Thursday, November 14, 2024
I was scheduled for medical tests in Honolulu today. I had asked my primary physician for an electrocardiogram. I felt pressure in my chest and was less energetic than I thought I should be. She found something on the read-out that concerned her and asked me to get a stress test and an echocardiogram. I wasn't too worried. Several weeks before the scheduled test date, my PCP emailed me to say she had a cardiologist check my ECG, and he concluded there were no signs of a heart attack. Oh, boy. Was that her concern? She said she wanted me to go through with the test anyway. I was scheduled to fly to Oahu for the day leaving on a 7 am flight and returning on the 5:59. The travel department called with my flight information on Tuesday and gave me a reservation number.
I was wide awake by 3:30 am. I decided to get up and start my day. Elsa and I started our morning walk by 4 am. When I got home, I made my breakfast. I was told to eat something before 5:30 and to have no food after that. I did some morning exercises while waiting for Darby to pick me up.
She called about six am and said she couldn't get her gate open. Could I pick her up in my car, and then she would drive it back? We were at the airport by twenty after the latest put my reservation code into the computer. It didn't work. I asked for help. The attendant said I was missing numbers. I had gone over the number with the travel agent repeatedly. Instead of telling me to try another method, the attendant told me to go to guest check-in.
I waited a good five minutes in line, if not more before I saw a clerk. He asked for my driver's license and found me information. He returned my driver's license to me, saying, "You missed your flight. They closed the door five minutes ago." I was shocked. While this is an international airport, it is small. It takes less than 5 minutes to walk from one end to the other. They close the doors early at large airports because planes line up for take-off. This was the first flight in the morning, and I had never encountered a line of planes on the tarmac. I was shocked.
I called Darby to ask her to pick me up. She didn't answer. I called again a few minutes later. She picked up, saying she had just returned after dropping off the car at my house and walking home. She would be a while. I told her, no hurry. I was sitting on a retaining wall. I had an Audible book to entertain me. I called the hospital, hoping to get through to someone. Could I take the next flight and still be accommodated? The operator said they weren't open till 8:30. He connected me to the one department, surgery. They were no help. While this was an upsetting loss for me, it was thousands of dollars of loss for the hospital.
I called the hospital the moment I could get through. No, they couldn't reschedule someone else in that slot. The earliest they could get me in was December 26. Okay, here we go again.
I told several people the story of my missed flight. They were all shocked. Half an hour early should be plenty of time to make an inter-island flight. I don't know if there has been some change. The more I thought about it, the more bizarre it became. If they closed the doors at 6:30, that plane would have just sat there for at least 15 minutes before pulling away from the dock. Where was it going to go? It wouldn't have been a 7 am flight if it took off early. I'm going to check the procedure when I fly on the 26th. If this agent gave me false information, I will report him. If this had been a serious medical problem, he would have put me at risk. Yes, it is possible to have a serious medical problem and to have to get yourself to the airport and on that flight.
A friend of Yvette's had ankle surgery. When she reported to her doctor, she complained of pain under the bandage. He dismissed her concerns. When she went back to have the bandages changed, he found puss oozing from the wound. He told her to go home, pack, and take the next flight to Oahu. She had to get herself there.
For those who don't understand why I had to fly to Oahu, Kaiser has one main hospital. It's in Honolulu. While we can get emergency services in the outer islands, they're limited. For all major problems, we are flown to the main hospital at Kaiser's expense.
I texted Shauntel to say I would come in today to tutor the kids at Ulu Wini. I worked with three students: first-grade PY, second-grade JY, and sixth-grade ML. I found a satisfying way to work with PV. She and her sister, second-grade NV, have severe memory problems. Neither sister can remember even the first 25 words on the Fry Sight Word List. The only one they have confidence in is the word THE.
I resolved to use my method in the strictest sense. Even with the sight words, I would sound out each phoneme and associate it with the letter. Even that was tough for PY. I backed that off and just modeled. I asked her if she was scared if she got the wrong answer. Yes. Was she scared if she didn't tell me the answer? No. Great. She could come up with a response in her head. She would know if she was right or wrong. There is no need for me to know. It is more important the student approach the learning situation with comfort instead of fear. Fear kills the mind's ability to learn- except where applied to physical safety.
I conducted the rest of the session by saying the word and then asking, "What is the first sound in the word? "She said nothing- as we agreed. I gave the answer. "What letter makes that sound?" I paused and gave the answer. I modeled 'discovering' the sounds. As I said the word, I modeled the mouth positions for each phoneme. In AND, I went to say the word, stopped in the first mouth position, and sustained the sound. To discover the second sound, I started with the first sound,/a/, sustained that sound, and then moved to the next mouth position. Then, I made that sound and identified the letter(s) that represented that sound. I had to remind her to focus on my mouth when I made the sounds and on the screen when I identified the letter that made the sound. She said this was better than when I asked her to give the answers.
For those of you who might be skeptical that a strategy like that can work, I have used it with great success. When I first developed this method, I worked with a group of three inner-city kids in Trenton, NJ. I met with them three times a week for approximately twenty minutes each time. They were always uncooperative. I spent each session using words from a sentence. What is the first sound in the word? What letter(s) represent that sound? one sound at a time. The classroom teacher told me she was seeing improvement. Since they didn't cooperate, I didn't see it.
A year later, I ran into the mother of one of the girls. She had been fourteen years old at the time. Her mother told me the public school told her her daughter would never learn to read. She was taking GED courses at the time. I remembered her working on a book she was writing. I assumed she could read before she came to my class. All the kids improved.
Hopefully, this approach will be as successful with PV and her sister as it was with those children.
Next, a scrawny little girl with greasy hair and a runny nose asked for help. I learned later she wasn't even in the program. Shauntel is limited by who she can work with; I don't believe I am. when I asked second-grade JY if she could read, she said yes. She also claimed to be a good reader. I had her read the lowest reading material I had. She couldn't read the word THE. When I asked her to write her name, I noticed the care she took. Did she like to draw? Yes. Would she draw something for me? She drew a fish. I asked her to draw a different kind of fish. She drew the same fish facing in the opposite direction. Oh, boy. I asked her to try again. She drew the same fish, a bit smaller than the other two. She understood which was the smallest and the biggest of the three.
I drew a fish like hers but with a different tail. She couldn't duplicate that. I told her to trace the tail I made. She could do that, but it was distorted when she did it on her own. I tried to guide her in copying mine. it was hard for her. Instead of using sharp lines like a triangle, she curved her lines. Was this a physical problem with her hand position locking her arm in place, preventing her from forming angles, or was it a perceptual problem? She started to cry. It didn't look like defiance. It looked like sadness. I have no idea what her problem is. Is it a perceptual problem? Is it a motor problem affecting not just her arm movements but also her speech? She had trouble annunciating the J and the Y letter names. Is it a cognitive disorder previously known as mental retardation? Or is it an oppositional disorder? The last sounds like a stretch. I don't usually conclude something like that with a child. But I have a funny feeling about her.
This case made me wonder how much poor learning is because of a discomfort with the unfamiliar and a refusal to learn anything new. We're all that way in areas of our lives. At this age, I say 'I don't need to learn this." What a delight to walk away. Why do we cling to the familiar? Being well-balanced means we cling to the familiar where appropriate and are open to change where it is appropriate. Being one extreme or another is not a good idea. Like Benjamin Franklin, I advocate moderation in everything. Possibly, also somewhat like BenjamÃn Franklin, I find it easier to advocate moderation in all things than to live it.