If you learn nothing else from the time you are spending reading my summaries from the convention, please learn this WHEN IN DOUBT, SUSPECT TECHNOLOGY FIRST!
I swear this is going to be my next tattoo. Well, maybe not. It's just my latest rant for now. But it is so important and no one seems to be talking about it! When kids aren't progressing as expected, many professionals (and parents) are quick to blame it on the child. But what we should really be focusing on FIRST if the child has appropriate acoustic access. You can't say what you can't hear.
Jane Madell says it best "It is NOT all right to say 'oh well' when a child is not doing as well as another. Much of the time you can fix it."
If a child is not making progress, there is a reason. All clinicians need to be part of the team. Technology is the problem much of the time. The weakest link will break the chain!
Acoustic access to intelligible speech is crucial. Speech HAS to be clear.
Ineffective audiology services fail to regularly evaluate how well the child hears and perceives speech and language.
A child needs to be hearing in all the frequencies to learn. They need to hear normal conversation, soft conversation and in noise.
Can little kids do speech perception testing? YES THEY CAN. They you can tweak their MAP/programming based on that. (I almost screamed AMEN when I heard this statement.)
Speech perception testing has to be done with age appropriate material. Don't be tempted to use an easy test. We have to do tests in real situations using real material.
When you ask a child "which ear is louder?" the answer should always be "I don't know."
There is so much more to this presentation that just blew me away. Please, parents. Read it. Print it out. Commit it to memory. Check to see if your child displays any of the red flags. Share it with your audiologist.
My favorite "tell it like it is" statement from this presentation:
IF THE INTERVENTION DOES NOT SEEM OPTIMAL, THEN IT PROBABLY ISN'T. TRUST YOUR GUT.