Naida Accessories

I have always been so thrilled with the hearing I get from my cochlear implants that I never really concerned myself with little extras or accessories that I did not have. My Harmony behind the ear processors served me well for many years without a remote control or any other add-ons. But now that I have them …
The Naida replacement systems that I received in March came with some options. Since I am bilateral, I ordered the MyPilot remote control with one and the ComPilot with the other. I didn’t think I would use them much but since one or the other came with the kit, then why not? 
Although there are buttons on the Naida processors for changing maps and volume, I have found that I do really like using the MyPilot for adjustments and program changes. Along with the visual screen that allows me to see where I am, there are more options for adjustments with the MyPilot. One of my favorites is the sensitivity setting. When I was first implanted and used the Clarion Platinum body processor for the CII implant, I had sensitivity control. I gave that up to wear behind the ear processors that did not have a switch for that. It is really nice to have that back. I found it really helped me to adjust to a new map on my right ear that seemed a little loud at first, but by adjusting the sensitivity for a day or two, I was able to adjust to the map by giving my ear/brain time to get used to having more sound.
As a Harmony user I loved the T-mic and the ability to just pick up a phone and hold it to my ear like everyone else. I also found ways to listen to music that did not require me to change settings or use the direct connect to enjoy listening to my favorite songs. So I was a real skeptic when it came to the ComPilot thinking I probably wouldn’t use that much at all. 
About a week after getting my Naidas, I decided it was time to check out the ComPilot. Following the instructions provided, I first hooked it up to the Bluetooth on my laptop computer. Wow – the direct sound coming from my computer was great and I was curious to hear more. I then hooked it up to the Bluetooth on my iPhone 4 and tried a phone call to my mother. The only background noise I heard was coming from my mother’s end of the conversation. This was wonderful for cutting back on the “what’s, pardon me’s, and please say again,” parts of the conversation. Finally, I hooked it up to my Nano Shuffle to check out listening to the music I would play when carving my Trikke. I love this. I have to say it is wonderful to be out on the trail, carving and listening to my music just like other people out there wearing their earbuds and headphones as they walk, jog, bike or run. I have never been big on needing to fit in, but by golly this just felt really great! I was so wrong about the ComPilot. I use it all the time and really love it.
There is one more accessory that I am really excited about. The Naida waterproofing kit for swimming! It has not yet been approved in the USA, but is coming soon and I am excited for the release. Living in Minnesota, land of 10,000 lakes, I believe this is another accessory I may use a lot. Being able to hear while swimming with my grandsons would truly be a joy. 
Naida Accessories – Now that I have them – don’t want to live without them!

I’m Not So Tough

I thought I was tough. Turns out – when it comes to my hearing – I’m not so tough. The thought of being without sound for even one day brings tears. Wouldn’t you think after losing my hearing little by little over 30 years I would be able to bear a day or two? Not so. 

Sunday night I noticed that my left processor kept cutting out. I discovered that the wire on my headpiece had a crack in it. It had been my practice to always have a backup on hand, but I discovered that I had forgotten to order a backup. Because I had a meeting on Tuesday that was important to me, I felt a little panic. 

Getting creative, I decided to charge up the batteries to my body processor which I had not worn in a very, very long time. The flashing light told me the processor was getting power yet I had no sound. Switching through the programs I finally got something on the last one. It then dawned on me that all but one of my programs was set on 100% T-mic and the body processor does not have a T-mic, therefore no sound. Settling on the one program that did work, I wore my body processor on the left side and a BTE with a poorly working headpiece on the right. This would get me through Monday and I would immediately order new headpieces. I knew I probably wouldn’t get them before my meeting on Tuesday, but with prayer and tape, I managed to wear both my Harmony processors and get through the meeting and that day.

Wednesday I started watching for a Federal Express delivery. When nothing came by 4:30 pm my husband, Paul, encouraged me to call customer service again and ask about my order. To my shock and dismay, the order had been put on hold due to new regulations and probably some confusion about my immediate need. As the customer service person was explaining equipment changes, the new procedures and how long it could take, I was overcome with emotion. I gave the phone to Paul, my rock. I am so blessed to have a husband who has been willing to come to my rescue and give me rest, or let me cry.

The customer service representative and insurance assistant stayed with us on the phone figuring out how to make sure I have sound as soon as possible. Replacement headpieces should be here by Friday and the order process for Naida has been initiated. With the new parts on their way, I have rallied and have much to look forward to as the Naida has some great new features I am excited to try. Still – I am not as tough as I thought – and I will never be without backup parts again!

Clear Voice

People often ask and want to understand how I hear with my cochlear implant. When trying to help others understand, I and other CI users have described pictures. For instance, if moderate deafness is a blurry picture, then hearing aids bring the picture into focus. When you are profound to severely deaf and you can’t make out the picture at all, it is just a smear of colors – a cochlear implant brings the picture back so you can make out what it is. The degree of blurriness varies amongst users. My cochlear implant experience has been great and I have a pretty sharp picture that includes bright colors representing my enjoyment of music. 
The company that makes my cochlear implant, Advanced Bionics (AB), is a progressive company that continues to seek ways to bring better hearing to the deaf and hard of hearing. They keep fine tuning the picture and since I got my first cochlear implant in 2001, AB has presented their cochlear implant users with three advances in the processing technology. The last improvement I received was like getting a high definition television. Today I got the third. It is called “Clear Voice” and my hearing picture just went 3-D. 
Clear Voice processing is able to identify background noise that may interfere with understanding speech and then lowers it to a level that gets it out of the way for better speech comprehension. There are three levels to choose from, low, medium and high. 
While I was being fitted with Clear Voice, there was a steady rain coming down pattering on the window of my audiologist’s office. When she first turned Clear Voice on for me, I immediately noticed the softening of the sound of the rain. She had it set to medium. When she put the Clear Voice on high, the sound of the rain disappeared. Then we tried the low setting, which I liked. I could still hear the rain, but it felt pushed back and out of the way of the conversation with my audiologist.
For my three programs, I decided to go with Clear Voice low on one map, medium on the second and my old favorite map in the third slot. I had my processors set to the first map with Clear Voice low for the drive home. I was planning to test the sound of music during the drive and I discovered that I really like Clear Voice low to listen to music. This map pushed the car and road noise down enough so that the music sounded wonderful. 
This technology is amazing! I think I’m going to love hearing with Clear Voice. It is a whole new picture!

Subtle changes…mean a lot to me.

In my previous post, I wrote about my recent mapping and the fact that it had been almost two years since my last mapping. There I described some of the changes that were made and used the terms; some gains, and small adjustments. In day to day hearing, subtle changes to a map might not be that notable, but today I had the chance to listen to a CD while in the car for about 50 minutes. The difference in the music was enough to choke me up. In the sound of music the changes were very notable. 
I was listening to Styx Live. This CD is different from a studio recording. Some of the songs are longer and they talk in between sets. I used to skip around if the song was too long and I couldn’t always hear what they were saying when they talked because of the crowd noise. The music and talking sounded so good today, I didn’t want to miss a thing. 
It will be a joy listening to my music collection. There are all kinds of new sounds there! This motivates me to continue to reach for perfect bionic hearing. Though it may be in small steps – every gain counts. I know the perfect bionic ear is coming. If not in my lifetime, maybe yours.

Still Changing and Learning for Better Hearing

After a long stretch of not being mapped, I worked with a new audiologist to map my cochlear implant hearing. Since it was his first time working with me, we did word recognition tests in the booth with both ears and then each ear alone. Both ears together were at 86%, left ear alone 80% and right ear alone 20%. I was a bit disappointed that the right ear has not come along as well as the left – but I love the hearing I get with both together and would not choose to give it up.
After the assessment, we then set up for mapping. I did the tones on each side and did have some gains on the right as well as small adjustments on the left. It had been a long time (almost two years) since I was mapped. It felt good to be getting reset. Since it had been so long, I couldn’t remember exactly how we mapped for both ears together. My audi asked me if I wanted to map and attempt to match the ears electrode by electrode. I knew I had not done that so I decided we should go for it. 
We started with the first low tone. Wow! They sounded very different. On my left side, my first implant, I have the Clarion HiFocus Electrode with Positioner. The sound of the first low tone is rich and deep and seemed normal for its position on the scale. On my right side, which has the 90K HiFocus Electrode, the tone sounded like it is several notes higher than the left side. My starting point there is not as low and rich as the left side. If you compare it to the song Do Re Mi, the left starts at Do and the right starts at Mi. We talked a bit about why the two sides may sound so different and then we decided to finish the mapping based on how speech sounds.
Before this mapping, I thought a lot about how I use my cochlear implants. I’m not one to change the settings very often, so three slots seems to be plenty; however, while we were talking about it, I think I could have used five! I decided to have my daily map in slot one. In two we put the telecoil on as it seems I have had more opportunity this past year to use it. Slot three is my noise program. My new audi was pretty aggressive with the settings for shutting down background noise. In recent years, I have not had the IDR below 60. He put it at 40 and we talked for a bit. It was great, but I decided I could handle a little more background sound and asked him to put it at 50. He did that and also removed the boost to the low tones.
I had the opportunity to fly this weekend and tried out the noise program while traveling. It was great! I could still hear the announcements but I didn’t have to put up with the drone of the airport noise or the airplane noise. I simply told my husband to be sure he was near me when he wanted to talk. 
I have had my first cochlear implant for ten years and with the help of audiologists’, I’m still finding better ways to hear. Although I have been bummed when an audiologist I have gotten comfortable with retires or moves on in his/her career, it is always a joy to meet someone new and learn from their experience. 

Mapping Back

I had a mapping on December 16th, 2008. The allergy issue is still present and I was taking medications to control the symptoms when I was mapped that day. Because I was feeling good and my symptoms were under control, my audiologist suggested that I try the map I had before the allergies started to affect my hearing in October. She turned it on and to my surprise and my audi’s too, it sounded good. Good enough to keep. We made some volume adjustments and made that my main map. She then made a crowd noise map from that one for slot 2 and finally for slot 3, she recommended we keep the map we made when my allergy symptoms had flared. I agreed, but I was thinking I probably wouldn’t need it. Ha! To my surprise, I turned it on that very evening. I was relaxing in front of a movie on the TV when the sound became loud and distorted sounding. I was trying to figure out what was going on when I realized that the allergy medication I had taken that day had probably worn off. I was only half way through the movie and irritated that my hearing had changed that much when I remembered I had the other map in slot 3. Switching to the other map made enough of a difference that I was able to enjoy the rest of the movie. This was a better alternative than taking more medication at the end of the day when I would rather not (it sometimes affects my sleep cycle). I was glad I had the map as an option.

I’m not one to switch from map to map very often, but it is nice to have choices when I think of using them. I need to be more thoughtful about controlling my hearing in different situations and hopefully I will be more mindful of my options in the coming year.

Happy New Year!