![]() Listen to Taylor Swifts 'Evermore' new album here. Letra de Long Story Short de 2 Chainz & Lil Wayne con su vdeo musical en lnea: This life gon be the death of me Blunt to my lips. Check out the complete lyrics and further meaning breakdown on Genius. Taylor Swifts official 'Long Story Short' music video song with lyrics. Let us hear what you think about this song in the comments below. They just have to wait it out in their humble seclusion. Taylor believes all the evil out there will consume the evil itself. Taylor Swift is even happier that she found a man who does not let her past mistakes, her boyfriends, feuds, etc, sway him. They are perfectly content in their secluded existence. There is no need for keeping count or doing favors for one another. ![]() Taylor has found a relationship in which she can finally relax. This also infers that Taylor is aware of the fact that her fame and popularity were reasons for some of her relationships to fall apart. But if some random person/media comes knocking at their peaceful existence, she would not stand aside and watch–she would fight. She says that she let down her weapons and stopped fighting everything when she met the right person. Taylor Swift also gets very defensive about her relationship in these lyrics. This is not the worst trait to develop, but it would get exhausting at some point, constantly having to live the best version of yourself. ‘Looking better in the rearview’ is an idea that when you look back at your past, you feel you were a better version of yourself back then. Taylor sings that she is all about him now. ![]() Since 2016, Joe Alwyn has been one constant in her life, and deservingly so. Post-chorusįortunately for Taylor Swift, she came across the British actor Joe Alwyn when everything was seemingly falling apart. And “Long story short, it was a bad time.” Taylor dedicated an entire era of her career, titled ‘ Reputation‘ to embrace everything thrown at her. She says she fell from her high pedestal right down the rabbit hole the lowest she could. The lyrics to long story short can be read here: LINK. Chart Rankings: long story short has not yet reached mainstream charts, but does have a total of 16.4 million global streams on Spotify and counting. Taylor Swift was at the top of the world when her relationships started crumbling down one after the other, and getting public scrutiny for that, and getting involved in the Kanye West drama, and her mother’s ill health during the 2014-2016 period. Songwriter/s: Aaron Dessner & Taylor Swift. She gladly welcomes anyone to try: “If the shoe fits, walk in it ’til your high heels break.” However, as the lyrics suggest, she knows they will break the heels trying. Taylor Swift would not bet that anyone understands what she is going through in her daily life. However, it was later revealed that Kanye only played the first line and omitted the second line on purpose. “The war of words” might be a hint at the “Famous” song by Kanye West in which he sings “I feel like me and Taylor might still have sex / Why? I made that b**ch famous.” When Taylor Swift called out about these lyrics, Kanye West claimed that he called Taylor prior and took her approval. The best example is her feud with Kanye West, which started in 2009 when Kanye West interrupted Taylor’s acceptance speech for ‘Best Female Video.’ And these battles were not even ones he picked. ![]() Taylor describes how she came across her saving grace when she was cornered by all of the above, and when she was beaten in battle. “long story short” Lyrics Meaning and Song Review Verse 1 Reviewers of Insider concluded that “long story short” is “the closest Swift gets to revisiting her pop star persona” Callie Ahlgrim said that it is “glossier” compared to its fellow tracks, hybridizing the textures of 1989 (2014) and folklore, and functions as a “refreshing change of pace” inside evermore, whereas Courteney Larocca felt that it is a “ Lover era message wrapped in 1989 production about overcoming her reputation mistakes”.Buy ‘evermore’ Album on Apple Music and Amazon He admired the song’s “dense but never overcrowded” instrumentation and its “kicky post-chorus vocal hook”. Jason Lipshutz of Billboard chose the song as the best on evermore and stated that the song materializes Taylor’s ability to create “deceptively simple” music that “is bursting with layers and moving pieces”. Slate critic Carl Wilson wrote that “long story short” is a “fairly slight song but an earned valedictory address”, incorporating Taylor’s standard wordplay and the “pleasure” that “comes in hearing her look back at all that and shrugging”.
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![]() **Please check the log file '/Users/hm/opt/miniconda3/envs/p圓6/lib/python3.6/site-packages/snappy/snappyutil.log'.** **Python configuration error: Python configuration failed.** **at .CLICoreBridge.cli(CLICoreBridge.java:82)** **at .HandlerImpl.execute(HandlerImpl.java:62)** **at .CommandLine.process(CommandLine.java:317)** **at .PyBridge.installPythonModule(PyBridge.java:149)** snappy-conf /Users/hm/opt/miniconda3/envs/p圓6/bin/python3.6 /Users/hm/opt/miniconda3/envs/p圓6/lib/python3.6/site-packagesĪnd i got this error **at .nfigureJpy(PyBridge.java:232)** cp *.whl “/Users/hm/.snap/snap-python/snappy”.I installed SNAP 9.0 and created a conda virtual environment called “p圓6” with Python version 3.6. OS name: “mac os x”, version: “12.5”, arch: “aarch64”, family: “mac”Įxport JAVA_HOME="/Library/Java/JavaVirtualMachines/jdk-18.0.2.jdk/Contents/Hom$Įxport PATH="/opt/apache-maven-3.8.6/bin:$PATH" ![]() Java version: 18.0.2, vendor: Oracle Corporation, runtime: /Library/Java/JavaVirtualMachines/jdk-18.0.2.jdk/Contents/Homeĭefault locale: en_DE, platform encoding: UTF-8 Java™ SE Runtime Environment (build 18.0.2+9-61) I read every single comments and posts here relating installing snappy on mac or window or linux but until now no progressing. I have a problem installing snappy on my mac m1 for a long time. Thank you for reading this and appreciate all of your help. ![]() What do you attribute the success to that you’ve had at Boxer Property with product development? I’ve been around system implementation, and just because you have a good experience doesn’t guarantee success. Russ: Ok, you know I’ve been around the software business a lot. I spent some time in Silicon Valley working with venture backed startup companies, so I was at least comfortable with that.Īnd, the combination of having a real need to invest in technology, a background in it, and starting with a pretty organized business in the first place put us in a good position to really move forward with it aggressively, and we have. So, we turned instead to technology, and fortunately I have a background also in technology I’ve run a software business. And, at first we looked at that and said, alright, we’re going to solve this problem by hiring excellent people, you know? And they’re going to be really good at all these things that we need to do, and while there are many excellent people out there, it was, proved too difficult to find enough of them that could carry us through a period of tremendous growth. We had organizational capacity constraints as opposed to financial or deal flow. We had access to capital, and normally in commercial real estate you don’t have those two things at the same time, but we did.īut we realized that because of the intensive nature of our operations, if we doubled, tripled, quadrupled the size of the business, we would stumble on operations. It was a time where the market had been through some crazy gyrations, and we found ourselves in a position where we had a strong track record of buying distressed assets. Even though we were early adopters of technology, we did our first salesforce implementation in 2004, we were on document management since around that time as well, but really it started accelerating very dramatically around 2010, when we found ourselves in a position where we were able to grow rapidly. Justin: When my brother started the business, from day one it was very organized, so we’ve always had a culture of, kind of, understanding, what our processes are, what our procedures are, where our information is, and we existed that way for a long time in somewhat of an analog world. You and I talked about it it’s quite impressive. So, when I was invited to have the opportunity to interview you, this description of really a company that uses technology a lot was presented. Typically, the properties we purchase are distressed assets when we get them, and they need a lot of attention and care to get them back into a position where they can be valuable on a long term basis, and the operations piece is very intense. My brother started the business when he graduated from law school and I was still in college, and we’ve been at it ever since. Russ: So, how long has the company been doing this? We have about 16 million square feet that we control, about, somewhere between employees we’re based in Houston, and we have properties all over the country. We own and manage office buildings, hotels, shopping malls, and some other assets. Justin: Well, Boxer is a privately held commercial real estate company. Justin, welcome to The BusinessMakers Show. I’m very pleased to have as my guest, Justin Segal, President of Boxer Property. He is also a member of the International Council of Shopping Centers (ICSC) and the North Texas Commercial Association of Realtors (NTCAR).Russ: Welcome back to The BusinessMakers Show, coming to you today from Station Houston, a real cool accelerator here in Houston with a live audience in front of us. He also represents prominent landlords such as N3 Real Estate, Routh Development, Starpoint Properties, Pacific Fuel, Amstar, BH Properties, AMLI, Black Lion Investment Group, and Transition Development Group.Ĭhris also represents a wide array of tenants including Rush Cycle, Main Squeeze Juice Co, Redline Athletics, Godfathers Pizza, and Sirius Day SpaĬhris received his Bachelor of Arts degree in Management from The University of Texas at Arlington College of Business. He was hired to head up the Dallas office for RESOLUT RE in early 2013.Ĭhris works with Excess Space on the disposition of 7-Eleven, CVS, and Family Dollar assets. In 2012, Chris was hired by Retail Realty to handle the company’s Tarrant County portfolio, which accounted for 15 shopping centers, totaling more than 750,000 SF. Chris then went to work for 40-year commercial real estate veteran, Larry Harbour, at Century 21 Commercial, where he transitioned and was groomed in retail brokerage services. He was named Top Statewide Leasing Agent in the 4th quarter of 2008 and 1st quarter of 2009. ![]() Chris Flesner started his real estate career in 2008 with Boxer Property, where he leased and managed four multi-story office buildings totaling over 350,000 SF. I hope this helps, but if you get stuck using any of these tools then there is more information available in the examples within Designer. After we copy EACH of the departments then I select ALL of the departments, go to the very bottom and copy just the grand total. You will need to give the fields from your summarize tool a similar name, so that you can join these by name within the Union tool. New-Report - The Report my client looks at New-Pivot - the Pivot table New-Data - the data we import from a payroll company So our process of this sheet is to import the new data every pay check into the Help. Then, as above, if you add a summarize tool to get the sub totals for both.įinally, you will need to use the Union tool to bring all of your data back together. Users of older versions of will be asked to migrate existing data upon launch. The best way to do this will be to use the Select Records tool (you will require one for each stream) - Select the specific rows you require for each table. Starting with Version 6, GrandTotal uses a new file format. I have grand totals turned on (annual number), but would like to move it to the left and for the life of me cant figure it out. Make sure you use custom bundle identifiers on modified versions of the plugins. ![]() Grand Theft Auto V is an instant classic and a must-play for any fans of the sandbox genre looking for a challenging, action-packed adventure. The recommended way to install the plugin is to open the Overview in GrandTotal and then select the Get plugins page. Installing new version of GrandTotal will automatically update plugins. I have a simple pivot table with line items in the rows and months in the columns. All GTA+ Members will also get access to The Vinewood Club Garage, a new vehicle storage facility with the capacity to hold up to 100 vehicles. A supported hotfix is available from Microsoft. The Windows installer is no better (He says while wiping a grand total of thirteen EFI partitions off. Therefore, you cannot see a grand total for all open transactions. ![]() Additionally, the report does not have the options tab. The first stream will be your data in its current format with the total fields removed, you can then use the summarize tool to get a total sum.įor the other 2 streams, you will need to split your input data. Hello - this seems simple but been searching for about an hour and cant figure it out. December 19, 202312:50 PM PSTUpdated 3 min ago. When you run the customer open transactions report in Microsoft Dynamics AX 2012, the Grand total option is missing. To do this, you will need to separate your input data into 3 streams to perform each of the summations you require before bringing the data back together. How can I total and subtotal the following data set? I am looking to subtotal the first set, subtotal the second set and then grand total the two sets, essentially what is already in there but I would like to be able to run it through alteryx as the report I get is all hardcoded. However, sometimes dragons will not notice any enemies in the area at all and fly around nonchalantly. Dragons are Neutral enemies, meaning they are hostile towards all characters in the immediate area, and vice versa.A Dragon not engaged in combat will emit a distinctive "air rushing" sound while in flight.Strategies Click for a list of strategies (Revered and Legendary dragons have an increased chance of dropping Daedric weapons and Daedric armor). Weapons and Armor, with a chance of being enchanted.Gold, the amount depending on the dragon's level.Dragon Heartscales (can be collected using Kahvozein's Fang).This introduces a new control scheme that allows the Dragonborn to command the dragon they are riding to attack targets. As soon as the dragon has been mounted, it will take to the skies. When the shout is directed at a dragon, it will land and allow the Dragonborn to mount it. All three words of the Bend Will shout are required in order for it to work. Main article: Dragon Ridingĭragon Riding is a feature added in The Elder Scrolls V: Dragonborn that grants the ability to temporarily tame and ride Dragons. Alduin's roar that summons a storm raining meteors down from the sky.Essentially identical to random nameless dragons in terms of gameplay, these Dragons are usually encountered during the main quest with individual names and dialogue: These are dragons encountered throughout Skyrim. Orange-colored dragons introduced in Dawnguard second most powerful variant.īlack, purple-colored maximum level dragon introduced in Dawnguard most powerful variant.īlue-colored, snake-like dragon introduced in Dragonborn.Īn undead dragon encountered in Labyrinthian during the quest " The Staff of Magnus." Red, black and orange-colored dragons the most powerful dragon in the base game. White and blue, ice-affiliated dragons with black-colored dorsal spines.īronze-scaled dragons with arrow-shaped tails second to Ancient Dragons. Green-colored dragons that have finned crowns and spade-like tails. Variants Nameless dragons Nameless dragonsīrown-colored dragons they are the first dragons encountered in Skyrim and are the weakest. Outside the unmarked entrance to Bleak Falls Barrow.These locations are not dragon lairs, but a dragon is guaranteed to be present. In these locations Dragons are typically perched atop word walls that they are guarding. ![]() These locations are called dragon lairs that can be found all over Skyrim. There are, however, certain locations where Dragons are scripted to appear. Thus, fast traveling to an outdoor location is a reliable way to trigger a random Dragon encounter. Until now." ― Loading screen ĭragons can attack anywhere outdoors in Skyrim and random encounters are scripted to take place after a certain amount of in-game time has passed without a Dragon appearance. ![]() ![]() "Most Nords of Skyrim believed Dragons were only a legend. ![]() Our recipe is much lower in carbs with the low carb sweetener with 2g net carbs per tablespoon serving. Sweet coconut condensed milk has 26g per 8 tablespoons and is mainly due to the sugar content. This is because it's make of sugar and milk. There are a shocking 166g carbohydrates in a cup (306g) of traditional condensed milk. Please read my disclosure policy for more information. This does have a slight coconut flavor which adds to the sweet taste. ![]() This is made with coconut milk making it a great option for anyone who is lactose intolerant. This is just as creamy as regular condensed milk and just as sweet. This is a vegan, dairy-free and gluten-free condensed milk recipe that can be used in other recipes. Only two ingredients are used to make this keto vegan condensed milk recipe. This may be useful for making deserts but was too thick to be used as regular condensed milk.Gluten Free Diary Free Nut Free Egg Free Low Carb Vegan Keto Here is a batch that I made with some thickener (glucomannan powder). The milk will be runny at first but will thicken as it chills.Alternatively, pour in an ice-cube tray and freeze for up to 3 months. Seal and refrigerate for up to a week.Optionally, you can blend in some vanilla or cinnamon. There may be some skin and clumps so it's best to smooth the texture by blitzing with an immersion blender. If you want to achieve a more caramel-like taste, use Sukrin Gold instead of Erythritol. Reducing the coconut milk by itself will make it sweeter and you can add as much sweetener as you like. Although you can add the sweetener in the first step, it's better to add it after you reduce it in case you prefer different level of sweetness. Once reduced, take off the heat and add Erythritol.Reduce the coconut milk to about half of the volume. Once it starts simmering, turn the heat down to low.Optional: vanilla powder, sugar-free vanilla extract or cinnamon, to taste.1/ 2 cup powdered Erythritol, Swerve, Allulose or brown sugar substitute such as Sukrin Gold (80 g/ 2.8 oz) - can be omitted.2 cans coconut milk (800 ml/ 27 fl oz) - I used part canned coconut milk and part Aroy-D coconut milk.Total carbs 0.8 grams Fiber 0 grams Sugars 0.1 grams Saturated fat 4.7 grams Sodium 3 mg ( 0 % RDA) Magnesium 12 mg ( 3 % RDA) Potassium 55 mg ( 3 % EMR) Ingredients (makes about 1 3/ 4 - 2 cups) If you want to make a nut-free condensed milk with cream, use seed milk such as poppy seed milk instead of almond milk, or try tigernut milk (tigernuts are a vegetable, a type of tuber).You may want to add the sweetener after the cooking only because the mixture will be sweeter as it gets reduced. We tried both and it didn't make a difference. Sweetener can either be added and cooked together with the cream or coconut milk, or it can be added after the milk is reduced.Start at medium high and once boiling, reduce to low. When boiling your coconut milk or cream, find the temperature that allows it to simmer without overflowing. The more you reduce it, the creamier it will become. The exact volume will depend on how much you reduce the liquid. This recipe will yield 1 3/ 4 to 2 cups. ![]() Store for 1 week in the fridge in a sealed jar.
![]() During a warning, take protective actions immediately. A warning is issued when severe weather has been reported by spotters or is indicated by radar. During a watch, keep alert to changing conditions and prepare to take protective actions. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright. Temperatures remain chilly but the weather is otherwise quiet around the area for Thanksgiving. WarningĪ watch is issued when weather conditions are favorable for the formation of severe weather. Temperatures stay cold today with clouds building throughout the day. You should be familiar with and know the meanings of terms that are used during severe weather. ![]() Weather radios can provide immediate notification of severe weather. The best way to protect your family against potential weather disasters and emergency situations is to be prepared.Īll citizens are encouraged to have a National Oceanic and Atmospheric Administration (NOAA) weather radio with battery back-up operation that receives weather information 24 hours a day, 7 days a week. When severe weather happens, it is imperative that all citizens have an action plan in place. ![]() Learning to prepare for and respond to severe weather is a reality for those living in the North Texas region. Ongoing employment is contingent upon meeting all such requirements, including acceptable background investigation results This SAFE position has customer contact and job duties which may include the offering/negotiating of terms and/or taking an application for a dwelling secured transactionĪs such, this position requires compliance with the SAFE Mortgage Licensing Act of 2008 and all related regulations Refer customers' financial needs to other bankers and partners as needed Provide appropriate options for bank products and services to customer Interact with customers to demonstrate care and build relationships Receive direction from managers and exercise judgement within defined policies and proceduresĭevelop understanding of bank products and services to connect to customers' needs Participate in delivery of exceptional customer experience by building relationships through proactive outreach as well as proposing appropriate products, services, and digital solutions to help customers succeed financiallyĪssist customers with basic requests related to opening new accounts, completing service requests, and submitting credit applications Learn more about the career areas and business divisions at. Wells Fargo is seeking an Associate Personal Banker (SAFE) for Branch Banking as part of the Consumer and Small Business Banking division. ![]() When it comes to employees’ financial health, we offer competitive salaries and generous benefits package. We’re especially proud of our tangible, meaningful commitment to diversity, equity, and inclusion in the workplace. We ranked #2 on the 2023 LinkedIn Top Companies list – and #1 among financial services companies – as the best workplace “to grow your career” in the U.S. ![]() ![]() Are you ready for the next step in your career? This is where it begins – at a company known for our “Well Life” approach to supporting employees’ career aspirations, work-life balance, and mental and physical health. ![]() Once the information has been written to the null device, it becomes unable to retrieve. This is a virtual device that automatically pretends as if any data sent through it doesn’t exist. User browsing data is never stored on hard disks but on a special null device. This means it doesn’t store personally identifiable information and user data. PIA maintains a strict no-logging policy. This company also acquired the VPN providers CyberGhost and Zenmate in the last couple of years. Private Internet Access was bought by Kape Technologies in 2019. OpenVPN and WireGuard are considered the best protocol options today. If you want fast speeds, choose the lightweight WireGuard protocol. We recommend using OpenVPN since it offers the best combination of speed and security. That honor belongs to NordVPN, which is the fastest VPN in the industry. We were also able to download torrents very fast: a file of nearly 2 GB was downloaded in under 10 minutes.Īll in all, PIA offers excellent speeds for day-to-day activities - though it’s still not the fastest VPN around. In addition, we could play online games like Fortnite without any lags. (In our previous PIA tests, Netflix needed a little extra time to buffer an episode. Similarly, we watched many YouTube videos and streamed Spider-Man: Homecoming on Netflix without any interruption. We were able to load several news sites and blogs without any delays. We checked PIA’s speeds while performing day-to-day tasks to confirm if it’s as fast as the speed test suggests. Overall, PIA’s latency is within the ballpark of the top VPNs, indicating that it’s a handy option for tasks like gaming. If you connect to a distant server, your latency will surely be higher. Of course, our speeds decreased as we tested locations farther away, including Japan and Australia. We had even slightly better results in the U.K. PIA’s servers in New York served at least 89% of our original upload speeds. In terms of upload speed, PIA excelled, as well.Our speeds did drop in the U.S., but not significantly. Equally impressive is the fact all the PIA servers we tested in Europe (the U.K., Germany, and France) kept at least 93% of our download speeds.In our recent testing circuit, NordVPN and Surfshark’s fastest server also gave us around 95% of the initial download speeds. The fastest PIA server maintained about 95% of our original download speeds, rubbing shoulders with the likes of NordVPN.We also recommend PIA for any upload-related activities, such as uploading content to social media and transferring large files. Its fast download speeds suggest that PIA is a good choice for activities like streaming HD movies and downloading large files. ServerĪs you can see from the speed tests, PIA posts excellent speed test values. Speed tests always vary per location, internet provider, and time of day. Otherwise, PIA is a very reliable, fast, and secure VPN service. In addition, servers sometimes took a while to connect. The main downside of Private Internet Access VPN is its odd app behavior: the dashboard disappears when you click outside of the window. This, combined with simple and clean software, makes us happily recommend PIA if you are looking for a quality VPN service. For example, its monthly fee is 66 cents cheaper than Surfshark’s if you get the one-year plan. On top of all that, PIA is very reasonably priced when you register for a subscription for a longer time. This was confirmed by an independent audit by Deloitte, one of the best auditing firms globally. ![]() True to its privacy claims, PIA doesn’t log data that can be traced back to you. ![]() It also allows P2P file-sharing and torrenting. Its server network in 77 countries can also unblock the major streaming services, including Netflix. PIA’s performance makes it a great choice for any activity that requires fast speeds, including streaming, gaming, and downloads. This time, however, its download and upload speeds were through the roof, making it one of the fastest VPNs in our book. In our previous tests, PIA provided only average speeds. In our experience, Private Internet Access VPN is worthy of its spot on the best VPN list. Servers sometimes take a while to connect Windows app dashboard disappears into the app tray when you click elsewhere Our Experience With PIA: Short Summary Pros This Private Internet Access VPN review is an exhaustive tell-all to help you discover if the VPN is worth your money. We put PIA through the wringer to verify these claims and more.įor this review, we ran extensive tests and checks to determine its security, privacy features, usability, and server network. ![]() Private Internet Access VPN bills itself as “a VPN you can trust.” PIA boasts an impressive roster of features, including a strict no-logs policy, an extensive server network, and fast speeds. ![]() We are extremely fortunate to have such a tremendous health system in the UK and weĭesperately need to protect it. These are just a small selection of the differences between private and NHS hearing aids. The morning and it automatically starts your coffee machine so there's a nice latte waiting for you in the kitchen? This is all possible. What about turning your hearing aids on in That just happen to be your hearing aids! You can even take phone calls by simply pushing a button on your hearing aids and you're talking hands free. Most private hearing aids can be adjusted by your mobile phone - change programs, volume, noise reduction intensity, increase clarity, and even listen to music through them - wireless earphones Two of our audiologists have both worked in NHS audiology departments in the past and comment that there are good and bad departments, but the quality of the technology available to them on the ![]() Let it be said though that there are some magnificent audiology departments, audiologists and hearing care assistants in hospitals and on the high street doing some sterling work. Paying peanuts, only fitting patients when their hearing is 'bad enough', only fitting one hearing aid where two are necessary and fitting cheaper hearing aids that are way behind modern These include cutting patient/ audiologist time or appointments completely, outsourcing to the private sector but However, some hospitals have had no choice but to take measures to meet demands. We love them so much that we have campaigned on their behalf via the British Society of Hearing AidĪudiologists to make sure that during these terrible times of government austerity that the audiology department hasn't had to cut its services by too much. After a further two additional tuning appointments, Keith reported that the devices have trasnformed his working life he can now understand his colleagues at work and he can now also lower the TV volume to a level that suits his partner.It may sound odd as a private independent retailer of hearing aids that we love our NHS. Keith was pleased that the devices were invisible and a very comfortable fit. These invisible in the ear canal IIC instruments used an advanced processor that was able to maximise speech clarity when listening in challenging environments. Therefore, very deep impressions of Keith's ears were taken and a set of bespoke devices were manufactured by Starkey. As it is the cartilage within the first 2cm of the ear canal that resonates, this issue can be resolved by fitting a device that forms a seal deeper within the canal beyond the cartilaginous structure of the cavity. This is the most likely reason why Keith did not find his last set of instruments to be fit for purpose. The challenge was that his low frequency hearing acuity was normal and fitting in the ear canal devices can cause a low pitch resonance that is induced by blocking the patient's ear canal. In ear hearing aids can cause a low pitch resonance (sound) but this can be resolved As well as needing to improve his speech discrimination ability while interacting with colleagues and clients at work, he was also very clear about wanting a system that was as discreet as possible, ideally, one that would sit inside the ear canal. Pure tone audiometry as part of the hearing assessment revealed a bilateral moderate high frequency sensorineural loss with a symmetrical notch at 3 KHz. He reported a history of recreational and occupational noise exposure. He had also trialed a set of devices that were in the ear canal but reported the sound quality being too "echoey" and that he felt that he could hear more clearly without them. He used NHS behind the ear hearing aids but stopped wearing them as he was self conscious of their large size. Stopped wearing NHS hearing aids because too self concious Keith also explained that he was unable to hear satisfactorily in social situations or when watching television unless the volume was turned up, which made it uncomfortable for his partner. He was very conscious of asking colleagues and clients to repeat themselves so that he could try to discriminate what was being said. His job requires him to conduct site visits and interact with clients within environments with background noise. Keith attended The Tinnitus Clinic complaining of difficulties hearing clearly and understanding speech when at work. Difficulty hearing speech in environments with background noise |
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