Yeah his hearing is fine, like I said, I can ask him to do something and he knows what to do, understands fully. This morning before I left for work I asked him to go put his cup in the fridge if he wasn't going to drink anymore milk and he went and did so. The kid is smart and knows what you're saying and understands stuff. He knows words, the little bugger just refuses to say them and acts like he doesn't know them...but he does on account he's used them in the past and then progressed in not wanting to use them anymore.
If I ask him to do anything he'll do it, unless I say "Noah, can you ask for more -insert item here-" And he gets all mad and will slap his leg in a frustrated manner. He's getting better with the more thing though, Early Childhood development has got him using sign language along with the word as well and he's now beginning to use that more.
You're right about the ego thing though, having raised 2 kids before him with everything going well with them, it was hard to think I wasn't doing somethign right with my youngest. After having that run through my mind for a few minutes I put it aside and knew I just had to do what was best for the little guy.