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The red is what I currently hear unaided, give or take 5db depending on the audiometer. The blue is what I should hear aided once my hearing aids are reprogrammed for maximum gains. My audiologist should be able to program my hearing aids to give me normal hearing in low frequencies and near normal hearing in mid frequencies. Nothing can be done for the highs since I have no residual hearing there.
He will enable transposition that should take the highs and "pull" them down to the mids where ill be able to "hear" them. I have no clue how well transposition will work or if itll even work at all given my nonexistant high frequency hearing and poor mid frequency hearing. But it's worth a try and if it doesn't work, I can always make do without. Theres a different brand of hearing aid out there that's 4db more powerful than mine and engineers are hard at work designing even more powerful hearing aids.
I don't understand alot of people's reasons for risking a cochlear implant if they have more than a miniscule amount of residual hearing. You'd be surprised how powerful hearing aids have gotten today. Find a competent audiologist who considers himself an expert and is well known and highly regarded by others and you can't go wrong. Let him program the best hearing aids to maximum gain and give you the features(bells and whistles) that will optimize your residual hearing to the fullest.
Refer to my audiogram again. I could be hearing this well after my hearing aids are reprogrammed for even more gain and features. If your aided hearing is worse than mine, but your unaided hearing is equal or better than mine, it's time for you to upgrade to the latest and greatest hearing aids! Save cochlear implant as a last option when your hearing gets much worse, perhaps(for example) 90db at 250Hz, 100db at 500Hz, 115db at 1000Hz and NR above that.
I don't struggle with speech and neither should anyone with equal or better hearing than me. I score a 72% on an online speech test and can understand 80% of what my dad says in the car with all the traffic noise and that's before my hearing aids have been reprogrammed. Ill find out how much my hearing improves after they are reprogrammed. I am also great at reading lips and I speak clearly. I amaze others by how well I understand speech and speak. I can easily pass for a hearing person, but of course am not ashamed of being profoundly deaf.
I am not against cochlear implants and respect people's choices, but save them for the people who really need them, such as those who barely hear any environmental sounds aided. If you are hearing as many environmental sounds as well as me, why risk trading that away? Very few CI people will get the aided scores they currently get with HAs. Sure your speech might improve some, but when talking to others it's polite to look at their face and from there, you can read their lips and be able to hear their voice.
See my thread below regarding CIs giving an average of 40db aided hearing. This means it would only improve my hearing at 2000Hz and above but I would lose so much hearing below 2000Hz. There would be so many environmental sounds id have trouble hearing or not hear at all. I know this because I heard so much more when I upgraded to those new Phonak Naida V UP HAs! There are a lucky few CI wearers who actually hear more environmental sounds better than me, but it's not realistic to expect miracles. CI is not a cure nor does it give aided hearing equal to a hearing person, but a tool for the deaf to access sounds.