Friday, February 24, 2012

The Follow-up Appointment

Yesterday, my mom, step-dad and I headed out at about 12:30, hitting the interstate to get to Denver for an appointment today. For most of the morning, we debated about whether or not we should make the trip, with the winter weather going on. But for the most part, the trip down wasn't too bad. Around Cheyenne it was a bit crazy, but once we hit Colorado, roads were clear! We finally arrived in Denver and found the hotel we had reservations at. It was a nice suite, with 2 bedrooms, and a small kitchen area. The hotel has partnered with the hospital and provide discounts to patients and family staying there, so that was what we did. It was a nice set up, and close to the hospital for my appointments. We did hit up Ikea, and got quite a few fun toys/stuffs for the kiddos. Even got my own little wooden train set as well, I was practically like a little kid last night. Dinner at Dave and Buster's, then back to the hotel for the night after fueling up the car.

This morning, mom got me up bright and early at 7:15, 7:30ish. Oh man, too early! I went to bed around midnightish or so, and it took me a while to get to sleep. So I definitely didn't quite get enough sleep. But oh well, we had to get a move on. Packed up all our stuff, checked out of the hotel, and found the hospital. Since we knew where the hospital was, we drove around a bit and found a small restaurant to have breakfast at. The food was good. Then we went to the hospital. Got there early enough, but oh well.

Mom and I went into the implant center to wait while stepdad went to get his car washed. Finally the audiologist came and got us, and we went into her office. Talked about the implants and how they worked, I got to see the demos of the Harmony and Neptune processors which was neat, got some questions answered, talked of expectations and such. Even talked of what the MAPping scheduling would be like as well. The graduate student took me to a sound booth for a quick hearing test, then it was back to the waiting room to wait for my appointment with the surgeon.

The office was running a bit behind. Someone came and got me, and Mom and I went into the surgeon's office and waiting quite a bit for him. We talked for quite a bit about this and that, and the surgeon showed up. He talked of what the surgery would be like, described the incision he'd use (small incision behind the ear and up and back a bit, so it's not all completely right behind the ear). Said surgery would last about an hour, hour and half. We also talked more of the CAT scan results, mom was questioning the ossification bit. Both the surgeon and the audiologist said that sometimes the CAT scan would be clear, but the surgeon would still end up finding ossification during surgery. So he decided he wanted an MRI done so we could get a better, clearer picture and actually know what we're dealing with.

Once we were done with him, we were taken to the surgery scheduler's office. She arranged to have the MRI done with the hospital (after calling 2 other imaging centers) for this afternoon! Got all that worked out, then off to another office to actually order the processors! We ended up calling Advanced Bionics for a little assistance with the order form, as I kept debating back and forth with myself "should I get this, or that?" I eventually did figure out everything. I didn't even know what size cables to get, so the phone call helped.  One Neptune (with ruby red caps for every color option possible, black cables for the Universal Head Piece, and white cables for the Aquamic), and one Harmony, dark sienna with the techno color caps... 4 Powercel Plus batteries for the Harmony. Audie suggested the Plus batteries, as she has a feeling I'm going to need a lot of power. Makes sense. The ordering process is quite the process, so many different options to pick from!

Finally we were done, and headed next door to the hospital and found the radiology center. I checked in, got a wrist band, and waited even more (and emptied out my pockets, stuffing the pocket in my coat which I left with mom and stepdad). Mom and stepdad did take off a bit to check on the car. While they were MIA, I was called back. Radiologist tech got an IV in my left arm (he couldn't find a vein in the right arm, which I wasn't all that surprised about, I can be a hard stick). Then into the MRI room, where I removed my hearing aid and glasses and laid down on the table. He stuck the cage on over my head, and into the machine I went. I did my best to stay as still as possible, and even took a short little snooze. Then I was briefly taken out of the machine so the tech could inject the contrast dye, then put back in for more scanning. Then tada, done! Removed the IV bit, and sent me back to the waiting room. We left and hit the road from there. It was about 3 when we left.

Did a stop in Loveland, had a late lunch/early dinner at the Cracker Barrel. Oh good catfish! Ooo! Did a little shopping there, then hit the Outlet Malls for a bit more shopping (step-dad loves taking advantage of clearance sales if he can!). Got more candy at Harry and David's (so basically I spent about $30 on candy today!), then back on the road to home.

Today was such an incredibly long day, and I'm glad to be back home. Now we can prepare for the next step, surgery!

March 20, pre-op with the surgeon, and pre-admissions at the hospital.
March 21, check in at the hospital at about 10, 10:30 in the morning, surgery at noon. Outpatient surgery, so I should be released after a few hours. I'm thinking we'll spend the night at a hotel just so I can recover a bit before hitting the road home.

April 3, activation in the morning, post-op with the surgeon in the early afternoon.
Then towards the end of April, more MAPping with the audiologist when she makes her trip up to Wyoming, then we'd go back down to Denver around June for further MAPing, and another audie visit to Wyoming around October. That's kind of the plan we're hoping to go with.

Audie says she can program both processors, adding the lower programs onto one processor, then more programs with more volume on the other, so that way when I max out on the one processor, I can then use the other processor until I see her again. The way I figure, I'll probably start off with the Neptune first, that way I don't have anything on my ear for a while longer, give it more time to heal, then switch to the Harmony and go from there. I'm not really worried about using the T-mic right away. Audie doesn't even think I'll hear anything at activation, that it'll be a slow "wake-up" period for my left ear, which is understandable. I'm not even expecting to hear anything right there and then. It's going to take time, possibly even up to 2 years before I'll start making sense of speech, which is to be expected since I haven't heard anything out of the left ear for so long. But I'm determined to put in the work and get the implant working for the left ear. I plan to use audiobooks as part of my auditory rehab... a friend of mine (who has also been my interpreter all throughout my schooling years) is also going to help me with auditory rehab as well, and I'm just going to work at it!

Monday, February 20, 2012

Almost time!

It's almost time to get the cochlear implant! Wow, only a month away. Really?  And this coming Friday I'll be in Denver. Discussing the surgery and such with the surgeon, getting some questions answered. And I'll also be informing the center of which implant device I want to get (Advanced Bionics). The audiologist said she would have demos on hand so I can look at them and get a feel for the devices. I'm actually pretty excited for Friday! Then I'll be back in Denver a month from now for pre-op and pre-admissions, then surgery on the 21st. Just wow. It's finally happening! I've been researching cochlear implants for about 10 years, and trying to get one for so long. Just hard to believe it's all becoming a reality.

Wednesday, February 15, 2012

CI Schedule changes

So... Turns out the surgeon won't be in office the last week of March (when my original post-op and activation appointment would be). So.... it was either move the activation appointment up to March 23, or move the surgery date to the next week, March 21st with activation/post op on April 3. Well, my boss was getting some time off in March too, taking off when I was back in at work and that sort of thing. After she made some phone calls and such, the end result was us switching our weeks off from work. So now my new cochlear implant schedule looks like this:

Pre Op: 3/20/12 @ 1:30 pm
Pre Admit: 3/20/12 @ 3:00 pm

Surgery: 3/21/12 @ 12:00 pm (check in at 10:30 am)

Post Op: 4/3/12 @ 1:30 pm
Activation: 4/3/12 @ 9:00 am

Yesterday afternoon was a bit crazy for myself, and for my boss, figuring out how to deal with the schedule changes and such. Just got the confirmation from the CI center this afternoon. Now just need to get the other boss to make the changes to my requested time off in the system, and I'll be good to go.

Tuesday, January 31, 2012

Getting closer

It's slowly getting closer and closer to March! Lately I've just been quite eager for the CI dates to get closer and closer. I keep hitting up the Advanced Bionics website and scoping out their color and accessory options, trying to decide which color and accessories I'd want, that sort of thing. Even pulled out the Advanced Bionics info packet I received from AB quite some time ago about the Harmony device. Even have a notebook that I'm using just strictly for the cochlear implant, where I keep track of questions I want to ask, notes of colors/accessories I want,

The follow up with the CI surgeon is Feb. 24th (where we talk of the surgery and that sort of thing), and I'll also be informing the center of which implant device I want to get. The audie said she'd have demos for me to look at/play with, so I can get a feel for them. If I do get 2 processors, I'm sure I'll want a Harmony, and a Neptune. I mean, who doesn't want a Neptune? It's a pretty neat device, and it'll definitely come in handy when I'm around little kids in wet settings. I have nephews that love water guns and splashing in the water. My Naida hearing aid barely handled a tiny itty bitty splash last summer (really, I swear, a couple of small drops of water on the hearing aid and the next day it was acting funny until I ran it through the Dry n Store!). I would even be more willing to get into a swimming pool with a Neptune and go swimming. I've never liked the fact that I've had to take off my hearing aids and put them away before getting wet, especially when swimming with friends and family (not being able to hear has stopped me from willingly getting into a pool for the most part, I want to hear what's going on around me!).

Pre-op and pre-admissions is set for March 13, surgery for March 14, and activation and post-op March 29th. I've been researching cochlear implants, and even working at getting one for about 10 years now. I'm glad it's finally going to happen!  I've even already gotten the pneumovax vaccine last week, just to get it out of the way. I'm getting excited about this!

Tuesday, November 8, 2011

Got some tentative dates for the CI

Got an email from the surgery/appointments coordinator at the CI Center with the tentative dates for CI surgery.

Follow up appointment- 2/24/12 @ 10:45
Pre Op- 3/13/12 @ 11:30
Pre admissions- 3/13/12 @ 1:00
Surgery- 3/14/12 @ 7:30 (Check in would be at 6:00 am)
Post Op- 3/29/12 @ 10:45 am
Activation- 3/29/12 @ 8:30 am
 
Am seriously hoping I can stick to these dates, but of course have to double-check and such, make sure they work out.

Wednesday, October 12, 2011

Did I just hear 'principal punch'?

Had a quick hearing test with the CI audiologist today. She was making her trip through Wyoming to meet with clients for mappings and such, and agreed to do a quick hearing test with me. Originally I was to go to Cheyenne tomorrow, but then I found out she was coming HERE the day before. So I went to the special education services building and was directed to the audiology office. The school audiologist is excited that I'm working on getting the implant. He made a copy of my Medicare and Medicaid cards for the CI audiologist since she wanted to take the copy back to her office to add to my file. The CI audie and I went into the soundbooth. Took her a few minutes to get her laptop up and running. She pulled up a program and we got started. It was just a quick test, not a full-out test with beeps and tones. Just sentences. And these were difficult sentences, oh my goodness! And there were different voices being used too (male and female). I understood the female voices better than the male's for the most part. I got maybe 2 full sentences right on, but all the rest were a bunch of mumble-mumble-WORD-mumble blah blah blah blah what?

One sentence said something about personal touch like "I'm going to add some personal touch" or something like that. I could've swore it said "principal punch." Anyway, we did 2 different rounds of sentences. First round, I got 7%, second round, 21%. Well, I definitely meet Medicare's criteria for cochlear implant coverage! CI Audie and I talked some more, trying to work out a plan of some sorts. We're going to shoot for a March/April surgery date for the cochlear implant. I'd rather do it sooner, but I'd have to travel to Denver, and with the holidays and winter coming up, I decided it'd be better to wait until early Spring.

When the audie gets back to Denver, she'll speak with the surgeon and see if we can schedule the initial visit with the surgeon and the pre-op into one appointment, so I wouldn't have to make two separate trips. She also mentioned she was planning to come back here sometime in April, so if we could do the surgery in March, then I could see the audie when she comes here for activation. It would be great if this happened, but we'll see what happens.

My Medicare coverage starts up next month, and they will cover 80% of the implant, and Wyoming Medicaid will cover the remaining 20%. Late last week, the audie had heard that Medicaid wasn't covering implants for adults anymore, but that applies to Colorado. Wyoming Medicaid is still covering them (I confirmed this via email with someone from Wyoming Medicaid's office on Monday and got the update "covered services" manual as well).  Seems like everything's all falling into place for me, finally. I've been working at this for years, since I was in high school. I'm glad I can finally progress with the implant. I'm still going to do the left ear alone, and I'm definitely choosing Advanced Bionic's device as well. Hopefully by spring next year the new Neptune processor will be available. Audie told me I should be able to get 2 processors, so if that's the case, I'd like to have the Harmony for everyday general use, and the Neptune for back up and for being in wet situations (I do have some very young nephews who do like to splash and squirt water guns).

Audie told me I should be hearing from someone from the CI Center's office within the next few days or so, to get things more set in stone/planned out basically.

And now for hearing aid stuff... I see my hearing aid audie later this afternoon to have a new earmold made for the right ear. I don't think the current earmold fits as well anymore. Been more than a year, so it's about time for a new one anyway. Should be fun! Two different audiologists in one day.

Tuesday, September 13, 2011

Advanced Bionics back on the market in the US


Advanced Bionics Announces FDA Approval For U.S. Market Re-Entry Of The HiRes 90K Cochlear Implant

-- Distribution of HiRes 90K Cochlear Implants in the United States Now Under Way --

VALENCIA, Calif., September 13, 2011 – Advanced Bionics (AB), the only U.S.-based manufacturer of cochlear implants and a subsidiary of Switzerland-based Sonova, announced today the approval of the FDA for immediate market re-entry of the HiRes 90K cochlear implant in the United States. In recent months, Advanced Bionics received approval from several other regulatory agencies, including Health Canada and the European Notified Body, TÜV, to resume distribution of the HiRes 90K implant to Canada and countries accepting the CE Mark.

“Everyone at AB and Sonova is excited that we are back on the market globally. We stand by our commitment to putting patients first and delivering high-quality products for the best possible hearing experience,” said Hansjuerg Emch, Group Vice President Medical of the Sonova Group. “The support we have received across the industry for our integrity has been incredible.”

AB’s first priority is the safety and well-being of patients, which is why it instituted a voluntary recall in November 2010 after becoming aware of a rare issue with the HiRes 90K cochlear implant. Of the more than 28,000 implanted HiRes 90K devices, only two (0.007%) explanted devices were confirmed to have this issue. In the months since the recall was instituted, AB implemented changes to its manufacturing process to ensure that there is no effect on the safety or efficacy of the HiRes 90K cochlear implant.

While off the market, AB actively continued all research and development projects that were under way prior to the recall.

“Our upcoming launches and products currently in development will continue to lead the industry and help our patients hear their best and live a fulfilled life,” said Dr. Gerhard Roehrlein, CEO and CTO of Advanced Bionics, LLC.

About Advanced Bionics
Advanced Bionics is a global leader in developing the most advanced cochlear implant systems in the world. Founded in 1993 and working with Phonak under the Sonova Group since 2009,
AB develops cutting-edge cochlear implant technology that restores hearing to the deaf and allows recipients to hear their best.

With sales in over 50 countries and a proven track record for developing high-performing, state- of-the-art products, AB’s talented group of technologists and professionals from all over the world are driven to succeed, work with integrity and stay firmly committed to quality.

To learn more about AB and its revolutionary cochlear implant technology, please visitwww.advancedbionics.com.

Media Contact:
Cheryl Garma
Advanced Bionics, LLC
661.362.1400