It is later revealed that Spike's hearing loss is the result of a chromosomal abnormality, not the car accident, when Spike goes to have Cochlear implant surgery.
After taking Spike to get Cochlear implant surgery to restore his hearing, Kendall is horrified and guilt-ridden when Dr. Joe Martin reveals to her and Ryan that Spike's hearing loss was in fact caused by a chromosomal abnormality and that it was purely coincidental that the abnormality manifested itself at the time of the car accident.
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He lost his hearing in the 1950s when testing a high Muzzle velocity Rifle for the British Army, until recently, when surgery to fit a cochlear implant allowed him to recover some of his hearing.
However, for post-lingual deaf their experience with visual cues like lip reading can help them understand speech better along with the assistance of a cochlear implant.
Ramesh C. Deka has helped many other centres in India in developing the facility of doing Cochlear implant surgery and rehabilitation of the deaf persons, such as in Post Graduate Institute of Medical Education and Research, Chandigarh ; Railway Hospital, New Delhi, Army & RR Hospital, New Delhi.