╨╧рб▒с>■  (*■   '                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴M Ё┐Wbjbjт=т= "АWАWW       lиииииии╝      ╝!╢........авввввв$╫ ў Ъ╞и.....╞╓ии..█╓╓╓.Fи.и.а╓.а╓╩╓аииа." р A░М╛╟╝N t(ааё0!аС Ь:С а╓╝╝ииии┘C- 044-34-8461 Cotnoir, Charles J. I have reviewed your УSupplemental Stement of the CaseФ (SSOC) dated April 17, 2007 and I wish to respond. I disagree with your findings for both ears for the following reasons: 1) I was given two speech recognition tests. The first test was given in the following manner. First the examinee was seated in the booth with the headphones on. Then, the examinee was exposed to the words that would be used in the evaluation. The speaking volume of this part of the test was set so that the examinee would clearly hear and understand the words that would be used in the test and would recognize them when he heard them in the actual test. I disagree with this method of testing, where the examinee already has in his memory the words that he is supposed to hear. The examinee is using his memory to put parts of what he hears together with the words that are in his memory. Since the examinee has heard the words twice, it is more likely that the speech recognition score is going to be falsely higher than if the examinee heard the words once as in a normal conversation. This method of hearing evaluation does not adequately reflect real speech recognition ability. This method of testing seems to defeat the purpose of a true measurement of the ability of the examinee to recognize random words. Prior to the test, I asked the examiner what I should do if I didnТt recognize a word. The examiner told me that I should guess at the word. Again, guessing at a word that is being repeated for the second time uses memory, rather than auditory ability and following this instruction will only falsely inflate the score. Not withstanding the above, I believe that my speech recognition score on this first test was much lower than 98% because many of the words were not recognizable other than as a murmur of sound, to which I did not respond because I could not recognize the word. The second test was conducted at a much higher volume than the first test. In fact it was conducted at a volume that was much higher than normal conversational speech. On at least two answers, I could not discriminate the word and I answered with two words. The examiner at each of those times stopped the exam and rewound the tape to repeat the word. I believe that the result of this test was inflated because of the volume and I also believe that of the two speech recognition tests the VA chose to ignore the resusts of the first test that had a lower score and chose to use the test where higher results were achieved, contrary to >>>>>>> CMR. 2) In all of the previous VA denials, the ratioal for denial was W#$ПР╫╪> ? А Б И Й W¤¤¤¤¤¤¤¤¤¤¤¤¤¤¤W¤ 1Рh░╨/ ░р=!░"░#Ра$Ра%░ i8@ё 8 NormalCJ_HaJmH sH tH <A@Є б< Default Paragraph FontW      #$ПР╫╪>?АБИЙ  Y Ш0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААШ0ААW W W GN[_М У ? 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