Friday, October 02, 2009

Music-ick

I started my college career intending to train to become a Music Therapist. I eventually changed career paths, but did end up squeaking a Music Minor onto my degree. Naturally, I've maintained my love of music and continue to find my own form of therapy in my appreciation.

As with most parents who find out their child is deaf, one of my first heartbreaks was realizing that she would never hear music or learn to appreciate music. When I started researching Cochlear Implants and reading the blogs of adult CI users, I discovered this fear was unfounded. As I've written in previous posts, Toes is very fond of music (or, "Music-ick" as she prefers to call it) and has her favorites. Lately, a favorite has been Life is a Highway from the Cars movie (Rascal Flatts) and *anything* from The Little Mermaid.

Since we are in a phase where Erin has caught up to her peers in communication, yet hasn't started to tackle the issues of elementary school, I've decided I'd like to spend some of our free time expounding on Erin's fondness for music by encouraging her to sing, play her little keyboard, etc. My understanding from CI Adults I've spoken to is that often listening to a symphony can sound like 100s of voice all talking at once - it can be a bit much to even tolerate much less appreciate. So, I'll introduce other kid-friendly instruments into the equation over time. My hope is that as she learns to understand how each instruments sounds, she will begin to be able to appreciate more complex music and in time enjoy classical music in a live setting.

I'm obviously not a Music Therapist and am really just flying by the seat of my pants. But as long as she's enjoying the process, I'll keep it going.

Here is some video we captured earlier this week... it's short, so have a listen!

video

Friday, August 14, 2009

Transitions and Decisions

I cannot believe I haven't updated since March! There have been so many times I thought "This would make a great blog post..." since then. Yet, here I am... August. And no blog posts.

A quick update:

Erin turned 4 last month. Like so may CI Kiddos, she is doing amazingly well. She had an independent speech eval in March and tested at age level. We noted some issues on her receptive language, which was a surprise, since that was her strength in the beginning. Conversely, she tested at a 5 year old level in vocabulary. It was a bit of a lesson for us. We realized we had been spending far too much time focusing on expressive language and needed to pay more attention to her overall needs. We focused on the areas of concern and she quickly corrected the issues.

Transitions......

Erin starts her new school year in two weeks. She will be staying at the daycare center/school she has been at since she was 4 months old. The Itinerant Teacher of the Deaf that she worked with last year will be back and she is really looking forward to it, as am I.

Decisions...

Very early on, Dad to Toes and I made the decision to mainstream Erin. In fact, she was already in a mainstream daycare setting when she was diagnosed. Although we researched other options, we never saw a compelling reason to move her from where she was. And since she was doing so well, we planned (and plan) to continue on that path. We thought the decision to mainstream would be the biggest decision we would make outside of our communication methodology decision.

Well, the timing of her birthday has given us pause. Erin's birthday is in mid July... the cutoff for Kindergarten in our district is August 1. So, if we start Erin in Kindergarten at 5, she will be one of (if not *the*) youngest person in her class.

If not for her hearing impairment, I would likely be doing a "Phew!" move and would be thrilled that she made the cutoff. The concept of redshirting is a controversial one and I have done enough research to agree that it is not necessarily the best way to go. For "normal" kids.

But, as normal as Erin is, she will go into each academic year with larger challenges than her peers. As miraculous as CIs are, the reality is that she doesn't hear as clearly as her peers. The successful speech evals don't address the hearing deficit she will experience in the classrom. Mixing that with being on the young end of the class hits her with a double whammy. So, Dad to Toes and I are watching closely and evaluating how to proceed.

I am biased toward holding her back a year. I also have a mid July birthday. I never struggled academically, but I was definitely behind my peers socially. I can't help but think Erin will experience that same thing - but two-fold. The thought of her feeling socially out of place and adding in the complication of not being able to keep up with lunchroom chatter is heartbreaking.

Dad to Toes is biased toward starting her on time. He has a fall birthday. And he always felt awkwardly older than his peers from a social standpoint. He doesn't think we should sell her short and hold her back when we don't know yet how she will do.

We're both right.

We consulted Erin's TOD on the issue this past spring. She feels that it is far too early to make a decision. She said she often sees a huge leap in her students during the Pre-K year. So, we made the decision to send her into the preschool room with the kids who are scheduled to start Kindergarten in 2010. We realized that should we find she isn't keeping up with her peers and intervention doesn't correct the issue, it will be easier to hold her back a year than to convince the school to advance her a year.

So, here we are. Heading into Erin's final preschool year. We're currently in a transition period. Erin has caught up to her peers. She is a normal 4 year old. Yet, the challenges of the classroom and school setting looms. We're enjoying this period and feel so blessed to have the chance to deal with all the typical trials of caring for a 4 year old child.

Well, maybe "blessed" is too strong of a word... Because, Man! So far 4 has been a lot tougher than 3. There is nothing quite like dealing with bed-time pop outs with a child who can't hear you say "GET BACK TO BED!" ;-)







Postnote: To those who have emailed asking what our "ASL or Not to ASL" decision was... We are continuing with Erin's ASL education. She enjoys learning new signs as much as she enjoys learning new spoken words. We aren't making learning ASL the primary focus right now, but we are slowly incorporating it into our lives.

Thursday, March 26, 2009

To ASL or not to ASL

(or, Another Reason Everyone Should Have an Apple iPhone)


Dad to Toes and I always planned to introduce Erin to a broader American Sign Language vocabulary than the typical half dozen "Baby Signs" that are so popular with parents these days. But, since she developed spoken language so quickly, we kept putting off learning ASL and broadening Erin's ASL vocabulary. It wasn't really intentional. Time just flew by and the urgency waned.

ASL is often a controversial subject. Strict AVT proponents don't encourage even lip reading in fear that it might detract from the child's ability to develop spoken language. On the opposite side, strict ASL Proponents argue that ASL is a deaf child's "native language" and should be the primary (if not only) form of communication utilized - regardless of what form of communication the child's family uses.

We have always taken a middle-of-the road view on the issue. We have never been the types to buy into any one path - we never felt there was a right or wrong way to teach Erin the skills she needs to succeed in life. So, we are always re-evaluating what Erin's needs are.

We have chosen to encourage lip reading - and as a result, we are able to have basic conversations with her even when she is not in sound. But there are times that Erin misses words and becomes frustrated that she cannot understand what we are saying. When it's an hour past bedtime and she's called us back in for the third time and her processors are in the drying unit... the last thing we want to do is pull out a processor so she can catch the missing word when we are trying to tell her she needs to go to sleep so we'll be ready to visit the *zoo* tomorrow. So, we've realized we need to re-start our ASL introduction.

What I've found really fascinating is that recently Erin has really been showing an interest in learning more signs beyond the baby signs. I don't know that she even understands that this is another language or that she could communicate completely with just her hands, but it's made us really thrilled about learning along with her.

I've been planning to check Signing Time videos out of the library to get things rolling. They are basic and child friendly and I have heard nothing but positive things about them. But I've been concerned that I may have a hard time convincing Erin to replace Blue's Clues with new videos during her TV time.

Then tonight I was checking out new Apps on iTunes and stumbled on the Best App Ever - Signing Time for the iPhone! It demonstrates the same signs that are available on Volumes 1 and 2 of the Signing Time Videos, complete with videos by Rachel Coleman. And all for $4.99. How awesome is that??

Erin loves playing preschool games on my phone when we're in the car or anywhere else she needs a distraction. She is going to flip out when she's checking my phone out the next time and finds a "game" that shows her new signs.

I am so excited that we found a great first step into ASL. Obviously, 48 signs is only a start. I just hope "zoo" is one of them.

Tuesday, March 24, 2009

You know that saying...

... "Never repeat anything you wouldn't want your child to say back to you"?

Well, Erin recently started turning the tables on us during some of our "therapy sessions" (Read: reading stories before bedtime).

Priddy Books are still a huge favorite. Once she was able to verbally label every picture with ease, we moved on to asking her more broad questions when we worked on receptive language skills. We'd ask: "Can you show me a boy?" or "Can you show me which animal is biggest?" At each phase, we would switch gears to working on expressive language... For example "Can you tell me how this boy is feeling?" or "Where would you use this toy?"

Recently, we've moved to identifying groups "Show me some things you would wear on your feet." or "Show me which animals you would see at the zoo."

The other night, while reading one of her favorite Priddy books, Erin announced she was going to read to me instead.

I was open to a night off, so I gave her the book. I assumed she would point to a picture and ask me to label it, an activity we did daily her first year post-activation. But, instead, she very proudly took the book onto her lap and said:

OK, Mommy. Show me something that you'd wear to the beach. Good job! OK, now show me something you use to make dinner. Good job! You're so smart! OK, show me something...


It was so much fun! What I found most amazing was that she was truly coming up with her own questions. I don't think she repeated a single question I had ever posed to her - they were all original.

I'm starting to wonder if maybe I can sit her at the table with a book and tell her to do her own listening games now.


(kidding)

Wednesday, February 25, 2009

Sequential Bilateral Cochlear Implant Surgery

I know, I know... I am really behind in my posts. I have so much to tell you all about how Erin is doing. I want to share how her first 2/3 of the year of her first IEP is going. Where she falls within relation to her peers. What our recent struggles have been.

(Look for my upcoming post about what happens when you put a defiant three year old who happens to have $14,000 (est) worth of electronics within her reach into a time out alone). And I also need to get some new video up. (I'm really wishing I had video of the timeout... or maybe not. Cochlear might not have been so understanding had they actually seen the circumstances.)

But, first... I really want to share an amazing video of a Sequential Bilateral Surgery that was performed a couple days ago by Erin's surgeon, Dr. Clifford Megerian. Her amazing audiologist, Dr. Gail Murray, was also there and offered excellent information beyond what the surgery demonstrates.


Before you click the link, I want to offer a warning. Particularly to "new" parents.

Much of this surgery is filmed through a microscope. So it looks much more terrifying than it really is. I intentionally avoided all surgery pics and video before Erin's surgery, and I am glad I did.

So, if you are new to the process...please, please don't click this link. I am only able to watch it comfortably because Erin is more than a year post-surgery. As parents, one of the most important things at this stage of the game is to not overthink the details. Leave that to your child's surgeon.

On that note...

Sequential Bilateral Cochlear Implant Surgery - 2/24/2009

I've mentioned before how amazed I am by Erin's small incision. After seeing the surgery, I am even more amazed.

Thanks, Dr. Megerian! As if we weren't grateful before. Now we have the video proof of how much is involved.