Articles I Have Written
- The Best Books for Kids with Hearing Loss
- Sleep Studies for Kids
- Adjusting to Hearing Aids
- Free Resources for Deaf and Hard of Hearing Children
- First Steps When Baby Can't Hear
- When Baby "Refers" on the Newborn Hearing Test
- Water Sports with Hearing Aids
- What is the Newborn Hearing Screen?
- The Best Hearing Aid Accessories for Kids
- Choosing Eyeglasses for Kids
- Great Hearing Loss Simulations
Wednesday, May 14, 2008
Behavioral Test Tomorrow
Tomorrow is another "first" for Nolan, though its one I never anticipated when I was pregnant with him. Tomorrow we get to go into a sound booth and plot his first real audiogram. Up until now, his hearing ability was measured by ABR. While completely objective and fairly accurate, it is a measure of how much sound the brainstem is responding to and is not considered the "gold standard" for measuring hearing level. Behavioral testing is the gold standard, and Nolan is finally old enough to attempt visual reinforcement audiometry (VRA). Basically, they play tones and then a lit-up puppet dances. The baby begins to anticipate the puppet-show, so will look to the display box after a tone is played and before the puppet begins to dance. Let's all hope that Nolan has a deep love of dancing monkeys (or rabbits, or whatever else they use to motivate the little guys).
His last ABR was six months ago, and showed a moderate loss in both ears with a rising slope configuration. He was at 50-60dB at 500Hz and 1000Hz (depending on the ear) and was at 35dB at 4000Hz.
I am surprisingly anxious about the test. I worry that he's lost more hearing and may have a progressive loss. In reality, if he has lost more hearing- its not a big deal. He already has hearing aids and we can just hook them up to the computer program to provide more amplification. Logic doesn't help when it comes to matters of the heart. And my kids are basically my heart walking around outside of my body. I am hoping and praying his hearing level is where it was in November 2007, but trying to prepare myself for the possibility that it has gotten worse. I can't really gauge from his behavior, because he is so young and is rather variable with response to sound- hopefully he'll catch on to the booth testing game quickly!
Now I'm off to bake more cookies (I bake when I'm stressed). I think we'll have about 8 dozen cookies by the time my dear husband comes home!