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By Blog Editor On September 10, 2013 · Add Comment Cochlear Implant Surgery can be a life changing procedure, but it comes with a large financial price tag. The Rubin’s say their son, who is 5, is very bright and can grasp concepts well, but his trouble hearing has put him behind other students his age. Brian Rubin’s wife Shay had to give up her job as a second grade teacher to take care of their son.
John Weigand, the chief audiologist at Downstate Medical Center in Brooklyn, says auditory neuropathy is an interruption of the way the auditory nerve functions. According to Weigand, the cochlear implant surgery would bypass the hearing system that isn’t working and stimulate it electrically rather than acoustically. Hopefully, the Rubin Family is able to find ways to fund the cochlear implant surgery and provide the important, life changing procedure for their son. Cochlear Implant is a surgically implanted electronic device that helps provide hearing to a person with severe to profound sensorineural hearing loss. Cochlear implants provide a better hearing for adults and children with profound hearing loss. In our country, cost factor is the most important problem which does not allow the needy or ideal patient to undergo such surgery frequently, multichannel cochlear implant cost several lakhs, and seem beyond the reach of average Indian patients. Dr Paulose FRCS, DLO is a Consultant ENT Plastic & Laser Surgeon with over 38 years of world class experience in Ear, Nose, Throat and Laser Surgery treating patients across the world from UK, US, Middle East to Asia.
So what are the major hearing, speech, and language milestones you should look for in your child, and what the signs that something might be wrong?
In the first few months of your child’s life, they should be reacting appropriately to noises and tones. They will also start babbling at this point, rather than just making their own simple sounds.

This is the point of development to which your child should begin to show some very basic understanding of language. Towards the end of this time, they should start babbling to themselves when alone with no other human stimulus. At this point, your child should have a small vocabulary of their own, ranging from about four to six words. After this time, you should notice that your child’s vocabulary continues to grow and that their understanding of what you are saying improves. If you have questions or concerns about childrens hearing and language skills contact your local doctor, who will arrange for you to see an ear nose throat specialist. So when the Rubin family of Monroe, GA discovered insurance would not cover the procedure for their 5 year old son Carson, they came up with a plan to solve the problem. This seems to be just another one of countless examples where these huge Insurance corporations claim exclusion when those that depend on their policies are most in need.
They are designed for people whose hearing does not improve with other surgical procedures or with use of a hearing aid.
Some children will develop speech first, whilst others will begin crawling and walking first.
Whilst language is not yet understood at this time, there are key milestones in hearing and speech that you should look out for. They should be enjoying rattles and other noise-making toys, turning to face things that make sounds, and repeating sounds that you make when talking to them, like, “Ooh” and “Ah”. This is about the time that they will start saying things like “Mama” and “Dada”, though these words will not have particular meaning yet.
They should be reacting to their own name and should understand what basic words are that have been repeated to them or are often present; such as cup, bowl, shoe, hi, or bye-bye.

They will be able to answer questions you ask them nonverbally by nodding or shaking their head, retrieving or pointing at an object, etc. If you notice any change or plateau in this learning curve, you should talk to your doctor.
Cochlear implants bypass damaged hair cells in the inner ear and directly stimulate the auditory nerve to send information to the brain.
However, there are a few milestones in your child’s early life that can indicate normal development and health. At this point, they will begin laughing and making pre-language noises that will communicate their basic moods. For example, if there is a ball near them and you say something like, “Where’s the ball?” or “Is that a ball?”, they should be able to recognise it and point to it.
They will also start to mimic and imitate you and your voice at this point, gaining more words and sounds for their vocabulary and repertoire. It could be that your child has an ear infection, hearing loss, or a speech problem that can be addressed in early childhood to avoid learning impairment later on. If you notice any abnormalities, this may be due to illness or hearing loss, both of which are easier to treat when detected early. Your voice should trigger them to stop crying and calm down more quickly than other voices, when speaking in the same soothing manner.

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