Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 In a message dated 5/19/2006 10:14:47 A.M. Eastern Daylight Time, saraandchadd@... writes: I'm confused....help. Two words: Second opinion. You're not comfortable, so get another opinion. As for a life on steroids, I'd do just about anything to avoid that. I've been on them for extended periods of time and known people who have needed to be on them for much of their lives. Long term use raises the possibilities all kinds of problems and it is a choice that should not be made lightly. If I suspected an autoimmune disorder in my child, I'd want to know the extent of that condition and then to make the medication decisions based on concrete information, not a sweeping generalization about living on steroids (even though I agree about avoiding them). Best -- Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 In a message dated 5/19/2006 12:14:36 P.M. Eastern Daylight Time, Barbara.T.Mellert@... writes: Oh - and what Jill says about steroids. I think steroid use over time is a really difficult decision and shouldn't be made lightly. Barbara I'm jumping back in here because this really is a serious consideration. I have asthma, the kind you don't outgrow. I've had different steroids throughout my entire life. Knowing that several were cortico-steroids, I've done reading on steroid use. I've gotten quite an overview and can definitely say it is a serious decision to choose to be on them for extended times and it should not be mad lightly. Because of what turned out to be a life threatening blood disorder, I was on prednisone in the last trimester of both my pregnancies. Add in hydrocortisone for my daughter's because I was much sicker. That decision was made so that I would still be here to raise my kids. While I don't regret that choice, it was very hard because I was pregnant and those are serious drugs. A dear friend's sister had Lupis and spent much of her life on steroids. The steroids may or may not have extended her life, but we know for sure that they did cause side effects. So, while steroids can indeed save lives, they can also cause problems. I sought out a second and third opinion during my second pregnancy, not because I distrusted my OB-GYN and hematologist -- I trusted them completely, but because the concept of being on those drugs while pregnant terrified me. I saw another OB-GYN and hematologist. My doctors were very well informed and we followed their advice and everyone here is happy and healthy. But it not a decision that we made lightly I seriously encourage you to get a second opinion, even a third or a fourth. After you have the information you need and feel you understand the choices, then decide if the benefits of extended steroid use outweigh the risks. Best -- Jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 I went to the ENT the other day as requested by my audi to have him schedule all testing he could - MRI, blood testing, etc. He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone NOT had ANY testing done? He said that nothing can be done anyway to prevent further HL if their loss is indeed progressive. He said even in the case of autoimmune disorders the risks of a life on steroids far outweigh the risks of a progressive loss. Is this right? What now? Do I go to someone else? Is testing necessary? I'm going to do the genetic testing but what about the other stuff that he was suppose to do? I'm confused....help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 I don't know much about autoimmune hearing loss, but I will say that, yes, there are huge risks to being on steroids for an extended periods of time, let alone indefinitely. is on a low dose inhaled steroid for his asthma and I hate that. Cherie saraandchadd saraandchadd@...> wrote: I went to the ENT the other day as requested by my audi to have him schedule all testing he could - MRI, blood testing, etc. He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone NOT had ANY testing done? He said that nothing can be done anyway to prevent further HL if their loss is indeed progressive. He said even in the case of autoimmune disorders the risks of a life on steroids far outweigh the risks of a progressive loss. Is this right? What now? Do I go to someone else? Is testing necessary? I'm going to do the genetic testing but what about the other stuff that he was suppose to do? I'm confused....help. All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Sara- All of the initial testing for Hadley was ordered by a pediatric ENT at our local children's hospital (genetic testing, EKG, renal ultrasound, CT scan of cochleas, sedated ABR). We were referred to Children's Hospital by Hadley's pediatrician after she failed the newborn screening and was showing some kind of SNHL after ABRs while asleep. Our local ENT (who we now use for routine ear care and infections and whom we began seeing after Hadley received her aids) does not have the resources to do these tests. I forget, are you back in Louisiana now? If yes, did you see the practice at NOLA already? You need to be hooked up with ENTs who are part of a communication disorders/audiology/language/speech department (they all use different names). I know it may feel like you are going back to square one, but it sometimes takes a few tries to find the right person. When Hadley failed her newborn screening, the hospital was automatically referring families to a local rehab hospital. The audiologist on staff there knew little about how to really do an ABR on an infant and the ENT there told us to come back when Hadley was 2 YEARS old and could get hearing aids. We ran as fast as we could away from them and started all over. There are some progressive losses (like those associated with CMV) where they believe the loss can be prevented by antibiotics or steroids. But you really need to identify the cause first, not just treat the possible progressive loss. And yes, you really don't want to be on steroids unless there is a clear medical reason. Keep posting to let us know what's going on. Kerry No testing?! I went to the ENT the other day as requested by my audi to have him schedule all testing he could - MRI, blood testing, etc. He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone NOT had ANY testing done? He said that nothing can be done anyway to prevent further HL if their loss is indeed progressive. He said even in the case of autoimmune disorders the risks of a life on steroids far outweigh the risks of a progressive loss. Is this right? What now? Do I go to someone else? Is testing necessary? I'm going to do the genetic testing but what about the other stuff that he was suppose to do? I'm confused....help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 to be completely honest with you, I did not take Hayley to geneticists etc..the loss progressed btw the age of 15 month - 19 months and I had another baby on the way...still am not sure of the cause of the HL but she was tested positive for CMV at 7, which means nothing as so many people have had CMV at that point, and tested for Connexin 26 and anything else Gallaudet wants to do with Hayley's blood. There are lots of ifs, and's or but's - but right now, communicating and education, for my daughter, has been the top priority. You can get a second opinion, I think - if you really want to stop the hearing loss from progressing more. And the ENT probably has a point about steroids. Is this ENT a pediatric one? Does he take care of lots of people with hearing loss? If you really want to pursue it - I would go to the nearest university medical center and ask for an appointment there. There is so much info on this board from parents like Jill and Barbara whose sons had hearing loss that progressively became worse as they got older. I think they will have good suggestions. > > I went to the ENT the other day as requested by my audi to have him > schedule all testing he could - MRI, blood testing, etc. > > He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone > NOT had ANY testing done? > > He said that nothing can be done anyway to prevent further HL if their > loss is indeed progressive. He said even in the case of autoimmune > disorders the risks of a life on steroids far outweigh the risks of a > progressive loss. Is this right? What now? Do I go to someone else? > Is testing necessary? I'm going to do the genetic testing but what > about the other stuff that he was suppose to do? > > I'm confused....help. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Because of Hayley's hives, we sometimes need to put her on a low dose of prednisone. I think this can cause unwanted hair (facial) on a girl, and she certainly is more teary then. We keep her on the prednisone only until we get the hives cleared up. > I went to the ENT the other day as requested by my audi to have him > schedule all testing he could - MRI, blood testing, etc. > > He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone > NOT had ANY testing done? > > He said that nothing can be done anyway to prevent further HL if their > loss is indeed progressive. He said even in the case of autoimmune > disorders the risks of a life on steroids far outweigh the risks of a > progressive loss. Is this right? What now? Do I go to someone else? > Is testing necessary? I'm going to do the genetic testing but what > about the other stuff that he was suppose to do? > > I'm confused....help. > > > > > > All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 I am a little surprised at no testing. Not surprised about no MRI, but has he had a ct scan? Very little is known about autoimmune hearing loss, and usually most blood work is normal - except sometimes during a flare up. Our ent did try prednisone - and it did actually improve her hearing for a while. That is defiantly a difficult decision as they really can not stay on it very long. We were lucky that my daughter had very few side affects from it, but it did help in her diagnosis. Also just another though - prednisone has not worked every time on her hearing - just the first time it was used. Are you going to a pediatric ENT? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 It really depends on the ENT / Doctor. The first ENT Doctor we saw @ House Ear Institute was completely matter of fact about our daughter's hearing loss. The Doc said that he wouldn't put his baby through any testing and then proceeded to lecture us on " over protective new parents. " As I was sobbing through the appointment, I didn't notice my husband's fists clenching--he later told me he wanted to punch him! My husband and I were dealing with a newborn and still trying to digest the fact that our daughter had a hearing loss. The House Ear ENT flatly told us that although it appeared that our daughter did not have a syndrome, there was a 50% chance that the hearing loss " could be progressive, " that we would likely never know " Why, " and that we just needed to aid our daughter ASAP, oh and if I wanted to " help do fundraising for the House Ear Inst they always could use the help " . . . " have a nice day. " We opted to see another couple of ENTs and genetic counselors. We found a group of professionals that supported our desire to rule out possible causes of our daughter's hearing loss and who gave us a course of action that we are pursuing to that end. Trust you gut, if you don't feel you are getting what you need from a ENT/ Doctor, I urge you to find another. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Hi Sara - boy, you've been through it this year! I would listen to your gut and seek out another ENT. As said, finding an pediatric ENT is important. I know with both our boys, they had CT scans although I have to tell you that they initially felt that their loss was NOT progressive and we've found it is (at least Tom's is) so I think even with testing, it doesn't tell you the whole story. I'm wondering if you might contact a geneticist who would schedule these tests for you? Take care! Keep asking questions... Barbara saraandchadd wrote: > I went to the ENT the other day as requested by my audi to have him > schedule all testing he could - MRI, blood testing, etc. > > He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone > NOT had ANY testing done? > > He said that nothing can be done anyway to prevent further HL if their > loss is indeed progressive. He said even in the case of autoimmune > disorders the risks of a life on steroids far outweigh the risks of a > progressive loss. Is this right? What now? Do I go to someone else? > Is testing necessary? I'm going to do the genetic testing but what > about the other stuff that he was suppose to do? > > I'm confused....help. > > > > > > > All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Oh - and what Jill says about steroids. I think steroid use over time is a really difficult decision and shouldn't be made lightly. Barbara JillcWood@... wrote: > > In a message dated 5/19/2006 10:14:47 A.M. Eastern Daylight Time, > saraandchadd@... writes: > > I'm confused....help. > > > > > > > > Two words: Second opinion. You're not comfortable, so get another opinion. > > As for a life on steroids, I'd do just about anything to avoid that. I've > been on them for extended periods of time and known people who have needed to > be on them for much of their lives. Long term use raises the possibilities all > kinds of problems and it is a choice that should not be made lightly. > > If I suspected an autoimmune disorder in my child, I'd want to know the > extent of that condition and then to make the medication decisions based on > concrete information, not a sweeping generalization about living on steroids (even > though I agree about avoiding them). > > Best -- Jill > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Unless your audi and someone else has said your child definitely has LVAS and progressive loss, blah blah blah, your ENT seems like a moron as you need to know WHAT kind of hearing loss your child has and if he/she needs aids, is a CI canidated, etc. Darn. Robin > > I went to the ENT the other day as requested by my audi to have him > schedule all testing he could - MRI, blood testing, etc. > > He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone > NOT had ANY testing done? > > He said that nothing can be done anyway to prevent further HL if their > loss is indeed progressive. He said even in the case of autoimmune > disorders the risks of a life on steroids far outweigh the risks of a > progressive loss. Is this right? What now? Do I go to someone else? > Is testing necessary? I'm going to do the genetic testing but what > about the other stuff that he was suppose to do? > > I'm confused....help. > > > > > > All messages posted to this list are private and confidential. Each post > is the intellectual property of the author and therefore subject to > copyright restrictions. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Yes - we're back in Louisiana. NOLA? I'm in New Orleans so I'm assuming you just meant there but is there an organization that goes by that name? The problem is that nothing is up and running. The lady who is recommended to do the genetic testing won't be back until the fall, LSUMC is only doing adults, etc, etc, etc. My audi is trying to call another ENT right now for me - she's a little dumbfounded also. Oh - and my audi didn't suggest going to Children's right now. They are down to one ENT and the wait time is pretty extensive so that is why we are looking elsewhere. Things are still so screwed up down here its hard to get anything done. That's why Jake wasn't tested until last week because my audi had to get all new equipment after the storm and yada yada yada. Oh - Jake was asleep for the ABR. Does that affect the results? They do want me to get a second opinion but they feel that the test is most likely accurate - especially if I compare Hannah to Jake. Why would Hannahs be right but not his? anyway..... Kerry Dowling & Dan dawkdd@...> wrote: Sara- All of the initial testing for Hadley was ordered by a pediatric ENT at our local children's hospital (genetic testing, EKG, renal ultrasound, CT scan of cochleas, sedated ABR). We were referred to Children's Hospital by Hadley's pediatrician after she failed the newborn screening and was showing some kind of SNHL after ABRs while asleep. Our local ENT (who we now use for routine ear care and infections and whom we began seeing after Hadley received her aids) does not have the resources to do these tests. I forget, are you back in Louisiana now? If yes, did you see the practice at NOLA already? You need to be hooked up with ENTs who are part of a communication disorders/audiology/language/speech department (they all use different names). I know it may feel like you are going back to square one, but it sometimes takes a few tries to find the right person. When Hadley failed her newborn screening, the hospital was automatically referring families to a local rehab hospital. The audiologist on staff there knew little about how to really do an ABR on an infant and the ENT there told us to come back when Hadley was 2 YEARS old and could get hearing aids. We ran as fast as we could away from them and started all over. There are some progressive losses (like those associated with CMV) where they believe the loss can be prevented by antibiotics or steroids. But you really need to identify the cause first, not just treat the possible progressive loss. And yes, you really don't want to be on steroids unless there is a clear medical reason. Keep posting to let us know what's going on. Kerry No testing?! I went to the ENT the other day as requested by my audi to have him schedule all testing he could - MRI, blood testing, etc. He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone NOT had ANY testing done? He said that nothing can be done anyway to prevent further HL if their loss is indeed progressive. He said even in the case of autoimmune disorders the risks of a life on steroids far outweigh the risks of a progressive loss. Is this right? What now? Do I go to someone else? Is testing necessary? I'm going to do the genetic testing but what about the other stuff that he was suppose to do? I'm confused....help. All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 In a message dated 5/19/2006 4:53:56 P.M. Eastern Daylight Time, pcknott@... writes: They did blood tests (not sure I remember exactly what for), tested thyroid function (Pendred's), did an EKG that was read by a ped. cardiologist (To rule out Long QT syndrome), did the CAT scan to look at the cochlea structure (LVAS), did something to rule out kidney disease, and I'm not sure if that is all they did or if my elderly memory is failing me! If I was having it done today, I would have my child tested for CMV (if they were young enough) because then I could be better prepared for a progressive loss. (For example, I'd buy hearing aids that had some room to adjust if she lost more hearing ). Oh yeah, we also had eye exams done by a pediatric opthalmologist. Sounds like everything we went thorough with Ian but I don't remember the names of the syndromes/disorders at this point. Too many years have passed for my feeble memory. The only name I do remember right this minute is BOR (brachio-oto-renal) and that's why he had the kidney tests as well as the sonogram of all his internal organs ... just to make sure they were all where they belonged and were the right size. Also the ophthalmologist ... I think that was for Ushers because his pupils are slightly different sizes. (And we all see one least every other year because glaucoma runs in my family.) We also saw neurologists and other specialists ... an overwhelming collection of specialists even when viewed with hindsight. Honestly, I'd take it a bit at a time and see different specialists as the need arises. We saw so many in such a short time that it felt like a whirlwind. Ian began to feel like a guinea pig or lab rat. I'm thrilled that we're down to just the audi and then annual reviews by the others. Also, when we chose Ian's new aids, because of his progressive loss, part of the decision was like when you buy shoes for kids -- we chose ones with room for growth (or loss, depending on how you want to phrase that). We wanted ones that would take him through the next 3 years. At that point, either his loss level or new technology will send us shopping for aids again. best -- jill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Yes, the ENT was a pediatric one. In all honesty I don't really know the importance of some of the testing that's why I'm asking. I just thought he would have at least attempted to appease me! maryemapa@...> wrote: to be completely honest with you, I did not take Hayley to geneticists etc..the loss progressed btw the age of 15 month - 19 months and I had another baby on the way...still am not sure of the cause of the HL but she was tested positive for CMV at 7, which means nothing as so many people have had CMV at that point, and tested for Connexin 26 and anything else Gallaudet wants to do with Hayley's blood. There are lots of ifs, and's or but's - but right now, communicating and education, for my daughter, has been the top priority. You can get a second opinion, I think - if you really want to stop the hearing loss from progressing more. And the ENT probably has a point about steroids. Is this ENT a pediatric one? Does he take care of lots of people with hearing loss? If you really want to pursue it - I would go to the nearest university medical center and ask for an appointment there. There is so much info on this board from parents like Jill and Barbara whose sons had hearing loss that progressively became worse as they got older. I think they will have good suggestions. > > I went to the ENT the other day as requested by my audi to have him > schedule all testing he could - MRI, blood testing, etc. > > He scheduled absolutely NOTHING? I'm a little dumbfounded? Has anyone > NOT had ANY testing done? > > He said that nothing can be done anyway to prevent further HL if their > loss is indeed progressive. He said even in the case of autoimmune > disorders the risks of a life on steroids far outweigh the risks of a > progressive loss. Is this right? What now? Do I go to someone else? > Is testing necessary? I'm going to do the genetic testing but what > about the other stuff that he was suppose to do? > > I'm confused....help. > All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 OK - well thanks ladies. Why does it seem like I'm always the one stuck with the morons for doctors? I think the frustrating thing is that I expected that once we had a definite diagnosis that everything would just roll from there. That didn't happen and I blame it strictly on having to live here (NOLA) right now. I'm angry about it and depressed that is the situation that we live in now. Not to be all depressive or anything - but it just sucks that AGAIN we wait. I'm about as impatient as a person you could meet. And on top of it yesterday was my first meeting with the Louisiana School for the Deaf. My brain is fried from yesterday and a little in shock since she looked at their ABRs and said " oh wow - Hannah's more moderate/severe than moderate " . Just one thing on top of another right. I guess right now I'm still going through the emotions of it all and I'm looking forward to when Jakes aids come it. At least that would be something positive. So thanks - and if any of these questions sound ridiculous - well I hope this explains. --------------------------------- New Yahoo! Messenger with Voice. Call regular phones from your PC and save big. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Sara, I would definitely go to a new ENT. There are lots of things that can go along with hearing loss that you need to know whether or not you are dealing with. You also need to know about LVAS so that you can raise your child without sports that involve bashing your head if that is the case. As my ENT explained it to me, the work up will not necessarily tell you what caused the hearing loss, and that's not really all they are looking for. It is to rule out worse stuff than hearing loss that sometimes goes along with hearing loss. There are articles in the ENT literature that try to inform doctors what tests should be done on kids when hearing loss is diagnosed. This ENT doesn't seem to be well versed in this aspect of care. I'm thinking you probably want to find out what the cause is since both your kids are effected which usually means genetics. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 The nurse in me just had to jump in here. Inhaled steroids, like those used for asthma do not affect the whole body and are MUCH safer than oral or IV steroids that do effect the entire body. So don't worry about the inhaled steroids! They prevent more serious asthma crises which would cause the child to need oral or IV steroids for a short while. Steroids are a wonderful thing and can be used safely but that usually means short term. Long term, they are used only for very severe autoimmune disorders like Crohn's or Rheumatoid arthritis or lupus. In those cases, they are life preserving and still are usually only given as short term as is possible. Maggie has fluctuating hearing loss and it has been treated with short term, high dose oral steroids. The really bad side effects are dose and time dependent. So I doubt they would put a child on lifelong steroids for hearing. But we are very glad to know that when Maggie's hearing takes a noticeable dip, that she can take steroids for a short time and bring most of the hearing back. I really think this ENT is just not up on pediatric concerns. I don't know much about autoimmune hearing loss, but I will say >that, yes, there are huge risks to being on steroids for an extended >periods of time, let alone indefinitely. is on a low dose >inhaled steroid for his asthma and I hate that. >> >> Cherie >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 THat's terrific that he was asleep for the ABR - other wise he'd have to be sedated. Do you have a definite diagnosis of autoimmune - I didn't think so but we all sort of got off on that tangent. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Oh ...noooo. no definite diagnosis. That was what the visit to the ENT was. We were just trying to rule things out....at least the things that might require other medications or would cause other problems.....I asked about the autoimmune just for more info becasue I had no idea it could cause HL. pcknott@... wrote: THat's terrific that he was asleep for the ABR - other wise he'd have to be sedated. Do you have a definite diagnosis of autoimmune - I didn't think so but we all sort of got off on that tangent. All messages posted to this list are private and confidential. Each post is the intellectual property of the author and therefore subject to copyright restrictions. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Neither of my kiddos have had ANY testing. Hannah had blood or urine work - can't remember which one where they tested for syphlis and diabetes. All was negative. soccrnurz1@... wrote: I am a little surprised at no testing. Not surprised about no MRI, but has he had a ct scan? Very little is known about autoimmune hearing loss, and usually most blood work is normal - except sometimes during a flare up. Our ent did try prednisone - and it did actually improve her hearing for a while. That is defiantly a difficult decision as they really can not stay on it very long. We were lucky that my daughter had very few side affects from it, but it did help in her diagnosis. Also just another though - prednisone has not worked every time on her hearing - just the first time it was used. Are you going to a pediatric ENT? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Two kids with hearing loss kind of ups the ante about the medical evaluation. Makes it more probable that the cause is genetic, especially since it is in both boy and girl. For years, research studies only wanted to test people where two or more family members had hearing loss. No one recommended genetics on Maggie since she was the only one. And we weren't really worried so much about what caused the loss. So it wasn't until 5 or 6 years after her diagnosis that we found a study that would do genetics when only one family member has hearing loss. I know of two deaf parents who were shocked and amazed when their child was born deaf since both of their hearing loss was blamed on meningitis - turned out BOTH parents had a genetic hearing loss. So you might want to do the genetics so your kids will know if they can pass it on or not. We did have a thorough work up to look at other things that could accompany hearing loss. We hadn't done anything and I mentioned it to the audiologist about how I didn't think we would bother with all that since we didn't care what the cause was. But she explained that everything but the genetics was also to see if there were other problems that go along with hearing loss so that made me realize we really did need to get it done. They did blood tests (not sure I remember exactly what for), tested thyroid function (Pendred's), did an EKG that was read by a ped. cardiologist (To rule out Long QT syndrome), did the CAT scan to look at the cochlea structure (LVAS), did something to rule out kidney disease, and I'm not sure if that is all they did or if my elderly memory is failing me! If I was having it done today, I would have my child tested for CMV (if they were young enough) because then I could be better prepared for a progressive loss. (For example, I'd buy hearing aids that had some room to adjust if she lost more hearing ). Oh yeah, we also had eye exams done by a pediatric opthalmologist. We still do that every 3 years. I think we are due! Knowing about the LVAS is also good because you can prepare for progressive loss and try to prevent bumps to the head. Maggie is a swimmer and her second best stroke is back stroke and has she has crashed headfirst at full speed into the wall several times - I know she doesn't have LVAS so I don't freak out. If she had LVAS I'd probably not want her to do back stroke! So the medical evaluation does two things, 1. looks for the cause and 2. Looks for other things that may be associated with the hearing loss. So that makes it even more odd that he wouldn't recommend any further medical follow up. We've been reading a series in the Atlanta Journal Const. about hospitals in New Orleans during Katrina. It helps me to understand what you have said about still not having access to doctors etc like you used to. And there was a great story about a boy whose dad is a NO fire captain but the rest of the family has spent the past school year in Atlanta, anyways the boy oldest boy graduated high school and it was a sweet story. But those of us who haven't been there probably just can't imagine how things are still so disrupted. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 LVAS could indicate progressive loss. I didn't realize CMV did. ???? LVAS has more to do with the vestibular aqueducts and endolymphatic sacs than it does the cochlea, I believe. Checking the cochlea was probably for Mondini Malformation. > > In a message dated 5/19/2006 4:53:56 P.M. Eastern Daylight Time, > pcknott@... writes: > > They did blood tests (not sure I remember exactly what for), tested > thyroid > function (Pendred's), did an EKG that was read by a ped. cardiologist > (To > rule out Long QT syndrome), did the CAT scan to look at the cochlea > structure > (LVAS), did something to rule out kidney disease, and I'm not sure if > that > is all they did or if my elderly memory is failing me! If I was having it > > done today, I would have my child tested for CMV (if they were young > enough) > because then I could be better prepared for a progressive loss. (For > example, > I'd buy hearing aids that had some room to adjust if she lost more > hearing > ). Oh yeah, we also had eye exams done by a pediatric opthalmologist. > > > > Sounds like everything we went thorough with Ian but I don't remember the > > names of the syndromes/disorders at this point. Too many years have > passed for > my feeble memory. The only name I do remember right this minute is BOR > (brachio-oto-renal) and that's why he had the kidney tests as well as the > sonogram > of all his internal organs ... just to make sure they were all where they > > belonged and were the right size. Also the ophthalmologist ... I think > that was > for Ushers because his pupils are slightly different sizes. (And we all > see > one least every other year because glaucoma runs in my family.) We also > saw > neurologists and other specialists ... an overwhelming collection of > specialists even when viewed with hindsight. > > Honestly, I'd take it a bit at a time and see different specialists as > the > need arises. We saw so many in such a short time that it felt like a > whirlwind. Ian began to feel like a guinea pig or lab rat. I'm thrilled > that we're > down to just the audi and then annual reviews by the others. > > Also, when we chose Ian's new aids, because of his progressive loss, part > of > the decision was like when you buy shoes for kids -- we chose ones with > room > for growth (or loss, depending on how you want to phrase that). We wanted > ones that would take him through the next 3 years. At that point, either > his > loss level or new technology will send us shopping for aids again. > > best -- jill > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 Is an ENT the right person to be going to? Or should I seek out individual specialists? I know that a lady from LSUMC is interested in putting them in a study when their pediatric audi department gets up and running in the fall - but I don't know the specifics and I don't know if THEY will do testing?! So confusing. JillcWood@... wrote: In a message dated 5/19/2006 4:53:56 P.M. Eastern Daylight Time, pcknott@... writes: They did blood tests (not sure I remember exactly what for), tested thyroid function (Pendred's), did an EKG that was read by a ped. cardiologist (To rule out Long QT syndrome), did the CAT scan to look at the cochlea structure (LVAS), did something to rule out kidney disease, and I'm not sure if that is all they did or if my elderly memory is failing me! If I was having it done today, I would have my child tested for CMV (if they were young enough) because then I could be better prepared for a progressive loss. (For example, I'd buy hearing aids that had some room to adjust if she lost more hearing ). Oh yeah, we also had eye exams done by a pediatric opthalmologist. --------------------------------- Feel free to call! Free PC-to-PC calls. Low rates on PC-to-Phone. Get Yahoo! Messenger with Voice Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 19, 2006 Report Share Posted May 19, 2006 , Prednisone is AWFUL in the way it plays with our hormones. So either you get super moody girl or super witchy girl. When I was on it as a teenager (allergy related) I was both. I now try to stay as far away from it as possible because it plays with my moods so much. Debbie maryemapa@...> wrote: Because of Hayley's hives, we sometimes need to put her on a low dose of prednisone. I think this can cause unwanted hair (facial) on a girl, and she certainly is more teary then. We keep her on the prednisone only until we get the hives cleared up. Some men see things as they are and ask why. Others dream things that never were and ask why not. G.B Shaw --------------------------------- Love cheap thrills? Enjoy PC-to-Phone calls to 30+ countries for just 2¢/min with Yahoo! Messenger with Voice. Quote Link to comment Share on other sites More sharing options...
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