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Digital Hearing Aids
Frequently Asked Questions about Digital Hearing Aids

Q. What are digital hearing aids?
A. Digital hearing aids utilize digital signal processing microchips that take the incoming sound waves and convert them into a stream of numbers that can be manipulated, much in the same way a computer uses numbers to represent words, images and sound. Audio compact discs and DVDs also represent sound waves and visual images as a stream of numbers or "computer" data.

Q. How is this different from an analog hearing aid?
A. An analog aid processes sound waves as a continuous (analog) signal through conventional amplifiers, similar to how the groove on a phonograph record represents the actual sound wave which is then amplified by conventional audio equipment.

Q. What is a digitally programmable aid?
A. Many sophisticated hearing aids can be programmed by computers. These are digitally programmed, but may contain either analog or digital circuits. Some digital hearing aids are being introduced that do not require a computer to program, but use screwdriver adjustments as analog aids have always had.

Q. Is everything in a digital hearing aid digital?
A. No. The microphone and tiny loudspeaker (also called the receiver) are analog devices because they respectively convert sound waves to electrical energy and electrical energy to sound waves.

Q. Is digital better?
A. Most likely yes. Some analog amplifiers can do very sophisticated sound processing but there are limits to how much can be done without drawing large amounts of battery current and taking up a lot of space. Digital processing can do far more sophisticated signal processing with very small size microchips and at very high speeds. Digital circuits, if properly designed, will typically have lower distortion, less circuit noise, more capabilities and use less battery current.

Q. Is this better for hearing aids and hearing aid users?
A. Definitely. Hearing aid performance has improved significantly . Algorithms for improving speech understanding in noise can be implemented, reduction of background noises, automatic adjustment of volume, automatic directional microphones, multiple program selection, lower distortion and clearer sound are all advantages for the best digital hearing aids. All this results in greater fitting flexibility and user satisfaction.

Q. Are all digital hearing aids essentially the same?
A. Definitely not. There are now three classes of digital hearing aids that could be labeled First Class, Business Class and Economy Class. "First Class" applies to aids with the most sophisticated sound processing algorithms for speech enhancement and noise suppression. Naturally these are the most costly. "Business" Class devices have fewer "high-tech" features, but offer clear sound and are lower in cost. "Economy" class digital aids are relatively the lowest in cost, have the least number of advanced technology features, may or may not be computer programmed, and may not perform much better than good programmable analog circuit hearing aids. Typically, however, the lowest cost digital hearing aids will be more expensive and perform better than low cost analog hearing aids.

Q. With so many choices and styles, which one is right for me?
Your audiologist will help you choose which is right for you. The choice depends not only the degree of hearing loss, but on your hearing and listening needs determined by your lifestyle, activities and interests.

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