Monday, September 12, 2005

Activation Date!

Great news! I called Dr. Merwin's office through the relay service this morning and set my date for my initial hookup. It is scheduled for Tuesday, September 20th at 8:30 a.m.!!! I went back to work today even though I didn't feel 100%. There is no way to know how long my nausea will last. . .but the medicine is helping. Yesterday I went to church for the first time since my surgery and it was so good to be there even though I didn't feel good. (I had been up during the night with hot and cold sweats and was very nauseous). But, I wanted to be in church. I couldn't hear Jeff or the music as well as I normally do but just being there and participating in the worship service refreshed my spirit. There were keychains with flashlights on every single chair as everyone walked into the worship area. Pastor Jeff talked about how each one of us can make a difference by bringing "light" into the world just like Jesus did so long ago. During the message, Jeff had all the lights turned off. (He told me ahead of time what he was going to do and explained to me what he was going to say. I really appreciated his thoughtfulness because otherwise I would have been left out and clueless in the dark!) We all had to turn our little flashlights on one by one if we had been baptized, or had accepted Jesus, or was a member of a small group, etc. My sister, Kathy came, too, so we had some "sister" time together. We stayed for the spaghetti lunch afterwards, which was the first real food that I felt like eating all week. Also went to Fairview Church that evening for the monthly Faithful Men meeting since I am their treasurer. Spent the rest of the night in my chair watching TV and knitting.

Saturday, September 10, 2005

Freedom Implant & Processor


This is what the implant under my scalp looks
like. It isn't much bigger than my pinkie finger.
I had the opportunity to see one in person at a
SHHH meeting several months ago.


This is what the processor and magnet looks like.
My hearing aid is right next to it.

Still Healing. . .

My recovery time from my surgery is taking a little longer than I'd like. I'm tired of laying around and doing nothing. However, I have been able to do some knitting, reading, and praying. I know God has me down and out for a reason! I'm not a very patient person when it comes to my body. In Psalm 46:10, it says "Be still and know that I am God." God is quietly inviting me to come into his presence so He can work through me. . .maybe He is trying to tell me that time spent in silence may more normal in heaven than non-stop singing and praising. I can only imagine what heaven will be like when our short time here on earth is done. . .

To all of you who have prayed for me or called the house, sent me encourging emails and cards, brought or sent flowers and gifts, visited with me, provided meals and food for our family, taken me places, etc., I thank you from the bottom of my heart. I could not do this journey without all of your love and support. You have shown me a glimpse of what heaven will be like someday! And what a glorious place that will be!

I had my follow up appointment yesterday with Dr. Merwin. Steve was glad to chauffeur me around for the day since I'm still dizzy and unstable. Dr. Merwin took the time to answer my list of questions and took my staples and stitches out. My head feels a little bit better. I'm not quite so bald now and have a little stubble of hair growing. He also did a "balance test" on me and sure enough I keeled over in less than two seconds! He thinks I have a sinus infection as well, so he prescribed some more antibiotics and some medicine for my nausea. After my appointment, we stopped at Starbucks for some coffee and tea. That is always a "treat" for me. I usually get a chai tea latte but this time I "splurged" and got a frappacino instead. It was really good. Steve and I sat outside for a little while and enjoyed the cool fall breeze. Then, we stopped at the credit union for a little bit because I had some things I needed to take care of. That took a little while because I hadn't seen my coworkers for almost two weeks! Steve stayed in the car and made a conference call for work while I did that.

As you can tell, I am up early and decided to write some more. I haven't felt well the last 24 hours and cannot sleep. My equilibrium is still "off" and I'm still struggling with congestion, diarrhea and no appetite. I've managed to reach my Weight Watchers goal these last two weeks. What a way to diet! The Dr. says that I am taking a little while longer to recover. I have another follow up appointment with him in two weeks. I also need to call his office (their computer systems were down yesterday) and set up my activation date. I am anxious to be "hooked up!" I can still hear a little bit with my right ear with my hearing aid. But, it is not as good. I called Kathy this morning from my cell phone but couldn't understand her very well. I understood enough to hear "I love you" and "bye." Soon, that will change!

As I said before, I'm not a very patient person when there is much to do. I have heard the calls for help and aid for the Hurricane Katrina victims and want to do my part so badly. The news coverage of the devastation and human suffering in the media and news has occupied my thoughts during my recovery time. Like everyone else, I want to help to relieve some of the burdens of those who have been affected by Hurricane Katrina. Last week our church was calling for volunteers to train with the Red Cross to help at the shelters for the relief efforts. They were also calling for volunteers to put together health kits and flood buckets. I wanted to get in my car and drive over to the church when I had a "good moment" to deliver a check to help since I was not able to do anything physically. Our dear friend, Gita Mednis, who is a pastor in Latvia, ministered to me across the ocean through an email at a time when I needed a "mom" the most. She knew I was struggling with nausea and dizziness and begged me not to get in the car to go to church. She didn't want to sound like a "mother" but reminded me that my body needed time to recover. It is not a bad thing to take a little longer than most to heal. We are such a driven society and feel like we need to be doing something all the time. I felt like she was sitting right here next to me talking with me, holding my hand, and praying with me. She understood that it was so hard for me to let go. She also reminded me that cars and driving are not just conveniences and must be respected for what they are - machines that need to be driven with utmost care, respect and full faculties. She didn't want something to happen to me if I couldn't give my driving the full attention that it deserved. And she was right. She reminded me that there will be other opportunities for me to help. I cried when I read her email because God sent her to me when I needed "Mom." So, I didn't go.

Later, Pastor Jeff told me that my check will offset the cost for the disaster relief because the church had to purchase extra supplies for the health kits and flood buckets. (I had sent him an email saying that I was coming with a check that day.) I told him he would have a check on Sunday. So, I am still able to do my part. God knows my heart and understands. I do know that my prayers will make a difference. Little by little, no matter how big or small our part is, we can do it together and make this world a better place for someone.

Tuesday, September 06, 2005

Can I Hear Yet?

Several people have asked me if I can hear yet. The answer is no. I won't be able to begin my "Dance with Sound" until I get my processor (date to be announced). I am still healing and need to give my body time to adjust to the implant. The processor looks very similar to my hearing aid and will sit on my ear with a special hook to keep it in place. It has a magnetic sensor that will connect to the one under my scalp. When the processor receives "sound", the sound will be sent through the sensors to the ones in the cochlea where the auditory nerve sends it to the brain. I am still in awe of technology that is able to make this happen. I will have to be "mapped" with a computer when I get my processor and will have several mapping sessions with a qualified audiologist. I will have two or three in the first week, several times thereafter, and then regularly once a year for adjustments and fine tuning. Everyone has a different hearing fingerprint so my map will not be the same as someone else's. My brain will begin to process all of these new sounds and I will begin a new journey to sound. This is a new chapter in my life and my family's life. God is truly good, all the time.

On activation day I will be getting the new Freedom processor made by Cochlear America. The more I read about it, the more I like the features that it has. One thing thing that is going to be nice is that it was designed for splashproof protection. I won't have to worry about it if I put it on while my hair is still wet after a shower, if I drop it in some water, get it wet in a sprinkler system or walk in the rain. The Freedom also has a built-in telecoil that will make talking on the phone easy. There are no wires, no plugs, and no hassles. It also works with FM system connections. Wireless FM (Frequency Modulation) systems are used to improve hearing in meetings, classrooms and other environments. This is where my new telecoil for my cell phone will come in handy.

The battery compartment completely detaches from the processor, so that I will be able to use it behind the ear (BTE) or as a body worn processor (BWP). The Dr. has told be that I will be getting two "behind the ear" processors, which will be great because I will have one as a backup if needed. The processsors are like "mini-computers." They comes in several different colors which are black, brown, beige, and silver. I'll be getting brown to match my hair color and will not be noticeable at all (once my hair grows back!) The Freedom implant and processor have both been built to accommodate future upgrades, both internally and externally. That means I will have access to future technology when it is available. (Steve thinks that that "bluetooth" technology is next and would not be surprised if my implant and processor have a "slot" set aside for that.) The internal processor under my scalp can be updated by reprogramming it with the latest technology that comes out. There is no more surgery involved. Think of the internal processor as a very expensive and special computer chip with enough storage space on it to be able to download new programs from a computer for future software upgrades. The smart chip that is inside the implant which is under my scalp is fully reprogrammable and has memory for new programs. Because the implant is upward programmable and has a chip in it, it can have new "maps" programmed into it by hooking it up with the processor and a computer. The computer interface will allow the audiologist to program my implant and process with the latest software available for my specific needs. The 22 channel electrodes on the sensory array that is in my cochlea will send send signals to the brain from the mapping of the processor. (Note: I have a link on this blog that shows how the implant works if you haven't clicked on it already.) The Freedom speech processor will hold my mappings and program settings. It is fully reprogrammable by the map settings that my audiologist will set for me. The Freedom processor is what holds the battery cage (three batteries) and the controls for the speech processor. This allow me to change my program setting that is held in the speech processor. When the smart chip in my head is ready to be updated, a transmit coil would be connected to a laptop computer. The computer would then put the smart chip into a "program" mode and have the chip ready to and store new programs. The chip is part of the internal array of the implant. It's right there along with the electrode array that goes into the cochlea, and the housing that holds it all and the magnet. It's part of the internal array, so it's built in. No need to implant anything else. The potential is there for upgrades. Kind of like all the bells and whistles on a computer that most of us don't even realize are there.

When my cochlear implant is mapped, the computer doing the maps combines with the 22 channel sensory array to set a map and that is how I will be able to hear. It's all in the software. Cochlear America is currently developing a new software program to enable N22 and N24 users (who are older implant users) to be able to wear the Freedom processor with its extra features like Beam and ADRO (which N22 & N24 users currently don't have access to with the 3G). The chip that's ONLY in the Freedom implant's internal receiver will be able to receive new software a faster application rate that will be activated via connection to my audiologist's computer. This would be done no differently than a mapping session - the processors (BTE or BWP) are connected by an interface cable to the computer. People with earlier generation implants do not have the "smart" chip that Freedom implantees have so they will be somewhat limited in how far they can go with newer technology as it evolves. Cochlear has been very successful in making cochlear implant equipment as backward compatible as possible. Some former implantees will not get EVERYTHING (i.e., faster rate strategies) but they have not been left behind in being able to benefit from and enjoy significant improvements over time. Maybe cochlear implants will become "wireless" one of these days. And I will have access to that when it happens.

Saturday, September 03, 2005

Surgery Pictures


Waiting for Surgery


In Recovery


Resting at Home (my neck pillow was a
lifesaver!)


My Incision after bandages came off.
I feel like the Bride of Frankenstein!

Thursday, September 01, 2005

Day After Surgery

What can anyone do or say
To make this pain go away?
It’s not about mine . . .
But those who are left behind
In Hurricane Katrina’s way . . .
All we can do is pray.

I’m having a hard time writing today only because all I can think about are the people left behind in the wake of Hurricane Katrina. I’ve been recuperating from my surgery in front of the TV and am watching all the news broadcasts about the devastation in New Orleans and the South . . .

Hurricane Katrina had quite an impact on my surgery. Steve was trying to fly home from California and his flight was delayed on Monday night. He got to the hospital about 9:20 a.m. after I had already gone into the operating room. The hurricane came through Knoxville during my surgery and knocked the power out in the hospital three times – once while I was still in surgery and twice while I was in the recovery room! Thank goodness for generators!

Marissa and I arrived at the hospital just before 6 a.m. and they got me started right away taking my information and prepping me for surgery. They kept me so busy so the time went by quickly before they wheeled me into surgery. The nurses were all so sweet and wonderful and took good care of me. The anesthesiologist introduced himself and was so funny. After he told me what they were going to do, he told me to put my chin up, open my mouth wide, and stick my tongue out. Then he said, “Do you know why we do that?” I said, “No.” He said, “No special reason. I just get a kick out of it!” They told me that they would be putting a breathing tube in during surgery and would be careful with the crowns in my mouth. I appreciated that. Then the Dr. came in for some last minute questions and information. Before I knew it, I was done and in recovery! Surgery started around 8 a.m. and took about 4 hours. My very first pain that I had was not in my head but in my feet! The nurses kept rubbing them for me and gave me a shot for pain but nothing seemed to help. I was so happy to see Steve when I woke up because I had not seen him since Sunday morning. I saw Dawn and Susan at the end of my bed and got hugs from them, too. Steve, Dawn, Marissa, and Susan all stayed at the hospital for part or all of my surgery. I did not get to see Dawn before I went in because she got stuck in traffic and then had trouble finding out where we were. I missed her by about two minutes. But, she stayed with Marissa in the waiting room. They had a funny moment in the waiting room because they had not seen each other for a long time. Dawn called Marissa on her cell phone to find out where she was. As soon as she heard Marissa’s voice, they realized they were sitting across from each other! Everyone around them in the waiting room had a good laugh about that! Dawn and Marissa had a good visit and had breakfast together. Then Steve showed up and then Susan. Susan and Dawn became fast friends and chatted the whole time while I was in surgery.

Dr. Merwin said that the surgery was a great success and everything went well with no complications. The sensor/electrode array slid very nicely into my left cochlea, which is very good. I had a very tight pressure bandage around my head and had some trouble with dizziness and a bad headache. It wasn’t too bad, though. Steve took me home about 4 p.m. and I went straight to bed for a while. A friend from church brought the most delicious meal of lasagna made with ham and mushrooms, organic herb salad, homemade breadsticks, and some kind of cinnamon/apple cake. I had not eaten anything all day except for a few crackers and it tasted good. My jaw is still very stiff and sore and is hard to chew. One thing I have noticed is that there is a constant roar in my head. I'm wondering if it is tinnitus or some phantom sound. It sounds like a train, loud fan or something drilling in my head. I haven't had any trouble with tinnitus before and it is bothering me a little bit. Hopefully that will go away soon. I've been using a foam neck pillow to help me sleep and it has been a real lifesaver for me. My friend, Kim, from work gave it to me last year for Christmas.

Yesterday (the day after surgery) my best friend, Dawn came and stayed all day with me. I was so glad to have her here. When I told her that my feet were hurting, she immediately said she would rub them for me. She wasn’t surprised and said that another friend that she had taken care of after surgery complained of the same thing. So, she washed her hands, got some lotion and just rubbed my feet for about ½ hour while we talked. I was so grateful for that special touch and it helped to make me feel better. It just doesn’t seem to make sense that my feet would hurt after having surgery in my head! It meant a lot to me that she would do that for me and all I could think about was how Jesus washed and tended to his disciples' feet so long ago. . .I napped for about 2 ½ hours while she took care of phone calls, etc. After lunch, Dawn helped me take the bandage off my head and brushed out my hair for me. Susan came later with some wonderful chicken/spinach soup and chicken salad. Her husband and boys came with her. It was so nice to meet her boys for the first time. Susan has been so great for me about letting me know what to expect and how to handle things. We had lunch together on Monday before my surgery and she told me to EAT! She said I wouldn't feel like eating later and she was right. I had a nice, big juicy hamburger that day. . .something I haven't had in a long time! I am so fortunate and blessed to have great friends to give me the support and strength that I need. Someday I hope to be able to "pay it forward" like Susan has done for me.

Last night I took a bath and Marissa washed my hair for me. I feel a little bit more normal this morning. I still feel like I need to hold on to things when I walk around, like I'm off balance. I guess it is because the loss of fluid in one ear can make one lose their balance. My hearing sounds funny, like I'm in a swimming pool or something. My jaw hurts, making it difficult to chew food. The surgery site on my head is numb and feels like there is a lot of pressure inside. I cannot feel anything on the outside. I cannot even find the site of the implant. But, it is in there somewhere.

Article in Metron Daily News/August 31, 2005

Medical Marvel: Kathy Rees’ sister, Laurie, is doing well following cochlear implant surgery yesterday. A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard of hearing. Unlike a hearing aid, which simply amplifies sound, cochlear implants compensate for damaged or non-working parts of the inner ear. In about a month, after healing from the surgery, Laurie will be “turned on” and will hear things she never heard before!