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Author: admin | 27.02.2016 | Category: Ear Drops For Tinnitus

Cyclocross started in Europe more than one hundred years ago when cyclist were looking for a way to stay fit in winter.
Cyclocross requires the power of a sprinter, the speed and endurance of a time trialist, the bike-handling skills of a mountain biker and the tactics of a road racer. It is not surprising that cyclocross has become the fastest growing part of the sport of cycling in the U.S. Events foster a festive atmosphere and encourage everyone to have fun while racing as hard as possible. Wayne’s World examines the unwritten history - people, events, and products - that shaped the hearing aid industry. During my years as VP of Marketing and Sales at a hearing aid manufacturer, I had many people ask me how to evaluate the worth of a hearing aid practice – either to sell or purchase. I scoured literature and recommendations from the business community, but their approaches mostly represented a generic textbook approach reminiscent of someone who had never purchased or sold a business, much less a hearing aid practice.  Most seemed to parrot what someone previously had written, mostly for large companies, and none captured the ins and outs of the hearing aid industry that could have a significant impact on the eventual value. I always assume (rightly or wrongly) that those one is talking with have their own ideas as to what they think a practice is worth, and I assume that they have some history on which to make this decision.  Still, something of value could be completely overlooked, and this is the purpose of these comments.
However, to complete any valuation, it is important to consider aspects of a hearing aid business that may not be readily apparent, even though they are intuitively known, or to consider different ways of evaluating what is overtly recognized. What I have done is to outline some thoughts one might consider in valuing a practice.  This information is by no means a step-by-step guide, but offers a list of issues to consider and questions to ask. Most privately or closely held practices seek to suppress profits, thereby suppressing taxes.  Therefore, the financial statements may not reflect their true earning power.
Business owners often reward themselves with salaries and other benefits substantially greater than would be paid to non-owner managers for performing the same functions.
Therefore, to arrive at an economic view of the business, have the accountant recast the financial statements to reflect, among other things, the removal of all direct and indirect owner-related expenses.  This should pare the financial data down to a reflection of the real numbers. What has been the practice of withholding cash receipts from the reported earnings records of the business?  Will this affect the financial records? Keep in mind that a change in ownership will most certainly affect the financial performance of the business–for better or worse. Experience suggests that some existing hearing aid practices may be of only nominal value.  An operation grossing between $200,000 and $225,000 per year probably has neither sufficient assets nor potential to justify any investment (valuation) over that which might be determined by an evaluation of the direct or physical assets. Value is also defined by sales and growth trends as shown by historical profit and loss statements. Value also lies in the future stability of the practice, both financially and competitively. Value exists where there is an opportunity not only for financial security but also for growth. Accounts receivable, while an asset, if highly-aged, cost money and may not be easily collectable.
Accounts payable, especially if high or past 90 days, raise questions about the stability and health of the practice.
In an established practice, as much as 60% of sales may be to existing customers, but this assumes that the practice has continued to generate new customers to replace the 25% or so lost per year. One of the best features to focus on in hearing aid sales is not overall sales figures, but units sold.  Check the trend for these over the past five years and also project what you think these might be in the future, taking into account the past, current, and projected business climate for hearing aid sales.
What is the hearing aid industry’s anticipated projections for the next 6 months, year, 5 years?
Here at The Hearing Blog, we like to publish First Person Reports from people describing how technology that supposedly looks good on paper isn’t all it’s cracked up to be, such as London flautist and blogress Deafinitely Girly who exposes a major flaw in non-linear frequency compression (NFC) in Hearing aid update: My flute and Paper Aeroplanes. After the glowing review of my hearing aids and my audiologist, it is unfortunate that I have to be so negative about the other component in question.
Bluetooth pairing with iPad — when I pair it with my iPad to watch a film, the quality is remarkable as I have noted earlier.

Changing programs — this is moderately useful, though I am able to change it directly on my hearing aids. When a Bluetooth device drops a connection, such as my iPhone or iPad doing so when not actively playing sounds, it switches to the Master program, and loudly announces it.
Further compounding the unacceptable state of affairs, it does not work well as a headset or headphones. The M-DEX barely works with the iPad and iPhone outside the context of a phone call — as I have mentioned before, it works as a hands-free profile, and a headphone profile. The microphone quality on the M-DEX is poor — I would have imagined that Widex with its state of the art research into microphone and signal quality, would be able to put some of this technology into the M-DEX. Effectively, the only way I can do phone calls with the M-DEX is as a handsfree headset for phone calls.
Also rage-inducing is the fact that this device only pairs with one bluetooth device at a time. It is obvious that the people who worked on the M-DEX have no understanding of people with hearing loss and their actual needs. That other devices would maintain a Bluetooth connection throughout the life of the session.
That the user would want the program to actively change when the Bluetooth connection drops. That the user would not care about his own voice quality with the shoddy microphone — sometimes, those of us that have hearing loss need every bit of clarity that can be transmitted to the other party, due to accents or inflections.
That they do not need to put thought or effort into the user interface of the device — the paths to some of the functionality are simplified to the point of being un-simple to use.
It is extremely unfortunate that with all the careful engineering and thought that Widex put into the hearing aid instruments, to see them fumble so severely with the M-DEX. Also, even though the M-Dex presents as an A2DP headset to the sending device, in fact (and unlike the TV-DEX) it only transmits a channel mixed monaural signal to the hearing aids. The USB jack only has two pins connected for charging, and is not capable of accepting any digital data.
However, severely deaf and power junkie users will gag at the downright fuggly power Receiver-In-The-Ear (RITE) assemblies, which are built even if the patient has a large canal: Starkey can get their AP70 RIC into a canal mold with the same receiver. Although somewhat quirky, and with a lack of programming granularity with everything tied to the Master program, the Widex Clear, Super and Dream hearing aids offer good performance, especially with music. It’s been brought to our attention from several of our readers that they were having their comments rejected by the Akismet plug-in for WordPress as spam. Shutting off the voice alerts defeats the whole premise of them; and not only are they the best quality out there, they are needed due to the byzantine program structure.
I cannot connect it to any computer for use with simple system sounds, but more importantly, with Skype, which is a major business phone app for me.
That said, I’m fine when on my iPhone, with only occasional complaints, mostly I assumed due to poor cell network performance.
So, a final comment and a question for fellow M-Dex users: The M-Dex is a piece of crap, and likely a known embarrassment to Widex, so they are using the “damage control” approach and just not acknowledging the poor quality or any clear path of resolution.
Question: will any other non-Widex Bluetooth device work as a microphone to pair with my hearing aids? Do you mean you were connected to your mobile phone via Bluetooth, or you had the T-coil in the M-Dex enabled? My recommendation is to go back to your hearing aid professional and call her while you are there, so she can hear the transmitted audio: It should be crystal clear. This First Person Report is quite astute, and in fact raises additional points that even we had not discovered with our own M-Dex and Clear 440 Fusions with high power RITE’s.
The M-DEX is a piece of shit — I am a software engineer and architect, and I have never seen such poor interface quality or assumptions about the listener.

So the cycle happens like this: The program on the iPhone or iPad plays, the bluetooth connection is brought up, a beep emanates from my hearing aids. The Widex engineers obviously did no testing or quality assurance outside of mobile phones. Which is unfortunate, as my mobile phone quality is far inferior to what I can get over VoIP which is important to me as a Deaf person. I am a software engineer, and I get a little confused as to how to get to certain functionality.
If I have it paired with my iPad and want to use it with my iPhone, I have to go through the whole pairing process. This is perhaps due to being an entirely different product and project than the hearing aids themselves which are wonderful.
The whole experience is basically like getting a flawless one-hundred yard pass for the touchdown, and then suddenly fumbling and going back thirty yards.
Although we can see the RITE earpiece being used for the Output Extender plumbing (which is negated anyway when the Sensogram is used… Duhhh), it being supplied for standard earpieces is dodgy at best. However, if you’ll be a heavy user of audio streaming, we recommend the ReSound Verso instead, as their Unite wireless accessories work much better, especially the Mini Mic and new Phone Clip Plus.
I’m curious if it is a defective M-Dex, or if it is reproducible with another unit in the same environment.
When you proceed to the checkout page, the Seller Discount will be automatically calculated. It does not work at all with my Mac laptop or my Mac desktop — when I attempt to play sounds through it, the M-DEX believes it to be a phone call for the duration of the sound effect and then disconnect.
Skype on my iPad and iPhone is a no-go due to this — I briefly get a connection and then it drops. If an user is using this device for other purposes, the user does not want to hear the loud announcement that the program has changed. Bluetooth is much more versatile than that, and they should have expected that an user would want to use this device with their computer or to watch films on a mobile device with. Unfortunately, we have to use something to screen for spam, as we were receiving over 100 spam comments per day at its’ peak.
Your audiologist will have to make these adjustments through the Widex Compass hearing aid fitting software. This causes the computer to no longer play sound effects through the Bluetooth connection, as it is disconnected. As any antenna engineer, or even Ham radio hobbyist will tell you, this is one hell of a feat to pull off in the 28 meter band, but somehow the Widex engineers accomplished this dubious feat. At present, we have to take a Dremel grinder to make this vital acoustic modification; however when this is done, the wax filter is lost. Most of the time, it does not even work — the computer tells me that there was a Bluetooth error. What this means is that the wearer must slide the M-Dex 6-8 inches up the lanyard, and then button the bottom of the lanyard into the shirt… Or safety-pin it for a pullover shirt.
I have two TV-Dex base stations, one for my living room TV and the other in my study connected to my PC to stream music (stereo) and to receive Skype calls.
This means that once it is buttoned or pinned into place for streaming, it has to be unpinned to lift it up to see the display and keys. Granted, some of this is due to the antenna design in the hearing aids themselves, as the instruments also communicate with each other; but nonetheless it is still a poor design… And one the TV-Dex does not suffer as badly from.

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