This morning Becca was, once again, placed under anesthetic--this time for a procedure to place tubes (or "wicks") into her ears. While she was "asleep" prior to the surgery, the ENT physician ran another kind of hearing test, the type conducted on new-born babies to determine proper ear function. Becca's right ear indicated some response to low tones. The goal of the tubes is to provide a means to concentrate the steroids on the area of greatest concern, specifically the inflamed tissue in and around the inner ear. This methodology is actually experimental. There is little documentation about this type of treatment for children as very few young patients have received it. Becca may well be the very first post-meningitis child on whom this direct steroid therapy has been done; consequently, she is serving as a test case. She will be given one drop in each ear every day for a number of weeks. Likely by Friday, Becca will be taken off the IV-infused steroid (which can lead to complications if not stopped in a matter of days).
Just so that you are fully appraised of the situation, over the last few days, various specialists have started discussions about cochlear implants. When the ENT doctor who performed this morning's surgery stopped by Becca's hospital room today, he was guarded in his assessment of the prospects for our daughter's ears. He indicated that hearing loss is an all-too-common outcome for patients who've suffered from the type of meningitis with which Becca was afflicted. He also said that the MRI showed swelling in the inner ear itself (within the cochlea), which suggests conditions unfavorable for a full recovery of her hearing. Medical science's means of dealing with the most severe cases of hearing loss (deafness or near-deafness, where she is now) are cochlear implants. Such devices are like large, partly internal hearing aids that serve to create a kind of "electronic hearing" transmitted to the brain. We are reaching a critical point, and time is of the essence. Meningitis has been known to harden the cochlea in a matter of weeks. May God give us grace.
Dave






