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COCHLEAR IMPLANT: Who needs it? How does it help (part 2)
COCHLEAR IMPLANT: Who needs it? How does it help? This is part 2 in the Cochlear implant series and you can read the first part here.
Cochlear implants appeared rather gimmicky when they first arrived. With misconceptions around its use, most people were apprehensive. Even doctors were doubtful. It promised everything, would it deliver?
What were the fears with a cochlear implant?
*It can’t help, if you are born hearing challenged.
*It doesn’t help in speech development.
*It will make the child alienated.
*It’s no good for old people with hearing problems.
So what are the answers? Read on.
The Story from deaf to hearing, is it magic?
Cochlear implants started in the second half of the 1980s.
Riddled by misconceptions and hype it was handicapped by the need for really motivated children and parents.
But like all life-changing things, the cochlear implant stood the test of time with flying colors.
Children who were helped by a cochlear implant make us smile.
They tell us how they hear. How do they understand speech? It’s through their words that we learned about life, from no sound to a noisy world.
Who does it help?
- Children
- Post-lingual deafness in all age groups
- Old people with profound age-related hearing loss.
- In Auditory Dys-synchrony
Cochlear Implant in Children
Postlingually deaf children.Children who have already developed speech and have lost hearing due to some disease like meningitis.
Best Age of cochlear implantation: before two and a half years. But it has been done as early as one year of age.
7 years is a watershed zone, after which Prelingual deafness has variable results.
The longer the child has an implant, the better is the speech recognition scores. When the duration of use of the implant is the same, results are better with a lower age of implantation. The rate of expressive and receptive language learning is similar to that of hearing children.
Role of cochlear implant in presbycusis
Presbycusis or age-related hearing loss is also helped with cochlear implantation. It’s useful for the elderly with profound hearing loss, which cannot be helped with a hearing aid.
A world without sound can be lonely. More so in the aged population.
10% of normal ganglion cells ( approx.3500 cells ) are needed to recognize and understand speech.
The successful hearing outcome is seen with useful hearing. This helps in the hearing rehabilitation of the aged.
Depression, anxiety, and social isolation in both elderly and people with decreased hearing make life more difficult.
Some criteria:
Pure tone audiometry(hearing test) of 70 decibels or more for those planning for implantation in children and adults.
Cochlear implant in Auditory Dys-synchrony
You must be wondering”Auditory what”?
Auditory neuropathy or auditory dys-synchrony is complex. Children have variable hearing abilities.
What do Tests show in Auditory Dys-synchrony?
Normal middle ear functions, otoacoustic emissions present. But Brainstem evoked response Audiometry is unresponsive. This means sounds pass from outside to the ear up to the nerve of hearing, like a hearing person. But the communication between this nerve and the brain is distorted. The sound reaches the brain scrambled and makes no sense.
Why does this happen?
The sensory cochlear hair cells responsible for firing electrical signals in response to sound, do so dys-synchronously. That’s random without the syncing needed for understanding the generated sound.
Plain English: the rhythm of the electrical firing, is not right for your brain to pick up as words.
The action potential doesn’t develop properly in the cochlear nerve. This causes hearing loss. This is variable depending on. the degree of dys-synchrony.
Initially believed that hearing aids and auditory amplification would be useless. But some children benefit from hearing aids too.
Cochlear implantation can restore synchrony by, by-passing cochlear hair cells and stimulating the auditory nerve directly and synchronously.
The theory is good. But research continues for strategizing treatment, in Auditory Dys-synchrony. Whether a cochlear implant will help in auditory dys-synchrony is decided case to case.
The next burning question:
1 implant or 2 implants: One ear or both ears?
With 2 implants pros:
Better speech understanding.
This is more obvious in a noisy environment. Better sound localization, the direction of sound detection possible only with hearing in both ears.
Cons of 2 bilateral implants:
Most importantly the cost.
The dedication required for several years of necessary post-implant speech training and follow-up. It’s definitely not easy.
Where do we stand now?
Some governments cover the cost.
Few individuals can afford the cost of the best grade of the implant for both ears.
The government is realizing the cost of the implant is value for money. It is less than the years of disability support a person will need.
In children should you use up both ears?
Over the years as technology improves, maybe they’ll be better options?
Should you give up the present for the future many questions still need answers
Can there be a significant bilateral vestibular injury?
With excellent imaging, experienced surgeon, and God’s blessing this is rare.
Is it cost-effective?
The benefits outweigh the potential harm for many cochlear implant candidates. Like with all new medical innovations, it’s a long journey to perfection. We are still far from perfect in this cochlear implant journey. But we are far ahead than 10 years back. Light years away from 50 years back.Where there was no hopeโฆThere smiles a child with a cochlear implant who is hearing.
Updated May 2022
Cochlear Implant: What you need to know(Part 1)
Cochlear Implant: Who needs it? ( Part2)
How to write away writer’s block:Inspiring Quotes to help
I have blogged for 2 years.Off and on.Mostly off.I was reading a lot .But writing a lot less.
Thinking about writing.Talking about writing.Then I ย always had something coming up.In this writing and exercising was in the same boat.I spent the entire day thinking about doing one or the other.But always had an excuse.Definitely ย important ones.
4 months back I wrote 2 posts a month on my blog. That too after thinking for days.
I didn’t think of writers block. Because I didn’t think I was a writer.
But I am a Bengali ,and all Bengali’s love to think they have a few untold stories in them.
Frankly speaking I started writing because my daughter was too young to understand the chatter in my brain.Plus I wanted to give myย darling hubby
a break from my rants.
Yes I rant when I don’t have stimulating book,company,events or any thing which my brain can feed on.That’s why I absolutely ย fell in love with ย my ย Blogchatter BFFs .ย
When you are all looking for the pot of gold at the end of the rainbow , it’s fun to have some company.Sharing the gold is good too.Because it actually multiplies infinitely every time you share.
That’s the same with writing.The more I write ,the more I want to write.
It’s not easy.But now I know it’s not easy for anyone.
The best ย part bloggers always have fun .Because whatever happens it’s a story right!
Like the time on Nabami, when I was standing in a crowded ย waiting room at the Sealdah station ย and writing a blog post on my ย phone. It’s not my best .But I did it.
It helped drown out the noise ,dirt ,and the two-hour wait standing!Luckily( for me ),my daughter napped on her father’s lap.
Me tapping away on the phone.Rai sleeping.My hubby looking shocked (and a tad irritated ) that I was writing standing in the middle of a crowded room.That’s mad . But you need a little madness to want to share your thoughts with random ย strangers right?
Once upon a time I read Perry Mason ย everywhere . I wanted to moonlight as a criminal lawyer.
But decided it was easier to do it in the next lifetime.Law books are something I have never attempted reading.And I read everything.
Maybe one day.The same was with writing.One day.
Then in July I did a Blogchatter half marathon daily chatter for 2 weeks.
#MyFriendAlexa challenge for 1 month in September where I wrote 15 posts in 1 month.Definitely more than what I wrote the entire year last
year.
I am doing a #Dailychatter challenge with Blogchatter again .The best part of this is , I am actually able to write everyday.The 500 word thing everyday is a good habit.Try it.
Whenever I read anything on writing it’s like eves dropping inside famous writers head.
I think of myself as work in progress .The following are a few famous quotes which help ย me ,when ย myย ย writing brain needs a little push or maybe a shove and some inspiration .ย
24 Favourite quotes on Writing by writers
“What a writer brings to any story is an attitudeโฆ” John Gregory Dunne
Why you must write everyday?
You must write every single day of your lifeโฆYou must lurk in libraries and climb the stacks like ladders to sniff books like perfumes and wear
books like hats upon your crazy headsโฆ.may you be in love every day for the next 20,000 days. And out of that love, remake a world.” Ray
Bradbury
About writer’s block…
Planning to write is not writing. Outliningโฆresearchingโฆtalking to people about what you’re doing, none of that is writing. Writing is
writing.” E.L. Doctorow
You only learn to be a better writer by actually writing.” Doris Lessing
If you don’t have time to read, you don’t have the time (or the tools) to write. Simple as that.
Stephen King
Write. Rewrite. When not writing or rewriting, read. I know of no shortcuts.โ
โLarry L. King, WD
You canโt think yourself out of a writing block; you have to write yourself out of a thinking block.
ย John Rogers
If you want to be a writer, you must do two things about all others: read a lot and write a lotโฆreading is the creative center of a writerโs
lifeโฆyou cannot hope to sweep someone else away by the force of your writing until it has been done to you.
Stephen King
Just write every day of your life. Read intensely. Then see what happens.
– Ray Bradbury
There is nothing to writing. All you do is sit down at a typewriter and bleed. Ernest Hemingway
Writing is like sex; you donโt have to wait until youโre an expert to begin doing it. ~ Anonymous
A professional writer is an amateur who didnโt quit.
Richard Bach
The great advantage of being a writer is that you can spy on people. Youโre there, listening to every word, but part of you is observing.
Everything is useful to a writer, you seeโevery scrap, even the longest and most boring of luncheon parties.
Graham Greene
If you wait for inspiration to write; youโre not a writer, youโre a waiter. ~ Dan Poynter
Confused about ย what to write?
Write what you know. Write what you want to know more about. Write what youโre afraid to write about.
ย Cec Murphy
When do you fail as a writer
You fail only if you stop writing. ~Ray Bradbury
Why you should write?
If you can’t annoy somebody, there’s little point in writing.
– Kingsley Amis
After nourishment, shelter and companionship, stories are the thing we need most in the world.
– Philip Pullman
The pen is mightier than the sword and considerably easier to write with.
– Marty Feldman
The beautiful part of writing is that you donโt have to get it right the first time, unlike, say, a brain surgeon.
– Robert Cormier
We are all apprentices in a craft where no one ever becomes a master.
– Ernest Hemingway
What is writing?
Writing is a socially acceptable form of getting naked in public.
– Paulo Coelho
When I was a little boy, they called me a liar, but now that I am a grown up they call me a writer.
– Isaac Bashevis Singer
On Editing
The first draft of anything is shit.
– Ernest Hemingway
10 lessons I taught ย myself to write away writers blockย
#1 Write everyday,everywhere .Sitting standing.Whatever works. No excuses.
#2 It’s a habit and you can do it .
#3 Find friends who write .Not just want to write.
#4 Avoid editing while writing the first time.Write what ever comes to mind.
#5 Your life is your story . It can help someone.
#6 It takes guts to write . So even if no one says so ,you are brave.Don’t stop believing.
#7 Exercise .Somehow it helps me write.
#8 Read ,read read.Then read some more.
#9 Writing is therapy for me.I feel better after getting my thoughts written down.
#10ย Writing is a way to keep a little ย piece of me for my daughter to find even when I am no more
Do you write?
How do you find inspiration . Write in the comments below .
I am taking part in the #ubc #blogboost .This is day 12 post
ย Ultimate blogging ย challenge withย Blogchatterย #DailyChatter
Mompreneur biz focus:Upasana and Life through my bioscope
When I started writing
aboutย mompreneursย blogging
journey it was to share what I learned
as a blogger.
But the best way to learn is probably
from other bloggers.That’s when I
decided to bug my blogger friends for
tips .
All of us have different strengths and
different ย responsibilities.
Our struggles too ย are different ย .
What unites us, is our want to do
something more.
Maybe this is a chance to make a bit
of us, digitally immortal.
When I look back I want to be happy
that at least I tried.
Tried writing, tried blogging,tried
making time and place ,non factors
in a struggling life.
Aren’t we all fighting our own battles.
I found Upasana in the now famous
#MyFriendAlexa campaign.ย
She is an IT professional and is a full time working blogger mom.
Plus she loves DIY ย projects.ย
Let’s learn from Upasana today
Tell me ย the story behind your blog
I always loved to write my
experiences but never thought of
sharing it. After my son was born, I
started reading parenting and other
inspiring articles online.
That is when Blog writing idea got a spark.
Being a new mother, I started sharing
my parenting experiences. My
writings are not limited to parenting
but other Life experiences related to
Travel, Career, Blogging and more.
Problems at the personal front
helped me to grow as a person. I am
continuously working on self-
improvement and sharing my stories
along with.
Who fo you write for ?
Being a multi-niche Blogger, my
audience would be anyone who love
to read the experiences and stories.
I write what I learn and love to share
my learnings in easy and friendly ย way.
I write for other new parents who
seek ย help online providing honest
and true information based on my
experience.
I write for people who believe
โLearning never stopsโ.
Your inspiration
My inspiration are people ย close to
me who appreciate my writings and
other Bloggers who read, comment
and never fail to amaze me with their
words.
Worth mentioning, Strong and
determined women always boost me
up.
Your favourite quote
There are many favorites but yes, one line that I believe in:
“Itโs better to start early and itโs never too late.”
3 tips ย & Your message for struggling mompreneurs
-
Make everyday worthwhile. Learn something everyday which can take you near to your goals.
-
Be Patient. Do not let others to knock you downย .Be persistent and you will definitely gather the appreciation one day.
-
Do something to leave a Legacy. There is something unique about each one of us. Embrace it and polish it so that when it’s time to bid farewell to this world, there is something good you are leaving behind.
Checkout my DIY activities and other
tales. You can subscribe here.
What’s your future plan?
I have started a series of posts on
the daily lives of Bloggers. Its
interesting to know each other better.
I have few plans for next year where I
will engage in more DIY/Crafts.So
ย stay tuned!
Are you involved ย in any charitable causesย
Yes, but charity does not need a name. I do it at least twice a year.ย
Tell us a little ย bit about your family.Who is your biggest support?
I have a younger Brother who is
always loving and smiling. Loving
parents and In-laws who supports
me through all thick and thin. Caring
husband and a loving kid makes me
feel blessed. ย My biggest support is
my mother who gives wings to my
dreams and most importantly,
believe in me.
Short bioย
I am a ย full time working professional
who like to greet her loved ones by
handmade greeting cards. I believe in
hard work and love to learn
something new each day. I upcycle
things at Home and strongly
recommend DIY for all Mothers.
Fb page link
https://www.facebook.com/lifethroughmybioscope
I am taking part in the #ubc
#blogboost Ultimate blogging ย challenge with ย ย Blogchatter
#DailyChatter
#UBC Day 15
Biz focus series you will loveย
Jaibala Rao spellbinding storyteller :Mompreneurโs biz focusย
Biz focus :Mayuri ,sirimiri,blogger and tarot card reader
Mompreneurโs biz focus :Deepa the kreativemommy
Mompreneur Tina Basu :Bloggingjourney & biz
Mompreneur biz focus:Mayura Amarkant the soothsayer
Mompreneur Biz focus :Jewellery making & Basudhaโs Hoimonti
Mompreneur Biz focus:Nilanjana and Cue Math
Ashwini Dodani MBA cum poet: Blogging journey and entrepreneurship ย
Instacuppa Fruit Infuser water bottle (Review) #SuperBloggerchallenge
Drinking water should be an easy habit in the hot Indian summer, right?It would seem so.But most of us forget to take this miracle liquid in the right amount. Instacuppaย Fruit infuser water bottle may be the answer to a prayer.
The reason may be because it’s tasteless,at least regular water is tasteless.Both children and adult have a ย problem with drinking more water even though its good for us.
Is fruit infused water good for you?
Even as a doctor I am guilty of forgetting to drink enough water especially on busy days.That’s where the Instacuppa fruit infusion water bottle helped me.I love my sliced cucumber infusion water.Ginger, lemon and basil water or lime, lemon and mint water.The refreshing nature of the simple infusion water makes drinking water easier.
If you haven’t read it yet, read my post on why water is good for youย or watch the vlog below.
Till then I will tell you a few secrets about drinking more water
[bctt tweet=”Your metabolic rate increases after drinking water! #Instacuppa #SuperBloggerChallenge #Healthwealthbridge ” username=”misra_amrita”]
There are studies done, which says the increase happens after 30 minutes and can be as much as 30%.
[bctt tweet=”For every 500 ml water, you drink you expend 100KJ.Thats so cool! #Instacuppa #SuperBloggerChallenge2018 #Healthwealthbrige” username=”misra_amrita”]
Right? If you want a healthy body weight, and reduce those extras try carrying your own infusion water bottle around.It’s easy, tasty, healthy, no fuss and the best way to get those nutrients into your body.Research says that walking and having lemon water every day helps you not only in reducing weight but acts to lower your systolic blood pressure in hypertensive adults.
Infusion water is a great way to get those fruit and veggie nutrients in your body and that of your family.When I wrote my book Fruits for life nutrition secrets (part 1) (its free today get it now !) that’s when I started having infusion water.
While you know fruits are great for you, in the busy bee life, you tend to miss many of the things which are good for you. Incorporating fruits and vegetables as a part of my diet by various methods is my lifelong pursuit.
Can you make detox water in a plastic bottle?
When I first used infusion water it was a simple one. Only cucumber and water. The wonderful fresh flavor of the water made drinking easier. When a bottle of water finish, I just ate the cucumber slices no fuss, no mess simple! This I made in a glass bottle and never a plastic bottle.
What is the best fruit infused water bottle?
The problem was when I am traveling or when I visit the hospital that’s when I discovered theย Instacuppa fruit infusion water bottle.It is amazing I can carry it anywhere making my water intake much easier.
At home, I use theย Instacuppa thermos flask.
It’s easy to use.
Even if you are not a frequent water drinker, with this you won’t miss your daily water goals.
When your bottle is empty, just eat the fruit pieces.You don’t want to waste food right?
Infused water is flavored with the goodness of fruits.
The more processed something is, the more sugar it has, the worse it is for your body.
When you use infusion water, you get the water-soluble vitamins, minerals and none of the sugar overload.
What you should be careful about
- Try to use only fresh fruits and veggies
- Avoid adding sugar or salt or any kind of sweeteners
2 simple infusion water recipes I love
Few slices of cucumber ice cubes + water
2 lemon slices and water.
Have you tried fruit infusion water? Comment below to let me know.
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