Even though Sammie has severe-profound levels of hearing loss:
She speaks well because of high powered hearing aid, speech, and 8 years of deaf education.
With her high powered hearing aid (and Jacob), she is hearing, at best, a moderate level hearing loss. Getting only 35% speech recognition. So she relies on lip reading and environmental cues.
The ear that was implanted, aided, presurgery, she only had 12% recognition.
Sammie cannot hear at all without her implant and hearing aid. She will most likely receive another implant by the end of this year if she decides she wants it.
I hope this helps those of you who are not deaf or hard of hearing to understand the differences in losses and how even a mild hearing loss can be very disorienting and difficult for people of all ages.
For a more in depth simulator, go to http://www.phonak.com/com/b2c/en/hearing/understanding_hearingloss/how_hearing_loss_sounds.html