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Never Give a Person with Parkinson’s a Straight Razor or Even a Safety Razor

The seed of the idea for this post was planted several months ago when I was at a podiatrist’s office. My tremors were really acting up that afternoon, so the doctor noticed them immediately. He asked me what was wrong. I explained that it appeared that I was in the beginning stages of Parkinson’s.

As he was examining my feet, he asked me why there was a small chunk out of the end of one of my toes. I sheepishly explained that I had done that while trying to clip my toenails. He stopped his examination and in a stern voice, with an even sterner expression on his face, he said, “Don’t you ever try to clip your own toenails again.” With a somewhat more friendly voice, he asked me how I trimmed my beard. I told him that I used an electric trimmer. He smiled and almost with a laugh said,”I wouldn’t recommend a straight razor or even a safety razor for you.” I thanked him for his concern. However, the seed was planted.

It didn’t break into bloom until this past week, when I spent two days in a hospital getting a pacemaker implanted into my chest. I am very fortunate to have received one of the new MRI compatible pacemakers, because with my history of brain problems, I will have many MRI’s in the future. In fact, one is scheduled for June. The doctors and nurses went over the big items on how to care for the new type of pacemaker before I was released—like don’t go through the airport security scanners, or even let the TSA workers pass a hand scan over the implant area, or don’t carry my cell phone or pda in my left front shirt or jacket pocket. I am not supposed to lean up against a microwave oven when it is operating and I am not supposed to operate a chainsaw, which I had stopped using before the pacemaker implant. I had also been somewhat uneasy about using my table saw or jigsaw, not knowing when a tremor was going to appear.

The pacemaker instruction booklet said that I am not supposed to be anywhere in the vicinity of a large magnet. I guess that takes away the possibility of me getting a job in an automotive salvage yard, picking up wrecks with the large magnet and dropping them into the crusher.

When my wife and I got home and we started reading the fine print in the instruction booklet, we were taken back at some of the instructions. They said to keep anything that used a base charger (magnets with no direct contacts) at least six inches away from the pacemaker site. It sent my wife scurrying to get a tape measure, because my cell phone, tooth-brush and rechargeable electric beard trimmer are base charged. If I hold my head up, and don’t droop it while I am brushing my teeth, it appears that I’m safe there. I will have to remember to use my cell phone with my right ear, which may complicate matters somewhat when I need to take notes since I am right-handed.

The beard trimmer is another matter. The neck line of my beard is much closer than six inches from the pacemaker site. If I have to give up my current beard trimmer, what am I supposed do? I then remembered the helpful suggestion of the podiatrist. I quickly decided against a straight razor or even a safety razor. It looks like my wife and I are going to have to go shopping for a plug-in razor-trimmer (not the rechargeable kind). In the meantime, the stubble on my neck and cheek has started to re-grow and it itches.

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Near Disaster Adverted

After this weekend, I may be off-line for the better part of a week or maybe more. On Tuesday, I am having a pacemaker implanted. My cardiologist finally said, “it is time to fish or cut bait”. The invention of an MRI compatible pacemaker and a near disaster this past Sunday made the decision to go ahead with the pacemaker easy. For the first time in months, I had what could be clearly identified as a seizure. Although the seizure itself was very mild, the results frightened my wife. We were ready to go to church, when I remembered that I had left my  ideas notebook that I try to carry at all times (because I never know when I will get an idea).  upstairs on our head board. So I went upstairs to get it. Our bed is located in a small alcove in our bedroom. So I walked between the bed and the outside wall up to the head board. I picked my notebook and pens and put them in my shirt pocket. When, I turn around and start to walk back to the foot of the bed, I found that I couldn’t walk. All I could do was shuffle my feet which is not atypical of Parkinson’s patients. As I slowly approached the foot of the bed, I stopped shuffling because my right foot wouldn’t move at all. In frustration in a moment of an imposed application of will, I forced my right foot to move. With that exertion, I lost my balance and started to fall backwards. In that fall I sat in our second story bedroom widow breaking the glass. I grabbed the window frame so that I didn’t go all the way through the window. My wife, Elaine,  heard the glass break and yelled, “What did you do?” I yelled back, ”I broke a window.” By that time Elaine was running up the stairs yelling, “How did you do that?” All I could think of was to say, “I sat in the window.” To which Elaine asked, “You did what?” I couldn’t think of anything quick enough to respond to her, so she kept yelling, “Are you okay?” I didn’t say anything, but waited until she got to our bedroom. She looked at me sitting in the window with my hands still gripping the window frame and she yelled, “What happened.” I tried to calmly explain what had happened. Now that I reflect on this scene, according to the TV commercial, this would have been a perfect time for a Twix to give me time to think of a good answer that I didn’t have on the spur of the moment.

Elaine went about cleaning up the mess on the window sill and floor. Apparently our mini-blinds and my Sunday clothes kept me from getting cut by the chards of glass that were everywhere. Since this occurred on a Sunday morning and it has rained or snowed every day since, we now have a boarded up window in our bedroom until we can have someone come and put in a new window pane.  In our old house with its old windows, the glazing is on the exterior side of frame, so the glass pane must be installed from the exterior. The boarded up window is a constant  reminder to  us of God’s care.

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Relief Through Reading – Part II

For my first excursion after many years into what I thought would be recreational reading, I chose a book I saw on the New York Times Best Sellers List that sounded interesting. It was a novel by Emma Donoghue, entitled “Room.”

If recreational reading is reading for fun and enjoyment, it is hard for me to call “Room” recreational reading. However, I have to label it recreational reading in my taxonomy, because it definitely isn’t informational or work-related, at least at first glance. I will explain this a little later in this posting.

After getting started on the book, I found myself having a hard time putting it down. I found myself mimicking my wife, reading for hour after hour, trying to either get through the book or at least to a good stopping point. When I finished the book, I returned the favor to my wife by telling her, “You’ve really got to read this book. It will disturb you, but you will like it.”

Since we had gotten the book from our local library and there was a long list of people who had reserved it. My wife picked it up immediately and finished it before we had to return the book to the library. My wife admitted that it did disturb her, but that she liked it so much she recommended the book to her book club as a future choice for a book of the month.

The story line of the book revolves around a five-year-old boy named Jack who has lived his entire life in an 11×11 room with his mother. They are captives of a deranged individual who abducted Jack’s mother when she was a teenager and imprisoned her in this specially constructed room that had one door and only one window, a skylight. For more than eight years ‘Ol Nick’ would come in the room at least once a week to bring food and molest the frightened young woman who had no way of escape. Because of these sexual advances, two babies are born in the room. Only Jack survives and we pick up the story when he is five-years old with all the normal curiosity of a young boy, but no knowledge of the “outside world” other than what he can see through a skylight, a black and white TV with limited reception, and a few National Geographic books. ‘Ol Nick’ knows of his existence but Jack’s Ma shields Jack from ‘Ol Nick’ by making Jack hide in a wardrobe every time ‘Old Nick’ comes into the room. When Jack starts asking Ma about the outside world, Ma begins concocting a plan of escape.

As I continued to reflect on the book and its story, I began to discover applications of the story to higher education and to my life. I kept finding rooms that had been constructed to imprison people and keep them from fully developing and enjoying the outside world. Most of those rooms were not physical rooms, but they were prisons all the same. In the posting by Finding Strength to Stand Again, entitled, “Hitting my head on Glass Ceilings” : http://findingstrengthtostandagain.wordpress.com/2011/02/17/hitting-my-head-on-glass-ceilings/,

we see rooms that have been constructed to keep those people with challenges “where they belong.”  In her Glass Ceilings posting, the author talks about how she has been shut out of employment because she is different. She has a disability.

These rooms are difficult to see, hence the name “Glass Ceilings” They are metaphysical rooms, but they are just as real as the room ‘Ol Nick’ used to imprison Jack and his Ma. I know because I have experienced several of these rooms recently. The law says people who are aged challenged and physically challenged are members of protected classes in terms of employment. However, if I were to submit my resume for a job opening that I was perfectly qualified to fill five years ago, I wouldn’t even get an interview today. I know because three years ago I was looking for a new job as a chief academic officer at a college or university. Even though I had an outstanding resume from my 40 years of work in higher education, and was well-known in the Christian college and higher education assessment circles. I had a difficult time convincing some institutions to even give me an interview. I know that my age was a problem. When I finally did get two interviews, one of the first questions that I was asked at both institutions was, “How long are you planning to work?” I told people who I could not promise anything, but that I planned to work for another seven to ten years. At that time, I felt that was quite doable. I felt good and I had maintained a rigorous physical exercise routine for more than 50 years. One of the great advantages of working in higher education is the availability of a gym. Until my knees finally gave out and I couldn’t find a surgeon who would operate on them for a fourth time, I played an hour of competitive basketball five days each week. In life after basketball, to keep up my workouts, I switched to a recumbent stationary bike. In my first year on the bike at age 62, I racked up more than 10,000 miles pedaling more than 30 miles per day.

Paraphrasing the 1970’s hit of the Five Man Electric Band, “Rooms, rooms. Everywhere rooms; keeping me in my place; playing with my mind,” I can hear a new acquaintance that I have come into contact with through the web, say right now, “Be careful. You’re heading into dangerous territory. You are trying to stretch an analogy or metaphor too far.” ‘Ol Nick’ was imprisoning Ma for his own evil intents. People in higher education are not imprisoning people for evil intents. I concur with that. However, to the victims, the results are similar.

I believe that by playing off the metaphor of “room as a prison,” I am using what we know from learning theory. People learn more when faced with a compelling problem and can connect the new problem to something with which they are already familiar. I understand the concept of a room. The compelling problem is looking for a means of escape. It makes sense to me.

In Part III of Reading for Relief, I will explore the ideas of rooms and means of escape in relationship to higher education.

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Relief Through Reading Part I

I am sorry, Readers, but I am going to subject you to a long, round about introduction to a posting about reading. It was inspired by two recent posts by bloggers that I have come to appreciated immensely. I can’t recommend their blogs highly enough. They are great people who have great stories to tell and tell them wonderfully.  The postings that inspired this long post are  Finding Strength to Stand Again  http://findingstrengthtostandagain.wordpress.com/2011/02/17/hitting-my-head-on-glass-ceilings/

and Bended Spoon

http://bendedspoon.wordpress.com/2011/03/03/we-think-too-small-like-the-frog-at-the-bottom-of-the-well-he-thinks-the-sky-is-only-as-big-as-the-top-of-the-well-if-he-surfaced-he-would-have-an-entirely-different-view/

How many of you remember the old tv commercial that ran regularly during  major league baseball games? There would be a scene of a famous relief pitcher warming up, supposedly getting ready to go into the game. An off-screen announcer would say, “How do you spell Relief?” The camera would close in on the pitcher and he would say, “I spell it “R O L A I D S!”

How do you spell Relief? My wife spells it R E A D I N G !

I have been a voracious reader since I was a young kid. I recognize that there are ar least three types of reading. They are recreational, informational and work related reading. Recreational reading Is the act of reading to relax or escape. Informational reading is the act of reading to gain information or knowledge about a topic of interest not directly related to your work. Work related reading is the act of reading of material directly related to your work.

My wife and I are both aged-challenged. (We’re both eligible for Medicare this year. Please don’t tell her, I’ve told you how old she is.) We’ve been married for over 40 years and have known each other for almost 60 years. For all of those years, we’ve been readers, Although I must admit our reading habits are very different. My wife has always been a recreational and informational reader. She has always had two or three books in which she deeply engaged. Much of her recreational reading has included authors like Janette Oke, Terri Blackstock, Ted Dekker, or Frank Peretti. She also enjoys biographies and autobiographies. Her tastes in informational reading have centered on inspiration books like “Fear Not Tomorrow, God is Already There” by Ruth Graham or “Purpose Drive Life” by Rick Warren.

I have always been a voracious reader, but generally, “it had to have a purpose.” Since I have been in higher education all of my adult life, I have always owned a large collection of books. While I was in high school, my parents bought me the entire set of “Great Books of the Western World.” I set still have those classics, along with all the required readings from my college literature courses. I never sold a college text book or required reading after a course was over.  Most of my other books are work related. Although I have some informational books that you would find in the “How –to” or Religious sections of Barnes and Noble. The How to Books were bought to help me with my latest DIY project. The religious books were to help me with a theme for the latest adult Sunday School lesson or a sermon that I was preparing. To borrow a phrase from Rick Warren and use it out of his context, my reading has almost always been  “purpose driven.”

For years, my wife would chide me with the comment, “Why don’t you read something for fun?” I would reply, “I don’t have time for that.” Her response was “Try it, you may find that you like it.” My response back to her was, “The time that I want to dedicate to fun is better spent antiquing, exercising or doing DIY projects  like remodeling rooms, insulating and putting vinyl siding on our old house, adding a deck, or enclosing our back porch.

Occasionally, I would watch sporting events like basketball, baseball or automotive races on television. My wife and I also both like to watch new segments of “This Old House” or “Antiques Road Show.” We would take this last passion one step further by trying to find unexplored antique shops and digging through them for undiscovered treasures. Those things were fun. Fortunately for me, my wife also suffered from the DIY and antiquing viruses. We spent many weekends together trying to satisfy the cravings that those bugs would cause. If we were not at home working on the latest DIY project, we would be on a road trip to find one more of those unexplored antique shops.

On a Saturday when we didn’t have a pressing DIY project hanging over our heads we would get up early, and tell our college-age daughters that we were going for a ride. The girls would glance at each other, and one would say, “We’ll see you tomorrow afternoon.” Many times they were right. After finding an unexplored antique shop and digging through it until closing time, we would find a nice restaurant and a cute inn or motel and spend the night.

On each of these trips, I did most of the driving and my wife would pass the time in the car reading one more fascinating chapter of her latest engrossing novel or biography. Every once in awhile she would stop reading and say to me, “You really should read this book, you would really enjoy it.” I would pause for a moment then in all seriousness say, “I can’t right now, I’m driving.” My wife would sigh and say, ”I didn’t mean right at this moment. What about this coming week?” I would respond by saying “I have some work that must get done this coming week and all my reading will have to center on that job.”  She would sign again and go back to her reading. I guess she almost figured out that I was a lost cause, until she came up with a brilliant idea. She went to the local library and checked out some audio books, so on our next road trip, we both listened to someone read those books  to us. Using this technique, we read Mitch Album’s “Tuesdays with Morrie” and several John Gresham novels, including “The Client” and “The Rain Maker” plus a number of cat mysteries. I must admit the audio books did help to make the miles go more smoothly. Although I can’t remember the titles or the authors, other than Album and Gresham, I do remember most of the story-lines and I will also admit that this was a fun way to read.

All of this changed for us on March 16, 2009. For those of you who are unfamiliar with my story check back to some of my early postings. On that date I had what appeared to be a stroke. However, it wasn’t a stroke, a blood vessel in a benign tumor attached to my brain exploded (surgeon’s word) and the tumor imploded (again surgeon’s word)  creating all the symptoms of a stroke. After the removal of  the remains of a dead tumor, I have battled balance issues, fatique, aphasia, epilepsy and most recently Parkinson’s disease. I took a medically induced break from my life as an academic administrator, first on disability and now officially on retirement. Supposedly that should give me more time to read. I will tell that part of the story in Relief Through Reading, Parts II through V. In these posts, I will also share how Finding Strength and Bended Spoons have inspired me to expand my reading list somewhat, read  more and write about it.

As indicated above on March 16, 2009, I was introduced to a new phase in my life that supoosedly  should give me more time for reading, but I must admit that old habits die hard. It has taken me two years to get to the point where I can pick me a book and almost read it just for fun. However, instead of throwing open my reading list to many more recreational reading books, I have taken up more informational  reading. I have dropped the DIY readings and picked up readings about neurological dysfunctions, such as “The Man Who Mistook His Wife for a Hat” by Oliver Sacks and ‘ My Stroke of Insight” by Jill Taylor, and higher education like Charles Murrays’ “Real Education” or Mike Rose’s “Lives on the Boundary.”.  The neuologiacl books are helping me understand what I am going through and what I can expect ahead of me. The higher education books are keeping me in touch with the academy. The next three books on my reading list are “Awakenings” by Sacks, “Always Looking Up” by Michael J. Fox, and “Reading in the Brain” by Stanislas Dehaene.

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Michigan Community Colleges Make Push for State Lawmakers to Allow Them to Offer Some Four-Year Programs

A recent article in the Jackson Citizen Patriot was picked up by and featured in the February 23, 2011 e-edition of University Business: http://www.universitybusiness.com/newsletter/daily/dailynewssummary.aspx?newscontenttype=1&newsid=42 .

This article sets the stage for an upcoming fight in the Michigan legislature.

What’s at stake in this battle?  The answer depends upon who is answering. Four-year institutions will argue that academic quality and integrity are at stake. They will argue that two-year institutions are not equipped or staffed to offer “legitimate” four-year programs. The four-year institutions will argue that four-year programs are our forte. That’s what we do. Shouldn’t students get the best education available?

That last question is an interesting question, because students will agree and then say the education that four-year institutions are offering are not available to them. The JCP interviews one such student. Her statements are telling.

Registered nurse, Stephanie Palmer wants to earn a bachelor’s degree in nursing at Jackson Community College. What are the three reasons she gives? 1) Convenience: It’s close to her home.  2) Cost: It’s…”less expensive than a four-year college.” 3) Flexible schedule: JCC offers greater scheduling flexibility for working parents like her.

At this point, the four-year institutions jump up and ask the public:”When you’re sick, do you want a nurse treating you who hasn’t received the best education possible?” I’m sorry but this is in no way meant to disparage Stephanie or any other registered nurse. But all registered nurses have already taken the required clinical courses and passed all the licensure tests to permit them to practice nursing. I would dare say that if you have visited a clinic within the past five years, you have been treated by at least one registered nurse, and that you probably didn’t notice any difference in your treatment.

So why would Stephanie or any other registered nurse want to get a four-year BSN degree? The BSN opens new opportunities to nurses, including specialty training, higher pay and more responsibilities. Many hospitals hire registered nurses but restrict their duties. A recent study by done by the American Association of Colleges of Nursing reported that surgical patients treated by more nurses with bachelor’s degrees had a greater chance of survival than those treated by fewer bachelor trained nurses. Results like this have led some hospitals to require the BSN as a prerequisite for service on post-operative patients.

I have spent more than forty-years at four different institutions overseeing and studying non-traditional adult education programs along with the traditional educational programs at those institutions. During those years, the three reasons given by Stephanie were always the primary reasons adults gave for selecting non-traditional educational programs over traditional academic programs. Interestingly, at one of those institutions, the three primary reasons given by commuters for selecting the on-line alternative over a residential program were: 1) Convenience; 2) Cost; 3) Flexibility of scheduling. For both categories of student, non-traditional learners and commuters, these three characteristics outweighed any perceived difference in program quality when it came to program choice.

The next three most frequent reasons given by adults in program selection were 4) Program meets students’ needs. The curriculum and examples are related to what the students do or want to do. The students see the immediate usefulness of this learning. The students can apply the learning immediately. 5) Program uses pedagogical methods that the students understand and help the students learn. 6) Prospective students believed that the alternative programs provided excellent learning. The students and others who have gone through the program have received work place or other external recognition for things learned through the program.

Four-year programs respond with comments stressing the real worth of a program is not immediate gratification, but long-term usefulness and that students are not the best judges of long-term usefulness. That may well be the case but the four-year institutions have not done enough to convince students of these arguments.

The one argument that is almost never heard in public venues is that if enough students switch to the two-year institutions or alternative learning style programs, the traditional four-year programs will be hurt financially. For public institutions, the second biggest source of income is from the state, county or city, and that is currently based on enrollment. The more students that go elsewhere, the less money these institutions receive. Generally tuition is the main source of income in all institutions, and the fewer the number of students, the less income is available for anything the institutions want or need to do, such as hire or pay faculty. The fewer faculty members hired and the less they are paid, the more unhappy they will be.

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Distance Eduction Begins at Twelve Feet

Most people think of distance education requires instructor and students to be physically separated by time, distance or both. I would like to offer a new definition that permits instructors and students to be in the same room at the same time. Under my definition, in addition to being separated in time and space, the separation may also include psychological separation, also known as cognitive distance. I have indicated this by suggesting that this psychological separation can typically begin at twelve feet. Why twelve feet? Twelve feet is the usual distance between the teacher’s station and the second row of seats in a typical lecture style classroom with tablet-arm chairs. Many instructors find it difficult to generate and keep cognitive connection with students outside the front row of a class. Most instructors have found that if a class has “open seating, without assigned seats,” the students who sit in the front row are usually very interested in the class. Students who are less interested will tend to sit further back in the classroom. This means instructors will have to work harder to keep those students connected, interested and learning in the class.

Most surveys of faculty and students indicate that the lecture modality is the most used course delivery system today. There are other modalities, such as discussion, seminar classes and blended modalities that are gaining in popularity, but lectures are still number 1. In the 1970’s, surveys of students and faculty suggested that in as many as 90% of all courses, the predominant teaching mode was the lecture. Even with the emphases of the 1990’s on active learning and using teaching styles geared to student learning styles, as late as 2000, surveys of students and faculty were showing that still in approximately 75% of all courses, the dominant teaching mode was the lecture.

A straight lecture modality can be characterized as a “jug and mugs” approach. In such an approach, the instructor brings a jug that is full of ideas or content to the classroom and has the students hold out their individual mugs, and the instructor fills them up from the big jug. It has derisively been described as the transfers of knowledge from the instructor’s notes to the students’ notes without touching the minds of either. If we really consider the operational aspects of this approach, there is no necessity for the instructor to be physically present. Why have faculty remained loyal to the lecture? I believe the lecture is the most popular modality because instructors are most comfortable with this style. It was the way they were taught and the way they learned. They are just modeling what their instructors and mentors did. Plus, there are few rewards to experiment with different modalities. Instructors have little or no access to developmental resources to do something different. Short of no preparation, where the instructor goes into class and “wings it,” the lecture is the easiest modality for which to prepare and to use. It is hard work trying to come up with learning artifacts or objects to engage students in compelling problems that direct their learning in other ways toward the desired goal of learning specific things or ideas.

The “jug and mugs” pedagogy grows out of a “tabula rasa” or “blank slate” approach to teaching, where the teacher has all of the knowledge and the students possess blank slates that the teacher then writes on. This model of education is not congruent with the best of today’s or even yesterday’s theories of learning. From brain and learning theory research, we know that students are more apt to remember and understand things in which they have a real interest and things of which they have had some experience. We have to link new knowledge to current knowledge and we need a reason to do so. Brain research also suggests that we are more able to make connections if we perform activities related to the item or idea. Confucius knew this 2500 years ago when he said, “If I read or hear something, I forget it, if I see it, I remember it. If I do it, I understand it.” Current research with well-functioning adults has found that after three months, these adults retain only 10% of what they read, 20% of what they hear, 30% of what they see, 50 % of what they see and hear, and 70% of what they say or write. These are great rules of thumb to use in the preparation of lesson plans and presentations. If you can involve the audience in the topic, they will have a much greater chance of remembering what you were trying to say. However, the research goes on to show that these adults will retain more than 90% of what they say while doing something that illustrates it. This should become our guiding force in the preparation of learning assignments.

Dr. William Pfohl, former president of the National Association of School Psychologists in discussing how adults and children learn has said, “The best process to ensure learning take places is to guarantee the individual sees it, hears it, and then gets some experience using it. And that way it’s most likely to stick.”

If distance learning begins at twelve feet because it is difficult to connect with students in the second row when they are in the same room, then wouldn’t that suggest that distance learning via other means is impossible?  I don’t think so. There is a whole body of literature that speaks to engaging students via distance learning technologies. Conversely, if we can engage students that are hundreds of miles away, why can’t we engage students, that are physically in our presence in the same classroom? We can and must do a better job in both venues.