Great news- yesterday we went to see Jay’s audiologist to have a routine hearing exam, and she told us about these new hearing aids that don’t just amplify everything but can translate high frequency sounds (the ones Jay has trouble with) into the low frequency register.
Confused? Okay, I’ll try to explain to the best of my limited ability. (Before Jay’s diagnosis, I had no idea about frequency- I thought it was all about sounds not being loud enough.) Jay hears fairly well in the lower frequencies- that’s why it’s easier for him to understand men than women. Most vowel sounds occur in the lower frequencies, which is why his speech is somewhat dominated by them, and ending consonants are often left off. Sounds like ff, ss, sh, ch (sounds with a lot of air)- these are all in the higher frequencies. Although his hearing impairment in the lower frequencies is considered mild to moderate, his hearing in the higher frequencies is severe to profound. So although he hears quite a bit, he misunderstands a lot and sometimes really struggles to catch everything.
So, long story short- these new hearing aids will help him hear more speech sounds. Yayyy!
I love Jay’s audiologist. She has been so patient and understanding with us, particularly with me- there have been many times when I have called her with endless questions and worries. And although I’m sure she’s a super busy woman, she never rushed me and answered all my concerns honestly. And believe me, not all professionals are so helpful- I could tell you some horror stories about some of our experiences, but that can wait for another time (when I’ve got a box bottle of wine by my side to calm me down).
This makes me feel somewhat better because lately I’ve been really thinking that maybe Jay should have a cochlear implant. His Dad and I disagree on this- Jason thinks that it’s too invasive and unnatural (what parent wants to have a doctor drill into his child’s head and stick a probe into his brain?). When Jay was first diagnosed, I was really offended that some doctors were so quick to insist on a cochlear implant. We basically went from being told that our son’s hearing was fine to doctors telling us that basically our son was profoundly deaf and needed an implant. Period. No discussion about what had caused it, no explanation for his inconsistencies on tests, his remarkable speech considering his level of hearing. Case closed. Next.
We were not so ready to rush into such a permanent procedure without doing some further investigation. We went to several more doctors and received several different results when they examined Jay. No one seemed to know what was going on with his hearing, and his Dad and I weren’t ready to jump into surgery with so much unknown.
So we decided to give hearing aids a chance. The first year was a little discouraging, but now we couldn’t be happier with the results. Jay’s doing so well that I feel ungrateful or greedy for even wanting more. But I can’t help but notice that children with cochlear implants seem to struggle less communicating, especially with their peers. Jay has a hard time keeping up with the conversations of kids his own age- they tend to talk fast and aren’t patient enough to repeat things. The possibility of making it easier for Jay to socialize dangles in front of me like an elusive carrot.
Ironically, the new otologist (a highly respected doctor and very experienced- I think he was the head of the department at Walter Reid or something) tested Jay and told us that Jay’s hearing was too good for a cochlear implant. Basically, he said that Jay’s “bad” natural hearing is better than the artificial “good” hearing provided by an implant. (Of course I had to hear a chorus of “I told you so’s” from my husband all the way home.) Which just goes to show how quick Jay’s other doctors were to slap a one-size-fits-all solution on him in the beginning.
It’s kind of bittersweet- if Jay had been born profoundly deaf, there would have been no question about it- he would have had a cochlear and would hear speech and talk better than he does now. I could probably really press the issue because he is borderline, but I’m not ready to do that. Jason is adamantly against it, and Jay is too, somewhat. Although the kid is pretty much against anything that might involve any amount of pain or needles- when he used to get vaccinations it would take every employee in the doctor’s office to hold him down. I told you, the kid’s strong.
So for now an implant’s not in our immediate future, although it is always in the back of my mind. And who knows, with any luck researchers will develop a way to regenerate Jay’s hearing using his own cells. Like my husband says, “If they can grow an ear on the back of a mouse, why can’t they grow hair on top of my head?”
Side note: I was pretty offended by the episode of House the other week in which the doctors took it upon themselves to implant a deaf 14-year-old against the wishes of his mother and himself. Yes, I struggle with the decision of some parents (like on the documentary Sound and Fury) not to implant their deaf child because they want to preserve deaf culture. I feel sorry for these children because unlike their deaf parents, who are surrounded by their peers in the deaf community, a whole new generation of deaf children is being implanted and integrated into the hearing world. These deaf children will grow to be part of an ever smaller minority and will be more isolated than previous generations. I think that although the intentions of the parents are heartfelt, they are acting out of fear and are creating a harder life for their children.
However, having said all of that, it is still the decision of the parents and child. This is different than whether or not to give a life-saving blood transfusion. This is a quality of life/ cultural decision. Who are we to choose for others? I would have been livid if one of Jay’s doctors had implanted him against our wishes. Many of them barely gave his situation more than two minutes of thought as they read his chart before entering the exam room. One particularly bad ENT wanted to implant his left ear, which, as it turns out, is his better side. Those kind of doctors just see patients as cases, not as people who will have to live with the impact of their snap decisions for the rest of their lives.