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Ivana Marinac

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Posts posted by Ivana Marinac


  1. 8 hours ago, Mary Beth said:

    Our world has many different listening environments.  It is important to expose children with CIs to lots of different listening environments so they develop the necessary listening skills.

     

    Many children with CIs live in major cities full of city life noise and do just fine.

     

    I support Mary Beth·s opinion - the best possible conditions for a young child as it is your Dare, are bilateral implantation and expositions to the full specter of sound, no matter of the frequency band. In this way, the child will develop the full potential for hearing and understanding. Do not think in a way how you will make easier the environment around him because once the conditions will change and the adaptation will be a lot heavier.

     


  2. On 28/01/2018 at 3:51 PM, dare_v said:

    Yes, we will scheduele another test, but we already came negative twice. Still we have a strong feeling about our boy to hear something. Like clapping hands, loud sneezing, etc. Thou the doctor at the last test said, that there are loud noises, speaking is not loud.

    Is there any other test, beside BERA, that can be done to test the heating in very young children?

    I can not comment the work of the speech therapist but, once more - yes! is the answer: there is another test after BERA, it·s name is ASSR.

    Please read this link:

    http://www.hearingreview.com/2007/11/auditory-steady-state-response-assr-a-beginners-guide/

    Where was it planned the implantation of your child? My presumption leans toward Maribor?


  3. On 16/01/2018 at 2:03 PM, dare_v said:

    Sorry Mary, that is what I mean. In which positon do surgeons implant the inner implant unit. Is that debatable or is some special position advised?

    Yes, Dare - it is debatable up to the certain point. 

    Wishing that your son can wear easily helmet - is reasonable, as the placement of the internal unit should not be at the particular place as it should be at bone-conduction implants.

     


  4. Hi Gang...

    Nothing up to now but I guess Med-EL works more on the FMT which is quite huge taking into account the main competitors, BAHA models on the abutment.

    Regarding water-resistance, I would be satisfied if Med-EL release bag as CI models has it: neither Amade nor Samba received any fancy adds-on after the official release. 

    Also, I am not a particular fan of the idea of rechargeable battery - I would better like to see a constructional replacement of microphone covers like Sonnet has. I find essential the sound quality at first place. 

     


  5. 10 minutes ago, Mary Beth said:

    @Ivana Marinac

    about the mellow tone of the cornet..........isn’t it just amazing that my long standing “dead” ear can notice a mellow brass tone quality?!  It stills blows my mind!

    Since it has been over 2.5 years already, I think I may just ALWAYS be amazed at the hearing these CIs give me.  And in a way, I am glad that I continue to be awed by these CIs.  They are a wonder every morning when I go from hearing absolutely nothing at all to hearing everything all around me.  I love them!

    Extremely... When I usually read that people have difficulties differing two totally opposite instruments and now I read your comments about "mellow brass" tone quality - my thoughts jumped: really? :huh:  I have never paid enough attention to this detail. Funny how I find myself on certain occasions when I take my hearing for granted not thinking how this effort could be pretty tremendous for my fellows with sensorineural HL. :rolleyes:

    This guides me up to the point when I think how important is to be persistent during the rehabilitation time.


  6. Okay, let's start with the initial finding - a profound conductive hearing loss does not exist.

    Why? Because skull bones behave as sort of conduction system from outside to the inner ear. The conductive hearing loss is purely mechanical, unlike the sensorineural hearing loss. I am pretty much puzzled, how on Earth the audiologist did not remind this simple but so logical argument during a discussion regarding your boy's hearing.

    Just an episode, last week occurred an incident with the audiometer in the hospital where I work - it started to act strangely giving me quite puzzled results, for instance - older people with the mixed hearing loss which is impossible having in mind their hearing loss history. 

    Back to your sons' story, the excuse that the other person didn't put the testing part in the correct spot just do not buy the story - from space, it is visible that it was put in a wrong way and retest should be done. Having in mind this, the second result is pretty much accurate - the way you described his hearing loss threshold is a typical way how hearing cells start to malfunction: at first and with the greatest extent higher frequencies. The lower frequencies are last and come after the middle frequencies. It's due to so-called tonotopicity of a cochlea. 

    https://blog.medel.com/how-the-cochlear-understands-so-many-different-sounds/


  7. Hello Stream,

     

    As we have discussed this problem before the matter of saving residual hearing is not only the matter of an electrode length than the total process of implantation which is circled under one term - hearing preservation.

    Beside the main recommendations, there are still not presented unique recommendations rather what each surgeon plead as their own technique based on the experience of the implantation but also on the results of their patients. 


  8. Actually, we still do not know now what is needed to understand (and hear it properly) a music. 

    Here is a very nice link from the Nature journal: https://www.nature.com/articles/srep32026

    Music is definitely more complex but if we would work on our ability of hearing (and understanding) music just as a fraction of the time we spend to learn to listen again (and speak) - results promise much better solution otherwise we have expected...


  9. 24 minutes ago, stream2525 said:

    Will it be released in MEdel HQs in Austria first? They can release it in Europe first. I am interested to know how people will react to it.

    Stream,

    Med-EL has shown Rondo 2 at the biggest ENT conference in Paris, I think. When it is actually produced it will be released everywhere where it is registered.

    But this is not so simple... For instance, even the product is registered in the EU, each country has to register a product for itself in order to be able to give patients in their country the newest product. 


  10. On 17/11/2017 at 5:19 AM, KBear said:

    I hope this is the right place. I've been looking for info all day. Sorry this will be long. There are questions and a list of screen results at the bottom. 

    My daughter (DD) will be three in March. She has sleep issues, extreme tantrums, hyperactivity, speech and social delays. She gets frustrated a lot, and doesn't like using her words. Her receptive communication is delayed. She omits the same letters from several words. I'm not sure if she hears certain words. She had two sets of tubes for high fluid, and her adenoids were taken out last month. She has failed the OAE in her L ear since May. She failed OAE in her R ear and both ears on the tympanometry (TY), when she needed tubes. 

    Her follow up for the 2nd set of tubes was yesterday. She failed OAE in L ear. Passed TY on both ears. ENT said ears were clear of wax. She has not had any other mucus draining, or illness since recovering from surgery. He wants to retest in two months. He believes wax is causing it. He would not refer to audiology. Early intervention (EI) and Ped disagreed on waiting. The Ped sent a referral to audiology. 

    ENT did not do a follow up screen after her first set of tubes. ENT is uncooperative with me and EI. He will not discuss screen results, or send them to EI. Only tells us pass or fail. EI's OAE does not go past two failed frequencies. So we only know that DD fails the first two. Ped only has TY.

    The screen at birth was ABR. I was not present. She had it within hours of the csection. The nurse said she screamed the whole time. From what I've read, the screen may not detect high frequency hearing loss. I read screening too soon after csection birth, or while DD was screaming could give a false result. EI is trying to get those results. All I have is a paper with ABR marked pass, and OAE is crossed out. 

    List of screen results:

    March 2015 - hospital - ABR pass

    2016 - EI and ENT - Numerous failed TY. Could not do OAE.

    Sept 2016 - First tubes

    May 2017 - EI - OAE: L failed. TY: both passed.

    June 2017 - EI - OAE: L failed. TY: both borderline.

    July 2017 - ENT - OAE: R passed. Could not do L. TY: R borderline. L failed.

    Aug 2017 - Ped - TY: Both failed. 

    9/1/17 - EI - OAE: L failed. TY: Both failed

    9/20/17 - Ped - TY: Both failed

    9/22/17 - ENT - OAE: L failed. TY: Both failed. 

    11/15/17 - ENT - OAE: L failed. TY: Both passed. 

     

    Questions. Why does he think it's wax if he can't see any? If it is wax, why did she pass the TY? Why is she only failing in the L ear OAE? Can ABR miss high frequency hearing loss? Especially considering she didn't have an OAE. Would the other factors affect the ABR result? 

    Thank you for reading my novel. I'm worried and frustrated. Any advice is welcome.

     

    Hello KBear,

     

    Pardon me for not getting involved before although Mary Beth tagged me, this post escaped me...

     

    As Mary Beth said, we cannot give you a valid medical advice but yes - we can clear you some question marks.

     

    If your daughter did not pass the OAE, she should be tested with the ABR. However, these tests do not measure same part of the hearing pathway so it could give an additional information. Tympanometry examined the pressure in her middle ear and the mobility of the eardrum especially if she had been implanted with tubes. But, that particular issue has been resolved and her potential hearing issue does not have anything with this separate issue. 

     

    I can not explain the behavior of your surgeon, but you can ask for more co-operative ENT with whom you can establish a reliable relationship.

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