Dawn Heiman, AuD

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Nov 21, 2025

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2 min read

The Role of Audiologists in the OTC and Prescription Hearing Aid

Hearing Aids: Choosing the Right Path With Guidance From a Professional

Whether you're considering OTC options or prescription technology, hearing aids work best when paired with accurate testing, proper fit, and expert support. In this episode, our audiologists explain how to avoid the most common mistakes and choose solutions that match your unique needs.

Why a Quality Hearing Test Matters

A thorough diagnostic hearing test is the foundation for every treatment plan. As Dr. Emily Johnson shares, many people are surprised to learn that wax, ear canal shape, or incorrect equipment can lead to inaccurate results that affect the performance of their hearing aids. Unlike quick retail screenings, a calibrated sound booth and physical examination ensure your results are trustworthy.

OTC Hearing Aids vs. Prescription Options

OTC devices can be a great choice for individuals with mild to moderate hearing loss—when paired with a proper hearing evaluation. Dr. Heiman explains that many people buy devices without confirming wax removal, ear canal shape, or return policies, leading to frustration and wasted money.

Prescription hearing aids offer personalization, advanced features, and Real Ear Measurement (REM) to verify accuracy in your ear canals. Because ear canals differ drastically between individuals—and even between ears—REM ensures your devices perform at their best.

Why Fit and Customization Are Critical

Physical fit determines comfort, clarity, and feedback control. From domes to custom molds, small differences dramatically affect sound quality. OTC options rarely account for unique ear anatomy, which can limit performance. Prescription fittings allow your audiologist to choose the best dome style, fine-tune acoustics, and adjust technology based on your real-world experiences.

Holistic Audiology: More Than Just Fitting Devices

At Advanced Audiology Consultants, care doesn’t end after choosing hearing aids. Patients receive test drives, follow-ups, communication strategies, listening exercises, and ongoing support. This holistic model ensures both your ears and your brain adapt successfully—especially in challenging environments like noise or group conversations.

When to Ask for Professional Support

If you’ve purchased hearing aids and they aren’t working, or if your hearing aids are sitting in a drawer, it’s not your fault. The team encourages listeners to ask questions before buying online, comparing models, or investing in upgrades. Even basic devices can perform beautifully with expert fitting.

To see the video edition of this episode with closed captioning, please go to 👉 Hearing Wellness Journey Podcast: https://hearingwellnessjourney.com/podcast/

Dawn Heiman, AuD

Dr. Dawn Heiman is a licensed Illinois Audiologist. She is a Past President of the Academy of Doctors of Audiology (ADA). She is an Adjunct Professor in the Department of Communication Disorders and Sciences program within the College of Health Sciences at Rush University. Additionally, she is a member of the American Academy of Audiology (AAA) and the Illinois Academy of Audiology (ILAA).

Specializing in hearing aids, tinnitus, and central auditory processing disorders.

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