but you keep ignoring the additional benefit of the second CI.
Cloggy, no.....Reread my posts...... I am 100% OK with a second CI if for example, the first CI does not give a lot of benifit (like they only get 65% or less of what's said) or if the person is totaly deaf in their unimplanted ear, and can't benifit all too much from a really good hearing aid, then implantation should be pursued!
Most people can benifit from hearing aids. And as I recall off the top of my head, even people with minmal aidable hearing, can localize sound with a hearing aid!
I'm not just " one CI is enough!". I always think I can hear really well with just one hearing aid, but then I put my second aid in, and I can hear a LOT. Still can't localize sound thou...LOL! I just think that a second CI should be a last option, after all other options have been explored and exhausted. I really think the matter of a second CI is going to be like the digital vs. analog aid debate.
That's all! If the person is tired out from using just one ear, and there's no other option.....YEAH! Implant! Just be absolutly positively sure that other options have been exhausted.
I have to say that sound localization and abilty to hear in noise is just really not a vital must have. Even hearing people have trouble hearing in noise!
Besides, unless you're trying to catch a prowler or a murderer, in the house sound localization isn't really a vital skill.
One vs. two for people who just want sound localization and abilty to hear in noise, just seems to be the difference between an MP 3 and whatever the newest form of music delivery will be!
Sherry, I don't deny that bilateral implantation has helped a lot of people.
However, I'm just not totally gung ho about it. That's all. .... And your results with adults might be skewered b/c maybe you're serving adults who weren't taught to adapt to their hearing loss, under a full toolbox philosophy. I remember that ADD like behavoir IS very common among oral deaf people, and that mental illness seems to be very high among oral deaf people....
Also, maybe right now you're serving the population that was waiting for bilateral implants or who have uneven losses