Audiology success

Today was A's third hearing test. This time, he's old enough to try a more interactive test, so he was given small tasks to do every time he heard a beep. Being the old hand at testing that he is, he responded only to the first beep of each frequency. If they tried to retest him, he stared at them like, "Oh, please, can't you leave me in peace?"

The good news is, the test went great. He had some test fatigue that gave him some funky numbers on his right ear, but even if the funky numbers are right, they aren't in a range that would impact his speech development abilities, which was the whole impetus for the testing in the first place.

So it looks like he's got no hearing losses. His eardrums behaved beautifully. The hearing receptor cells in his ears are responding as expected. He's just bored the third time through his hearing test.

Due to funky numbers, we have to go back for a retest in one year, which I am fine and dandy with. And the audiologist was nice enough to give me a copy of the audiogram, which is what the school district wants to show he's been tested and that's not an issue they have to start testing him for on his speech.

Great news. And C and I did the two-car tango today to take car of a punctured tire and and oil change, so the car's in good shape, A's ears are in good shape, and it's almost Friday.

Rock star mommy

Oh no, audiology, I will not be your humble supplicant again.

I got a call from the audiology department. As you'll recall, this is my third time trying to schedule an appointment and I first requested a hearing test August 1, 2008.

"He's cleared from his ENT and his ears look great, so I'd like your next available appointment."

"That would be September 11 at 10AM."

Excuse me? So I cajole and wheedle and reluctantly type it into my calendar, and then I get my inner rock star on.

"May I speak to your supervisor? I'm very disappointed; his ears are clear; we've been through this twice now and I don't want to wait and see if he's sick in September or not so we can go through all this again."

Um, she doesn't know why I'd want to speak to her supervisor. After all, her supervisor isn't here.

"How many supervisors do you have?"

"Well...which one did you want to speak to?"

"The one who can get me an earlier audiology appointment."

"That would be audiology. Hold on."

I hold.

"This is Elisha."

I explain, nicely, that I'm trying to get an audiology retest for my son. Both times the audiologists saw something in his ears; after the second time, they recommended going to the ENT and calling to say, he's clear, he's well, do it soon. And I did that and they offered me September, and while I understand how swamped the schedule is, I don't want to go through this again if he's sick in September when I know he's well now. It seems that by going by the system and always having our next appointment six to eight weeks out, we are setting ourselves up for failure.

Elisha says she'll look, and while she's looking I reiterate how busy I know they are and if this wasn't the third re-test, I wouldn't be talking to her.

"How's Thursday at 9?"

"Thursday, like two days from now Thursday?"

Yes. We'll take it. For bonus rock star glamour, I call his preschool teacher and get him rescheduled for tomorrow instead of his usual Thursday. And now I have an extra Wednesday morning free this week!

Stupid audiologist

So two months ago, we had an audiology exam and A had an ear infection. Get that cleared up and we'll call you in four to six weeks, they said.

It's May now. That's two months. I called. I actually got a call back the same day so I must be down in the system as "pissed-off mom."

"How's June 5th?"

Not great. Anything sooner?

"No, the next thing after that would be July 9th."

Fine. June 5th. Let's see how it goes.

Audiology

So the second band of merry wanderers have been through and back again, and they were a pleasure to have around, as always. Now they're gone and it's all drudgery here. Sigh. But this post is about A's hearing.

As part of any normal speech assessment, they want to do a hearing test (because if you can't hear or hear clearly, you may not talk). Way back in August when all of this assessment stuff started, the First Five people told me that it would take forever to get the state to do a hearing test and that it would be more expedient to pursue a hearing test through our private insurance. At A's two-year checkup the first week of August, his doctor wrote him a prescription for an audiology referral.

That test was originally scheduled for December, the day he had his massive asthma attack and was almost hospitalized. I called in the day before (when he was just coughing and not yet limp) and left a message canceling it. There's no way to talk to a human; they promise to return your call in one business day.

They rescheduled him for today. Three months later! Unbelievable. I know it's unbelievable, because the next time he was sick for an assessment appointment, I marched him down there, let him cough all over their office, and then asked them to reschedule. That time I got an appointment two weeks later and the supervisor's personal line to call with any problems. I should have asked for the audiology to be rescheduled then, but I didn't. So we're having the test seven months after I requested it. Argh.

An audiology test for a toddler works like this: they put tiny tubes in his ears to transmit the tones. Then he sits on my lap in a controlled room where there are shadowboxes containing animatronic animals which light up at various times. Through the tubes, the tester asks him to point to where he hears the tone. I assume the animals light to make sure he's responding to the tone and not just stimuli in the room. Also, they keep it interesting. He was pretty bored by the end of this.

Then they did two separate tests to show how his eardrum and inner ears are responding to sound. His right eardrum was not as responsive as it should have been. The tester looked in his ears and said the right one looked red.

So the audiology tests were inconclusive. The tests could show some minor to moderate hearing loss, but his eardrum looked bad and he's had a cold. The audiologist refused to make a diagnosis based on these tests. She said we should get him to the doctor, get his ear issues cleared up, and then do the audiology exam again in four to six weeks.

I'm not sure what to think. He doesn't seem to have any hearing loss to me, but I'm not an audiologist. There are members of our family who have hearing loss (and not just the ones who were on carriers) so it's a real possibility. I liked the audiologist; she seemed to know what she was doing and half-way through our assessment, another audiologist pulled her in for a consult, so they think she knows what she's doing too. Happily, there's nothing I can do either way but take him to the doctor tomorrow and have his ears checked.

The worst part is that he had a fever on Tuesday and couldn't go to preschool. No preschool at all this week for him--poor boy, poor mommy.