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Where can I buy a hearing aid?: "Dispensers"-merchants or audiologists-sell hearing aids. Ask friends or family for referrals. You also can check out prospective dispensers with your local Better Business Bureau, consumer protection agency, or state Attorney General. Your state or local consumer protection office may have records of complaints against dispensers or physicians, and can tell you how they responded to the complaints. Consumer protection officials also can tell you whether dispensers or audiologists must be licensed or certified by the state.

A hearing aid makes sounds louder so that you are able to hear them. It is battery-operated and you usually put it in or around your ear. Hearing aids are available in different shapes, sizes and types. However, all hearing aids work in a similar way. Very simply, they all have a built-in microphone that picks up sound. This sound is then processed electronically, either by analogue circuits, or digitally.

In the early 1900s, electrical instruments replaced mechanical hearing aids. The first truly wearable electrical hearing aid was manufactured in the 1930s; in the 1950s, transistors were introduced into hearing aids. Since the 1950s, hearing aids have become smaller, and battery cost has lessened. In the 1990s, programmable digital hearing aids were developed, which allow for clearer sound quality and precise fitting paradigms.

Consumers report they want hearing aids to provide more benefit in noisy situations, have better sound quality and produce less feedback (Kochkin, 2002). Many of these problems occur due to limitations associated with hearing aid microphones. The microphone for ear-level hearing aids has a relatively small "effective area" within which it works maximally. The effective area is dictated by microphone size and location and can be thought of as the ideal area between the talker and listener. When the hearing aid user is listening to talkers located beyond this effective area, the strength of the signal of interest (the talker's voice) diminishes rapidly as the distance increases, making it difficult to hear.

Hearing aids are available in many different types, or categories. Programmable hearing aids offer different (often customizable for the individual's audiogram) programs for different listening situations such as the office/home or a noisy rock concert. Most hearing aid manufacturers offer programmable and non-programmable Behind-the-Ear aids (BTEs), and cosmetically appealing In-the-Canal (ITCs), In-the-Ear (ITEs), and Completely-in-the-Canal (CICs). Different shell styles (e.g., full, low profile, half, soft, hard) are also available.

There are typically three contributions that hearing aids can provide the user. The first is to amplify normal conversational speech to levels that are maximally understandable, which leads to improved communication. The second is to allow the patient to hear other environmental sounds, such as warning signals and music. The third contribution is to promote education and development. Hearing aid use in the hearing impaired child may allow the development of normal language and speech skills.

The latest technology in hearing aids is the digital aid. In the past, electronic aids have all used analog circuitry, where the sound is transformed into an electrical signal and then further modified. There are natural limitations in the amplifier's ability to amplify the signal without exceeding power limitations or introducing distortion. In digital technology, the electrical waveform is converted into a digital code of a series of ones and zeros.

Before selecting and purchasing a hearing aid it is important to remember that a hearing aid does not restore your hearing. Hearing aids help make soft sounds louder. According to the Better Hearing Institute, "Modern hearing aids can help 95 percent of persons with hearing loss." There are no "one size fits all" type of hearing aids. Every hearing loss is individual and different. The type and style of hearing aid that will be best for you depends on the nature and level of your hearing loss.

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