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Real-ear measurement (REM) is a diagnostic test used in audiology to verify the performance of a hearing aid in a person's ear. It involves using a probe microphone to measure the sound level inside the ear canal while the hearing aid is in use.The purpose of REM is to:Ensure proper fitting: Verify that the hearing aid is fitting securely and comfortably in the ear canal.Check amplification levels: Measure the amount of amplification provided by the hearing aid to ensure it is delivering the correct sound levels.Identify any issues: Detect any problems with the hearing aid, such as feedback or distortion.Fine-tune adjustments: Make adjustments to the hearing aid's settings to optimize performance.The REM test is typically performed by an audiologist. A small probe microphone is inserted into the ear canal, and the patient is asked to listen to various sounds while the hearing aid is in use. The audiologist measures the sound levels inside the ear canal and compares them to the target levels.REM is an important part of the hearing aid fitting process. It helps ensure that the hearing aid is providing the best possible hearing experience and that any necessary adjustments can be made to optimize performance.

3-4 Gautam Ashish Building, Ground Floor, V M Road, Near Mithibai College, Junction of S V Road Vile Parle West Mumbai 400056

Tinnitus is a condition characterized by a ringing, buzzing, or other sounds in the ears, even when there is no external sound present. While there is no cure for tinnitus, it can be managed effectively through various strategies.Here are some common tinnitus management techniques:Hearing aids: For people with hearing loss, hearing aids can help mask the tinnitus by providing external sounds.Sound therapy: Listening to specific sounds, such as nature sounds or white noise, can help distract the brain from the tinnitus.Cognitive-behavioral therapy (CBT): CBT can help individuals manage the emotional and psychological impact of tinnitus by changing negative thought patterns and behaviors.Tinnitus retraining therapy (TRT): TRT is a specialized type of therapy that aims to help the brain adapt to the sound of tinnitus.Medication: In some cases, medications may be prescribed to help manage tinnitus-related symptoms, such as anxiety or depression.Lifestyle changes can also help manage tinnitus:Stress management: Techniques such as relaxation exercises, meditation, or yoga can help reduce stress, which can exacerbate tinnitus symptoms.Healthy diet: A balanced diet can help improve overall health and may also help manage tinnitus.Avoid irritants: Certain substances, such as caffeine, alcohol, and nicotine, can worsen tinnitus symptoms.Adequate sleep: Getting enough sleep is important for overall health and can help manage tinnitus.

3-4 Gautam Ashish Building, Ground Floor, V M Road, Near Mithibai College, Junction of S V Road Vile Parle West Mumbai 400056

VNG (Video Nystagmography) balance testing in the context of hearing aids involves assessing the vestibular system and balance function, particularly for individuals with hearing issues. Here’s an overview of how this testing is typically conducted and its relevance:Purpose of VNG in Hearing Aid EvaluationAssessing Balance Function: VNG testing helps evaluate the vestibular system's role in maintaining balance, which can be affected by hearing loss or auditory issues.Identifying Underlying Conditions: It can help identify vestibular disorders that may contribute to balance problems, which might influence hearing aid selection or fitting.Comprehensive Assessment: Integrating VNG results with audiometric data provides a more complete picture of a patient’s auditory and vestibular health.VNG Testing ProcedureCalibration: The patient is fitted with special goggles that track eye movements while they perform specific tasks.Test Types:Oculomotor Testing: Evaluates the ability to move eyes smoothly and accurately.Vestibular Testing: Assesses the responses of the vestibular system to stimuli, including caloric testing or positional testing.Observation: Eye movements are recorded and analyzed to detect abnormalities that might indicate vestibular dysfunction.Implications for Hearing AidsFitting and Adjustment: Understanding a patient's vestibular status can inform the fitting of hearing aids, especially in patients with balance issues.Patient Education: Educating patients about the relationship between hearing loss and balance can help them manage expectations and improve adherence to hearing aid use.Rehabilitation Strategies: Results may lead to recommendations for vestibular rehabilitation, which can complement the use of hearing aids.ConclusionIncorporating VNG balance testing into the evaluation process for hearing aids ensures a holistic approach to patient care, addressing both auditory and balance concerns.

3-4 Gautam Ashish Building, Ground Floor, V M Road, Near Mithibai College, Junction of S V Road Vile Parle West Mumbai 400056

Meet Our Doctor

Devangi Dalal

Devangi Dalal

Audiology and Speech Language Pathology

Phone +91-9820002934

Devangi Dalal, an Audiologist and Speech Language Pathologist is a co-founder of the JOSH foundation with over 33+ years of experience. Acknowledged as the First Indian Audiologist to be awarded with Humanitarian Award from the American Academy of Audiology (AAA) in 2012, in Boston, Massachusetts (USA). Appointed as the First Advocate for Hearing Health from India, by Coalition for Global Hearing Health (CGHH), working with WHO to promote public awareness of hearing health. Was appointed as National Coordinator for Private Practitioners of India, by ISHA (Indian Speech-Language and Hearing Association). The first Indian Audiologist to present a Learning Module “A Road map to Independence for Children with Hearing Impairment in Developing Countries,” at Audiology conference, organized by the American Academy of Audiology in Nov’2016 at Phoenix, Arizona, USA. Acted as Executive Member of the Indian Speech & Hearing Association in 1992-93. Specially appointed as a medical consultant for Mr. Pratap Sharma and Mr. Harish Bhimani, some of the leading professionals whose voices and speeches are used by the film, TV, and advertising world. Founding partner of Speech N Sound Concepts clinic, which was named “Best Pediatric Hearing Aid Center,” in India for many years. She was the technical director for the Marathi (Indian Regional Language) TV serial – “Aasa Ka Gadhla?” on Star Maaza TV channel As an International Member, contributed in Public Awareness for the Outreach Committee of the American Academy of Audiology. Appointed as the sole Audiologist from India, for Coalition Global Hearing Health (CGHH) that works with World Health Organization (WHO), for planning, hearing, and health advocacy for all the countries, from Oct’ 2020 to Oct’ 2022. Presented a scientific paper on “Middle Ear Problems in the Management of Hearing Impaired Children,” at the National Conference organized by Indian Speech-Language and Hearing Association (ISHA), in Patna, India. Presented a poster on “Customized Rehabilitation – A Key to Success in Management of Hearing Impaired Children” at the Pediatric Audiology Conference organized by Widex in Ottawa, Canada, in the year 2006. Presented a poster on “Keys to Successful Management of Hearing Impaired Children in India” at Pediatric Audiology Conference by Widex in Amsterdam, Netherlands, in the year 2008. Authored books for the hearing-impaired, named, “Chalo Badhirone Sambhalta Kariye” in Gujarati & “Kuch Suna Aapne” in Hindi (Indian Regional Languages). To spread positivity during the Covid-19 global pandemic, she started writing blogs in English and Gujarati languages. Her unique concepts of connecting topics to every individual’s personal life through nature’s teaching have made the blogs go instantly popular. During the same time, she also authored a book titled “Spreading Positivity.” Honored for her work towards the upliftment of hearing-impaired children by Smita Thackeray’s Mukkti foundation at an event dedicated to the Women of Substance, on 8th March, 2020, on the occasion of International Women’s Day. Received the International Women Excellence Empowerment Achiever’s Award (WEE) in 2020, at women’s exclusive event which commits to highlighting and uplifting the female talents. Was conferred with a Certificate by the International Chamber of Media & Entertainment Industry (ICMEI), an online initiative that felicitates people who did excellence in the fields of social service & human empowerment.” She was awarded with the Women Influencer Award in 2019, by Women Entrepreneurs Enclave for “Empowering & Inspiring Women.” She was felicitated as ‘Unsung Heroes of India’ – Ek Prayas by the distinguished owner of MDH (Mahashian Di Hatti Private Limited) Mahashay Dharampal Gulati in 2019. Honoured with the most influential Women Entrepreneur & Budding Author of India by G – Town Society Magazine, in 2021 at Goa, India. Awarded with India’s top 50 most influential personalities by G – Town Society Magazine in January 2021. Presented paper on the topic ‘Noise’ in relation to hearing health at the virtual conference held by Coalition for Global Hearing Health (CGHH). Was Awarded with Women Achievers Award by the Inner Wheel Club of Bombay Airport in the year 2021. She was honored by the CMS Foundation for her exceptional contributions in the fields of Humanity and Audiology in the year 2023. MY JOURNEY Devangi Dalal is widely known for being the first Indian Audiologist to win the “Humanitarian Award” by the American Academy of Audiology (AAA) in 2012 in Boston, Massachusetts (USA). Having over 31+ years of experience, she specializes in Audiology & Speech Language Pathology, assessing kids and adults with changing hearing, speech, voice, and neurological disorders. And Charting out rehabilitation programs to boost or develop their performance at home and in the community. Her inclination towards working for the needs of the hearing impaired also led her to become the Co-founder of JOSH FOUNDATION with the renowned ENT Surgeon Dr. Jayant Gandhi. Their aim has always been to enhance and empower hearing-impaired kids. She has played a vital role in collecting funds and providing the right platform to kids through events. Regular lectures conducted by Devangi for various organizations in Mumbai shed light on the alertness regarding speech, hearing and listening issues in kids and adults. Her associations with various social NGOs serving to humanity are her biggest inspiration sector where she finds a way to extend her knowledge and assistance. Devangi has authored books in Hindi and Gujarati (Indian Regional Languages) to educate and bring attention to the problems and the derived solutions for the hearing impaired. She’s also donned the director’s hat by directing a 17-minute telefilm to create awareness on Hearing impairment.

3-4 Gautam Ashish Building, Ground Floor, V M Road, Near Mithibai College, Junction of S V Road Vile Parle West Mumbai 400056

Testimonials

Devangiben is the personification of positivity". There are very few occasions when one wants to use adjectives extensively. This testimonial is among those. Whenever I think of writing or talking about Mrs. Devangi Dalal's work, I feel like using the choicest adjectives and say nothing else. This is because her career has been full of superlative work. Devangiben is an embodiment of confidence, dedication, perseverance, faith and compassion. Each of her activities is a fine blend of all th

Devangiben is the personification of positivity

I have been under Ms. Devangi since Oct 2002. Right from the 1st day when I was checked by her till today, I can vouch for her dedication, patience and sincerity in her care and kindness, to make people confident, even with their hearing disability. I had been to other audiologist and doctor too but none had the dedication, patience like Ms. Devangi. I remember how confident I felt after getting my 1" hearing aid from her and how much time she took to program the aid to suit me. My seniors

Thanks Ms. Devangi for your assistance

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The Inspiring Journey of Devangi Dalal: A Renowned...

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