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<channel>
	<title>Sarasera</title>
	
	<link>http://www.sarasera.com</link>
	<description>The Era of Sara...</description>
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		<title>Residual hearing post Medel CI</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/Y6ALDWPmWCE/</link>
		<comments>http://www.sarasera.com/2009/11/residual-hearing-post-medel-ci/#comments</comments>
		<pubDate>Tue, 10 Nov 2009 17:02:13 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=436</guid>
		<description><![CDATA[I just had my 6 month mapping and will post about that soon.  In the mean-time for those who are curious, here is a comparison of my implanted ear&#8217;s audiograms before and after the CI (residual hearing).  Hearing With the CI is 15-25 across the board, 250 to 6000 (they don&#8217;t test 125 [...]]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">I</span> just had my 6 month mapping and will post about that soon.  In the mean-time for those who are curious, here is a comparison of my implanted ear&#8217;s audiograms before and after the CI (residual hearing).  Hearing With the CI is 15-25 across the board, 250 to 6000 (they don&#8217;t test 125 Hz but I can hear that low&nbsp;too).</p>
<p><iframe width='500' height='300' frameborder='0' src='http://spreadsheets.google.com/pub?key=t9D9DkL6wVCoYIaonex2OQg&#038;single=true&#038;gid=0&#038;output=html&#038;widget=true'></iframe></p>

<p><a href="http://feedads.g.doubleclick.net/~a/dGkorF9CdyHNGTzAmfEoO84NqN0/0/da"><img src="http://feedads.g.doubleclick.net/~a/dGkorF9CdyHNGTzAmfEoO84NqN0/0/di" border="0" ismap="true"></img></a><br/>
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		<feedburner:origLink>http://www.sarasera.com/2009/11/residual-hearing-post-medel-ci/</feedburner:origLink></item>
		<item>
		<title>Saxophone Ensemble Video</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/kz33F3jYtto/</link>
		<comments>http://www.sarasera.com/2009/11/saxophone-ensemble-video/#comments</comments>
		<pubDate>Tue, 03 Nov 2009 22:31:51 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Activities]]></category>
		<category><![CDATA[Music]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=431</guid>
		<description><![CDATA[
http://www.youtube.com/saxcase
]]></description>
			<content:encoded><![CDATA[<p><object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/BNNs2nBKTjw&#038;hl=en&#038;fs=1&#038;"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/BNNs2nBKTjw&#038;hl=en&#038;fs=1&#038;" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object></p>
<p><a href="http://www.youtube.com/saxcase">http://www.youtube.com/saxcase</a></p>

<p><a href="http://feedads.g.doubleclick.net/~a/65Xuo5NwLUKROwIl3kW4Uolb8PU/0/da"><img src="http://feedads.g.doubleclick.net/~a/65Xuo5NwLUKROwIl3kW4Uolb8PU/0/di" border="0" ismap="true"></img></a><br/>
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		<item>
		<title>Playing with Google Wave…</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/ee0I32LCKbk/</link>
		<comments>http://www.sarasera.com/2009/10/playing-with-google-wave/#comments</comments>
		<pubDate>Wed, 28 Oct 2009 22:13:13 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=422</guid>
		<description><![CDATA[By now you&#8217;ve probably heard of Google Wave.  It&#8217;s a new &#8220;collaboration tool&#8221; from Google designed to replace email some day&#8230; or something like that.  Right now, to me, it just feels like a cross between threaded instant messaging, a multi-user forum, email, twitter, a chat&#160;room&#8230;  
I&#8217;ve used instant messaging (IM) for [...]]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">B</span>y now you&#8217;ve probably heard of Google Wave.  It&#8217;s a new &#8220;collaboration tool&#8221; from Google designed to replace email some day&#8230; or something like that.  Right now, to me, it just feels like a cross between threaded instant messaging, a multi-user forum, email, twitter, a chat&nbsp;room&#8230;  </p>
<p>I&#8217;ve used instant messaging (IM) for years and years now, since 1996 when ICQ was your internet pager and AOL was just opening AIM up to people outside of the AOL network.  Then came Yahoo IM.  Now I use IM inside of Gmail with Google-Talk and AIM buddies only.  My phone uses BeeJive to connect to AIM, Yahoo and Google-Talk.  I use Twitter to chat with people too, many of them I don&#8217;t know very well, and I think an advantage of Twitter is you&#8217;re not expected to keep a conversation going beyond a sentence or two to each other.  Email has that same feel, no need to reply if you don&#8217;t have more to say.  No need to say goodbye when you&#8217;re leaving your computer.  I think Wave captures that.  It&#8217;s fast when you&#8217;re both present, but it&#8217;s saved for you to get later if you&#8217;re&nbsp;away.</p>
<p>Anyway.  I&#8217;m all for a unified text-based collaboration platform, so if Google Wave ends up being that, that will be excellent.  If it becomes mostly video then hopefully it&#8217;s easy to write along with the video to supplement those of us who can&#8217;t hear video&nbsp;perfectly.</p>
<p>It&#8217;s in an invite-only &#8220;Preview&#8221; right now.  I may have a few invites, so let me know if you are interested.  I expect it to spread to more people pretty fast in the next few weeks and&nbsp;months.</p>
<p>If you&#8217;re already on wave, you can use the box below to say hi <img src='http://www.sarasera.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' />   If you aren&#8217;t, then you&#8217;ll probably see part of Google&#8217;s page about it.<br />

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<p><a href="http://feedads.g.doubleclick.net/~a/9HwVz1TYTA50oJ5iKTJgwovpGVo/0/da"><img src="http://feedads.g.doubleclick.net/~a/9HwVz1TYTA50oJ5iKTJgwovpGVo/0/di" border="0" ismap="true"></img></a><br/>
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		<slash:comments>7</slash:comments>
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		<item>
		<title>Software-as-a-Service (SaaS) and Small Businesses</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/gUNQB1ApFOc/</link>
		<comments>http://www.sarasera.com/2009/10/software-as-a-service-saas-and-small-businesses/#comments</comments>
		<pubDate>Wed, 21 Oct 2009 17:43:50 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Activities]]></category>
		<category><![CDATA[bookkeeping]]></category>
		<category><![CDATA[crm]]></category>
		<category><![CDATA[freshbooks]]></category>
		<category><![CDATA[invoices]]></category>
		<category><![CDATA[mint]]></category>
		<category><![CDATA[outright]]></category>
		<category><![CDATA[saas]]></category>
		<category><![CDATA[slides]]></category>
		<category><![CDATA[small business]]></category>
		<category><![CDATA[zoho]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=419</guid>
		<description><![CDATA[There&#8217;s been a trend developing over the last few years to offer software applications that you can use from just a web browser.  I&#8217;m typing in one right now, Wordpress.  GMail is another.  They have gotten very sophisticated in recent years.  Quite a few benefits are provided too.  The software [...]]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">T</span>here&#8217;s been a trend developing over the last few years to offer software applications that you can use from just a web browser.  I&#8217;m typing in one right now, Wordpress.  GMail is another.  They have gotten very sophisticated in recent years.  Quite a few benefits are provided too.  The software is constantly upgraded without your need to do anything, your data is backed up (hopefully! this might be good to verify in the terms of service now and then), you can access your program and data from any computer and there&#8217;s no need to save the information on the computer you&#8217;re on to see&nbsp;it.</p>
<p>How does this relate to a business?  There are many business-related software programs that now charge a monthly fee and provide their software.  From an entrepreneurial view point I totally respect that business model.  Subscriptions are the way to go.  Especially if they auto-renew.  They&#8217;re stable, and even if people aren&#8217;t using your service they have to remember or make an effort to stop paying&nbsp;you.</p>
<p>From a user standpoint, I don&#8217;t like subscriptions.  I&#8217;d rather pay once and be done with it.  Same reasons, just from the opposing view. <img src='http://www.sarasera.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>From a business point of view though, there is software that you generally must pay for.  A Bookkeeping program, for example.  Quickbooks costs $200 and gets upgraded probably every year.  As a Mac user I haven&#8217;t heard many good things about the program so I was looking for&nbsp;alternatives.</p>
<p>Most of the Software-as-a-Service websites cost at least $20 a month.  Some are as low as $8 a month.  I would love to be able to use <a href="http://www.freshbooks.com/?ref=c11d2fb197284-1">Freshbooks </a>for invoicing, but their free version isn&#8217;t usable (limited to 3 customers), and their cheapest pay version is $19/month.  I can&#8217;t afford that much just to send out&nbsp;invoices.</p>
<p>Lately I am using the free versions of Zoho.com&#8217;s <a href="http://crm.zoho.com">CRM </a>and <a href="http://invoice.zoho.com">Invoice </a>programs.  The CRM program lets me capture customer information from a web form and import it into the Invoice program.  The Invoice program lets me automatically create the PDF version of the invoice, emailing it along with a link to pay through my Authorize.net Payment gateway (which costs too much, I may drop it and just use PayPal).  I&#8217;m close to the limit on the free Zoho Invoice account (5 invoices per 30 days) and may try to find something I can host myself for free (or switch back to just PayPal&#8217;s built in&nbsp;Invoicing).</p>
<p>The best solution I have found from all this is the bookkeeping program I&#8217;m using now.  It&#8217;s called <a href="http://www.shareasale.com/r.cfm?b=172906&amp;u=383834&amp;m=22037&amp;urllink=&amp;afftrack=">Outright.com</a> and is similar to <a href="http://mint.com">Mint.com</a> in that it&#8217;s set up to import your expenses from other accounts.  The difference is it is business focused, so it has reports and tax information built in.  The best part?  It&#8217;s actually free.  (I think their business model is to partner with other SaaS solutions (which aren&#8217;t free) and make money that&nbsp;way.)</p>
<p>In order to get more customers, Outright is currently offering me $5 for each person who signs up and uses the service.  I&#8217;m only a fan of affiliate programs like this for products I actually do use and would right about anyway.  And since it&#8217;s free there really isn&#8217;t a reason not to try it&nbsp;out.</p>
<p>I wrote about my business before here: <a href="http://www.sarasera.com/2009/07/slides-in-a-flash/">Slides In A&nbsp;Flash</a></p>
<p>I&#8217;d be curious if anyone has any great apps they&#8217;d like to share or stories about businesses, record keeping,&nbsp;etc.</p>

<p><a href="http://feedads.g.doubleclick.net/~a/DD_k8K-HAsIYWws1wRImtrKVa7c/0/da"><img src="http://feedads.g.doubleclick.net/~a/DD_k8K-HAsIYWws1wRImtrKVa7c/0/di" border="0" ismap="true"></img></a><br/>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Video</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/UCwkvkoqOAE/</link>
		<comments>http://www.sarasera.com/2009/10/vide/#comments</comments>
		<pubDate>Fri, 16 Oct 2009 18:52:17 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Hearing]]></category>
		<category><![CDATA[video]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=415</guid>
		<description><![CDATA[This video made me smile.  It&#8217;s good to see people in the Deaf community talking about their CI experience.  Warning: I just learned 3 or 4 HINT test sentences from it&#8230; but now that I have a CI I can hear them&#160;anyway. 
Gallaudet Professors Josh and Sam Swiller received their cochlear&#160;implants&#8230;

]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">T</span>his video made me smile.  It&#8217;s good to see people in the Deaf community talking about their CI experience.  Warning: I just learned 3 or 4 HINT test sentences from it&#8230; but now that I have a CI I can hear them&nbsp;anyway. </p>
<p>Gallaudet Professors Josh and Sam Swiller received their cochlear&nbsp;implants&#8230;</p>
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		<feedburner:origLink>http://www.sarasera.com/2009/10/vide/</feedburner:origLink></item>
		<item>
		<title>5 Months with a Cochlear Implant, Music and Lectures</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/50-PX8rnH_c/</link>
		<comments>http://www.sarasera.com/2009/10/5-months-with-a-cochlear-implant-music-and-lectures/#comments</comments>
		<pubDate>Fri, 02 Oct 2009 22:02:49 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Activities]]></category>
		<category><![CDATA[Hearing]]></category>
		<category><![CDATA[Music]]></category>
		<category><![CDATA[bimodal]]></category>
		<category><![CDATA[cochlear implant]]></category>
		<category><![CDATA[PE Exam]]></category>
		<category><![CDATA[saxophone]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=413</guid>
		<description><![CDATA[First things first.  Music with my cochlear implant is way way beyond my expectations.  But I had pretty low&#160;expectations.
Seriously, music sounds great now (5 months from activation).  The CI adds a whole new layer of sounds that I couldn&#8217;t hear before.  It helps bring out the lyrics.  It adds the higher frequency percussion, cymbals, [...]]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">F</span>irst things first.  <strong>Music with my cochlear implant is way way beyond my expectations. </strong> But I had pretty low&nbsp;expectations.</p>
<p>Seriously, music sounds great now (5 months from activation).  The CI adds a whole new layer of sounds that I couldn&#8217;t hear before.  It helps bring out the lyrics.  It adds the higher frequency percussion, cymbals, drums besides bass, harmonicas, all kinds of things.  Yes, more&nbsp;cow-bell!</p>
<p>I&#8217;ve been learning to &#8220;play&#8221; the drums in The Beatles: Rock Band.  My second attempt at a &#8220;rhythm game&#8221;, the first was DDR which I had trouble with because beats weren&#8217;t always apparent to me.  I also tried the Wii Music game but the only instrument I could hear well was the tuba!  Rock Band, at least with Beatles music, is very fun.  I&#8217;ve played through every song on drums on easy and even tried to sing a bit.  The Wii says I sing pretty well, but nobody&#8217;s ever told me that in person!  I guess hitting pitches doesn&#8217;t equate having a pleasant quality to your voice.  I&#8217;ll stick to&nbsp;sax.</p>
<p>When I play my saxophone, wearing both the CI and a hearing aid in the other ear (call this bimodal) it can sound like I&#8217;m hearing double.  The CI has a different quality than the hearing aid, even though they now sound like the same note and both sound good.  With more complex music I notice that the CI picks up some things and the hearing aid picks up others (and with a subwoofer my residual hearing picks up the bass).  All together they make music sound very good, but separately it doesn&#8217;t sound right to me.  The hearing aid alone sounds very quiet still and the CI alone is still a bit thin sounding and sometimes squeaky.  I will say that vocals have improved from having a chipmunk quality to having a Beatles quality (squeaky).  Not sure if listening to Beatles music will improve&nbsp;that&#8230;&#8230;.</p>
<p>I&#8217;m very glad that the time period when I couldn&#8217;t hear half steps when I was playing my saxophone is over.  For the non-musical people, a half step is the space between a white key and a black key on a piano. If you play something a half step off from what it should be it sounds very wrong.  The guy sitting next to you will probably hit you if you mess up too many times because with normal hearing it only takes once to get it in your head that all the upcoming Bs are flat (for&nbsp;example).</p>
<p>Hearing the percussion also helps me stay on track in band.  It helps me hear a beat when out dancing. Salsa is still a weird beat, but when all you can hear is the bass you can&#8217;t figure out how they get 5,6,7,8 out of&nbsp;that.</p>
<p>Speaking of band, I&#8217;m hearing the director much easier lately.  I used to have to focus 100% and guess 50% to hear him.  Now I&#8217;m just understanding.  This is in a large room with excellent acoustics, but probably from 15 feet&nbsp;away.</p>
<p>I also took a class (review for the PE exam) and I think I was understanding quite a bit more than before.  It wasn&#8217;t a great room, and it wasn&#8217;t easy to just listen.  Several of the teachers (we had 4 or 5 teachers over 6 days) had accents, beards, or just spoke fairly quietly.  They also wore a mic, so the amplification would normally have messed with my understanding.  Louder means an echo so doesn&#8217;t help the signal to noise ratio at all.  My biggest conclusion from class was that I&#8217;d definitely want bilateral CIs if I was a student.  Socializing during breaks was easier than normal, but still not that easy if a conversation started up between me and the person I was trying to talk&nbsp;to.</p>

<p><a href="http://feedads.g.doubleclick.net/~a/pGwUXTDLgrzDoMV1lt5fC0gzpXU/0/da"><img src="http://feedads.g.doubleclick.net/~a/pGwUXTDLgrzDoMV1lt5fC0gzpXU/0/di" border="0" ismap="true"></img></a><br/>
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		<item>
		<title>How the CI brands leap-frog each other…</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/hUbhvG6n-tE/</link>
		<comments>http://www.sarasera.com/2009/09/how-the-ci-brands-leap-frog-each-other/#comments</comments>
		<pubDate>Sun, 20 Sep 2009 04:15:17 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Hearing]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=411</guid>
		<description><![CDATA[It&#8217;s nice that there are three brands of cochlear implants.  The competition keeps everyone moving forward.  Cochlear just had a new implant and processor approved, the Cochlear 5.  Here&#8217;s an example comparison posted to one of the mailing lists I&#8217;m on that shows how one brand is catching up with&#160;another.
With the advent of [...]]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">I</span>t&#8217;s nice that there are three brands of cochlear implants.  The competition keeps everyone moving forward.  Cochlear just had a new implant and processor approved, the Cochlear 5.  Here&#8217;s an example comparison posted to one of the mailing lists I&#8217;m on that shows how one brand is catching up with&nbsp;another.</p>
<blockquote><p class="first-blockquote-p">With the advent of the Nucleus 5 from Cochlear, some have asked how slim and light  the  new processor really is  and how does it compare with the other&nbsp;brands.</p>
<p>To that end, a tally, from the manufacturer&#8217;s specifications, of the latest models of the 3 US FDA approved&nbsp;brands.</p>
<p>With all shaped a bit differently, I only compared the maximum thickness,  seemingly the most important consideration, along with&nbsp;weight.</p>
<p>All compared with the lightest rechargeable battery&nbsp;option.</p>
<p>Advanced Bionics  Harmony:       13mm thick     12.9 gm ( PowerCell&nbsp;Slim)</p>
<p>Cochlear Nucleus 5  (CP110):      9mm thick       10.9 gm  ( Compact&nbsp;Rechargeable)</p>
<p>MED-EL Opus 2:                            8.7mm thick     10.1 gm  ( Standard DaCapo&nbsp;Rechargeable)</p></blockquote>

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		<item>
		<title>More about work and motivation</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/wwo8g0SRQJ0/</link>
		<comments>http://www.sarasera.com/2009/09/more-about-work-and-motivation/#comments</comments>
		<pubDate>Sun, 13 Sep 2009 02:57:36 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[rowe]]></category>
		<category><![CDATA[ted.com]]></category>
		<category><![CDATA[Work]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=404</guid>
		<description><![CDATA[Dan Pink on the surprising science of motivation &#124; Video on&#160;TED.com
I love the talks at TED.com.  Not only do they have subtitles in multiple languages on I think ALL videos, they are recorded in such a perfectly clear and high quality way that I can understand them without the subtitles.  Even on my tiny laptop [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.ted.com/talks/lang/eng/dan_pink_on_motivation.html">Dan Pink on the surprising science of motivation | Video on&nbsp;TED.com</a></p>
<p class="first"><span class="drop-cap">I</span> love the talks at TED.com.  Not only do they have subtitles in multiple languages on I think ALL videos, they are recorded in such a perfectly clear and high quality way that I can understand them without the subtitles.  Even on my tiny laptop speakers I understood a large part of this talk just&nbsp;now.</p>
<p>I wish I had watched this when I first found the link to it a few weeks ago, but I&#8217;m glad I watched it now. The part that starts around 15 minutes talks about ROWE&thinsp;&#8211;&thinsp;a results only work environment.  It&#8217;s a very quick summary but very effective in the example he calls&nbsp;out.</p>

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		<item>
		<title>The future culture of work</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/Rofi4p8iGcY/</link>
		<comments>http://www.sarasera.com/2009/09/the-future-culture-of-work/#comments</comments>
		<pubDate>Sat, 12 Sep 2009 18:47:36 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=401</guid>
		<description><![CDATA[This is a very long presentation about work policies at Netflix but you can skim through it pretty&#160;fast.
I&#8217;d love it if I could get my company to adopt some of the freedoms seen here.  80% of my job is done on the computer (reports, CAD, reports, planning tests) and I can work on it anywhere.  [...]]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">T</span>his is a very long presentation about work policies at Netflix but you can skim through it pretty&nbsp;fast.</p>
<p>I&#8217;d love it if I could get my company to adopt some of the freedoms seen here.  80% of my job is done on the computer (reports, CAD, reports, planning tests) and I can work on it anywhere.  But I&#8217;m not allowed to.  Once I even got yelled at for working from home for an afternoon.  The reasoning? &#8220;That isn&#8217;t allowed because then everyone would want to do&nbsp;it.&#8221;</p>
<p>I tend to get &#8220;PMS&#8221; about my job, but overall I enjoy the work a lot.  I just know I&#8217;d be a lot more efficient if I didn&#8217;t feel trapped in a cubicle all day long (not to mention constant&nbsp;interruptions).</p>
<p><img style="visibility: hidden; width: 0px; height: 0px;" src="http://counters.gigya.com/wildfire/IMP/CXNID=2000002.0NXC/bT*xJmx*PTEyNTI2OTQ2MDk5NjcmcHQ9MTI1MjY5NDYzNTk2NyZwPTEwMTkxJmQ9c3NfZW1iZWQmZz*yJm89OTg1MTE3MWIwM2M4NDRkNTliOGQ4YWQ2MWVhMDk4NWMmb2Y9MA==.gif" border="0" alt="" width="0" height="0" /></p>
<div id="__ss_1798664" style="width: 425px; text-align: left;"><a style="font:14px Helvetica,Arial,Sans-serif;display:block;margin:12px 0 3px 0;text-decoration:underline;" title="Culture" href="http://www.slideshare.net/reed2001/culture-1798664">Culture</a><object style="margin:0px" classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000" width="425" height="355" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0"><param name="allowFullScreen" value="true" /><param name="allowScriptAccess" value="always" /><param name="src" value="http://static.slidesharecdn.com/swf/ssplayer2.swf?doc=culture9-090801103430-phpapp02&amp;stripped_title=culture-1798664" /><param name="allowfullscreen" value="true" /><embed style="margin:0px" type="application/x-shockwave-flash" width="425" height="355" src="http://static.slidesharecdn.com/swf/ssplayer2.swf?doc=culture9-090801103430-phpapp02&amp;stripped_title=culture-1798664" allowscriptaccess="always" allowfullscreen="true"></embed></object></p>
<div style="font-size: 11px; font-family: tahoma,arial; height: 26px; padding-top: 2px;">View more <a style="text-decoration:underline;" href="http://www.slideshare.net/">presentations</a> from <a style="text-decoration:underline;" href="http://www.slideshare.net/reed2001">Reed Hastings</a>.</div>
</div>

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		<item>
		<title>Four months, research, music</title>
		<link>http://feedproxy.google.com/~r/Sarasera/~3/xZllkTYAxX0/</link>
		<comments>http://www.sarasera.com/2009/09/four-months-research-music/#comments</comments>
		<pubDate>Fri, 11 Sep 2009 15:28:36 +0000</pubDate>
		<dc:creator>Sara</dc:creator>
				<category><![CDATA[Hearing]]></category>
		<category><![CDATA[Music]]></category>
		<category><![CDATA[Work]]></category>

		<guid isPermaLink="false">http://www.sarasera.com/?p=394</guid>
		<description><![CDATA[Let&#8217;s see how I do with my last post&#8217;s list.  I&#8217;m going to take CI/hearing topics&#160;today.
1. 4 months with&#160;CI
That&#8217;s right.  I was activated way back on May 4th.  I&#8217;ve been in for just 3 mappings since then at 2 weeks, 1 month and 3 months (though all were a bit&#160;late).
My audiogram has remained hovering around [...]]]></description>
			<content:encoded><![CDATA[<p class="first"><span class="drop-cap">L</span>et&#8217;s see how I do with my last post&#8217;s list.  I&#8217;m going to take CI/hearing topics&nbsp;today.</p>
<p><span style="text-decoration: underline;"><strong>1. 4 months with&nbsp;CI</strong></span></p>
<p>That&#8217;s right.  I was activated way back on May 4th.  I&#8217;ve been in for just 3 mappings since then at 2 weeks, 1 month and 3 months (though all were a bit&nbsp;late).</p>
<p>My audiogram has remained hovering around 25-35 all the way across.  I think it is low because my maps are still getting a bit louder each time and they do the test Before I get a new&nbsp;map.</p>
<p>I still prefer the Med-El FSP (<a href="http://www.medel.com/US/Professionals/FineHearing-Technology/index.php" target="_blank">Fine Structure Processing</a>) versus the HD-CIS program.  My audiologists still insist that I keep trying both.  So one of my program slots is still HD.  They both sound good to me, so it&#8217;s just a matter of what I am used to.  Music sounds more musical in FSP.  FSP may also work better with background&nbsp;noise.</p>
<p>On being bimodal (that&#8217;s CI + hearing aid), at my 1 month map my audiologist said I could start wearing my hearing aid again whenever I wanted to, but suggested I decide one way or the other and stick with it.  So I have been wearing both all of the time. Thankfully my CI and HA are working together now.  Originally the CI was canceling the HA out and I couldn&#8217;t hear anything at all through it.  It was strange and scary that even with the CI turned off my HA didn&#8217;t sound &#8220;right&#8221; after the&nbsp;implant.</p>
<p>One thing this has really reinforced for me is that Ear Molds Suck!  My unimplanted ear with the hearing aid is always going through a cycle of scabby, sore, gooey, sore, dried out, scabby, etc.  I think this is worse because I have been swimming at the gym once a week.  My implanted ear is perfectly normal. No ear mold is a nice&nbsp;thing.</p>
<p>At my 3 month mapping I was tested wearing both the HA and the CI in noise.  I scored in the 90s.  With just the CI I scored in the 70s.  So it&#8217;s helping in noise, or maybe the second set of sentences was easier.  It seemed a lot&nbsp;easier.</p>
<p>When making my next mapping appointment (6 months, in November) they suggested I see my ENT just in case I want to talk about implanting my other ear.  I agreed to this because there are monetary insurance related reasons for doing it in 2009.  I&#8217;m trying not to let that influence my decision too&nbsp;much.</p>
<p><span style="text-decoration: underline;"><strong>2. CI #2?  2 CIs versus 1 CI and 1 HA versus bilateral&nbsp;EAS</strong></span></p>
<p>I&#8217;ve seen a lot of articles claiming that a CI + a hearing aid gives you the best of both worlds when it comes to sound, especially music.  I&#8217;ll agree that this has been my&nbsp;experience.</p>
<p>We went out dancing at a club in Washington, DC last weekend.  Instead of the normal bass that sounds the same with or without my hearing aids, the CI was adding the rhythm section to it.  It was a nice effect and helped me appreciate the faster beat that&#8217;s on top of that boom boom boom of the&nbsp;bass.</p>
<p>I asked my audi about CI+HA versus 2 CIs and she suggested I contact a researcher.  Small world, he was someone I had emailed with last spring.  I owed him an&nbsp;updated.</p>
<p>His answer was that you can&#8217;t make any kind of decision without knowing exactly how well you&#8217;re doing right now.  Just CI, CI + HA, HA in implanted ear + CI + HA.  But his gut feeling was that Two CIs are great for localizing sounds, but One CI and One HA are better for lower tone quality and hearing in noise.  He also said that they have been very impressed with  CI + bilateral hearing aids.  But that 25% of people who preserve residual hearing after implantation are still losing it later&nbsp;on.</p>
<p>In the end he asked if I&#8217;d be itnerested in visiting the Mayo clinic for some research at some point, so I&#8217;m waiting to see if that gets set&nbsp;up.</p>
<p>My own feelings, the CI provides SO MUCH sound, and it does not sound bad at all.  It sounds very normal apart from the timbre of music sounding different than before.  If I can get use from a hearing aid in the implanted ears that would be the best of both worlds&#8230; but we will see.  Technology is always changing&nbsp;too.</p>
<p><strong><span style="text-decoration: underline;">3. Music lately </span><br />
</strong></p>
<p>With bimodal hearing music sounds better than ever.  My hearing aid ear picks up the sounds I&#8217;m used to hearing and the CI adds the higher sounds I&#8217;ve not heard in&nbsp;years.</p>
<p>Some singing voices still have a bit of a chipmunk-like tinge to them&thinsp;&#8211;&thinsp;not in pitch, just in&nbsp;quality.</p>
<p>The sound &#8220;Oooooooo&#8221; never sounds&nbsp;right.</p>
<p>Some instruments have a harmonica-like tinge, or a squeaky violin&nbsp;timbre.</p>
<p>Sometimes listening to a single instrument, or playing my saxophone alone, I will hear double.  The HA and the CI have different qualities and in some frequencies my brain doesn&#8217;t automatically blend them into the same single&nbsp;sound.</p>
<p>For a while I couldn&#8217;t hear the difference between two notes that were a half-step apart when I was playing.  This resulted in many jabs from the people sitting next to me.  I seem to have gotten over that now.  I need to do a listening test to see how my pitch recognition has&nbsp;improved.</p>
<p>I also bought a pair of t-coil headphones of the type that stick behind your ears.  I think the quality of the sound on these is better than the sound that comes through my Med-El direct input cable. Not sure.  Maybe a richer&nbsp;sound.</p>
<p><strong> <span style="text-decoration: underline;">10. Using the phone, for work, for home,&nbsp;CapTel</span></strong></p>
<p>I&#8217;ve never been a fan of the phone.  At some point I will probably decide that it makes my life at work easier to use it&#8230; but the way things are now, my boss loves to make phone calls and so he does that all day while I type reports on the computer (something he &#8220;can&#8217;t&#8221; do, he writes things by hand and the secretary types them (even though she isn&#8217;t really a&nbsp;secretary)).</p>
<p>I still call the Cochlear listening line to see how things are sounding.  This week one of the lists was impossible.  Ought, It, Ash, Own&#8230;&nbsp;yikes.</p>
<p>At work I have an old school CapTel phone set up with 2 lines, but the ringer is turned off and I don&#8217;t take incoming calls.  If someone leaves a voice mail I will call in to see what it is.  If I could get the new CapTel that works with our digital phone lines and the internet I might be able to see caller ID and that would be excellent.  I hate not knowing who is calling&thinsp;&#8211;&thinsp;it makes it impossible to predict the&nbsp;conversation.</p>
<p>On another note, I love my Google Voice line.  The transcription doesn&#8217;t work perfectly, but it highlights the text as it plays the recording so you can try to follow&nbsp;along.</p>

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