You don't need to be signed in to read BMJ Group Blogs, but you can register here to receive updates about other BMJ Group products and services via our Group site.

Cochlear Implant: On!

14 Dec, 12 | by Iain Brassington

A few weeks ago, I linked to a post on William Mager’s blog in which he said (a) that he was about to have a cochlear implant fitted, and (b) that he’d write about the experience as it progressed.

I don’t know how many readers of this blog followed the link or subscribed; for those who didn’t, I thought I’d just point you in the direction of the latest update.  In short: the implant was fitted; it was turned on; it was… unexpected.  Not completely pleasant from the word go, and a little odd.  But also… well:

I spent an hour yesterday walking round the house tapping different surfaces with a wooden drumstick. Before, with a hearing aid, I’d have heard these taps simply as a ‘tap’ sound. But I had a eureka moment when I realised that tapping a wooden stick on a wooden surface sounded different in pitch and tone to tapping on a glass surface, or a metal surface. Of course, I knew that was the case – but this was the first time ever, EVER… that I’d actually heard that and been able to distinguish so clearly between the different sounds.

That has to be a little bit magical, doesn’t it?

On the other hand, what he can hear is limited.  And so

[n]ow I’m sitting in a world of silence, punctuated by random, violent bursts of sounds that I’ve never heard or experienced quite in the same way before.

What I’m experiencing now isn’t hearing as I imagined it, or as I’ve known it for the last 30 years. It’s completely different, and it’s making me feel really tired and disconnected from everything. I’m finding it really hard to concentrate, to hold on to a specific thought for a long time. [...]

Most disconcerting of all is the dawning realisation that what I thought I was hearing for the last 30 years of my life wasn’t actually hearing. It was just compressed, distorted garbage noise through a hearing aid. What I’m feeling in my head now is much, much closer to actual sound, but it isn’t sound.

I’m fairly confident in my hunch that being able to hear is on the whole preferable to not being able to hear; though there might be times when not hearing is preferable, being able to do so at least gives you the choice – which raises the intriguing possibility that someone with a device that he could used to switch his own hearing on or off might be, in that sense at least, very well off indeed: better off than someone with no ability to hear and someone with no ability not to.  (In just the same way, having a car is good all else being equal, even if there’re times when walking is preferable, because you have the option of using it.)

But still: it’s worth keeping in mind that the process of restoring – or instilling – hearing isn’t a straightforward leap from position A to more desirable position B.  There’s an ambiguity about it.  Even granted confidence that B is more desirable, we can’t take it for granted.

 

By submitting your comment you agree to adhere to these terms and conditions
  • http://www.facebook.com/john.d.walker1 John David Walker

    I’m not sure. What does this say about people like me who used to hear (I was partial hearing before) and quite happy to live in silence today. I do worry when people make blanket statements that ‘being able to hear is on the whole preferable to not being able to hear’. Doesn’t it depend on the person and what part ‘hearingness’ play in their lives. I don’t think the author has gone far enough into medical ethics and the consequences of uses terms like ‘preferable’.

  • http://www.law.manchester.ac.uk/aboutus/staff/iain_brassington Iain Brassington

    I’m not sure what you mean by not having gone far enough into medical ethics… but, anyway…
    Of course, I wouldn’t want to deny that a life without hearing can be quite straightforwardly a good life. Still, in one of my few concessions to someone like John Harris, I do tend to think that having more options is better than having fewer – hence the little thought experiment about someone with a device that allows them to hear or not hear at will. (The same might apply to other senses, too…)
    But I am only thinking aloud here – and, of course, tacitly inviting people to add either substance or nuance to that. :)

You can follow any responses to this entry through the RSS 2.0 feed.

Latest from JME

Latest from JME

Blogs linking here

Blogs linking here