Raising and Educating a Deaf Child

International experts answer your questions about the choices, controversies, and decisions faced by the parents and educators of deaf and hard-of-hearing children.

Question from D.S., United Kingdom

Hi. I’m 13 years old and I need some advice. I am not deaf my hearing reads 70-80 db. I’ve been advised to get a cochlear implant, but I prefer to stick with my hearing aids. I need you to tell me which is better in terms of sport,school,long term, and not letting your friends know. Thanks.

Question from D.S., United Kingdom. Posted September 15, 2013.
Response from Linda J. Spencer - New Mexico State University

Hi. First of all, you are pretty amazing for thinking so hard about your options and for getting advice about a very big decision.  I admire your courage and wisdom at such a young age!

People who have had hearing aids are advised to get a cochlear implant if  their aided hearing abilities make it such that they are really struggling to hear words and sentences when they are using the best hearing aids in the best situations.  Sometimes a hearing loss is progressive, meaning it gets worse and worse and in this case a doctor my recommend a cochlear implant.  We think that by stimulating the hearing nerve using the cochlear implant soon after the hearing is lost, this can help the person maintain their memory of sounds so they can keep their hearing skills.

It is really hard to guess why you have been given this recommendation without knowing if it’s from your doctor, family, or friends.  You are right to ask a lot of questions at this point.  There is no clear answer of what is “better” in terms of sports.  With a CI, we tell people to avoid sports that can give a high risk of banging your head into something (like American football or hockey) but I have known people who participate in these sports who use CIs and they are very successful. Some of the new CIs allow you to get the CI a bit wet, and some even let you swim with a CI.

As far as school goes, a CI may help you with listening and understanding teachers other pupils in class.  You would need time to adjust to the new “sound sensation” of the CI, and this is something to consider.  In the long term, this IS a big adjustment and as I said it is a big decision.

I am really curious about your very last words of “not letting your friends know.”  Are you concerned that your friends will be upset if you choose a CI over a hearing aid…or the opposite?  Or are you concerned that your friends don’t understand about your hearing loss in the first place?  Might you feel comfortable explaining your choices to one good friend?  It can be really helpful to have someone to talk with.

At any rate, I really wish you the best with this very big decision.  I think you are doing the right thing to ask a lot of questions to a lot of professionals.  In the end this is your PERSONAL decision, and as long as you feel comfortable with what you decide, that is the right thing.