A few weeks ago they did hearing tests at BratA’s school (who, I’ve decided, shall henceforth be known as Asterix), and it turned out that he was not hearing well at certain frequencies. His teacher told us this much; other than that, we had to wait for the official letter that would make it officially official that there was a problem.
This didn’t come as a complete surprise–Asterix sometimes has difficulty understanding what is said. He’s had this problem ever since he was supposed to understand things, and he’s had it in both of his languages. It did, however, appear earlier that the problem had to do more with language processing than with hearing. His receptive language has always been on more or less on target for his age (even if he occasionally asked “what?”), but when he was younger, his expressive language was behind by more than a year compared to his peers, and he mangled syntax and morphology in ways that his older brother (who shall henceforth be referred to as Kalessin) never did. His phonetic output, on the other hand, was normal–better than some of the kids he went to preschool with. Based on all of that, he seemed to be heading for a “Specific Language Impairment” diagnosis. (Specific meaning that the delay is only in the area of language, not in overall development.)
When he started kindergarten, the teacher did note that there was a problem, and we agreed that he should be evaluated by the speech therapist. The speech therapist did speak to me, noticed that I was not unfamiliar with linguistic terminology, and apparently put him on the “not urgent” list. She then got sick (serious stuff) and in the end the kid was not evaluated or diagnosed with anything.
By the end of the kindergarten year, the whole thing was off the agenda, because he was not only speaking better and sounding pretty much like his peers (with a bit of occasional quirky syntax here and there), but he was reading and writing above grade level. This was a surprise, because children with SLI (which is how I thought of his problem, even though he never received that official stamp) usually have problems with reading and writing. It is also obvious that his auditory processing problem didn’t just disappear–he still has a lot of difficulty repeating nonsense poetry, for example, or any stretch of text he doesn’t properly understand (such as longer Hungarian words with multiple suffixes) . What happens, apparently, is that he is very visual. He learned to read pretty quickly using that skill, and then actually transferred his now visually processed language to spoken language as well. Or that’s my best theory.
Anyway, after receiving the officially official notification from the school district indicating in red the frequency and decibel levels that had been found problematic, I took Asterix to the doctor. They noted (as had the person who administered the school test) that he was congested due to allergies (old non-news in our family) and that this could be playing a part in his hearing problems. We were told to give him Claritin (which hadn’t worked before) and we also got a steroid nasal spray to try (which was new). And they repeated the hearing test–the beepy test, as we called it.
Asterix listened to the instructions that he should lift his left hand when he heard a sound in his left ear and his right hand when he heard it in the right. He confirmed that he understood these instructions, and left and right hands were correctly identified. The test was then started and it seemed to proceed well, with Asterix lifting his hands frequently and enthusiastically. The nurse, however, looked confused. She stopped the test, quizzed the poor child again on the question of left and right, then put on the earphones herself to see if they might not be functioning correctly. She said they were, and the test was completed.
The nurse then reported to the doctor, and to me, that Asterix seemed to be hearing the beeps just fine, but he lifted the opposite hand.
“You mean consistently?” the doctor and I asked in chorus.
“Yes, every single time,” the nurse said.
“So then,” the doctor concluded, “he passed–with oddness.”
So that’s our diagnosis so far. She did say she’s referring us to the audiologist, but we haven’t been given an appointment yet. (She wants to see if we can clear up the congestion a little.)
But I’d really like to see what exactly is written on the referral.
That is a really interesting oddness. Could it be something like dyslexia?
But going back to what you said here: “he is very visual. He learned to read pretty quickly using that skill, and then actually transferred his now visually processed language to spoken language as well. Or that’s my best theory.” That makes a lot of sense. Bright children with impairments are often able to compensate by other means, keeping the impairments (or oddnesses) less noticeable — and often less likely to be diagnosed.
By: kmcdade on November 29, 2007
at 11:25 am
I am, frankly, wondering if he wouldn’t benefit from Tomatis therapy. A lot of that stuff soundrs really familiar to me. If such a thing is available where you are. You can look it up at tomatis.com. E-mail me if you have questions…
By: thelittlefluffycat on November 29, 2007
at 12:21 pm
Thanks!
Kathleen, some kids with SLI have dyslexia too, and some don’t. So far he seems to be falling in the camp of those who don’t.
It’s mostly in processing grammar where the problem is apparent. In English this appears as incorrect word order and occasional -s and past tense issues. In Hungarian it’s messier because of all the endings words are supposed to get in a sentence (he skips some of them or uses the wrong ones). But his English now sounds pretty normal for a seven-year-old, because seven-year-olds still make the same kind of mistakes, and he just makes them a little more often.
Littlefluffy, I’ve never heard of Tomatis therapy. I’ll check it out.
By: thirdculturemom on November 29, 2007
at 1:49 pm
Like Kathleen, I was thinking along the lines of an auditory dyslexia, if there is such a thing.
Oddness works, too. (Audness?)
By: Suzy on November 29, 2007
at 4:47 pm
I agree with Suzy. It’s been known to happen.
By: pandemonic on December 1, 2007
at 1:45 pm
I hope you will give us an update on this. I asked a friend, who is a Speech Pathologist, if this was familiar to her and she could only say she’d be concerned with testing conditions but it sounds like everything checked out regarding awareness of left and right and the headphones.
Someone in my family full of teachers went through all sorts of testing for his reading problem. He has had mysterious diagnoses applied to him (like his perception included extra dimensions). It was years before a simple vision test (that resulted in specialized lenses) would help clear things up. (arghhh).
By: TheOtherIvy on December 2, 2007
at 2:40 pm
I will, Ivy.
Extra dimensions sound exciting–a science fiction theme! That could explain the left-right thing too–in a mirror dimension they should of course be reversed. And it wouldn’t be the first time I’ve suspected that some kids have been abducted by aliens and replaced with mischievously sequenced clones, though it’s the first time I suspect one of my own.
(Seriously, a long time ago in a school system far, far away, I had a class of lovely 8th grade students come back for 9th grade as monsters worthy of Alien XIII, and I told them this was my best theory. They laughed and said something about being teenagers now, which confirmed my suspicions.)
Thanks for the comments, everyone! If they try to name some weird condition after the kid, I’ll recommend Audness instead.
By: thirdculturemom on December 4, 2007
at 1:23 am
My second child had a severe hearing problem which we didn’t realize was a hearing problem. We couldn’t understand more than about 25% of what she said. It was very frustrating for us as well as for her. When my son, who is three years older, went to kindergarten, the teacher noticed the problem in my daughter and referred us to the speech therapist at the school. The school year ended and they never evaluated her and we had to begin the process all over again the following school year. But when she was evaluated, the speech therapist gave us a referral to the ENT because she heard a “nasal quality” in Tina’s voice. She had frequent ear infections as a baby and that seemed to effect the hearing. The ENT said her tonsils needed to come out and the problem would probably go away. Within two weeks of her tonsilectomy, we could understand about 70% of what she was saying! She went back to the speech therapist and began four years of weekly speech therapy at the school (for free) and all the speech sounds that she could not hear before and therefore not repeat correctly, were “fixed” and by the time she got to third grade, she was released from speech therapy.
By: Corina on December 5, 2007
at 9:50 am
Thank you for that story, Corina–I’m glad it all worked out well for your daughter. Am I getting this right–it was your son’s teacher that realized there was a problem, while her own teachers never did anything? That’s strange.
Something like the tonsils–or even more likely, the adenoids–having to come out might well be in the future for Asterix. His nose is constantly stuffy. In his case though, the problem is not understanding him–his pronunciation is almost normal (for some reason, he doesn’t pronounce the “ng” sound right–he says “sin” and “sing” the same way, both with a slightly d-ish n, but he can tell the difference when he hears these pairs).
The noticeable problem is more in his grammar, which is consistent with SLI–a mild case, because he uses inflectional endings properly in English now (past -ed, 3rd person -s), practically all the time. I knew it wasn’t a very bad case from the beginning, by the way, because he sometimes regularized irregular past tenses, and took words from one language and fitted them in the grammar of the other–which are the signs of normal grammar processing. (Someone with a serious case of SLI will use irregular past forms correctly, but will leave off the -ed of the regular ones, for example.) Asterix used to have a lot of difficulty getting word order right though–turning a statement into a question, negation, adding auxiliaries like “can” in the right place. This problem has mostly disappeared too, and I think he falls in the “acquires language in the same sequence as normal children but at a slower rate” group.
Still no word from the doctor. I’ll probably have to call them.
By: thirdculturemom on December 6, 2007
at 9:44 am
This was quite interesting. What used to happen to kids with little quirks, before all this testing and diagnosis? Did they just catch up eventually? I almost wonder whether this extensive labeling and identifying is in some ways counterproductive. Obviously it makes sense to have things checked out that may have a physical component such as auditory or visual impairment. But it just seems to me that we have so many ways these days to label kids’ problems … perhaps we’re not giving them room to just grow out of it.
Then again, I’m not a parent.
By: davidrochester on January 1, 2008
at 3:03 pm
I think you’re right, David, even though you’re not a parent.
I mean, it’s good that now we know all these things and we are better able to tell what’s going on with a child. In most cases, I think it’s better to know things than not to know them, but it depends on the person (in this case the parent) too–whether you are able to put things in context and not make more of them than what they are.
In our case, I was never seriously worried about Asterix, because I could see that whatever it was, it was minor. This time I took him to the doctor because the school district said I should, and I didn’t want to look like a bad mom.
It was also interesting to hear that there is something with his hearing, even though it was also clear that he was hearing well enough to manage quite well at school. (His spelling tests are all 100%, though the teacher did notice that he sometimes asks for the word to be repeated.) Also, he hadn’t had a “well” visit since the one he needed for the kindergarten medical, so we took care of that at the same time. (Should I admit his brother hadn’t either, until very recently, and he’s 12?)
We haven’t seen the ENT specialist yet. They didn’t call–I guess I will have to do that. In the meantime we dealt with Kalessin’s sight, who did turn out to need glasses.
By: thirdculturemom on January 1, 2008
at 3:48 pm
Yeah — you’re a normal kind of parent (and I think you realized I wasn’t really commenting about this specific situation). I see more and more, though, parents “classifying” their kids rather than letting them have a personality. You know … she doesn’t like loud noises, she must have Sensory Integration Disorder, or whatever. As a society, we seem to be … hmmm. Pathologizing individuality, I think,is the way I’d put it. It kinda scares me.
By: davidrochester on January 2, 2008
at 1:57 pm