Cochlear Implant Programming Report
Audiologist: Melanie Buhr-Lawler, Au.D., CCC-A

DEVICE INFORMATION:

• Implant model: Nucleus Freedom CI24RE

(CA)

• Speech processor in use: Freedom BTE
• Ear/date of initial stimulation: Right (0125/07) , Left (9/16/08)

CURRENT SERVICES:

OBSERVATIONS SINCE LAST MAPPING:
Equipment:

• Li-Li continues to do very well with her cochlear implants. She occasionally requests breaks for her processors, but she generally likes to use them and requests to wear them.
• The family is in the process of having one of Li-Li’s pink processors repaired/replaced through Hear Always.

Auditory perception/speech production:

• Li-Li and her mother were accompanied to today’s appointment by Laurie Wallace, Li-Li’s speech-language pathologist. She reports that Li-Li is speaking in long sentences (three to four words or more), and that Li-Li’s speech intelligibility is generally good. By report, Li-Li has some consistent errors: substitution of In/ for Ill, some final sound omission without visual cues, and occasional occasional/sl versus Ish! confusion.
• Li-Li’s mother reports that Li-Li has had some discomfort (crying, saying “too loud”) with her most recent maps to specific sounds, including the dog barking and the phone ringing.
• Li-Li takes piano lessons, and her mother reports she does very well.

MAPPING SESSION (9/16/09):
EQUIPMENT CHECK:

• Visual Inspection: OK
• Listening Check: OK
• Impedence Telemetry: OK

PROGRAMMING: Appropriate levels of stimulation were determined and the speech processor was reprogrammed accordingly, with any needed adjustments made for loudness, comfort and for maximizing speech perception.

• Response method for threshold levels: Conditioned Play
• Response method for comfort levels: behavioral observation in live mode

The following maps (programs) were downloaded into the speech processor:

Today’s maps were reviewed with Li-Li’s mother. Li-Li will be seen in a week for testing in the sound booth with her cochlear implants. The new Nucleus 5 processor system was discussed briefly with Li-Li’s mother. It is not yet available to Li-Li, but she will be informed when the upgrade is possible.

PLAN:

Return for booth testing in one week and reprogramming of the speech processor in 3 months. A reminder card will be sent to the family when the schedule becomes available. Appointments can be made through Sarah Thomas, program coordinator, at 781-216-2250 or sarah.thomas@childrens.harvard.edu.

As always, we would appreciate an update from therapy providers regarding progress in developing auditory perception and speech production just before the next appointment.

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