Kudos AKAkatydid! twinmommy+1 : u're absolutely correct. There are even handheld gadgets that changes heart sounds to actual visual sine waves (looks almost like an amp meter) .. personally I use an E-scope II which pumps up the volume to up to 120db (I have a 75db bilateral loss since 3yo) No doubt, it is more difficult and I've been lucky to work in a small hospital so some changes here and there, plus a handy addition of a tty, have enabled me to do my job with relative ease. With regards to educational accomodations, thanks to the ADA of 1990, public institutions are required by law to put in place any form of assistance (ie note takers, interpreters, CART) to disabled students. Like that one Deaf medical student in Florida.. he had an interpreter all through med school.. cool stuff just adding my 2 cents worth :)