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Ivana Marinac

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Everything posted by Ivana Marinac

  1. Dear Melissa, is there any chance that you have copy of your audiogram? This is not a medical advice, just a help for me to understand where is your problem exactly. Although I am quite satified with BB and Samba, there could be a bigger problem if there is wrong selection of implant at all. There are so many implants on the market, and that is possible. Kind regard, Ivana
  2. Yes, it is a mess on the market. Having in mind acoustic specifications, there is no enormous difference. But... taking into account that Bonebridge is fully under the surface and BAHA/BAHS are still implants which operates partially uncovered (now more than 40 years...) - it is time for burial the complete internal unit.
  3. There is - it is improvement regarding the depth of drilling spot and easier implantation because of different screws. Direct BT function has to be implemented with the next generation of processor/outer unit; the internal unit does not have anything with that option.
  4. As Arnie said once - I`m baaaaaaaack! 😎
  5. Dear Melissa, at first, can you thoroughly explain, what kind of hearing loss do you have? Sensorineural, mixed or conductive? Regarding your observation that you feel lost in a situation of any background noise - if you have one implant and it is not still well adjust on the top of it, here lies the answers of your problems. Two ears or bilateral hearing does not mean that your car only has enough number of wheels - it means that you get directionality, spatial hearing so you can better understand a person in front of you in noisy situation (beating the cocktail-party effect), more
  6. Dear Steve, If I may ask firstly but enormously important question - what kind of hearing loss do you have? Sensorineural, mixed or conductive. If it is, what I suspect, the first one - next question would be: what is the extent of your hearing loss? What I see more and more recently, that even professionals do not understand what each implant can give to certain patient, and what is even more important - what they expected to get. It does not mean necessarily that patient is wrong, just their hopes were not met with appropriate implant. Kind regards,
  7. Hi Debbie once again, yes, Dr. Tucci is long in a business this gave her opportunity to track the advancement for decades and Duke is awesome institution. That being said, I have gad a rare opportunity to hear an European Goliath - Prof. Fraysee defending the line: CROS, BAHA .... and eventually CI. But, partially my participation in various groups is to gain knowledge and observations from much bigger pool than my patient base could ever be. Not linked with your story, but I defended my right fir bilateral hearing against another giant who made career in a field if unilateral c
  8. It’s a typical situation with people who have a mixed hearing loss - you tend to insuflate E. tube and middle ear, maybe some effusion there accumulate through years and it improves sound transfer. Eardrum can be repaired in any way, even the ossicle chain can be build out of artificial prosthesis, but - hearing cells (if this is a real situation at the audiogram) are nit vampires or zombies: once heavy damaged - can’t be replaced. Only partially substituted with internal cochlea electrode which would bypass them.
  9. Hi Funky, they tried to repair your eardrum but not from skin. Actually, watching your audiogram reveals that your hearing on your left ear is pretty much decent up to 2 kHz, but what strucked ny mind is your hearing loss further which is quite significant, at 4 kHz it suits into the category of deafness. So, you’re wrong - part of your cochlea or outer hearing cells hardly work in one significant area, so there is a disproportional hearing due to the insufficient higher band - we’ll get back to this stuff. Your audiogram looks like a typical hearing loss threshold caused by aco
  10. Hello Funky! can you be more specific about the type of your hearing loss? Sensorineural, conductive or mixed? Also, if you know any value of your hearing loss threshold - it would help enormously to tailor the best answer for you. in short, don’t worry - it is even louder than it is in a technical details of the device. There said up to 45dB, I have used it for a five full years with a bilateral conductive hearing loss of 65dB average. you don’t worry it will be louder since fittings are superb, also after a period of getting use - your brain will adapt both on the quality of s
  11. @Debbie from US hello again, pardon me for not involving myself before for a response..... Mary Beth was on the path I wanted to explain, you are a classic (up to now) patient for a single CI which would really revive your hearing on the affected side. I stand behind this although Prof.Tucci is on the other side - she’s really a giant in this world of implant technology. But, I have seen people fron the U.S. getting unilateral CI - I don’t quite understand your conditions but I have taught that everything is not possible only - if it is not tried. Regarding me,
  12. Huh, well... Hello Debbie, there are few problems before making any conclusion. 1. How low is your hearing threshold at the affected ear? 2. Are your symptoms yet visible (and hearable) at just one ear? To make an explanation behind my questions: 1. A hearing threshold is goong up and down, and we still don’t know how much it will go down in certain presentation. 2. Meniere could be uni-lateral, but also there are very often bilateral cases of presentation and, to be honest - these presentations frequently are not synchronous. This mean, at first is affected one e
  13. It was incredible - like you dream something and than puf! It happens! To meet a person in live with whom you’ve exchanged so many HP and PM messages and - you’ve never seen each other... - Just imagine.... it was my privilege and honour to meet you, Mary Beth!
  14. Hello Gang ? dear Loresh - don’t take surgery as something bad, actually the Bonebridge has least side-effects from all bone-conduction implants/devices (BCI/D). On the other side, Adhear is something what could be tested almost effortlessly. To mix the story additionally- none BCD Sounds equally implant vs. non implanted situation. The implanted sotuation was always better. Usual experiences of people all around say that they benefit from a device on the affected hearing. Hard to explain why if one cochlea or nerve is dead and the contralateral hearing is perfect....
  15. Unfortunately - I didn’t. of course it can. I am still not familiar regarding the directionality however. Researches shown that Bonebridge does not disturb it, but Soundbridge might. Conclusions are based on long-term work of German scientists, e.g. Dr. Frenzel.
  16. This doesn’t sound good - either your processor is a problematic part, either I would advise checking on how your implant stays in its bed. Sound should be cristal clear, not nearly having these problems. You shouldn’t have problem regarding adapting, esoecially if your hearing aud gives you a more superior quality. The impant is nearer than the aid so - there shouldn’t be such differences...
  17. Yes, and yes! Nothing without the audiologist and - a special wire for it. There is no looped theatres in Croatia and I do not really need it so I’ve never asked for it. However, I could imagine that sound in my head: cristal clear without any interference...
  18. Well Hils27, I advise you to ask for a free-field tonal audiogram - my clinical engineer direct from the MedEL says that’s the best way to make fine tunning of your processors. Echo can be a problem in the beginning of using of new processors. if you get Siemens miniTek you don’t need to have a remote control. There is also a mobile phone program which do basically same: change programs and turn up or turn down volume. If you put miniTek or remote in a mid line you control both processors; if you want to control them separately, you need to move cliser miniTek to the side w
  19. Hello folks, to finally drop in as I have promised to Mary who signaled me to pm to revive me from the Sleeping Beauty mode. Let’s work - not making excuses... At first, @Hils27 Before Samba, the actual processor was Amade: you must thought on that when you mentioned VS, because the VS is the whole system: outer and inner part, but Samba and amade are - the outer. Secondly, using of remote control when you have two implants is that you put it in the median line, right beneath the chin. Doing like this you can navigate with both Sambas at the same time. Regarding echoin
  20. There was also a study where Med-EL included patients into a study with Soundbridge, another interesting active middle ear implant. a difference is pretty evident, Baha is on the abutment (magnetic plate version I do not recommend) and Bonebridge is totally invisible, implanted into a temporal bone. really don't know what are plans with BB, but there is a review where it was found that between all BC implants, BB has least side-effects, skin or device malfunction. I am pretty sad that it is not advertised more. People usually refuse it because of its size. On the other side, dat
  21. Yes, lurking to see what was going on here while I was piled with my assignments...
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