Hmmmm, that's a tough one. Don't forget to ask her what she wants. She is old enough to help make that decision. On one hand, she does qualify easily (with speech perception even when aided) On the other hand the benifits of bilateral CI aren't as drastic as the first one. It's basicly "sound localization" and better hearing in noise.She IS getting a combined benifit from a bimodal approach which is good. I know people with uneven losses (ie a moderate loss vs a severe or profound loss or poor speech perception in one ear vs the better ear) and they're aided in both ears and they do awesome!We just have to wait until summer and switch insurance programs. Her speech perception with the CI is 90% but the hearing aid is only 25%, so let's bump the other ear up to 90% too!
I also have heard (on a dhh nonbiased parent's listserv) that kids with bilteral implants have stopped using the second one. On the other hand, this might mean NO MORE paying out of pocket for hearing aids! It also may be A LOT harder to get the second CI, unless you have VERY VERY good insurance. I have a feeling that with health insurance companies getting overhauled, it is going to be VERY difficult to get a second CI except in " no benift from aiding" cases.
Actually wait.....she has a progressive loss right? That might be the right thing to do.
Please be careful that you're not looking at the AG Bell overacheiver types as a guide in what to do. (they tend to be coming out the walls in oral and CI programs) I'm NOT attacking you....at ALL! A second CI might be right for Miss Kat (might be like the difference between ITE and BTE aids for a hoh person) Hey....has she tried the SUMO aid in her aidable ear? That might be an option