Roller Coaster
She knocked very timidly on my office door. So timidly, I was not really sure if the student had knocked on my door or of the door of my nearby neighbor.
When I opened the door, she stood there, with an expression that could best be described as a "deer in the headlights" look upon her face.
"Are these your office hours, Dr. Pipe?"
I nod. Besides talking about my office hours in class the first week, these hours are listed in each classes LMS (the electronic, gizmoey classroom I use for storage of things for them). They have also been listed in all of my syllabi that students have had in paper and electronic form for the last 6 weeks (the entirety of the semester, thus far). They also have been my office hours for a Tuesday, for at least the last 15 years if not longer.
She doesn't say anything. Time continues to tick, I hear the ticking of my analog clock on my bookshelf. It is steady like a metronome.
"How may I help you?"
She stammers. "I was hoping to ask you some questions about our exam tomorrow."
"Please come in." I say as I direct her to my student chair, and I sit back in my desk chair.
It takes her several minutes to organize herself, as she is one of the students who is very "gizmo" focused..... she does not do anything on paper, it is all electronic for her, on what appears to be an i-Pad.
So.... she proceeds to ask me a few questions related to "where" material for the second lecture exam STOPS (I said this in class, just yesterday) because I continued to lecture about OTHER aspects of the Respiratory System yesterday, beyond what was on this new exam.
"Well, do you remember yesterday, when I finished discussing the role of the mucous membranes that line our facial and cranial sinuses..... I said specifically that.... that particular slide was where I was concluding lecture materials for the second exam?"
"Yes. but then you continued."
I wanted to roll my eyes, but kept from doing so. "Yes, the slide of the mucous membranes I showed, was only the second slide I showed in class...... just five minutes after class started. I needed to continue on with lecturing for the remaining ~85 minutes of class.... and I said right at slide three.... 'This is where I am beginning materials for the third lecture exam.' "
Some students are extremely pedantic.... they cannot grapple with trying to see the forest as they are so focused on the trees. I suspected this student represented such a case.
Eventually, she did get down to asking me some questions..... per se... mostly she was referencing aspects of a review sheet I provide, and asking me "what I meant" when I listed a topic in my review sheet.
"In the review sheet, you say to know 'roles of the immunoglobulins in the development of the five hypersensitivities associated with our immune responses'. What do you mean by that?"
Gritting my already sore teeth, I waited a beat, relaxed my jaw, and said, "Well, more importantly, what do YOU think I am alluding to with that statement?"
She then proceeded to read back to me, nearly verbatim, my lecture about allergens and hypersensitivities. She has "accommodations" to record my lectures. Apparently, she works to write them down word-for-word like a scribe.
"Ok.... what you have stated is all GOOD information. What you have read to me is ACCURATE. But, what I want you to tell me is..... 'What does it mean, and why is it important?' "
The deer-in-the-headlight look appeared again on her face. She sat there, and it probably took her a full minute to have her wrap her head around my question and to try to figure out a response.
She stammered.... and then went to read a subsection of what she had read to me before from her notes.
"No, do not read to me again, a section of your notes. Please tell me in your own words, WHY this concept of hypersensitivies is important."
I let that sit for a long, rather overly pregnant pause. She is "lost" in her thoughts.
"Ok, how about this...." I state, "you are hoping to someday become a nurse, is that right?"
She nods.
"All right. Tell me two reasons WHY knowing and understanding hypersensitivies of the immune responses is IMPORTANT for you as a potential, future nurse."
It was very much like pulling teeth (which part of me wishes I could do to myself).
But, she slowly worked through several of her "questions" over various topics in the last several lectures..... which.... each time, I reflected back onto her... to have her explain to me what the concepts she could recite..... MEANT and WHY they were important.
She was getting more stressed, even though she clearly knew (memorized) nearly everything I stated in class. I tried to be encouraging to her every time I guided her to explain the "why" of a concept.
Eventually, her stress hormones got the best of her and she began to cry.
That was NOT what I was hoping for.
I then tried to give her a bit of a "pep talk".
"You clearly have knowledge of the DETAILS we talked about in class. But, if you recall, in our third lecture of the semester, I showed you a slide about a teaching and learning concept called "Bloom's Taxonomy." Do you remember that slide?"
She nodded.
"Your knowledge of the DETAILS is an important part of learning, but it is in most regards, basically memorization. I am striving, to the best of my ability, to get YOU and YOUR CLASSMATES to see science MORE DEEPLY, in a MORE NUANCED fashion.... where you can learn to apply those details to facets of your future career and also to everyday life. I am trying to help you see science in an analytical fashion.... where the DETAILS you learn will serve you in your future career to help you see and diagnosis what a patient may need."
Eventually, she was calm enough that she could go back to her dorm to study or who knows what else.
* * * * *
Am I any different than this student? I have been weeping and cursing at my lot. My jaw still feels like hell. My ear feels as if it is sitting in molten lead. I go from wanting to quit it all one moment. Wanting to say to hell with it the next moment, wanting to run away the next, and then I have a moment of clarity and of peace, and I feel less horrible.
Until whatever the hell this is.... begins to go away.... I have to better manage this. I need to realize and accept that it tends to affect me the hardest.... and it hurts to damn most.... in the morning when I wake up. It has nothing related to snoring or apnea, as I have asked my wife to monitor if I have been snoring or showing any signs of apnea (negative). So, I guess what I need to do tomorrow..... is to NOT lay in bed longer than usual, and to get up and FORCE my hurting, tired, angry body to go on a damn run. I have not ran the last few days due to all this sh*tty pain. But, maybe, if I force myself back into my routine, maybe I can force myself back into a less horrible place physically, mentally, and emotionally?
I am so, so very tired of trying to pick myself up by my bootstraps. I am so damn tired of hurting. I am so damn filled with chaos in my mind.... I love my one kid.... but at the same time I am SO, SO, SO, HURT and also SO, SO, SO VERY ANGRY at that kid. It ADDS to the physical torment of my jaw and ear ailments.
Folks asked yesterday about why I do not visit our "Family Doctor". I am not sure about elsewhere, but around these parts, there is a "shortage" (cough,shortage my posterior) of clinicians. Our prior family doctor retired.... and his practice was taken over by a nurse practitioner. She is not really a whole lot of help.... and tends towards the same "Antibiotic Nazi" approach to things as the Physician's Assistant I unfortunately had at the Redi-Med. And, GETTING an appointment to see our beloved "Family Clinician" (aka the nurse practioner)..... usually requires a several day wait..... so I have been going to the Redi-Med.... hoping I may be lucky and get the kinder Physician's Assistant, instead of the "Antibiotic Nazi" I had the other day.
PipeTobacco






