the Shockingly Simple App

About SSapp

SSapp was designed, coded, and is maintained by a practising audiologist and current NZAS full member. It exists because the problems it solves are ones that audiologists live with every day.

Why SSapp exists

Clinician burnout is real. It's rarely dramatic — it's subtle, cumulative, and corrosive. It shows up as creeping absenteeism, declining note quality, suboptimal client outcomes, and a quiet erosion of job satisfaction. SSapp exists because the administrative weight audiologists carry is one of the most fixable contributors to that burden.

The time SSapp gives back isn't just about fitting more into the day. Sometimes the most valuable thing a clinician can do with a recovered ten minutes is make a coffee, have an unplanned chat with a colleague, or just step outside for a quiet breath. That matters. It compounds. And it protects the quality of the work that follows.

What SSapp stands for

Clinician-focussed, always. SSapp is aligned with NZAS best practice guidelines and stays current with NZ hearing aid funding pathways and the latest hearing aid technology available in the New Zealand market. The knowledge behind SSapp reflects the world audiologists actually work in, not a generic international textbook.

Patient and clinic data, protected by design

SSapp is ephemeral by design. Patient and clinic information is never stored, never persisted, and never used to train models. Notes and referral letters exist only for the duration of a session — once the session ends, they're gone. There is no database of patient information sitting on a server somewhere. Privacy isn't a feature bolted on after the fact; it's the architecture itself.

Why SSapp? Do the maths.

Magic Notes saves approximately 2 minutes per appointment note. That doesn't sound like much — until it's multiplied out.

SSapp automatically detects the appointment type and formats accordingly, whether it's a Hearing Assessment, Hearing Aid Needs Assessment, Lyric Consultation, Lyric Refit, Wax Removal, Hearing Aid Fitting, or a Service appointment. It fixes spelling, corrects grammar, reorders shorthand into proper clinical chronology, and preserves the emotional nuances captured in rough notes — staying true to key outcomes and plan.

Two minutes saved, multiplied across a typical day of 5–7 appointments, gives back 10–14 minutes per day. Over a 20-working-day month, that's 200–280 minutes — roughly 4 to 4.5 hours.

Now consider what those hours mean in real appointments. A standard hearing assessment runs 45 minutes. A hearing aid fitting takes 60 minutes. A fitting follow-up is typically 30 minutes. That monthly time saving translates to approximately 5–6 additional hearing assessments, or 4 additional hearing aid fittings, or 8–9 additional follow-up appointments — freed up without anyone working a single minute longer.

Scale that across an organisation with 20 clinicians. That's roughly 80–90 hours recovered per month — the equivalent of 100–120 extra hearing assessments, or 80–90 extra fittings, or 160–180 extra follow-ups across the team. Every month. No overtime. No burnout. Just time returned to where it belongs.

Where that time goes is up to the clinician. Some of it might be a breather. Some of it might be an extra appointment. Either way, the value is there — and it tends to pay for itself quickly.

See it in action

All names and details below are entirely fictitious.

Clinician shorthand

client self-booked online. 45 yr old male, cnstructionion worker for 27 years: concrete demonlishion with jackhamers and sledge hammers. heavy diesel everywhere. hearing PPE not really used "all that much except maybe jackhammering". right handed. HHI 24/40 consistent with comments: "Leanna my wife says I shout all the time"; "kids say I turn the radio up in the car way too loud"; "yeah i do reckon my hearing's no all there ... mates joke about it at car club. i laugh but it's getting to me. i haven't told them that." Hx: childhood acute ear infections, nothing in adulthood; c oncussed in rugby at 21, temporary tinnitus (L) ear. Meds for depression - starting taking in 30s. otherwise fit and healthy. likes mountain biking and car racing on weekends. socially active - restaurants and pubs with mates after car racing and mountain biking. otoscopy: bilat. minimal cerumen present; (L) canal shows small white growth superiorly 1-2 mm from TM; minor exostosis;(R) canal similar morphology to (L) inc. minor exostss. TMs healthy in appearance, light reflexes present bilat. PTA: (R) wnl 250 hz to 2k slopes from WNL at 2 khz to severe SNHL at 4 kHz and rises to slight SNHL at 8 kHz. (L) wnl 250 hz to 2k slopes from WNL at 2K to mod-severe at 4K; rises to mild @ 8K . speech discrimination PImax 100% consistentwith 2K threshold, bilat. Tymps: A/A. Reflexes elevated at 4K bilat. ipsi and contra; otherwise reflxes present at expected levels with ipsi and contra stimuli. QuickSIN: -4 dB SNR bilat. @ 30 dB HL (normal). ONIHL age/sex adj. HF total: 21.2% discussed results incl. 10 dB 4K asymn.he did admit to competitive claybird shooting through 20s - internmittent hearin PPE; she admitted right ear slightly more exposed to muzzle flash. I said we will keep an eye on it. no tinnitus or balance issues. guided him through answers. he would like to try amolkification. i suggested we apply ffor ACC funding and explained this for him. he is keen. compelted ACC hx form with him. explained the process and when to expect to hear from acc. he said when he comes back: "I want some like yours" (referring to my starkey edge ai 24 black ITCs). left happy. see on reqst follow acc outcom for hearing aid discuss. monitr asymmetry 12 mo. nice guy. 2 young boys, 12 and 14.

Magic Notes output

Reason for Appointment

Client self-booked online for a hearing assessment due to concerns about hearing.

History

45-year-old male working in construction for 27 years, primarily concrete demolition using jackhammers and sledgehammers, with heavy diesel noise exposure. Reported that hearing protection has not been used consistently, "not really used all that much except maybe jackhammering." Right-handed. Also reported competitive clay bird shooting in his 20s with intermittent hearing protection, noting the right ear was slightly more exposed to muzzle blast.

HHI was 24/40, consistent with reported difficulties. He said, "Leanna my wife says I shout all the time"; "kids say I turn the radio up in the car way too loud"; and "yeah I do reckon my hearing's not all there ... mates joke about it at car club. I laugh but it's getting to me. I haven't told them that." Socially active with restaurants and pubs, and participates in car racing and mountain biking.

History of childhood acute ear infections, none in adulthood. Concussion at age 21 with temporary left-sided tinnitus. No current tinnitus or balance concerns. Takes medication for depression (since his 30s). Otherwise fit and healthy. Has two sons aged 12 and 14. Seemed a nice guy.

Contextual noise note: occupational noise levels for construction and demolition work are typically reported in the range of approximately 85–110 dBA Leq (Greville, 2019).

Clinical Findings

Otoscopy showed minimal cerumen bilaterally. The left ear canal showed a small white growth superiorly approximately 1–2 mm from the tympanic membrane, with minor exostosis. The right canal showed similar morphology to the left, including minor exostosis. Tympanic membranes appeared healthy, with light reflexes present bilaterally.

Pure tone audiometry showed hearing within normal limits bilaterally from 250 Hz to 2 kHz. In the left ear, thresholds sloped from within normal limits at 2 kHz to moderate-severe sensorineural hearing loss at 4 kHz, rising to mild at 8 kHz. In the right ear, thresholds sloped from within normal limits at 2 kHz to severe sensorineural hearing loss at 4 kHz, rising to slight sensorineural hearing loss at 8 kHz.

Speech discrimination was 100% at PI max bilaterally, consistent with 2 kHz thresholds.

Tympanometry was type A bilaterally.

Acoustic reflexes were elevated at 4 kHz bilaterally for ipsilateral and contralateral stimuli, and were otherwise present at expected levels with ipsilateral and contralateral stimuli.

QuickSIN was -4 dB SNR bilaterally at 30 dB HL (normal).

ONIHL age/sex adjusted high-frequency total was 21.2%.

Counselling and Discussion

Discussed results, including the 10 dB asymmetry at 4 kHz. Client acknowledged previous shooting exposure as a possible contributing factor. Advised that this will be monitored.

Client expressed interest in amplification and stated he would like to try it. Suggested applying for ACC funding and explained the process. Guided him through the ACC history form and completed it together. He is keen to apply and understands the process and expected timelines.

Client commented that when he returns, "I want some like yours," referring to clinician's Starkey Edge AI 24 black ITCs. Left the appointment happy.

Plan

ACC history form completed. Await ACC outcome.

Client to return on request following ACC decision for hearing aid discussion.

Monitor asymmetry in 12 months.

Greville, A. (2019). Occupational noise levels: A collection of reported measurements. Accident Compensation Corporation.

Try it for a month — it's only $10/mo Already subscribed? Log in here