Oddly enough, the way the processors bring in sound when I first put them on is the biggest change for me between my old and new CIs. I had my Harmony programming (called a ‘map’) put on my new processors and it works really well, so things sound pretty much the same. I do find that I never need to adjust the volume with these processors; on my old ones, I usually had to fiddle with my right processor (my worse ear, the one that’s been deaf longest and has some high pitched electrodes turned off because they make me dizzy). I asked about getting specific hearing strategies put onto these processors (I have five slots per ear for different programs) and my audiologist told me that everything is pretty much automatic now. They’ve found that people really don’t like to have to switch programs for different environments, although that’s still an option for the future if I decide I want them.
Speaking of my audiologist, I just LOVE her. The whole clinic, actually. I’m going to the Audiology Clinic at Western Michigan University in Kalamazoo, a town I had never been to before my Nov. 30 appointment to have my new processors activated. I thought it was really far away but honestly, the drive is about as long as it took me to get to my Illinois clinic in Hinsdale … and the drive is a lot less stressful. I was always a bit uncomfortable knowing I had no audiologist in Michigan after we moved, and it’s a big relief to have that sorted out and to be working with someone who really listens to my feedback. It’s obvious that quality of life is important to her, and my visits have been helpful and informative. She even gives me encouraging feedback during those dreaded hearing tests, which makes them a bit less onerous.
The activation appointment was really not as big a deal as I expected it to be. I had two huge backpacks full of parts and accessories and the processor parts themselves, and I wasn’t sure what to actually bring. I ended up fitting just about everything (except the extra/backup parts and some accessories like the TVLink) into one backpack and I brought that, just to be safe. It took no time at all to put the programming from my Harmony processors onto the Naidas, and after that we just went over some of the basics (how to change certain parts) and how to pair the ComPilot to my phone and the TVLink.
The Phonak ComPilot almost deserves its own post, but I’m planning to write an entry focusing on music (which ties in to this topic) so I’ll just briefly explain what it is. The Naida processor is Bluetooth-capable, and the ComPilot is a streamer that you wear around your neck so you can get stereo sound from things like cell phones, MP3 players, tablets, laptops and computers. No more headphones! I also use it with the TVLink device – again, it turns my CIs into wireless headphones and puts the TV sound right into my ears; there’s also a small clip-on mic that I can have someone wear so I can hear them better (a presenter/speaker in a seminar, a dining companion in a restaurant, etc). Although I do have to have the ComPilot hanging around my neck, it’s a far cry from the wires I used to have to use to get this kind of sound, and the quality of sound that I get is truly remarkable. It’s my favorite feature of my new CIs, by far!
Every day I have a moment where I go from being deaf to actually hearing sound. It’s not when I first wake up – my cochlear implant processors are nowhere near my head at that time. Generally I get out of bed, grab a couple of rechargeable batteries off the charger, carefully pick up my CIs (I’ve learned the hard way that the cord connecting the headpiece to the processor is fragile) and carry them with me to the bathroom. Sometimes I put my CIs on right when I get out of bed, but usually I wait until I’ve had time to fix my hair. That involves sliding my hands up under my hair, against my scalp, and shaking to get the curls going and fix any areas that got pressed down or wonky overnight. If I do that when I’m wearing the CIs, I basically would fling them right off my head!
Before I upgraded to the Naida Q90 processors, I had to brace myself for this moment. It’s overwhelming, going from total silence to a rush of sound all at once. My Harmony processors had a program called ClearVoice that would compress any steady background sound and kind of mute it. So if, for example, I had the fan on in the bathroom, my first sound would be the roar of the fan and then ClearVoice would kick in and the sound would get compressed down to a less overwhelming level. If Dave were to come in and start talking to me at that point, his voice would be the main thing I heard and the fan would fade away to the background – hence the ClearVoice name. It helps you hear when background noise is present.
Even though I’ve had the Naida processors since the end of November, I’m still not used to the difference when I first put them on. I still inwardly cringe and wait to be bombarded with sound for that first few seconds before the compression program takes over. Now, though, what happens is this: I hear nothing for a second or two, and then I hear a beep. After that beep, I can hear. Generally I’m in a quiet environment so there’s not a whole lot going on noise-wise, but there’s always slight sounds happening even in a quiet room. It’s like everything gets clicked into focus, the difference between A and B in a vision exam where A is the blurry lens and B is the one that lets you read that last line on the eye chart.
But the way these processors activate each time I put them on is such a relief. There’s no overwhelming loud sound coming in first and then getting compressed. The first sounds I hear are already compressed. That alone is a huge improvement. But there’s also that beep, which (for me anyway) serves to prepare me for hearing. I focus on that and I know I’ll be hearing in a second. My little warning tone, I love it so.