Hien tries out the otoscope donated by Sunshine Cottage delivered by Jacque Patton.
Audiologist Jacque Patton poses for a photo with grateful people at Hand in Hand.
GFCHL Mobile Mission Audiologists with Hien and Maryanne at Hand in Hand.
Rehabilitation center pool
Rehab Center doorway with shoe rack
"hen gap lai" -- "see you again"
At 8 am the GFCHL Mobile Mission team members meet in the hotel lobby as usual. We say good-bye to our director, Paige Stringer, because she is going back to HCMC early to meet with her doctor regarding the recovery of her broken kneecap.
Jacque, Sophia, and I have not seen the Hand in Hand center. Maryanne arranges for us to have a tour or her center before we go to the Rehabilitation Center today.
See the pictures of this organized Early Intervention Center. It looks like a great place to do listening and spoken language therapy with an audiology booth on the first floor. I love the homey feeling to this friendly building.
Over at the larger Rehab Center which services 150 children, 45 children with hearing loss and just 12 Early Intervention kids, I find my team of teachers who have been listening to me all week. These ‘teachers as learners’ are not all “teachers of the deaf”. As I understand it, only a few of my ten are actually full time “teachers of the deaf”. Some teach older HI kid – one with a class of 18 yr olds, one with a class of 10-12 yr olds. Some teach autistic kids. Some have mentally delayed students. One is a professor at the university in Nha Trang. One is the assistant to the principal of this center. A couple I am not sure what or who they teach.
The fact that there is no one person focusing on being an “Auditory-Verbal Therapist type” disturbs me. For, it is over 35 years now that I am specializing in this kind of therapy. Even though I have a degree in Speech-language pathology and learn from the best professionals in the field, even though I read and read re-read every book I can get my hands on about this therapy, and talk with my colleagues around the world about cases and therapy ideas, I know I still need to learn more in order to do my job well. How can anyone do this “part-time” and answer the needs of these parents who require such specific guidance in understanding audiology, speech pathology, hearing aids, cochlear implants, deafness, developmental milestones, speech acoustics, behavior modifications, lesson planning, diagnostics and everything else?
I wonder if what I am sharing this week is really helpful to them in their specific line of special education teaching. I do not find out that they are not all Early Intervention teacher/therapists for children with hearing loss until Thursday of this week.
Now I understand why they had no idea about what Judy and I were lecturing about in auditory memory and listening development. Now I see how they could allow the Early Intervention preschool to be in such a noisy classroom with airplane flying over every other minute. There is no one thinking about the Ten Principles of Auditory-Verbal practice here. Do they really not know about this basic information?
This is like the dark ages of teaching – like when Jim and I started into the field in the 1970s. Fortunately we met Dr. Daniel Ling, PhD, who captured us with his charisma. Jim studied with Dan at McGill University, had his practicum experience with Judy Simser at CHEO. I taught at the Montreal Oral School with principal, Doris Leckie. Jim and I then spent a year being trained by Helen Beebe in Pennsylvania. Working with these master clinicians awakened in us the possibilities for children who have even a tiny bit of hearing. We learned auditory-verbal principles and techniques. Our students started to learn to listen and talk. We learned to teach “through the parent”.
Jim and I keep on learning as our field changes during the next decades. We have many teachers along the way. We are still learning, but this is our specialty. Parents who choose to work with us know that all we do is think of ways to make the job of coaching them easier. We love our jobs. We love learning how to do our jobs better.
Perhaps these teachers do, too. I can hope that what I share with them this week is expanding their knowledge. I am a bit confused as I came here to train teachers who are working with ‘deaf kids’. That is my mission.
The children I see these weeks in Vietnam are some of the most deaf I have ever seen – so many with profound losses. Really, all we saw are those with profound deafness. I tell the teacher in my country all these kids would get two cochlear implants.
When I explain that every kid I teach can repeat the Ling 6 Sounds from at least 15 feet away, they are surprised. If they don’t here the sounds, my studnets get an implant. Because I work with infants and their parents, the kids learn to listen well. By the time they are age 3 or 4, they speak well. They sound “normal” and go to regular school.
I caution them about being completely auditory with their students in Vietnam because, if the child cannot hear all the sounds across the speech frequencies (all the Ling sounds), then it is not really fair. Now that technology is available, get the correct technology for listening well. We must use technology to help us.
The correct hearing aids or cochlear implants might not be an option for children in Vietnam. Did I hear that there is only 1 certified audiologist in all of Vietnam? I know there is not even 1 certified auditory-verbal therapist in this country. Now I am questioning the value of my work here.
I throw this out for discussion with my team of teachers. The professor says; “It’s impossible!” I nod my head to show that I do understand how he feels, but respond with one of my favorite quotes; “I think nothing is impossible, in fact in my language, the word “impossible” has the word; “I’m possible” in it!”
They serve us a delicious lunch. We meet for one more lecture, question/answer time, and the 'post test"!
We had out certificates. They honor us with gifts and speeches.
I say; "Thank you for listening to me all week. What a great group of teachers! I hope you understand more about Auditory-Verbal Therapy and the opportunities for listening and spoken language development for children who are deaf. I hope you can develop a fund to raise money for cochlear implants. I hope you can establish a full-time Auditory Skills teaching position at this center. I hope you can help the parents by giving them more information and more to do. I really love being part of this Mobile Mission Team. None of this could happen without our director Paige Stringer and the Global Foundation for Children with Hearing Loss. Thank you all."
I think I said some thing like that!
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