my audiologist has suggested that, to maximise my environmental awareness and to help with my tinnitus, that I should get hearing aids. I believe a few of you use them and was hoping you could help me.
I'll be getting these on the UK's NHS so there is a certain limitation to the devices I can have but, having looked at what they do offer, I understand that classic bluetooth devices are a no go with voiceover and that to get an acceptable latency we need bluetooth LE or devices that are Apple MFI certified. I think the alternative they might be able to offer, should I make my argument plainly enough, is an Oticon device, though I don't' know which model. Are these any good?
With Siri getting an overhaul in 27, I was wondering how it worked with hearing aids. Is it the same as with AirPods in that I can start a request by saying Siri and the microphones on the hearing aids pick that up? Also, how does it work for phone calls? Presumably I can't hold the phone up to my ear as that will cause feedback.
If anyone would be kind enough to step in and explain how hearing aids work for a voiceover user, what advantages they might have, what drawbacks compared with something like AirPods, that will be fantastic.
Final bonus question: Music, as I'm sure it is for many of us, is pretty important to me. Music piped through hearing aids, or at least the ones I'll be getting with the little tweeter like speaker floating in the ear canal, will not be great. How do you get high fidelity? Is it a case of taking off the hearing aids and switching to something else, maybe AirPods or alike that have been tuned to our specific hearing loss?
Thank you.
Comments
I disagree
I have never experienced mfi hearing aids, but when I had them, they were hearing aids from phonak, using classic bluetooth. I've never had to worry about voiceover cut or latency, both were as good as with airpods. Plus the music listening quality is still unmatched by any airpods imo :)
But I am in Montreal, I have 0 idea of which brands you can get funding for in uk / anything outside my quebec. But I really think most hearing aids that do not use mfi use the correct bluetooth protocol for audio ble lc3 (I am probably 99% wrong about the name here). This was my experience back then in 2018-2020.
Another advice, if you can, don't ever get hearing aids with rechargeable batteries, get those with swapable button cells. Your life will be way easier.
To answer your question, depending on the brand... My hearing aids ever since the first model which didn't even have a companion remote for bluetooth (back in 2013) had this mode that could be both manually and automatically triggered where it would change a bit how the mic was capturing sounds from around you but anything very close to it, headset, phone, was heard with little to no feedback and would partially isolate outside noise.
Both models I experienced also had a 3 pin connecter (1 per hearing aid) to standard jack 3.5mm for wired connection though I used it less as with bluetooth it was very easy and conveniant to use both my iphone and laptop to study in school.
Hearing Aids
mFI aids are made for iPhone specific and yes certainly work with iPhone. They tend to work with VoiceOver very well with little latency as long as VoiceOver is speaking. Most will conserve power when VoiceOver stops speaking after 2-3 seconds and there can be a tiny lag to get going with the next utterance but this has really improved. Current mFI models do support what is called two-way communication in the iPhone world so you can use it hands-free. I have had some bad sound quality issues, well more my callers have had, so I don't use it currently but this is constantly changing so you should certainly try it with your new aids. One-way is very good at least, this streams the audio to your aids, and you use the phone's microphone to speak back. I believe you will find this helps a lot with hearing and understanding.
As for other Bluetooth, two things: there is classic Bluetooth, e.g., what a headset often uses. The only company that uses this in hearing aids is Phonak. This does work with VoiceOver, some people love it, some not so much. Then there is the new Bluetooth Low Energy Audio (Bluetooth LE Audio) that is better than mFI both for one way and two way communication. This works with Android phones, and even modern Windows laptops, you can also buy USB dongles to retro fit any PC. Sadly iPhone does not support Bluetooth LE Audio. The good news is many of the new aids that support mFI also support Bluetooth LE Audio. For example, my Starkey Edge AI (now a generation behind the newest Omni) can do both protocols. I use them to stream audio from my iPhone and laptop interchangeably daily.
Most importantly of all though, get aids that help you hear better in your daily life. Consider how it sounds chatting with people, how your environment sounds, how traffic sounds if you do that, etc. The connectivity to your iPhone an be sorted out, this is a secondary issue to everything else. Also get aids with as many buttons as possible so you an control as much as possible from the aids. The one thing to know, audiologists have fallen in love with mobile apps to control the aids. This is impractical for a VoiceOver user as using VoiceOver has to toggle the aids into streaming mode which
then the app can't control other things such as switching to a Crowd program. And many apps are not accessible, or barely. So make sure you can control things including volume and switching programs via the aid directly.
Classic Bluetooth
From what I can tell, the Phonak devices still use bluetooth 4.2 which can have latency up to 250 ms. I absolutely agree the point of the hearing aid is to improve general awareness, but if I have to switch them out for AirPods to get low latency, I"m very sensative to that, it becomes a bit of a pain. These would be not the full in ear, not sure of the terminology here, but the ones on the little stem so ambient sound comes in too...
So, to clarify, the classic bluetooth has a stronger connection, but will have the worse latency, whilst the MFI devices will have very low latency but have issues with voiceover waking the device up and that pause?
That's rather frustrating.
Edit and apology
It would seem the Phonak Nova, the one I will be offered, uses bluetooth 4.2 but, as it is classic bluetooth, it holds the channel open unlike the MFI devices which have to wake when voiceover comes on.
Also, the latency of the AirPods Pro 3, the ones I have, is about 120 to 150 ms, which is very similar to the Phonak even if the version of bluetooth is a generation behind.
Travis, you mention getting ones with replaceable batteries rather than rechargable ones. Why is this? I'd assume I'd pound through batteries if they are also working with voiceover? I think the audiologist's reasoning was, it's easier to plug in a device than muck about with little coin batteries.
Rechargeable
Hi, that was the other poster. I've used both kinds ,and have rechargeable now. The advantage of disposable is you can just carry a packet in your pocket and swap them out. Rechargeable requires a bit more management at times. Depending on the model. Phonak for example, tends to run 16 hours, whilst Starkey will go much longer. Nevertheless, it is getting more and more difficult to get disposable battery powered aids even if you want them. I'd say you're probably as well off starting with rechargeables because that is where you will end up anyway.
What are you going to do while you are recharging?
What you can do is promptly install fresh batteries and immediately resume whatever you were doing. Or, if you prefer, with rechargeables you get to wait . . . how many hours?
Sorry for the identity confusion!
I'd assumed the rechargeable devices lasted all day? Though I do get that the rapid switch over is a benefit with replaceable batteries.
I'm in the fortunate position that my hearing, though losing the higher registers, is mild to moderate so I'm not reliant on them, which is of course a factor. Really what I'm looking for is to bump the higher frequencies for environmental awareness. A few times I've not been able to hear bikes or EVs as they pass, whereas when I've turned on the hearing aid feature of my AirPods I have. Hoping that a boost in my tinitus frequency will ehlp my brain stop stressing out over it too.
In short, though I get the replaceable batteries are probably essential for those who rely on their hearing aids, I think the faff, for me for acquiring, carrying and fitting batteries every couple of days isn't as convenient as over night charging or a brief peroid where I might need a top up from the battery case.
I've moved on from the NHS offered aids as, reading up on it, they tend to emphasise speech whcih, though useful, might end up actually narrowing what I'm wanting to hear. I'm now looking at the Octican Intent line which, it seems, have features that help with switching modes but also good customisation for a 'navigation' mode, for example with wider band microphones.
it seems our needs will be different to those who exclusively need speech clarification which, of course we need too, but we almost need god hearing mode when out with dog or cane.
Had a baha which is not an in ear one but my thoughts
I've had a baha hearing aid before.
It depends which kind you're getting.
the baha was like on the back of the head with a band and meant I could still wear my airpods.
Are these in ear ones?
that you need?
if they're not I'd recommend not connecting your phone to them as it really drains battery.
Best to just let the hearing aid to do its thing and use normal earphones or headphones for your phone.
but if you're getting in ear hearing aids I couldn't say.
Sorry I can't be more helpful.
Re: Rechargeable
For mild-moderate hearing loss they will take less power and even the shortest run-time rechargeable aids will likely be fine. Your audiologist should know what model aids provide the sound scape that both works with your hearing prescription and what you want to hear. From what you are saying I would take a guess at Widex which claim to have some of the widest range and claim to be natural sounding. Almost all hearing aids to emphasize speech understanding and focus a lot on compression - moving high frequencies down into a frequency range that the ear can still hear.
If you have the option, take a couple models for test drives. You may need an audiologist that sells multiple brands but at least hear in the U.S. you can get 30-day trials which is pretty easy when you do not need custom earmolds which it sounds like you do not need. As you have already observed yes, each manufacturer
takes a little different approach to sound processing and each sounds a little different. What works for one person doesn't always work for another and vice versa.
Profiles
Also ask your audiologist for at least three profiles. I usually have three: one for normal bacckground noise for when I'm listening to what people are saying; a second to hear better when people are talking where there is a lot of noise, e.g., in a car on the highway or in a crowded restaurant; and, a third for listening to music with as much fidelity as the hearing aids and the audiologist can bring.
Good luck!
Thanks all
Thank you all for your insight into this. I've got a home visit tomorrow and they're bringing the Oticon Intent One. It's a 60 day money back so I guess it's just a case of trying it.
Great thoughts on the profiles. I will make sure to ask for just that. As I understand it there are four modes which can be tuned, I also think it can be tuned remotely through the app. The app, as far as I can tell, does seem accessible, but that's without having the device connected.
I'll report back with any interesting findings when it's connected up to my phone. it is using MFI, which I'm a bit worried about but think the device itself is probably the best for my use case as my hearing loss is higher frequencies. Maybe this will be the final push to android and windows! Some rather nice computers being announced this year.
Again, thank you all.
Admin, maybe you could move this to non-apple chat. I think the topic goes beyond specific use with apple products and don't want to take up the more valuable real estate on the home page.
do not get rechargable batteries at all
Here, i have Phonak, i used both the rechargable batteries and the regular batteries,
one of the worest things for me is the rechargable batteries, because sometimes 16 hours are not good enough, and also, when i use them for streeming, this time decreases.
unfortunately, the newer models do not have disposable batteries, i think because they need us to change the hole sim, ot just batteries.
there is some latency here but it is ok for me.
Batteries
It's 20 hour run time on the ones I'm looking at with 4 hours after a 15 minute charge. I'm hoping that will do me. The batteries can be replaced but only by the manufacturer.
hearing aids
I have the oticon intent 2's and the battery lasts about 22 to 25 hours with a little less if you stream a lot; it takes about 2 hours for a full charge and 30 minutes for a nice top off say when your in the car. The case is a little larger than airpod pro case. The main reason i did nott get phonak is because even though they use classic bluetooth they are not auracast ready nor do they have a T coil.
T coil?
What's that? I'm aware of oracast. Man it would be cool if cinemas used it for audio description.
And what's oracast.
I don't know either :)
Just to clarify, I was a hearing aid user for about 10 years, in Quebec all funded through RAMQ. My latest model was with the companion phonak remote for bluetooth in 2018. I am not aware of anything newer. I also have some experience with phonak roger pen and the receiver too. Thank god I no longer need any of this after a couple surgeries but I keep an ear into all this sometimes just to follow.
And I really, really don't like the new trends I've been hearing about for 2-3 years. Smartphone companion apps?! Rechargeable batteries non user replaceable?! Enshittification at its peak!
Anyways, my best wishes to OP. Let us know your experience.
T coil and Auracast
T Coil is used for older phones, or the t loop system some buildings have its been around since the 80's i think. Auracast is the same idea but using bluetooth LE audio, business can have a ton of transmitters for a fraction of the cost a Tt coil like airports, train stations, sporting events ETC. You'd use the app and search the auracast broadcast you want and connect. You can also get personal auracast USB receivers though i have not used one, yet.
My audiologist mentioned that phonak support connecting via wire
to landline phones and stuff like that.
But maybe this is a tty thing? I know nothing about all this cause I never used it.
Wow interesting, so for audio descriptions in cinemas where they give a weird receiver it's this tech that's being used then?
Cinema
No, at least, not I'm aware of. They use a RF transmitter and receiver. I only meant, as ora cast is going to be the next big thing, not just for accessibility but for anyone using bluetooth LE devices, it seems that switching over to something like ora casts for audio description, especially for open devices, makes a lot of sense. Sense and cost rarely go hand in hand though.
My Experiences
My hearing loss is also mild to moderate, and I got my hearing aids in 2022 via the NHS.
I have the Oticon Engage Minirite, which are Made for iPhone. As far as I'm aware they do not support classic Bluetooth unless you use the Connect Clip, which is a separate purchase and is primarily intended as a clip-on microphone you could give to someone to help you hear them more clearly, but it does allow you to connect other Bluetooth devices to the hearing aids as well. I'll just focus on how they work with the iPhone here though.
First off, I don't experience any latency what so ever with VoiceOver. However, what I do sometimes experience is a significant drop in audio quality, usually while using my Braille display. VoiceOver will go incredibly crackly and stuttery through the hearing aids, or will sometimes stop coming through altogether and you're left with no audio. A quick reboot of the hearing aids usually fixes this, and it doesn't happen all the time, but if you're using Braille often this will definitely become an annoyance for you pretty quickly.
The microphone on the hearing aids cannot be used as a microphone for your phone. So if you use Siri, the speech and sounds from Siri will come through your hearing aids, but it's listening through your phone's mic. Calls work in a similar way. By default, calls will come through your hearing aids when you answer them, but you would need to speak into your phone's mic for the person on the other end to hear you. I personally ended up disabling this and have calls always route to my phone because, while the call is going through the hearing aids, the phone's microphones will work as if you are on speaker phone, meaning they're likely to pick up on more background or room noise. Even with the noise cancelling option enabled, the quality for the caller on the other end is still degraded compared to holding the phone to your ear or using another device (earbuds for example). In my case, holding the phone up to my ear doesn't cause any feedback, though this might depend on how your hearing aids are configured i.e. what frequencies they're boosting and how good the fit is in your ears.
Regarding audio quality and using AirPods, the quality is fine for VoiceOver and podcasts, but frankly pretty terrible for music. The Engage Minirite have a very thin wire that goes in at the top of the ear, so AirPods and most other earbuds can simply slot in your ears underneath them and you can use them without needing to remove the hearing aids. VoiceOver will switch to your AirPods when they connect, and fall back to the hearing aids when they disconnect. It can get a bit uncomfortable if you're wearing both for a long period of time, but overall it works well.
I haven't tried any other brands or models, but this is my experience with the Engage Minirite. I didn't have much of a choice in what hearing aids I got but even if I did, I wouldn't have known what I was looking for and more than likely wouldn't have done my research as I was extremely reluctant to get them in the first place. I'm glad I have now of course, but at the time they were the last thing I wanted.
Hope this helps.
Amazing, just what I needed
Regarding spacial awareness with the otican hearing aids, is it okay? Are you picking up on more environmental queues? I'm just about to try a more up to date version, but would rather avoid spending the money if possible and if the NHS version will do the trick. Thanks in advance.
oticon intent
I have the oticon intent 2. The spatial awareness is quite good and, one reason for this is because Oticon's use something called 4 D sensors. These sensors focus the mics sounds based on your head movement among other things, it is very settle but really does help focus your directions. Your audiologist can change how aggressive this is for each program.
Spacial Awareness
I find the spacial awareness to be absolutely spot on with these. My audiologist had a pretty good understanding straight away that I would need something that gives me the most natural sound possible, including directional. As I understand it (and I could be wrong about this), some hearing aids modify the sound essentially making it mono so that it can be heard clearly in both ears, but these don't do that at all.
And before anyone says that realisation of needing the most natural sound possible should be obvious, you'd be surprised...
yes indeed.
Yes you are correct natural sound is not as easy as one would think. Also, have you gotten tap controls to work? Also has anyone successfully selected voice isolation while on a call? I go to where it says services in use, i see Standard, automatic, and voice isolation. It does not appear you can select isolation am i wrong?
presets
As far as I understand it, the presets are all custom including names, from the audiologist. I've just had my intent one fitted and need to get them sorted as have a weird phasing sound going on, fine for dialogue but makes music sound bad, pianos sound honky tonk. Hoping they can solve this. I'm liking them, there just seems to be a greater brightness to the world around me.
presets.
i have a few presets I like to use. The one major issue is, the oticon companion app is not easy to use on the iphone at all. I have emailed Oticon app support detailing the issues so they are aware. If anyone else is having the same experience please email them so they know.