Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts

Saturday, October 3, 2009

Six Months

Today marks the half birthday of when I got my second implant activated :)



I've written plenty of posts on the benefits (and drawbacks) of being bilateral, so I'll try not to get too repetitive.

Bilateral=good
Regrets=none


When I was deciding on whether or not to go bilateral, the rumors about the Nucleus 5 had just started circulating. As much as I wanted the "latest and greatest" there was no telling when it would come out.  It could be weeks, could be years, and my audiologist couldn't squeeze anything out of the Cochlear rep. So, I (obviously) decided to go ahead with the surgery, as the timing was best for me. I had a full summer planned, and there was no way that I was interrupting my plans with surgery, and I sure as heck wasn't going to do it right after I started high school!

So, as you probably all know, the Nucleus 5 came out a month ago. As cool as it looks...

And as tiny/thin as it is...


And as amazing as the remote  may seem...

(Not to mention the bilateral accesories, AutoPhone, and improved mics...)

I'm still happy that I had the surgery when I did. I should be able to upgrade fairly soon, but had I waited, that would have been 6 less months that I would have heard from that ear. It's made life a lot easier. Without my new implant, I would not be able to use the FM (although I still do get some static, at least it works!) I was worried about music, going into my second surgery.  There's still a lot of ongoing research abot the benefits of having two CIs vs. 1+a hearing aid when listening to music. I was listening to music days after my new ear was activated, and I, personally, have found that it sounds much better with my 2 implants. It sounds great when I have it on my everyday ADRO, but even better when I have both processors set on the music program. I cannot even imagine going back to wearing one. When my batteries die on either ear, I wonder how I was ever able to do it with just one! While hearing in noise and in the classroom is still a challenge, it's a lot easier than it was before.

It was so worth it.





Sunday, August 16, 2009

No Two Ears Alike- Part 5: A Comparison

This is a series of "flashback" blog posts on my journey through going bilateral. To read the other posts in this series, click on the following links.
So, I'm going to write a comparison between my left (new) ear, with info about my right (old) ear . Some of it is stuff I have already talked about, some is stuff that I vaguely mentioned, and some is information that I am just now sharing.
Recovery
Old: Easy as pie, but slightly dizzy for the first 2 or so days.
New: Terrible. Horrid. I was dizzy for at least a week, and in a lot of pain. Also had/have issues with the scar healing. It took me about two weeks to feel like myself again.

Residual Hearing*
*I have not officially gotten my hearing tested unaided since getting both implants, but will do so and post the results in the near future. This is just what I have observed:
Old: Seems to be a good bit of residual hearing in the low frequencies. In that ear I can sometimes hear my dog barking (if I am really close by), doors slamming, my iPod turned all the way up using my Bose headphones, and voices if you speak/scream loudly in a low-pitched voice. I can also hear loud clapping.
New: Appears to have some residual hearing in the high frequencies, weirdly enough! I don't think I am completely imagining it, but anything is possible. I can hear the high-pitched beep/ticking of my Sonic Alert portable alarm clock faintly if I hold it right next to my ear without anything blocking it. When I went back to school before it was activated, we had a fire drill and I could hear the alarm in that ear.I can't hear much when I turn my iPod up all of the way, but some things that I have heard are someone smacking gum (so strange) and my sister will come up behind me and scream in a high pitched voice, and I can hear it. She just thinks it is so cool!
Side note: My hearing fluctuates, so I'm not sure how long this is going to last. Some of these sounds I could not hear before I was implanted without my aids in, so it's pretty weird. I don't mind it though!

Tinnitus
Old: I would get it occasionally (it was very quiet) before I got implanted. Once I got my CI, it went
away completely
New: Never had tinnitus before, until I woke up from surgery with an extremely loud roaring sound. It has since progressed into a steady, loud, chirping. It beats to my pulse- if I was running around, it gets faster. If I'm just laying down, it gets slower. I only hear it without my processor turned on.

Activation
Old: I kept a log on Microsoft Word of my activation experience and all the new sounds I am hearing. I have not updated it since November of '07, but it is 14 pages long! It's really cool going back and looking at it, and I encourage anyone to do so if they are not already keeping some kind of blog or journal! I also think my writing has matured a bit since then... Here is an excerpt I wrote in it shortly after activation,

"When I was first activated everything sounded like beeps. It was weird, but it quickly got better. Within an hour everybody sounded like Mickey Mouse on helium! When my sister laughed in a dramatic low pitch it sounded so high that it was impossible to imagine! However the next day I was able to understand many things without lipreading. Then people began to sound like Donald Duck. It was pretty funny, I have to admit! The next day, people started to sound like a robot mixed with Donald Duck. The more I practiced with the implant, the better it got. Starting the day of my activation, I listened to music with just my implant. At first it just sounded like a cacophony of sound, but if just got better and better. Within 2 days I could understand the lyrics of songs. About a week or a week and a half after activation I bought an iPod since mom “misplaced” the other one. Once again, the more I listened to it, the better it sounds."

So there's how I got my blog name! More about that in another post.. And the "misplaced iPod" comment- my mom took up my iPod after my hearing got worse (which I think was a very cruel thing to do!) because she was afraid it would further damage what I had left. She promised me I could have it back once I got my implant, but by then she had forgotten where she'd hidden it!

New: Sounded like wind chimes at first... Progressed pretty quickly. I was listening to music and talking on the phone (with my AV therapist, not my friends- that's more of a challenge!) within 3 or 4 days!
FM

Old: Oh my word. A complete and utter disaster! The static was so annoying, and the batteries die every 10-15 minutes because I use a really,really strong map on that side. I've deemed the FM hopeless for that ear, and even my audiologist has said there's really not much else we can do to make use of the FM better on that side.
New: Static at first, but went away once we found the right FM. I haven't tried it in the school setting yet, but I have my fingers crossed for the start of school next week.
Note: Yes, I am only going to wear an FM boot on one side. I'm hoping it will also allow me to hear what is being said by the rest of class, if the sound coming through the mic only reduced on one side. We'll see- I'm cautiously optimistic.

Staying On
Old: My ears look pretty much the same, so I'm not really sure what the deal is! I guess my right ear is just floppier! The processor is constantly falling off of my ear when I'm doing everything from just sitting there, to baking, to running around, and it was a real pain when it fell off when we were doing a group obstacle course where we were all standing on a wire trying not to fall off at a camp I went to this summer. It was a camp for kids with hearing loss, and the "counselors" were audiology/SLP students, so someone picked it out of the dirt, and handed it to on of the students, who tried to simultaneously balance herself while putting my processor back on my head. The problem was she was on the other side of me and couldn't see my ear, so it took a little while-- and then fell off again! The magnet stays on fine, though (until the processor drags it down to the ground as it falls!)

New: Stays on, no problem! I was pleasantly surprised, because I did not want to deal with two things constantly flying off of my head!

Violin

Old- After I got activated, I apparently started playing really quietly. Which is not a good thing, considering I'm already a pretty timid player!

New- Went through the whole "playing quietly" period again. My violin teacher thought I could tell better when I was in or out of tune, and did more auto-correcting. I guess he's right, I never really noticed it...


Speech
Old- I began pronouncing the soft sounds that I had not heard or said in a while. "House" became "House" again, instead of "how". The /s/ and /x/ sounds came back into my speech!

New- Suddenly I began getting comments left and right about how my speech sounded so much "crisper" and "clear". It was kind of an awkward conversation to have, but I guess I can give the credit to my new implant!

Note: My speech really wasn't all that bad before, really! Sure, it wasn't perfect, but you couldn't tell I had trouble hearing just from the way I spoke (until you asked me a question and I answered it completely wrong- ha!). I will have to record myself speaking someday and put it on here...

Music

Old- Much better than it was with hearing aids. No more distortion distortion. The first song I heard when I was activated was by KT Tunstall, who I later found out, interestingly enough, has a deaf brother with a CI! I didn't think music could sound any better.
New- I was proved wrong! Listening in stereo using my headphones is soo much better! It's so cool to be able to listen to each instrument and understand the lyrics

Anyone out there?!
That's all for now, folks! And lurkers- please don't be afraid to come out of your shadows! I don't bite! I can see how many people visit my blog per day and it doesn't nearly match up with the number of comments! While I get plenty of comments on the Community (which is a great resource for anyone looking into or that has CIs, and I recommend you visit!) y'all here in the blogger world seem to be slackin'! I'd like to hear what you have to say, even if you just want to leave an anonymous comment- fine with me! So come on guys, something-anything! Just let me know that I'm not talking to myself!
In Summary- 8/19/09
I was asked to give a summary of all of my thoughts on being bilateral, and I thought that was a good idea, so here I go. Basically, 2>1! I had a significant amount of residual in my unimplanted ear using a hearing aid before going bilateral, but I have found that having two implants makes a world of difference, rather than an implant and a hearing aid. I feel like I can hear more of the subtleties of music, and I don't struggle nearly as much in noisy situations. I have found that while my two ears are completely different, they complement each other beautifully. I prefer my newer ear over my older one, and find it better for talking on the phone. If anyone is contemplating going bilateral, my advice would definitely be "Go for it!" but also understand that your journey is not going to be exactly the same the second time around. Upon first getting a second implant, there is not as much of the "WOW!" factor since you can already hear sound. However, it is much easier and less fatiguing being bilateral, and I highly recommend it!

Tuesday, July 14, 2009

No Two Ears Alike- 1

Shame on me.

I started this blog exactly a week after my second implant was turned on fully anticipating to document everything and completely failed to even mention that I was bilateral. Oh well, let's hope you figured it out from the picture at the top of my blog!

I think it's time you hear a little about my left ear, don't you? My left ear was always my "better" (better being relative) ear. There was never a huge difference, and I was always told that it was such a small difference it shouldn't matter. Well, it felt significant to me! Especially when we managed to switch up my hearing aids a month before my first CI surgery ( don't ask...you'd think after nine years of having hearing aids this would be a mistake that would never be made, but it's not so!) further exaggerating the difference between my ears. I figured it out soon enough, but even when the aids were in the correct ears, I always felt like I had to turn my left side towards people to hear a little bit better. It had quite a bit of residual hearing, so wearing a hearing aid on that side and an implant on my right seemed ideal.



So why did I decide to get a second implant? My hearing hadn't dropped any more, and I could still understand some speech. The thing is, when I got a taste of what hearing with one CI was like, I wanted to be able to hear that well in both ears! For those of you or your kids who still have some hearing in their unimplanted ear, let me show you my left ear's hearing test results at my evaluation for a second implant...









The blue line is (or should I say was) my aided hearing. The purple line is my unaided hearing. Unaided, as you can see, I had a pretty typical severe hearing loss. Aided, it looks very similar to how my unaided audiogram looked when my hearing loss was first diagnosed when I was three and a half, although not as much of a dip in the highest frequencies and it was probably slightly worse in the lowest frequencies.


As far as speech understanding goes, here are my results (once again, left ear only):


HINT- 60dB (no noise) average- 79%


CNC Monosyllabic Word Test average- 24%


HINT (with noise): 0%


I know there are some people thinking, "why would you give up your residual hearing when you can score 79% on a sentence recognition test?"


First of all, I didn't end up losing all of my residual hearing after all (a whole 'nother post, as soon as I get more info!)


And 2nd of all, because. The HINT test is sooo not real life (well without noise, it sure isn't!)Notice how much lower my word recognition is, and you'll see how good of a guesser/"fill-in-the-blanker" I really am! I also knew it could be much better. I wanted to improve my hearing in noise, which was currently awful even with my CI and HA together. (0% for my right ear alone, and a pitiful 21% for both ears) With a CI, hearing is just so much easier. Even my audiologist commented on how most of the time with my right ear alone, I was relaxed, leaning back in the chair, and just saying the answers with ease. Then when we went to test the other side, I kept leaning towards the speakers, squinting my eyes, and having to pause to try and think and "fill in the blanks" for each of the sentences.


If you're wondering, here were the results for my right, implanted side:


HINT (no noise)- 98%


CNC- 80%


(audiogram of my right ear will be on the same one as my post-bilateral CI results) No, these results are not perfect, but I'm happy with them! They actually have changed very little (maybe 5% higher) from a month after my 1st CI was activated, interestingly enough.


Okay, okay, enough about the testing. I had my surgery for my second implant on the Monday that my spring break started, and I fully intended to be back at school the following Monday. After all, after my 1st CI surgery I was up and happy just two days later. Well this time was completely different. For starters, I was the last surgery of the day. Or one of them. It wouldn't have been that bad if the nurses hadn't done every SINGLE thing in their power to get me out of the hospital ASAP. I felt like I'd been run over by a truck, and came very close to screaming "I'LL PEE WHEN I WANT TO PEE! JUST LET ME SLEEP!" :-P. The surgery was quicker than my other one, a little over an hour, and the anesthesiologist commented how the electrodes just "slid right in."


When I woke up from the surgery, the first thing I noticed was the roaring in my ear. It was crazy loud, and drove me nuts. When I got home, I rested plenty and woke up the next day. For the entire week, my ear and head were throbbing. I couldn't stand up without being hit by a harsh wave of dizziness, and when I managed to walk I was extremely unsteady. The roaring in my ear had transformed into a steady chirping noise that was in synch with my heart beating. This was not how it was supposed to be! I'd been warned about all of the side effects, but I didn't think they'd actually happen! I definitely wondered, "what did I get myself into?" multiple times in that week of misery.


The dizziness eventually went away. The pain came and went. The chirping? I still have it to this very day, but only without my left processor on.



To be continued...