Hearing Aid and VRA Exemplar Chart

Transcription

1 (prior to being seen by me) 12/2/2020 ENT Practice Road Greentown Hearing Aid and VRA Exemplar Chart Version 1 Dear Doctor, Thank you for seeing XXX who was referred from Newborn Hearing screening with a bilateral referral. He was seen at XDHB on 12 th February Results from today s testing are outlined below. Results: 500Hz 2000Hz 4000Hz R AC BC 50 Click No evidence of ANSD L AC Click No evidence of ANSD dbehl Distortion production otoacoustic emissions were absent bilaterally from 1500Hz to 6000Hz. Tympanometry testing revealed Type A tympanograms bilaterally consistent with normal middle ear pressure and compliance bilaterally. Ipsilateral acoustic reflexes were attempted however could not be tested as XXX became upset for this testing. Summary and Recommendations Todays are consistent with a moderate sensorineural hearing loss in both ears with normal middle ear pressure in both ears. I have discussed hearing aids with XXX s family today and they are keen to proceed with this as soon as possible. I would like to refer XXX to your service for your opinion on the aetiology of his hearing loss. I have referred onto the AODC service to support the family. Please do not hesitate to contact me if you have any questions. Regards, OTHER AUDIOLOGIST

2 DPOAEs obtained previously Version 1

3 My chart is for a routine follow of this child from where I took over the care Clinical Notes: 10/08/2020 Mum happy with hearing progress Just said first word dad Babbling lots more in the last few months Understands instructions well R ear infection 1/12 ago GP gave antibiotics cleared now Datalogging R 6.7hrs/day L 6.2hrs/day VRA R insert 500/2k/4k 35/50/30 L insert 500/2k/4k 35/50/CNT Lost interest for L 4k, 1k and BC results obtained consistent with ABR MLV Tymps AR DPOAEs R 2 x 30dBHL L 2x 30dBHL R Type A s L Type A R ipsi 90 CNT upset +wriggly absent bilat S-REMs Measured L RECD CNT R RECD upset (used L for R) Note: L 4K used from ABR as CNT reliably today DSLv5.0 targets met well R/v in 3/12 - next time Aided testing, LittlEARs, try to test L4K, 1K, BC Signed XXX AUDIOLOGIST

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6 10/08/2020 Patient : XXXX HEARING AID COMPANY Right Hearing Aid X Plus Serial #: QXY12385 Calm Situations Left Hearing Aid X Plus Serial #: QXY12386 Feature Right Left Feedback Manager Moderate Moderate Noise Manager Mild Mild Wind Manger Off Off Impulse Noise Manager Off Off Directionality Adaptive Adaptive Speech in Noise Feature Right Left Feedback Manager Moderate Moderate Noise Manager Moderate Moderate Wind Manger Off Off Impulse Noise Manager Mild Mild Directionality Adaptive Plus Adaptive Plus Comfort in Noise Feature Right Left Feedback Manager Moderate Moderate Noise Manager Moderate Moderate Wind Manger On On Impulse Noise Manager Moderate Moderate Directionality Adaptive Plus Adaptive Plus

7 Fitting Parameters Acoustic Right Left Ear Piece Earmould Ear Piece Earmould Vent 1.0mm Vent 1.0mm Hook Damped Hook Damped Tubing Standard Tubing Standard Fitting Settings Right Left Experience Level Short term user Short term user Feedback test Measured Measured Fitting Formula DSLv 5.0 Pediatric DSLv 5.0 Pediatric Acclimatisation 100% target gain 100% target gain

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10 12/11/2020 No change in hearing since last apt Speech improved significantly few more words, understanding has improved lots VRA AR VRA S-REMs LittlEARs Aided speech phonemes SF Binaural /ah/ /f/ /sh/ 20dBHL completed from last appt insert L 4K, BC obtained CNT 4K BC or 1K bilateral lost interest measured RECD bilaterally Meeting DSLv5.0 targets 24 within norms Might be starting day-care soon Recommended AODC to have visit with day-care Gave extra case and tamper-proofing tool today for day-care to have R/v in 3/12 measure REMs, test 1K Signed XXX Audiologist

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19 12/11/2020 Patient : XXXX HEARING AID COMPANY Right Hearing Aid X Plus Serial #: QXY12385 Calm Situations Left Hearing Aid X Plus Serial #: QXY12386 Feature Right Left Feedback Manager Moderate Moderate Noise Manager Mild Mild Wind Manger Off Off Impulse Noise Manager Off Off Directionality Adaptive Adaptive Speech in Noise Feature Right Left Feedback Manager Moderate Moderate Noise Manager Moderate Moderate Wind Manger Off Off Impulse Noise Manager Mild Mild Directionality Adaptive Plus Adaptive Plus Comfort in Noise Feature Right Left Feedback Manager Moderate Moderate Noise Manager Moderate Moderate Wind Manger On On Impulse Noise Manager Moderate Moderate Directionality Adaptive Plus Adaptive Plus

20 Fitting Parameters Acoustic Right Left Ear Piece Earmould Ear Piece Earmould Vent 1.0mm Vent 1.0mm Hook Damped Hook Damped Tubing Standard Tubing Standard Fitting Settings Right Left Experience Level Short term user Short term user Feedback test Measured Measured Fitting Formula DSLv 5.0 Pediatric DSLv 5.0 Pediatric Acclimatisation 100% target gain 100% target gain