It was the day before Sam's implant was activated and, like most days in the month after Sam's surgery, I spent the drive home from work imagining the moment our son would hear us for the first time. Halfway through the trip, "Here Comes the Sun" came on the radio as if cued by my daydream, bringing me to tears.
Although the big event was less dramatic than the Beatles-accompanied scenario scripted in my head, my wife and I were thrilled. The day marked a new beginning for Sam.
At 13 months old, Sam was "born" into the hearing world. While his progress will be incremental like a newborn's, each step will require extra time and effort. Still, helping Sam learn to use his implant hardly seems like sacrifice. Our days are filled with rewards, from watching him turn toward a noise at home to hearing him mimic a new sound during therapy.
The time passed quickly between Sam's surgery and the day his implant was activated. Since Sam was back to himself so soon after the operation, we held his first birthday party the following weekend. Our family sang "Happy Birthday" to Sam and, as he tried his first taste of cake, I thought about how it might be the last time we sang a song Sam couldn't hear.
Even as we pondered all of our hopes for life after activation, some concerns crept in. Teresa worried that introducing such a profound change to Sam's world might impact his personality. Sam had been happy and adventurous in his first year, a smiling little bulldozer. Would sound be an unsettling intrusion? We worried that he'd become irritable, introverted, or not himself in some other way.
As the day approached to activate his implant, we became more focused on practical matters. We needed to learn how to use and care for the implant components and make arrangements for our older son, Jack, on activation day and during the therapy sessions that would follow.
On activation day, Sam was in a chair at the hospital with his implant hooked to a computer for calibration. We were beside him anxiously waiting for the chance to speak to him. When the audiologist let us know the big moment was upon us, the room fell silent.
Once the implant was on, Teresa and I took turns saying things like "Hi, Sam!" and "Notice anything different?" Time passed without a notable reaction, and Sam remained focused on playing as the audiologist clapped loudly behind his head.
While there was no immediate payoff, we left the hospital smiling. Sam wore an earpiece with a wire that disappeared into his shirt to a battery pack below. Another wire connected the earpiece to a quarter-sized circle on the back of his head, linked magnetically to the implant inside. The equipment was an outward reminder of something incredible: Our deaf son was given the ability to hear.
Sound was new to Sam, so the implant was set at a whisper to avoid upsetting him. From there, we were told to adjust it higher over the next week through a series of four increasingly powerful programs until Sam's first "mapping" appointment, where the audiologist checked and reprogrammed the implant.
We noticed an immediate change in Sam's behavior. Our smiling little bulldozer who once wriggled out of virtually every hug attempt started to seek comfort in holding hands and snuggling.
I first noticed Sam reacting to everyday sounds about 2 weeks after his implant was activated. Sam and I were playing on the floor in the living room while Teresa and Jack were in the kitchen. As soon as Teresa turned on the radio for Jack, Sam abruptly abandoned me to crawl into the kitchen to investigate. Days later, I watched Sam turn toward our staircase as his mother came down its wooden steps.
Teresa wanted more definitive proof, which she got about 2 weeks later. She and Sam were at a neighbor's house when the neighbor's son was visiting from out of town. He spoke with a booming voice, prompting Sam to turn completely around to face him.
With speech therapy, Sam quickly became much more vocal. This dismayed Jack at first. One afternoon something launched Jack into a tantrum as he stood by Sam in his highchair. Sam began to shriek in unison with Jack's wailing, escalating the situation into a dueling battle of lungpower. As Teresa knelt down to give Jack a calming hug, she smiled over his shoulder and gave Sam an enthusiastic thumbs up. It was our first clear confirmation outside of therapy that Sam was taking in sound and reacting to it with sounds of his own.
Sam loves his therapy sessions, and his progress is a joy to witness. His earliest sessions conditioned him for the routine of therapy, from sitting in the chair to interacting with his therapist. Not long after, his reactions demonstrated that he could tell the difference among the sounds being introduced to him and, almost from the start, he was making his best effort to re-create the sounds.
About 4 months into therapy, Sam imitates just about everything thrown his way. He roars like a lion and produces an "ah" sound for a plane's flight, among other sounds that are a regular part of his therapy. He's moving beyond some of his first attempts at speech like "uh-oh" and "more" to identifying objects and people. He said "mom" in mid-February and about 2 weeks later began chattering "da-da-da-da." Sam knows and tries to say his own name now, too.
Soon after Sam's implant was turned on I dug out a Beatles CD from our collection so I could play "Here Comes the Sun" whenever I wished. The CD has been going back and forth between our cars ever since. Teresa and I like to put the song on and think about how far Sam has come.
Reviewed by: Steven Dowshen, MD
Date reviewed: May 2011
|HandSpeak This site is for people who have hearing impairments and anyone who knows someone with a hearing impairment. Learn hundreds of words and phrases in American Sign Language (ASL) here. Quick, animated movies show you how to move your hands.|
|American Speech-Language-Hearing Association This group provides services for professionals in audiology, speech-language pathology, and speech and hearing science, and advocates for people with communication disabilities.|
|American Academy of Pediatrics (AAP) The AAP is committed to the health and well-being of infants, adolescents, and young adults. The website offers news articles and tips on health for families.|
|National Institute on Deafness and Other Communication Disorders This division of the National Institutes of Health is devoted to preventing, detecting, diagnosing, and treating hearing problems and other communication disorders.|
|American Academy of Family Physicians This site, operated by the American Academy of Family Physicians (AAFP), provides information on family physicians and health care, a directory of family physicians, and resources on health conditions.|
|Helping Sam Hear: A Family's Journey (Video) When 3-month-old Sam was diagnosed with profound hearing loss, his parents found hope when they learned that a cochlear implant might help Sam gain the ability to hear. Learn about their journey.|
|Helping Sam Hear: A Family's Journey When 3-month-old Sam was diagnosed with profound hearing loss, his parents found comfort and hope when they learned that a cochlear implant could help Sam learn to hear. Follow the family's journey, from the diagnosis through surgery and beyond.|
|Hearing Evaluation in Children Hearing problems can be treated if they're caught early, so it's important to get your child's hearing screened early and evaluated regularly.|
|What's Hearing Loss? Hearing loss happens when there is a problem with one or more parts of the ear or ears. Someone who has hearing loss may be able to hear some sounds or nothing at all. To learn more, read this article for kids.|
|Hearing Impairment Hearing impairment occurs when there's a problem with or damage to one or more parts of the ear. The degree of impairment can vary widely. Find out its causes and what can be done to help correct it.|
|Hearing Impairment: Advice From Kristin What's it like to have trouble hearing? Kristin can tell you. Find out more in this article for kids.|
|Hearing Impairment: Kristin's Story You wouldn't know it to meet her, but when Kristin was only 18 months old, her doctors diagnosed her with a hearing impairment. She had to learn to hear in a very different way from her peers - and developed some handy lipreading skills along the way!|
|How Will I Know if My Child Has Trouble Hearing? Find out what the experts have to say.|
|Delayed Speech or Language Development Knowing what's "normal" and what's not in speech and language development can help you figure out if you should be concerned or if your child is right on schedule.|
|Cochlear Implants Sometimes called a "bionic ear," the cochlear implant can restore hearing for many kinds of hearing loss.|
|Helping Sam Hear: A Family's Journey - Chapter Five: New Beginnings When 3-month-old Sam was diagnosed with profound hearing loss, his parents found hope when they learned that a cochlear implant might help Sam gain the ability to hear. Learn about their journey.|
|Going to the Audiologist When a kid has trouble hearing, an audiologist can help. That's a person specially trained to understand how hearing works and to help kids who don't hear normally.|
|Speech-Language Therapy Working with a certified speech-language pathologist can help a child with speech or language difficulties.|
|Helping Sam Hear: A Family's Journey - Chapter One: The Diagnosis When 3-month-old Sam was diagnosed with profound hearing loss, his parents found hope when they learned that a cochlear implant might help Sam gain the ability to hear. Learn about their journey.|
|Helping Sam Hear: A Family's Journey - Chapter Two: Finding the Way When 3-month-old Sam was diagnosed with profound hearing loss, his parents found hope when they learned that a cochlear implant could help Sam learn to hear. Follow their journey.|
|Helping Sam Hear: A Family's Journey - Chapter Three: Surgery When 3-month-old Sam was diagnosed with profound hearing loss, his parents found hope when they learned that a cochlear implant might help Sam gain the ability to hear. Learn about their journey.|
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