This patient referred to you needs an ear impression that is deep enough to reach the second curve in the ear canal. It is preferred that silicone material be used to make the impression.

This impression will be used for an in-the-canal (ITC) or completely-in-the-canal (CIC) digital aid. However, the impression will actually be used to build an ITC or CIC auditory feedback device programmable for delayed auditory feedback and frequency altered feedback. These conditions have reportedly been found to enhance fluency in the speech of people who stutter.

The patient needs to decide which ear they prefer to wear the device in. Factors that need to be considered in helping them determine this include:

• Dexterity in putting aid in and out of the ear
  
• Hand with which one uses the phone and the need for writing while on the phone (we highly recommend that the SpeechEasy be worn in the ear opposite the one a person holds the telephone to unless there is a problem with dexterity in putting the aid in.
  
• Hearing loss if found

The patient also needs a pure tone air and bone audiogram.

Please give the patient the ear impression, audiogram at the time of their appointment.

If you have any questions, contact

Cindy Herold, M.A., CCC-SLP
813-254-3053, Cell: 813-731-8332 473
Marmora Ave., Tampa, Fl., 33606-3821
communicationcorrection@yahoo.com

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