Wednesday, November 10, 2010

And We Have a Consensus

With Nolan in a cooperative mood, we set out for Buffalo Children's this morning. With the sun shining, a good night's rest, and some blatant bribery, he made it through an entire hearing test. The audiologists at WCHOB were very impressed with his skills in the booth- I don't think they see a lot of kids who have an auditory-verbal background, since listening and hearing test skills are integrated into the therapy we do with Nolan. While we are not a true AVT family (there is no actual AVT center around here), we incorporate as many of the "learning to listen" skills as we can into our therapy.

The result of the testing indicates that Nolan does NOT have a purely conductive loss. His hearing levels are currently a mixed, flat moderately-severe loss. This is fairly consistent with the most recent audiogram obtained at Buffalo Hearing and Speech Center.

Guesstimate Audiogram-
I don't really have a photographic memory.

This is good news, because it means that the sensorineural portion of his hearing loss is stable. This also means that the hearing loss detected at birth was sensorineural or mixed in nature, and not conductive. A bone anchored hearing aid is not appropriate or advisable in Nolan's case, so we can wipe that option off the table.

Unfortunately, he has lost hearing since birth. As it stands now, he cannot hear sounds softer than 60dB. All of the additional loss, however, is of a conductive nature. This means that there is a maximal point of progression, since conductive losses can only add so much to a sensorineural hearing loss.

There is a good chance that Nolan's low frequencies were a mixed hearing loss at birth (he had a 50dB loss in this region, even before he had any ear infections). The current theory is that his loss has progressed due to tympanosclerosis (thickening of the ear drum) and some stiffened middle ear bones from chronic ear infections.

We do need to get a "tune up" on his hearing aids, since they are programmed for a 30dB loss in the high frequencies and he currently has a 60dB loss in this region. The conductive portion of his hearing loss is not "fixable," since it is not due to fluid build-up or other reversible causes. Hopefully the new permanent tubes will prevent further infection and damage to his middle ear system!


susannah said...

so glad that you are getting more clarity!

tammy said...

Whew! This is great news that you finally have a consensus AND that Nolan was a rockstar in the soundbooth! Think he can come teach Aiden a few tricks? lol

Herding Grasshoppers said...

Good job, Nolan!

Now you know more, and hurray for that :D And you still have the same stellar, amazing kiddo :D


Auntie said...

Great Job Nolan and Leah and Dennis! Answers, there are answers, now you have better information so that you can make wise decisions for Nolan. Thanks for sharing.

Terena said...

interesting. so good to have more understanding of what's going on.

Queen Teen has a sensory neural hearing loss in the severe range. Her aids don't help much. No wonder she's refusing to wear them now.

rouchi said...

Its good to hear that you are getting the clarity you so badly needed and so can take action accordingly.Also way to go for Nolan as he is AVT trained as this method is the best!He is showing that isn't he?

Julia said...

Leah, I hope you got my e-mail and/or the message I left on your home machine -- no ST playgroup this afternoon (Ben's sick again). You mentioned last week possibly driving up for that, and I wanted to catch you before you make the trip. Maybe next week?

Joey @ Big Teeth and Clouds said...

This info should help things a bit! Way to go Nolan for doing a good job in the booth!