So, a while ago, in the birthday post, I mentioned that Laura needed to have her hearing tested. Here is the update. She can hear better than Emma. Laura has some pressure behind her ear drums, has a slight disruption in one of the frequencies, and she can get a peak on the hearing test (it is in the wrong place on the chart, but a peak is still good). Not too much to worry about at this point. We will work on some early speech interventions with her at home, and will follow up at 18 months.
Emma is a different story. She had surgery today for the third time. She has chronic fluid behind her eardrums. Her first set of tubes, when she was 18 months old, lasted less than five months (should of lasted about six). After the tubes came out of her ear drum, she had to have the tubes and lots of wax removed from her ear canal by the doctor, because they were so plugged up. She was on antibiotics for ear infections for five months and then had her second set of tubes put in, and adenoids taken out, hoping to give the fluid from her ears more room to drain.

She had a follow up with the ENT a couple weeks ago because of a small lump she has in front of her ear (that turns out to be a slightly swollen lymph node and nothing to worry about). I noticed the lump in April. The doctor checked it then and wanted to follow up six months later. As they were doing a follow up on the little lump, the doctor wanted to clean out her ear canal again. It was full of wax and he wanted another doctor to be able to see her ear drum if needed (it is cold and flu season). She remembered the first time, and was a little scared. Along with too much wax he also found that the second tube in her left ear had come out, and her ear was again infected. He sent her across the hall to the audiologist (that Laura and just seen) to do another hearing test. Once again she flat lined the test, which means there was so much fluid behind her eardrum that the vibrations and sound could not get through, and she could not hear with her left ear. (The timing was just as she switched school programs, so it was hard to know that the increased signing and less vocalizing was because she couldn't hear, not just because she didn't like her new teacher.) With a ten day dose of amoxicillin and surgery scheduled again we came home. The second set of tubes should have lasted about a year, but the left one lasted for about six months.

Today Dr. Scheuller put in her third set of tubes. He replaced both left and right. Emma checked in at the front desk by telling them her name, and then knew she got to pick a little stuffed animal. She knows the drill. She has never lasted in the little wagon to go to the surgery room, she can tell the doctor is walking away from mom and dad and has bailed and jumped out. Today I told her I would take her picture in the wagon. She liked the camera attention and by the time I was done taking pictures, she was at the end of the hallway and gone.
After the surgery she has to stay in recovery until the nurses think it is okay for her to go, between 30-60 minutes. Her recovery room time went really fast this time. Last time I noticed the books in the recovery room were a bit dumb (what little kid wants to know about the shape of hair follicles?), so I packed an activity bag with her doll, some books, colored pencils, a notebook, some stickers, etc. Lee overheard some of the nurses talking and one of them said "I want to be her nurse, she is in there talking to her mom and dad and coloring..." Emma said

she had to go to the bathroom and so we went to go find it. Our nurse saw us and showed us where it was, then she said, "I guess when you get back we can discharge you." On the way back to her room (well more like her area), Emma kept pointing to all the other patients that we passed. She was signing hurt, and sleep, and quiet. She really was doing lots better than they were. I am so glad that she has a little-no-problem-but-let's-check-it-in-six-months-lump and we got her back in the land of the hearing. The tubes they used this time should last between 18-24 months.
For the rest of the day today, Emma has been singing, I know that looks like signing, but it says singing. Tyler and Andrew have been telling her to be quiet. I told them it is exciting that Emma can hear again and they should sing with her. About five minutes later we repeat the process. Sing, Quiet, Sing too. Repeat.