My hearing deficits are becoming clear...


Gents,
I am a life-long audiophile with a nice system which I enjoy immensely.  For years I have had problems comprehending conversations in lively rooms with lots of folks speaking at once, but it has not diminished one iota my enjoyment of my audio system.  However, today, in a room with 5 guys talking over a football game on the TV, I was just flummoxed trying to understand what the heck anyone was saying.  The aural dissonance just drove me nuts so I departed, realizing that I need to address his deficit.

I reach out to my friends on this forum for recommendations for hearing aids for an audiophile like myself.  I prefer tube amplification in my system, but I don't suppose that is possible with hearing aids.  I'd look silly walking down the street with a 12AX7 tube sticking out of each ear, right?  Any input would be much appreciated.   Mark in Sacramento
whitestix
@oldhvymec, thanks for you giving the details and hope all is as well as can be now. 
If you have a "top notch" ENT and the ENT has not recommended and executed a battery of tests to determine the root cause of your issue with your issue/complaint then perhaps you need to find another ENT.
And why do you have a ENT in the first place?

I had the same issue re: conversations in groups, etc.; along with a very nasty "hearing event" that awoke me from sleep. I was tested over several days and was diagnosed. While the treatment results are not perfect, I understand what I need to deal with. It does not diminish my enjoyment of listening to music.

If the root cause of your issue is not identified and addressed then just getting hearing aids is a shot in the dark.

Your ENT should be proactive in recommending a course of discovery and  providing a factual diagnosis.  If not, then look elsewhere.
Isn't that the responsibility of the doctor? Understanding and giving guidance on the patient's issue?
I have Oticon hearing aids. They work great you can program with different settings for watching TV or music. You can answer the phone and pipe your music to the units. They are digital in the end. They don't make analog hearing aids anymore. 

This hearing problem is something that many of us have or will have by varying degrees as we get more mature, which is ironic since that is the time when we can really afford the exotic goodies and pursue that psychoacoustic nirvana which for some of us is a convincingly lifelike soundstage.

One thing to keep in mind, though, before you decide to forego or delay going to an audiologist, is that there is much more at stake than just your enjoyment of your favorite tunes. Degrees of deafness closely correlate to social isolation and depression and ultimately some types of early dementia. There are lots of interesting studies on this subject that you can google. If you have a friend or a loved one who is in that awkward situation where they can’t carry on a normal conversation unless they are right in your face (not good during Covid isolation) then by all means help them think seriously about exploring this type of help.

There are good hearing aids available (according to Consumer Reports) at Costco of all places but I somehow don’t think I want to go cheap on something like this although they do offer accurate free hearing tests with frequency charts you can take home. A reputable audiologist or chain will let you try out different hearing aids until you find what you want or can live with. I have a friend I grew up with, with whom I shared a small business designing and manufacturing speakers and crossovers who eventually segued into owning a hearing aid shop, and since he was a musician and seriously into audio I looked to him for a hearing solution since he is also starting to need one too. It’s amazing how much technology they pack into those little buggers. And once you’re used to them, I can only explain it by comparing it to your eyesight when going from VHS to HD, Blu-Ray DVD or better.

I got a pair of the “top end” units and after 2 years the technology had improved so much that I had to go to the next step, so I’m on my second set. My first set allowed me to select a setting that reverse mirrored my hearing loss but otherwise was straight thru with amplification, besides the normal conversational modes. This did not have any of the typical feedback dampening or other logic so that I could avoid the strange changes to music in that earlier generation of hearing aids, especially on sustained high notes which otherwise tend to gargle a bit (enough to be really annoying).

The new set I have has a much faster processor and bitrate among other things and I listen to it with music of all kinds and it is amazing how dreary music can be when you forget to put them on until you power them up. And I don’t have to fuss with them when going into a conversation in a crowded room – they compensate somehow. Because my loss is in the upper register, my sets let the low frequencies go straight thru (by not blocking the ear canal) but they still somewhat augment the high frequencies. At my last visit to the audiologist they were able to download an upgrade to the processor in my units and give me the benefit of some tweaks. My brand of choice is Oticon.

I know – it’s a huge leap of faith. Most of us have grown to believe that the less signal processing there is to the music, the better, which of course makes sense. You have to consider, though, that your ear is the last link in the chain. This may not work for everyone, but in my opinion hearing aid technology has improved exponentially to make it possible for even purists to increase their enjoyment. They’re not perfect but they’re way better than the alternative. Just sayin’…


whitestix

If you think you have hearing deficiencies then you should consider  becoming a reviewer. You would fit right in.