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
Monday, December 7, 2009
Buffalo: Round 1 (ENT)
We headed up to the ENT this afternoon to determine if there was any fluid lurking behind the wax in Nolan's ears. With a flat tympanogram in the right ear, we thought some hidden fluid might be the culprit behind the latest loss of hearing.
The ENT looked in his ears, weighed him, and then took him back to clean out the wax. This is a very miserable process, involving a papoose board, a microscope, metal instruments, and some bleeding from Nolan's ears. I won't go into detail, but let's just say that it ranks pretty high on the "least favorite thing to do" list. His left PE tube had just fallen out of the eardrum, so she removed that, too.
His ears are clear, and there is no fluid. We're free to go to BHSC for the repeat hearing test on the 15th, confident that there is no cause for a conductive problem remaining in his ears. They did run a tympanogram, which showed a perforation in the left eardrum (from the recently removed PE tube- it is too small to see and should heal completely by the time of the hearing test). The right ear does show negative pressure, but they just "wait and watch" with negative pressure. Sometimes it means a fluid build-up is imminent, sometimes it just disappears on its own.
Of course, no ENT visit is complete without finding some new thing to be concerned about. Our ENT is concerned that Nolan's anti-reflux medication isn't quite handling his reflux. He's eating less, pulling at his neck more, screaming a lot. Also, he never sleeps (reflux parents, you know what I'm talking about). He's also snoring again and his tonsils are big.
The big tonsils and reflux/snoring issues worry our ENT a bit, because all of this can affect growth. We have managed to get his weight back to 24 pounds, 3 ounces with a lot of DuoCal, but we're not seeing an improvement of symptoms. Our ENT has ordered a sleep study to be done on Nolan, and if obstructive sleep apnea is found, a tonsillectomy and adenoidectomy will be recommended. I get to set up the "polysomnogram*" at my convenience, and we'll see the ENT again on March 1 for a follow-up. If his tonsils have decreased in size and his sleep study looks good, we can ditch the whole tonsillectomy idea. I really want to ditch the whole tonsillectomy idea.
She also sent a note to our GI doctor requesting a possible increase in anti-reflux medication. We see our GI doctor tomorrow, so this may happen fairly quickly. Now I'm preparing for Buffalo: Round 2 (GI). Time to charge that portable DVD player!
*I learned a new word today.