Pacific Northwest Audiology LLC

516 S.W. 13th Street

Suite 102
Audiologic Report Bend, Oregon 97702
Phone: (541) 678-5698
Fax: (541) 306-4551

Patient Name: William D Korotky Audiologist: Ha-Sheng Li-Korotky, Au.D.

Date of Birth: 01/11/1948 Title: Chief Audiologist, President & CEO
Visit Date: 11/03/2012 Referral Source:

Mr. Smith visited our clinic for a comprehensive audiological evaluation and hearing aid discussion on December 6, 2012. He
was self-referred after his website research.

Case History. Mr. Smith complains having difficulty hearing and tinnitus (a mix of high pitched tonal and low pitched white
noises) in both ears for over 20 years. He reports the following overall functional impairments from his hearing loss: He often
asks people to repeat themselves. He has increasing difficulty understanding normal conversational speech in the presence
of background noise. He finds loud sounds bothersome. He is missing some natural sounds, such as bird singing. He avoids
social occasions because his difficulty hearing. Mr. Smith has a history of noise exposure during his military service and he
states that he always wore hearing protections. Mr. Smith denies ear pain, ear fullness and balance problems.

Audiometric Results. Video otoscopy revealed normal pinnae, external ear canals, and tympanic membranes bilaterally.
Tympanograms were normal bilaterally. Comprehensive audiological evaluation revealed moderate to severe sensorineural
hearing loss for the right and moderately severe to profound sloping sensorineural hearing loss for the left. There were
asymmetries between right (better) and left (worse) ears, and the Stenger tests were negative. Speech understanding in quiet
at elevated and tolerable levels was 60% for the right (85 dB) and 24% for the left (90 dB). Based on the configurations of his
hearing loss, Mr. Smith has great difficulty hearing of all speech sounds without amplification (Results attached).

Psychometric Results - Self-Perceived Hearing Deficit. Sores from the Abbreviated Profile of Hearing Aid Benefit
(APHAB, without hearing aids) indicates that Mr. Smith has listening difficulties (77%) which are exacerbated by background
noise (83%) and environmental reverberation (91%). His tolerance to unpleasantly loud environmental sounds is 56%
(Results attached).

Psychometric Results - Self-Perceived Impact of the Tinnitus. Mr. Smith reports the following overall functional
impairments from his tinnitus (based on scoring of the Tinnitus Functional Index): He finds his tinnitus being intrusive and
unpleasant (83%), causing reduced sense of control (53%) and emotional distress (37%), interfering with his hearing (97%),
and affecting his quality of life (83%) (Results attached).

Mr. Smith’s listening needs include 1) communications with friends and social networking, 2) communications with medical
professionals for his cancer treatment, 3) using cell phone, 4) enjoying outdoor sounds, and 5) safety (alarm clock, smoke
detector, door bells).

Hearing aid discussion covered hearing aid style, technology, cost and payment options, trial period, warranties, and
services. We discussed realistic expectations that hearing aid cannot replace normal hearing and that it will take time for
brain to adapt to sounds that have been missing for many years. Mr. Smith decided to try Phonak Bolero Q70-SP BTE
(advanced level, color# P5) bilaterally that has three automatic programs: 1) speech in quiet, 2) speech in noise, and 3)
comfort in noise (Information attached).

Impressions & Recommendations. Mr. Smith has moderate to severe sensorineural hearing loss for the right ear and
moderately severe to profound sensorineural hearing loss for the left ear. He has great difficulty hearing of all speech sounds
without amplification. Mr. Smith’s difficulty hearing is exacerbated in the challenging listening environments such as noise,
echo, and fast speech. He relies heavily on lip-reading even during one-on-one communications in quiet. The origin of his
tinnitus seems largely due to his hearing loss.

I discussed with Mr. Smith the nature of his hearing loss, and the potential benefits of hearing aid amplification that may
alleviate Mr. Smith’s listening and communication difficulties and tinnitus, and improve his quality of life (Information
provided). Ear mold impressions and hearing aids were ordered. I also refer Mr. Smith to see an ENT specialist for his
asymmetric hearing loss, to rule out retro-cochlear pathologies.

Please feel free to contact me if you have further questions. You may book your appointment or share your experience with
our clinic services online at www.pnwaudiology.com.

Best regards,

Dr. Ha-Sheng Li-Korotky

Doctor in Audiology (AuD)
Chief Audiologist

William D Korotky [DOB 01/11/1948] - 12/16/2012 12:07 PM - Page 1 of 6

 Pacific Northwest Audiology LLC
516 S.W. 13th Street
Suite 102
Audiologic Report Bend, Oregon 97702
Phone: (541) 678-5698
Fax: (541) 306-4551

xx x x

Audiologist: Date: 12/16/2012

x Ha-Sheng Li-Korotky, Au.D. xx x xx
License #: 23570

William D Korotky [DOB 01/11/1948] - 12/16/2012 12:07 PM - Page 2 of 6

 Pacific Northwest Audiology 1
Dr. Ha-Sheng Li-Korotky, AuD, PhD, MD

Mr. J. D. Smith (06/26/1947, 65 Male)

Audiogram
Stuart A Stephen
(12/06/2012)
Audiogram
Right Left
Hearing Level (Hearing Loss, decibel)

Low High Pitch (Hz) Low High Pitch (Hz)

516 SW 13th St. • Suite 102 • Bend, Oregon 97702 • Tel: 541-678-5698 • Fax: 541-306-4551
pnwaud@gmail.com • www.pnwaudiology.com

516 S.W. 13th Street • Suite 102 • Bend, Oregon 97702 • Tel: 541-678-5698 • Fax: 541-306-4551
pnwaud@gmail.com • www.pnwaudiology.com

William D Korotky [DOB 01/11/1948] - 12/16/2012 12:07 PM - Page 3 of 6

 Pacific Northwest Audiology 2
Dr. Ha-Sheng Li-Korotky, AuD, PhD, MD

J. D. Smith

516 S.W. 13th Street • Suite 102 • Bend, Oregon 97702 • Tel: 541-678-5698 • Fax: 541-306-4551
pnwaud@gmail.com • www.pnwaudiology.com

William D Korotky [DOB 01/11/1948] - 12/16/2012 12:07 PM - Page 4 of 6

 Pacific Northwest Audiology 3
Dr. Ha-Sheng Li-Korotky, AuD, PhD, MD

Abbreviated Profile of Hearing Aid Benefit (APHAB, without hearing aids)

J. D. Smith

Tinnitus Functional Index

120%
Self-Perceived Deficit (%)

100%
80%
60%
40%
20%
0%

516 S.W. 13th Street • Suite 102 • Bend, Oregon 97702 • Tel: 541-678-5698 • Fax: 541-306-4551
pnwaud@gmail.com • www.pnwaudiology.com

William D Korotky [DOB 01/11/1948] - 12/16/2012 12:07 PM - Page 5 of 6

 Pacific Northwest Audiology 4
Dr. Ha-Sheng Li-Korotky, AuD, PhD, MD

516 S.W. 13th Street • Suite 102 • Bend, Oregon 97702 • Tel: 541-678-5698 • Fax: 541-306-4551
pnwaud@gmail.com • www.pnwaudiology.com

William D Korotky [DOB 01/11/1948] - 12/16/2012 12:07 PM - Page 6 of 6