Guest guest Posted February 21, 2004 Report Share Posted February 21, 2004 , I agree with you that it is inappropriate for CI's to be covered when hearing aids are not. Without sounding like a conspiracy theorist, I believe a lot of the reason stems from the fact that a surgeon is involved with a CI. Some insurance companies do cover hearing aids and several states are working on legislation to increase the coverage. I predict a great stumbling block in this will be my own profession's inability to validate results to the extent that insurance companies may want them. With CI's physicians have deemed these devices necessary and have published studies concluding that CI's represent a significant cost savings to society over being deaf. I have read several of these cost analyses and one in particularly had some very obvious and glaring flaws in logic, to the point that I believe their conclusions are invalid, yet that is one of the documents often quoted to support coverage of CI's. In my opinion, there simply isn't that kind of endorsement for hearing aids by the medical community to push reimbursement. While it's true that Medicaid program are pretty poor at paying for appropriate technology, Vocational Rehab has, in my experience, had a better track record. If a person's performance with non-surgical intervention is close to that of a CI, I would hate to see them forced into having only one choice because the CI will be covered , but the non-surgical treatment will not be, but I think that will continue to happen. They will likely not suffer any ill effects, but it seems a real shame that that is the only option for some people. Speaking personally, I hate the thought of elective surgery so much that I would be very hard pressed to have an operation just because my insurance would pay for it, but not the non-surgical alternative. I'd be likely to fight like heck to expose the flaws in the logic of the policy to exclude the non-surgical option. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Brad > > I can understand and appreciate your concerns. It is aways good to be > comfortable with a criteria for a procedure such as this. I can share > with you my own experience and feel very comfortable that this > compairable with all CI programs. > > A vigorous testing takes place before a patient can begin the journey to > a CI. We have tried, used, tested, cleaned, molded and listened over > and over again. We are required to use the best possible hearing aids > for our hearing needs for a period of time. Having a CI is not > encouraged until every possible alternative method has been tested. > Even then, the testing goes on and it is rigid and lengthy. We sit in > the same booth in which we had hearing testing. The speakers are not > moved..they are in the same places as is the seating arrangement. > There is actually more testing done to validate the need for a CI than > is done for hearing aids. Many of the centers that provide CI's also > provide hearing aids and/or BAHA devices. The CI is just one of the > ways these dedicated professionals use to help their patients with their > hearing needs. I do know that given the choice, if a hearing aid worked > for me, I would not have opted for a surgical procedure instead. I would > imagine there can be variables with hearing aids and CIs as it's > impossible to know that every hearing aid provider is following the same > exact criteria with their clients. > > Have you ever asked to participate in a CI evaluation? Since your > interest is high in this area, this might be something you would really > enjoy. If you do decide to do this, please follow it thru to the > activation. I can't even begin to tell you how relieved I was to > finally hear after a very extended period of time working with different > hearing aids thru two different medical facilities. We gave it many > long and difficult months before we began to lean toward a cochlear > implant. Looking back now, except for the fact that I proved to myself > that there was no other choice, I feel that a great deal of time and a > lot of money was wasted getting me to the point of being an approved CI > candidate and finally a CI user who could hear. > > I believe we can rest assured that it is a rare occasion for someone to > be implanted who could have done the same or better with a hearing aid. > Since insurance companies are very much involved, the controls are > tightly monitored. Actually, I'm more concerned that people are being > mistreated by hearing aid dealers who are just out to make a sale and > can get by with it. Unfortunately, too many people are tricked into big > dollar purchase for hearing aids that are useless to them. I've met > many of them. > > Alice > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Jeff that was a beautiful post-- One cant say that I understand what you are going through unless you HAVE walked in those shoes. one needs to be in those shoes to appreciate what we have gone through. So Brad please think about before saying that you do understand hearing loss and what it is like for us . You dont know because you have never walked in those shoes before. -- Snoopy bilateral RI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Jeff, I don't think either of us is totally clueless, just not in agreement on a few things. <<I can say this with almost 100% certainty: you don't have a CLUE what it's like to be deaf.>> Audiologically, you are correct. <<I learned to speechread and sign and did my absolute best to adapt, but again, it wasn't a place where I belonged.>> The difference is that when I am with ASL users in an environment where hearing has no linguistic value, I feel more at home, in fact that I " belong. " This stumps most of my Deaf friends and they often comment that I seem to be " wired " for the Deaf world unlike any other hearing person they know. <<Should you ever experience severe hearing loss (and I pray you don't) please review that last statement and report back. I think you'll find that a lot more is missing that you would ever have imagined.>> I will certainly do that. <<Whether it is a prosthetic leg, or a prosthetic ear, time and practice CAN make things better and being encouraged be peers certainly doesn't hurt!!>> We agree here, but there is also the reality of everyone's unknown maximum potential. I also have an adopted child. Based on his audiogram, he should be a CI candidate. In fact, many, many, MANY audiologists, doctors, etc have suggested, told and warned me that I needed to implant him. Knowing him as well as I do, I know with a great degree of certainty (not 100% but close) that he is simply not " wired " for sound. It is not a cochlear thing or a nerve thing, it's a brain thing. Implanting him and encouraging him to keep trying, etc would be detrimental to him. Since there is no way to know what each person's " wiring " really is, all I'm saying is that the encouragement I see here seems to be less qualified than I feel comfortable with. But as you say, I'm not the one with a hearing loss or a CI in my future, so my feelings or opinions on these are probably not all that important. <<As far as independent living...we have a adopted daughter who is a amputee. Looking at it from you way of thinking...I'm guessing we shouldn't get her a prosthetic leg?>> You are misunderstanding Independent Living. She and you are actually doing just that. The alternative would be for her to have leg transplants or multiple surgeries to try to " re-grow " the leg. She is applying a reasonable accommodation and moving beyond the disability. That is exactly what Independent Living is all about. << I'm guessing your " in any form " refers to a prosthetic arm? >> I was talking about an equivalent technology to a CI. I of course would seek first aid and care to stabilize the situation, but I am not sure " how far " I would go. <<You're certainly entitled to your opinion, and so am I: You are totally clueless.>> That's why I'm here Jeff. To learn so that I can be a less clueless audiologist. << late deafened (total communication) Clarion 90K + Auria + Hi-Res 12/03 (...and it works great!)>> And I'm glad that it does.... For you. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Snoopy, I didn't say I understand how you feel or what you have gone through, I said that I have a place in the Deaf (ASL) community. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Re: Re: Brad Jeff that was a beautiful post-- One cant say that I understand what you are going through unless you HAVE walked in those shoes. one needs to be in those shoes to appreciate what we have gone through. So Brad please think about before saying that you do understand hearing loss and what it is like for us . You dont know because you have never walked in those shoes before. -- Snoopy bilateral RI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 I am NOT here to argue what you think is best for your child and whatever you decide to do is best for him. But if I may inquire?... it seems to me after reading the paragraph below, you are assuming an all or nothing deal with the implant, i.e. if you implanted your child and encouraged him to utilize it, you would then have to give up ASL...or something like that. That is how I am interpreting your last statement cut below where you assume that utilizing any sound would be detrimental. I am interested in your response. Thanks, In a message dated 4/26/2004 6:28:20 PM Eastern Standard Time, bingrao@... writes: Knowing him as well as I do, I know with a great degree of certainty (not 100% but close) that he is simply not " wired " for sound. It is not a cochlear thing or a nerve thing, it's a brain thing. Implanting him and encouraging him to keep trying, etc would be detrimental to him. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Brad, Not to pick on you unmercifully, this will be a brief one...I think. I know of people, such as Ushers Type 1, who grew up in the deaf world. They were at home, they were among friedns. But then their vision began going south. And so did their place in the deaf world, they no longer fit, and found themselves cut loose, drifting in nevernever land. How do THEY adapt? They have to learn tactile siginng, and many deaf do not like to touch others. So where do these castoffs go? We live in a society that doesnt have time for people who dont fit in. *---* *---* *---* *---* *---* Hard work never hurt anyone, but why take the chance. & Gimlet (Guide Dawggie) Portland, Oregon N24C 3G 8/2000 Hookup rlclark77@... http://home.comcast.net/~rlclark77/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Pick away , that's how I learn! I agree that the Deaf-Blind person often has a problem staying within the larger Deaf community, but in my experience, this is a somewhat regional thing. In NY and FL, there was a less acceptance and accommodation for these folks than I saw in Seattle and what I see now in Boston. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Re: Re: Brad Brad, Not to pick on you unmercifully, this will be a brief one...I think. I know of people, such as Ushers Type 1, who grew up in the deaf world. They were at home, they were among friedns. But then their vision began going south. And so did their place in the deaf world, they no longer fit, and found themselves cut loose, drifting in nevernever land. How do THEY adapt? They have to learn tactile siginng, and many deaf do not like to touch others. So where do these castoffs go? We live in a society that doesnt have time for people who dont fit in. *---* *---* *---* *---* *---* Hard work never hurt anyone, but why take the chance. & Gimlet (Guide Dawggie) Portland, Oregon N24C 3G 8/2000 Hookup rlclark77@... http://home.comcast.net/~rlclark77/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Mardie, I am sorry if I came across as telling anyone how they should feel. I tried very hard to make it clear that my statements were from my own experiences only. That is all any of us can offer, but my concern was and is, that in many discussions regarding hearing loss (CI's, HA's, surgeries) that the " from my personal experience " gets lost and the fact that all the data is very difficult to find (in order to make a truly informed choice) gets swept under the carpet. I don't doubt your observations at all and I agree that the signing Deaf community has gotten a lot of misinformation about CI's. In 2000, I was on a panel with Artinian (Sound and Fury) regarding CI's. When he saw my signing " accent " he said, " Oh you're really fluent, you must be on 'our' side on this. " I told him that 5 or 10 years prior to that, it was easy and somewhat reasonable to be polar on the issue of CI's, but that as of 2000, the outcomes had improved to the point that I was not able to support an " either-or " approach. It's simply too variable and individual. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Re: Brad I have not been following this list in the past two weeks or so due to being extremely busy. However, I picked it up today and caught the thread of Brad's questions about--in a nutshell--ethical issues in cochlear implantation. He made a rather sweeping remark that most deaf people are fine the way they are and feel they don't need to hear. In line with some of the posts I have seen tonight on the list, that has NOT been my observation here in the DC area. I have noticed many members of the deaf community here getting CIs simply because they wanted to be able to HEAR, to be able to talk to their neighbors, children, grandchildren, listen to music, feel safer. They have many reasons for wanting a CI, even if often NOT for understanding spoken English (which was MY main reason for getting one). Deaf people don't like not being able to hear, but at the same time they don't like to admit that. They try to put a positive spin on what is in actuality a major, major handicap, while trading stories about job, family, and other problems that are directly related to their lack of hearing. Also, I have noticed that among members of the deaf world who do not have an implant, there are many misunderstandings of what a CI does and can do, and how it works. I am always concerned when a HEARING person tries to tell us, who have been deaf all or most of our lives what to think and how we should feel about various issues that affect us. I am far from alone in this sentiment. It reminds me of all the horror stories I have heard from deaf people about the lies interpreters have told them about CIs and other matters. A couple years ago an interpreter (who was not interpreting but sitting in the audience near me) queried me about my CI and expressed astonishment about how well I was doing with it. She alleged that they didn't work very well for most people. Like any other technology, there are always debates swirling around cochlear implants, unforeseen issues that surface, rough spots to be ironed out. Cochlear implant technology has improved by leaps and bounds, and no group has impressed me more than children who were implanted very early in life and learned to speak and listen through the Auditory Verbal approach. These kids have the potential to be more fully part of society than deaf people in my generation had. As for the claim that implant teams urge CIs on people who can benefit adequately from hearing aids, those professionals would be in the minority. The vast majority of CI team members are not guilty of this. In fact, I am seeing too often people who genuinely can no longer discriminate speech with hearing aids being forced to wait for an available appointment because CI centers are so busy, short-staffed, and under-funded. Mardie Younglof Clarion 1.2 and Platinum Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Well said . ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Re: Brad OK gang.. Before we get too rough on Brad here, please remember that he did say he's NOT against cochlear implants..rather the opposite, and none of us can really know how we will feel being deaf until we get there.. Just as being implanted is a very individual choice.. please remember that not being implanted is just as individual a choice and if a person feels comfortable being deaf then so be it..It is their choice.. I know that I'm not comfortable in the deaf world and this is probably due to the fact that I have had normal hearing in the past, I don't know asl and was always a very poor lip reader.. add to that my family had to write notes to my mother for 20 years until she was implanted and it makes for tough time coping in the hearing world.. Brad knows of many deaf who are happy and comfortable with with being so, but by the same token, I can probably match or exceed the number of people I know who are deaf or hearing impaired and NOT comfortable or happy..Success in the deaf and hearing world is probably as individual as each persons experience with cochlear implants is. Granted, Brad can't possibly know what any of us feels like being deaf any more than we could know how he'd feel if he lost his hearing (definitely not anything I'd want to happen though)and I doubt Brad himself can say just how he'd feel if anything were to happen to his hearing until it actually happened. Just my two cents worth here.. but let's remember.. we are a support forum, to help people understand, but not to make the choice for them. Hugs, Silly MI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Brad, If you want to collect meaningful (to you as a professional) data, methinks you are going to have to go it the hard way....professionally. We are not professionals and even if we do have an interest or even a stake in supporting such data, we cannot. We are too close to the issue, that is, we got CI's. So we are biased, skewed, however it may be put. So get the meaningful (to you as a professional) data from the CI companies, clinics, audies, surgeons. And get the non-professional side of it from us. LOL Wow. Did I really say that? It does make sense. (I cannot wait for winter, I hate the heat. I think I see gray matter in my 3G. Sigh.) *---* *---* *---* *---* *---* Borrow money from pessimists -- they don't expect it back. -- & Gimlet (Guide Dawggie) Portland, Oregon N24C 3G 8/2000 Hookup rlclark77@... http://home.comcast.net/~rlclark77/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 , Without getting into too much detail, before adoption, my son wore hearing aids and FM and received AVT at school. After school he was horribly abused in his foster homes. In his mind, those events are linked. When we adopted him, I upgraded his hearing aids and witnessed several times that when he did anything that resembled his previous therapy like playing computer games with sounds or watching certain cartoons, he would begin to repeat AVT drills and then would flash back to the abuse to the point that he would globally regress to age 4 or 5 including language, walking, fine motor and eating. This would last for days to weeks. During this time he " lost " 6 sets of hearing aids, the last one the same day as one of these flashbacks. Recently, he admitted to me that he has all these " lost " hearing aids and is keeping them until " it is safe " to wear them. If he had a CI, the required therapy would push him into this again. Hearing may be a wonderful thing for some, but fro him, it is not worth that risk. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Re: Re: Brad I am NOT here to argue what you think is best for your child and whatever you decide to do is best for him. But if I may inquire?... it seems to me after reading the paragraph below, you are assuming an all or nothing deal with the implant, i.e. if you implanted your child and encouraged him to utilize it, you would then have to give up ASL...or something like that. That is how I am interpreting your last statement cut below where you assume that utilizing any sound would be detrimental. I am interested in your response. Thanks, In a message dated 4/26/2004 6:28:20 PM Eastern Standard Time, bingrao@... writes: Knowing him as well as I do, I know with a great degree of certainty (not 100% but close) that he is simply not " wired " for sound. It is not a cochlear thing or a nerve thing, it's a brain thing. Implanting him and encouraging him to keep trying, etc would be detrimental to him. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 , That's exactly what I'm trying to do. Go to the source first, so that I have something against which I can measure the " company line " or the " ivory tower " academic rhetoric. Hopefully, after collecting all the different skews, the " whole story " may begin to emerge. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Re: Re: Brad Brad, If you want to collect meaningful (to you as a professional) data, methinks you are going to have to go it the hard way....professionally. We are not professionals and even if we do have an interest or even a stake in supporting such data, we cannot. We are too close to the issue, that is, we got CI's. So we are biased, skewed, however it may be put. So get the meaningful (to you as a professional) data from the CI companies, clinics, audies, surgeons. And get the non-professional side of it from us. LOL Wow. Did I really say that? It does make sense. (I cannot wait for winter, I hate the heat. I think I see gray matter in my 3G. Sigh.) *---* *---* *---* *---* *---* Borrow money from pessimists -- they don't expect it back. -- & Gimlet (Guide Dawggie) Portland, Oregon N24C 3G 8/2000 Hookup rlclark77@... http://home.comcast.net/~rlclark77/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 Have you tested his audiogram *with* the hearing aids on? Does the heairng aid help him? Regards/ Jerome Re: Re: Brad I am NOT here to argue what you think is best for your child and whatever you decide to do is best for him. But if I may inquire?... it seems to me after reading the paragraph below, you are assuming an all or nothing deal with the implant, i.e. if you implanted your child and encouraged him to utilize it, you would then have to give up ASL...or something like that. That is how I am interpreting your last statement cut below where you assume that utilizing any sound would be detrimental. I am interested in your response. Thanks, In a message dated 4/26/2004 6:28:20 PM Eastern Standard Time, bingrao@... writes: Knowing him as well as I do, I know with a great degree of certainty (not 100% but close) that he is simply not " wired " for sound. It is not a cochlear thing or a nerve thing, it's a brain thing. Implanting him and encouraging him to keep trying, etc would be detrimental to him. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2004 Report Share Posted April 26, 2004 <<Have you tested his audiogram *with* the hearing aids on? Does the heairng aid help him?>> Jerome, Yes, I have tested him several times. With his last set of hearing aids he has audibility to 20 dB, but his discrimination is less than 10%. He has a very interesting response to hearing. He enjoys hearing the sounds, but the whole experience brings back the unpleasant memories. We have found ways around that and he can hear some sounds like music (especially my saxophone) unaided in certain positions. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Alice, <<I think you are looking at this from the viewpoint of a person who does not have a CI and is not in favor of one.>> Of course . That's the only viewpoint I have. But to clarify your statement. I am only not in favor one for my son. I have no problem at all with anybody else having them. << When asked for opinions from members of this list, you are going to see that the messages will most likely project encouragement and support for the CI but I've seen some very honest posts here from individuals who have had the CI and have shared that it's " not perfect " or otherwise less than raving opinions. The variety is good. You are indicating otherwise and actually suggesting that listmembers not share how they feel>> Sorry, I was not clear. Yes, of course, there has been both sides. << so you are trying to squelch the very right for all to express our feelings and have discussions like this. >> I'm not sure I could do that even if I wanted to, which I don't. My whole post was about everyone having the right to express whatever they want. I was reacting to Dixie stating that Deaf people shouldn't have an opinion on CI's since they are against them. <<Regarding planning an Oprah show to encourage deaf people to learn ASL or to NOT get an implant, this would not be the right group to go about this task, but perhaps you would like to see a show like this on Oprah and you have every right to start a campaign to do such a show.>> I suppose this is the summation of my point. What works for my kid is right for me and some others who also find it helpful. There is no desire to widely promote it on Oprah or in the popular press because we all realize that raising a Deaf kid and teaching them language is a very personal and individual thing. We (the ASL / BiBi group) certainly believe strongly in our views and will talk about it if asked, but going on Oprah to " spread the word " is not really appropriate. What I see with CI's is a nearly evangelical spirit to get as many people as possible implanted. This is not coming from this list per se, but from the medical and audiologic community. <<You quoted from Grahaem (CI inventor) in an article saying something to the effect of not having any idea why anyone would live the isolated world of being deaf when they can just get a CI. This is his opinion and like yours, Dixie's, 's, 's, 's, 's, 's and all the rest of our members, we respect that opinion.>> True, it is his opinion, but when the popular press picks it up and runs with it without providing a contrasting opinion, it becomes a commercial for that opinion. As usual, I think we are on the same road (individual choice, expression of opinions, etc), just that we're riding on different sides of the same rolling coin. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Jeff, I totally agree that deaf children should learn ASL even if they have CI's. I wish I could learn it but maybe... as our entire family has hired a tutor who is going to come to us and teach us all to sign. We have a condition that may render more family members with deafness and multiple members of the family risk their lives to have surgery so learning ASL is important to us all. I find it amazing when I see three of my younger grandchildren who are pretty fluent in ASL. One of my grandaughters has become very good friends with a deaf girl who does not speak. (you know her Mom) has learned to sign quite well because of her friend. Everytime the family has a birthday party, she signs to me the " Happy Birthday " song because she knows it so well. I'm very proud of these three girls who will very likely embarass me when we start working with the tutor. <smile> Alice Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 OK Brad.. I think we are definately in sinc. Alice Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Hi Brad, I don't know why you're not in favor of CI. But you are very favor of hearing aids... Yourself being in favor of hearing aids, should I say you're pro-hearing or anti-hearing? Do you have negative experience with CI that makes you bias against it? By the way, there's no evangelism about having more and more people getting implanted, but rather, we want to improve the quality of life of people. We only live 1 life and we want to get as much as possible out of it. Regards/ Jerome RE: RE: Brad Alice, <<I think you are looking at this from the viewpoint of a person who does not have a CI and is not in favor of one.>> Of course . That's the only viewpoint I have. But to clarify your statement. I am only not in favor one for my son. I have no problem at all with anybody else having them. << When asked for opinions from members of this list, you are going to see that the messages will most likely project encouragement and support for the CI but I've seen some very honest posts here from individuals who have had the CI and have shared that it's " not perfect " or otherwise less than raving opinions. The variety is good. You are indicating otherwise and actually suggesting that listmembers not share how they feel>> Sorry, I was not clear. Yes, of course, there has been both sides. << so you are trying to squelch the very right for all to express our feelings and have discussions like this. >> I'm not sure I could do that even if I wanted to, which I don't. My whole post was about everyone having the right to express whatever they want. I was reacting to Dixie stating that Deaf people shouldn't have an opinion on CI's since they are against them. <<Regarding planning an Oprah show to encourage deaf people to learn ASL or to NOT get an implant, this would not be the right group to go about this task, but perhaps you would like to see a show like this on Oprah and you have every right to start a campaign to do such a show.>> I suppose this is the summation of my point. What works for my kid is right for me and some others who also find it helpful. There is no desire to widely promote it on Oprah or in the popular press because we all realize that raising a Deaf kid and teaching them language is a very personal and individual thing. We (the ASL / BiBi group) certainly believe strongly in our views and will talk about it if asked, but going on Oprah to " spread the word " is not really appropriate. What I see with CI's is a nearly evangelical spirit to get as many people as possible implanted. This is not coming from this list per se, but from the medical and audiologic community. <<You quoted from Grahaem (CI inventor) in an article saying something to the effect of not having any idea why anyone would live the isolated world of being deaf when they can just get a CI. This is his opinion and like yours, Dixie's, 's, 's, 's, 's, 's and all the rest of our members, we respect that opinion.>> True, it is his opinion, but when the popular press picks it up and runs with it without providing a contrasting opinion, it becomes a commercial for that opinion. As usual, I think we are on the same road (individual choice, expression of opinions, etc), just that we're riding on different sides of the same rolling coin. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Opinion: 1 a : a view, judgment, or appraisal formed in the mind about a particular matter b : APPROVAL, ESTEEM 2 a : belief stronger than impression and less strong than positive knowledge b : a generally held view 3 a : a formal expression of judgment or advice by an expert b : the formal expression (as by a judge, court, or referee) of the legal reasons and principles upon which a legal decision is based Brad, who cares what the opinions are? Who even cares if they miss the mark? The very reason we have the right to express ourselves is the basis for learning. Know anything about thge bonsai? a potted plant (as a tree) dwarfed and trained to an artistic shape by special methods of culture; also : the art of growing such a plant Just as the bonsai is shaped by touch, and each one is as individual as snowflakes, so too is our minds, shaped by what we take in, our thinking is just as flexible as the bonsai. There is not one of us here who has experienced the same as any one else. 600 plus members. You think some if not many have gone thru the same things? Maybe. You think they'd have the same outlooks? Not likely. From MY position, I think the Deaf are silly for being so insensitive. But I dont walk in their shoes. From MY position, I think every deaf person should look into a CI. But I dont walk in their shoes. Back to the case in MI. I think you would be floored if you kniew how many of US were aghast at what the state was attempting to do. No, I used the right word. Aghast. WE believe in choice. WE are proud to have a CI. WE are excited and want to share. Please, lets not become the Opinion Police. You wont get any awards for your actions. The first time I watched SOund and Fury, I thought, geez what an idiot to deprive his daughter of hearing. The nest time I watched, I thought, geez, dont get excited, no one is going to ramrod the CI down your throat. I respect your right to make the choice whichever way it goes. You have your reasons for not implanting your kid. We have the right to choose the tools we use. You want to use a bread knife to cut down that oak tree, go for it. I'd prefer to use a chainsaw. I cannot walk in your shoes. You cannot walk in mine either. *---* *---* *---* *---* *---* Life isn't like a box of chocolates...it's more like a jar of jalapenos. & Gimlet (Guide Dawggie) Portland, Oregon N24C 3G 8/2000 Hookup rlclark77@... http://home.comcast.net/~rlclark77/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Brad said, " What I see with CI's is a nearly evangelical spirit to get as many people as possible implanted. This is not coming from this list per se, but from the medical and audiologic community. " Could it be because the CI is indeed a medical miracle that is very successful and pretty much available to those who qualify? Pacemakers dont generate such excitement. Wheelchairs dont either. While you say this " ...nearly evangelical spirit... " " ...is not coming from this list per se... " it may well be and that is fine. Of all the senses, hearing is one that can indeed be restored. When such advances become available for the eyes, you can bet there would be the same excitement, tho probably not the negativity because the blind do not have a culture as the deaf do. *---* *---* *---* *---* *---* Everyone seems normal until you get to know them. & Gimlet (Guide Dawggie) Portland, Oregon N24C 3G 8/2000 Hookup rlclark77@... http://home.comcast.net/~rlclark77/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Jeff, I agree that there is too much polarity in deaf education. That kind of cookie cutter approach doesn't work for any student. During any given semester I end up using 3 or 4 different media and approaches to explain various concepts to my undergraduate and graduate students. No two brains are alike and therefore no educational system (or audiologic approach) should be one size fits all (or most). I am impressed with this list in that the above message is clearly repeated often. I just wish that attitude would make it into the audiology training programs. I require my students to join listservs related to the courses I teach and if I teach amplification in the spring, this will certainly be in the list. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Re: Brad > My real point was that while many Deaf people are against the CI for > themselves, I rarely hear about anyone planning an Oprah show to > encourage deaf people to learn ASL or to NOT get an implant. Hi, I think it's a shame that more people aren't encouraged to learn ASL. I learned it for myself and it's been a lifesaver more than once. As well as the CI works for me I still use sign and encourage others to learn it and use it as well. Implant or not, I'd want a deaf child to learn how to sign. It's a great tool to have at your disposal. Unfortunately, educational programs for deaf children seem to be either 100% oral or 100% ASL even if they claim to be TC. Many thanks for honoring the memory of our fallen countrymen on Memorial day! :-) - Jeff late deafened; happily cybernetic for 5 months! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Jerome, I think I've answered this, but I'm not anti-anything except audiologists doing poor audiology. This means incomplete evaluations, prescribing based on advertising hype over demonstrable results, not being informed about a full spectrum of options for d/Deaf and Hard of Hearing people including CI's, Hearing Aids, assistive technology, earmolds, e-mail, listservs, etc. My bias is not based on a negative CI experience, but rather 20 years of very positive ASL experience. The CI is an evolving animal. Outcomes are getting better and seem to be more predictable. As such, I'm doing what I believe to the ethical thing and learning more. Both from end users like those on this and other lists and from th academic side (I'll be taking a CI course for my doctorate in a few months) and also by talking with audiologists who work on all sides of the issue. You'd probably be very surprised at how many people I've referred for CI evaluations. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... RE: RE: Brad Alice, <<I think you are looking at this from the viewpoint of a person who does not have a CI and is not in favor of one.>> Of course . That's the only viewpoint I have. But to clarify your statement. I am only not in favor one for my son. I have no problem at all with anybody else having them. << When asked for opinions from members of this list, you are going to see that the messages will most likely project encouragement and support for the CI but I've seen some very honest posts here from individuals who have had the CI and have shared that it's " not perfect " or otherwise less than raving opinions. The variety is good. You are indicating otherwise and actually suggesting that listmembers not share how they feel>> Sorry, I was not clear. Yes, of course, there has been both sides. << so you are trying to squelch the very right for all to express our feelings and have discussions like this. >> I'm not sure I could do that even if I wanted to, which I don't. My whole post was about everyone having the right to express whatever they want. I was reacting to Dixie stating that Deaf people shouldn't have an opinion on CI's since they are against them. <<Regarding planning an Oprah show to encourage deaf people to learn ASL or to NOT get an implant, this would not be the right group to go about this task, but perhaps you would like to see a show like this on Oprah and you have every right to start a campaign to do such a show.>> I suppose this is the summation of my point. What works for my kid is right for me and some others who also find it helpful. There is no desire to widely promote it on Oprah or in the popular press because we all realize that raising a Deaf kid and teaching them language is a very personal and individual thing. We (the ASL / BiBi group) certainly believe strongly in our views and will talk about it if asked, but going on Oprah to " spread the word " is not really appropriate. What I see with CI's is a nearly evangelical spirit to get as many people as possible implanted. This is not coming from this list per se, but from the medical and audiologic community. <<You quoted from Grahaem (CI inventor) in an article saying something to the effect of not having any idea why anyone would live the isolated world of being deaf when they can just get a CI. This is his opinion and like yours, Dixie's, 's, 's, 's, 's, 's and all the rest of our members, we respect that opinion.>> True, it is his opinion, but when the popular press picks it up and runs with it without providing a contrasting opinion, it becomes a commercial for that opinion. As usual, I think we are on the same road (individual choice, expression of opinions, etc), just that we're riding on different sides of the same rolling coin. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 , I have no argument with your post except for one statement... << You want to use a bread knife to cut down that oak tree, go for it. I'd prefer to use a chainsaw.>> That's the superior attitude I was talking about. My son and I are cutting down the oak tree with a DIFFERENT chain saw. << I cannot walk in your shoes. You cannot walk in mine either.>> Yep I agree with that one. Let's please agree that we won't get into an argument about who's shoes are better. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 , <<Could it be because the CI is indeed a medical miracle that is very successful and pretty much available to those who qualify?>> Since you're fond of dictionary definitions.... (Miriam Webster On-Line) ain Entry: mir*a*cle Pronunciation: 'mir-i-k & l Function: noun Etymology: Middle English, from Old French, from Late Latin miraculum, from Latin, a wonder, marvel, from mirari to wonder at <<1 : an extraordinary event manifesting divine intervention in human affairs>> Are you suggesting that the CI is touched by God, Shiva, Allah, Yahweh, Buhhah, Krisna or some other deity? <<2 : an extremely outstanding or unusual event, thing, or accomplishment>> Since the results are more and more predictable and good results are more common, is the effect of a CI really consistent with this definition? <<3 Christian Science : a divinely natural phenomenon experienced humanly as the fulfillment of spiritual law >> Certainly not a natural event. What a CI is, is a medical intervention for sensorineural hearing loss with variable results based on a wide range of pre- and post-surgical variable. I agree that hearing is a more powerful sense to many people because for many, it is the primary link to language and communication, and that those who lose it and then have it restored are rightfully very happy, but the use of the word 'miracle' for this man-made device is inconsistent. I am not trying to trivialize the impact of the CI on anyone's life, nor am I here to question or judge how one might fit the CI into their faith, but let's not massage language to suit our want s and needs. A CI is neat, awesome, exciting, extraordinary, fascinating, provocative, etc but it is not, IMO, a gift from God. It's a gift from man to man. I'll now take my place in the target on the wall so you all can stone, shoot, flame or whatever me. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 Brad, Thanks for clarifying your position. I wouldn't be surprised that you referred many people for CI evaluation. If you still remember, it's you who told me about forum. =) I do agree with you that there are many audiologists doing poor audiology. And yes, it can give very varied results. A part of cochlear implant candidacy is 'best-fitted hearing aids' and if the audiology doing the hearing aid fitting is not good, the 'best-fitted hearing aid' would be very different from what is expected. Regards/ Jerome RE: RE: Brad Alice, <<I think you are looking at this from the viewpoint of a person who does not have a CI and is not in favor of one.>> Of course . That's the only viewpoint I have. But to clarify your statement. I am only not in favor one for my son. I have no problem at all with anybody else having them. << When asked for opinions from members of this list, you are going to see that the messages will most likely project encouragement and support for the CI but I've seen some very honest posts here from individuals who have had the CI and have shared that it's " not perfect " or otherwise less than raving opinions. The variety is good. You are indicating otherwise and actually suggesting that listmembers not share how they feel>> Sorry, I was not clear. Yes, of course, there has been both sides. << so you are trying to squelch the very right for all to express our feelings and have discussions like this. >> I'm not sure I could do that even if I wanted to, which I don't. My whole post was about everyone having the right to express whatever they want. I was reacting to Dixie stating that Deaf people shouldn't have an opinion on CI's since they are against them. <<Regarding planning an Oprah show to encourage deaf people to learn ASL or to NOT get an implant, this would not be the right group to go about this task, but perhaps you would like to see a show like this on Oprah and you have every right to start a campaign to do such a show.>> I suppose this is the summation of my point. What works for my kid is right for me and some others who also find it helpful. There is no desire to widely promote it on Oprah or in the popular press because we all realize that raising a Deaf kid and teaching them language is a very personal and individual thing. We (the ASL / BiBi group) certainly believe strongly in our views and will talk about it if asked, but going on Oprah to " spread the word " is not really appropriate. What I see with CI's is a nearly evangelical spirit to get as many people as possible implanted. This is not coming from this list per se, but from the medical and audiologic community. <<You quoted from Grahaem (CI inventor) in an article saying something to the effect of not having any idea why anyone would live the isolated world of being deaf when they can just get a CI. This is his opinion and like yours, Dixie's, 's, 's, 's, 's, 's and all the rest of our members, we respect that opinion.>> True, it is his opinion, but when the popular press picks it up and runs with it without providing a contrasting opinion, it becomes a commercial for that opinion. As usual, I think we are on the same road (individual choice, expression of opinions, etc), just that we're riding on different sides of the same rolling coin. ____________________________________________ Best Regards, Brad Ingrao, M.S.Ed. CCC-A, FAAA Editor EDEN - The Electronic Deaf Education Network www.bradingrao.com e-mail: info@... Quote Link to comment Share on other sites More sharing options...
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