Audiological Services for Routine and Complex Hearing Concerns

A comprehensive audiological assessment helps identify the type and degree of hearing difficulty, determine which part of the auditory system may be involved, and guide appropriate treatment, monitoring, or medical referral.

Hearing and Listening Concerns — Age 4+

A comprehensive assessment can help identify the nature of the hearing or listening concern and guide personalized treatment, rehabilitation, monitoring, or referral.

For children and adults experiencing:

✓ Difficulty hearing or understanding conversations
✓ Frequent requests for repetition
✓ Trouble understanding speech in background noise
✓ Speech that sounds unclear or muffled
✓ Increased television or telephone volume
✓ Listening fatigue or withdrawal from conversations
✓ Tinnitus or unexplained changes in hearing
✓ Hearing difficulties despite a normal or near-normal basic hearing test

Audiological and Hearing-Device Second Opinions

Genia Kanne-Shmigol, Doctor of Audiology, audiologist, is using Verifit 2 for optimal Real-Ear-Measurement (REM) and hearing device verification

For patients who would like an independent review of their hearing assessment, diagnosis, treatment recommendations, hearing-device quote, or current hearing devices.

✓ Review of previous audiological assessments, reports, and recommendations
✓ Independent interpretation of hearing-test results
✓ Review of hearing-device recommendations, technology options, and quotes
✓ Evaluation of current hearing-device fit, comfort, programming, and performance
✓ Real-ear measurement and verification performed with Verifit 2, the latest audiological equipment, followed by individualized hearing-device programming and fine-tuning for optimal performance.
✓ Recommendations regarding further assessment, adjustment, repair, or replacement

Tinnitus and Sound-Tolerance Concerns — Age 4+

A comprehensive assessment can help identify factors contributing to tinnitus or sound sensitivity and guide personalized management, treatment recommendations, and referrals when appropriate.

For children and adults experiencing:

✓ Ringing, buzzing, pulsing, humming, or other sounds in the ears
✓ Tinnitus that is constant, intermittent, or difficult to ignore
✓ Discomfort or pain from everyday sounds
✓ Increased sensitivity to noise
✓ Strong emotional reactions to specific sounds
✓ Difficulty sleeping, concentrating, or relaxing because of tinnitus
✓ Avoidance of certain environments because of sound sensitivity
✓ Tinnitus associated with hearing changes, dizziness, or ear pressure

Custom Earmolds and Earplugs

Custom-fit earmolds and earplugs are available for children and adults who require improved comfort, hearing protection, or sound control. Each product is made from a precise impression of the ear to provide a secure, comfortable, and optimal fit.

✓ Swimming and water protection
✓ Music and concert use
✓ Sleep and noise reduction
✓ Workplace hearing protection
✓ Recreational activities
✓ Hearing-device earmolds
✓ Other specialized listening or protection needs

Dizziness and Balance Concerns — Age 4+

Auditory Processing and Neurological Listening Concerns — Age 7+

A comprehensive assessment can help identify how the auditory system processes spoken information and whether hearing, attention, memory, or neurological factors may be contributing to the concern. Based on the findings, personalized recommendations, accommodations, rehabilitation strategies, and referrals to other healthcare professionals may be provided. Common concerns may include:

✓ Difficulty following verbal instructions
✓ Trouble processing or remembering spoken information
✓ Difficulty concentrating during conversations
✓ Confusing similar-sounding words
✓ Feeling overwhelmed in classrooms, meetings, or busy environments
✓ Sound sensitivity or discomfort
✓ Tinnitus or listening fatigue following a concussion or head injury
✓ Persistent listening difficulties despite normal hearing results

Ear, Middle-Ear and Earwax Concerns — All Ages

A comprehensive assessment can help identify outer- or middle-ear concerns, earwax buildup, abnormal middle-ear pressure, and other factors affecting hearing, comfort, or hearing-device performance. Personalized recommendations, treatment, monitoring, or medical referrals may be provided based on the findings.

For individuals experiencing:

✓ Blocked or plugged ears
✓ Ear pressure, fullness, discomfort, or itching
✓ Frequent popping, crackling, or difficulty equalizing ear pressure
✓ Symptoms during flights, diving, elevation changes, colds, or allergies
✓ Recurrent ear infections or suspected middle-ear fluid
✓ Muffled or fluctuating hearing
✓ Visible or suspected earwax buildup
✓ Hearing-device feedback or reduced performance
✓ Unclear or inconsistent previous hearing-test results

Sudden or Unexplained Hearing Changes — Age 4+

Prompt assessment can help document the change, identify possible contributing factors, and support timely treatment and medical referral when needed.

Prompt assessment is recommended for:

✓ Sudden hearing loss in one or both ears
✓ A new one-sided change in hearing
✓ Sudden tinnitus
✓ Sudden ear pressure or fullness
✓ Distorted or unusual sound quality
✓ Hearing changes following illness, injury, or medication use

A comprehensive assessment can help identify whether hearing or inner-ear factors may be contributing to dizziness or balance difficulties and guide appropriate recommendations, rehabilitation, or medical referral.

For children and adults experiencing:

✓ Dizziness or vertigo
✓ Unsteadiness or balance difficulties
✓ Frequent falls or near-falls
✓ A sensation of spinning, rocking, or floating
✓ Symptoms triggered by movement or changes in position
✓ Dizziness associated with tinnitus or changes in hearing
✓ Difficulty walking confidently in the dark or on uneven surfaces
✓ Unexplained imbalance despite otherwise normal hearing results

Reports, Referrals and Community Services

We support coordinated care by providing appropriate referrals, professional reports, and community-based audiology services.

✓ Referrals to family physician, otolaryngologist—Ear, Nose and Throat specialist—neurologist, pediatrician, psychologist, or another healthcare provider. When appropriate and with the patient’s consent, relevant audiological findings and reports may be shared to support coordinated care.
✓ Corporate hearing testing and workplace hearing-screening days
✓ Home and retirement-residence visits for adults aged 65 and over, when available

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