interpretation of audiogram

April 8, 2004

I am frustrated. We took in for his audiogram yesterday and I just can't

say how frustrated I am. He responded to music at 5 dB I give her that one, but

he is 3 years old his response should be obvious and direct, they do visual

reinforcement because that is all we can do, and well she was taking any tiny

turn of his head and saying that was a response. I'm thinking the child is not

3 months old he is 3 years old his response should be as it was with some of the

other responses where he looked directly at the sound, then he would barely move

his head to one side not looking at anything in particular, just moving as 3

year olds do and she wrote that down as a respons. I don't understand how she

is getting that this is a normal 3 year old response, when it so clearly is not.

My problem here is that he is not responding to language the way he should and

his ABR and OAE show a problem and they both say exactly the same thing by the

way that in one ear in the low frequencies his hearing is slightly less than the

other and in the other ear his high frequencies is not there and in the other

ear in the 5000 Hz range that has not been tested is not there. My point is

that the ABR and the OAE are confirming themselves but then they take him in to

the booth and write down every twitch of the head even though when he hears

something he so clearly looks that way, but even still they were writing down

everything from a twitch to a direct look. Of course they are going to get a

normal response they are writing down responses that aren't responses. I am so

frustrated, because we were approved for CRS and are no obligated to see their

audi's but I don't like them for obvious resasons. How much is a hearing

screaning if I pay for it?

April 11, 2004

Elaine,

Thanks. I am still really doubtful that will catch on to a play game like

that, but I guess it is worth a try. I'm not sure why they haven't suggested we

try it and at least work on developing the skills to do it. They have never

even suggested it. There was a time when I know he wouldn't do it, but now I

think he might, but not really sure. might not catch on. We can't tell

him what to do so he would have to realize the point is to drop something in

when we play the noise, he isn't too keen on waiting for one, and we can't give

him any instructions for two, but it might be worth a try.

Re: interpretation of audiogram

Jake started doing Conditioned Response audiometry when he was 2 and

caught on really quick with a fun game. We have used things like

those stackable toys, connect four, pegs in the board, etc. When he

was really obstinate we used pennies dropped in a cup or skittles

dropped in a cup and he got them when it was over. (However, once at

a research appt I offered him $10 to cooperate with the group and he

piped up, " I NEED $20! " hehe) Our audi's have great toys. You can

use a really fun game to train them and take your game with you if

you think that will help! Have done that too, just in case he didn't

like their stuff.

Our audiograms run around $82 for play audiometry. Jake can do the

adult audiograms but he prefers the games as he can be a tad

uncooperative himself.

Elaine

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April 11, 2004