In-the-ear (ITE) aids. ITE instruments are crafted from a custom mold of the
ear. They are available in a wide variety of shell sizes, ranging from a full shell
down to the smallest of sizes, called completely-in-the-canal (CIC) instruments.
Custom hearing instruments are built based on the size and shape of the ear
canal and the degree of hearing loss. Some features of ITE aids are:
• They offer a more secure fit, with easier insertion and removal than with
behind-the-ear (BTE) aids.
• There are improved cosmetic benefits with smaller styles.
• Less wind noise is heard than with BTEs.
• Directional microphone technology, enabling the listener to focus on a
more specific source, is available for most styles, except CIC aids.
• Components are integrated into a one-piece shell, which some find easier
to handle and operate than BTE aids.
Behind-the-ear aids. As the name suggests, BTE aids are worn behind
the ear and are connected to an earpiece that is molded to the shape of the
outer ear, although some models do not use a custom earpiece and, instead, use
rubber tubing inserted directly into the ear. BTE aids are usually flesh colored
and can be used by people of all ages for mild to profound hearing loss. Other
features are:
• BTEs may be better for young children, as only the earpiece has to be
replaced as the child grows.
• BTEs are generally the most powerful hearing aids available.
• FM and direct auditory input is available with BTEs.
• Telecoil circuitry, to enable using the aid with telephones, tends to be more
powerful with BTEs than with ITEs.
• BTEs use larger batteries, which may be easier to handle for people with
manual dexterity or vision challenges.
Open-fit aids. Open-fit hearing aids are the latest technology and have
proven very successful for high-frequency hearing loss, the most common
type of loss. They are incredibly small and offer several features that may be
more appealing than the other styles.
• They are more discreet and cosmetically appealing.
• They do not block the ear canal, allowing voices to sound more natural.
• The small size and light weight provide greater comfort.
• Since no custom molding is necessary, they can be fitted and worn on
the same day you get your hearing evaluation. No waiting to enjoy the
benefits of better hearing.
Your licensed hearing professional can help you select the hearing aid that is
best for you. Don’t miss out on the sounds that can add so much to your life. Get
your hearing checked as soon as you think something’s missing from your life.
—Steve Fisher
(Note: Costco carries only digital aids at about 50 percent of the cost elsewhere. Prices range from $899 to $1,899.)
Passing
the test
Costco’s Hearing Centers
provide free testing for members.
Appointments are recommended.
Here’s what to expect.
First, the licensed professional
asks questions to determine your
symptoms and the circumstances surrounding them (injury, illness, etc.).
Then you’re given a set of headphones and a small unit with a push
button on the end. The technician
will advise you to push the button
only when you actually hear a tone.
Don’t guess! Each ear is tested
individually. Tones come in three
short blasts, starting relatively loud,
then diminishing in volume.
The next test is for speech
recognition. A computerized voice
says a series of words, one at a time,
with the patient repeating after each
one. First the right ear; then the left;
finally, both together.
A third test establishes the
highest volume you can tolerate.
When the testing is over, the
licensed professional will consult with
you to give the results. The entire
process takes about 60 minutes.
Costco believes it is in the best
interest of the purchaser to consult a
physician prior to being fitted with
hearing aids. The use of hearing aids
cannot restore natural hearing or
prevent further loss.
To find the location and phone
number for your local Costo Hearing
Center, go to costco.com, click on
“Costco Connection Magazine,” then
look under “Resource Guides.” Or call
toll-free 1-800-774-2678.—SF
Sources: The National Institute on Deafness and Other Common Disorders
( www.nidcd.nih.gov); Better Hearing Institute ( www.betterhearing.org)
