Friday, August 28, 2009

D is Also for Dishwasher

David is getting very good at expressing himself, particularly when he sees something he likes. He makes this loud, almost forced laughing sound. I'm so thrilled that he is using his voice to tell us that he's happy, even if it is kind of a strange laugh. And what makes David happy? The dishwasher! It's officially his favorite appliance, and when we open it to put dishes in, he goes crazy and races over to try to climb in. David also likes the LIRR which goes by our window regularly (good for when he's in a bad mood and we need a quick fix), and pulling the chain for the fan light in his room.

I took David to Gymboree again today and he had such a blast, especially looking at the other babies, having free roam to go wherever his little baby heart desired, and playing with the bubbles. He's so much more physically advanced, observant and expressive than most of the babies there, except for his language, of course, and his interest in playing with the instruments. I so can't wait until he can hear...he's going to be a superstar!

Monday, August 24, 2009

It's Crunch Time!

Today was a big day! We had our last appointment at NYU today and met with David's surgeon. He's a very smart guy and definitely knows what he's doing...maybe too smart...I got a couple of weird looks when I asked some of my "crazy mom" questions today. Anyway, he basically was one of the first surgeons to implant children when he was at UCSF, so I think David is in good hands. He answered all of our questions about which ear, one or two implants, complications (he has never had any), which brand implant, etc. After all that, it looks like we're going to try to get insurance approval for one implant and then worry about getting approval for the second. Steve and I thought we would have at least a month or two to think about all our questions, but it turns out that we might have insurance approval in a couple of weeks! YAY! David could be hearing well before his 1st birthday! Now we really have to think about which device we want for David, which ear and whether, and how long, we want to wait to see if the new device from Cochlear comes out. These are impossible decisions and I don't know how we're going to make them. But we will, and the upside is that we really can't go wrong with whatever we choose (except for waiting too long for the new device).

Oh, and let's add one more thing to our plate...finding a new ENT. The surgeon looked at David's CT scan and did not see enlarged vestibular aqueducts. Another YAY! One less thing to worry about. If anyone knows a good pediatric ENT please pass the info along...

Saturday, August 22, 2009

Lots and Lots

Lots and lots has happened since my last post, which was quite a while ago. David is keeping us so busy these days that I've had little (and by little I mean no) time to post. He is crawling and cruising around the house like a pro (and by cruising I mean basically running) and getting into everything (and by everything I mean the dishwasher, the bookcase, the outlets, the bathroom, the cabinets, the drawers, the door hinges...I think you get the idea). I took him to Gymboree last week and I think we're going to make it a weekly, if not more often, occurrence so he can get his energy out. I am also convinced he's going to be an engineer because he has to know how absolutely everything works. He doesn't care about his blocks in the box - he cares about how the handle is attached to the box and how the hinge allows it to swing. He checks under the hood of his little push car and he knows how to turn his room light on and off. He's also eating like a big boy with finger foods like mini bagels, puffs, chicken, bananas, watermelon and whatever else I can find that is soft and bite size. I can't believe how much he's grown up this summer. Sometimes I wish he would always stay my little baby, but when I see how smart and observant and what a personality he has, I just can't wait to see what he does next.

Refer to post "All Clear". Our ENT now thinks that on David's CT scan, he sees that David has enlarged vestibular aqueducts. Huh? The radiologist at LIJ didn't see that, so it came as quite a shock. By itself, this is something that could cause progressive hearing loss in a child. Basically if a child bumped his head, it would cause fluid to enter the cochlea and kill the hair cells, causing hearing loss. Many kids with this condition lose their hearing early in life. But we already know that David's hearing loss is caused by Connexin 26, so this was a shock to hear. Before getting too crazy, we're going to wait until Monday to ask the surgeon at NYU if he sees the same thing on the CT scan. I find it very hard to believe that there are two things that caused David's hearing loss. Maybe the two things are related? I dunno but hopefully on Monday we'll get an answer.

David also had his last audiological assessment at NYU two weeks ago. They finished the aided testing, which shows that he's hearing speech at 50dB with his hearing aids. Not good, but not bad. At least he's getting some benefit from his hearing aids. Whether this influences our decision to get one implant or two remains to be seen - there are a number of other factors - but it's good to know that if we talk in a raised voice, David is getting some of that information.

We also met with Bill Shapiro, the head audiologist at NYU, on Thursday. He's a treasure trove of knowledge and met with us to show us the three implant devices that we have to choose from. Although he gave us a lot of information, he really didn't say anything to help our decision. Basically all the devices perform similarly and kids do great with all of them. I guess that's a good thing, but really isn't making our decision any easier. The one thing that will probably sway our decision is that Cochlear Corp is hopefully going to get a new device approved soon by the FDA which will be thinner and more water resistant than the previous version.

Other than all that, we're trying to enjoy the last few weeks of summer. We're on vaca from all the therapy (except for speech therapy) and mommy is thankful to not be doing all that driving for a little while!

I think I've rambled on long enough...if I think of anything else I'll post in the next couple of days. Oh, and sorry for the site name change. I want to make this blog more than just about David's hearing, although it seems that's all it's about now, and I thought the new name was just short and sweet.

Monday, July 27, 2009

One More Down

We had our second appointment at NYU today. First, David had a communication assessment. We explained all the sounds David is making and how he responds to environmental sounds and speech. Basically we were told the same thing that all the other professionals tell us...that David is a completely normal baby except for his hearing. At his age, he should be falling within the language development charts in the 6-9 month range. But of course, he isn't, which isn't a surprise, and actually makes our case stronger for getting insurance approval for the cochlear implant surgery before David turns 1 year old.

Then David had another hearing evaluation, this time with his hearing aids on. We were looking forward to this since it's the first aided test David has had. Until today we had no idea what he was hearing with his hearing aids. Unfortunately, he only survived the first half of the test, for his right ear. He IS hearing sounds starting at about 75db in his right ear. Woohoo! I know, this doesn't sound good, but we thought he was hearing NOTHING in his right ear based on his ABR results and his last unaided test. The audiologist said he was probably hearing a combination of the sound and the vibration from the sound since it was so loud. At that point, David was about an hour overdue for his nap, so they didn't get to test his left ear. We'll do that at our next appointment on August 10th. Until then, I think we're going to start playing some rather loud rap music at home so David starts to develop some rhythm!

On other fronts, David is now eating pureed chicken, enjoys driving in his car, and crawling like he's in the army evading enemy fire. He mostly drags his body by his arms, but he's very strong and gets around really quickly! I guess it's time to babyproof the house...


Thursday, July 16, 2009

They're Finally Here!



...David's teeth that is.  Yesterday those bottom two teeth finally appeared, after only 3 short months of teething.  But he doesn't seem to care.  Look how crazy happy he is in these pictures!

I should also post here that David is doing really well with his A-V therapy.  This week he was consistently turning to noises, started saying "aaahhhh" for his airplane, and he mimicked me when I said "uh-oh" when he dropped his toy...and he said it with perfect pitch and intonation.  What a little genius.

Saturday, July 11, 2009

All Clear!

We finally got the results of the CAT Scan on Thursday from our ENT.  Everything looks normal in David's inner ear which is great news.  The audiologist at NYU had some concern because David's right ear had no response to sound, so now we're relieved that everything structurally is okay.  We also had our first appointment at NYU on Wednesday.  We got to meet some very nice people in the waiting room who just couldn't say enough wonderful things about cochlear implants.  One boy was 21 years old, got the implant when he was about 3 and just finished playing 4 years of college baseball and graduating from college.  Baseball!!  Nevermind college, Steve and I were so excited that he played baseball - our dreams of making David a MLB relief pitcher are still alive!!  We know that David will be able to do anything he sets his mind to, and we'll give him all the opportunities that a hearing child would have, but it's always nice to hear stories like that just to reaffirm your goals.

David did great on his hearing test, despite having a very bad cold.  I guess by "great" I mean that he is hearing bad enough so that it looks like he's a candidate for the implant.  There are still a number of appointments ahead of us for more hearing and communication tests, but these are more of a formality.  

Our audiologist was very nice and knowledgeable, and sent us home with marketing materials from the three manufacturers of cochlear implants.  I don't know how we're going to choose between the three, because success rates seem to be the same for all of them.  Cochlear is releasing a new implant and processor within the next two months (assuming they get FDA approval - cross your fingers!) which may make the decision much easier for us since the implant and processor will both be thinner and lighter.  

On a personal note, I was just told by my boss that I have to go back to work full time or leave the company.  Thank you for making me choose between taking my child to the half-dozen therapy sessions we have each week which concentrate on parent-training so that I can teach my child how to listen and speak, and keeping my health insurance for his surgery.  Thank you very much, I really appreciate your compassion.  I know the answer is that I stay so that David can have the surgery.  But I am writing a whole speech in my head so that when I can leave, I give him a real piece of my mind.  

By the way, David starting eating veggies this week!  Sweet potatoes yummy yummy....

Wednesday, July 1, 2009

CAT Scan Tomorrow


So I'm finally getting the hang of this blog thing.  I'm still tweaking the appearance of the page and will add some photos soon, but I think I've got it down.  Now I can start updating everyone on what's going on with baby David!

Tomorrow David goes for his CAT scan to make sure everything is intact in his ears for the cochlear implant.  Since his hearing loss is due to connexin-26, we don't expect to find any abnormalities.  I'll let everyone knows how it turns out tomorrow.

We're paying special attention to all new sounds that David is making to see how's he's hitting the milestones of language development.  He's currently behind his hearing peers, but he is starting to make some new sounds, which is exciting.  Last week he started making the "ma" sound and today he starting making the "na" sound.  Not babbling yet, but baby steps.  

Since this is my first post, I want to include a link to a poem by Emily Perl Kingsley that I keep going back to.  It's hard to describe to friends and family what it's like to have a child with a disability, but I think this poem says it beautifully.  Click here http://the-callahans.com/susete/poem3.htm 

Here's another picture of our little star!