That phrase can be perceived positively.
Like there is no change in location or no change in the time of the event. Everything is as expected, no need to switch your plans.
Or negatively.
There is no change in the diagnosis or no change in my answer. "Yes, kids we are going to the doctor, the plans did not change".
In Hannah's case it's a both/and.
Hannah had a sedated hearing test a few weeks ago and there has been no change in the hearing in her right ear.
But also, there has been very little change in her speaking ability.
Her speech therapist calls Hannah a puzzle. She does everything in her knowledge box to help get Hannah to say more sounds, but the tricky thing is, some days Hannah talks a lot and other days she is completely silent.
And no one can figure out why she does it.
Is it because she can't hear us?
Does she not want to hear us?
Is it because she's two and just doesn't feel like speaking at that time?
Yes, a puzzle.
In a meer 3 months Hannah will have completed her early intervention therapy and will be ushered into preschool.
This preschool will be specifically designed for kids with hearing loss and I do believe that it will make Hannah speak more. The daily routine of school, the pressure from her peers, etc.
Right now the professional opinion is not to move forward on implanting Hannah's right ear. The doctor thinks her hearing aid is giving her enough amplification to allow her to hear well.
I tend to agree.
We will continue to check it every 6 months.
There are no reasons to think that Hannah won't speak, and it does seem like she understands everything that is being said, so again it's a puzzle.
One that is hard to be patient on putting together.
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