Monday, March 16, 2009

Nerve Deafness

I originally wrote this post in my "Book Blog" (which I rarely write in anymore) on August 20, 2005 before my first cochlear implant surgery and thought it was worth repeating.

Nerve Deafness

When I was diagnosed with my hearing loss, my parents were told that I had "nerve deafness." Lately that term has puzzled me because I can hear sounds with the help of hearing aids. How can something be wrong with my "nerve" if I can hear voices and sounds around me? I wear the strongest aids on the market and currently wear Widex digital hearing aids. I've assumed that the doctors, audiologists, and speech therapists that I've had knew what they were talking about and just accepted that diagnosis. I've grown up believing that there was no cure for nerve deafness and never really thought there was anything else out there that could help me except my hearing aids. But, that doesn't seem to be the case at all. "Nerve deafness" can be a major misnomer because it incorrectly implies that damage is to the auditory nerve and not the cilia (hair cells) in the cochlea, which is responsible for much of a person's hearing loss. In reality, the term "nerve deafness" has been around for the last fifty years or so. Until modern medicine, those of us who grew up in the 1950's and beyond are usually given this term if doctors could not find a cause of deafness. In another words, it was a "one name fits all."

I'm beginning to understand that there are several different types of hearing loss. One type is conductive, meaning that the sound comes into the ear but does not get to the cochlea or auditory nerve. That indicates that something is wrong with one or some of the bones in the middle ear. In most cases it is usually the stapes bone which has become stiff, calcified, or hardened and will not move. And when it is not moving, it is not transmitting the sound to the cochlea and auditory nerve. That is what is considered a conductive hearing loss. The cochlea and auditory nerve are usually in fine shape. I noticed on my papers from the doctor and insurance company that I have been diagnosed with sensorineural hearing loss. Which means the sound IS coming into my ear, gets through those three little bones of the middle ear and gets transmitted to the cochlea. But it is not getting to the auditory nerve very well because there is a problem in the cochlea. The cilia (hair cells) in the cochlea are dead or the fluid in the cochlea isn't there or there is something else wrong in that part of the ear. This explains why so many people are labeled with "nerve deafness" because the sounds are REALLY coming into the ear but are not being transmitted like they should to the auditory nerve. That is why I had to do the balance test back in May to determine if I had any fluid in my ear. And I did! This is where the CI comes in. My implant is specially designed to mimic the functions of the human ear like natural hearing. There will be a 22 channel electrode inserted in my cochlea and it is specially designed to protect the delicate walls of the cochlea.

One might ask how a cochlear implant is different from a hearing aid. Hearing aids only amplify sound. No matter how loud the sound the hearing aid produces, it does not provide clarity. That is why I've had so much trouble with amplifiers, speakerphones, loud noises and loud people. I've always tried to explain that "louder" is not always better. I have a severe to profound hearing loss and my ears cannot process the information that they are receiving because sound is still going through the damaged part. A cochlear implant does not make sounds louder. Instead, it bypasses the damaged part of the ear and sends the sound directly to the auditory (hearing) nerve. How cool is that???!!!

I am realizing that some people who qualify for a CI think might that there is no point in pursuing it any further because they have "nerve deafness." But the testing that I've had done has actually shown that I'm missing hair cells in my cochlea. If Mom was still here, I'm sure she would be pleased and tickled pink to know that I haven't given up on the possibility of being able to hear the sounds that have been denied to me all of my life. I have thought about her a lot lately and wished she was here to share this experience with me. I hope to be able to help other people like Susan has helped me. We all need someone to give us that "little push" and hold our hand during the journey. God is so good. He is bigger than any obstacle in my path and knows exactly what I need at the right time. His timing is so perfect!

Thursday, March 12, 2009

Can You Read My Lips?

The above picture needs a little explanation. (Smile!) My husband and I are currently in Los Cabos, Mexico for a much needed vacation, our first in four years.! Traveling to different country poses some challenges with the different languages when one only speaks English. Here in Mexico, the natives speak Spanish as well as some basic English words. For someone like me, who is fluent in “speech reading,” it is hard to read lips when English is a second language because the natives don't move their lips to form their words in English. Steve understands when I cannot and is very good about translating for me. I’m thankful that I do not have to travel alone!

But, this week was a challenge when we decided to take the Cactus ATV tour in Cabo San Lucas, BCS, Mexico. Before we started the three-hour tour, we were all outfitted with bandanas that covered our noses and mouths, goggles, helmets, and Honda ATV’s! Everyone’s faces were completely covered, including our guide’s, to keep the sand and dust from getting in. I could not even attempt to try to understand our guide’s muffled broken English with the Mexican accent but was able to manage just by watching him and the others. Luckily, I had a 350cc automatic Honda All-Terrain vehicle and it was pretty easy to figure out and drive.
We had fun driving through the desert, mountains, canyons, and streams. We enjoyed the beautiful scenery, especially when we got to Migrino Beach. The huge waves in the Pacific Ocean were just beautiful as we rode along three miles of the spectacular dunes, cliffs, and white sandy beaches.
View from my ATV
I took it all in and just rode my ATV, with the wind blowing in my face. My very favorite sound is the sound of the ocean as the water ebbs and flows along the beach & rocks.
Migrino Beach & Pacific Ocean
Desert Sunset

More posts to come soon! Adios!