I find that the performance of the poem is only possible through the digital medium of video. While Day or an interpreter could sign the accompanying ASL alongside the poem in a live reading, the experience of the ASL and the spoken word intercutting each other would be lost.
I do feel this intercutting between languages is important to the poem's message since we as the audience are meant to experience what it's like being in between the hearing and non-hearing experience. The editing of the video makes switching between the ASL and the spoken word feel abrupt and disorienting which could be Day's experience as shown by lines like "I saw Joni live & still thought a gay pair of guys put up a parking lot" and "How could I have known You are worthless sounds like Should we do this"