have extremely small ear canals and the Nano is just too visible and I am wondering if the Eclipse would actually be any smaller?
Jan 14, 2013 at 5:25 PM Hi Carrie,
Thank you for your input. I'm sure you and your audiologist have tried different cross over and compression settings to see if that would help. If you like the sound quality of the Lyric I do suggest the Eclipse by Siemens as well. It is the only other deep fitting completely in the canal device that fits comfortably into the bony part of the ear. An added benefit is that you can take it out and put it back yourself. Nice for swimming and such.
Please let us know how it goes with the Eclipse trial, or whichever less deep-fitting device you end up with.
My best,
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Jan 14, 2013 at 8:17 PM Dear Michael,
The above post was actually for you, Michael, not Carrie. Sorry about that :-)
Dear Carrie,
Regarding the Eclipse: Both the Lyric and the Eclipse work the same way, in the deeper boney portion of the ear. They are currently the only two on the market that work this way. All the other CIC hearing aids may fit deeply, but not that deep.
Go to www.HearingHealthMag.com Spring 2012 issue and look up the "Little Gems" article for more information.
Usually the deeper the fit, the less power needed because they are closer to the eardrum. I have found that if the Lyric has enough power for someone, the Eclipse usually does as well. Your audiologist will be able to tell you if there is enough power in them for your loss, so that is something the two of you must discuss. The benefit of the Eclipse is that you take them out every night, so their moving out is not an issue.
Also, Widex has a very small CIC device if the other ones don't work for you. There is nothing wrong with the Nano. Phonak is a very good company, but if size is the primary issue, other options could be considered. Keep us informed.
Warmest Regards,
Dr. Barbara Jenkins.
www.AdvancedAudiology.com
Jan 19, 2013 at 7:22 PM I stumbled on your blog this afternoon and was delighted to find that it answered so many of my questions about Lyric hearing aids and others as well. I am a first time Lyric user, but have worn in the canal hearing aids for the last 12 years with both good and not so good experiences. Why did I consider trying the Lyric? Because I wanted to stop covering my ears with my hair to keep people from seeing that I wear hearing aids. I tried smaller in the canal aids to accomplish this purpose, but hated changing the tiny #10 batteries every few days especially if they went dead when I was in a theater or out with friends. I've had to stop and go to the ladies' rooom in the middle of conversations just to change the darn things and then I feared dropping the aid in the toilet or on the floor where they might bounce over into the next booth and get stepped on and destroyed. My dog even ate one of them. So I was ready for something new a year ago. My first experience was not an excellent one since I have small ear canals and was told that they might not fit. They were right. They were 'installed' on a Friday and by Sunday the pain was out-of-sight. I had to get into the audiologist's office on Monday and have them removed. Since smaller versions were going to be made available in 2012, I decided to try again. The insertion went well, but I still was able to feel the presence of the aids in my ears, a little discomfort, but no pain. Then the aid in the left ear started migrating and giving me feedback and I had to keep pushing it back into place. It was determined that I needed a slightly larger aid for that ear. I was surprised to hear that my ears were not symetrical. Then the right hearing aid that had been just fine started making some very strange noises and conked out without warning. This resulted in a panic call to my audiologist on a Friday evening. During that call, I realized that my new left aid was not loud enough so I could hear her on the phone (another problem). She agreed to see me on Saturday morning. As it turned out, my right ear was filled with fluid that had to be aspirated, some of the skin in my ear was irritated and had separated from the wall of the ear. That is what caused the aid to malfunction. So I see her again on Monday after putting hydrogen peroxide in that ear over the weeked to help with the healing process before a new aid is installed. All in all, both aids had to be removed and new ones reinserted after a month and a half of use. Am I discouraged? Yes, but willing to keep trying since the Lyric is invisible. It is not without its difficulties, however. Be forewarned that if you want to swim or live an inconvenient distance from your audiologist, there are other options.
Jan 21, 2013 at 9:37 PM Dear Barbara,
Thanks for your kind words regarding this blog. Please pass it on for others.
Yes, just like your feet and eyes, your ear canals can be quite different is size. We have one patient who wears a small in one ear and an extra large in the other :-) Also, many of our patients had to be fit and re-fit multiple times before their ears fully adjusted to the Lyric, so keep it up. I hope that they end up working well for you as well.
As I tell all my patients, the people who can wear the Lyric usually love them, those for whom they don't work, there are wonderful options.
My best to you Barbara,
Dr. Barbara Jenkins, AuD, BCABA
Board Certified Doctor of Audiology
Feb 4, 2013 at 12:15 PM You forgot to tell people that if they have alot of wax in the ear, it will plug up the device. It is for a mild hearing loss. Also, many people are getting ear infections.
Feb 4, 2013 at 3:54 PM Hello George.
Good reminders George. Usually the audiologist will clear out your ears prior to fit, and each time the Lyric is removed it automatically removes the wax with it. Some patients, however, have more difficulty with wax than others, and sometimes this can shorten the life of the device even when the battery still works.
We fit the Lyric on mild to severe hearing loss. There is a specific range that the Lyric is recommended for. Ask your audiologist if it has enough power to benefit your loss.
Ear infections should not generally be a problem, as a clean and dry ear is needed prior to fitting. Some patients are sensitive to the device and so infections can occur, but in our office they are very rare.
Hope this clarified the above comments. And thank you George for bringing them up.
My best,
Barbara Jenkins, AuD, BCABA
www.AdvancedAudiology.info
Feb 11, 2013 at 4:12 PM What a great site to learn more about the Lyric and there shouldn't be TOO many questions out there about it (it's that complete!). However I did have a few that I hope you can help out with. I currently have a ReSound digital BTE aid for the past 2 years which I love so far. We're expecting our 1st child in September and as much as I love not being able to hear much at all at night (which I get grief for!), when the baby comes, I really want to be able to help out (and not be kicked awake). So I'm looking into a device that I can sleep with and not have the scratchy sound and not ruin my current device.
-I play competitive volleyball and sweat a ton. Will all of that sweat have a big impact on the battery life?
-I use q-tips every time after a shower (can't stand not using them) and am wondering if it's possible with the Lyric? While I don't consider myself an overachiever of ear wax on a daily basis, after a few days if I don't have q-tips (like on a trip), there's a small buildup.
-One of the things I love about my ReSound is that I have a little remote that can change the way in which I hear things (noisy setting, phone setting, etc...). Does the Lyric have a volume or settings control? What about the Eclipse?
Thanks so much for everything you've already posted. I appreciate the information and I'm now subscribed to The Hearing Health foundation as well. Not sure why I didn't look into that stuff sooner!
Christian
Feb 13, 2013 at 5:30 PM Hello Christian,
1. If your goal is to wear the hearing aids 24/7 then Lyric is the way to go if you can afford them. You will not be able to use a Q-tip, however. There is a volume control with the Lyric. I suggest that you have your audiologist give you a trial to see how they work for you.
2. If the Lyric doesn't work for you, I suggest that you just get a basic lower price custom in the canal hearing aid that you use at night for sleep. The device will be very small so comfort should not be an issue. This option works well for many patients.
Have fun with your new baby. I'm sure that you will get something that helps you feel comfortable at night. Let us know how the Lyric trial goes for you, and how you end up hearing your best.
Blessings,
Dr. Barbara Jenkins, AuD, BCABA
Feb 17, 2013 at 8:46 AM The current annual price here in the Phoenix area for a pair of Lyric2's is $3,200, for a maximum of 16 both-ear replacements in that 12 month period. That's stiff, especially when at the end of the year you don't own a pair of aids. However, if you're one of the lucky ones whom the Lyric2's will fit (most people, I understand), for the incredible benefits these little gems give, it's cheap. Imagine if you needed vision correction to drive, read, etc., but could only rent glasses or contacts... how much would you pay each year? We tend to rank hearing far enough below seeing that we think we can debate the cost of the Lyric2's benefits. For ease of use, 24/7 operation, appearance, and so many more considerations, the cost becomes much more reasonable... it's a matter of priorities.
Feb 18, 2013 at 9:27 AM Do you have any experience with the Qleaf pro? It appears to have all the advantages of the Lyric2, plus a replaceable battery.
Feb 18, 2013 at 6:11 PM Good point Jeff.
I remember when the company was just in the development stage about fifteen years ago. Tens of millions of dollars were spent just to develop the battery, then years of trials on patients were needed to get a viable device onto the market before a single penny was made.
If you can afford the device it is truly wonderful. If you can't, there are other alternatives that didn't cost as much to develop. Sometimes people forget about the R & D, but I'm glad that you understand it.
My best,
Dr. Barbara Jenkins, AuD, BCABA
CEO - Advanced Audiology, Inc.
Feb 18, 2013 at 6:31 PM Ahh isn't marketing wonderful!
Jeff, the Q Leaf Pro is just a non-custom CIC hearing aid. There are many on the market. I have no problem with people trying any of them, but you must understand that the technology is not necessarily a high level, and although you may hear adequately with them, it may not garner you your "best" potential for hearing.
The touch feature has been around for quite some time. There may be issues, however, when you put on a hat or put your head to a pillow or hug someone close and your program changes. Also, the device does not go as deep into the ear as the Lyric does. Only Siemens Eclipse does that so far. All other CIC hearing aids may be hard to see (depending on the size of your ear) but since they don't fit as deeply, they may have some "plugged" or "occlusion" feel.
The device you mentioned is a fair basic mail order type device. If you want your best hearing, you should go to a board certified doctor or audiology (not a hearing aid dealer) and determine the diagnostic cause to your loss and your clinical options. From there you can see which hearing aids would work well for you. And if you still have questions, I suggest a second, or third opinion.
Have a good rest of the week.
Dr. Jenkins, AuD, BCABA
www.AdvancedAudiology.com
Mar 6, 2013 at 7:28 PM I recently started wearing the lyric device. The first month or so were quite painful. I even bled at some point. Then, as if by magic, the pain disappeared. However, a few days ago I started feeling pain again...nothing like before but definitely very uncomfortable. Could it be that I am bleeding again or could it be something else? My audiologist is nearly two hrs away so making that trip is difficult. Also, I've noticed that I don't hear things as loud as I used to. Could it be that I'm getting used to the sounds around me? Or is it possible that the device is affecting my hearing further?
Mar 7, 2013 at 6:19 AM Dear Waleska,
Of course you know that I can't diagnose you via the internet and that all things are possible regarding your new pain and decreased hearing. What I am hearing from you is some frustration and concern with regard to making another trip to see your audiologist for another check. Very understandable.
1. If there is any chance that there is active bleeding and pain you should take the device out. You can do that yourself without driving down to your audiologist. If you note residual blood, let your ear rest prior to putting in your standard hearing aid (I hope that you have one as a back-up).
2.You can then make an appointment with your primary care doctor to check the health of your ear. When he says all is fine, then make your appointment to drive down to try the device again, if you still want to attempt it.
I suggest that if there is more bleeding you may wish to try a standard removable super mini completely in the canal device. The closest hearing aid to the Lyric is made by Siemens' and is called the Eclipse. If fits as deeply as the Lyric, so the sound quality is comparable. The benefit is that you take it out every night so your ear will be more healthy. It is worth a try.
I hope this helps. All my best to you, and please write back to let us all know how you are doing. It will benefit others.
Dr. Jenkins
CEO - Advanced Audiology, Inc.
Mar 9, 2013 at 8:08 AM I understand that there are now many new generations of CIC hearing aids that fit more deeply in the ear and have intelligent hearing programs, similar to the Eclipse. Do you know how some of these new ones compare with the Eclipse? My audiologist does not carry the Eclipse. I am looking for invisible hearing aids that are removable so I can swim in the summer. Any that are waterproof? I really want to be able to wearing a hearing aid during my gym classes!
Mar 11, 2013 at 9:00 PM There are many new generations of CIC hearing aids that fit more deeply in the ear than previous CICs, but none that go in as deeply as the Eclipse or Lyric. If you look at a photo of the Eclipse you will see the soft end that fits where the end of the Lyric fits. The other CIC devices are hard, and therefore don't fit as deeply. Starkey has the Sound Lens but it is a hard hearing aid at the bony portion of the ear and is painful to many. Only the Eclipse and the Lyric (as far as I know) fit comfortably into the bony portion of the ear. Most audiologists can order and fit any hearing aid they want. Maybe yours is just not be familiar with it. It takes no extra training to fit an Eclipse so she should be able to order it and fit you with no difficulties.
All manufacturers now have small CIC devices without the bone-deep fit. Most CIC aids now have hydro coating but none are waterproof. If you are just in the gym for class, most should be fine. The only truly waterproof hearing aid out there is the Aquaris by Siemens. It is a behind the ear device that you can actually snorkel, swim, and dive under water with and it keeps working. Very nice for anyone who loves water sports and needs to hear at the same time. Jet ski anyone!
I hope that helps you. Let me know if you have further questions.
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
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Mar 31, 2013 at 1:35 PM Hi Dr. Barbara,
I am so happy I found your website. I hope you will be able to address a few concerns I have with Lyric2. I have been wearing Lyrics since September 2009. It took months to get the settings right then the world of sound opened up for me in a glorious way. I could hear people in noisy environments which is required for my profession. To relax I listen to music on a very high end audio system and it is amazing what the Lyrics allowed me to hear after proper adjustments. Now for the problem.
I had to change audiologist in March 2013 since my previous one stopped offering Lyrics. I was fitted with the Lyric2 devices. Everyting was wonderful until I started listening to music. All and I mean all low frequency sounds disappeared. In their place was a rattle sound similiar to a blown low frequency speaker. I don't know all the new settings used for the Lyric2 but I do know SLG was added. I returned and had the SLG reduced to its lowest setting, the LFC setting was moved up to 1100Hz, and overall volume setting was increased to 5 from 4. I still hear the low frequency rattle but not as severe as initially, and I am hearing low frequency sounds. The downside is voices especially on TV sound muffled (I'm guessing the initial Lyric2 SLG settings was helping).
Any idea what would cause the rattle sound in the Lyric2? I had one defective Lyric2 replaced, it just died, but the rattle contined in both ears so it's not a defective product. I believe the SLG setting is needed for me hear voices clearly but at the cost of no low frequency sounds except the rattle. I thought about asking the audiologist to turn the SLG back on and raise the LFC to 2000Hz but I fear that will truly wipe out all lower freqency sounds. My hearing in both ears at 2000Hz is 30dB left and 35dB right with frequencies below that in the normal range and a major drop above 2000Hz sloping down to 65dB at 8000Hz.
Any advice or suggestions will be greatly apppreciated. Thanks.
Apr 1, 2013 at 11:35 AM Dear Dennis,
Hello Dennis,
The Lyric hearing aids are designed to improve speech as much as possible, which will automatically adjust the quality of music is some circumstances. Both the Lyric 1 and Lyric 2 have the same settings, nothing new and nothing added, therefore the settings you had previously can be obtained and matched to the Lyric 2. Don't try messing with the settings too much from target.
The issue with the rattle may very well be a physical difference. Adjusting the size (can the next larger device fit you for a tighter fit?) and the depth of insertion may be a better place to start. Have your audiologist set to target and remeasure your ear. Also have her verify that there are not small pieces of ear wax between the device and your ear drum.
I hope that this helps. The actual sound quality of the new deceive may never exactly match the old device due to the physical differences between them. Make you goal quality hearing with the new device and focus on it's benefits.
Good luck,
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Apr 12, 2013 at 2:27 PM Hi, Dr. Jenkins,
I just had the new, smaller Lyric put into my ears yesterday for a one week trial. My ear canals are so small that the audiologist could not get them in deep enough. The outside end of each device is flush with my ear opening. I could immediately hear much better (been wearing over the ear devices for several years), but when I speak, I feel like I'm under water, wearing earplugs, or "in a barrel". Reading your blog, I see that this must be the occlusion effect. Since the devices cannot be inserted deeply enough, does this mean I really am not a candidate? Is there any way around this "in a barrel", echoing sensation? Thank you for your feedback.
Apr 13, 2013 at 3:26 PM The ear canal is cartilage first and then bone near the ear drum.
If we can get the hearing aid in so that the sound vibrations are in the boney portion there is more stability in the ear and less occlusion as well.
I'm sure that your audiologist tried to get it in as far as possible, so the only other option would be to adjust the cross over frequencies and low frequency gain and maybe do a real ear measurement to see if a frequency adjustment might help.
I hope that you get things worked out, but just a few weeks ago many new very tiny hearing aids have come on the market that may also work, especially if your audiologist uses the correct vent type.
All my best Vivian! Let us know how it goes.
Dr. Barbara Jenkins,
CEO - Advanced Audiology, Inc.
Apr 25, 2013 at 6:32 PM Why do blood thinners affect the Lyric hearing aid? I am on warfarin and was considering a Lyric hearing aid. Please advise. Thank you.
Apr 26, 2013 at 9:24 PM Hi Marilyn,
Blood thinners are ill advised with the Lyric because of the potential for skin irritation that could lead to bleeding. Just yesterday a patient relayed this story. She had warned her doctor ahead of time that the Lyric was in her ear, but he inadvertently pushed the otoscope in to far anyway. When I removed her device I saw that there had been enough damage to cause mild bleeding. Mild bleeding is not usually an issue in itself, however bleeding can be a serious issue for patients on blood thinners or high dose aspirin.
Phonak does not refuse patients on blood thinners, but I have seen enough ear irritation to not fit anyone on thinners in my clinic. If you are on a lower dosage, I suggest that you contact your physician for a clearance and have it in hand to give to your audiologist if you want to try the Lyric anyway.
Chances are good that there you will never have an issue, but if you can't wear a Lyric, the Siemens Eclipse is the closest thing to it and my patients state that the sound quality is not significantly different. There are no limitations with the Eclipse.
Good luck Marilyn,
Dr. Barbara Jenkins, AuD, BCABA
CEO - Advanced Audiology, Inc.
May 8, 2013 at 7:57 PM Thanks for a very informative blog.
I am a senior with attendant hearing loss (not yet quantified) considering acquiring hearing enhancement and have been reading this thread with interest. Recent local advertising for the Lyric piqued my interest for an ITC device. While the Lyric seems to have many benefits I am somewhat put off by the continued expense and non-ownership this scheme offers. You suggest that the Siemens Eclipse offers comparable performance with replaceable batteries and with what seems to me a substantial convenience of being user removable. What is your consensus on the performance and user acceptability of these two devices? How does the cost of ownership of these devices compare? A yearly outlay of $3,200 for the Lyric seems expensive but I don't know what an Eclipse including fitting costs nor what annual battery expenses amount to.
Thanks again.
May 11, 2013 at 9:07 PM Dear Mr. Miller,
Very good questions, and I applaud your due diligence in researching your options. So far, the Lyric and the Siemens Eclipse are the only truly deep hearing aids, although all companies have hearing aids that go almost as deep. The patients that I have that were previously in the Lyric but who had to change due to cost or other factors, have gone to the Eclipse. Although one or two noted a slight difference in sound, they seem to be happy.
The cost of the Eclipse is going to be predicated on the office you choose and the region of the country you are in. There are currently two levels of technology, one is the highest, at, lets say around $3000, and the other is lower. The Eclipse should last up to 5 or 6 years of continued use.
I hope this helps.
Dr. Barbara Jenkins, AuD, BCABA
CEO - Advanced Audiology, INc.
May 13, 2013 at 11:18 PM I tried Lyric when there were only 3 sizes and discontinued use because I could not get a proper fit.
I tried Lyric again this past October when more sizes were available and was satisfied with results; signed one year contract.
i had first set replaced in early March.
After several weeks with these new Lyrics, while in the shower, I experience loud static in right ear, then in left hear. Got out of shower as quickly as possible, located magnet, tried with difficulty to turn off. Got them turned off, but they came back on with painfully loud static again. Then took them out.
Black residue was on the devices when I removed them.
Hearing was distorted after removing the devices.
I saw a physician to have ears examined. He reported that there was a blister on my right eardrum and prescribed drops.
I provided the devices to the audiologist who fitted me with them who sent them back to Lyric. She, after several weeks, reported back to me that what I experienced was due to a "manufacturing irregularity".
I would like to know if anyone has had a similar experience.
May 14, 2013 at 3:40 PM Dear Clare,
We will leave this open for anyone else who has had this issue. I know in this office there are infrequent ear health issues, that are usually due to the device moving in the ear and then causing irritation or blistering. The static most likely came from the moisture.
I suggest that when you have your next set, they put it in a bit further from the eardrum, and maybe the next size up if it will fit. Also you should have "Lyric" shower molds made so that you don't have to worry about any moisture causing shorting again.
My best to you Clare,
Dr. Barbara Jenkins,AuD, BCABA
www.AdvancedAudiology.com