Day102 — two different visits: swallow evaluation and preparation for Step3- radiation and chemotherapy

  1. Day102 — two different visits: swallow evaluation and preparation for Step3 radiation and chemotherapy
    1. -Two weeks ago: the swallow instructions/tests are the same while sitting perched in front of the x-ray machine: ‘swallow this’….or ‘Chew and swallow this.’ Then they assess the video x-ray of the swallow process with my recently reconfigured tongue, tonsil, soft palate. They have done the same protocol twice before, so they have a baseline for the exact physiology of my swallow. The results are good for someone with the kind of recent surgery that removes some of the intricate parts of the swallow choreography that is the human swallow (as a systems guy, the swallow controls two critical inputs to the human body, it inputs the foods and liquids required and stops the input of air (when the two get confused you aspirate food into the windpipe… not good!)
      1. Here is a video of my post-TORS surgery swallow… It wasn’t this good immediately after surgery, but had improved markedly during the days before [my biggest food-based challenge had been a meatloaf sandwich two days before… the meatloaf was easy, the bread, even soaked in gravy, was difficult to swallow]. 

      2. And here is a review of the swallow outcomes after TORS surgery where Dr. Hutcheson (lead author) reviews the data.
    2. -This past week: was the preparation for Step3, a course of radiation and chemotherapy designed to eradicate any remaining cancer cells that remain. This process included:
      1. Education on what my tasks are to minimize the side effects of this treatment… it is an extensive list that starts with the obvious drink enough fluids and eat enough food, then moves to the less obvious brush, floss and rinse the mouth out with a baking soda solution to get the mouth back to the right pH (alkaline and not acidic), and many many more tasks (I am in the process of creating a daily chart that I will publish to this blog when it is finished)
      2. A team of four MDAnderson radiation oncologists including Dr Rosenthal put the scope up my nose to inspect the back of my throat to collaborate on the regions to be irradiated
      3. I was whisked away to “simulation” where they ‘set me up’ for the radiation process. I have a spine curvature that makes it quite impossible to lie flat on my back, so the team (all 6) worked to get my body elevated and aligned so that my important parts were precisely in place so that they could then put a custom fitted ‘mask’ over my face and throat and bolt it to the table so that my head and neck would be in exactly the correct and same position for each radiation treatment [don’t want to miss any important targets, nor do I want to irradiate any unnecessary parts]. They marked up my torso with alignment markings… and I will start the radiation treatment March 6 at 11:30pm [the proton therapy equipment is in high demand, and I am at the end of the line!]…
      4. During these processes, I was asked by the research arm of MDAnderson if I might be a candidate for a study of blood flow impact to the jaw (osteoradionecrosis (ORN) of the jaw is one of the most severe chronic side effects of RT to the head and neck region). This will require MRI scans before, during and after the radiation treatment. One of the reasons that I selected MDAnderson is because of their research, so I am now a part of this study. Any small contribution to the battle against this cancer and the improvement of the outcomes from the treatments makes the inconvenience of a thousand mile journey less taxing.

PolarisTech — Our Personalized Education Revolution is Coming Out of the Ground

  1. Our Personalized Education Revolution is Coming Out of the Ground!!
    1. -Join us in Ridgeland, SC for the PolarisTech Charter Groundbreaking! (read about PolarisTech at this link)

… I apologize that will be out of town, recuperating from cancer surgery on the 19th, but my heart will be with the PolarisTech Charter Board and our educational community during this milestone in Jasper County Education!

Hilton Head Island – Our Digital Future

A Telecommunications Plan Proposal: A Minority/Individual Report

for Hilton Head Island, SC Public Facilities Committee

… a comment

January 7, 2018

John H. Lundin, PhD

Smart Cities are so mainstream that the subject and services are a major part/theme of CES (link here)… Is Hilton Head Island even looking… or learning?

FireShot Capture 105 - - file____C__Users_JHLundin_Downloads_160520-GSA_The-Central-Role-of-Tele

Here is the link to this graphic… what is the probability that we have to achieve these objectives with our outdated telecommunications infrastructure?

A comparison of Infiniti dealers’ service for my FX35… lots of differences

The purpose of this post is to point out the different levels of service success in hopes that all can learn from these episodes… Visits to three Infiniti dealerships resulted in very different results for the same issue. I had plugged in an old charger into the cigarette lighter and blown the fuse for the center stack of the dashboard lighting (all the radio, cabin heating/cooling, and clock illumination failed to illuminate when I turned on the lights…

  1. I ran it by my local independent service technician when I was having some basic work done (about April 1, 2013)… He was unable to find a blown fuse… I believed the next step was to visit a dealership who would know where the two fuse boxes were hidden…
  2. I took it to Beshoff Infiniti in San Jose (not my regular dealer, but far closer, so I just dropped in one afternoon). After two hours, I had a freshly washed FX35, but the problem was unresolved. They suggested that I bring it in at a later date to do some electical diagnostics… Being a troubleshooter for computer systems and networking problems, the suggestion of unqualified ‘diagnostics’ is in the same category as giving them a signed, blank check…
  3. As I prepped for my impending move to the east coast, I put what seemed to be a small issue on the back burner. As I was making my coast to coast trip through New Mexico, I was stopped by one of New Mexico’s finest who suggested that I had no tail lights. Sure enough, the rear brake and turn signals lights we fine, but without them illuminated, my tail was completely dark. Not good. The Officer suggested that I use my emergency flashers until I got to my evening’s destination: Albuquerque. I did a quick search and located a motel near the local Garcia Infiniti and was the first Infiniti into the service department at 7:30am Thursday May 9. Tony greeted me and asked if I had an appointment. I told him that I had called and left a message the previous night, but did not have an appointment. I told him of the urgency of my cross country trip and suggested that I just wanted a quick check of the fuse that powers the tail lights. He told me that I could leave my FX, and stated that although the dealership normally had Saturday hours, that *this* Saturday the service department would be closed. That sounded like this ‘quick check’ was going to take the weekend… (and an unscheduled weekend in Albuquerque was not high on my list). I asked if a call from my Dealer (Bob Ricks at Frontier Infiniti) to his dealer would free up a little emergency triage. Tony looked at me like I had threatened him and suggested that a call between dealers would not change anything. Seeing that I was restricted to daylight driving because of my lack of tail lights, I left and headed to Dallas (my next stop).
  4. During the drive to Dallas I called Bob who suggested that the GM at Sewell Infiniti was a personal friend and that he would send an email to have Sewell expect me first thing the following morning. Indeed I was second in line at 8:00am on May 10th. When I asked the service advisor, Joseph, if he was aware of the email, he stated that he was not, but assured me that he would take care of my needs even without an appointment. Indeed, he listened and understood the urgency. He stated that they would do an $80 diagnostic and report back the findings. Shortly before 10:00am we spoke again and he had included the technician, Rusty who explained that they had indeed found and replaced the offending fuse, and had tested the fuse and found no immediate problem. He also stated that both the power for the center stack *and* for the tail lights *and running lights* were all powered by the same fuse… Damn, I had been driving around for weeks with no tail lights! By 10:30am I was already on the road headed east with my fuse problem behind me.

Having an automotive industry background, I really appreciate the focus, the precision, the sense of urgency and the impeccable customer service at Sewell Infiniti… Thank you Joseph and Rusty for getting me in and out successfully and in a hurry… and thank you Bob for suggesting I go to Sewell in Dallas and sending Rick an email announcing my arrival.

As for the experience at Beshoff and Garcia Infiniti, your service looks poor by comparison… being either unable or unwilling to service a customer with a burnt out fuse. You failed where others shined…

Please let me know what you think…  J

Does 21st Century Education Require an Education Revolution?

This outline is from a proposal to the Rotary Club of San Jose Program Committee on topics for an Education Series of speakers for our Club. It is intended to suggest that the series start with a high level assessment of the education system in general and then have further presentations on other relevant educational issues.

1)       Introduction to Revolution in Education

a)       “Fix it up or trade it in” story

b)       Always been a systems type of guy (GST, MIS, ChaosTheory…)

c)       Been educating at University level and seen the product of our secondary schools

d)       Read through the 479 pages of the California Department of Education Draft CTE Model Curriculum Standards… [zzzz]

e)       The best, most effective education happens when the student asks the question

2)       Education in Santa Clara County, California, USA is Institutionalized

a)       Lots of infrastructure built and bought with specific class size and instructional objectives in mind

b)       Lots of large organizations with their own agendas and objectives attempting to hammer out some type of compromise

i)         Federal, State, County “offices of education” [administration]

(1)     Metrics that don’t reflect success, just progress

ii)       Teachers’ unions [teachers’ representatives]

iii)      An educational “military industrial complex” text book publishers et al

iv)      Lobbying groups of every size and description

c)       Lots of small stakeholders squeezed out of the process

i)         Students

ii)       Parents

iii)      Neighborhoods

d)       Structure/institutionalization of education results:

i)         literally beats the spontaneity, creativity and innovation out of our children [‘sit still and be quiet’]

ii)       rewards mediocrity [how does a teacher teach to a class of 25?]

iii)      targets college for everybody [and then suggests that we need to have a more robust manufacturing economy]

iv)      fails to teach in ways the student will retain the knowledge [forgetting curve]

v)       passes students who spend the time but don’t learn the material

vi)      attempts to teach as if every student learns the same way and at the same rate

vii)    squeezes the fun out of school

viii)   results in an educational option continuum with institutional education on one end and home school at the other

ix)      costs the taxpayer about $10,000 per student per year

x)       permanence which prevents any meaningful change in the process [punctuated equilibrium]

xi)      lots of meaningful improvement suggestions that take almost an act of Congress to become reality

xii)    lots of marginal improvements that have very little impact on the overall education of our children

3)       An increasing expectation/mandate that parents should drop off their child at 5 and pick them up at 18 ready for Harvard or Stanford

4)       Matriculating about half that are unprepared for college

5)       …What would education look like if:

a)       a neighborhood started with

b)       a clean sheet of paper [as if the entire educational institution had disappeared over night]

c)       and included *only* students, parents and a few local teachers as participants [isn’t this what all of education is about?]

d)       and funded it with, say, only $5,000 per student per year…?

e)       …what design and plan and objectives and metrics would they come up with?

f)         …is there any possibility that we could morph our existing educational institution to even come close [yeah, right]?

6)       Time for a revolution in education? Should we trade our existing education system for a new one?

…To quote a great work:

“That to secure these rights, Governments are instituted among Men, deriving their just powers from the consent of the governed, That whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute new Government, laying its foundation on such principles and organizing its powers in such form, as to them shall seem most likely to effect their Safety and Happiness. Prudence, indeed, will dictate that Governments long established should not be changed for light and transient causes; and accordingly all experience hath shewn, that mankind are more disposed to suffer, while evils are sufferable, than to right themselves by abolishing the forms to which they are accustomed. But when a long train of abuses and usurpations, pursuing invariably the same Object evinces a design to reduce them under absolute Despotism, it is their right, it is their duty, to throw off such Government, and to provide new Guards for their future security.”

…who can tell me where this quote comes from???

7)       I suggest that the Education Program Series start with revolution and then see if solving evolutionary issues will correct the educational institution

A traveling nightmare: a review of Delta Airlines,, and Comfort Inns

Comments/reviews on Delta Airlines,, and Comfort Inns

…Update 8/2/2012: After sending feedback via the best web feedback link to each of the offending parties about two weeks ago, I have only one response from *any* of them… the standard form response… I will include it in the comments.

The purpose of this post is to document the failures of Delta, of and of Comfort Inns in sufficient detail that an executive in these companies can begin to address the systemic flaws in their customer handling… I don’t waste my time with this type of detail without the hope that someone at these companies is sophisticated enough to have Google Alerts collect all the comments about their company and actually do something with them (because there is no obvious way to provide feedback to the company about these issues)

My trip from Savannah to San Jose July 13-14, 2012 was quite the disaster. I spent approximately 30 hours in or around aircraft and airports. I will first state that while I was *on* aircraft, Delta did a great job… it was just while I was not *on* the aircraft that the wheels came off… on many dimensions…

  1. was scheduled for United flight  to San Jose, CA through Houston (with 3 hour layover in Houston)
    • aircraft was late getting into Savannah from Houston due to thunderstorms
  2. rescheduled to Delta through Atlanta (with approximately two hour layover)
    • ground hold on Savannah taxiway for approximately two+ hours
    • reduced speed transit to Atlanta because of congestion
    • flight from Atlanta to San Jose was boarding when I checked as I was waiting to get off the Savannah flight
    • Missed my San Jose connection by minutes
    • Upset because Delta released aircraft to take off without waiting for the passengers that had been delayed by ATL’s two hour ground hold. If you send your departures before your transfers arrive, then you will strand *all* the transferring passengers. In these days of very high fill rates, there is no slack to “catch up” if you get behind. In my opinion, if you send outbound aircraft before inbound aircraft have landed and passengers have had a chance to get to their connections, this is *not* a weather issue, this is a company call to strand their passengers. Doing a quick calculation of the 92 million passengers that went through ATL in 2011, that means: 14,000 passengers per hour, 10,000 of which are Delta’s, 5,000 of which are changing planes.  Soooo, a two hour ground hold stacks up 10,000 Delta customers that will miss their connection. I was one of those 10,000

      Just one of the hundreds of gates where passengers spent the night
      Atlanta’s Hotel Delta
    • Upset because I waited hours in line to get rebooked onto a flight for the next morning (I have pictures)
    • Upset because Delta (agent and supervisor) were unwilling to do *anything* to help me during this inconvenience. The agent was unable to give me a seat assignment for my morning flight (which suggests that the flight was already oversold). Would not pay for a room because delay was a “weather related” issue (with which I disagree). Would not provide any assistance or documents to help with finding a room on my own. How about a little handout entitled: “what to do when you are stranded overnight in Hartsfield?” That would have been really helpful… A list of twenty+ hotels with shuttle service to and from the airport with phone numbers? A discount code arranged by Delta to reduce the $$ impact for these 10,000 stranded passengers.  Maybe even free wifi internet access so I could make arrangements without having to battle for phones at the hotel courtesy counter which was stacked 4-5 deep. Agent only provided a toiletries kit after I suggested that Delta “I didn’t even have a toothbrush”
  3. At the Airport Hotel courtesy counter
    • It was quickly apparent that there were hundreds of people that were in the same predicament as I…
    • The ones that were waiting were talking about hotels not having any vacancy
    • I started calling the listed phone numbers on my cellphone to find that the two that I called did not have any vacancy
    • I called and booked a prepaid reservation at the Comfort Inn and Suites Atlanta Airport North. I was charged for the room, given a confirmation number, sent an confirmation email, and the hotel’s phone number to make arrangements for the shuttle  . I called the hotel, the phone rang for 40-50 rings before someone answered. They stated that the shuttle was in transit and to wait in the designated pickup spot (shuttle gates 25-29) which I did for about an hour and a half.
  4. Trip to the Comfort Inn and Suites
    • When the shuttle arrived, it was apparent that there were about 30 people waiting, many had been waiting much longer than I had…
    • The driver announced that he was going to the *other* Comfort Inn and that there were no rooms available at the Airport North Comfort Inn. I had my paid reservation as did the man next to me… we assumed that we were OK and requested to be taken to the North Airport location.
    • Driver dropped us off at the NorthAirport location and all the passengers queued up at the check in counter (an noticed the *booming* music coming from the entertainment… and hoped that any rooms available would not be close to the lobby).
    • The man that I sat next to was in front of me in line. He was told that they did not have his reservation, that his confirmation number was “invalid” and that the hotel was full. I received exactly the same message, and was refused. The checkin person had no alternate instructions or directions to any other hotel in the area that might have space.
    • I asked for some sort of documentation that I had been refused, and the agent said ‘no.’
    • I called and spoke to an agent who stated that she would call the hotel to confirm that I had been refused. In her three attempts to call the Comfort Inn, no one answered the Comfort Inn telephone.
    • The agent said she would follow up on the refusal (she referred to it as a cancellation)… but offered no rebooking or alternative lodging.
    • It was now approaching 1am, I reboarded the shuttle and asked to be taken to the airport.
    • On the way to the airport the shuttle drive picked up an airline crew at a nearby Motel 6 (?) that had also been having problems with reservations and we all returned to the airport.
    • and Comfort Inns, this is FAILURE. None of these seasoned travelers will risk doing business with you again… and some will suggest in a public forum that you did not support your customer even as the process failed.
  5. At Hartsfield airport (now about 1am),
    • I asked the agent (the nicest Delta person all day) if there were any flights available any earlier than the 8:25am flight to Salt Lake City/San Jose. I was told there was not.
    • Rather than struggle to find a room and repeat the hotel process just for a shower and two or three hours sleep, I decided to find a power plug in the airport and work/read until the gate agent showed up for my morning flight
    • I was very surprised to see how many people were sleeping at the gates… my best guess (199 gates time 15-20/gate) is about 3,000 stranded passengers *in* the airport (I have pictures). You probably have a much more accurate count (most people had your tiny red blankets… how many did you hand out on the evening of July 13?)
    • I was able to get a seat on the 8:25a flight when the gate opened, but the gentleman that I spoke with at the gate had spent the previous three days attempting to get to another city… Does anybody at Delta listen to these stories of your disasters? Does anybody care?
    • I will bet your executives don’t know that the McDonalds in terminal E opens at 5:00am… A chit for a McDonald’s breakfast would have been nice…
    • Delta: 3,000 stranded passengers in the airport and 7,000 somewhere scattered around Atlanta is FAILURE on a huge scale. None of these people have a good impression of Delta, and you will spend hundreds of thousands winning new customers to replace the ones you have just p****d away.
  6. Balance of the trip
    • The legs from Atlanta to Salt Lake City and then to San Jose went flawlessly
    • My bag (I still am irritated by your silly $25 bag fee… it encourages people to carry-on more stuff which slows boarding…) which went through Houston on my original United flights, arrived in San Jose about two hours before I did… so, next time I will stick with United…
  7. Post trip
    • After arriving home, I checked my bank debit card and found that there was still a hold for the refused reservation amount of the Comfort Inn and
    • On Monday July 16th, I called and restated that I had been refused at the Comfort Inn. Nothing had been done since I called immediately after I was refused. She then called the Comfort Inn Atlanta Airport North and confirmed that I had indeed been refused at the Comfort Inn, and stated that the charges would be reversed and would be reflected on my account in 3-7 days and sent a very un-official looking email with the bare minimum of facts. I was still not confident that I would indeed be refunded the money for my refused reservation.
    • On July 19, my account was credited with the amount charged earlier…
  8. My Expectations
    • Delta and Hartfield:
    • You have a sophisticated revenue maximization system for ticket prices and dates/times… so you can squeeze more revenue out of every seat sold. Please factor in stranding your passengers overnight! For the courtesy of: Providing instructions on what to do if you are stranded: pre-arranging a list of hotels that will give favorable attention to stranded Delta passengers: sending an apology letter to all of us passengers that you threw out into the street: buy us breakfast.
    • generate a model for when to restart flights after a ground hold that does not strand 10,000 of you own customers at an airport for flights that have no slack (open seats)… I will bet you $10 that my seat from Atlanta to San Jose was empty when my flight left without me… and that my seats the next day displaced other, much higher revenue paying passengers… you lost me as a future customer and the revenue of others with the stupidity of pushing out flights before connecting flights had arrived…
    • give your poor agents some leeway to accommodate stranded passengers… I actually felt sorry for the agent doling out the bad news… She could not do anything… You hire and train smart people and then handcuff them with bad policies… a bad way to run an airline.
    • Have a feedback system for passengers that encourages passengers to record both good and bad. Every Delta employee that I had any discussion with was excellent, but the policies that they were strapped with were short sited and uninformed.
    • Become the champion of your customer (that would be ME if you are unsure)…
    • Reward customer service that actually completes the issue. I should not have to call twice after my prepaid reservation is refused.
    • Keep me informed of the status of my refund… it is *MY* money, not yours
    • Let me know that you have penalized Comfort Inns for this violation of their contracts and their insult of *your* customer.
    • I now have little confidence that any future reservation will be honored… What can you do to recapture my confidence?
    • Comfort Inns and Suites
    • What can I say? At a minimum, if someone shows up with what is a reservation that you cannot honor, then find them another place to stay…
    • I have never been treated so poorly. I was treated like I had presented the Comfort Inn clerk with a bad counterfeit $100 bill.
    • There are far too many quality choices in the hospitality space for me to ever consider trying your brand again (in the previous week we spent two nights at different Hampton Inns).
    • You will need to offer me free lodging to get me to even consider Comfort Inns again…
    • Develop some way of feeding back issues and suggestions that your customers can find and complete… otherwise they have a tendency to go public
  9. You are building a reputation… and only *you* can determine if it is a good one or a bad one.

… Why would Pirelli *want* to produce a rapidly degrading F1 tire?

Formula1 represents the pinnacle of automotive performance… a balance between incredible automotive effectiveness (adhesion, acceleration, braking, aerodynamics…) and system life (long enough to take the checkered flag and live within the rules for multiple races). Why would Pirelli supply tires that quickly lose performance, degrade, shred, and go flat? I do understand that as a “sponsor” they want to have their name mentioned during the races. I would think, however, that most the mentions of the brand are in very negative contexts. Would I really go out and buy a tire whose primary advertising centered on short life and quality degradation? I think not…. Personally, Pirelli tires are at the absolute bottom of my list for replacement tires.

I also understand that Bernie wants more changes of lead and passing during these contests. Well the F1 field seems to be doing that quite well without Bernie’s meddling with Pirelli’s tires… So, Bernie and Pirelli, let’s make some tires that are truly worthy of both of your brands… then let the drivers and constructors battle it out on the circuit…