This is not meant to be facetious and I'm not planning to delve into your medical history(!) but the best upgrade experienced to my system personally was due to having my ears syringed 🙂
I'm a fit, well 30-something with no past issues with hearing and didn't think I really needed any intervention. However, I got talking to a medical friend who recommended having the procedure done. I realise not everyone will be up for it, and it's not the most pleasant (although it doesn't hurt etc) but the difference to my hearing in general afterwards is amazing.
Oddly I thought I had some sort of room acoustic issue with the LHS of my system for a while now, but now it's mysteriously fixed haha!
I'm sure this post will get a few raised eyebrows, and I promise I'm not being incentivised by the NHS 😊
No raised eyebrows from me Nintendologist, I agree with all that you've said. Indeed, ages ago I posted on this forum to say that syringing was the best 'upgrade' I'd ever made.
However, as Sam has pointed out, in a lot of GP practices things have changed......
Fairly recent change nationally certainly in operation with my GP practice.
Ear syringing is no longer considered to be the first line treatment for the clearing of ear wax and it is not a funded service within the NHS for General Practice. Current guidelines are that ear drops should be used to soften the wax which will then enable the natural movement of the wax from the ear.8 May 2019
One member on here has had a really bad experience with ear syringing. I'll let him tell his story... it's not good.
I am that member. My problem was not with syringing but with the new alternative, 'Microsuction'. Doug's right about it not being a good story - one you should bother to read ONLY if you are considering medical earwax removal:
Many years ago I had ears syringed (done with an actual syringe) - no real benefit.
Around 5 or 6 years ago had another 'syringe' (this time a motorised swill out) - Fantastic, beneficial result.
More recently fancied having the same, revelatory hearing improvement again.
But, Doc advised no longer doing syringing due to 'risk' (more likely cost).
In October last year went to NHS hospital for microsuction - where the only advice I received was that it would be 'loud'.
I've stood underneath full-after-burner Concorde during takeoff. I've worked in live music venues with the loudest Punk / Rock bands....I've heard loud but this was excruciating. Twice, the nurse asked if I wanted the Doctor to stop - but I assumed he knew what he was doing.
Apparently not. I was left 90% deafer than I had been, with only tinnitus keeping me awake for a week.
2 casualty docs, 3 hearing speciallists and 1 GP later......I've still got a (different) hospital visit coming up in March.
I've since read a leading expert stating that, depending on debris, microsuction can reach 146dB at one c.m. from the eardrum. (I don't doubt it). He was making the point that only an idiot practitioner would hold that volume level for longer than necessary.
A subsequent speciallist advised that I'd originally been treated by a 'beginner' - but the point is the wax was too hard for him to remove - despite much (too much?) suction.
So here's the bottom line:
No way am I suggesting that my experience of microsuction has been typical. (Otherwise it would have already be banned) On the contrary, I've got no doubt that loads of people come out as happy as I did after syringing. But, if you go for it, ensure that you
fully soften the earwax before the procedure - warmed olive oil is used by some but you may prefer Sodium Bicarbonate drops.
Better still, as in Sam's comment above, let your own softening encourage natural wax movement - and perhaps think of any medical intervention as a last resort option.