Roy Calloway · visit 10/28/2026 · audiogram 10/28/2026
Speech understanding
The shaded shape is the speech sounds; what sits above Roy’s lines is what he misses. His Speech understanding — the share of speech he can hear — is in the header. Switch to Normal hearing or an Example loss to compare.
From Noah · 10/28/2026
Auto-uploaded from the Titan printout · 10/28/2026
Shaded band: 5th–95th percentile normal range, Ramos, Kristensen & Beck, Hearing Review 2013;20(11):30-33, Table 3 (N=39; 65/55 dB SPL, f2/f1 1.22).
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4c2e9a71 · Edit patient
3/14/1952 · 74 yrs · Seabrook
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Audiogram 10/5/2024 — last test
Audiogram 10/28/2026 (previous test dashed)
Diagnostics
Last audiogram 10/5/2024 · mild high-frequency sensorineural loss both ears · tympanometry Type A both ears.
WRS R 92% · L 88% · SRT 20 / 20 dB HL.
Today: audiological assessment, booked from Dr. Whitfield's referral. Reports hearing worse in noise since the last test; constant tinnitus both ears.
Audiogram 10/28/2026 · 20–30 dB poorer than 10/5/2024 at 2 kHz and above, sensorineural · tympanometry Type A both ears.
DPOAE present through 1.5 kHz, absent 2–6 kHz · WRS R 76% · L 72% · SRT 30 / 30 dB HL.
Report due — written the moment Noah handed the results back.
Report signed and sent 10/28/2026 · fax delivered, 4 pages.
Calloway , RoyBorn 3/14/1952
Latest Audiogram
10/8/2026 : Maestro
Sessions
Devices
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✓ Signed 10/28/2026 · Dana Whitcomb, BC-HIS · Faxed to Dr. Whitfield · 4 pages · delivered
Results revealed a progression of the bilateral high-frequency sensorineural hearing loss since 10/5/2024, now moderate to severe above 2 kHz.
Air conduction transducer: insert earphones · Reliability: good
| Ear | Type | Peak pressure (daPa) | Compliance (mL) | ECV (mL) |
|---|---|---|---|---|
| Right | A | -15 | 0.74 | 1.10 |
| Left | A | -5 | 0.68 | 1.20 |
The patient has a known bilateral sensorineural hearing loss, last tested here on 10/5/2024, and reports hearing worse since, most in noise, with constant tinnitus in both ears.
Results revealed a progression of the bilateral high-frequency sensorineural hearing loss since 10/5/2024, with reduced word recognition and constant bilateral tinnitus. The loss is cochlear in origin; nothing today suggests a medical or surgical condition.
Red = right ear, blue = left ear
AC transducer: Insert earphones
BC vibrator: Bone vibrator
Method: Standard audiometry
Reliability: Good
Source: NOAH
Audiometer, SN 20418 · calibrated 3/17/2026 (ANSI S3.6-2018)
Next due 3/17/2027 · certificate on file
Shaded box = type A.
| Right | Measure | Left |
|---|---|---|
| 1.1 | Ear canal volume (mL) | 1.2 |
| -15 | Tympanometric peak pressure (daPa) | -5 |
| 0.74 | Static compliance (mL) | 0.68 |
| 95 | Gradient (daPa) | 105 |
| A | Tympanogram type | A |
Middle ear analyzer, SN 61127 · calibrated 3/17/2026 (ANSI S3.39)
Next due 3/17/2027 · certificate on file
12 frequencies · L1/L2 65/55 dB SPL · f2:f1 1.22 · present criterion SNR ≥ 6 dB
Check = equipment-detected response. Filled marker = response detected; open marker = not detected. Dashed gray line = noise floor.
| Right ear | Left ear | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| F2 (Hz) | DP | Noise | SNR | Rel % | Det | DP | Noise | SNR | Rel % | Det | |
| 500 | 6.2 | -4.1 | 10.3 | 99.2 | yes | 5.1 | -5.2 | 10.3 | 99.0 | yes | |
| 1000 | 8.4 | -7.9 | 16.3 | 99.8 | yes | 6.3 | -8.3 | 14.6 | 99.6 | yes | |
| 1500 | 2.3 | -9.2 | 11.5 | 99.1 | yes | 1.1 | -9.1 | 10.2 | 98.9 | yes | |
| 2000 | -9.3 | -11.4 | 2.1 | 72.6 | no | -10.1 | -12.0 | 1.9 | 70.2 | no | |
| 3000 | -12.8 | -13.9 | 1.1 | 61.3 | no | -14.0 | -13.8 | -0.2 | 49.5 | no | |
| 4000 | -15.2 | -15.0 | -0.2 | 50.4 | no | -16.2 | -16.0 | -0.2 | 50.8 | no | |
| 5000 | -16.4 | -17.2 | 0.8 | 58.9 | no | -16.9 | -17.3 | 0.4 | 55.1 | no | |
| 6000 | -17.1 | -16.8 | -0.3 | 49.7 | no | -18.1 | -17.9 | -0.2 | 48.3 | no | |
| 7000 | -16.3 | -17.5 | 1.2 | 57.2 | no | -17.6 | -17.2 | -0.4 | 47.9 | no | |
| 8000 | -18.2 | -18.4 | 0.2 | 51.0 | no | -19.2 | -19.0 | -0.2 | 50.2 | no | |
| 9000 | -19.0 | -18.8 | -0.2 | 48.6 | no | -18.9 | -19.4 | 0.5 | 54.4 | no | |
| 10000 | -20.3 | -19.6 | -0.7 | 44.9 | no | -20.1 | -19.8 | -0.3 | 46.0 | no | |
Interpretation: Distortion Product OtoAcoustic Emissions (DPOAE) - Right ear: present through 1.5 kHz, absent above. Left ear: present through 1.5 kHz, absent above. Consistent with the audiogram.
OAE system, SN 61127 · calibrated 3/17/2026 (IEC 60645-6)
Next due 3/17/2027 · certificate on file
Welcome, Dana
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| Ear | Style | Serial | Receiver · coupling | Warranty through |
|---|---|---|---|---|
| Right | RIC, rechargeable | 2411-0932 | medium · closed dome | 10/14/2029 |
| Left | RIC, rechargeable | 2411-0931 | medium · closed dome | 10/14/2029 |
Both devices were programmed to NAL-NL2 prescriptive targets from the audiogram of 10/1/2026 (mild to moderate sloping sensorineural hearing loss bilaterally; SRT 35 and 40 dB HL). Programs: automatic, restaurant, and a television program streamed from the accessory. Feedback management and frequency lowering were set and verified.
Interpretation: The hearing aids are providing audibility to prescription across the speech range, and aided word recognition improved by 20 points in each ear with a 5 dB improvement in signal-to-noise ratio loss. The fitting is verified and appropriate.
| Hz | 250 | 500 | 1000 | 2000 | 3000 | 4000 | 6000 |
|---|---|---|---|---|---|---|---|
| Right · target | 58 | 63 | 72 | 79 | 80 | 78 | 72 |
| Right · measured | 57 | 62 | 73 | 80 | 79 | 77 | 70 |
| Left · target | 58 | 64 | 73 | 80 | 82 | 80 | 74 |
| Left · measured | 57 | 63 | 74 | 81 | 81 | 78 | 72 |
Interpretation: Aided output meets NAL-NL2 targets within ±5 dB from 500 to 4000 Hz at 55, 65 and 75 dB SPL in both ears; maximum output is below loudness discomfort levels. The fitting is verified to prescription.
Real-ear measurement system, SN 48213 · calibrated 4/8/2026 (ANSI S3.46)
Next due 4/8/2027 · certificate on file
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