How can you tell? Deafness starts at 70db HL!
Well, he was examined by ABR and the diagnosis is 95db or worse. He gave no wave V response. Basically he is profoundly deaf in the frequency range covered by ABR (500-2500, more or less).
Why so little amplification? That won't cut it at all. I was aided to 35db with a 100db loss in 1998.
Do not ask me how much gained was programmed in the HAs initially. Their idea is a number of programming session to gradually go up withamplification, to avoid bad reactions from him and the refusal of HAs (pretty common in small children). At the time of that audiogram, besides the amplification set, he reacted at that levels of stimulation. From that time the amplification has been increased significantly and we are going to have another audiogram in two weeks. I'll let you know!
Then you need more amplification, especially for the left ear. It's a good sign that he can hear even the "ss" sound. He may be hearing better than you think even with less than optimal gain.
The left ear is already more amplified than the right one. It is almost to the limit of the HA.
Scan the audiogram here for us to observe and learn. Is his audiologist going to fit him with more powerful HAs, perhaps the same Phonak Naida V UP HAs I have? Transposition should also be tried as well.
I will share the new audiogram, which will represent closely his actual situation.
He actually is fitted with that specific model! He has Phonak Naida V UP jr.
They will try transposition once we will identify with certainty any cochlear dead zone... It is very difficult with so young children, they cannot explain how they hear...
Can he speak clearly and read lips? My parents said I learned to read lips at a young age and got speech therapy to speak clearly. If you met me, you wouldn't even know I am deaf unless I told you. That's because we are just as capable! HA/CI are just tools to access sounds. The real training is in our brains!
No, he does not speak yet, besides some very simple words, mostly onomatopeic. He is (we are) doing speech therapy three times per week and slowly showing some improvements in the sound perception at the moment...
And you have no idea of the time we devote to him at home..
The odds of CI being better than HAs for a 100db loss is fairly good, but many people still do well up to a 100db loss with HAs, I am living proof of this.
I know that. This is what push me towards considering CI. But I also know there are some people doing great with HAs and this cause my concerns...
Anyway, my impression (pure impression, no data) is that an average CI user can be comparable or better of the most of good-optimal HA users... You are a great performer, but you base your speech understanding on lipreading mostly.
If you are looking for speech access, I had that with lipreading combined with hearing the sounds of voices. No one could tell I was deaf unless they saw my HAs. Lipreading is not inferior, just a different way to access speech. I would only implant a child if he had no residual hearing so he can at least gain access to sounds that no HA could.
I know a woman, completely deaf, she does not use HAs at all, she relies completely on lipreading and she speaks perfectly. You cannot tell she is deaf until you try to call her when she is not looking at you.
I mean, I know he can be perfectly happy with HAs, without, just signing, etc... I will love hime anyway, he is my child and I think he is the most wonderful child in the world. I simply want to do my best for him. I am trying to have crystal clear idea before making any decision.
Then he will have to wait till he's a teen for stem cells to be mature and FDA approved. By then, he would be old enough to decide if he even wants stem cells or is happy the way things are. Some Deaf people don't even consider their deafness a disability and don't see a need to have it "fixed" by CI nor stem cells.
It is probable that he will really have the possibility to get stem cells in the future. Maybe he will be adult, but after all in 20 year he will be 22, still very young and that technology will be out at thet time probably... Fortunately it will be his own decision at that time. I will support him anyway. I am ready to do everything for him, also switch completely myself to sign language, no problem.