Tuesday, March 25, 2008

I'm Changing my name to Dada. Or Car.


Nolan has begun babbling. We officially have a consonant!! After all the work with "mamama" and "mmmmm," we finally have.... "dada!" Argh. I was really, really hoping for a mama first this time around! Nolan tends to be quiet most of the time, but when he decides to make noise, let's just say LOUD is an understatement. "AHHHHHHHHHHHHH DADADAAAAAADA" at maximum volume is heard until he tires of his own voice. And I love every second of it.

Since Matthew is talking more and more, I was hoping to finally (after 27 months) get a "mama" out of him. No dice. He can say "help," "two," and "my dad," but not mama. At bedtime two nights ago, Dennis told Matt to say goodnight to me. He came up, gave me a kiss, waved, and then said, "bye car!" He likes cars a lot, so I consider it a compliment. I'm still pining for a "mama," though!

Friday, March 21, 2008

What It Isn't




The department of genetics called back today and gave me Nolan's test results. Negative for Connexin 26, Connexin 30, and for the mitochondrial A1555g mutation. Darn! I was really, really hoping for one of these since they are non-syndromic and the Connexins tend to be non-progressive.

They didn't run any other genetic tests, so now I am on pins and needles waiting for our March 26th appointment with the ENT to discuss the CT scan results. I called the ENT's office and they have the results in the office, but didn't discuss them with me over the phone. I wonder if they found something, because you would think they would say, "his scan came out normal" over the phone...

About 10-20% of the time, they never find a cause for deafness. We may be part of that statistic. I don't really care what caused the hearing loss, but do want to rule out anything syndromic. I get to practice being patient waiting for the CT scan results. If there is one thing I am NOT good at, it is waiting for results (especially when the doctor's office already has them)!

Monday, March 17, 2008

Wednesday, March 12, 2008

Hearing Aid Envy


I was wondering where all of my sewing thread went...

Now the real problem: how to make a 2 year old understand that we put things in Nolan's ears, but NOT in Matthew's ears. At least he didn't stick something more dangerous in there!

As for other updates, Matt is starting to talk more and more. He probably has around 25 words now (up from just six about 3 weeks ago- amazing). Signing has really helped clarify his points, though he is beginning to drop sign as his verbalization increases.

Nolan's had a cold, and I'm hoping he gets over it soon. We don't need any additional fluid in his ears, and the CT scan is now less than a week away. We had his six month old well-baby appointment: he is now 26 1/2" long and 15 pounds, 6 ounces. His head is 46cm, which is a bit big (especially considering his head used to be in the 50th percentile). The CT scan should shed some light on that situation.

I might also have a lead on a speech language pathologist who has worked with deaf/hoh kids before! I have no idea if she has room on her caseload, but you can bet that I am planning on being as persistent as I have to be to get her. Maybe there is no TOD in this area, but there IS a SLP who has worked with hearing loss before. I want her!

Wednesday, March 5, 2008

Mommy Panic Attack Over

I've talked to the EI coordinator and to a speech pathologist at the center where Nolan has his hearing checked- they both have said that he cannot be "graduated" from early intervention because he has a permanent condition with a high risk of causing a developmental delay. Basically, our SLP can test him until the cows come home - even if Nolan gave a dissertation on the works of Sophocles, he still qualifies.

The SLP at our hearing and speech center stated that all babies (deaf/hh and hearing kids) are similar until sometime AFTER six or seven months of age. A language delay is often not noted until the children are between 12-18 months of age, so six months is EXTREMELY premature to pull the plug on services. She is sending me an informational packet to share with our current speech therapist.

I can relax and get my panties out of the knot they are currently in. Now I just need to work on my next project: finding a teacher of the deaf (TOD) willing to work with early intervention in Chautauqua County. When we revisit Nolan's goals, the request for a TOD will definitely be in the wish list.

Tuesday, March 4, 2008

Got My Mama Bear Fighting Gloves On


We had a list of specific goals for Nolan in the Early Intervention system:



  • Begin babbling (not yet- at least with consonants)

  • Turn and respond to voices (check! accomplished)

  • Start to recognize and respond to environmental sounds (i.e. doorbell) (doens't recognize these yet)

  • Begin to vocalize needs as demonstrated in pitch of cries (i.e. hungry, mad, etc) (Check! accomplished)

  • Vocalizing more to identify/recognize people/objects (e.g. mamama dadadada) (not yet)


Our SLP believes he has met his goals and is now age appropriate. She is going to test him on Monday so that EI can disenroll him from the system.


AAAAAARRRRRRGGGGGGHHHHHH!


Why does EVERYTHING have to be a fight? There are so many reasons I want Nolan to stay in the early intervention system. Among them:



  • Nolan has a moderate hearing loss. This level of loss is educationally significant in prelingual children. Heck, it's educationally significant in postlingual children!

  • We do not yet know if his hearing loss is stable or progressive.

  • Meeting goals at six months does not mean that he will remain on target for speech and language at a later date.

  • Prime language acquisition time is from the ages of 7-12 months. Kicking him out of the system just before that time period could be detrimental to his development.

  • Kids with hearing loss qualify for EI regardless of performance on standardized tests.

I would never forgive myself if I allowed the system to disenroll Nolan, and then find out that he had slipped further behind because services were discontinued just as he really needed them!


Thanks to some very helpful advice on the listen-up email list, I am going to ammend his IFSP to state different goals. Goals that are more far-reaching, such as including a goal to be included in a mainstream school setting. I am going to request that if speech therapy stops, then the services of a ToD (Teacher of the Deaf) begin.


Wish me luck as I call EI tomorrow, and begin the fight to keep my little boy at an age-appropriate level for language development!


Monday, March 3, 2008

The Miracle of Speech Therapy


I truly love speech therapy. Matthew has been showing some improvement already, which is thrilling to this mama! He has added "car" and "two" to his very short list of spoken words. He uses both of them spontaneously, and uses them to communicate (instead of just imitating the word). He doesn't know the exact meaning of the word "two," but knows it is more than one! When given a cookie, he'll always say, "two, two!" in the hope of getting as many cookies as possible.


Nolan isn't babbling with consonants yet, but this isn't really delayed even for a baby with normal hearing. The range for babbling with consonants is 6-9 months, so we're keeping a sharp eye out for hearing that first "mama" or "dada" or "baba." He is taking turns with making sound, imitating an open mouth, and making lots of "aaaahh" noises. He's localizing to sound and I'm a little anxious for that first booth test (not yet scheduled).



The boys are starting to interact, which makes getting a good picture of the two of them very difficult. One takes a lot of silly faces, and the other takes bribery. For those of you with even basic ASL knowledge, take a guess at what I bribed Matthew with (I know, I know- bad mother of the year award):