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[–] 1 point 1 year ago* (last edited 1 year ago)

Seems to me you'd be better off with a circuit that up-converts 20 to 100 Hz sounds by a factor of 20, putting them into a range you can hear. That would not have to be a complicated circuit, and no doubt they're already out there.

Or it could convert sounds in that range into something that amplifies those frequencies and vibrates against your skin instead (a 'skin speaker') ... probably easier to make than a converter.

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  • [–] 1 point 1 year ago (3 children)

    Not suggesting that what I'm about to describe is a common reaction but I'd be a little uncomfortable with the privacy implications of the setup. Is there a light to show it's on? How about a physical switch to completely interrupt the mic's connection when it should be off? Don't need a bored nerd down the hall with a Flipper tuning in for some free entertainment in the form of my colonoscopy results.

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  • [+] [S] 2 points 1 year ago* (last edited 1 year ago) (2 children)
  • [–] 2 points 1 year ago (1 child)

    The hypothetical version of me that is your patient has been mostly reassured by that response. I just don't want to be paying for any potential eavesdroppers' therapy bills on top of my own. Realistically, I know that nobody cares what's going on in the exam room with me unless they're involved. Think most of the lingering concerns would be addressed by whatever I can hear (and for that matter, what I can't) being picked up by the system and sent to speakers as well.

    Also, once you get the frequency range thing hammered out, your patients can show you where it hz. Bad joke aside, this has me wondering whether there's anything that would be improved by applying some basic filters so you could focus on one range of frequencies, maybe even apply a pitch shift to move those sounds into a range your hearing aids can handle better.

    Here's why I'll never be allowed to make medical devices: my next idea would be to hide autotune and a few guitar/bass pedal effect filters in the code so you could live out some rock and roll fantasies on the job. Air guitar takes on a whole new meaning when you're playing along with respiratory noises.

    Thanks for the detailed reply, hope you find nursing to be the right combination of engaging, challenging and rewarding to enjoy the career.

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  • [–] 23 points 1 year ago* (last edited 1 year ago) (4 children)

    Rtings.com provides frequency response charts when they test speakers, let me see if I can find one that goes low enough for you.

    As for the bonus question, absolutely love it. I love when people come up with cool solutions to life's problems, and this lets me hear my own heartbeat? Hell yeah!

    Here's an easy way to check a bunch of them quicky, the Denon home was the best I found in terms of the very low end. I'm sure someone else can do better, I'm not that much of an audiophile and know very little about speakers.

    Probably worth noting that they stretch out the low end of the chart so they tend to go lower than it seems (I assume it's a logarithmic scale). You might be able to go to a store and ask to test them yourself.

    Second edit: if headphones are at all a possibility (they might be better for patients who don't want to hear their own heartbeat) then can I recommend Skullcandy crushers? They're completely ridiculous as regular headphones, they basically just have a metal plate they vibrate for the bass, but it goes all the way down to 20Hz, and you can crank it waaaaay up with a slider on the side. (I use these daily for music because I'm a bad audiophile who wants to have fun sometimes, I have a proper wired setup if I want the audiophile experience.)

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  • [+] [S] 2 points 1 year ago* (last edited 1 year ago) (2 children)
  • [–] 1 point 1 year ago

    Yes, you want to find a speaker with a flat sound signature.

    This is a type of speaker called "studio monitor".

    Remember that sound is very unforgiving when working with it, every single step in the chain of recording a sound to playing it back can change how it sounds, with the changes to the sound being compounded when you play it back.

    This includes the microphone, the microphone amplifier, the speaker amplifier and the speaker.

    This does not mean that it is impossible to do what you want, but be prepared that the sound may sound strange from what a normal stethoscope would produce.

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  • [–] 1 point 1 year ago* (last edited 1 year ago)

    I'm afraid I can't answer your technical questions, I'm really not that knowledgeable about this. All I know is you ideally want the frequency curve to be flat, I don't think it matters much where it sits relative to that line.

    Honestly, that Danon dropping off at the low end is pretty typical though it's one of the better ones. You'd really just have to test it I'm afraid, it might be totally fine to chop off the bottom for some things but maybe it's necessary for certain heart conditions, I wouldn't know. If it were an option I'd say the best bet is to always stick to the analogue, but I'm absolutely with you on hating traditional stethoscopes, they're so painful...

    You probably can just leave the crushers on your neck with the volume maxed out, but I'm really not sure if that'll work. In all honesty the speaker might be worse due to the way the acoustics in the room can change what you hear, it's really hard to say.

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  • [–] 10 points 1 year ago* (2 children)

    I'm not a medical professional nor do I use hearing aids, so I might be misinterpreting the situation here, but are the speakers actually the problem? Presumably the other nurse's headphones were capable of playing the sounds in that range; the problem was your hearing aid. How does having another speaker playing those same sounds help, if your hearing aid still isn't able to correctly handle them?

    It seems like what you'd actually need is something that can take in the sounds in the 20-100 hz range, but play them back in the 100-3000 hz range, so your hearing aid can pick them up, no?

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  • [–] 2 points 1 year ago (1 child)

    Not OP, but I also suffer from hearing loss and wear hearing aids. Hearing loss in most people is not linear and certain frequencies are more compromised than others. This shows up as dips in an audiogram report. For me, I can hear low frequencies just fine. In fact, I can make out most words spoken by my male coworkers even without my hearing aids, due to their speech falling below the range of my hearing loss. I have a much harder time hearing females because their vocal range is higher in frequency so it comes through as very muddy. My hearing aids have open domes that pass sound, so they don't act like earplugs for the frequencies they're not amplifying.

    My hearing aids also have the ability to pair with my phone and play music, but I never use it because they sound godawful because the drivers are miniscule. Fine for reproducing the mid and high frequencies required to boost audio in my hearing loss, but physically incapable of producing anything below probably 2-300 hz.

    Everyone is obviously different, so not saying OP has the same situation as me, but based on their description of the problem and discounting the hearing aids as part of the solution, we're probably fairly similar.

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  • [–] 6 points 1 year ago (6 children)

    I dont know if they fit with your hearing aids, but maybe look into bone conducting headphones. I have Openrun Shokz Pro and they work pretty good with music. They have a waterproof version which is good for your hygiene needs.

    Your Bluetooth speaker around the neck idea might be hard to achieve. The wavelength of a 100hz signal is around 3,5 meters and is getting bigger the lower you get. This means you need more energy and bigger drivers for true reproduction of low frequencies. A 100hz speaker might get heavy around the neck.

    Sidenote: When I'm wearing my Shokz I sometimes get asked if I wear hearing aids.

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  • [+] [S] 4 points 1 year ago (5 children)
  • [–] 2 points 1 year ago (4 children)

    Give em a shot. They should work if you pitch-shift them with some simple software to make the 20hz sound like 50hz or whatever.

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  • [+] [S] 3 points 1 year ago (3 children)
  • [–] 2 points 1 year ago (2 children)

    Thousand way to do it, like this: https://play.google.com/store/apps/details?id=com.stonekick.tempo

    But most platforms have decent DJ or audio software for this.

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  • [–] 5 points 1 year ago

    I haven't any idea how they'd work with your hearing, but what about bone conduction headphones? They can be wiped down easily and are often waterproof.

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  • [–] 4 points 1 year ago (1 child)
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    [–] 3 points 1 year ago

    I got the Sony SRS-XB10 specifically because it has a range as low as 20hz.. not sure if there are newer ones out that are better now

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  • [–] 3 points 1 year ago* (last edited 1 year ago)

    Double check that the problem isn't actually your hearing aid's Bluetooth codec support, rather than the physical driver's supported frequency range.

    Bluetooth audio devices need to agree on an audio compression format before they can send audio, and the default lowest common denominator codec that all audio devices support is extremely bad at low frequencies (and is all around terrible). It could be that your hearing aid is good enough but doesn't support whatever high-fidelity codec your coworker's stethoscope supported. Investigate what codecs your hearing aid supports and what the stethoscope supports. You'll probably want something like LDAC, LC3 (aka LE audio), aptx HD, aptx adaptive, or preferably even aptx lossless, to be supported on both devices.

    If you're considering investing a lot of money anyways, you may want to consider replacing your hearing aids with ones that support this functionality (the frequency response and the codecs).

    As someone else already pointed out, if your current hearing aids don't support below 100hz, then even if you play the sound over a speaker, your existing hearing aids are just going to act as earplugs. You may need to invest in different hearing aids or just live with taking out your hearing aids for the foreseeable future. Or I suppose just blasting the heartbeat over the speaker to bypass your hearing aid (caution wrt audio feedback lol)

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