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What if the biggest upgrade in your fittings isn’t the chip, but the craft? We sit down with industry veteran Ray Woodworth to unpack why the best results happen when technology, anatomy, and hands-on skill align. From the clinic to the factory floor, Ray shares how working alongside engineers reshaped his approach to ear impressions, venting, receivers, and fine tuning—and why humility and patient trust still outplay flashy features.

We take a clear-eyed look at domes versus custom solutions. Domes can be quick and appropriate for mild losses, but they’re often stretched past their limits. Ray explains how custom molds and embedded receivers reduce low-frequency noise bleed, stabilize retention during movement, and unlock better streaming with fuller bass. Vent choice is crucial: the right vent eases occlusion without sacrificing the low-end energy that powers speech and music. Add precise receiver selection, and the same device platform can deliver a whole new acoustic experience.

Verification meets perception in a practical framework you can use tomorrow. Real-ear measurement shows when domes leak lows and where custom coupling wins; patient perception then guides comfort, clarity, and loudness. Think of it like a light dimmer: build toward target so the brain can adapt without fatigue. We also compare ear scanning to silicone impressions. Scanners can shine, but only with expertise; silicone often reveals tactile details—wrinkles, texture, exostoses—that screens smooth over. Technique matters: video otoscopy, block placement, and repetition drive consistent, comfortable fits.

We close with a blueprint for sustainable success: slow down to speed up. Capture impressions even if patients leave with domes first. Educate, listen, and document so you can pivot fast when comfort or streaming falls short. That’s how clinics earn loyalty and ongoing upgrades—by proving that hearing technology is just one third of the process, and the other two thirds are craft and care. If this resonates, follow the show, share it with a colleague, and leave a review to help more listeners find us.

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