Somewhat Silent

The Silence of Deafness is an Abstract, not an Absolute.

May 26, 2006

Deafness and Medics.

by @ 2:06 pm. Filed under Misc

Has anyone here ever been in hospital, and experienced good or bad deaf awareness? How do or did you cope with explaining to the multitudes of people that you came across that you are deaf [0].

I have had over 45 general anaesthetics, 50 hospital stays and countless out-patient appointments with doctors, nurses, physios, audiologists etc.  I have to say until recently the audiologists had the worst deaf-awareness of the lot of them.  I have also had to advocate for my partner when she was hospitalised which was extremely stressful.

As a child I realise I benefitted greatly from one of my parents, or other family members/friends being around virtually 24/7 while I was in hospital AND the ‘patronising’ way in which adults often speak to children.  My parents made up a sign which said something along the lines of “Natalya is deaf, she cannot hear anything without her hearing aid.  Please ensure she has her hearing aid on, and that you are speaking clearly while facing her”…

As an adult my experiences have been very variable:

I’ve had Mr Maxillofacial-Cranky[0] who I saw privately (dad’s work private medical insurance++) twice to check my tinnitus and TMJ were not something more sinister.  At the first appointment he couldn’t have been nicer - he must have thought there might be a paper in it.  The second appointment was appalling.  He was examining my mouth and jaw, his face so close to mine I couldn’t see him.  I couldn’t understand what he wanted me to do, so instead of repeating himself he decided to YANK my jaw to where he wanted it.  My partner eventually started repeating the instructions extremely clearly and audibly as she was across the room.  Mr Maxillofacial-Cranky didn’t like this intrusion and complained at her to stop - which she ignored.  Maybe I should have bitten his fingers! *gnash gnish*

In contrast Mr Polite-Orthopaedic surgeon couldn’t have been clearer, politer or had a better bedside manner as it were.  The first appointment lasted over an hour, where for the first time in my life I met a doctor whose reaction to my shoulder was “Oh cool, so how does this work then”.  He has one of those posher than BBC accents, and used terms like “One would do” or “One would think” which in many people would be pretentious, but in him was somehow appropriate.  He spoke quite slowly, clearly and in a consistent way, if I didn’t hear him he just repeated it and didn’t make a fuss.

Unlike his boss, Mr Rude-Orthopaedic surgeon who was rude, cranky and got aggressive with me in a multi-disciplinary consultation. He tried to examine me while standing behind me and muttering longwinded and complicated instructions at me.  He then interrogated me by asking very long and strangely formulated sentences.  Everytime I tried to answer what I thought he was asking he would cut me off and tell me that I wasn’t answering his question.  After a bit of this I was quite distressed, as I didn’t know if I was not hearing, mishearing or just being plain stupid.  Mr Polite-Orthopaedic surgeon eventually intervened, getting his boss to back off, and rephrasing some of the questions much more appropriately.

Mr ENT has always been excellent, occasionally he forgets to face me, but never blames me for his small lapses in deaf awareness.  He has one of those received English accents and is quite audible - as he should be dealing with ENT all day.  Sadly all but one of his underlings are currently crap and foreign so doubly difficult to hear.  The nurses in this department have been laughably bad, inaudible, stupid, incompetant for 18 years, and despite having ‘deaf people’ clinics they have no visual alerting system.  I really ought to DDA the hospital on that one.  I must ask the nurses to leave the consulting room next time they decide to have a chat while I’m trying to hear Mr ENT.

When my partner was hospitalised two years ago, we had had very little sleep for a week because of the pain she was in - that no one would believe she had.  My partner was finally hospitalised, given fluids, potassium and vicodin like painkillers which zonked her out, but didn’t kill most of the pain.  As no one knew what was wrong with her she was visited by various doctors, nurses and other people prodding and poking her.

Apart from the last surgeon who was clear and audible not one of the doctors had any deaf awareness worth a damn. One got really pissy when I asked her to repeat herself, as I had been shoved to the back of the room to let all her entourage in to look, poke and prod my partner.  No one told us what was going on, and I think that was exacerbated by me not being able to hear what was going on.  Fortunately the nurses were very good, and I managed to corner one immediately after her shift started so I could find out what she’d been told in briefing.  I found people only believed I was deaf the few times my partner heard something that I didn’t and tried to sign it for me so I understood.  Whenever we used sign, people remembered that I couldn’t hear and spoke louder and clearer to both of us.

What do you do when you are in hospital yourself, or with a family member who needs you to advocate for them.  What things work, and what don’t?  Do you always take someone with you to assist with communication, or just hope that the staff aren’t crap?

[0] - Replace with ‘partially sighted’ if appropriate, I’m interested in your stories too.
[1] - In the UK surgeons are referred to as ‘Mr’ rather than ‘Dr’ this is due to some historical thing.  A female surgeon is ‘Miss’ regardless of her marital status as far as I know.

May 8, 2006

Telecoil Systems (Loop Watch)

by @ 5:38 pm. Filed under Misc

I don’t know if you non-UK folk have Telecoil systems (known as loop systems) which allow some deaf people to click to the ‘T’ setting (a magnetic induction coil on a hearing aid designed to pick up stuff in the area that the induction loop is looped round) on the hearing aids and pickup whatever is being fed into them.

We have them in cinemas, some shops and places with desks amongst others.? Places which have them should display the deaf symbol which usually looks a bit like? (http://www.scod.org.uk/pictures/deaf-ear.gif.? Sometimes cinemas and theatres have infra-red systems, with portable telecoil neckloops to allow pickup without interference from powerful theatre lights/systems.
In my experience many places display the “deaf symbol” and state that they have a telecoil system. In reality less 50% of them work.? Until recently I couldn’t test for this because I didn’t have the Tcoil-plugin for my hearing aid (BAHAs work weirdly, due to needing the tcoil away from the transducer).? About 2 months ago, I got plugin, and have been making good use of it *bwahahaha*.

Today we were in ASDA (yes I know evil Wal*Mart) and happened to use the Tcoil advertised aisle and I happened to have my plugin in my pocket.? All I could hear through the plugin mode was the 50Hz mains hum which is usually in the background when I plug it in - nothing worked despite poking the mic and the checkout girl helplessly looking at possible turn-onable points and plugs.? We didn’t get it working, but the staff did report it, and they otherwise had excellent deaf awareness - looking directly at me, pointing, speaking slowly but not exaggeratedly.? We shall see if in 2 weeks or so it has been fixed - or if a note has been put on it saying “sorry out of order”. If it is not fixed then formal scary letter time.
I got a loop system fixed at uni by reporting it as ‘not on’.? The staff were really helpful and concerned to find that it wasn’t functioning as they had expected.? As it was in the union, and the official audiovisual people wouldn’t touch it I asked around until someone told me the name of the nice man who usually dealt with loops (not his official job).? He got it fixed within 2 weeks - someone (idiot, fool, numpty, twit)? had put some wooden coving in which blocked the mic-plug to the loop system which was behind some panelling.? When it worked I could not only tell that it was on, I could detect it from 10m away!? It was loud, and CLEAR with no distortion.? My evident pleasure at the obvious functioning pleased the staff who asked me lots of questions which I was happy to answer.? They didn’t know that all they had to do was talk into the mic which was in front of them, or use the mic in the small private room.? I said that I would test it for them whenever I had a chance - sadly my original loop plugin died and the replacement didn’t work with my hearing aid…? Next time I visit the uni I should test it and congratulate them if it still works as well as saying hi to the lovely staff.
So my question dear somewhat silent readers is this.? Do you have telecoil systems in public places where you live (if they have something different but similar in function, what is it?)?? Do the systems usually work?? What do you do when the systems don’t work? ?

April 11, 2006

Bilateral BAHAs here I come

by @ 10:19 pm. Filed under Misc

I have a date for receiving bilateral BAHAs. 21st July in the day surgery unit of Hope Hospital in Manchester.? I only gave the go ahead in 29th March, so they must be trying to spend some money or something for the waiting list to be that short!

I don’t know what type of BAHA I’ll receive approx 3-4 months after the surgery because there may be some funding shenanigans about who pays for the new BAHA as Manchester only do my ENT not my audiology.? The very nice audiologist at the Sheffield Hallamshire said she’ll look into it and see if she can get it sorted for me.? I will be sending her a letter tomorrow to let her know that I have a date.

Now all I need to do is see how we can make sure the implants are symmetrical, as that is something I care about - if I’m going to tuck my hair behind them like ears!? I am planning on DPAing (accessing my medical notes under the data protection act 1999) the CAT scan report from 2001 as it details exactly what I probably do and don’t have in each of my ears.? The nice chatty registrar told me on 29th March, but I have a shite auditory memory and can’t remember exactly what she said - I may also try and get hold of some of the imagery, as that would be teh cool!

March 25, 2006

Mother’s Day

by @ 8:29 pm. Filed under Misc

Saturday 25th March was my Mum’s birthday, Sunday 26th March is Mother’s day in the UK. I’m not normally conformist about such things as birthdays or hallmark holidays, but sometimes I get a good idea and am able to carry it through.

I went shopping earlier today and found a card which was all pink and girlie with a cartoon ‘girlie’ on the front. The text on the front says “Mum you taught me how to talk”

The original ‘inner part’ of the card had the same cartoon girlie with a mobile phone in her hand blahing away with the text “so don’t blame me for the phone bill. Happy Birthday”. Now I’m the least girlie person on the planet, and I hate phones, not to mention WTF on a birthday card. So I carefully extracted the original and replaced it with:
A laser printout of http://www.barakta.org.uk/stuff/card.pdf

I’ll put a translation in the first comment.

February 26, 2006

Paranoia

by @ 10:39 pm. Filed under Discussion

“Just because you are paranoid, doesn’t mean they aren’t talking about you inaudibly”

Discuss.

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