Wednesday, August 13, 2008

First full day with new CI - 8/13/2008

Well, today was the first full day with Nichole's new left implant activated. I was at work most of the day, but saw her at lunch time, and she had not really tried much "listening" yet. We took a family walk after I got home from work, and I told her that it seemed she was much less interested in exploring sounds with this implant than she had been with her first one last year. She agreed. She said that with her old (right) CI, she now knows all the new sounds so it isn't as exciting trying to hear them with the new (left) CI.

She said that in the late afternoon, she did try the different programs which Marilyn had saved in the Freedom processor. Program 1 (P1) is basically what felt comfortable at the end of her activation on Tuesday. P2 and P3 are increasingly louder versions of P1. Marilyn thought that those three would give Nichole enough to work with until her next mapping, which is 9 days after her initial activation. She wasn't even sure Nichole would get to P3, but gave it anyway. Well, Nichole is already comfortable with P2, at volume = 9 (full volume)! She has tried P3, but it is a bit too loud. I reminded her that this isn't a race, and that she shouldn't feel the need to push herself too fast.

As for speech recognition, it didn't seem she was understanding much, if anything, by just observing her during normal conversations. So tonight, at about 11:15pm, after everyone else was asleep, I asked her if she wanted to play the "closed set" game. We pick a category (numbers 1 thru 10, or colors, etc), she faces away from me, and tries to repeat each word I say. I was not too optimistic given it was only day 1, and that I hadn't observed her understanding much earlier in the day. Boy was I in for a wonderful surprise!

I started with the numbers 1 thru 10 in random order. Nichole correctly repeated 8 of the 10 on the first try. For the two she got incorrect, I repeated the number once, and she then got it correct. Yahoo! I moved on to colors. Out of 11, she got eight correct first try, two correct on my first repeat, and one (indigo) she couldn't get. Next was animals. She correctly repeated nine out of 14. She got seven out of 11 sea creatures and five out of six oceans/seas (south china sea, she missed the "china").

So her "first try" success rate was about 80% for most lists, with 65% for the two really hard ones of animals and sea creatures. I have shown her raw results below, so you can get a feel for the difficulty of the words I picked, and so I can keep a record somewhere.

We have her first Listening Therapy session tomorrow afternoon.

Raw Closed-Set Listening Results, I have bolded those items where a mistake was made. Where two percentages are shown, they represent raw score on first try, then with a word repeated if it was wrong the first try. If she had no guess, I put a ????.

Numbers (80%, 100%)
I said
She repeated
5
7, then 5
3
3
4
4
10
10
1
1
7
6, then 7
9
9
6
6
8
8
2
2

Colors (72%, 91%)
I said
She repeated
Blue
Blue
Yellow
Yellow
Red
Red
Black
White, then black
White
White
Pink
Pink
Orange
White, then orange
Green
Green
Brown
Brown
Indigo
????
Violet
Violet

Animals (65%)
I said
She repeated
Cat
Cat
Squirrel
Squirrel
Bird
Bird
Dog
Bird
Snake
Snake
Fox
Smocks
Beaver
????
Robin
Robin
Chickadee
Chickadee
Hawk
????
Bat
Bat
Blue Bird
Little Bird
Great Blue Heron
Great Blue Heron
Owl
Owl

Sea Creatures (63%)
I said
She repeated
Whale
Whale
Dolphin
Dera fin
Tuna
????
Oyster
Oyster
Clam
Clam
Sea Horse
Sea Horse
Skate
Snake
Jelly Fish
Jelly Fish
Shark
Shark
Walrus
Walrus
Seal
Snail

Oceans/Seas (83%)
I said
She repeated
Pacific
Pacific
Atlantic
Atlantic
Arctic
Arctic
Indian
Indian
Red Sea
Red Sea
South China Sea
South ???? Sea

Shapes (88%)
I said
She repeated
Circle
Circle
Oval
Oval
Square
Square
Rectangle
Rectangle
Star
Star
Ellipse
Erect
Octagon
Octagon
Pentagon
Pentagon
Triangle
Triangle

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