Rep. Jim Langevin (D-RI), the only quadriplegic to serve in Congress, co-sponsored the bipartisan Fairness in Medicare Bidding Act introduced by Rep. Glenn Thompson (R-PA) and Jason Altmire (D-PA).

Monday, May 3, 2010

Technology allows blind people to drive cars

The following is my May, 2010 column From Where I Sit for Voices of Central Pennsylvania:

Imagine racing a Ferrari F430 (worth $406,000) at nearly 182 miles per hour and being blind since the age of three. This event took place last month at an airport in Turkey where Metin Fenturk, a folksinger, broke the Guinness “world record for fastest unaccompanied blind driver” previously held by a British manufacturer. On winning, Fenturk said, “I don‘t knowi there are any words to describe this feeling. I am completely happy. It was really hard, like a dance with death:” [See http://voicesweb.org/driving-blind]

On a less-than-pedestrian note, Virginia Polytechnic Institute and State University(Virginia Tech) has made a major contribution to the National Federation of the Blind (NFB) challenge: Design an automobile for an individual who is totally blind to drive safely to and from work by oneself. “Can you imagine a blind person behind the wheel of a car?” the narrator of a video produced by Virginia Tech asks. “Well today it may not be long before you won’t need to imagine.” Virginia Tech’s vehicle was driven by a person who is totally blind and successfully passed a parking lot driving course of considerable complexity.

Virginia Tech’s Steven Mackay, at the engineering college, told me this month two Ford Hybrids are arriving to be retrofitted for people who cannot see. I have been trying frantically to understand the intricacies involved with this technology. My mind is overflowing with technical details I do not yet understand. Meanwhile, Mackay’s clear explanation will have to suffice:

“This laser sensor, mounted on the front of the…vehicle, operates similar to sonar. It sends out a laser beam that will bounce back to the device as it hits an obstacle. The sensor then figures out the distance to the obstacle by measuring the time of flight of the laser beam. As the laser sweeps the environment, the computer constructs a map of all obstacles around the vehicle.”

Here in State College, a discussion with Cary Supalo provides context to encouraging developments for career training for blind students and how Virginia Tech technology energized an NFB science camp when camp members lined up eagerly for their turn to drive. Supalo is president of the local chapter of the NFB, but he is best known for his Penn State career in chemistry. Supalo has a master’s degree on the subject at Penn State and is expected soon to obtain a doctorate and a job as a professional chemist.

Supalo‘s work to encourage blind children to take math, science and engineering courses has been exceptional. As someone who has recently begun a job [technically “a job training program” with the opportunity of a permanent position], I look with hope to Supalo’s lead.

My job for the Altoona-based Blair/Clearfield Association for the Blind is to find jobs  for people who want to work but cannot see. Most people who are blind in Altoona and want work do not have the educational background to do anything but themost menial work. Altoona has a surplus of “able-bodied” u n e m p l o y e d workers who can’t find work.  On the order of the ladder, in these still difficult economic times, people with  disabilities are at the bottom. The immediate solution is to work to improve the economic situation as a whole throughout central  Pennsylvania. As the expression goes, “All boats  rise with a high tide.”

Meanwhile, the orchestration of Virginia Tech’s successful test has  Supalo’s handwork written all over it. Supalo is an energetic leader. When I visited Supalo’s office, he was developing professionally required tests a blind chemist can perform independently. Supalo, who is charming and astoundingly  energetic, comes closer to anyone I have met to having the charisma to lead the emerging disability rights movement—a movement that badly needs leaders.

The Jernigan Research Institute wrote the following about Supalo: “His loves are helping blind students expand their comforzones, assisting them to stretch their minto go beyond societal limitations placed on
them since birth and encouraging them to strive to follow their dreams.”

The best job a disabled person can have is one that is part of a career— well-paid, stable, leading to advancement and providing profession rewards. Our disability community through central Pennsylvania must work vigorously to change our area’s education system so students graduate from high school after mastering basic requirements so becoming a scientist is an achievable goal. As a society, we are wasting the talent of the physically disabled whatever their individual career goals. This waste is not only a crime; it is bad for the economy.

Thursday, April 1, 2010

Helen Keller, Blair/Clearfield County Association for the Blind, and Disability Rights Attorney Peter Pinnola Answers Questions

From Where I Sit
Disabilities Info Expanded at Voicesweb.org

[The following is my April, 2010 column for Voices of Central Pennsylvania.]

I learned something 15 years ago when I became unable to walk. Yes, there was the grief over losing a power I had once cherished I loved to walk. At Columbia, I walked routinely from the 116th Street campus to the Village. In San Francisco, I routinely walked from the top of Telegraph to the Potrero Hill At Cheltenham High School in Wyncote PA, I won a varsity letter in cross country—where the standard event was a two-and-one-half mile run.

When I look back excessively, I am at risk of truly living in the past. Especially noteworthy,I learned that thanks to battery-powered mobility devices, known as scooters and power chairs, that I can and have been living a productive and enjoyable life.

How I learned this lesson and how I had the good sense to apply it is a subject for a different Voices medium; namely, our Web page. This column is limited to 800 words and I have much more to say. Bill Eichman, Voice’s crafty webmaster, has come up with a solution—From Where I Sit now has online editions. Turn your browsers to http://voicesweb.org/joelsolkoff to view the following Voice’s websites for such new On-Line From Where I Sit blogs:


In 1904 Helen Keller Became the First Person Who is Blind and Deaf to Graduate from a U.S. College

Blog 1: Appreciation of Helen Keller. Helen Keller is the hero of the self-help for individuals with physical disabilities movement to which I belong. In 1903 Keller wrote about her experiences taking college examinations, “Just then the proctor informs you that the time is up. With a feeling of intense disgust you kick the mass of rubbish into a corner and go home, your head full of revolutionary schemes to abolish the divine right of professors to ask questions without the consent of the questioned.”

Keller was both blind and unable to hear. She wrote these words in her autobiography The Story of My Life on a typewriter. She could not see what she wrote. She had the option of using a Braille device, a process Keller thought too slow and only used the device for making notes. The story of Keller’s writing her story has been extensively published. Keller’s words themselves are so astoundingly beautiful.

Consider: “Even in the days before my Teacher came, I used to feel along the square stiff hedges, and guided by the sense of smell would find the first violets and lilies.” The described intensity of Keller’s need and drive to express herself must be experienced directly.

Readers are encouraged to download The Story of My Life at the American Foundation for the Blind, :http://www.afb.org/mylife/book.asp?ch=HK-title and especially to comment on my view that Helen Keller is the George Washington of the Disability Rights Movement.


Blog 2. Association for the Blind in Blair and Clearfield counties (also including Centre County). I have just been hired as Employment Specialist for the Altoona-based Association for the Blind. Assistive technology for the blind is too astounding to discuss succinctly. In the blog, I plan, among other issues, to describe in detail the technology as well as demographics for the blind in each of the counties we serve.

My director Joseph Fagnani will have me focus most of my attention on two tasks.
1. Helping to find jobs for low-vision clients;
2. Writing funding proposals to get supplies;
thus making it easier to obtain contracts and  eventually expanding the scope of our services.

I am commuting from State College to Altoona one day and telecommuting the rest of the week. In this blog, I will describe the contrast (as I see it) between State College and Altoona. What a contrast.

Blog 3. Legal Advice on Social Security Disability. My attorney and friend Peter Pinnola, whose office is in suburban Philadelphia, answers questions online about Social Security Disability Insurance (SSDI). Peter is a member of the National Organization of Social Security Claims Representatives. My experience with lawyers not a member of this association is bad. They gave me incorrect information.

A major theme of my column is the notion of having a permanent disability and still being able to work. Peter’s advice will also provide details on issues and dangers in getting off SSDI and getting off it properly without risking the option of returning to SSDI if necessary.

Finally, I recognize that my columns put me in danger of coming across as someone who does not see the value of emotional counseling—psychiatrists, psychologists, MSWs, and therapists of various incarnations. To the contrary, I love all of them (Freudian,Jungian, Adlerian, existential, and feminist therapies). Therapy is often critical in helping people with disabilities find the tools (including emotional tools) to lead meaningful lives. Therapy, however, can never be a substitute for the right physical tools. My mantra is “durable medical equipment, durable medical equipment.”

—Joel Solkoff, author of The Politics of Food. Contact him at jsolkoff@gmail.com. See more at Joel’s blog: .

Saturday, March 6, 2010

Exclusive Interview with Rep. GT Thompson on his Rehabilitation Background

The following link to Voices of Central Pennsylvania contains the entire interview between Rep. Glenn ("GT") Thompson of the Fifth U.S. Congressional District. The Congressman was interviewed by Joel Solkoff, disability- and elderly-issues columnist for Voices. The interview took place on February 6, 2010. The Congressman called the columnist who is in State College from Tuscon where he was snowed in by two feet of snow in the Washington DC area and could not get to the Capitol. Voting schedules were adjusted due to the snow.. In this unedited hour and 10 minute interview, the Congressman describes his lengthy carerr in rehabilitation and health care. Please be patient, it takes time for the window to open and for the Congressman's voice to say....

http://voicesweb.org/node/3810

Monday, March 1, 2010

MY CHOICE TO HEAD MEDICARE a.k.a. Administrator for the Centers for Medicare and Medicaid Services

[The following is my March, 2010 column for Voices of Central Pennsylvania see http://voicesweb.org/archive/10mar/10mar-community-lifestyles.pdf (end of pdf.) or visit a newstand in Centre County.]

Strangers, snow and rehabilitation

From where I sit

Thanks to a failure to act in January, the Obama administration has made a serious
mistake in allowing competitive bidding for durable medical equipment such as oxygen
canisters, wheelchairs, power chairs and other devices.


I believe that if President Obama had a Medicare adviser of stature to explain the
consequences, Obama would not have made this mistake that will continue to hurt
people with disabilities—including me.


As a result of this competitive bidding process, T&B Medical and Dick’s Homecare—the only two companies providing power chairs, scooters and other equipment in State College—are in danger of losing to outside competitors, including
competitors outside the state. What they are at greatest risk of losing are contracts to provide Medicare recipients such as myself with equipment and maintenance reimbursements.


Maintenance is the issue I worry about most. Some legislators have put together a plan, supported by a sizeable non-partisan group in the House, that would end the bidding process.

One of the authors of the legislation is Rep. Glenn (“GT”) Thompson, who represents Pennsylvania’s Fifth Congressional district, of which Centre County (his home)
is one of 18 counties in a huge, 11,000 square mile district.


I asked Tina Kreisher, Thompson’s press secretary, for a 20-minute exclusive telephone interview because I thought we could cover the details on Thompson’s health care background so readers can see the link between what our congressman knows and
the unsolved problems he is equipped to solve.


Thompson and I spoke by telephone for over an hour on Tuesday, Feb. 9 at 6 p.m. I did not realize the degree of detail we would get involved in, especially since Thompson is himself the father of a disabled Iraqi war veteran. Thompson does not make a practice of talking in public about 22-year-old Logan, who was wounded when shrapnel and explosives caught him by surprise.


Thompson called me from Tucson, Ariz. where he was attending Logan’s graduation from Army intelligence training, an experience that filled him with the special gratitude we in the disability community feel when someone we love makes progress toward
independence. The two feet of snow in Washington had left him stranded in Tucson and he observed, “There are worse places to be stranded.”


Thompson’s advancement in health care followed two tracks. Academically, he received a bachelor’ degree from Penn State in Therapeutic Rehabilitation, a master’s degree from Temple for Health Science Recreation and a certification from M a r y w o o d
University in Nursing Home Administration.


M e a n w h i l e , Th o m p s o n ’s career involved working in central Pennsylvania a a residential services aid, a recreation therapist and a rehabilitation services manger at Susquehanna Halth Services in Williamsport.


Thompson was at one time an orderly at Centre Crest Nursing Home, and for three years cleaned out bed pans, changed patients out of soiled clothes and changed bedding. He worked with his wife Penny, who did similar work as a nursing assistant.
At the same time, Thompson’s mother was a patient at Centre Crest’s Alzheimer’s facility.


Glenn Thompson [everyone calls him ("GT")] developed a reputation for good work and excellent managerial abilities, including people skills. When GT visited State
College on Labor Day weekend, his charm was evident. He talked about health care in the social hall and bingo parlor (across the hallway from where I am keyboarding this
column) of Addison Court, which is an apartment house for senior citizens and those with disabilities. The Congressman arrived for the 8 a.m event just as the Webster’s coffee and goodies arrived. (It helps turnout for these events when food is present and Elaine Madder-Wilgus has been most obliging in providing the coffee
Thompson was so grateful to drink.) The 10 additional members of the audience were mostly men and women in their 70s, 80s and 90s.


GT charmed everybody—83-year-old Lilian Huffman, put her hand on my shoulder and said, “I like that fellow” and Lilian is very influential at Addison Court. Win Lilian Huffman and you have won votes at Addison Court. Lilian is a registered
Republican who voted for Obama.


In my interview with Thompson, I asked about each portion of his 31-year career, which ended when he was supervising 25 rehabilitation specialists and coming up
with strategies for improving ongoing rehabilitation.


For me, sitting in a power chair right now, Thompson is the guy to know. I am at a point where I can now go back to rehabilitation to Dr. Colin McCaul, a brilliant rehabilitation physician at Healthcare South, because I recently passed a cardiac stress test. Since I cannot walk, cannot stand without holding on to something and can dislocate my shoulder if I throw my right arm straight in the air, I need a specialist to adapt special exercising tools so I can get the cardiovascular exercise I need. In my considerable experience with physical rehabilitation in three states, the people who do
the hands-on work, the people who touch my body to show me how to do special exercises, when touching is appropriate (a pat on the back is always useful)—these people are uniformly kind and helpful.


I am impressed by the kind of work Glenn Thompson did and taught other rehabilitationspecialists how to do. Based on his experience, his testimonials, his conversation and his education, I feel sufficiently trusting to put my exercise program in his hands if he has time.


Obama, the president I helped elect, is doing some truly bad things to Medicare that will have severely negative effects on the disabled. They have potentially disastrous affects on me. I use my power chair frequently; I require battery replacements every six months. What if the competitive bidding process the Obama administration
is implementing results in requiring me to get batteries from an out-of-area supplier and I have to wait too long?


Right now, Travis would be right over with the batteries. With competitive bidding, I have to depend on some anonymous supplier. During that wait, if my batteries won’t take a charge and I soil my bed repeatedly, I might have to move to Centre Crest, which would severely limit my opportunities.


The failure of the Obama administration to reach across the aisle, as it promised to do, is shocking when Glenn Thompson’s special knowledge is going to waste. At the time of my interview with Rep. Thompson on Feb. 6, the President had yet to announce
an Administrator for Medicare and Medicaid. Medicare is the largest health insurance company in the United States. Medicare needs an administrator who can be confirmed by the Senate. Thompson would be confirmed by the Senate.

Or, President Obama, please find him a better job. Or wake up the Republican House Leadership and have him put on the Ways and Means Committee where he will have oversight over Medicare. Given the overwhelming Republican composition of the Fifth Congressional District, Thompson will eventually gain the seniority he needs.

I don’t want to wait. I want Thompson‘s special skills available to me now because I believe he can assure me a more secure future.


—Joel Solkoff, author of The Politics of Food ,can be reached at his Voices of Central Pennsylvania blog http://voicesweb.org/blog/1242

Strangers and Snow

From where I sit stuck in the February snow on the Allen Street hill facing home after breakfast at Webster’s Café and Bookstore, the words come to mind like a mantra that has governed the last 15 years of my life as a man who cannot walk, “…I have always depended on the kindness of strangers."

The words were originally made famous by Blanche Dubois in Tennessee Williams’ emotionally charged “Streetcar Named Desire.” The words evoked a spirit of hopeless dependence.

For me they convey very much the opposite. For me (a paraplegic with a bad right arm) the kindness of strangers is a remarkable blessing. In the past 15 years since I became unable to walk, I am no longer surprised by incidents, such as today’s:

A woman driving north on Allen Street:

• She quickly parks.

• Gets out of her car.

• Pushes my power chair out of the snow.

Unasked people open doors for me and will offer to perform helpful tasks which they do, such as going to the grocery store for one needed item (only to be presented with a week’s groceries paid for by my benefactor).

This Kindness is especially intense in Central Pennsylvania because of the strength of family-ties, clearly observable in local nursing home reception areas. This kindness has been extended to me throughout the United States. My 1993 Buick with its wheelchair lift has taken me to California and back twice. Strangers who helped me along the way. I realize that some individuals have experienced bad behavior as a consequence of being disabled. For me strangers are my guardian angels.

As I see it, one of the unwritten rules of the kindness I have experienced is to try not being in the position of having to ask for help again. For example, if the batteries in my power chair are low [which they are, hey, Travis] I can call Travis at T&B Medical and before the batteries are totally exhausted they have been replaced by new ones. Without replacement, there is considerable danger involved in leaving me without power.

Thursday, February 4, 2010

USED TO BE ONLY THE GOP TRIED TO DESTROY MEDICARE

[MY FEBRUARY 2010 COLUMN FROM VOICES OF CENTRAL PENNSYLVANIA]

From Where I Sit

“…Dr. [Margaret] Pfanstiehl…said her goal was to engage the sight-deprived to‘live a 20/20 existence without 20/20 vision.’”
                            --from The Washington Post.

Dr. Pfanstiehl, mourned last month in a Maryland ceremony, was blind and promoted audio description technology to the point where a blind patron can hear audio description of dance.

From where I sit on my $5,000 power chair, two issues come to mind immediately. First, President Obama, the man I supported to be president, plans to reduce the Medicare budget by nearly half a trillion dollars. These cuts, intended to help pay for health care reform, have come on top of procedures that hurt me and others who are elderly or disabled. The argument is that current and future cuts will reduce “fraud
and abuse.” Attorney General Eric H. Holder, Jr.’s fraud and abuse prosecutions are notable for their relative insignificance.

The second issue that comes to mind is when elderly and disabled voters are organized,
they constitute an effective voting bloc. As I write this column in Addison Court in State College, I note that Addison Court has about 90 residents who are 55 or older or who have disabilities or impairments.

Most of us are registered and vote even in low-turnout elections. Addison Court now has a tradition of iinviting candidates to inform our residents about the issues. To date, residents (eating
Elaine Mede-Wilgusr donated food from Webster’s Café) have heard R e p r e s e n t a t i v e
Glenn (GW) Thompson, his challenger Mark C. McCracken (currently a Clearfield County commissioner),
Assemblyman Scott Conklin, State College Mayor Elizabeth Goreham, and four State
College Borough Council candidates representing both major parties.

When George Bush was president, he attacked Medicare, creating barriers that
made it more difficult for eligible citizens to obtain medical oxygen for homecare,
wheelchairs, power chairs and scooters.

To take me as an example, in March 2008 a power chair was prescribed for me after (in-patient
hospitalization at Health South). I received a thorough evaluation from physical and
occupational therapy. My physician, Dr Colin McCaul, a specialist in rehabilitation,
prescribed the chair because he said it would be useful for me to have more support
for my right arm, helping to avoid surgery.

It would also be useful teaching my left arm how to perform functions previously
done by my right. The chair’s controls are on my left causing much trouble
before I finally learned how to drive lefthanded.

Medicare required that I go through an hour-and-a-half test with a rehabilitation
specialist. After passing the test, I saw Dr. McCaul in the hallway. The rehabilitation specialist
emphasized the importance of the doctor scheduling a one-on-one appointment devoted strictly to why I need a power chair and to be followed by a paper prescription with the magic words on top “after a one-on-one appointment.”
Since I had seen Dr. McCaul immediately before the test, he said it wasn’t necessary
to meet again. He would take care of it.  Medicare, which has been consistently negligent in explaining the rules to physicians rejected the prescription and would not pay. The prescription was not written in keeping with Medicare regulations. [How I obtained payment from an agency other than Medicare
 is a story for another time.]

When Obama became president I thought he would reverse those policies. He has
made things worse. Especially distressing is that while Obama has been busy with health
care reform in which Medicare was a significant factor, he had not named a director of
Medicare, the largest health insurance company in the United States. Assistive technology
(which gets me from bed to the bathroom reliably) generally helps the disabled
avoid assistive living (which costs Medicare more than $40,000 extra per person
per year than independent living. Also, independent living
allows a greater sense of independence and helping to improve morale.

I said in my last column that I would discuss John Wayne’s comment that after
cancer surgery he did not feel sorry forhimself, despite the temptation. Wayne
proved it by getting back to work, filming a movie only two weeks after surgery.
For those of us who are disabled, not feeling sorry means having the equipment to
get a job, equipment suc as that listed above.

Assistive technology for the blind especially have resulted in
very exciting developments Disgracefully, technology that is very
useful to help individuals who are blind gain indepence
is not paid by Medicare. We also need technology for those who cannot
hear—only some of which is paid for, including controversial cochlear implants.

The most effective message to the Democratic Party is the creation of a bloc
within the party that will vote strictly on disability and aged concerns—a bloc which
will flirt with the Republicans if it does any good. [It should go without saying that this
bloc would include disabled veterans, but all too often veterans are neglected even
when intentions are best.]

—Joel Solkoff, author of “The Politics of
Food.” Contact him at jsolkoff@gmail.com

Wednesday, February 3, 2010

Background Whimsy for February 2010 Voices Column above

MY NEW POWER CHAIR

Picture 1. It is nearly dawn here at my apartment in Addison Court.


Lately, I have been getting up early, drinking 5 cups of Ethiopian coffee and so ending my caffeine for the day. Buzzzzzzzzzzzzzzzzzzzzzzzz. Pictured here is the view from my kitchen/dining room/living room window. I look out East onto the parking lot and the “urban” scene of Beaver Avenue in downtown State College.



Picture 2. This is my new power chair; it arrived yesterday.

What you are seeing is the Jazzy Select 6 Ultra chair made by Pride Mobility Products Corporation. It cost over $5,000 and was paid for by the Office of Vocational Rehabilitation (OVR) here in the Commonwealth of Pennsylvania.

Picture 3. This is the joy stick, mounted at my request on the left side.

Since I am right handed mounting the joy stick on the left leaves me with the motor skills equivalent to signing my name with my left hand. (Lots of luck.) My idea, in keeping with the principles of occupational therapy, was to spare my right hand (and more importantly my right arm) unnecessary strain. The result is that I bump into walls, door sills, and furniture. Yesterday, before putting the thing away for the night, I turned the large living room table completely around.

To the far right of the joy stick, just barely visible, is a half moon showing that the power chair is full of electricity. The on-off button is to the left of that, then the horn, then the speed, the button on the top decreases the speed. Notice that the one light means I cannot go any slower. With practice, I can make the thing crawl. With proficiency it will go over 10 miles an hour, a seat belt protecting me against the world.

The two buttons to the far left control the elevator function. I can go up. I can come down.

The following is what up looks like:


Picture 4. High eggs.



Picture 5. Low eggs.

So far, I have had a great deal of fun using the joy stick to go up over the bathroom sink so I can brush my teeth, going up over the sink so I can wash my dishes, going up into cupboards I could not reach before.

Picture 6. Toggle wheels—the next frontier.

You will note that there are three wheels on each side. If I go forward all six wheels go in the same direction. If I go back, the toggle wheels (at the front and rear of the machine) turn around to go back. When they turn, there is a moment when I am not going straight back. Instead, I swerve and the way I am supposed to correct the swerve is by continuing to move back and correct the swerve.

Only walls and doorways get in the way. Instead of correcting by going back, I go forward, causing the wheels to turn around forward. After one of two maneuvers, I am in the corner of the room, unable to move in any direction.

Fortunately, about 62 percent of the time, I can make a sharp u-turn. Turning around in circles is easy and a lot of fun.

As I learned from yesterday, I am not yet ready to go outside. Practice is how to get to Carnegie Hall. Practice.

--Joel Solkoff, trapped behind the desk in the second bedroom, May 15, 2008.