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Copy of Cochlear Implants

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Brandy Cabe

on 13 January 2015

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Transcript of Copy of Cochlear Implants

Cochlear Implants
What is a Cochlear Implant?
A small electronic device that can be used to improve the hearing abilities of a deaf or hard of hearing person (sensorineural hearing loss)
It does not give the person "normal" hearing, but instead gives them a sort of mechanical hearing that they are able to process along with reading lips and body language to interpret words
Difficult to remove, but can be turned on and off so most don't get it removed
is surgically placed because part of it is attached to the cochlea which is in the inner ear
microphone inserted behind the ear to pick up sound, a transmitter, speech processor, and an electrode ray
No longer a part of the deaf community, but not part of hearing community either
Can be difficult transitioning
Can be frustrating because is not like "normal" hearing, and some people even turn it off and don't use it even though they had the surgery
Have to go to speech therapy after cochlear is implanted to learn how to understand the sounds they hear
Can have complications with the surgery
damage to trigeminal nerve
bacterial meningitis
Very expensive
Impact on the Family
Pros
Impact on the Community
Pros
Impact on Researchers/Doctors
Pros
Impact on Individual
Impact on Governments
Impact on Humanity
Works Cited
Images
Cons
Pros
Can improve social skills
Group settings are not as daunting
Don't need to rely on others knowing sign language or offering to speak slower
More job opportunities
Children can be mainstreamed in school
Can do simple tasks that people with normal hearing take for granted, such as
watching tv without subtitles, talking on the phone, listening to a lecture in a classroom, listening to music, etc.
Cons
Unsure how to comfort person if confused or frustrated
expensive
sometimes unsure how to act around person because person is no longer deaf but is also not hearing
can put stress on the whole family
Easier to communicate with person
can do more things together
watch tv
listen to music
go to play or a show
Don't have to interpret for the deaf or hard of hearing person anymore
can be more like "normal" relationships instead of having the family always be interpreters
more freedom
Cons
The deaf community is an integral part of a deaf or hard of hearing person's life
support
friends
commonality
A person who receives a cochlear is not longer a part of the deaf community, so no longer have the support and commonality with others
still stay friends usually, but some people get angry because they believe that that there is nothing wrong with being deaf and by getting a cochlear, the person is saying that being deaf was something that needed to be changed. The deaf friend might be offended.
outsiders are more inclined to think that deafness is a disability and think badly on the community
decreases the total number of people in the community
By: Katie Swimmer & Alyssa Shofner
Person can now become more involved with the hearing community
more jobs, more businesses
hearing people are more comfortable around deaf people because people with CIs can be mainstreamed so hearing people are more exposed to the deaf community
Subsequent Research
Cons
Lots of surgeries
able to learn how the CI can affect hearing
find out best ways to place CI with least risk
more cases to research, so can learn new things about
Complicated surgery, so many things can go wrong
could get bad results
patients always want improved surgical technique
less invasive
less noticeable
difficult for the doctors to come up with a new way to do this surgery

Scientists are researching right now how to cure deafness
sensorineural (hairs in the cochlea)
not working due to malformation or damage
we used to be able to regenerate our own hearing, but no longer can
birds and other animals can
scientists trying to find out what gene is responsible for this regeneration, so they can re-stimulate it
Pros
Cons
Saves state more instead of trying to specialize to teach deaf children
saves a person over $53,000 over a lifetime (ASL)
Gives people a choice to live a "normal" life
safety of people
Medicare and Medicaid spending $40,000-75,000 per person
what limits?
Diminishing Minority
Pros
Giving people the freedom to improve hearing by getting a CI
Equal opportunity
Cons
People with CIs have identity issues because people in the deaf community do not fully accept them, and people in the hearing community don't understand if they are "hearing" or deaf
Major Debates and Controversies
Minors receiving/ not receiving CIs under parents' choice
parents making the right choice for the child
deaf foster child
is getting a CI worth not being part of the deaf community?
should the government fund a program to pay for CIs
safety reasons
hear sirens, fire alarms, etc
Common Misconceptions and Questions
Deaf and hard of hearing are the same thing
cochlear implants fix hearing so that it is completely normal
does not affect family
does not affect community
can't go swimming/ do sports
what does it sound like to be hard of hearing/ have a CI
no therapy needed for CI to be useful
works right away

Benefits and Risks of Cochlear Implants. (2010, September 8). Retrieved December 1, 2013, from U.S. Food and Drug Administration: http://www.fda.gov/medicaldevicesproductsandmedicalprocedures/implantsandprosthetics/cochlearimplants/ucm062843.htm
Bouton, Katherine. "Cochlear Implants Are Miraculous and Maddening." Bloomberg.com. Bloomberg, 18 Feb. 2013. Web. 05 Dec. 2013. <http://www.bloomberg.com/news/2013-02-18/cochlear-implants-are-miraculous-and-maddening.html>.
Children with Cochlear Implants at Increased Risk for Bacterial Meningitis. (2013, July 30). (CDC) Retrieved December 1, 2013, from CDC Media Relations: http://www.cdc.gov/media/pressrel/r030730.htm
Cochlear Implants. (2013, November). Retrieved December 1, 2013, from National Institute on Deafness and Other Communtication Disorders: http://www.nidcd.nih.gov/health/hearing/pages/coch.aspx
"Cochlear Implant Frequently Asked Questions." Cochlear Implant Frequently Asked Questions. American Speech-Language-Hearing Association. Web. 05 Dec. 2013. <http://www.asha.org/public/hearing/Cochlear-Implant-Frequently-Asked-Questions/>.
Cochlear Implants, the Deaf Culture, and Ethics. (2009, July 27). (Ohio University) Retrieved December 1, 2013, from The Institute for Applied and Professional Ethics: http://www.ohio.edu/ethics/2001-conferences/cochlear-implants-the-deaf-culture-and-ethics/index.html
Gaines, R. a. (2003). The value of deaf culture: should states have the right to mandate placement of cochlear implants? Current surgery, 60(6), 600–1. doi:10.1016/S0149-7944(03)00117-X
Gonsoulin, T. P. (2001). Cochlear implant/Deaf World dispute: Different bottom elephants☆. Otolaryngology - Head and Neck Surgery, 125(5), 552–556. doi:10.1067/mhn.2001.119320
Hearing Review. "Obamacare, The Affordable Care Act, And Your Hearing Aid Benefits." Columbia Hearing Center. Columbia Hearing Center RSS, Nov. 2013. Web. 05 Dec. 2013. <http://columbiamohearingcenter.com/2012/07/obamacare-the-affordable-care-act-and-your-hearing-aid-benefits/>.
"National Coverage Determination (NCD) for Cochlear Implantation (50.3)." CMS.gov. Centers for Medicare & Medicaid Services, 4 Apr. 2005. Web. 05 Dec. 2013. <http://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=245>
Perren, D. (2011, March 21). Cochlear Implants: Simulation on Speech and Music. Retrieved December 4, 2013, from youtube:
Shafer, Dee N. "Court Overturns Cochlear Implant Denial." The ASHA Leader. ASHA, 28 Nov. 2006. Web. 01 Dec. 2013. <http://www.asha.org/Publications/leader/2006/061128/061128c/>.
Vicars, B. (2012, August 10). American Sign Language- ASL Lesson 01. Retrieved December 4, 2013, from youtube:http://www.youtube.com/watch?v=k9cFqNYlV1A
(Benefits and Risks of Cochlear Implants, 2010)
(Children with Cochlear Implants at Increased Risk for Bacterial Meningitis, 2013)
(Cochlear Implants, 2013)
(Cochlear Implants, the Deaf Culture, and Ethics, 2009)
(Hearing Review, 2013)
(Cochlear Implant Frequently Asked Questions, 2013)
(Cochlear Implants Are Miraculous and Maddening, 2013)
(National Coverage Determination (NCD) for Cochlear Implantation, 2013)
(Court Overturns Cochlear Implant Denial, 2006)
(Cochlear implant/Deaf World dispute, 2001)
(The value of deaf culture: should states have the right to mandate placement of cochlear implants, 2003)
(Vicars, 2012)
(Perren, 2011)
Full transcript