Before we begin looking at the different types of hearing instruments currently available it is important to mention some of the things they can and cant do.
There are lots of marketing campaigns out there from manufacturers and national chains that are saying all the right things they know what someone with a hearing loss wants to hear them say, so they say it.
But how true-to-life are their claims? Lets investigate.

- Fit completely inside the ear canal practically invisibly.
- Automatically turn loud sounds down and quiet sounds up.
- Make conversation easier and more natural by enhancing speech and reducing background noise, e.g crowds or traffic.
- Use a discreet remote control to select different listening programmes for different listening situations such as listening to music.
- Detect which way you are facing so it enhances the sound you are looking at.
- Cancel out feedback.
Todays instruments ARE very sophisticated and can do more than ever before to help their wearer to hear better.

Marketing campaigns don't tell you everything, and it's important to be realistic. Lets take as our example the hearing instrument that can fit completely inside your ear (often called a CIC, i.e. a Completely-In-Canal). This is completely true, and they are extremely good at what they do because they use the natural shape of your ears to enhance sounds.
But they're not suitable for everyone:
- If your ear canal is too small or bendy, it simply wont fit!
- If your hearing loss is quite bad they're too small to give you the power you need.
- The smaller electronics in them make them more expensive
- They usually need more maintenance because they sit in the ear canal where wax, body heat and moisture can stop them from working.
The lesson here is that marketing campaigns dont tell you everything they only tell you the bits you want to hear even though the bits they tell you may be true.
Unfortuanately many people are blinkered by these clever campaigns. They see the advertisements for a CIC and decide that they want CIC or nothing, not realising that it may not be suitable for them. If they're not careful, they could end up spending a lot of money on something that no-one can see but doesnt help them to hear any better!

The other side-effect of all these marketing campaigns is that peoples expectations begin to outgrow the technology! This is not a fault of the technology, but because of how our ears work:
Remember this:
With a permanent hearing loss, parts of your hearing has been irreversibly damaged. A hearing instrument can aid the damaged ear to hear again but it cant repair the damage.
So before you invest in a hearing instrument, here are some things to bear in mind:
- A hearing instrument will help you take part in things because you'll be able to hear what's going on.
- Things will probably sound a bit different at first to how you remembered them, but your brain is extremely clever and will soon get used to what it's hearing.
- Your new hearing instrument will take time to get used to. Research by scientists has shown that people who regularly wear their hearing instruments benefit far more than someone who only wears it occasionally. That's because the more they are worn, the easier it is for our brain to learn how to use the 'new' sounds.
Next subject: Choosing a style of hearing instrument to suit you