About Me

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Gloucester, MA, United States
Listening and Spoken Language Specialist, Certified Auditory-Verbal Therapist, Speech-Language Pathologist, International consultant for LSLS training and children with hearing loss, husband-wife AVCC team, mother of three amazing individuals.

Monday, March 19, 2012

Flying Home

This post covers: "Saturday in Nha Trang to Sunday evening in Gloucester"

Saturday in Nha Trang:

I want to get my hair done one more time. It’s 85 Vietnamese Dong – that’s about $4.00 for a head/neck massage and a shampoo/style that is usually an hour of relaxing bliss! The hairdressers move their motorbikes out of the salon as they open their Coiffure de Paris salon for the day.

I walk along the now familiar streets dodging motorbikes up to the tailor shop where I had a few things made. Ms Hoang Yen and her associates are some of the nicest people I’ve met in Vietnam – very friendly and lucky for me they speak English pretty well. I told Ms Hoang Yen that I’d give her e-mail to my friends. If you want something made specifically for you, contact her. I am happy with my order, though one dress is not finished, she wants to spend a few more days working on it. She will mail it to me. Her email is: "hoangyen_tailor@yahoo.com.vn"

Judy and I take Sophia to out favorite little jewelry shop right beside the Asia Paradise Hotel!
"Mi" is a wonderful shop keeper as Judy and I enjoy perusing the lovely items in her shop.
Oh, one last "typical" Vietnamese photo op!
Judy and I enjoy our last lunch together right across the street from our hotel. We meet this English journalist. In this photo you can see I am giving him an 'earful' about the Global Foundation for Children with Hearing Loss and details of the blog sites; childrenwithhearingloss.blogspot.com
and adventureviews.blogspot.com. I am sure he is reading this now.
Such a nice spot for us to enjoy a Vegetable Curry & mango shake.
Ceiling lights in this restaurant give a nice detail for those who look up.
Judy looks excited about the clay pot veggie curry and rice - yum!

We say Good Bye to Marianne & Chris Simpson and Hien from Hand in Hand in our Hotel lobby. It’s Marianne’s birthday! Did I tell you that Marianne and Chris are from Gloucester England and I’m from Gloucester, Massachusetts, USA. Isn’t that a coincidence? Check the 'wearing of the green' on St Patrick's Day? Even Chris, the guy from England, is wearing a green shirt! (by chance, I think, but- hey, that is lucky on St patty's day - for sure!)

Buffalo Tours has a bus to take us to the Nha Trang Airport. As we drive along the turquoise bay out of town, we skirt the mountains and see all we will miss of this gorgeous seaside city. We know in about 5 years the commercialism will dominate changing the scene even more. Remember that my first view of Nha Trang was the construction site? That’s what’s happening here. Even the view from my 12th floor room will be forever changed by the hotel that is planed for the vacant lot between my hotel and the beach. Guests staying in 1202 will not see the breathtaking sunrises.

This is not the fishing town it once was. It is a resort with many foreigners coming for vacation-mostly Russians. Of course, I like the conveniences that the infrastructure offers, but the charm of what once was here is gone now. Sister Phuong tells me what is was like ten years ago – more like Lai Thieu. She says it is not Vietnamese. It is for tourists now. They are building what tourists want.



One last sunrise over Nha Trang and this beautiful bay in the China Sea...
Confusion at the airport with all the luggage!

We all fly to Saigon where we meet up with Paige at the Dragon Hotel. Our final team dinner at the Vietnam House gives celebration to the conclusion of our Mobile Mission. Professionals who I had never met before became a team for this time. I will miss the challenge of working together to train teachers in Vietnam.

Driving the streets of Saigon with the American flag among others in the bus window.

Checking to see if all GFCHL team members are in the photo; I look at them from Left to Right: Jacque Patton, director Paige Stringer, Sophia, Judy, and Laurie Nelson -I think there is one more?
Oh, yes, Jim!
We miss you, Jim - sorry you could not join us in Lai Thieu and Nha Trang.

Jim & I shared a Vietnamese pancake on his "last supper" in Vietnam, so I have the same for my "last supper" - delicious, but not as good as the one I shared with Jim....that is the story of my life.Paige looks happy with what the GFCHL 2012 Mobile Mission accomplished. She enjoys her signature drink; watermelon smoothie.

For the first time, Judy and I are in rooms on the same floor right across from each other. We are tired and know we have to wake up at 3 am to get to the Saigon airport for our 6 am flight. We pack and repack our bags – howling with laughter through our tiredness. I think there is a certain stamina we hold all through the training that lets down when the job is done. We feel that relief and exhaustion.

We sleep for a few hours before our early morning flight.

I spring awake at 2 am. I am so excited about going home. Early morning taxi waits for us outside the hotel. How fitting that “Simser” the cute bell boy who remembers us and the “Oh sh_t” episode from last year is there to give us a fond farewell. The trip is shorter to the airport as we buzz along empty streets of Saigon.

Oh, my last bowl of Pho - pronounced 'fa ah' at the Saigon Airport Sasco Lounge at 4 am.
Do I look like it's 4 am or what? Judy looks very excited to be going home!!!!

At the airport, the Orchid VIP lounge Judy gets us into because she has a pass with Star Alliance is a nice place to wait for our flight – maybe too nice, as Simser and Watson are called on the loud speaker as our bags are searched one more time by the gate security! Simser and Watson are the last to board the plane!

Our less than one hour time allotment in Hong Kong for switching planes is a bit stressful, but we make it. We find our way to seats 27 B and C. Judy does not like that the seats do not recline much as these are the seats right up against the WC wall. She gets the stewards over and pleads her case. Her aisle seat actually does recline, but my middle seat does not. After all the fuss Judy makes, I get to move! I sit by the window in row 24 beside two young men from Hong Kong going to NYC for the first time. They are quite excited about their work-travel plans.

Hong Kong from the air.

Being Gluten Free and Vegetarian can be tough. My Mobile Mission team members will laugh as all through Vietnam, I struggled to make my desire known. No place is harder to make this kind of dietary need known than on an airplane. When I ask the stewardess if my request is filled, she looks on her sheet to see my name with information that I am flying from Tel Aviv and want Kosher food! Huh? I do receive GF food – not vegetarian, but hey this is only a 16 hour flight! No worries, I will be home within 24 hours. I cannot wait to cook my own food again!

In one of our Skype calls last week Jim tells me he went to the store and bought all my favorite foods: sweet potato, mango, black beans, green pepper, scallion, spinach, mushrooms…..my mouth is watering as I think of preparing Rip’s Bowl. I tell Jim that he should make that and eat it. He says he is saving the stuff for me. In that call he also tells me he bought me flowers but realized they’d be withered by the time I got home, so he put them back. We laughed about that. It’s hard to be away from the ones you love for so long. We don’t want to do this again.

I am so ready to be home. One month is a long time to be away. Three weeks of intensive “teacher training” with interpreters is a lot. I am glad I went. I am glad I was able to fulfill all I said I’d do for the team and for the teachers at each of the three centers. I realize we helped more than three centers because teachers from all over Vietnam were invited to join in with the local teachers. Apparently the number of people we trained is up around 200! I wonder if we can really know the impact of what our training does.

The “ripple effect” is in play. What we demonstrated, instructed, and encouraged will be received differently by each attendant. What they do with what we gave them is up to them. I hope we helped make these professionals more aware of what is possible for children who are deaf and hard of hearing.

I am writing all this as I journey from Nha Trang through Saigon on to Hong Kong over to Newark, NJ. As I gaze down at my country feelings on being home flood my being. I never thought of New Jersey as “home” before, but as I move with the passengers from the plane and stand in the Immigration line with my fellow Americans, an overwhelming sense of belonging fills me as we wait to be approved entry into the land we love. Judy, being Canadian, is entering the USA in another section. We part thinking we will meet up again to claim out bags for customs, but we get separated in the shuffle. The restricted areas do not allow waiting, though I do wait once for 10 min and at another spot for 15, just wanting to give “my Judy” a farewell hug. Good thing I do not wait too long.

I have to find my gate and get another boarding pass and take an airbus over to another terminal. I do not mind as most people speak English and everyone looks American. By that I mean everyone looks different. I realize for one month I was often the only one in the room with blue eyes, the only foreigner. What I do love about my country is: ‘we have everyone in the world here!’

On my last leg home I am fortunate to sit beside a handsome young man who turns out to feel like a friend. After the normal “hellos and where are you froms”, we share more of what we’ve each been doing recently; he, a resident radiologist, and me, the volunteer coming home from Vietnam. Coincidentally he has just seen a young Vietnamese woman who is deaf and cannot speak. She has a large lump in her breast but was unable to tell anyone about it. He asks about language development and tells how she could only communicate with her mother because she did not know any formal sign language either. This woman grew up without any communication system of any kind.

His story helps me understand that even though I wish I could have done more for the deaf children of Vietnam- like establish Newborn Screening, have correct hearing aids for every child’s hearing loss, cochlear implants for those who need them, and teachers trained to be doing effective parent guidance. However, sharing the information the Global Foundation for Children with Hearing Loss team was able to share with the professionals serving children who are deaf is the best way to improve conditions and opportunities. These caring professionals in Vietnam; doctors, audiology technicians, teachers, therapists, along with the parents need to take the information we shared, learn more, and advance the whole process as best they can.

As we approach Logan Airport, I see my Boston Harbor islands, my Boston city skyline, my Simon Donovan Beach in Winthrop (named for my ancestor). I am full of claiming all of my home base. People are helpful and courteous with bags and personal space as I exit the plane. I find my big green duffle that made its way across the great Pacific Ocean and the expanse of our country to my shining sea, the Atlantic Ocean! Jim is waiting in the cellphone lot and drives my blue Subaru around to find me smiling, happy to be home with him. I think, "Wow, Jim never looked so good!" The policeman hurries us out of hugs and on our way.

Driving home I see hundreds of cars and only two motorbikes, the opposite ratio from any city in Vietnam! My eyes soak every familiar sight as we speed along 128 to Gloucester, around the rotary, and into my driveway at 544. Home.

Jim shares my favorite dinner he prepared for me. Bandit is purring as I pat her. As I settle in, she follows me everywhere I go in my house. Xan and Sam who live nearby come over to see us. How wonderful to see them; both looking absolutely healthy and wonderful! Sam studying social work and Xan who does lots of travel as the senior field service engineer with Pacific Biosciences, both understand Jim and me as we describe the ways our volunteering in Vietnam fascinates and frustrates us. Being with those who love and understand us, I know I am home now.

We feel hopeful that our volunteer efforts means more children diagnosed as deaf all around the world have opportunities for listening and spoken language. We feel happy to be home. Hopeful. Happy. Home.

As I wake up in my own room, looking out my own window, I see my own river more clearly with all the shadows, reflections, views, changes, and sparkles!



Saturday, March 17, 2012

Saturday Vietnam House Farewell Dinner










Friday at the Rehab Center Mobile Mission conclusion








Maryanne smiles as she joins in a lesson at Hand in Hand....Judy is pleased with the new way or organizing toys at Hand in Hand....
Hien tries out the otoscope donated by Sunshine Cottage delivered by Jacque Patton.
Audiologist Jacque Patton poses for a photo with grateful people at Hand in Hand.
GFCHL Mobile Mission Audiologists with Hien and Maryanne at Hand in Hand.
Rehabilitation center pool
Rehab Center doorway with shoe rack

"hen gap lai" -- "see you again"

At 8 am the GFCHL Mobile Mission team members meet in the hotel lobby as usual. We say good-bye to our director, Paige Stringer, because she is going back to HCMC early to meet with her doctor regarding the recovery of her broken kneecap.

Jacque, Sophia, and I have not seen the Hand in Hand center. Maryanne arranges for us to have a tour or her center before we go to the Rehabilitation Center today.

See the pictures of this organized Early Intervention Center. It looks like a great place to do listening and spoken language therapy with an audiology booth on the first floor. I love the homey feeling to this friendly building.

Over at the larger Rehab Center which services 150 children, 45 children with hearing loss and just 12 Early Intervention kids, I find my team of teachers who have been listening to me all week. These ‘teachers as learners’ are not all “teachers of the deaf”. As I understand it, only a few of my ten are actually full time “teachers of the deaf”. Some teach older HI kid – one with a class of 18 yr olds, one with a class of 10-12 yr olds. Some teach autistic kids. Some have mentally delayed students. One is a professor at the university in Nha Trang. One is the assistant to the principal of this center. A couple I am not sure what or who they teach.

The fact that there is no one person focusing on being an “Auditory-Verbal Therapist type” disturbs me. For, it is over 35 years now that I am specializing in this kind of therapy. Even though I have a degree in Speech-language pathology and learn from the best professionals in the field, even though I read and read re-read every book I can get my hands on about this therapy, and talk with my colleagues around the world about cases and therapy ideas, I know I still need to learn more in order to do my job well. How can anyone do this “part-time” and answer the needs of these parents who require such specific guidance in understanding audiology, speech pathology, hearing aids, cochlear implants, deafness, developmental milestones, speech acoustics, behavior modifications, lesson planning, diagnostics and everything else?

I wonder if what I am sharing this week is really helpful to them in their specific line of special education teaching. I do not find out that they are not all Early Intervention teacher/therapists for children with hearing loss until Thursday of this week.

Now I understand why they had no idea about what Judy and I were lecturing about in auditory memory and listening development. Now I see how they could allow the Early Intervention preschool to be in such a noisy classroom with airplane flying over every other minute. There is no one thinking about the Ten Principles of Auditory-Verbal practice here. Do they really not know about this basic information?

This is like the dark ages of teaching – like when Jim and I started into the field in the 1970s. Fortunately we met Dr. Daniel Ling, PhD, who captured us with his charisma. Jim studied with Dan at McGill University, had his practicum experience with Judy Simser at CHEO. I taught at the Montreal Oral School with principal, Doris Leckie. Jim and I then spent a year being trained by Helen Beebe in Pennsylvania. Working with these master clinicians awakened in us the possibilities for children who have even a tiny bit of hearing. We learned auditory-verbal principles and techniques. Our students started to learn to listen and talk. We learned to teach “through the parent”.

Jim and I keep on learning as our field changes during the next decades. We have many teachers along the way. We are still learning, but this is our specialty. Parents who choose to work with us know that all we do is think of ways to make the job of coaching them easier. We love our jobs. We love learning how to do our jobs better.

Perhaps these teachers do, too. I can hope that what I share with them this week is expanding their knowledge. I am a bit confused as I came here to train teachers who are working with ‘deaf kids’. That is my mission.

The children I see these weeks in Vietnam are some of the most deaf I have ever seen – so many with profound losses. Really, all we saw are those with profound deafness. I tell the teacher in my country all these kids would get two cochlear implants.

When I explain that every kid I teach can repeat the Ling 6 Sounds from at least 15 feet away, they are surprised. If they don’t here the sounds, my studnets get an implant. Because I work with infants and their parents, the kids learn to listen well. By the time they are age 3 or 4, they speak well. They sound “normal” and go to regular school.

I caution them about being completely auditory with their students in Vietnam because, if the child cannot hear all the sounds across the speech frequencies (all the Ling sounds), then it is not really fair. Now that technology is available, get the correct technology for listening well. We must use technology to help us.

The correct hearing aids or cochlear implants might not be an option for children in Vietnam. Did I hear that there is only 1 certified audiologist in all of Vietnam? I know there is not even 1 certified auditory-verbal therapist in this country. Now I am questioning the value of my work here.

I throw this out for discussion with my team of teachers. The professor says; “It’s impossible!” I nod my head to show that I do understand how he feels, but respond with one of my favorite quotes; “I think nothing is impossible, in fact in my language, the word “impossible” has the word; “I’m possible” in it!”

They serve us a delicious lunch. We meet for one more lecture, question/answer time, and the 'post test"!

We had out certificates. They honor us with gifts and speeches.

I say; "Thank you for listening to me all week. What a great group of teachers! I hope you understand more about Auditory-Verbal Therapy and the opportunities for listening and spoken language development for children who are deaf. I hope you can develop a fund to raise money for cochlear implants. I hope you can establish a full-time Auditory Skills teaching position at this center. I hope you can help the parents by giving them more information and more to do. I really love being part of this Mobile Mission Team. None of this could happen without our director Paige Stringer and the Global Foundation for Children with Hearing Loss. Thank you all."

I think I said some thing like that!

Thursday Lunch Sao Mai
















Sister Loan and Sister Tram invite me to lunch at their center. This is after I do a professional critique of Sister Loan's video of trying to get a 7 year old to hear with one hearing aid!

As they get on their motor bikes, they say they will call a taxi for me. I say; “Do you have room for me on a bike?" Sure! They thought I was too scared to ride the motorbike, but hey, this is Vietnam! Sister Loan rides with Sister Phuong. Sister Tram hands me a helmet. I climb on behind her. I hold on tight! Now I enter the stream of motorbikes I've been watching for 4 weeks. I am loving it!

We drive about 10 minutes through the chaos of Nha Trang traffic, turn left down a small road, and the left again down a smaller cement road to a dead end she I see a home made into a 'school'; “Sao Mai”.

Vy, the girl from the video greets us with squeals of delight and a big hug for Sister Loan. Mother Superior, Sister Melany Loan, is waiting for us at the gate. She greets me with the warmest smile. I am meeting the “Earth Mother of Vietnam”. I feel enveloped in her love. She thanks me for coming and for teaching the teachers.

She is eager to show me around the school. We climb up three levels of a brand new clean building. Children are everywhere saying; “hello”, “hello”. The students put on a show for me. The teenagers with developmental delay dance to a modern pop rock piece. Their movement to the music and expression through dance is as captivating as any Apsara performance as they incorporate new moves with traditional. Three teenage girls with hearing aids dance to old-style Vietnamese music with grace and feeling. One girl who listens with hearing aids plays the piano. I think of my students, Sophie and Penny who also play the piano – so wonderful.

Lunch is waiting. I listen to them say prayers before we enjoy the beautiful food Sister Melany Loan made for us – great vegetarian dishes! We enjoy honest open conversations as we pass the plates around the table. I feel so ‘taken care of’. I have not felt like that in a few weeks now. I feel like I am ‘at home’ with these women.

Mother Superior sees that I am very tired. She insists that I take the mid day nap. Sister Tram lets me lie down in her room. Her room? It is a classroom during the day. She moves the desks aside and opens out her bed. Her bed is a frame with a straw mat. I see a hammock and think that might be more comfy for this North American, but I think I should at least try the bed. I lie down. Within minutes I am resting deeply, not really asleep, just quiet and “under their spell”. Maybe I rest for 15 minutes. I get up and feel refreshed! Sister Tram arrives and we walk down the stairs past all the sleeping children lying on their mats in their classrooms.

We climb onto the motorbike once again and buzz back for afternoon lectures. I am barely holding on now, as I trust my driver. I feel like I have been in an oasis, a little bit of “Heaven” on this side of the world. I know that I can help Sister Loan teach her students listen and talk. She has such a supportive team at Sao Mai.

Sister Loan says she will try my suggestions in her therapy with Vy and her family. She will make another video and mail it to me in about two months. Sister Phuong, my interpreter, says she will translate my suggestions that I write after Sister Loan sends me that video of her therapy. I can help this teacher from afar. Here is a professional ready to change and develop her skills.

Sister Loan is the one who finds the Vietnamese translation of Brown Bear Brown Bear that I told everyone I knew existed. I know I can help a therapist who has Eric Carl in her library! I am happy about that.

Thursday, March 15, 2012

Vietnamese Banquet for the Global Foundation for Children with Hearing Loss






Paige Stinger and her Mobile Mission team are treated to elegant rooftop dining experience by parents of one of the students. The dad is GM at Hon Tam Sea & Sun Restaurant. We enjoy the sound of surf crashing as we gaze into a clear night sky of twinkling stars while we feast on crab, lobster, clams, fish, and of course, stir-fry rice edged with fresh cucumber, a veggie platter for me. Nha Trang has so much to offer. The best of Nha Trang is people like this and we are meeting ( and hopefully helping) many wonderful people here. hontamresort.vn

Motor Bike Ride!