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