The Hearing Matters Podcast: Hearing Aids, Hearing Technology and Tinnitus Real ear measurements (REM) and best practices
If you’ve ever wondered why two “good” hearing aid fittings can feel wildly different to a patient, the answer usually isn’t the device, it’s the process. I’m joined by Madison Levine, BC-HIS and owner of Levine Hearing in Charlotte, and Dr. Dave Fabry, Chief Hearing Health Officer at Starkey, for a practical conversation about best practices in hearing health care that actually improve patient outcomes.
We get specific about what belongs in a modern best-practice toolkit: strong case history and counseling, real ear measurement (REM) for verification, and speech-in-noise testing (like QuickSIN) that matches how people struggle in the real world. Dave explains his REM goals (smooth real ear aided response, three input levels, MPO sweeps, LDL/UCL) and why “hitting target” is a starting line, not the finish. Madison shares how her clinic bakes verification and outcome measures into the workflow without slowing the day down, and how data logging turns follow-ups into smarter, calmer conversations.
We also dig into innovation, including how immersive sound simulation with systems like Inventis Symphonia can help demonstrate noise features, personalize settings, and validate a patient’s experience. Along the way we touch on the ear-brain connection, motivation for first-time users, and what to implement tomorrow if you can only change one thing.
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