Addison's Fourth ABR

Addison had her fourth ABR this morning.  It has been an adjustment of care since we got to Las Vegas, mostly in just how different things seem to work here.  We finally figured out all the right steps to get her with an audiologist both on and off base.  The audiologist she sees off base was very concerned that her right ear wasn't aided given the scores of 25 (for a child the normal range should be between 0 - 15).  We discussed the reasons it had not been but also that it was something we wanted to be very watchful of and our concern was that it needed an aid now as well.  Addison seems to want to talk, she makes a lot of noises, unfortunately many of those noises are just grunts and it gets frustrating for her and for us.  We of course are trying to do the simple signs we did with both boys with her, but some days she simply refuses to even try to do the ones she knows (milk, more) and just screams at you.  So it appears the girl wants to talk and isn't going to be happy til she figures it out.  Determined little girl, huh?
Well we saw the audiologist on base who could do the ABR for us, the only audiologist off base that does ABRs on children so young, does not accept our insurance).   Her audiologist on base was on board with getting it done and making sure if there was any increase that we take steps immediately to get the other ear aided.   So this morning was the big day, Addison and I left for the hospital at 6 and checked in by 6:10 - then waited.  The wait wasn't too long and despite not having eaten this morning Addison was in good spirits.  They took her back a little before 730 to sedate her and begin the ABR.  A little before 9 I was sitting with her in recovery, she did great.  The nurses kept saying how they wished all the babies were so good - she likes to snuggle.  We sat til she was ready to leave and now are home and she's already taking another nap, getting sedated certainly wears you out!
So the results were for a definite moderate loss in her left ear, Dr. Baker didn't have the report printed but said it was 50 - 60 across the board.  I believe in May, the left ear was 45 - 50 so we could have a slight increase but not much (and I think that was what January's results were).  In her right ear, there were two or three frequencies that had a 30 and 40 reading, mostly high frequencies but enough that her audiologist felt it was appropriate to get her an aid for her right ear.  She had never requested the referral for a hearing aid and wasn't 100% on everything that was involved and what Tricare's standards are (a loss of 26 according to the letter we received in Feb. at 1 frequency) but did think an aid would benefit Addison and was going to get started on that this afternoon.  We'll go in this week to have her current hearing aid adjusted to the latest test results and hopefully being seeing the off base audiologist soon with the referral for a new aid (the base can't order them for patients this young)