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Speech Language Pathology + Audiology

Pediatric Diagnostic Audiology Service

Addressing Your Child's Hearing & Communication Challenges

If your child has failed a hearing screen or you're concerned that he or she has hearing loss, you want to know what's wrong — and how to make it better. At the Pediatric Diagnostic Audiology Service at Floating Hospital for Children, we can help with your child's hearing and communication challenges.

Our licensed audiologists conduct a variety of diagnostic tests to assess hearing. After determining the degree and type of hearing loss, we discuss the results with you and other physicians involved in your child's care. We then provide further audiological management, such as fitting of hearing aids and/or assistive listening devices at this facility.

Experience with Even the Most Complex Cases

At your first visit, your audiologist reviews your child's medical history and examines his or her ears. Next, we perform a comprehensive hearing evaluation, often times to rule out hearing loss as a contributing factor in developmental delay.

Depending on your child's age, these diagnostic tests may include:

  • Newborn hearing screening
  • Diagnostic auditory brain stem evaluation (ABR), which can be completed under natural sleep or sedation
  • Behavioral audiological assessment, including:
    • Visual reinforcement audiometry
    • Conditioned play audiometry
    • Conventional testing (pure tone air and bone conduction)
  • Speech audiometry
  • Immittance battery
  • Distortion-Product Otoacoustic Emissions
  • Central auditory processing testing

Our audiologists work with Floating Hospital pediatric otolaryngologists and serve a diverse patient population with complex medical histories. This vast experience gives us an edge over audiology programs that typically deal with less complicated cases.

The Massachusetts Department of Public Health has identified our Audiology Department as a Level I audiologic diagnostic center, meaning we can provide some services that other facilities cannot. For example, we specialize in difficult-to-test populations and unique cases, such as auditory neuropathy spectrum disorder (ANSD).

Expertise in Managing Hearing Loss

To ensure appropriate management of hearing loss, we maintain regular communication with:

  • Other doctors caring for your child
  • Speech-language pathologists within and outside of Floating Hospital
  • Early Intervention specialists
  • Professionals within your child's school system
  • Social workers

When necessary, we can call on the expertise of colleagues who specialize in implantable hearing devices and in pediatric cleft lip and palate. We can also refer you to colleagues in the Otolaryngology (Ear, Nose & Throat) Division for additional medical management.

If your child is a patient here, you can count on receiving individualized care — and never feeling like a number.

Susan M McDonald, MA, CCC-A

Susan M McDonald, MA, CCC-A

Title(s): Senior Audiologist
Department(s): Speech Language Pathology and Audiology
Appt. Phone: 617-636-5300
Fax #: 617-636-0583

Diagnostic audiology, implantable hearing devices

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Audrey Winans, AuD, CCC-A

Audrey Winans, AuD, CCC-A

Title(s): Audiologist
Department(s): Speech Language Pathology and Audiology
Appt. Phone: 617-636-5300
Fax #: 617-636-0583

Pediatric audiology, hearing aids, cochlear implants, bone anchored implants

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We value our relationships with referring physicians and will share your patient's test results with you along with our recommendation regarding future audiological care.


Call an Audiologist
617-636-5300