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Cochlear implants

 
 
Reply Sat 14 Aug, 2004 01:36 pm
I need information about cochlear implants. I have three points in particular that need to be addressed;

1) For what type of hearing loss are they appropriate?

2) Are they completely inside the ear, or must they be attached to an exterior device?

3) Is using them a difficult training process?

Thanks for any help.
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sozobe
 
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Reply Sat 14 Aug, 2004 02:23 pm
Hi Tomkitten,

1.) This is a bit subjective. Generally speaking though, only for those who have hearing losses that cannot be helped with hearing aids.

2.) They have two parts. One is completely inside the ear (the cochlea is replaced with a mechanical device) and one outside the ear. The outside-the-ear part is attached with a magnet that is imbedded under the skin. Both parts are necessary for the implant to work. The outside-the-ear part can be taken off for showers, swimming, etc.

3.) Hell yeah. This is about the most controversial part about them. They are most emphatically NOT the equivalent of glasses -- get your prescription, see perfectly. They require a long hard training slog and may or may not actually work at the end of it.

I have known many, many people who have received cochlear implants, and the overwhelming majority of the people I know have been disappointed with them (to put it mildly.) One woman came to my office a year after getting them; she had been housebound for a year because they didn't work -- at all -- and she was overcome with depression. THEY ARE NOT A CURE-ALL.[/b] While the technology is getting better, their success is still very far from being consistent.

I do know one person who considers the implant a "success" -- however, his standards may be very different from yours. He has been deaf his whole life, he signs fluently, has a deaf wife and a deaf son (and a hearing son) who sign fluently. He got an implant and can hear some noises. He still signs with his family, he still uses an interpreter at work. But he can hear some things.

Anyway, ask your audiologist, ask your ENT, and especially check Hearinglossweb for some objective information.

http://www.hearinglossweb.com/

The cochlear implant industry is huge and lucrative and it is hard to get the straight dope even from medical professionals. (Cochlear implants are obscenely expensive but usually covered by insurance, so everyone involved is happy to see the $$.)

Hope that helps, ask if you have further questions.
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sozobe
 
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Reply Sat 14 Aug, 2004 02:28 pm
Here is the cochlear implant page from hearing loss web:

http://www.hearinglossweb.com/Technology/CochlearImplants/cochlear_implants.htm

Generally, they slant a little favorable -- in my work, with deaf people, the slant is much more negative. (As in, easily 90% of the people I know who have had them were extremely unhappy with the experience.) But still good info.

It's definitely something I keep up with because I am considered a prime candidate. As technology stands now, I won't do it. It gets better and better, though, so I don't rule it out.
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sozobe
 
  1  
Reply Sat 14 Aug, 2004 02:50 pm
Hmm, I read all the hearinglossweb stuff and I'm a little disappointed, especially the line about, "This device is a source of controversy among the culturally Deaf, some of whom see it as a threat to their culture." :-? No, it's controversial 'cause it so rarely works. This is more in line with my thinking...

http://www.nad.org/infocenter/newsroom/positions/CochlearImplants.html
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Tomkitten
 
  1  
Reply Sat 14 Aug, 2004 04:30 pm
Cochlear implants
Thank you, sozobe. Your information was a great help.

You mention the magnet that is part of the implant - I would guess that someone with a pacemaker would not be considered eligible, since magnets can cause havoc with pacemakers.

The learning curve seems pretty daunting, especially with the odds of success as poor as you describe.
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