Services


Comprehensive Hearing Tests - Hearing Aid Fittings and Repairs - Wax Removal - Tinnitus Evaluations - Coates Cafe Background Noise Testing - Positional Vertigo Treatment - Custom Hearing Protection - Off-site Care - Cochlear Implant Evaluations and Programming - Osseointegrated Bone Conduction Device Evaluations and Programming

Comprehensive Hearing Tests

A comprehensive hearing evaluation includes a battery of tests depending on your specific symptoms, in a large 8' by 8' soundproof booth for patient comfort and accuracy. Dr. Coates measures two pathways of hearing: through the whole system as well as your inner ear near the hearing nerve directly.  Processing and understanding of speech is also evaluated because many patients struggle with clarity.  At the end of testing, she will determine the type and cause of the hearing loss and eduate you on the anatomy and next steps for treatment.

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Hearing Aid Fittings and Repairs

For some patients, hearing loss is treated with hearing aids, and for others, there are different types of assisted listening devices or medical treatment options.  Dr. Coates provides FREE treatment consultations. She takes the time to educate each patient on the treatment plan recommended based on the test results and a communication needs assessment.  Our clinic is an independent provider so we have access to all of the main 6 device manufacturers (Resound, Signia/Siemens, Oticon, Widex, Starkey and Phonak). We also repair and clean older hearing aids from other clinics.

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Wax Removal

Dr. Coates is trained for wax removals.  Wax can also be called "cerumen".  It is vital to have your ears cleaned if you have a history of significant wax build-up or blockage to prevent infection.  Dr. Coates does not use water irrigation or pressure, but rather uses comfortable tools and oil methods for a more pleasant experience.

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Tinnitus Evaluations

Tinnitus is defined as ringing, buzzing, crickets, static or any other sounds in the ears or head. Approximately 50 million Americas experience some form of tinnitus. There are many causes of this sound perception in your ear/s or head and factors that can cause the loudness or pitch to fluctuate daily.  Dr. Coates is trained to fully evaluate tinnitus to help find the cause and best treatment route.  She also personally experiences left-sided, constant ringing tinnitus caused by a high-frequency hearing loss.

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Coates Cafe Background Noise Testing

Have you ever had your hearing tested or hearing aids programmed in a real-world setting and not just in a quiet room? The Coates Cafe simulates an actual restaurant setting where there is lots of background noise and reverberation, making it challenging to hear.  We can test how your hearing aids are working in that type of setting before leaving our office!

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Positional Vertigo Treatment

Do you experience a spinning sensation (vertigo) when moving your head in certain positions or when rolling over in bed?  Dr. Coates is trained to perform the treatment and it is a short and easy method.

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Custom Hearing Protection

Are you a musician?  Do you like to attend concerts?  Do you go hunting?  Do you mow the lawn?  Do you work around any type of loud machinery?  Anytime you are around loud noise, it is recommended to wear hearing protection!  Even one time around loud noise can cause permanent hearing loss.  Dr. Coates has many options for your specific needs.  An earmold impression is taken to fit your ear specifically.  Some earmolds have filters built in so you can still hear others around you but it blocks out the loud noise. Call today for pricing estimates.

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Off-Site Care

If you or a family member live in an assisted living or retirement community, we are able to come on-site for certain tests, cleanings, and hearing screenings.  Just let us know and we will set up a time that works for you.  There are also resources in Johnston County to help with transportation that we can help coordinate.

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Cochlear Implant Evaluations and Programming

When a patient has a significant hearing loss, does not perform well with hearing aids and the hearing nerve has difficulty with processing sound, he/she will be evaluated for a cochlear implant.  A cochlear implant involves a surgery by an otologist surgeon who places electrodes in the inner ear for stimulation of sound.  It takes time and a rehabilitation program to adjust to a new way of hearing.  Dr. Coates is trained to program and evaluate cochlear implants.

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Osseointegrated Device Evaluations and Programming

Specific types of hearing loss require a unique device that can bypass parts of your ear to stimulate the inner ear directly by bone conduction.  Some patients who have chronic ear infections or issues with the middle ear bones can be a candidate.  There are surgical and non-surgical options now for this type of device. 

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