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Ivana Marinac

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  1. Like
    Ivana Marinac got a reaction from Kimmay in Samba processor not working   
    Huh!      interesting....
    I am regular user of Power One and Rayovac mentioned above and I have never experienced something like that....
    I might experience that few batteries are not as strong as some other... but, then I change them and - everything is well then...
  2. Like
    Ivana Marinac got a reaction from stream2525 in Differences in Cochlear Implants   
    Active stimulation range is longer with Flex28.
    Like I have described - a dynamic of the hearing loss advancement is also important. There are various approaches: some surgeons do understand the effect of preserving residual hearing although it is vanishing, some just override that period and trust to the electrical stimulation which eventually will replace all natural hearing.
  3. Like
    Ivana Marinac got a reaction from Mary Beth in Samba processor not working   
    Unfortunately, there is no way because there are no removable covers like on the Sonnet.
    Outer unit is regularly swapped for another if this is indicated by tests. 
  4. Like
    Ivana Marinac got a reaction from Kimmay in Samba processor not working   
    Hello Kimmay,
    Can you describe me little bit thoroughly what is happening to you? Cutting in and out means - stop working?
    You put your Samba while your hair is wet? 
    Pardon me, I am not native English speaker so it is possible that I didn't understand you well. 
    I wear my Samba, now three years consecutively and this has never happened to me - but I beware very carefully and never EVER put it even close to moist or anything like. My biggest problem is a frequent dusting of microphone cover so my sound deteriorates after 6 months or similar....
  5. Like
    Ivana Marinac reacted to Mary Beth in WOW Moments   
    Neuroplasticity to the rescue!
  6. Like
    Ivana Marinac got a reaction from stream2525 in Differences in Cochlear Implants   
    Mmmm... Very interesting discussion - even for professional circles.    

    To properly set this puzzle many questions have been raised as well as answers were given, but … There are some missing parts so let’s start from the elementary: first question which should be regarded as a dynamic of Stream’s losing his hearing; and second is were there any stable periods and how long did they last.

    If Stream’s hearing loss is even a bit stable, EAS system should be considered because preserving a natural sense of lower frequencies are still worthwhile because processing of the electrical stimulation and natural hearing does not go the same way as well as the acoustic amplification.

    The situation of fast deterioration of hearing is absolutely and without any doubt, the case for recommending a cochlear implant with a standard length of electrode no matter the situation of having useable lower frequencies. Having more than one operation in a short period of time is – not effective for anyone.

    If we consider the situation where hearing loss progresses in a far lighter version, EAS is recommendable because this type of system uses both ways of hearing stimulation.


     
    To answer Stream: with EAS only using Sonnet gives you the opportunity to amplify lower frequencies by natural way – acoustically, and that way goes through the ear mold. That’s why using Rondo is nor effective (because it can not set in motion the acoustic part in any way nor it is a logical solution. I do understand that you would like to get rid of hassling with an ear-hooked outer part but this goes contrary your gain.

    I hope you do understand that cochlear implant is not – a hearing aid and that rehabilitative part is nor easy nor 100% promising solution of getting a perfect result.

    Having in mind these keys for a serious discussion which will have serious repercussions on your life, any definitive answers you should seek with your ENT surgeon. If you need, talk with more than one, but keep always in mind a thought that part of the decision is in your surgeon’s hands – otherwise all professional discussions would not have any sense.

    I remember the EAS discussion on this world ENT Congress – it was a very dynamic talk between “giants” in our profession. Each one of them had part of uncertainty in this matter in a way that each patient should be discussed individually.

  7. Like
    Ivana Marinac got a reaction from Jewel in WOW Moments   
    No Stream - there is no wonder healing.
    The WOW moments which we describe happen as the consequence of the natural evolution of the neuroplasticity of our brains after it is properly stimulated. 
    Problem with hearing aids is that they stimulate dying hearing cells - with time the total amount of these cells are less and less. This means that neural hearing pathways are not stimulated as they should be - the final result is worsening of hearing abilities: brain fells into a sleep like sleeping beauty... Or less romantic - try to immobilize your arm/hand or leg for a week and see what will happen with your muscles and consequently with strength and the ability to move it properly. It will vanish little by little... 
    But - the best part is that as well as muscles, your brain remembers all these stimuli and the ability to understand sounds. With time and practice, the ability of our brains to improves itself is enormous so people start to discern subtle differences which they didn't even dream that they would ever be able to do. 
    So here comes the uninformed moto of our forum: 3P's - Practice, Patience, and Perseverance. Like muscle gets its strength to move or lift more weight, so brain evolves its abilities to understand, differ and improve each day more and more... 
  8. Like
    Ivana Marinac got a reaction from Cara Mia in Differences in Cochlear Implants   
    Mmmm... Very interesting discussion - even for professional circles.    

    To properly set this puzzle many questions have been raised as well as answers were given, but … There are some missing parts so let’s start from the elementary: first question which should be regarded as a dynamic of Stream’s losing his hearing; and second is were there any stable periods and how long did they last.

    If Stream’s hearing loss is even a bit stable, EAS system should be considered because preserving a natural sense of lower frequencies are still worthwhile because processing of the electrical stimulation and natural hearing does not go the same way as well as the acoustic amplification.

    The situation of fast deterioration of hearing is absolutely and without any doubt, the case for recommending a cochlear implant with a standard length of electrode no matter the situation of having useable lower frequencies. Having more than one operation in a short period of time is – not effective for anyone.

    If we consider the situation where hearing loss progresses in a far lighter version, EAS is recommendable because this type of system uses both ways of hearing stimulation.


     
    To answer Stream: with EAS only using Sonnet gives you the opportunity to amplify lower frequencies by natural way – acoustically, and that way goes through the ear mold. That’s why using Rondo is nor effective (because it can not set in motion the acoustic part in any way nor it is a logical solution. I do understand that you would like to get rid of hassling with an ear-hooked outer part but this goes contrary your gain.

    I hope you do understand that cochlear implant is not – a hearing aid and that rehabilitative part is nor easy nor 100% promising solution of getting a perfect result.

    Having in mind these keys for a serious discussion which will have serious repercussions on your life, any definitive answers you should seek with your ENT surgeon. If you need, talk with more than one, but keep always in mind a thought that part of the decision is in your surgeon’s hands – otherwise all professional discussions would not have any sense.

    I remember the EAS discussion on this world ENT Congress – it was a very dynamic talk between “giants” in our profession. Each one of them had part of uncertainty in this matter in a way that each patient should be discussed individually.

  9. Like
    Ivana Marinac got a reaction from Daniel the Stranger in WOW Moments   
    No Stream - there is no wonder healing.
    The WOW moments which we describe happen as the consequence of the natural evolution of the neuroplasticity of our brains after it is properly stimulated. 
    Problem with hearing aids is that they stimulate dying hearing cells - with time the total amount of these cells are less and less. This means that neural hearing pathways are not stimulated as they should be - the final result is worsening of hearing abilities: brain fells into a sleep like sleeping beauty... Or less romantic - try to immobilize your arm/hand or leg for a week and see what will happen with your muscles and consequently with strength and the ability to move it properly. It will vanish little by little... 
    But - the best part is that as well as muscles, your brain remembers all these stimuli and the ability to understand sounds. With time and practice, the ability of our brains to improves itself is enormous so people start to discern subtle differences which they didn't even dream that they would ever be able to do. 
    So here comes the uninformed moto of our forum: 3P's - Practice, Patience, and Perseverance. Like muscle gets its strength to move or lift more weight, so brain evolves its abilities to understand, differ and improve each day more and more... 
  10. Like
    Ivana Marinac reacted to Mary Beth in Home Theater and CI at home   
    @stream2525
    Programming or MAPping our CIs is both a science and an art.  Working with a skilled CI audiologist can make a huge difference. My journey would not have gone as well without the great skill and dedication of my awesome audiologist.
  11. Like
    Ivana Marinac got a reaction from Mary Beth in Differences in Cochlear Implants   
    Mmmm... Very interesting discussion - even for professional circles.    

    To properly set this puzzle many questions have been raised as well as answers were given, but … There are some missing parts so let’s start from the elementary: first question which should be regarded as a dynamic of Stream’s losing his hearing; and second is were there any stable periods and how long did they last.

    If Stream’s hearing loss is even a bit stable, EAS system should be considered because preserving a natural sense of lower frequencies are still worthwhile because processing of the electrical stimulation and natural hearing does not go the same way as well as the acoustic amplification.

    The situation of fast deterioration of hearing is absolutely and without any doubt, the case for recommending a cochlear implant with a standard length of electrode no matter the situation of having useable lower frequencies. Having more than one operation in a short period of time is – not effective for anyone.

    If we consider the situation where hearing loss progresses in a far lighter version, EAS is recommendable because this type of system uses both ways of hearing stimulation.


     
    To answer Stream: with EAS only using Sonnet gives you the opportunity to amplify lower frequencies by natural way – acoustically, and that way goes through the ear mold. That’s why using Rondo is nor effective (because it can not set in motion the acoustic part in any way nor it is a logical solution. I do understand that you would like to get rid of hassling with an ear-hooked outer part but this goes contrary your gain.

    I hope you do understand that cochlear implant is not – a hearing aid and that rehabilitative part is nor easy nor 100% promising solution of getting a perfect result.

    Having in mind these keys for a serious discussion which will have serious repercussions on your life, any definitive answers you should seek with your ENT surgeon. If you need, talk with more than one, but keep always in mind a thought that part of the decision is in your surgeon’s hands – otherwise all professional discussions would not have any sense.

    I remember the EAS discussion on this world ENT Congress – it was a very dynamic talk between “giants” in our profession. Each one of them had part of uncertainty in this matter in a way that each patient should be discussed individually.

  12. Like
    Ivana Marinac reacted to Mary Beth in Vibrant Sound-bridge and cochlear implant   
    It is worth keeping an open mind about Sonnet EAS with scores like you have in your low frequencies.  Your surgical team will be able to guide you as they know your hearing history the best.
  13. Like
    Ivana Marinac got a reaction from Mary Featherston in favorite WOW moments   
    Hello Gang,
    Although I was never completely deaf my situation is different - even when I had my hearing aid, everything sounded melt into one big bowl of porridge.
    First WOW sound is definitely when I have heard (right after the activation) a difference when my Doc started clicking on a keyboard right beside a sound speaker - Rolling Stones were on.... 
    Second WOW was the next day - after a night call, off-duty team passes a status to the next - on-duty team. A high ceiling room with a catastrophic acoustic where I could never differ 2 voices - suddenly I could understand 2 or even 3 discussions between. This was and will be such an exquisite moment for my lifetime...
    Third WOW was definitely hearing a rain outside with closed windows.
    Fourth I have such urge to describe as I am an extreme music lover - hearing a symphonic orchestra and having the ability to differ a separate instrument. Hearing an organ or harp in this big mess... Unforgettable... 
  14. Like
    Ivana Marinac got a reaction from stream2525 in Vibrant Sound-bridge and cochlear implant   
    Hi Stream,
    Can you describe a little bit better your hearing loss curve or even show us your audiometric findings.
    Why I am asking you that - a hearing loss which is deteriorating over years significantly profits better from the EAS system than the implantation of the Soundbridge.
    Yes, it was developed for a sensorineural hearing loss but the loss of the inventor was stable. The majority of people who are losing their hearing lose it steadily but continually in the higher frequency spectrum. Putting an implant which is not adequate is technically possible but ethically and professionally questionable. 
  15. Like
    Ivana Marinac got a reaction from Mary Beth in Vibrant Sound-bridge and cochlear implant   
    Hi Stream,
    Can you describe a little bit better your hearing loss curve or even show us your audiometric findings.
    Why I am asking you that - a hearing loss which is deteriorating over years significantly profits better from the EAS system than the implantation of the Soundbridge.
    Yes, it was developed for a sensorineural hearing loss but the loss of the inventor was stable. The majority of people who are losing their hearing lose it steadily but continually in the higher frequency spectrum. Putting an implant which is not adequate is technically possible but ethically and professionally questionable. 
  16. Like
    Ivana Marinac got a reaction from Mary Beth in Guide for a music rehabilitation: step by step.   
    Actually, as the route of sound transfer for a bone conduction hearing loss is different than in sensorineural (transfer over bones of the skull) the lower frequencies are impacted at first in order of speech intelligibility and sound quality. That's why I thought that I should work more with lower frequency band than with a high band. This was a mistake, higher frequencies were underestimated on the expense of lower and were overlapped by them. So, practically my overall speech intelligibility started to deteriorate and we couldn't reach the conclusion why is this happening.
    Taking into account of my own experience of what is the real hearing spectrum, I used to think and still have this feeling that it is more in the lower frequency band. But, more and more I think about all my fittings, I start to understand that my intelligibility is more of how I perceive higher band no matter what timbre and the overall roundness sound is given by lower spectrum band.
    So this is part of my own subjective acoustical experience where none road is exactly right - you have to choose each one, sometimes being boring but getting the best possible result taking into account of your own needs. Practically, this means that none of us has same daily scheme and surrounding acoustical challenges. Our working environments surrounded with different equipment or teaching in the classroom are fundamentally different. Not to mention if you are home-based or visiting restaurants which have a different level of background noise in different cultures. 
    To reach the conclusion  - we have concluded that dust on the microphone distorted to sound more easily because the lower band overlapped the middle and higher band.
  17. Like
    Ivana Marinac got a reaction from Mary Beth in Guide for a music rehabilitation: step by step.   
    Hi Kara,
    I support Mary Beth's thoughts regarding this issue.
    As pretty substantial portion of tests done in the audiometrical testing are subjective - elementary taken, only we can say whether we should stop doing fittings or we still think there is something what we can change or we've made a mistake or even have to do "an average solution" which satisfy us more in functional than overall experience. To be more precisely, I can describe my recent activity when I returned to one of my old map from the March of 2016. after almost a year and half of wandering around because I could not differ whether my understanding issue is linked with different setup of hearing frequencies. At the end we have found that dust on the microphone made a speech intelligibility alteration in order I could not presume. So, I am thankful up to the heaven and back for a patience and support provided by my clinical engineer regarding the particular issue of my own feeling of "comfortable" hearing.
    Regarding the stability of hearing, it lasted longer for me with shorter perioda between mappings but when I reached the level of "enough" intensity I have found stable - this does not mean that small alterations were not required but with incremential effects on my everyday life.
  18. Like
    Ivana Marinac reacted to Kara of Canada in Guide for a music rehabilitation: step by step.   
    @Mary Beth and @Ivana Marinac  question for you both. I have an amazing Audi but she is on maternity leave. The replacement is telling me that I should have stabilized by now and I shouldn’t bother to come back for at least 18 months! I haven’t managed to go more than 7 months without a visit to change my mapping. What’s the best approach to this? I went in in August because I needed an adjustment. I’m scheduled for my two year appointment in December. Not sure of the best route here. 
  19. Like
    Ivana Marinac got a reaction from stream2525 in Why chose medel   
    Hello Penelope's Mom,
    Welcome to the Hearpeers - regarding your questions (I am not an implantee so I will just fulfill some datas:
    A) if your child ever need an MRI, magnet can be removed and scans are much more accurate on this way. I have different implant and almost half of head is not visible,
    the array length which theoretically means that longer part of cochlea is covered, in practice we are talking about covering lower frequencies which are located in the more distant part of cochlea due to the principle of tonotopicity - there are great videos which show you what I want to explain.
    C) due to the inability just to chamge electrodes and put another because this actually traumatize hearing receptors, it's not possible for the same person to say this is better than the other. At last - huge part (even few times) take the process if the (re)habilitation - like a marathon. Literally.
    We are here for you, no matter what you choose - ask free whatever you might need to know. Here are gathered people with CI's of different producers. As long as we can share as much informations as we know - the more, the merrier...
  20. Like
    Ivana Marinac got a reaction from stream2525 in Sonnet or Rondo??   
    Great observations!
    I will definitely remind you - I am so interested in this subject... It blows my mind each time...
  21. Like
    Ivana Marinac got a reaction from Megan L. in favorite WOW moments   
    Just - awesome! A word which comprises everything - your training actually gives me a direction what I could do more... It really inspires me... 
  22. Like
    Ivana Marinac got a reaction from Joan in favorite WOW moments   
    Hello Gang,
    Although I was never completely deaf my situation is different - even when I had my hearing aid, everything sounded melt into one big bowl of porridge.
    First WOW sound is definitely when I have heard (right after the activation) a difference when my Doc started clicking on a keyboard right beside a sound speaker - Rolling Stones were on.... 
    Second WOW was the next day - after a night call, off-duty team passes a status to the next - on-duty team. A high ceiling room with a catastrophic acoustic where I could never differ 2 voices - suddenly I could understand 2 or even 3 discussions between. This was and will be such an exquisite moment for my lifetime...
    Third WOW was definitely hearing a rain outside with closed windows.
    Fourth I have such urge to describe as I am an extreme music lover - hearing a symphonic orchestra and having the ability to differ a separate instrument. Hearing an organ or harp in this big mess... Unforgettable... 
  23. Like
    Ivana Marinac got a reaction from Mary Beth in Sonnet or Rondo??   
    Great observations!
    I will definitely remind you - I am so interested in this subject... It blows my mind each time...
  24. Like
    Ivana Marinac got a reaction from Mary Beth in favorite WOW moments   
    Just - awesome! A word which comprises everything - your training actually gives me a direction what I could do more... It really inspires me... 
  25. Like
    Ivana Marinac reacted to Mary Beth in Sonnet or Rondo??   
    Hi @Ivana Marinac,
     
    I am willing to experiment with unilateral Sonnet versus unilateral Rondo.  Just give me a few months since I am still in my 2 month Rondo only experiment.  Smile.  Remind me.
     
    But I do have some things we can  consider about unilateral Rondo versus unilateral Sonnet.....
    The key issues seem to be the Rondo’s single omni mic versus the Sonnet’s dual mic settings of natural or adaptive.
     
    So is seems to focus on hearing in noise, since that is what the dual mics are designed to help with.
     
    Many CI users (especially unilateral CI users) are using the Roger 21 Sonnet integrated receivers when they are in noise,  When the Sonnet uses the Roger receivers, it automatically defaults to omni mic setting.  So when using the Roger System, the Sonnet’s dual mic settings are not active.  In that case, it just becomes a preference for using the Sonnet Roger 21 receivers or using the Roger MyLink receiver neckloop with the Rondos on MT.  Both the Sonnet and the Rondo will be using one mic in omni while using the Roger System.
     
    For those users not using the Roger System, the Sonnet’s dual mic settings may be very helpful in noise.
     
    At the present moment, I am finding the advantages of the Rondo outweigh the Sonnet’s dual mics in noise.  I am actually surprised by this.  It is not what I expected when I started the Rondo only usage last month.
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