Since I was still somewhat able to hear while growing up and using powerful hearing aids, I mostly did not have a problem communicating with my immediate family. My father also had a hearing aid for single sided deafness brought on by a medical issue. I had problems communicating with out of town family when they came to visit.
Now that I am total deaf, I sometimes have a problem with the family at home and we all keep paper and pencil handy. They are beginning to pick up some sign. I am still oral, but moving into using more sign.
