Right middle ear implant for sensorineural hearing loss with the Envoy Esteem



Tuesday, January 10, 2012

First Adjustment

It was another exciting day involving my right implanted ear! I met not one, but two fellow Esteem patients. Loreen and Lisa were both activated today and Loreen sat with me through my adjustment so she could get a feel for her adjustment. We found out we have nearly identicle hearing loss and Esteem programs, so it was good for Loreen to see what to expect.

One really positive thing to write about is my incision. Dr. Seidman looked at it and says it's looking great and nothing to worry about. More than likely it's a suture working it's way out. So I'm not going to stress over this too much more.

So, on to the adjustment itself. Michelle (the Envoy engineer) was there again today and was her wonderful self! She really took her time with me to make sure I got the best programming possible for now. Although I didn't really receive any "gain" in strength of sound today (I'm told that will come as I continue to heal and have another adjustment) I can say the quality of my new programs is definately an improvement!
My voice sounds less plugged and doesn't feel/sound like it's booming inside my head now. Other's voices are also clearer. Michelle was able to eliminate most of the sharp/distorted sounds from the end of a lot of words when spoken, especially higher pitched sounds. But I notice some distortion still with music and high pitched voices. It's really noticable in my new C setting, which is for music and TV watching. I don't think I'll be using this setting much. I tried it while driving home and the radio still sounded fuzzy on high tones. The B setting is for noisy settings, and eliminates most background noise yet still allows enough power to pick up and follow conversation with your partner. I do like this setting and I'm sure it's going to be used a fair amount. But my A setting is now my everyday setting and so far it's pretty good! My swallowing and breathing noises don't sound hardly loud at all (yay!) and eating chips (my lunch for the drive home) didn't sound like fireworks going off in my head. I don't mind hearing myself talk either (at least not yet) as my voice doesn't sound as loud and RIGHT IN MY EAR anymore. It's pretty tolerable.
Hopefully this will solve my problem with my voice being too quiet for others when I speak, especially with my husband. I was given steps 1-5 again and I'm on either A 2 or 3 right now. I'll probably bump it up tomorrow after work once I get a feel for how it sounds there.

Michelle also went over my audiogram with me from baseline to today. I gained anywhere from 10-15 decibels in the majority of the hertz tests and my hearing out of the implanted ear is at the lower range of normal now! I think that's what she meant when she was explaining it to me. I am pretty happy with that, especially knowing I may be able to improve a little more.
Another notable today....she said more and more insurances are starting to pay for the surgery, so there is hope that this will be much more attainable for others, and for myself to get the left side done. Fingers double crossed!

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