A New ANSD Study…

We were lucky enough to have been contacted recently by Hannah Cooper of University College London regarding a study she is beginning into children and young people with ANSD. I’d love to think we could help in some way by reaching out to families who would be interested in helping to change the future for families with this difficult diagnosis. Hannah’s intro is below and I have attached (at the bottom) an advertisement for the study. Do let us know if you would like to help or, alternatively, please do reach out to Hannah directly.

“I am a paediatric audiologist with 9 years experience in the NHS. A large part of my job has been testing babies referred from the Newborn Hearing Screening Programme. I went to families’ homes and spent several hours testing babies whilst they slept, and then explaining the results and making a plan with families. Lots of babies I saw turned out to have normal hearing or a temporary hearing loss caused by glue ear. I enjoyed seeing the relief and joy that there was not a permanent hearing problem. But I also got a lot of satisfaction from helping the families of children diagnosed with a permanent hearing loss. I felt that I could offer hope and empowerment, that their baby would be able to achieve his or her full potential with early intervention and not be stifled in their progress, as was common before the introduction of the screening programme.

 But then I encountered ANSD. Anyone can have ANSD but babies identified with it through the Newborn Hearing Screening Programme will have spent time in the special care baby unit, and sometimes they will have been very ill for an extended period of time. Diagnostic hearing testing often happens just after babies are discharged from hospital. I imagine there is a certain amount of relief when taking a baby home after a difficult start. So when telling families of babies who had often been through so much already, that their hearing test results showed ANSD, I felt useless. It was difficult to convey anything other than uncertainty and, although I tried my best to give hope, I didn’t want that hope to be false or my advice to be unrealistic.

I tried to find out as much as I could about ANSD. The evidence is confusing and, although it has increased quite a lot over the last few years, it is still not clear how to best help babies diagnosed with ANSD. So I decided I wanted to do some research myself to try to improve the options available to families. I found that there was very limited imaging data on ANSD and new techniques in MRI had shown promise in a variety of different conditions. I am now a PhD student at the UCL Institute of Child Health and Great Ormond Street Hospital. My project is currently for older children and young people with ANSD, and I hope it may be extended to younger children in the future.  The aim is for ANSD to be better understood so that children will eventually have access to early and appropriate treatment in order that they too are able to achieve their full potential.

 Please do get in touch with me if you would like to know more about the study or if you are interested in taking part.

 Hannah Cooper

PhD student

NIHR/CSO Healthcare Science Doctoral Research Fellow

 Imaging & Biophysics Unit

UCL Institute of Child Health

30 Guilford Street  

London

WC1N 1EH

 020 7905 2300

hannah.cooper.12@ucl.ac.uk

ANSD advert

Vocabulary…

One of the things us CI families have to come to terms with is, no matter how fantastically your child performs with their CI, the technology has limitations; after all, it is just technology. Remarkable as CIs are, the microphones, batteries and wires all have their own little bugs.

What we all have in common is that these limitations bring about predictable problems. One of these is vocabulary. CI children tend to be poorer at overhearing than other children. They don’t hear new words in context as well and hence their vocabulary can develop more slowly. Whilst a typical, hearing, child picks up new words from conversations they’re not even involved in, this can be more difficult for CI children. This isn’t a major problem. Alice’s language is above age appropriate; her use of language is fantastic (see how far we have come in four short years!) but she may not have a full Eskimo vocabulary of words for snow or understand colloquialisms as well as her friends. It’s a small problem, but one we are acutely aware of and we spend hours shoving new words her way. Reading has made a huge difference in this respect.

Alice swore for the first time today. I couldn’t be more thrilled.

She had overheard me shouting at a particularly noisy toy of Ollie’s (which was driving me particularly mad yesterday morning) and decided to demonstrate her new-found knowledge of expletives to the world. Hallelujah.

Every step is hard-fought, but every win feels oh so very special.

In the meantime, I thought you might enjoy a little video of Alice reading; we couldn’t be more proud of how far she has come and how well she is doing at school. For any families just starting on this journey, your dreams for your children are still possible and, just to warn you, they will swear too…