Children’s Hospital Mapping Session 9.16.09
Cochlear Implant Programming Report
Audiologist: Melanie Buhr-Lawler, Au.D., CCC-A
- Implant model: Nucleus Freedom CI24RE
- Speech processor in use: Freedom BTE
- Ear/date of initial stimulation: Right (0125/07) , Left (9/16/08)
OBSERVATIONS SINCE LAST MAPPING:
- 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):
- 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: