On top of everything else that was going on during Ben’s first 15 months he had been plagued with chronic ear infections. We had gone through almost every form of antibiotic available to young children, and were desperate to find some relief. Ben’s doctor referred us to one of the leading pediatric ENT guys in Richmond to see if there was anything we could do to ease this problem. Dennis and I were sure they were going to suggest that we have tubes put in Ben’s ears to help the drainage and we both hated the idea. However, things were becoming almost unbearable. We were surprised to find out when the doctor did his evaluation that he thought there may be significant hearing impairment beyond the hearing loss that Ben was experiencing from the fluid in his ears. Not only did he want to have tubes inserted in Ben’s ears, he also wanted to do an ABR on Ben as soon as possible.
An auditory brainstem response (ABR) is commonly used to check for hearing loss in children; specifically infants and small children. In order to process sounds, electrical impulses are transmitted through nerves from our ears to the brainstem at the base of the brain. An ABR is a measure of the brainstem’s response to sound. It tests the integrity of the hearing system from the ear to the brainstem. The test is performed by placing four to five electrodes on the child’s head, after which a variety of sounds is presented to the infant through small earphones. As the hearing nerve fires, the sound stimulus travels up to the brain. This electrical activity generated by the nerve can be recorded by the electrodes and is represented as waveforms on a computer screen
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. The audiologist can then present different loudness levels of each sound and find the softest levels at which the infant can hear.
Dennis and I were still skeptical about the tubes and asked if there was some way we could avoid having to resort to it. He agreed to put Ben on a three-week regimen of Bactrim (practically the only antibiotic we had not used) to see if that would clear up the fluid. However, if it didn’t work he highly recommended the tubes. Besides, he would be unable to conduct the ABR and be confident of its accuracy unless the fluid was gone.
Decisions….Decisions!
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