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The Pinnacle Journal

Notes from
the clinic.

Clear, research-backed writing on hearing technology, the science behind better hearing, and what we learn seeing patients every day, from the doctoral audiologists at Pinnacle.

Hearing Health

Sudden Hearing Loss: What to Do Today

If your hearing drops suddenly, especially in one ear, treat it as urgent. Why fast evaluation gives you the best chance of recovery.

Clinical Team6 min
Hearing Aids

Real-Ear Measurement: The Step Most Skip

The verification step that makes hearing aids actually fit your ears, not just the manufacturer's average. Why it matters so much.

Clinical Team7 min
Insurance

Does Insurance Cover Hearing Aids in NY?

The honest answer depends on your plan, not the logo on your card. How to find out what your New York coverage actually includes.

Clinical Team8 min
Technology

Auracast & LE Audio, Explained

A new broadcast standard lets compatible hearing aids stream sound directly from TVs, theaters, and airports. What it means for you.

Clinical Team7 min
Hearing Aids

Why Your Hearing Aids Might Not Be Working

New hearing aids should work. When they do not, it is usually the fitting, not the device. Five common reasons, and the fixes.

Clinical Team7 min
Hearing Aids

Why Hearing Aids Struggle in Restaurants

The restaurant is the hardest place to hear. Why background noise defeats hearing aids, and the settings and habits that help.

Clinical Team7 min
Tinnitus

What Does Tinnitus Sound Like?

Ringing, buzzing, hissing, humming. What the common tinnitus sounds mean, and when the sound is worth getting checked.

Clinical Team6 min
Hearing Health

Do I Need a Hearing Test?

Turning the TV up, missing words in noise, asking people to repeat. The everyday signs it is time for a hearing test.

Clinical Team6 min
Hearing Protection

Custom Earplugs vs Foam

Foam is cheap and everywhere, but custom earplugs fit better and get worn more. How the two compare, and when each makes sense.

Clinical Team7 min
Research

Hearing Loss & Cognitive Decline

What the ACHIEVE trial and the 2024 Lancet Commission actually say about hearing and brain health, beyond the headlines.

Clinical Team6 min
Research

New Tinnitus Research: 2025

What the latest gut-brain and neuroplasticity research reveals about tinnitus, and where the science is heading next.

Clinical Team6 min
Hearing Technology

Understanding Earlens

A contact lens for the ear: Earlens uses light to drive the eardrum for natural, high-fidelity sound. How the technology works and who it can help.

Dr. Eric Nelson5 min
Technology

AI Hearing Aids in NYC

What "AI" actually means in Oticon Intent, Phonak Sphere, and Starkey Genesis, and what's just marketing.

Clinical Team4 min
Hearing Aids

Bimodal Hearing in NYC

For patients using a cochlear implant and a hearing aid together, optimal fitting demands rare, specialized expertise.

Dr. Eric Nelson5 min
Patient Guide

The Hearing Aid Journey

What really happens from your first visit to long-term success with hearing aids, step by step.

Clinical Team4 min
Patient Guide

OTC Hearing Aids: NYC Guide

What over-the-counter hearing aids actually do, who they suit, and where they fall short, with the latest research.

Clinical Team5 min
Featured Guide

The Best Hearing Aids in NYC

An honest clinical framework for choosing the best hearing aids in New York, by tier, manufacturer, and style, and above all the quality of the fitting. How we match the right device to your hearing, your lifestyle, and your budget, across every major brand we fit.

Reviewed by Dr. Eric G. Nelson, Au.D.12 min read
01The Cornerstone
Patient Guide

Choosing an Audiologist in NYC

What the research actually says about what separates exceptional hearing care from the merely average.

Clinical Team4 min
Musicians

Protecting the Ears That Shape the Music

A guide to hearing protection for musicians and music lovers: custom plugs, in-ear monitors, and smart habits.

Clinical Team4 min
NYC Life

Hearing Better at Broadway Shows

T-coils, loop systems, and seat strategy: expert tips for seniors and hearing aid users at NYC's venues.

Clinical Team4 min
Conditions

Hidden Hearing Loss

Why a "normal" hearing test doesn't always tell the full story, and what to do when the audiogram clears you.

Clinical Team4 min
Conditions

Understanding Dizziness & Vertigo

Why the ear is often the answer when the world won't stand still, and how audiologists help you find it.

Clinical Team4 min
Tinnitus

Finding Peace in the Noise

A tinnitus treatment journey at Pinnacle: what works, what doesn't, and what relief actually looks like.

Clinical Team4 min
Family Care

Communication Tips for Families

How to talk with a loved one who has hearing loss: practical, compassionate strategies that actually work.

Clinical Team4 min
Senior Care

Bringing Better Hearing Home

How we serve seniors, assisted living residents, and memory care communities across New York City.

Clinical Team4 min
NYC Hearing Health

Sirens, Subways & Urban Noise

What everyday city sound can mean for hearing health, and practical ways to protect your ears without tuning out New York.

Clinical TeamRead
Symptoms

Why Do My Ears Feel Clogged?

Ear fullness can have several causes. Learn which signs warrant an audiologic evaluation and when medical care should come first.

Clinical TeamRead
Hearing Aids

Why Hearing Aids Get a Bad Reputation

Why outcomes depend on candidacy, verification, fitting quality, and follow-up—not simply the device selected.

Clinical TeamRead
Children & Listening

ADHD, Hearing Loss & Listening in Children

How attention, hearing, auditory processing, and speech-in-noise difficulty can overlap, and why a complete evaluation matters.

Clinical TeamRead
Current Research

Auditory Processing Disorder

What current research says about speech-in-noise difficulty, assessment, and evidence-based care.

Clinical TeamRead
Buying Guide

Costco Hearing Aids vs. an Audiologist

A practical comparison of price, brands, fitting, verification, and follow-up—and how to decide which model fits you.

Clinical TeamRead
Custom Hearing Protection

Custom Earmolds & Earplugs

How custom molds are made, the main styles available, and when a precise fit offers an advantage over foam.

Clinical TeamRead
First Visit

What to Expect at a Hearing Aid Consultation

Diagnostic testing, technology selection, transparent pricing, real-ear verification, and the follow-up that supports long-term success.

Clinical TeamRead
Cost & Value

Hearing Aid Costs: 2026 Guide

Compare prescription and over-the-counter price ranges, technology tiers, coverage, and what professional care adds.

Clinical TeamRead
Care & Repair

Hearing Aid Repair: A Practical Guide

What you can safely troubleshoot at home, when to see an audiologist, and how manufacturer repairs and warranties work.

Clinical TeamRead
Healthy Aging

Hearing Loss, Balance & Fall Risk

What research shows, what it does not prove, and how hearing care fits into a broader safety plan for older adults.

Reviewed by Dr. Eric NelsonRead
Hearing Tests

How Much Does a Hearing Test Cost?

From free screenings to diagnostic evaluations: what each includes, what insurance may cover, and what to expect.

Clinical TeamRead
Family Guide

When Someone You Love Is Struggling to Hear

A compassionate plan for helping a spouse, parent, sibling, or friend recognize difficulty and find appropriate care.

Clinical TeamRead
Choosing Care

How to Choose the Right Audiologist

The credentials, testing, verification, follow-up, and pricing questions worth asking before you choose a practice.

Reviewed by Dr. Eric NelsonRead
Medicare

Does Medicare Cover Hearing Aids?

What Original Medicare and Medicare Advantage may cover in 2026, plus ways to clarify benefits before an appointment.

Clinical TeamRead
Technology

Rechargeable Hearing Aids: What to Know

Real-world battery life, expected lifespan, the tradeoffs versus disposable batteries, and who benefits most.

Clinical TeamRead
Treatment Options

Single-Sided Deafness & CROS

How CROS and BiCROS hearing aids, bone-anchored devices, and cochlear implants differ—and how candidacy is assessed.

Clinical TeamRead
Tinnitus

Tinnitus Masking Devices

How maskers, sound generators, and combination hearing aids work, what evidence shows, and where they fit in a care plan.

Clinical TeamRead
At-Home Care

What Is Concierge Audiology?

How doctor-led hearing evaluations, hearing aid service, caregiver guidance, and follow-up can be delivered at home.

Clinical TeamRead
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