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Hello @mtnyankee! I absolutely think you should speak with a surgeon who specializes in cochlear implants.
Here is a story about a patient who also had a hard time hearing and communicating in different environments and did end up consulting with a surgeon and had a Cochlear Implant placed. I had the chance to meet with her and had a lovely talk about how the process changed her life. Please take a look- https://sharing.mayoclinic.org/2018/04/27/cochlear-implant-allows-judith-collins-to-relish-her-life-again/
Also, you may be interested in this Q&A where Dr. Matthew Carlson, ENT surgeon at Mayo Clinic, discusses Cochlear Implants. https://www.youtube.com/watch?v=pion0v4JnRE
And then here is some information Mayo has available on the .org web page. https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
Do you know of anyone that has had a Cochlear Implant, so you can talk with them about their experience?
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Ah-ha-ha-ha-ha! How funny! I started to watch the Q&A and am still laughing! Rolling on the floor laughing, really. There is no way to get captioning/subtitles. It's hilarious to me that here we are talking about cochlear implants, most of the audience being profoundly deaf or having profound difficulties understanding speech and these experts are talking way fast, not facing the camera and no subtitles. The irony tickled my funny bone.