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wwniyoht
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 Replybullet Topic: kids and hearing
    Posted: 17 Dec 2008 at 10:25am
Our 6 yr. old daughter has R) sided microtia with atresia. We purchased a personal FM (eduLink) system for her with great results. The educational audiologist told us she tested the efficacy of this device last week and that there was no significant improvement with the device because she felt she could hear very well in both quiet and noisey environments. The test results are now in her school file. We have hired two independent audiologists to retest our daughter even though when she got the device there were great results with it. I am wondering if anyone knows what tests are the most effective to use when testing a personal FM (the teacher wears the transmitter around her neck, and the receiver goes in our daughter's ear.) Thank you!
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hearhear
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 Replybullet Posted: 11 Oct 2008 at 7:59am
the device is an FM system. While it does not eliminate noise, it provides a better speech to noise ratio to the student for the teacher's voice. there are a variety of types from ear level, to desk top, to sound field of the entire classroom. For many kids with APD, the FM system is a great help.
Dr. Herzfeld
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Conydodlete
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 Replybullet Posted: 11 Oct 2008 at 4:05am

My daughter has Auditory Processing Delay and was told of a device that the child can use in the classroom.  The teacher wears a microphone and the child wears an ear piece.  This stops all background noise and enables the child to hear the teacher.  does anyone know what this is called and where does one get it from?

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chanvu
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 Replybullet Posted: 29 Aug 2008 at 1:04am
Hi,
My (15 month old) daughter (whom has Down Syndrome) had a tympanogram done in April.  At that time I was told she had mild hearing loss, probably due to fluid in her ears.  She recently had a f/u with her ENT.  He suggested putting tubes in her ears due to the hearing loss.  She has not suffered from chronic ear infections.  I am very hesitant about having the tubes put in.  I have a copy of the results from her test and there is an S at the 30 on the db and at the 500 on the frequency (in both ears).  How can I tell if she really needs the tubes.  She seems to hear fine.  She has obvious delays, (including speech) due to her DS, but I don't want to do tubes just because most kids with DS need tubes.  Also if the fluid is that bad, why isn't she getting ear infections.
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tylerczar
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 Replybullet Posted: 01 Jun 2008 at 4:25am
the term auditory processing has been overused a lot lately.  Many psychologists might determine that a person has difficlty processing auditory information.  An audiologist can only diagnose a person who has an auditory processing disorder.  From what i have read, hearing aids are never suggested because this is not a hearing loss. But, a speaker/FM system used inside a classroom might be suggested, depending on the test results.  This will make the speaker's voice a little louder.
 
If there is a just a left or right ear weakness, there is sometimes ear strengthening excercies that the audiologist can give you information on.


Edited by AudiologyGuy - 01 Jun 2008 at 4:30am
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tylerczar
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 Replybullet Posted: 01 Jun 2008 at 4:16am

For all intensive purproses, hearing is essentially normal.  It is important to use insert ear phones and not head phones when testing hearing.  This means that the audiologist uses these foams inserts that go into the ear and not head phones.  Head phones can close up the entrance of the ear canal and make it seem like there is a hearing loss in the high frequencies, mainly at 8000 Hz and possibly 4000 Hz. It is also important to make sure that tympanometry was performed on your child.  This is a test that checks to see how well the ear drum moves. 

Thresholds from 0 to 20 dB are normal.  25 dB is borderline, and 30 dB is mild.  Even if these test results are completed accurate, your child's hearing is essentially normal and he will have very little  difficuly with hearing.  If it is a true conductive hearing loss for both ears, then hopefully, results will go back to normal.  Did he have a cold at the time? 
Although, conductive hearing losses usally effect frequencies, at the very least, in the low frequencies.
 

Make sure hearing is retested to check to see if it has gone back to normal , use insert ear phones, and also do tympanometry to check the ear drums.  The results for tympanometry will quite often vary what your doctor might do for the course of treatment. 

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hearhear
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 Replybullet Posted: 04 Feb 2008 at 6:35am
Sorry. Collecting disability cam be more difficult than what you have described. However, if he is getting the therapists to help him, he should progress and do well. Good luck. Dr. H
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hearhear
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 Replybullet Posted: 04 Feb 2008 at 6:34am
While all the information is not present, let me make a stab. It looks like by unmasked you are reporting bone conduction responses and if so, then it is possible that there is a minimal conductive hearing loss in at least one ear. A conductive hearing loss means that there is something blocking, for example wax or a middle ear effusion. This will cause your child to hear a bit like he is under water. I am describing this "as at least one ear" because without masking and without tympanograms, one cannot state that both ears have the problem Therefore following up with the au***logist and the ENT or pediatrician is important. Once it is determined that the middle ear problem is resolved, a retest is needed to ensure that hearing returns to normal levels with no sensorineural (or permanent) componenet. Good luck. Dr. Herzfeld.
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expressorderAVT
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 Replybullet Posted: 03 Feb 2008 at 11:31pm
I was under the ***umption since he had severe hearing loss with speech and language difficulties, he'd be able to collect SSI.  But it seems his hearing loss isn't severe enough as well as his speech.  It's just that I want him to be able to collect disability if it's due to him.
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ipllivescore
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 Replybullet Posted: 03 Feb 2008 at 9:27pm
It looks like I am unable to post a new question so I'll do it this way.  I need ***istance in how to read my 9 year old son's evaluation:
Right Ear: 250 - 15; 500 - 20; 1000 - 15; 2000 - 10; 4000 - 15; 8000 - 40
Left Ear: 250 - 20; 500 - 15; 1000 - 30; 2000 - 25; 4000 - 30; 8000 - 40
Unmasked: 250 - 5; 500 - 0; 1000 - 10; 2000 - 15; 4000 - 5
 
Can you explain the severity of hearing loss for him and what can I do to help him?
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