Two Implants The Good, The Bad and The Ugly - PowerPoint PPT Presentation

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Two Implants The Good, The Bad and The Ugly

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Insurance denies, 3 days before the surgery. Thus begins 18 month battle with insurance ... Vocabulary has grown by leaps and bounds. Localization. Incidental ... – PowerPoint PPT presentation

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Title: Two Implants The Good, The Bad and The Ugly


1
Two ImplantsThe Good, The Bad and The Ugly
  • Understanding the parents perspective in the
    cochlear-implant
  • decision making process, and learning from
    successes
  • and challenges of a bilaterally implanted child.
  • Taunya Paxton, Mother
  • Pleasant Grove, Utah

2
Obligatory Faculty Disclosure Information
  • In the past 12 months, I have not had a
    significant financial interest or other
    relationship with the manufacturer(s) of the
    product(s) or provider(s) of the service(s) that
    will be discussed in my presentation.
  • This presentation will not include discussion of
    pharmaceuticals or devices that have not been
    approved by the FDA.

3
Agenda
  • Our Story The Timeline
  • To Implant or Not To Implant
  • The Decision to Implant, Take Two
  • The Good, The Bad, The Ugly (in reverse)
  • Summary
  • Questions

4
Our Story The Timeline
5
I'm OK... You All Have Issues
  • Chance figured he was talking and we were the
    ones with the problem
  • Hearing Aids are just fine, thank you
  • Chance is covered... Or is he?
  • Chance's favorite question becomes What?
  • He realizes how much he's missing

6
To Implant...
  • Potentially cleaner sound
  • Potentially better gain
  • Potentially more reliable results
  • Focus on understanding not just hearing

7
...Or Not To Implant
  • No guaranteed results
  • Invasive surgery
  • Permanent
  • Impact on residual hearing
  • Future Implications

8
Questions, Questions, Questions
  • What about future technology?
  • What about hair cell regeneration?
  • Improvements in implants?
  • Will Chance need therapy to come to terms with
    his parents' decision?

9
Implant Take One
  • Finally, we're ready to launch.
  • Houston, we have a problem !
  • Insurance denies, 3 days before the surgery
  • Thus begins 18 month battle with insurance

10
The Launch
  • Prep
  • Surgery and recovery went great
  • Tried to ride his bike the next morning

11
It Was All We Hoped For
  • Transition to new sound
  • Chance hears from 30 feet away
  • His confidence soars!
  • Happily ever after, until...

12
Implant, Take Two
  • Chance's Dad attends convention
  • We blame the convention )
  • Bilateral Research Begins
  • Thorough investigation
  • Our research showed best candidates for bilateral
    implants
  • Kids who had heard before
  • Kids implanted before the age of 8
  • Successful adaptation of first implant
  • But would the pros outweigh the cons ?

13
More Questions
  • Future technology !
  • Will Chance be a guinea-pig?
  • Will the benefit be substantial enough
  • Another surgery are we testing fate?

14
We have liftoff! Again!
  • Teachers have indicated huge improvement
  • We can call him down the hall, down the street
  • Vocabulary has grown by leaps and bounds
  • Localization
  • Incidental Hearing
  • Stays Better Focused

15
The Ugly
  • Fighting Insurance
  • Research Getting unbiased information
  • Your decision will be questioned

16
The Bad
  • Twice as many batteries and batteries aren't
    universal
  • Keeping two implants parts separated
  • Some professionals believe that more study is
    warranted, making decision more difficult
  • No bilateral support in many areas
  • Sometimes you get professionals' personal
    feelings rather than all the options

17
The Good
  • Phenomenal Increase in Speech skills
  • No more hearing aid feedback
  • Incidental hearing / overhearing
  • Progresses more than 1 school year in approx 6
    months time
  • Reading at age-equivalent peer level
  • Confidence soars

18
Summary
  • Chance is not cured... All is not perfect but
    perfection is overrated
  • Absolutely No Regrets !
  • Results are all we could have hoped for and
    more.

19
Questions?
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