This is one of the most difficult updates I’ve ever had to write. I’ve written and rewritten this, and there’s no easy way of putting it so I’m just going to say it.
When my implant was switched on last December, it was the end of a lifelong relationship.
For the last four months, I’ve been living without my long term companion.
It’s been difficult, but a lot of people agreed it was for the best that we underwent a trial separation.
I’m talking of course about my trusty hearing aids, which I’ve worn since I was a little boy.
This picture is my collection of old and redundant hearing aids I’ve accumulated in the last few decades. They all run on 675ZA batteries. Some are analogue, some are digital.
They’re all made from similar flesh coloured plastic, the same colour found on many British Leyland and Saab cars of the 1970s.
Front and centre is an Oticon Sumo, a digital hearing aid that I was wearing right up until I was switched on.
I miss wearing it sometimes. The warm feel of the mould in my ear, the waxy smell it gets when it’s stained dark brown, like Monosodium Glutamate or athlete’s foot.
I don’t miss the occasional whistling noise the hearing aid made as I turned my head or the mould came loose, which I couldn’t hear as it was so high pitched. But everyone else could. Trust me, everyone else could. Did they always tell me? No, because I live in England and people don’t like to make a fuss.
What the hearing aid did was amplify sound and feed it into my ear. I thought it sounded pretty good. Music, films, TV all sounded better with a hearing aid (loud) than without (silent).
For more than 30 years we were inseparable. They were the first thing I put on in the morning, and the last thing I took off at night.
With the cochlear implant I don’t have an earmould. It doesn’t whistle. It barely feels like it’s there. It’s a sleek midnight blue. The colour is cool. It reminds me of a Lamborghini Reventon instead of a Morris Marina.
But in the last couple of weeks, I began to wonder. Would the hearing aid complement my implant? Would the different way it processed sound fill in any gaps in my cochlear implant’s hearing? There’s also a medical need for me to keep stimulating the auditory nerve in the non implanted ear – otherwise, I’m told, it could atrophy and die completely, making my other ear useless should I want to get another implant, or genetic therapy, or stem cell treatment, or whatever other treatment might be just round the corner.
I investigated online – asking facebook groups and messageboards whether I should wear a hearing aid with my implant or not, and become bimodal. The results were inconclusive. Some wore one, some didn’t. No-one knew whether it made any real difference. I decided to leave it. I wanted my brain to focus on getting as much as possible out of the implant on its own instead of confusing it with the old hearing aid.
Then one morning, my wife found my hearing aid in a little box on the mantelpiece. She asked me if I wanted to put it on. I took it from her, changed the battery, eased it into my ear and switched it on.
It sounded absolutely awful.
In fact, it sounded a lot like my cochlear implant when it was first switched on. Just a series of loud beeps instead of sounds. Completely incomprehensible.
My brain, after just 4 months of hearing through a cochlear implant, has now decided that more than 30 years of hearing aid technology is inferior. It’s amazing how different it sounds after just four months. Not like ‘sound’ as I remember it pre implant at all.
The most disorienting thing was that the sound in my left and right ears didn’t seem to match up at all. It was like listening to two different pieces of music, played at different pitch and tempo. Or the aural equivalent of rubbing my tummy and patting my head at the same time.
After 30 seconds or so of switching on the hearing aid each time, I found that the sound from the CI began to get quieter, as though the brain was latching on to my old, familiar hearing aid.
I tried it in different environments – the street (a constant monotone buzz of traffic); in the office (clanking and whistling noises); and listening to music (garbled).
After just five minutes of bimodality at a time, my head was pounding. I couldn’t stand it. I turned it off, but I left it in my ear. It felt nice to have that silicone mode caressing my inner earlobe once more.
So what does all this mean? What happens now?
I’m going to try wearing the hearing aid for an hour or so a day, just to keep that auditory nerve stimulated… but I think this trial separation is going to end in divorce.
I’m sorry, little Sumo. It’s not you. It’s me. I want different things out of life. You can’t give me what I need any more. We both need to move on..
Actually, you know what? I’m lying. The whole whistling thing really, really irritated me. We’re done.
The hearing aids in this article were donated to Action for Deafness, who distribute them to deaf people in the Third World.
William Mager is one of The Limping Chicken’s Contributing Editors. He is also an award-winning director for film and TV, who made his first film aged 14 when he “set fire to a model Audi Quattro and was subsequently banned from the school film club for excessive pyromania.” He’s made short films, dramas and mini-series, and works for the BBC. Find out all about his work at his personal website, read his blog, and if you’re on Twitter, follow him here.
The Limping Chicken’s supporters provide: BSL translation, multimedia solutions, television production and BSL training (Remark! ), sign language interpreting and communications support (Deaf Umbrella), online BSL video interpreting (SignVideo), theatre captioning (STAGETEXT), legal advice for Deaf people (RAD Deaf Law Centre), Remote Captioning (Bee Communications), visual theatre with BSL (Krazy Kat) , healthcare support for Deaf people (SignHealth), specialist lipspeaking support (Lipspeaker UK), sign language and Red Dot online video interpreting (Action Deafness Communications).
Robert Mandara
March 26, 2013
Fascinating article, particularly how you say that the old hearing aid now sounds robotic. I love the way you’ve used the old beige motors to drive home your point!
Linda Richards
March 26, 2013
Been enjoying your updates… Good luck with the divorce. Sounds like the division of property has been amicable….. Lmr xx
Tina
March 26, 2013
I had the same experience with differences in sound as you did. I listened for an airplane and the CI could hear it coming 2 minutes before the hearing aid picked it up, and for a minute after. I could clearly hear the (loud) TV with the CI but the hearing didn’t even register it (which it did, pre-CI), I was really shocked at that.
I found that when I tried my hearing aid in my non-implanted ear, it felt as if the silicone was burning my skin. When I got my first CI, my ear felt so cold and I had to wear a warm hat everywhere. I’m used to not having anything in my ears now.
Onwards and upwards! I wonder if in the future, will hearing aids even exist any more?
karen
March 26, 2013
brilliant article ,very well written , i’m waiting for a baha and feeling the anxiety of it and not being ‘deaf’ any more ??
joverrent
March 26, 2013
Great post – I have my old hearing aids in a drawer as I can’t quite throw them out. I use a baha now – much better sound but took me a few months to get used to it…
noname
March 26, 2013
I too have divorced my hearing aids. After a couple of months with a CI I tried my old hearing aid, and it was just a little whisper. I can’t believe how I managed to never get run over with them!
Antony Rabin
March 27, 2013
I enjoy your style of writing on deciding to go through your divorce with your hearing aid and non implant ear! I can not imagine any different still with having an implant and aid outside home, I use my aid at home only! Although I still have my aid in my ear when I go out but it is often switched off or very low volume to stop imagining sounds in my head!
discpad
April 2, 2013
Brilliant article!
When people go bimodal, the performance is a double-humped distribution: People either say “Love It!:” or “Shove It!”
You’ve probably seen the double-humped (“statistically bimodal”) distribution before, at uni: The students who study for an exam are all grouped around a B+ average, while the slackers are grouped around C- or D+ …Well, the same goes for CI + HA, with newer research pointing to whether Auditory Neuropathy Spectrum Disorder is in play or not; or more specifically if the auditory dys-synchrony variety of ANSD is present. Basically, when AD is present, the CI resynchronizes the neural firing, turning the static from the acoustic signal into crystal clear audio.
Dan Schwartz,
Editor, The Hearing Blog
E-mail: Dan@Snip.Net
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Liz Perry
April 5, 2013
You are a very very good writer Billy and I wish you the very very best with your next stage in hearing progress. X