Professional Services

FREE amplified phones for residents of Texas who are hearing impaired.

Please consult with Dr. Musani for details.

Other devices also available at no charge for those with hearing impairment.

As outlined by the STAP Program.

Care Credit assists those patients who require a payment plan with up to 18 months of zero interest financing.

Up to five year payment plans are available.

You can apply to Care Credit quickly and easily within 5-10mins at Dr. Musani's office to see if you qualify. Dr. Musani's staff can assist with this very easy application process in the comfort and privacy of our office.

Alternatively, you can apply to Care Credit online in the privacy of your home at:

http://carecredit.com/

Central Auditory Processing Disorder (CAPD) is defined as an observed deficiency in one or more of these behaviors: sound localization and lateralization, auditory discrimination, auditory pattern recognition, and temporal aspects of audition. These include, temporal resolution, temporal masking, temporal integration, temporal ordering, auditory performance decrements with competing acoustic signals, and auditory performance decrements with degraded acoustic signals. (ASHA, 1996)

Behaviors of children considered "at risk" include:
Adapted from Cohen(1980)and Fisher (1985)


*Frequently misunderstands oral instructions or questions
*Delays in responding to oral instructions or questions
*Says "Huh" or "What" frequently
*Frequently needs repetition of directions or information
*Frequently needs requests repetition
*Has problems understanding in background noise
*Is easily distracted by background noise
*May have problems with phonics or discriminating speech sounds
*May have poor expressive or receptive language
*May have spelling, reading, and other academic problems
*May have behavioral problems

When to test?

Consider testing if a child is doing poorly in school due to difficulties in learning through the auditory modality, poor listening skills, or difficulty understanding in the presence of background noise. Children who show behaviors listed above are considered at risk for central auditory processing disorders and are candidates for testing. In addition, children who show poor auditory performance on questionnaires like the CHAPPS are possible candidates for tests of central auditory function.

The following list was compiled in part with help from students taking a course in Auditory Processing Disorders. The reader is reminded that there are hundreds of websites on the subject of Auditory Processing Disorders, many of which provide good information, and many that are filled with misinformation. Parents and professionals are advised to be cautious when interpreting information from the internet. Remember that any person can purchase a web domain and publish information, whether they are knowledgeable or not, and none of the information on the internet is peer reviewed. With those caveats in mind, here are some addresses with comments from the students:

The first few links are to state Departments of Education websites on Auditory Processing Disorders:

http://www.cde.state.co.us/cdesped/download/pdf/CI-APD-Gu.pdf

These are the State of Colorado guidelines for Auditory Processing Disorders. They were developed through the Department of Education. Look under documents and protocols for auditory processing disorders.


http://arkedu.state.ar.us

The Arkansas Regulations for Auditory Processing Disorders can be found at this website. Follow the links to regulations, the IDEA, then CAPD (written before the new terminology). Since it is not a stand-along category you have to scroll down past the list of eligible criteria.


http://cfl.state.mn.us/stellent/groups/public/documents/translatedcontent/pub_010368.pdf

This document is produced by the Minnesota Department of Education, Division of Special Education. The purpose of the document is to provide educational teams with current information regarding auditory processing disorders.


http://www.firn.edu/doe/commhome/pdf/y2001-9.pdf

This technical assistance paper from the Florida Department of Education was written to assist audiologists in the educational setting to answer questions concerning auditory processing evaluations. This is a 70 page highly technical paper that contains information ranging from definition of auditory processing disorders to assessment and remediation. The last 50 pages or so (the appendix) is a rich source of information that list tests, questionnaires, models for remediation, and other materials.


http://www.access-board.gov/publications/acoustic-factsheet.htm

Provides in depth information on progress towards new standards on classroom acoustics for children with disabilities. An excellent website on the subject of noise in the classroom with additional links.


http://www.tsbvi.edu/Outreach/seehear/spring00/centralauditory.htm.

Provides a well-written overview of the assessment and management practices for APD co-authored by Mignon M. Schminky and Jane A. Baran, University of Massachusetts.


http://kidshealth.org/parent/medical/ears/central_auditory.html.

Written in language familiar to parents give information about APD and where diagnosis could take place. Has a nice segue to ADHD, also.


http://www.healthyhearing.com.

This web site provides information which includes articles, books, and news related to APD issues. Great for professionals.


http://www.nidcd.nih.gov/health/pubs.

Provides health information, a directory of health care organizations and Spanish publications. Included is info on APD in children. A good source for parents.

http://www.nidcd.nih.gov/health/pubs_vsl/auditory.htm.

Highlights: APD definition, what causes it, what the symptoms are, how it is diagnosed, what treatments are available, current research and links for further information.


http://www.strugglingteens.com/archives/2001/11/news02.html.

A page by an educational psychologist within a site for parents of struggling teens. Briefly discusses symptoms, diagnosis and treatment of APD etc. Emphasizes a team approach to diagnosis.

See more at:

http://www.capdtest.com/scan_c.cfm

Manage ear wax yourself at home through ear wax removal systems and drops available at The Hearing Clinic.

A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard of hearing. The implant is surgically placed under the skin behind the ear. An implant has four basic parts:

1. A microphone, which picks up sound from the environment;

2. A speech processor, which selects and arranges sounds picked up by the microphone;

3. A transmitter and receiver/stimulator, which receive signals from the speech processor and convert them into electric impulses;

4. And electrodes, which collect the impulses from the stimulator and send them to the brain.

An implant does not restore or create normal hearing. Instead, under the appropriate conditions, it can give a deaf person a useful auditory understanding of the environment and help him or her to understand speech.

Comprehensive Cochlear Implant testing candidacy is available at The Hearing Clinic.

Ear Wax removal service in the comfort & privacy of The Hearing Clinic for all ages.

The Welch Allyn Ear Wash System provides a safe and effective way to remove cerumen from patients of all ages. This method of irrigation is much cleaner and safer than other irrigation methods currently on the market.

You can learn more about the Welch Allyn Ear Wash System at:

http://www.earwash.welchallyn.com/

Dr. Musani uses a "hearing aid test box" to electronically measure the various parameters and features of the acoustic output of all hearing devices that he works with. This allows Dr. Musani to know for certain that your hearing devices are working up to the manufacturer's specifications.

You can learn more about such devices at:

http://www.audioscan.com/

or at

http://www.frye.com/

Free amplified phones, other assistive listening devices and communication devices are available to residents of Texas through the Texas STAP program.

Call us at 903-463-9900 for more details!

Learn more about services and products available from Texas STAP at:

http://www.puc.state.tx.us/relay/stapc/what.cfm

Dr. Musani's patients receive free batteries for life for their hearing devices! Call & ask us for details at 903-463-9900!

Dr. Musani's patients also receive:

* Quarterly Hearing device cleanings and adjustments

* Quarterly Hearing Device electroacoustic testing

* Real Ear Testing during fitting/dispensing of devices to ensure an exact fit for your hearing loss.

* Free Yearly audiometric screenings

* Free Yearly hearing aid evaluations

* Free Lifetime programming of your hearing devices

'Setting the Standards for Tomorrow...the First to Bring Digital Technology to the Texoma area.'

Digital & Computerized hearing aids

Several brands to choose from, not just one

30 Day Adjustment period

Complete diagnostics and repairs of your hearing aids

Loss & Damage insurance available

Accessories for maintaing your investment in hearing technology

Complimentary hearing aid demonstrations upon request

Dr. Musani deals with numerous brands of hearing aids & devices for maximum flexibility for patient fittings.

Dr. Musani deals with:

Oticon, MicroTech, Unitron, Bernafon, SeboTek, Starkey, Phonak, GNReSound, Widex, along with various other brands.

Dr. Musani is able to program & service most major brands, styles and types of hearing devices.

Call us at 903-463-9900 for details.

Dr. Musani is able to program & service your hearing device even if you did not obtain it from him!

Comprehensive hearing exams for all ages in the comfort and privacy of The Hearing Clinic's state of the art sound treated hearing booth: Accurate, painless, and quick.

Comprehensive testing includes, but is not limited to:

Video Otoscopy of the ear canal using state-of-the art Welch-Allyn equipment to visualize your ear canals: SEE if ear wax is the problem with your hearing...it could be as simple as that.

Tympanometry to assess the integrity of your eardrums and middle ear system: Quick & Painless.

Otoacoustic Emmision Testing to determine the integrity of the organ of hearing, the Cochlea: Quick & Painless.

*Pure Tone Air & Bone Conduction testing.

*Speech Discrimination testing.

*Speech Reception Threshold testing.

*Hearing In Noise Test (HINT).

*Most Comfortable & UnComfortable Loudness testing (MCL & UCL).

***All conducted within a sound treated, state of the art, hearing booth for accurate testing of your hearing and ears.

Dr. Musani can and does provide Industrial Hearing Screenings for several businesses in the Texoma area.

Call us for details at 903-463-9900.

Dr. Musani accepts most insurance programs for audiological testing and hearing devices.

Call us for more details at 903-463-9900.

The Program for Amplification for Children of Texas (PACT) serves Texas children from birth through 20 years of age who have hearing loss that causes a problem in school.

PACT provides diagnostic and remedial services needed by children with hearing loss who are Medicaid eligible. Services are for children who have a hearing loss that is permanent.

Treatment for conductive hearing loss caused by middle ear problems is NOT covered by this program.

PACT has contracts with facilities throughout the state to provide these SERVICES:

* Evaluation by an audiologist
* Evaluation by an otologist
* Hearing aid evaluation
* Earmold(s) and hearing aid(s)
* Hearing aid counseling with child and family
* Follow-up checks of the hearing aid
* Hearing aid repair
* Earmold replacement

Hearing aids may be replaced when the current aids are no longer appropriate or are 5 years old.

PACT PROVIDES ABOUT 3500 HEARING AIDS A YEAR FOR TEXAS CHILDREN.

TO FIND OUT WHETHER YOUR CHILD IS ELIGIBLE FOR SERVICES THROUGH PACT:

Call 1-800-252-8023 for referral to a PACT Provider or call your local school district for referral to the Regional Day School Program for the Deaf.

For more information contact:

PACT
Health Screening Branch
1100 West 49th Street
MC 1918
Austin, Texas 78756-3199
1-800-252-8023

Visit their website at:

http://www.dshs.state.tx.us/audio/program.shtm

Dr. Musani accepts Visa, Mastercard, American Express, Discover, cash, checks and offers interest free payment plans through Care Credit with approved credit.

You can apply to Care Credit quickly and easily within 5-10mins at Dr. Musani's office to see if you qualify. Dr. Musani's staff can assist with this very easy application process in the comfort and privacy of our office.

Alternatively, you can apply to Care Credit online in the privacy of your home.

The QuickSIN is a speech-in-noise test that quickly and easily measures the ability to hear in noise. Speech understanding in noise cannot be reliably predicted from the pure tone audiogram or other standard audiometric tests. The QuickSIN test should be used on all adult patients as part of the audiometric test battery.

You can learn more about the QuickSIN at:

http://www.etymotic.com/pro/quicksin.aspx

"One of the reasons many people are not happy with their new hearing aids is because their hearing aids have not been properly adjusted to fit their specific hearing losses.

Often, the audiologist or hearing aid dispenser adjusts your hearing aids according to the manufacturer's fitting algorithm (in the lab's software) for your hearing loss. Unfortunately, this algorithm does not necessarily reflect the hearing prescription you really need.

If your audiologist or hearing aid dispenser does not do "real-ear testing", he/she will never know whether or not your hearing aids are set up properly for your ears.

With real-ear testing, your audiologist puts a tiny microphone into your ear canal, then inserts your hearing aid. A computer runs some automatic tests and the results are shown on the screen.

The output shows both a graph of what your prescription should be, and what your hearing aids are really putting out. Now your audiologist can see what he/she needs to "tweak" in your hearing aids to properly give you the amplification you need at each of the speech frequencies.

How important is this? Consider this. A recent study using one hearing aid manufacturer's fitting algorithm was compared with the results of real ear testing. The shocking results show that less than 12% of the time were the results judged to be "clinically similar" when comparing the manufacturer's values to the actual real-ear measurements.

Nancy Aarts, Ph.D., the author of this study asserts:

'This study suggests that adult hearing aid fitting protocols should include the use of actual real-ear probe-microphone measures to verify hearing aid fittings. Reliance on [the manufacturer's protocols] may result in insufficient output of most hearing aid users, as well as over-amplification of high level inputs for some hearing aid users.'

What this means is that if you want to know that your hearing aids are fitted properly, you need to insist on having real-ear testing. If your audiologist doesn't do real-ear testing, find one that does. It's that important."

The above study was reported in the article "The Accuracy and Clinical Usefulness of Manufacturer-Predicted REAR Values in Adult Hearing Aid Fittings" The Hearing Review. November, 2005.)" (Neil Bauman, Ph.D. 2005. http://hearinglosshelp.com/weblog/?m=200511)


You can learn more about Real Ear Measurements at:

http://www.audiologyonline.com/articles/article_detail.asp?article_id=285

Dr. Musani's office can repair &/or service most major brands of hearing devices even if you did not obtain them from him.

Call us at 903-463-9900 for details.

You wouldn't dream of buying a new car without taking
it for a road test to see how it handles in real world
situations. However, that is exactly how most people
purchase hearing aids today. Until now.

The Sound Simulator is a revolutionary way to "test
drive" your hearing aids - before you buy them! Using
state-of-the-art visual and surround sound technology,
the system enables you to evaluate hearing
instruments in a variety of natural sound environments
in the convenience of Dr. Musani's office.
Fine-tune your listening comfort to suit your lifestyle
using simulated restaurant, social
gatherings, church services or other real world settings.

Finally, there's a way to truly hear the difference.

Dr. Musani is able to test the hearing of all ages including young infants and children. Using specialized equipment that does not require the participation of the young child, Dr. Musani is able to determine the presence of absence of hearing loss in children.

Call us at 903-463-9900 for details.

The DARS, Division for Rehabilitative Services, Office for Deaf and Hard of Hearing Services (DHHS) works in partnership with people who are deaf or hard of hearing to eliminate societal and communication barriers to improve equal access for people who are deaf or hard of hearing. DHHS advocates for people of all ages who are deaf or hard of hearing to enable them to express their freedoms, participate in society to their individual potential, and reduce their isolation regardless of location, socioeconomic status, or degree of disability.

You can learn more about services available at Texas DARS at:

http://www.dars.state.tx.us/dhhs/index.shtml

The Hearing Clinic is Texoma's largest audiology group. With two Audiologists on staff and two assistants, you can rest assured your needs will be addressed quickly and efficiently...with a human touch!

Walk In hours are available Monday though Friday from 3:00PM to 4:30PM. No appointment is necessary to have your devices cleaned, checked or to simply visit us for a quick question. Either Jodie, Lisa or Shirley will be available to assist you during these walk in hours!

Dr. Musani has been a participant in the University of North Texas' Audiology offsite training program for a number of years. Audiology students visit Dr. Musani's office on a regular basis to learn about Audiology in the "real world" setting.

Doctoral level students are able to experience live contact with patients who require audiological and hearing aid services under the direct supervision of Dr. Musani.

Dr. Musani is proud to be able to participate in this worthwhile cause of helping to shape future Audiologists. He has been involved with the UNT Audiology Department for several years in this offsite capacity while he was at Memorial Park Building, The Morrison Building and at his latest location at historic, downtown Denison.

See what your ear canals look like through a state-of-the-art video otoscope system at The Hearing Clinic.

Visualize at a glance if ear wax is the problem with your hearing or not...it could be as simple as that!

Walk in hours are available daily, Monday through Friday, from 3:00PM to 4:30PM.

If you require a simple cleaning, physical adjustment or modification, on-site repair, need help with your hearing devices or simply have a question, please feel free to visit us during these hours.

Either Jodie, Lisa or Shirley will be available to assist you with your hearing healthcare needs!

At The Hearing Clinic, "We Listen, So You Can Hear!"