Another month has flown by

 

13 months

SO much has happened since my last post. 

 

In the first month of Harry’s second year, he has learnt to pull himself up to standing on every possible surface.  He has adapted his crawl to incorporate a right, left movement rather than pulling his arms forward in one motion.  He is squatting to pick up items.

 

With speech , my animal noises at meal times using his puzzle required a new extension to ensure he didn’t get bored, so we are now crowing, snorting and neighing to a puzzle, the storybook of Old MacDonald , fridge magnets and an Ipad App . Thankfully the App has its own sounds that leave little room for interpretation and my vocal cords can occasionally have a rest. 

 

As a result of this extended activity Harry’s latest sounds include “EE, ii, eee, ii, oo” , his rendition of the famous nursery rhyme “Old MacDonald had a farm”.

 

 I am also sure I spotted the use of the constant “G” in his babbling as well.  That now makes M, B, and G.

 

With the girls on school holidays the last 2 weeks, I have used Harry as an excuse to hang out at indoor play centres.  Do not think for a moment that I have enjoyed the constant screaming of other people’s kids, or their snotty noses being brushed against my jeans as I tried to navigate Harry through the infant play equipment.   I was even so brave as to place him on the bouncy castle and watch him try and crawl his way to the other end.  It reminded me of Tom Hanks trying to row out of the reef of his island when attempting to escape in Castaway. Up, down, up, down but going nowhere fast!

 

When I wasn’t spending $40 entry to get everyone into Lollipops I was in the local park. I found some equipment that had Lego steps up to a tube that then led to a baby slide. Harry’s new 4pm routine was doing this circuit til he dropped and was taken home for dinner. Surface to say I haven’t managed to get him to go down the slide any other way than head first in fits of giggles…. I will have to work on that before we progress to the larger slides.

 

With all these exciting developments I reflected upon the fact that I rarely think of Harry as deaf anymore. He is now so close to the  levels of his peers that my mind is not constantly racing down a track relating to what I need to do to get him up to speed – with gross motor skills or speech. Boys can take so long to speak that the amount of noises he makes to chat fills me with pride as I am sure it is more than many boys his age. And the physical stuff is just happening- finally. He is doing all the things I remember Alice doing at the same age (if only I could remember back to Tess 8 years ago!)

 

This week marks the last of the Cochlear Implant Clinic appointments. Our last Mapping session for 6 months is on Thursday when Harry will be given threshold levels to last til the end of the year.   We are going to replace clinic appointments with things normal 1 year olds do. We are embarking on a Term of Gymberoo.  Hours of crawling around play equipment in a local church with songs and dance.  In tandem with the normality I have a goal to get along to Mother Goose singing once a fortnight at Taralye. We have joined this impressive community for the Hearing Impaired at Taralye School in Blackburn, but have yet to make real use of the network there and all it has to offer. So perhaps I shall start my next post with that.

 

You can check out www.taralye.vic.edu.au

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A sound start for listening

 


Week 15 Post Switch On.

We have finished our observation sessions at the Cochlear Implant Clinic now and have our last Mapping Session this week.  Effectively I have now been taught how to teach Harry how to listen. (say that quickly 20 times in a row)

If you read my last post I talked in detail about Harry’s listening and speech development. During my sessions at the CIC we have been looking at his awareness of sound, his understanding of the meaning of words and his ability to discriminate between words and environmental sounds.  Sound awareness is the first step in learning how to listen. A child starts to detect or respond to sounds around him once the implants have been switched on. Initially (being the first 3-4 months) Harry’s brain needs to distinguish between environmental sounds and voices. Environmental sounds such as the doorbell, the microwave ping, the coffee machine, a door knock are all part of his daily life and I am required to point out to him those sounds when they occur and say

“Listen Harry, hear that sound.

  That is a …”  and then repeat the sound if I can a few times so his brain has a chance to interpret and store that info for recollection when he hears the same sound in the future.

There are 6 core sounds referred to as LING 6 SOUNDS which represent different speech sounds from high to low pitch.

With these 6 sounds a child has access to all the speech sounds necessary for learning spoken language

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A ( ahh sound) as in aeroplane

M (mmm sound) as in mummy, more

I ( ee sound) as in the  sound of a monkey or ee-or of a donkey

U (ooo sound) as in the  twit-twoo sound of an owl

SH as in Shh the baby is sleeping

The next step is associating meaning to sound. The child will start to associate a sound with its related object and start to recognise familiar phrases.  Sounds are now becoming meaningful to him.

AAA- aeroplane,  Pu-pu-pu-  boat,  Mooo- cow,  Brmm- beep , beep- car,  Baaaa- sheep, 

Cheep, cheep- baby chicken,  Meow- cat,  Woof, woof- dog

To associate meaning to sound it is simply spending as much time as we can , one on one, with no distractions or background noise, repeating the sounds with a toy, a puzzle piece, a book,  whatever we can , to show him that a sound is linked to an object.

At Week 15 we have clocked up the following words that Harry repeats and recognises as linked to an object:

  1. Mumm- mummy
  2. Baa- sheep
  3. Moo- cow
  4. shh- for baby sleeping

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A great celebration

Harry is now One. His hearing age is 12 weeks on Thursday.

What a year. From the thrill of delivering such a beautiful baby boy at 3:06am on 3/06/2011, to being told when he was 7 days old huddled in the airless sound booth at Melbourne University Audiology Dept, that he had no hearing whatsoever, we have all travelled an amazing journey to bring Harry sound and the milestone of his first birthday.

My closest and oldest friend wisely commented when we shared with her our news that Harry had a hearing disability, it was all a master plan. He heard a snippet of Dan’s musical taste whilst in the womb and thought, “A lifetime of listening to the Rolling Stones with Dad, can there be an escape clause.” Thus he was given the gift of modern technology which will allow him to “turn his ears off” whenever he can’t take any more of those geriatric wrinkled rockers.

It is unbelievable what progress he has made with his listening skills and gross motor skills in the last 12 weeks.

It was only a few days after the Switch On that he was able to sit up by himself. From there he has started to shuffle along in a fashion that resembles crawling. Two weeks ago he learnt to get from lying down to sitting up by himself and this week he is working on pulling himself up to standing. And that is just the physical stuff that as a mum I always took for granted that my kids would sit up at 6 months, start crawling by 10 months and then walk by 1. As that is what the books said and that what my girls did. I know now that all the delays were due to the missing 5th Sense. Without the need to turn his torso and rotate his trunk to work out where sounds are coming from, he didn’t develop those muscles in the first 10 months. Once he had access to sound, he was moving those muscles a thousand times a day and is now utilising sound to build his core strength and catch up physically.

We are now about to complete our 12 weeks of listening skills and observation at The Cochlear Implant Clinic in Melbourne. There are 5 stages of listening that every child progresses through in order to comprehend spoken language. Sound awareness, associating meaning to sound, imitation and expansion, auditory comprehension and advanced listening skills. Everyday at breakfast lunch and dinner, I lay a farm puzzle out in front of Harry and we make the sounds of the animals. He is now saying,”Moo” unprompted for the cow and has on several occasions said “arr” for Baa and the sheep. This is imitation and expansion. It also means he has surpassed the stage of associating meaning to sound and it has become a learnt skill he will continue to refine. He calls out “Muummm, mum, mum” when he is upset and tired- unprompted and without any doubt looking for comfort from me.

All these skills are relative to a hearing baby of 6-9 months. So in 12 weeks he is 2/3rds of the way to catching up with his hearing peers. Phenomenal.

On Saturday we had an open house celebration of all our friends and the girl’s friends for Harry. I spent 2 days creating the Australian Women’s Weekly Classic Train cake. From 2pm through to Midnight we had over 150 people come and celebrate Harry’s achievements. Harry took it in his stride and when it all got too much just made it known he was tired , took off his ears and snuggled up in his cot for an undisturbed sleep , whilst chaos reigned outside his bedroom door.

There are many challenges that lay ahead for Harry being Profoundly Deaf, but in this busy world I can certainly see some advantages and I hope he will remain a level headed, smiley soul.

Happy Birthday my darling Harry.

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Dragonflies and crocodiles

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We have just got back from some
Quality time away. The town of Dragonflies and crocodiles . Sunsets and Barramundi .

We were hanging out in Darwin with Harry’s new cousin Pearl who was born 8 weeks ago. It was just Harry and I on vacation and I couldn’t have a better traveling companion.
Following in the footsteps of eldest sister Tess Harry fell asleep on the plane just before take off. For 2 hours he slept and then spent the remainder of the flight playing open the window shutter , close the window shutter. A tad boring for me and my arm, but it passed the time adequately .

A change of temperature from chilly Melbourne 10 degrees to a gorgeous 29 degrees , has meant I have had to disband the bonnets and rely on tape to keep the magnets on. It seems he is more tolerant with age although I cringe everytime I have to pull off the tape as I feel his pain when the hairs are ripped from his head with the tape before each sleep.

With time to focus on just Harry he seems to have made a mountain of progress on this trip.

Small things like a new floor surface to crawl on that is less slippery, a great dog to chase around the room and a retro 60’s sofa with cushions in a perfect wedge for climbing have brought Harry’s physical development on leaps and bounds.

We also had time to listen to new environmental sounds . Listen to the chorus of birds in the morning . Listen to the rumble of a real 4WD. Listen to a didgeridoo at the local markets. Listen to the sound of an ice cold beer being gulped down by mum whilst he eat dinner.

It was a fab trip and a joy to slow down our hectic pace of a family of 5 to just focus on Harry at his pace.

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Teaching Harry how to listen

We are concentrating our focus on teaching Harry how to listen so he can then learn to speak.

This is an adaptation of another mother’s list of best practice in developing listening skills leading to speech

Use a moderate, clear voice.

Use full sentences and model language correctly.

Talk, talk, talk – about every activity you do with him. Don’t miss a chance to have a conversation whenever you can, and be close by and at his eye and ear level. However don’t talk about abstract things- talk about what Harry is interested in

Give Harry a chance to talk back. Ask him a question and wait, wait, wait. Count slowly to five. Only then provide the answer if he has not yet responded.

Reward approximations. If you say ‘cup’ and he says ‘oo’, don’t correct him, just say, ‘that’s right, it’s a cup, good talking Harry, you said cup’.

Sing songs that are fun and include actions.

‘Communicate’ – When Harry makes sounds, copy and make them back, and then vary it and start a new sound and see if Harry will copy it back.

Minimise background noise – turn off the tv, washing machine, etc. It makes it very hard for Harry to hear properly.

Say it before he sees it eg. ‘Do you want a drink Harry.” Give him a chance to think about what you are asking, then show him the drink. Do you want to read a book Harry.” Wait, then show him the book.

Aims:
– To teach him that words mean something.
– To teach him how to listen- how to distinguish between different sounds (much harder for him than a hearing baby).

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Baa baa black sheep

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The last two weeks I have managed to successfully concentrate on Harry’s development both physical and speech.

It has been such a pleasure not to spend my day obsessing about magnets . They do still get knocked off in the pram and he doesn’t wear them in the car unless he has one of the girls sitting with him, but overall we have overcome enough of the headgear hurdles to enjoy everyday life with Harry as a normal 11 mnth old baby.

There is a quiet time in our day when the girls are at school and he has woken from his morning sleep. He sits patiently in his high chair waiting for a
lunch fitting of a Feller – ratatouille and pasta or sautéed spinach, mushroom and leek with pasta.

He has a wooden puzzle with 6 assorted animals on it and we sit together going through the sounds each animal makes. I have been told to concentrate on 2 animals at a time with different sounds. For example Baaa – a long sound with arrr and woof woof – a short repeated sound.
I discovered if I place my face very close to his and over exaggerate my mouth movements he stops what he is doing and follows my mouth movements with amazing concentration. Next he attempts to copy my sound. Considering he is only 8 weeks into hearing I am blown away by this progress and according to the Speechies if he makes the sound more than once in context we can record it as his first “words”….

So what might these be I hear you ask? My money is on Baa for sheep and Brmm Brmm for his car toy steering wheel. It is now completely obvious to me that boys are genetically wired to be obsessed with cars and trucks. As for the sheep , there are no New Zealand genes in our family so it will remain unexplained.

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Being Bionic

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We have now completed Week 7 since Harry’s Switch On date. So we are clocking up close to 2 months of hearing and a baby getting very close to 11months old.

The cartoon I’ve referenced is the Bionic Six so allow me the pleasure of some Blog- poetic license in my inspiration today. In the family of Bionic characters the son Jack has the ability to repel metallic objects through his electromagnetic powers.

As you can gauge the magnets are still very much a constant source of time investment for me. Repelling the magnets has become a favourite game of Harry’s – just pulling them off or rubbing his head against something to knock them off, appears to be more fun than any game I can particpate in with him.

I have started to think it is just the positioning of the internal magnets on Harry’s skull that is the cause. (Possibly due to the shape of his head). Looking at photos of other people and kids with the CI’s on, the magnet sits almost exactly above the ear. Harry’s left one is almost at the back of his head. I have decided I can learn to live with it as it is not going to change in my lifetime and I am sure he will love its position when he is older as it is less prominent from the front. Living with the magnets was even more palatable with last weeks agreement from the CIC to give me a number 2 magnet . Yippee…. Thank you and finally. I hope that this will be my last posting discussing the trials and tribulations of magnets and we can concentrate on Harry’s many other superpowers.

The incredibly creative and visual mind of our friend Jane has given us a new version of the HearingHenry headband. I say visual as she created the headgear without Harry around just from pictures I posted on the Blog and her memory of seeing him – I AM IN AWE . Jane’s version has pockets to hold the processor in each side with popper studs to open and close them for easy access that is so much more economical than the braces elastics which we were working our way through faster than a teenager can eat hot chips. The pockets have been designed so the flashing light on the processor is fully visible ( this is our indicator for whether the magnets have fallen off as I ‘ve ditched the remote to save my nervous system) and Jane has also thought about an open area for the microphone so sounds are not muffled in any way. Combining this band with the new no.2 magnets we are so close to finding the solution to keeping Harry consistently with sound. If Harry is busy and happy with the sounds he is hearing we are onto a winner.

It is funny; this last week I have noticed him pulling the device off for attention. How convenient for him- remove the Ears and mum comes running. If I am not around the girls have taken to screaming “Cochlear alert, cochlear alert”. This has no impact on Harry’s behaviour of course as he has already removed the Ears and is in his own pleasurably silent world.

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Cochlear Implant HELP new website

FOR IMMEDIATE RELEASE Global, April 27, 2012

A Call for Help Gets Answered

CochlearImplantHELP.com, a new and comprehensive website aimed at helping current and future users of cochlear implants and their families, announces the website launch today. A need was identified to help others better navigate their journey to receiving a cochlear implant, whether for themselves or for a family member such as their child. And cochlearimplantHELP has been created to help them wherever they are on their cochlear implant journey. Whether just starting to learn about cochlear implants or a seasoned cochlear implant user looking for ways to connect to a favorite piece of electronic equipment, cochlearimplantHELP has what you need. Please take a few moments to peruse the site, and feel free to link to it or share it freely. CochlearImplantHELP.com can be found on the World Wide Web at

http://www.cochlearimplantHELP.com

Press Release 04 27 2012

 

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Physio for kids

This week Harry had an appointment with the Physio. This is the 3rd session he has attended and he was referred by our paediatrician 6 months ago when she noticed his upper body muscle tone was slightly under-developed for his age. 

I haven’t really mentioned his physical development much in the Blog, as our primary focus is his hearing.  But it has been an underlying concern for us that there definitely seems to be a link with Harry’s lack of sound and his gross motor skill development. Gross motor skills are the sitting up, crawling, walking milestones that every baby has to go through to develop “normally”.  As part of our process to dot all the “i’s” and cross all the “t’s” we took Harry to see a Developmental Paediatrician in the beginning to assure us he was going to hit all his major developmental stages. So far all tests and diagnosis have been extremely positive and indicate that the deafness is isolated and with that we remain positive that it will always be such. 

The Paediatrician referred us to a Physio however, having picked up at 6 months that he could use some assistance with building his torso muscle tone. It was a simple case of the fact that he was not twisting the top half of his body to find sounds, so he was not building the necessary muscles in this area to allow him to sit up. Ultimately it was leading him to be reliant on lying flat on his back to play.

So back to the Physio.  I was excited to see her again as the last time we visited was prior to Harry’s operation. I really felt that his physical progress had been enormous since this time and she would be thrilled. One major milestone was his sitting up which took place 2 days after Switch On. There is no scientific evidence that the brain receiving sound and vestibular system have a connection but in our book it was amazing to see Harry finally sit up on his own so soon after he had the CI’s switched on.  

We walked away today with 4 main strategies to work on over a month. The goal now is to get him crawling on all 4’s (rather than Slug- like as he is now) and to teach him to get from crawling to sitting and vice versa.  This will then lead nicely into him pulling himself up to standing and then progressing to walking. The physiotherapist was very clear to point out that he would end up doing all of these things eventually but perhaps not in the most succinct fashion.  As I had laboured the fact that I need him upright to allow for a better grip on the magnets, she agreed we would fast track this stage of development so we could get him less reliant on lying on the floor.

I will be spending a great deal of time on the floor with Harry over the next 4 weeks pinning back his hips to force him to thrust his arms forward and push on them. This will lead to him realising that crawling can be more efficient by being on all fours and no longer dragging his tummy along with him.  Based on the amount he eats I would have thought it will be immeasurably easier!

The Physiotherapist also left me with some thoughts on Play.  Play patterns are all linked to brain development and specifically I need to focus on teaching Harry about cause and effect.  All those toys you see broken and scummy in the waiting rooms of doctor’s surgeries and crèches now needed to be on my shopping list. Posting a ball through a ball run to see it move from the top to the bottom. Banging on the pop up toys to see them appear from their hiding spot are all foreign games to me and I realised that at this age with both my girls I was already back at work and their development was in the hands of the childcare workers.

http://www.physioforkids.com.au/

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Oliver and Becky Dennis with their daughter Hope

This is Oliver and Becky Dennis with their daughter Hope. Hope is 18months old and was also born profoundly deaf. The Dennis family are English and live in North London, an area that was very much a part of our lives before we moved to Melbourne 8 years ago. 

Last week the UK Sunday Times supplement ran an article on the Dennis family and their experience of discovering at her birth that their only child was profoundly deaf in both ears. The article describes their journey to get her bilateral cochlear implants.

As so many members of our family and friends live in London, Dan and I were sent a number of emails and Facebook messages about this article. Coincidentally Dan is in London this week and when he read the article he reached out to Oliver to let him know how encouraging it was to read his story of how at only 14mnths Hope’s listening and speaking skills were age appropriate.  His story was so very similar to our experiences so far…

Uncannily over the last 10 months we have often discussed what would have happened if Harry, like Tess, had been born in London. With the pioneering scientists and surgeons for Cochlear Implant technology based in Melbourne would we have indeed ended up living here eventually?

For the Dennis Family the London Great Ormond Street Children’s Hospital provided them with an unfaultable service which was fully funded by the NHS (the same as we have here with Medicare).

 The story of funding is not so fortunate for those living in New Zealand however,  where the Govt only funds one cochlear implant on the basis that you can hear with only one ear. 

I can’t even imagine how it must feel as a family to go through the trauma of finding out your child is deaf only to have to then start fighting to get funding to bring them into the hearing world.

For sure this is the Lucky Country………………….

UK Sunday Times Article dated Sunday 15th April 2012

Oliver Dennis

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