Tag Archives: durable medical equipment

December motto plus optional isolation

CanceroustumorsurroundingrightkidneyDr. Jeniffer Simon, a caring and experienced urologist, Geissinger Medical Center, State College PA showed me on her computer this image–a cancerous tumor surrounding my right kidney, referring me to Memorial Sloan Kettering Cancer Center in New York City. “Unless you have surgery quickly, you will be dead in 10 years.” The date: April 5, 2013, 4 P.M. We hugged; I cried.

The order of this posting (typically presented in a hodgepodge of disorder):

  1. Motto
  2. Paraplegia and the recollection of previous cancers
  3. The last part of cancer therapy
  4. Optional isolation
  5. Joanna’s wedding
  6. This I believe

Motto

Make haste slowly is the motto.

Gold coin Emperor Augustus (63 BC to 14 AD) minted to display the symbol for his motto: "Make haste slowly."
Gold coin Emperor Augustus (63 BC to 14 AD) minted to display the symbol for his motto: “Make haste slowly.”

I first came across this seemingly contradictory expression when trying to learn Latin: Festina lente.

Unless one is in a situation such as mine, Make haste slowly appears to make no sense.

Speed and slow are opposites.

The last part of cancer therapy

My situation comes at the end of a difficult time.

The time began in April when I was diagnosed with kidney cancer and reached medical optimism after I left my home in State College, PA where the expertise to save my life did not exist.

This is my first "step" in getting to New York.
My first “step” in getting to New York.

I was referred to Memorial Sloan Kettering Cancer Center in New York City—a five hour car ride away. On August 8th, Dr. Paul Russo removed the cancerous tumor, saved my right kidney, and essentially prevented me from dying of kidney cancer. It was a gift of 10 years.

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In The Canary Murder Case by S.S. Van Dine, Philo Vance—almost certainly the most obnoxious snob in the history of detective literature—is helping his friend the district attorney solve a difficult murder. The district attorney says, “’Well, well! So the case is settled! Now if you’ll but indicate which is the guilty one, I’ll arrest him at once, and return to my other duties.’”

“’You’re always in such haste,’ Vance lamented. “Why leap and run? The wisdom of the world’s philosophers is against it. Festina lente, says Caesar; or, as Rufus has it, Festinatio tarde est. And the Koran says quite frankly that haste is of the Devil. Shakespeare was constantly lamenting speed. ‘He tires that spurs too fast betimes.’”

Still from the 1929 film version of The Canary Murder Case
Still from the 1929 film version, The Canary Murder Case

Vance, whose name in 1927 became synonymous with private detective, goes on to quote Moliere, Chaucer and the Bible on the subject.

My energy level is sufficiently low and my acuity high enough I understand Vance’s point without citing the additional paragraph.

Paraplegia 

For the past 20 years, I have been a paraplegic unable even slowly “to leap and run.” Paradoxically, in high school I received a letter sweater for running 2 ½ miles regularly during cross-country competitions. My best record was clocked running two miles in less than 12 minutes, hardly the Olympics, but good enough for Cheltenham High School  in Wyncotte, PA.

Yes, I would like to leap and run. There are a lot of things I would like to do that I cannot.

What I want to do is live life to the full and in the process make a contribution along the path I have committed myself.

I certainly have done a lot of living in the past 20 years as a paraplegic. In one of my three trips across the United States from sea to shining sea, I took my battery-powered scooter and drove it around the rim of the Grand Canyon.

In California, I watched my elder daughter Joanna train a horse to jump a fence. As I watched, the horse did something amazing. After going over the fence for the first time, the horse did a double-take, shaking its head as if to say, “I do not believe I did that.” Joanna’s smile of accomplishment…

In Santa Cruz, one glorious day, Amelia my younger daughter and I boarded a ship and watched whales frolicking.

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Isadora Duncan
Isadora Duncan

For a while, I chose the Isadora Duncan School of Dance rather than rehabilitation–both dance and physical rehabilitation have become an essential part of my doxology.

The brilliant physical therapist Alicia J. Spence at State College's Phoenix Rehab begins; it is time for me to return to her.
The brilliant physical therapist Alicia J. Spence at State College’s Phoenix Rehab begins; it is time for me to return to her.

In the Silicon Valley, I wrote a technical manual for KLA-Tancor on inspecting silicon wafers for defects. Often, I scrubbed down, putting on a white gown and hat; wheeling into the clean room where my readers would be using the documentation.

The recollection of previous cancers

After radiation treatment for cancer, I fathered my two children, published three books, and loved and was loved in return.

The experience of having cancer twice, first at age 28 then at 42—treatment which burned my spine and made me unable to walk certainly slowed me down. It did not stop me. Nor has the experience of having cancer for the third time at age 65 stopped me.

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“The Roman historian Suetonius… tells that Augustus… thought nothing less becoming in a well-trained leader than haste and rashness, and, accordingly, favorite sayings of his were: ‘More haste, less speed’; ‘Better a safe commander than a bold’; and ‘That is done quickly enough which is done well enough.'”

Wikipedia continues, “Gold coins were minted for Augustus which bore the image of a crab and a butterfly, which was considered to be emblematic of the adage. Other pairings used to illustrate the adage include a hare in a snail shell; a chameleon with a fish; a diamond ring entwined with foliage; and, especially, a dolphin entwined around an anchor. Cosimo I de’ Medici, Grand Duke of Tuscany had festina lente as his motto and illustrated it with a tortoise with a sail upon its back.”

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Frequently, I suspect I have not learned from experience.

The same mistakes seem to repeat themselves in predictable order. This is most often the case with loss of energy. So often have I felt my body filled with power and enthusiasm that when the power disappears and getting out of bed becomes a chore, a dark cloud seems to hang over me.

The cloud is not there now.

Recovery from surgery has surprised me by its slow pace.

When I returned from New York in August, the combination of weakness and pain made me grateful to be alone.

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One consequence of my receiving a cancer diagnosis in April of this year is that the telling provoked waves of  affection and attention not merely from those close to home.

A woman whom I had loved intensely in 1972 ( not seen or heard from since) read here on this site an optimistic account of my situation and responded with an e-mail followed by phone calls. We talked about the children we did not have together, the life we did not share, and the strangely odd and encouraging fact that affection untended continues despite the reality that it had its origins so long ago.

Friends appeared with whom I had lost contact for decades. My expectations of how good people could be to me were vastly exceeded by reality. I have emerged from surgery with the feeling of being cherished. Nothing I can say or do can ever repay my gratitude. You know who you are and yet you do not truly appreciate how much you have graced my heart.

Often I feel words used to describe me are wrong, just wrong. I do not think of myself as “brave” or “courageous” or a “fighter.” When I think of myself, which I do often, I try to stop—meditate and in my own fashion pray that the ego will dissolve and I will just continue, pursue the path.

Optional isolation

Late in August, back at my apartment, alone, feeling that strange happiness that comes when intense pain disappears, whoever I am is comfortable to me. By nature I am impatient. By nature, I am persistent. Then, the phrase make haste slowly serves as a comfort. I will do what I need to do when the time comes. I will be grateful for energy and understanding when I cannot do what needs to be done. If the sky falls and I do not have the strength to stop it, the sky falls. Such is life.

Joanna’s wedding

Before I scooted Joanna down the aisle, she drove me to New York for the surgery. My friend  Ben Carlsen drove from State College to New York to bring me back home.
Three months before I scooted Joanna down the aisle, she drove me to New York for the surgery. My friend Ben Carlsen drove from State College to New York to bring me back home.

Going to Joanna’s wedding in October appears now on the second day of December a miraculous event. Weeks before I boarded the plane, I did not believe the energy would return. I persisted. Giving away my elder daughter on a farm in Mebane, North Carolina produced euphoria that brought me through and carried me home on Delta Airlines.

Amelia was my caregiver at  the American Cancer Society's Hope Lodge in NYC where we roomed together before, during, and after my surgery.
Amelia (right) was my caregiver at the American Cancer Society’s Hope Lodge in NYC where we roomed together before, during, and after my surgery.

At the wedding it was a delight seeing Amelia again in North Carolina a seeming aeon away from New York , saying goodbye before she returned to Spain for her third extended trip.

I loved:

  • Watching my sister Sarah Leah Schmerler dance without inhibition after the intensity of being together at the hospital in New York

sarahatwedding

  • Revisiting my 12 year-old only nephew Asher Simonson with his unexpected moments of humor
  • Seeing his father Robert Simonson who had lugged my mobility devices around the Island of Manhattan
  • My son-in-law Jade Phillips and his firefighting colleagues who, when the festivities were over and the bonfire burned out, literally picked up my exhausted body and flung me into the passenger side of a truck

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Then fatigue. Delight in being alone. Concern I would not finish the work I must finish. Optional isolation. Appearing outside my apartment only occasionally. Seeing as few people as possible. Avoiding crowds, large gatherings, and familiar places where I have been surrounded by affection.

Periodically, I receive calls, visits, e-mails and reports of those who ask with affection and concern “Where’s Joel?”

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Life continues.

A dear friend becomes sick. Miles and often even a few blocks I do not have the energy to travel keep me from being where I would otherwise like to be.

I sit in my apartment and wait. A rush of energy and I find myself writing, as I am writing now, without stop, expressing while leaving dishes unwashed, my bed unmade, not yet able to complete rigorous academic writing—not quite able to pull together a large project.

Instead, I follow whim. I have been making You Tube videos—going off to a computer in the patient company of an expert in iMovie editing software, collapsing, returning, making slow steady progress as bills pile up, consistently refusing to think about the money I do not have and the energy I do not have to obtain it.

I have been reading Robert Alter’s The Book of Psalms, his introduction tracing the psalms’ origins back to the Bronze Age over 3,000 years ago, reciting his clear translation, going to the Hebrew, recalling my mother never left the house without a small Hebrew copy of Psalms in her pocketbook, dipping into David Halberstam writing about Elvis Presley, reading a paragraph here and there about architecture, engineering, virtual reality—not doing much for long, but doing and then in fatigue watching by choice vapid Netflix videos for hours.

The last part of cancer therapy

I hope to encourage others like me who are recovering to recognize our temporary limitations and persevere.

Most do not recognize the difficulties involved in recovering from cancer after the disease is gone but the energy has not returned.

[To be inserted here observations about suicide attempts by survivors. This issue I discuss in my book Learning to Live Again, My Triumph over Cancer available on this site http://www.joelsolkoff.com/book-store/books/learning-to-live-again-my-triumph-over-cancer/].

While researching, I came across a footnote in a medical journal article. A young man with the most dangerous stage of Hodgkin’s disease had killed himself after being cured. The autopsy revealed no cancer was present in his body.

Surviving while still recovering can be a hard time unless one is willing to believe in the future. Henry David Thoreau should be an encouragement to those us living in situations such as the one I am now in. Thoreau wrote, “There is one consolation in being sick; and that is the possibility that you may recover to a better state than you were ever in before.”

My life seems to have been lived on the principle that best way to get from here to there is NOT to go in a straight line.

I have been watching You Tubes of Edward R. Murrow, my hero. This one caught my fancy yesterday at 2 in the morning.

This I believe

I believe:

  1. I am alive for a purpose.
  2. The attempt to achieve the purpose, which I choose to call my path in homage to Laozi, serves not only its own end but to unite all that is sacred to me; namely, my children (of course) who are adults and have lives of their own; my sister Sarah and my family, my friends who are family; my love for women (a woman were the right woman in my bed); the need to care for myself, be independent in body and mind, be a good citizen who embraces not only my country but my mother Earth, and the need to be the human being I strive to be who believes in the spirit that gives us life.
Clearly a fictitious image of Laozi. No one knows what he looked like. The story is Laozi appeared at a border crossing. The guard asked him to write a book of wisdom. Laozi wrote The Way, gave it to the guard who allowed him to cross. Laozi disappeared. This story and The Way are the only evidence of his existence.
Clearly a fictitious image of Laozi. No one knows what he looked like. The story is Laozi appeared at a border crossing. The guard asked him to write a book of wisdom. Laozi wrote The Way (The Path), gave it to the guard who allowed him to cross. Laozi disappeared. This story and The Way are the only evidence of his existence.

3. My chosen path is to help the elderly and disabled achieve their potential.

4. Along that path is the virtue of technology which makes it possible for me to go seamlessly from my bed to my kitchen out the door and into the world on scooters like the kind that my dear friend Al Thieme of Amigo Mobility invented which he refers to as Power Operated Vehicle scooters or POV scooters to distinguish them from toys. The technology mobility path includes power chairs and equipment being developed at an astonishingly rapid pace. The consequence of this technology is I do not think of myself as one whose disability prevents me from living life to the full. For individuals with hearing and visual disabilities technology has developed to the point where, for example, an individual blind from birth can drive an automobile specially equipped with laser scanning of the road;  the automobile provides the driver computer-voice simulated operated instructions.

Thank you Wired Magazine: http://www.wired.com/autopia/2009/07/blind-driver-challenge/
Thank you Wired Magazine

Totally blind drivers have passed tests on intentionally difficult driving courses. I believe in my lifetime the Commonwealth of Pennsylvania will issue drivers licenses to individuals who are totally blind but who have proven their ability to drive sophisticated vehicles such as the ones already produced by the Virginia Tech’s Robotics and Mechanisms Laboratory.

Amigo manufactures this narrow travel scooter shown here in a tight space in a tiny motel room as I traveled nearly 1,000 miles to my daughter Amelia's college graduation.
Amigo Mobility manufactures this narrow travel scooter shown here in a tight space in a tiny motel room as I traveled nearly 1,000 miles to my daughter Amelia’s college graduation.

5. My path is focused on what the architectural, engineering, and construction community refer to as the built environment. See, for example, my biographical information and published work for e-architect: http://www.e-architect.co.uk/editors/joel-solkoff

6. To rebuild the environment, the promise of virtual reality is real. Virtual reality is a promise my 30 year-old mentor Sonali Kumar introduced to me as I worked with her as a research assistant at Penn State’s Architectural Engineering Department to complete her doctoral dissertation entitled: Experience-based design review of healthcare facilities using interactive virtual prototypes. 

VirtualRollinshower

Sonali apologized when she used me as the model for this avatar. “I am sorry I put so much gray in your hair. You do have a lot of gray in your hair.”

Fashion aside, one of my contributions to Sonali’s animated three-dimensional model of an independent-living-aging-in-place home was the suggestion she replace the original bathtub with a roll in shower. As a paraplegic for whom being clean is vital, I have all too often been trapped in a bathtub–on one occasion it took me 45 minutes to figure out how to get out of the tub finally using my arms to push me out, pulling my legs after me as I landed onto a dirty bathroom floor.

7. Experienced-based design is essential. Experienced-based design is one of a number of academic terms meaning the best way to design an environment is to ask the person who will use it. The example that comes most readily to mind is an article I read about a new hospital in the Philadelphia area. The article complemented the hospital administration for asking patients at the previous facility what changes they would suggest making to the design of the new building to make the hospital more patient-friendly. The patients suggested making it easier to get from bed to bathroom by making the bathroom closer to the bed. The article praised the administration for the reduction in falls as a consequence. [I know. My instant reaction to that was Daaaaaaaaaaaahh.] Asking does matter. Ask experts like me, for example, or my neighbors at Addison Court (an independent living apartment building for the elderly and disabled) whom I arranged to view Sonali’s model wearing 3-D glasses at Dr. John Messner’s Immersive Construction Lab for Construction industry. The consequence is we have the experience to instruct the design of the environment around us so that it is more efficient. The result is not merely an exercise in odd-sounding academic words such as case studies, scenarios, and activities of daily living (ADL); it is also a good idea.

SloanBath

8. Self reliance should be encouraged. Shown here

[Note: Think of I believe in points 8, 9, and beyond as Coming Attractions.]

9. Knowing when to ask for help.

Color coded socks at Mount Nittany Medical Center, State College, PA. These socks indicate patient is at risk of falling.
Color coded socks at Mount Nittany Medical Center, State College, PA. These socks indicate patient is at risk of falling.

To be continued.

Meanwhile, here is Edward R. Murrow  interviewing then former President of the United States Harry S Truman on what Truman believes. http://thisibelieve.org/essay/17058/

President Truman is followed by a bad video of an Alan Jackson song. I like the theme. I like the song.

–Joel Solkoff

Copyright 2013 by Joel Solkoff. All rights reserved.

 

Thank you to the State College Community, Penn State’s Department of Architectural Engineering and to the Jewish people

On this Sunday night, I am sitting in my apartment four blocks away by scooter to Penn State’s iconic Old Main.  You have seen it on television.

Penn_state_old_main_summerContemplating my forthcoming cancer surgery, I cannot help but express my gratitude.

My gratitude extends the length and breadth of the Borough of State College under the inspiration of our dynamo Mayor Elizabeth Goreham.

The Borough of State College includes all Downtown, which is at economic risk, suburban State College (but not suburban enough to collect the large revenues). and Penn State University.

We are all Penn State here.

First and foremost, I want to thank Elaine Meder-Wilgus.Next year, Webster’s proprietor Elaine Meder-Wilgus will be reading the role of the sensuous Molly Bloom whom Joyce deliberately paralleled to Homer’s Penelope.

Webster’s Bookstore and Cafe has immeasurably improved the quality of my life here. Book Store Duchess Anne and I contemplate Webster’s related activity, such as promoting the bookstore with a recreation of the Battle of Trafalgar. We require three floats such as are featured at the Rose Bowl, each retailing for $120,000.One ship on the converted float would be the one where Lord Nelson dies; there would be a French and Spanish ship as well. Of course, the helicopter with Elaine playing Lady Hamilton. Funding has been a problem.

Thank you employees and patrons of Webster’s Bookstore and Cafe. Thank you.

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I thank my neighbors, friends, Cathy Fisher, Bryan and the excellent maintenance staff, and the owners and managers of my apartment building.

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Other than names already mentioned, I will not use this space to express my appreciation of my family and friends–except when I get the urge.

This posting is intended to express appreciation for the environment where I reside. So, herein is the way I have arranged my thank you’s, including my thanks to:

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I thank, of course, my dear friend Fire Chief Steve Bair.

I also thank Police Chief Tom Kane, who has been thoughtfully responsive to my emails–long as they are.

I also thank my assemblyman Scott Conklin. I especially like Scott–period. I am glad that he is a real union man.

I also thank my REPUBLICAN Congressman Glenn (“GT”) Thompson [Republican,. Fifth Congressional District of PA]. GT was a physical therapist before he was elected to Congress despite my active campaign against him on behalf of his Democratic challenger Mark McCracken.

GT met his wife while they were changing bedpans at the nursing home I will enter by default if anything happens to me. Since his election to  Congress, GT has displayed an admirable record regarding medical oxygen, wheel chairs, scooters, and power chairs–equipment that is indispensable to paraplegics such as myself and to others in the disability community. President Obama, despite his rhetoric–holding my nose voting for him this time around–having voted for candidate Obama in the PA primary and then worked for his first election insisting that Democratic headquarters pour new concrete for its broken down wheel chair access ramp.

Excuse the rant. The point is GT has been an inspiration to the durable medical equipment community even if he is a Republican.

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Regarding health care gratitude, I do not know where to start. When I had pneumonia in November right before Thanksgiving, I felt like hell. I called 911. The ambulance was here in no time. I breezed through the Emergency Room and would up in a room with a view and I had a really great doctor–right down the road at Mt. Nittany Hospital where the food is good.

Let us start with Sapana Minali, my primary care physician at Geisinger Medical Center. When the excellent and gracious urologist Jennifer Simmons diagnosed that I had cancer, Dr. Simmons referred me to Sloan Kettering in New York for a surgical consultation….

When that happened, my primary care physician was informed that I was discharged from the hospital but with a kidney cancer diagnosis. Dr. Minali then directed her staff to call me and when that did not work after many un-returned calls, Dr. Minali called me herself.

Meanwhile, she directed that I receive social services available to someone in my situation, and the wonderful Doreen Moronski found me the Bob Perks Fund, which provides grants to individuals who have to travel for medical reasons. My grant pays my monthly rent every four months for a year, plus provides a $160 grocery store card every quarter.

Thank you Bob Perks.

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Regarding the Jewish people: Words cannot describe my gratitude to Rabbi David Ostrich, who performed the State College memorial service for my mother Dr. Miriam P. Schmerler at my apartment building–where we had a minyan.

My attachment to the Jewish people is based on my strong belief in Zionism, my great love for the Hebrew language (the Bible is great stuff in the original), and my attachment to things Jewish. My spirituality has not been invoked by traditional Jewish practice. I have been strongly spiritual for as long as I can remember. I am very fond of the Wisdom of the East. Confucius’ Analects and the teachings of the Buddha have provided me with understanding. Rabbi Ostrich has been demonstrating to me the compatibility of Eastern teachings with an understanding of The Torah.

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Congregation Brit Shalom and the Jewish Federation of Pennsylvania have provided me with the funding that made it possible to receive cancer treatment in New York City, 250 miles away from State College. For my June trip to Sloan Kettering, where Dr.Russo decided to operate, I received $1,500. It is astonishing how expensive is New York. After shopping around, I found a cheap garage that would let me park the car for $400 for the week I was there for tests and consultation.

Last week, Rabbi Ostrich met me at the PNC bank on College Avenue and provided me with an additional $1500 for this trip to New York for surgery and two weeks of recovery. This total of $3,000 exhausts the extent of generosity from a small congregation. Thank you, landsmen of my Congregation including the Bagel Boys.

Thanks to the Jewish people: I was raised by a single mother in the 1950s when that was no picnic. My mother supported us on her salary as a teacher of Hebrew school teacher, a Hebrew school principal, and an Educator. She liked it when people called her a theologian.

I remember first hearing the words of the Bible in Hebrew when I was five. From grades 1-8, the day began at the Hebrew Academy of Greater Miami with a pledge of allegiance to the U.S. flag and a singing of the anthem of the State of Israel–both flags displayed.

During those years, I read the Five Books of Moses in the original Hebrew in the mornings and studied English subjects in the afternoon. There was a lot to praying.

While I have rejected much, my love of the Hebrew language remains. My support for Israel as a safe, peaceful, Jewish entity is strong. “If I forget Jerusalem, let me forget how to use my right hand….”

What I have always found to my surprise and relief is the availability of Jewish Family Services and similar organizations to be there for me because that is what our people do. We care for each other.

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Regarding work:

I may get emotional here, so forgive me in advance.

I have a strong feeling about my work.

I have spent years learning how to write.

Now, I know what to write about.

I write about how to overcome the limitations of a disability and live life to the full.

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For the past four years, I have been working as a research assistant at Penn State’s Department of Architectural Engineering. Dr. John Messner hired me.

John is in charge of the Computer Integrated Construction (CIC group) and runs the Immersive Construction (ICon) Lab. Shown here is the ICon lab’s mascot:

Costa Rican Frog

Given the still recovering construction industry’s state, the building of hospitals and medical facilities–taking place at a rapid pace–has proven to be a great relief. The images projected on John’s three screens viewed with 3-D glasses are intended to help architects, engineers, and construction personnel conceptualize design and then make changes before construction begins.

John assigned me to work with now Dr. Sonali Kumar’s whose graduation I attended in May, one week before my daughter Joanna graduated with her usual honors from nursing school.

ChimayJoelSonaliMessner

Sonali’s thesis is entitled, Experience-based design review of healthcare facilities using interactive virtual prototypes. 

Yes, I am in Sonali’s thesis. See below.

I was the model for her avatar for the independent living virtual reality module designed in Autodesk’s BIM-compliant Revit and imported into a Unity gaming engine.

Somewhere in my appreciation from the virtual reality lab, I became obsessed with McKeesport, a Pennsylvania Rust Belt town with high poverty, a lot of crime, and two gifted men the brilliant Robert Walters and the capable and enabling John Bertoty who created a Blueroof Research Experimental Cottage.

BobWasltersandJohnBertoty

The cottage was constructed in a factory where sensors were placed in the walls. With digging the foundation, it took 3 days to assemble the structure. The cottage contains a living room, kitchen, bathroom, and  two bedrooms.

Closeup3-Davatarinkitchen

Cameras are available at the client’s option for monitoring. Motion detectors can tell whether a resident has fallen in the shower and communicate that information by voice simulation to 911 as a call for help. This is off the shelf technology.

This kind of low-cost housing for low-income individuals represents an understanding of how to design a residence for elderly and disabled individuals that helps them live their lives.

During a period when the largest generation in U.S. history is retiring–Baby Boomers retiring at the rate of 10,000 a day…. There is no way the housing stock in our country can support the demand.

Over 90 percent of U.S. housing is NOT wheel chair accessible.

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Then, along came Dr. Richard Behr, Chair of the Center for Aging in Place at the Department of Architectural Engineering. (Why at the Department of Architectural Engineering? you may ask. Ask.)

IMG_0300

Richard and I became planners. A Pittsburgh foundation had paid $50,000 to design a plan for downtown McKeesport. Richard and I wrote a grant proposal to the Ford Foundation for the funding to execute the plan. I plan to go back to the Ford Foundation for reconsideration.

Then, there would follow useful studies Penn State could perform, especially for my boss Dr. Ali Memari, Chair of the Pennsylvania Housing Research Center.

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Dr. Memari and I are coauthoring a report entitled

Renovating Existing Housing to Provide Individuals with Mobility Disabilities the Opportunity to Live Independently

The book contains a lot of photographs of independent living facilities where design modifications should have been required. I will be submitting my work thus far to Dr. Memari by close of business on Thursday.

LiftonSecondFloor

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Gratitude is hard to express. Syrup often accompanies it. More of the gratitude I feel will be expressed as time goes by.

–30–

Joel Solkoff

Noisy Thanksgiving November 22, 2012

Copyright © 2013 by Joel Solkoff. All rights reserved. 

 

 

 

 

 

 

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