BB聽力測試

Chr336

稚言治語,

My son has just went to Waterloo to see the doctor, the doctor said that we can't do anything as my child is only 4 mths old.  He then made another appointment (Jan 2006).  He said that my son may only has the left ear has problem and the right ear is normal.  He also claimed that there are many child like my son, is it right?  But I really worry about my son.  Sometimes, when I clapped hands on his right, he had no response at all, why?

Chr336

稚言治語

Chr336 寫道:
1. He said that my son may only has the left ear has problem and the right ear is normal.  He also claimed that there are many child like my son, is it right?
2. Sometimes, when I clapped hands on his right, he had no response at all, why?

今次啲問題我唔識答喎﹗請Shiba-Inu幫幫口﹗

joysywong

Dear NatalieLay,

Can you send me the private clinics list for ABR service?  My email address is [email protected]  Although my BB passed the hearing test at private hospital, she failed the re-test at the health center this afternoon and needed to be referred to Yaumatei clinic for further test. Thanks!

Shiba-Inu

Chr336,

The doctor is right, since your son is still very young and u have done ABR for him already (am I remembering it correctly??), there is nothing further to be done now both in term of diagnosis and treatment. What u can do is relax, observe and treat him like normal hearing baby! Remember? Having one normal ear means he can still hear u talking!  

For "real" full diagnosis in which your son will give behaviour responses (not ABR - he does not need to give responses during ABR), u may need to wait until he's 2 yrs old. Some experienced audiologist maybe able to do it before that. For treatment (if he really needs it), u may even need to wait until he's 7 yrs old or up.

At 4 months old, some babies know how to ignore some "non-sense" sounds already. If u "test" him too much at home without reward, he learns to ignore u sometimes!    That's why we cannot book kids for testing too often and we always associate reward with their responses.

Is it common to have "unilateral hearing loss"? Well,  it's more "common" nowadays because of the advance in diagnostic tech! From my observation, I saw about 5% of such cases among the kids I served in HK.

Shiba-Inu

joysywong,

What kind of test has your baby underwent in the private hospital? Sometimes diff test may give diff results. If  the hospital did ABR for your baby, it's considered "more accurate" in some sense than OAE. If it's doing OAE, it might be using a diff pass/ fail criteria compared to MCH and that's why u got confusing results.

Here is a link to more info about baby's hearing test:
CLICK HERE

I may send u the list of test centers if u want.

Shiba-Inu

稚言治語,

"p小姐和k字頭個靚仔一樣，既是我的同班同學(讀言語治療時)，也是你的同班同學"

Of course I know her! I remember she just quitted being a HKU instructor and went into private practice since last year!
In that case u should know half of my audiologist classmates already. u know what? L小姐 (also in private practice now) is also my classmate in secondary school! It's a small world  

""老友狗狗"，主角是隻柴犬啊﹗"

Thanks for telling me! Definitely I cannot find it here in LA... nearly ALL films are Hollywood!  :evil:  And it costs US$8-10 to go to the cinema, so have to wait until I go back to HK and get the DVD (I need to buy back "The story of Quill" too!   )

Daisy has mentioned in one of her message that she has brought her baby to 聰伶計劃 of 香港聾人福利促進會 already. I think it's EMB's preparation of outsourcing the habilitation service!  :evil:

joysywong

Canossa Hospital said that the system they used is AABR, which tests the entire hearing pathway, from the outer ear to the brainstem, so more accurate than the one used by govt health center. Anyway, please send me the information you have, my add is [email protected] Thanks a lot!!!

稚言治語

Shiba-Inu 寫道:
Of course I know her! I remember she just quitted being a HKU instructor and went into private practice since last year!
... L小姐 (also in private practice now) is also my classmate in secondary school! It's a small world    

P小姐的office就在我office隔離座大廈，L小姐則在對面，同一條街仲有Widxx，Phonxx同Otxx，ENTLaxxx亦不遠，萬宜嗰邊好似仲有一間﹗有st冇audio嘅就有stxx﹗競爭好大啊﹗

L小姐同我都熟o架﹗雖然我讀speech高佢一屆(咁我即係老過你啦﹗)，但係大家都係katso人﹗

NatalieLay

joyswong,

I have sent the information which is provided by Shiba-Inu.  Hope it is useful for you.

Natalielay

DaisyWong

Hi Shiba-Inu & 稚言治語,

子喬 actually has EMB training per month.  The EMB inspector is very helpful on hearing aids usage & also the daily communication techniques (especially on ways to stimulate the sound reception).  However, we do want more professional 語言訓練 (no matter it is provided by government or private sector).

We have visited the private audiologist (Ms Pxxxx).  She is very caring & patience.  The advice she gave us is more focus on 語言訓練 & that of EMB is on hearing.  Anyway, I think both is good.  Life becomes busy or 充實 to us & 子喬 (見醫生, EMB, 語言訓練).  

Lastly, thanks for your help.  Keep posted of 子喬's progress.  Hope there will be much more & more good news upcoming.

子喬媽上  

reginang

hi 子喬媽
近來無恙嗎  

loveyanpig

hihi! 各位mama, 好耐無見, 近況如何? 天氣炎熱, 請小心身體!   
yanyan近來對聲音頗敏感, 令我很高興! 但昨日去打半歲針, 醫生話佢個腦筍仲好大, 埋得慢, 要密切觀察....唉.....又要擔心多樣o野...... :cry:  :cry:

yanyanma

稚言治語

DaisyWong 寫道:
The advice she gave us is more focus on 語言訓練 & that of EMB is on hearing.  Anyway, I think both is good.  Life becomes busy or 充實 to us & 子喬 (見醫生, EMB, 語言訓練).   

她本身是言語治療師，又是聽覺學家，所以可以給你多些有關語言訓練的資料。你在EMB聽覺組見的同事對語言發展的認識應該不及言語治療師吧﹗That's why I recommended her!

reginang

hi yanyanma
其實每個人既生長速度都不同,就以出牙為例,有些6個月出,有些8/9個先出,我細佬4個月已經出兩隻牙  
Astha都係一樣,依家22個月,頭頂仲摸到有小小隙位,Astha一樣係咁照玩照瞓照食,相信影響不大
最緊要係bb身體健康,不用太担心  

NatalieLay

各位BKmama,

今日同囡囡去左private clinic 做 ABR testing, 結果係兩隻耳都有mild hearing loss (35分貝以下既聲音), 醫生話BB仲細,聽覺神經仲有發展空間, 要等埋政府安排既ABR testing result 再compare會較準確同先可再跟進(約9月尾,時間未定),我同老公都鬆一口氣,因為已有心理準備,並已prepare for the worst, 而且result已經比預期好,我地都寧願早啲知道,可以及早幫到bb
今次可以鬆容面對,全靠各位媽咪既分享同資料,等我可以了解更多,唔駛估估下,好多謝你地呀!

Shiba-Inu
我想問下,clinic audiologist 話 BB仲細 (現在剛10weeks), 聽覺神經仲有發展空間,請問現在有無方法可以幫到bb既聽覺神經發展?

yanyanma and katmami,
同你地係private clinic 做測試既audiologist姓咩? 同我BB做testing既係女醫生,姓余,好靚女呀!

Anyway, thanks so much and all the best.....


  

Shiba-Inu

NatalieLay,

"請問現在有無方法可以幫到bb既聽覺神經發展?"

Firstly, it's still a "good" news that your baby has only mild hearing loss on both ears. If you scroll back to my message with the "graph of hearing" (i.e. audiogram with familiar sounds), you will see that an average of 35 dB loss does not affect everyday communication that much in most situations. However, she will find it more difficult to hear than us when there is noise, when the talker is far away or when the talker speaks softly.

Further tests in the future will review step by step whether her hearing sensitivity can be improved or not. However, for the time being, what you can do is to raise her 'alertness" to sound, esp to speech. Talk/ sing to her face-to-face, in a quiet environment. When she gets older and shows more interest in playing with you, try games/ toys that assoicate movement/ bright colours etc. with sounds. (For more examples, please scroll back and find my message previously posted for katmami)

"同我BB做testing既係女醫生,姓余,好靚女呀!"

She is an audiologist also! (me too, but I am not as pretty as her!  : )

NatalieLay

Shiba-Inu,

"She is an audiologist also! (me too, but I am not as pretty as her! )"

I am sure your heart is more beautiful than her.....thank so much.

katmami

Hi, NatalieLay,

".....同你地係private clinic 做測試既audiologist姓咩? 同我BB做testing既係女醫生,姓余,好靚女呀!"

係呀, 我相信就係幫我囡囡果位, 好好人, 好有耐性的...

Hi, 各位,

我今早同囡囡去醫院覆診, 但可惜見唔倒上次我話好好人果位醫生, 只係見咗一位怯怯生生嘅女醫生..(可能係Student啩..)只係講過吓上次做ABR嘅result, 跟住睇吓耳仔, 摸吓我囡囡個腮骨, 跟住就安排半年後再去覆診....都並未安排會否再做test...有D失望, 話晒我要特登請假帶囡囡去見佢, 總期望佢會比多D訊息我 .....不過好彩BK尼度有咁多媽媽報料, 我總算心裡有數....所以我想我会三個月後再帶囡囡去私家再做.... 唔知係咪差唔多呢? (yanyanma, 想問你再下一次去QM係幾時? 有冇話係做test的呢?)

請問有冇人知, 點解醫生要摸吓囡囡嘅腮骨呢?係咪有同聽覺直接嘅關係呢?

子喬媽,

我囡囡已經developed到一唔唱歌就係咀仔擘擘咁要食嘢, 冇嘢比佢食就上上下下咁"旭"個咀, 又或者狂噬個奶咀(個奶咀都差D比佢撕爛)....

Katmami

katmami

yanyanma,

大頭妹妹個頭大, 腦筍都一定慢D至埋得晒嘛, 唔洗担心ga!
(我囝囝個頭大到要醫院跟進咗一年---都係冇事la!)

Katmami

loveyanpig

NatalieLay,

都係余小姐幫我yanyan做test, 佢係咪好有耐性, 講解好清晰呢?   

yanyanma