1. State all the BOLD contents

I have done the pre-delivery inspection, listening checks and adjustments of control. Before I do the delivery and fitting, I sanitize my hands and instruments. I also ask the patient if anything has changed with their hearing since I saw them last time. During delivery, I go over many points in detail with my patients.

2. PRETEND TO DO the delivery and fitting of the hearing aid ON THE MODEL EAR and describe the condition. YOU MUST TALK TO THE MODEL EAR AS A PERSON. IF YOU DO NOT TALK TO THE MODEL EAR, YOU WILL FAIL.

Now, I would like to summarize the delivery and fitting procedure in 8 steps.

No 1: Oto-inspection: The Pinna and canals are inspected before delivery of the hearing aids.

No 2: Expectation: I will guide the patient through what to expect and what to not expect from the hearing aids.

Mr. A, you will wear a new hearing aid. It will help you hear better in most of your listening situations, but not recovering your original hearing ability.

No 3: Family: I will encourage the family to participate in the hearing aid fitting.

Mrs. A, you may help and encourage him to wear the hearing aids: show him how to change battery, clean the hearing aid, discuss the progress of hearing, and assist in other related ways. The support of family members is important to improve his hearing.

No 4: Fitting Introduction

1. Mr. A, I would like to show you the entire hearing aid. This is ITE, In The Ear hearing aid (BTE.) This is the battery compartment. This is the microphone. This is receiver. This is volume control. This is the MTO switch.  This is the vent. This hearing aid is made of acrylic/Lucite material.

3. Insert ITE or BTE into THE MODEL EAR.

2. This is ITE. You can distinguish the right or left ITE by observing it. Hold the ITE and face the concha side to you. If the helix is located on the right, it is the right side ITE. If the helix is located on the left, it is the left side ITE. In this case, the helix is located on the right (left), so this ITE is right (left) side ITE.

(This is the ear mold for BTE. You can distinguish the right or left ear mold by observing the ear mold. Hold the ear mold and face the concha side to you. If you see the helix is located no the right, it is the right side ear mold. If the helix is located on the left side, it is the left side ear mold.)

3. Mr. A, insert the ITE like this. First, hold the ITE on the outer side. Softly push it into the canal. Make sure it is securely in place and fits comfortably. Rotate it into the helix. Remove the ITE by doing these steps in reverse.

(BTE: Mr. Lee, you insert the ear mold like this. First, hold your ear mold on the outer side, and softly push into the canal to make sure it is securely in place and fits comfortably and rotate into helix. When you take it out, you do opposite way you insert the ear mold.)

4. To open the battery door, pull the small lid. Insert a battery negative side first, which is the small head side. The positive side is always the large head side. Also you can take it out by pushing up from the bottom. Only use fresh batteries of the same size. Do not leave a dead battery in the hearing aid. Store batteries in a cool and dry place. Do not swallow batteries. Wipe off the battery if it is exposed to moisture. The battery is toxic, so it should stay away from any children.  Do not throw batteries in fire.

5. This is the MTO switch. This M stands for a normal Microphone position. T is used for telephone conversations. O turns the hearing aid off.

6. This is the volume control. Increase and decrease the intensity of the sound. Turn on the volume control to the most comfortable listening level. We will also use a real ear machine to verify if the fitting adjustments are correct.

No 5: Cleaning

Mr. A, I encourage you to clean your hearing aid daily with a soft cloth to the tubing, receiver, vent, microphone.  Do not use any liquids on working hearing aids. Remove any wax in the hearing aid using a wax pick and brush. Turn the hearing aid upside down and gently clean it with the wax brush. At night, open the battery door to dehumidify the hearing aid. Do you have any questions regarding cleaning the hearing aid?

No 6: Wearing

Mr. A, I want you to wear your hearing aid as much as you feel comfortable with and to extend the length of the wearing time. You may start wearing the hearing aid daily for four hours.  Increase usage over time. However, if you feel any pain or soreness, please do not wear the hearing aid and promptly inform us so we may see you next day.

(BTE: Also you will hear feedback or whistling sound if the ear mold tubing is plugged with wax or other foreign matter.)

No 7: Warranty

Mr. A, if you do not like the quality of the hearing aid, we can give you a full money back return in 30 days, or we can exchange it for another hearing aid pursuant to your needs. This receipt lists the model number, serial number, business address, phone number, and my name. Also, this is the warranty document and instruction book. Read through this carefully.  If you have any questions, please feel free to give me a call anytime. Do you have any questions?

No 8: Revisiting: We will have follow-up visits to monitor your progress.

Mr. A, I like to see you in one week to check that everything is fine.  See me every 3 months for routine cleaning. If you feel any pain or discomfort, please promptly inform us so we may see you next day.

Thank you.