Ask The Experts
Q&A from the most trusted names in audiology.
West Nile Virus and Cholesteatoma
January 20, 2003
I have a patient who is a survivor of West Nile Virus. She lost mobility on her right side. Ever since she had the virus she noticed a decrease in right ear hearing. I sent her to her ENT and she had... Read More
Medical and Surgical
Evaluating Digital Hearing Aids
January 20, 2003
Can speech noise be used to evaluate digital hearing aids? If so, should the noise reduction circuits be turned off before the measurements are made? In the case of basic digital hearing instruments,... Read More
Hearing Aids - Adults
Fitting Young Children with Directional Technology
January 13, 2003
Do you recommend fitting children under 5 yrs. old with directional mics? We have been faced with several new referrals of young kids that we are fitting with Widex Divas, Phonak Claros, etc. and are... Read More
Hearing Aids - Children Pediatrics
Binaural Balance
January 13, 2003
In practice we sometimes bump into the binaural Hearing Aid fitting with the instruments of different technologies. I mean the situation when patient is fitted with analog (classic) instrument on one... Read More
Hearing Aids - Adults
Reimbursement Issues
January 6, 2003
What are the reimbursement options for hospital audiology program administrators? How are flat-fee outpatient clinic rates, often incorporating an array of specialty services for Medicaid recipients b... Read More
Practice Management and Professional Issues
MRI and Cochlear Implants
January 6, 2003
I am case managing a 12 yo child with a history of brain tumor, which was removed at age 3, followed by radiation, chemo. He has had several CVA's post radiation and developed bilateral sensorineu... Read More
Cochlear Implants
Prescription Hearing Aids
December 23, 2002
Can you use any hearing aid available (for instance, borrow someone else's) or do hearing aids need to be prescribed and made particularly for each individual? Can using the wrong hearing aids cause m... Read More
Hearing Aids - Adults
Billing for Cerumen Removal
December 23, 2002
Can Audiologists bill Medicare for cerumen removal? What is the code? Read More
Practice Management and Professional Issues
Great Ear Impressions
December 16, 2002
An excellent impression is critical for a well fitting hearing instrument. The following tips will help insure a good fit, either for a new custom instrument or a remake. Read More
Earmolds and Ear Impressions
Converting dBnHL to dBHL
December 16, 2002
1. What is the highest intensity level in dBnHL which can be used in ABR hearing threshold for deaf and normal patients.2. How to convert dBnHL to dBHL. Read More
Electrophysiology Hearing Evaluation - Adults
Caloric Inversion on ENG
December 9, 2002
I recently performed a VNG where everything was normal except for an abnormal gain and morphology for slow and fast sinusoidal tracking, diminished gain values for slow and fast OPK testing, and a cal... Read More
Vestibular Issues and Balance Disorders
AMA Guidelines
December 9, 2002
What is the new criteria for calculating impairment based on AMA Guidelines 5th Ed? Can 5% be added if there is a diagnosis of tinnitus? Read More
Hearing and Hearing Loss
Tinnitus Maskers
December 2, 2002
I have tinnitus, and wonder, regarding the ear mounted or table top maskers that you or others sell, whether any or all have:a) volume controlsb) frequency or other sound pitch controls?I would like t... Read More
Tinnitus and Hyperacusis
Hearing Aid-Compatible Stethoscopes
December 2, 2002
Is there an electronic stethoscope you can recommend for a canal aid user other than one that utilizes a headset? Headsets seem to alienate other staff and patients as well. Are there any other choice... Read More
Hearing Aids - Adults Assistive Devices
Spontaneous Nystagmus
November 25, 2002
I would like to ask about the diagnosis of spontaneous nystagmus through ENG tests: the idea behind it, as well as what's the implication of the diagnosis: what does it tell us if the results are posi... Read More
Vestibular Issues and Balance Disorders
ICD-9s for Newborn Follow-Up
November 25, 2002
When we see children for UNHS follow-up testing, we frequently see normal OAEs at both ears after failing the initial screening from either ear in the hospital. There is some disagreement regarding th... Read More
Hearing Evaluation - Children Otoacoustic Emissions Practice Management and Professional Issues Pediatrics
Tone Burst ABR (TB-ABR)
November 18, 2002
I am looking for normative data regarding stimulus and recording parameters, and also, I'd like to get some idea as to reasonable values for the TB-ABRrecordings. Read More
Electrophysiology
Loudness of Movies in Theaters
November 18, 2002
Are there laws or public safety recommendations regarding acceptable noise volume in public movie theaters? Read More
Hearing Conservation and NIHL
Decreased Discrimination Following Trauma to the Head
November 11, 2002
I saw a patient who was hit by a baseball on the left temple three months ago. Since the injury she has noticed difficulty hearing in background noise. There was no loss of consciousness at the time o... Read More
Medical and Surgical Hearing Evaluation - Adults
Billing for Real Ear Measurements
November 4, 2002
What CPT code do you use for Real Ear Measurements? Read More
Practice Management and Professional Issues Hearing Aids - Adults