June 26, 2005

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Ok, Well as far as I know, I have successfully added "My Story" ( see below) and a couple of photos.   This blog experience was not as easy as I thought it would be, but I think I will get the hang of it!   I am going to add more about my CI and my CI experiences here!

I have been activated with my CI for almost three years now.  In December of 2002 my audiologist asked me if I would like to be involved in the "Auria" trials.  This was the new "behind the ear" processor that Advanced Bionics was coming out with.   I said "OK" and without realizing it..my hearing was about to take another leap for the better when I was upgraded from my original traditional CIS speech strategy to HiRes!   HiRes rocks!!!   For more info..go see the www.bionicear.com website.  It can explain better than I could! 

Over, I would say, a three week period, my brain got the hang of this new speech strategy and everything started sounding more natural and more like I  remembered from when I had normal hearing.  The two most important improvements came with hearing in "noise" and music!  Music changed....it really went from pretty enjoyable ( within the scope of my traditional speech strategy) to WOW!  Oh yes, yes, yes!    I would love to go to another Paul McCartney concert with my enhanced HiRes hearing!   At the six month mark I was in love with my hearing with the traditional strategy,  not realizing how much better it could be...now I know.

Having been without any hearing or stimulation of the ear for over 30 years, I was not expecting to be a "star performer" with my CI...but fate decided otherwise, and I have been absolutely dumbfounded at times by how well I am  hearing things!   I had been told by university researchers that had nothing at all to do with Advanced Bionics ( independent researchers) that I would not have been doing this well with anything else.  They were dead serious and said I was one of the best "guinea pigs" they had used and I was able to hear VERY low sounds.  One PhD student is using my test results ( among others) as part of his doctoral dissertation.

Life sure brings surprises, and even at this three year point I continue to marvel at this technology.  I know I agonized about my choice of CI's...it is just the most difficult decision in the world!  You have to get your teeth into the research behind the products.  The external parts ( behind the ear and body processors) are great and they are the easiest part to upgrade...the inside part is what is surgically implanted...getting the most advanced internal technology is crucial,  there is no going back and later saying "oh gee, I wish I could have this or that", knowing that your implant company doesn't offer "this or that".  Being able to access major CI technology advancements is what is important.  My philosophy is to go with the one that has the most advanced technology and let it take you places...like to an amazing concert!

All the implant companies are good these days...and they will all give us good speech.  Researchers have learned that it doesn't take a lot of channels or power to give us great speech.  It is the "other" sounds in life that are more complicated for the scientists and researchers.   Music and "hearing in noise" are two of the major improvements that are being worked on by research scientists.  

Many Universities, unaffiliated with any of the three major CI manufacturers, are heavily involved in CI research also.  They test all the brands to see if they can notice any important differences.  Here is an interesting link to some recent research done in AZ.   This is called the Dorman Studies and has been published in JAMA in the ARCHIVES of otolaryngology-head&neck surgery, May 2004.  Although things are changing with all the CI manufacturers these test results are still very valid today.  The CII processor ( that I have) used in the Dorman testing has the same electronics as the current 90K processor..just in a different, smaller, flatter package.  http://archotol.ama-assn.org/cgi/content/full/130/5/624?ijkey=rP3mKx5ZSFw5.&keytype=ref&siteid=amajnls      

That is an example of the type of research being done by the Universities.  I was gratified to see how well HiRes users did in these studies...it pretty much reinforced to me that I had made the right decision in going with the AB implant.   There is also a comparison with the Med El implant (using CIS) that came out later and the results from that were that the Med El users were a close second the the AB HiRes users in results.  Not bad...I had switched from using CIS to HiRes and know from my personal experiences that HiRes was an improvement.

CI using people have some of the same challenges that hearing aid users face...blocking out annoying background sounds.   I have a program that blocks out background sounds...I still hear some of them, but they are sort of muffled and are not the distraction they would be if I was using my regular every day 70 IDR (input dynamic range) program.  I use this program for noisy restaurants mostly.   Most CI users hear better than hearing aid users...and another thing....we have NO feedback from earmolds!!  Woo-Woo!!. 

I just got a chance to try out the soon to be released "wireless" FMconnect ear hook ( with Phonak FM system)  This is going to make a lot of people very happy!   We also have T-mics...nifty little earhook/mics that put our hearing more inside the ear...where it belongs!  This is a phone helper bar none...everyone adores these little marvels.   The T-mic also helps to block out background sounds.  We have T-coils that are familiar to a lot of hearing aid users.  We can choose which IDR we want to use....the higher the IDR the softer sounds we can hear.  Using an 80 IDR pretty much brings in all sounds...both the 70 and 80 IDR are fabulous for music!! 

I am now in clinical trials for the upcoming virtual technology that AB will soon be releasing...we are gearing up to go from 16 channels ( or electrodes) to up to 120 channels!!!   Can you imagine?   Think about this....what I am hearing with now has 16 channels or less...and boy is it GREAT!   With the new virutal technology, they can go between electrodes and create virtual channels at any point necessary/desired between the electrodes and you have more sound information!!   Yes indeed!!   How cool can it get??   This is still in the testing phase...and I feel honored to be part of this testing.  Since I am in these trials, I can't really comment on the results....but AHEM, lets just say I am immensely proud of the researchers at AB for getting us to this advanced point!!

I have my own cell phone now ( an LG from Verizon) and spend hours talking on the phone.  I answer the phones in my husband's office several days a week, taking messages and booking appointments etc....not bad for a deaf chick!!  : )  Three years ago I lived in total silence and lipreading was the operative word...I was good at it, it was a do or die situation, and all my brain cells focused on lipreading.  Thank God I don't have to do that any more and I can relax and enjoy life.  Three years ago I didn't have any music..it was the black hole in my life.  I am listening to Luther Vandross as I type...." Take you Out"  from the Soul CD...hey, wanna dance??

Things have changed so much from my first implant in 1985...seems like a lifetime ago I was excited to be able to hear the dishwasher change cycle or a car horn honk.   Now my excitement is focusing on hearing with enhanced pitch perception.  Does this matter?  It sure DOES!!!   More to come...stay tuned : ) 

 

Posted by Deb at 22:22:32 | Permanent Link | Comments (1) |

As published in "Contact" magazine 2003

Psychosomatic Hearing Loss?
My Cochlear Implant Story...

By Debra Hollingsworth


I woke up deaf one morning. It was the Spring of 1971 in Anchorage, Alaska. No warning, no nothing, I was a 17 year-old high school student with perfectly normal hearing! I could hear fine when I went to sleep. Somehow during the night something happened, something broke or something that was perhaps very tentative and hanging by a thread, finally gave up.

Of course at that time I didn't know I was actually deaf. I went to the ear, nose and throat (ENT) doctor who said I had "fluid" in my ears, took home some ear drops and thought that was the end of the matter. Not so!

My hearing was not restored with the ear-drops and the next thing I knew I was on my way to Wilford Hall Medical Center in San Antonio, Texas. My father was a career Air Force man and I was flown from Alaska to Texas on a military medical transport plane.

Two weeks of testing provided no clue as to why I was deaf! It was determined that I had a "conversion reaction" or hysterical deafness! Yep, they basically could not find a cause, so it was all in my mind!

When I was young, I had many ear infections. I had been told that at one point, when I was in first grade, I lost my hearing and had surgery to clear out scar tissue and my hearing was restored. My parents chain-smoked. I once read a research article stating that children of parents who smoke had a higher incidence of ear infections.

When we lived in Biloxi, MS, my sister and I used to follow the mosquito trucks (along with all the neighborhood kids). Basically these were trucks that drove around releasing mosquito repellent in a thick white cloud. All the kids rode their bikes through this cloud of poison for "fun." Who knows how all this might have affected my hearing-but of course nobody wanted to listen to any of that. It was more interesting for me to have a "conversion reaction!"

Back home again, my family was told I needed to be put into the mental ward. If I refused the family "could" lose medical privileges! So off I went for a six week stay in the mental ward. This place came complete with barred windows and barred doors. I was considered a "flight risk" and confined to the floor. Interesting to say the least!

I was put on drugs, they tried to hypnotize me, put me into group therapy. I was newly deafened and did not yet have good lip reading skills. The people in my group had been told to treat me with hostility and to try to make me mad enough to "forget" I was deaf.

I also went through a week of shock treatment! I ended up screaming bloody murder and demanding to be discharged! They let me go home against recommendations and I was told to "come back when you are ready to hear again!"

Four years later, knowing full well I did not have a mental problem, I found a sympathetic doctor who was willing to review my medical records and see if there was something else that that could be done.

He called with the news that they had never bothered to do an evoked potentials test on me. The one test that would prove that my hearing loss was organic was finally done and the verdict was bilateral nerve damage of idiopathic (unknown) origin.

Yippee-I was not crazy, but I had to mourn loss all over again. I was sort of clinging to the hope that it would just come back if I tried hard enough. Now I knew it wouldn't!

By 1985, I was married with one daughter. My husband, who was at that time in the Air Force, got sent on a remote assignment to Iceland. I decided to stay in the states and go back to Connecticut to stay with my family for a year.

In September my sister Cheryl read a newspaper article about a man who had received a cochlear implant in a neighboring town. She immediately called the phone number given and before I knew it I was sitting in the office of Dr Keat Jin Lee, in New Haven, Connecticut.

I was tested and tested and tested and passed with flying colors. My cochlear implant surgery was scheduled! I was implanted with a Storz 4-channel cochlear implant on November 5th, 1985 during a 5-hour surgery. At that time, cochlear implants were still considered experimental and it was a definite leap of faith for me!

The operation was a big deal and so it was pretty much standing room only in the operating room that day. My surgery time was even postponed because one surgeon's flight from San Francisco was delayed and he was assisting! The night before the surgery I was being woken up over and over by smiling doctors who wanted to ask my permission to attend the surgery. It was one big party with a movie camera!

The first month after hook-up was amazing! After 14 years of silence I could hear environmental sounds--for example, the dishwasher changing cycles and the phone ringing. I could tell the difference between male and female voices, but not what they were saying. I could hear planes overhead and traffic sounds. Music sounded pretty bad--so I didn't really bother with it.

During the second month, I couldn't hear the phone ring anymore and other sounds disappeared. My audiologists tried in vain to keep it going, but one channel after another broke down and by the fifth month I had one channel left and every time I wore my speech processor I got an electric shock! I was told to take it off and not try to use it.

With the hope that they might come up with a "fix," I left the internal parts in my head for five years. I finally had the device removed in September, 1990 after a very nasty ear infection in the implanted ear left me at home with visiting nurses coming to the house to hook me up to IV's!

I was told when I had the implant removed that I could have another put in immediately. The company that made my Storz-4 channel had left the cochlear implant business and they had no replacement for me. I could have gotten a different brand, but I decided to wait until they had "perfected" the implants a bit more.

I knew for sure that one day I would have another implant. My failed cochlear implant gave me just enough taste of the future that I could wait and when the time was right I would do it again.

Life went on and I had moved to California, divorced and remarried. In September 2001, I was sent an e-mail from a friend about an entire family who had all received cochlear implants. I did a bit of digging around and found out that the implants had evolved to the point where speech discrimination was a given! My wait was over!

This time around I did a lot of research into cochlear implants and found it a fascinating subject! I signed up for CI forums on the internet and requested materials from all the CI manufacturers. I spent nine months researching them and made my decision about which device I wanted.

After some major insurance hassles, I was again in the operating room for a second cochlear implant! Dr. Dennis Maceri at USC hospital in Los Angeles, California, did the honors on June 18, 2001. My daughter Tara and husband John were there with me. Tara was a bit weepy and Dr. Maceri told her point blank--"Don't cry, your Mother is going to be able to hear again!"

One month later, we all met again at the hospital for the big "hook up" day. My audiologist Ki-Young Portillo, Tara, John, Tara's friend Kristen and my good friend (who had already had her CI surgery) Judy Wagner were all there to share the big day. It was a long day, but when I left the hospital I could hear--amazingly weird hearing, but I knew to expect that at first--the ducks and chipmunks and freakzoid Darth Vader voices--I was on my way!

Today is six months post hook-up for me and each day is a miracle! I was able to start talking on the phone three weeks after hook up! At first it was just short conversations, but as time goes on, I can talk for longer periods, and having a 45minute phone conversation with friends and family members is getting to be commonplace!

I am much more outgoing now and will just walk up and chat with absolutely anyone and everyone. During my deaf years I shied away from a lot of socializing because it was so stressful. There was a period of time (14 years) when I read an entire book every day, sort of a refuge from the solitary confinement of silence.

Today I listen to music like there is no tomorrow! It sounds very close to the way it used to sound. I have an excellent auditory memory and am very pleased with the way things have turned out!

For my birthday, Tara and her fiance Craig took me to the Paul McCartney concert at the Anaheim Pond Stadium. That was such a fairytale for me--sort of like going through a "rags to riches" story. I had never dreamed I would enjoy a rock concert again! She wanted to make it special--we took a limo and the 10 of us sat right up in front of the stage. I recognized almost all the songs and it was a fantastic teary-eyed event!

Things are getting better and better. My friends and family are constantly commenting on how my voice has changed! I am lucky enough that I was asked to participate in some clinical trials. The manufacturer of my implant is headquartered only a two hour drive away and Judy and I were both asked to be part of these trials. This is exciting and wonderful!

Thinking back to that girl I used to be and all that I went through to get to this point seems like a long ordeal. I wouldn't wish it on anyone. Hearing loss is such a traumatic thing to go through. I hope that anyone who might benefit from a cochlear implant will check into it. Life is too short to hang back when you could be listening to MUSIC! ,

 

Posted by Deb at 20:48:18 | Permanent Link | Comments (1) |