Tag:Tips
Audiologist’s Husband Rant
Doctor of Audiology
Just felt like venting a bit on Becky’s behalf. Becky has always loved helping people with their hearing. Her initial degree was in Deaf Education with a minor in Audiology from Ball State University. After several years of teaching, she found that it wasn’t right for her. She loved helping the children, but the administration and bureaucracy was too much. At that point we were living in Georgia. (Did you know that most teachers prepare a lesson plan for their class, while teachers of special needs students, such as deaf students, are required to fill out IEP‘s for each individual student?) We discussed it and she ended up quitting teaching and going to the University of Georgia and getting a Masters Degree in Audiology. Shortly after that we moved back to Indiana and she began practicing Audiology with a group of Doctors. While working with them, she went back to school again, obtaining her Doctorate in Audiology. She studied and understands the theory behind hearing aid technology and the anatomical parts of the ear, how they interact with the brain and how they all are affected by hearing loss.
With all Becky’s education came additional responsibility. As a Doctor of Audiology, she is under different regulations than hearing aid dispensers. She is governed by HIPAA regulations, Medicaid & Medicare regulations and other requirements; things dispensers don’t have to follow.( To be a hearing aid dispenser, there is a test you must pass with the State, but the minimum education is a GED, not a degree, let alone a Doctorate degree.)
The Doctors Becky worked for retired and she decided to go on her own. That was in 2015 when she started Berger Audiology. Less money, but more autonomy and more time to help patients. She invested in the latest technology. She is now the only full time Audiologist in Marshall County. She operates a satellite office in Winamac. But she struggles with the competition. She wrote a 2019 blog post about it here.
Since that time, things have progressively gotten worse. The government has been slowly chipping away at what differentiates an Audiology from a dispenser. On top of that, they are pushing a trend towards Over-The-Counter (OTC) hearing aide sales or even worse, over the internet. You’ve probably seen the ads by Lively which advertise a telephone consultation with an audiologist or worse, My Power Ear, which cites “no need to see an Audiologist” as a positive selling point. She’s seen patients that have bought hearing aids from big box stores, having been sold that they were getting “the latest technology”. In some cases that has turned out to be a generation or two old. Honestly she’s a bit depressed and upset every time one of those ads.
We’re all thrilled with the convenience of the internet and the ability to buy nearly anything you want from Amazon. But is this what we want for healthcare providers? Telemedicine may work for some things like getting a prescription refilled, but does it really replace hands on care? Or in the case of Becky, an Audiologist, how is a phone conversation prescribing a hearing aid equal to her, a trained professional, doing a complete physical examination and doing a hearing test in a calibrated sound booth, using the latest technology? Can they look in your ear an determine that your hearing loss is actually due to wax? Or that the type of hearing loss indicates that you need to see an ENT because there’s the potential for serious issues where hearing loss is just a symptom? Food for thought… or just my rant…
Trash Surrounds
A few years ago we posted pictures of this pool surround fence we saw in Wabash, IN. We liked it and decided to rework it as dumpster surrounds at Sand Hill Farm. Plagiarism is the sincerest form of flattery, you know… We have used this for the dumpster surround for Sand Hill Farm Apartments and then again at The Paddocks.
The original stained cedar would have been a little bit of overkill and a little too much to maintain for dumpster surrounds, so we reworked the basic design to frame it with treated lumber. We maintained the galvanized corrugated metal panels for the main screen.
In the original, as a pool surround, more care was needed for details to assure no sharp edges were exposed to the bare skin you would find around a pool. Trash dumpsters are a little more forgiving and we were mostly interested in the exterior look. We also knew that maintenance would be an issue, so we looked at reducing areas to collect debris and ways of making it easier to clean, like providing space beneath the panels.
Depending on how the wood weathers, we may or may not go back and stain the treated lumber next year. For now, it is a clean look and creates a more pleasing screen than the chain link and vinyl ribbon you see so often. The green of the treated lumber actually goes with the greens used on the buildings and the overall farm theme.
A Good summary on Green
Often I cruise YouTube when I’m eating lunch at my desk. The other day I found an interesting video from Belinda Carr titled The Hypocrisy of Being GREEN.
As I’ve discussed here before, I strive to sell Green that Saves Green, i.e. I’ll sell you a green option if it saves you money, not just greenwashing. I could very much identify with her comments towards the end about things that are added to projects to get green points on a score sheet that are actually wasteful and don’t advance any value to the building. If you’ve got 10 minutes to take a look, I think it’s worth listening to her explanations. She has some good points.
The Carpenter
An old carpenter about to retire is telling his boss about his plans to stop working in construction and enjoy life with his wife and kids. He is so excited about retiring that he wasn’t looking forward to anything else. All he wanted was to retire.
The boss was upset about losing a good worker and as a personal favor, asked the man to work on the construction of one last house. The old carpenter didn’t want to accept, but he couldn’t deny his boss one last favor.
He took the job, but it was clear that his heart wasn’t in it. Consequently he was careless and used inferior material on the construction of the home. It was a sad way to finish such an excellent career with so many years of total dedication to his craft.
When the house was completed his boss was there to inspect it. He gave the key to the house to the old carpenter and said, “This is your house. It’s a gift for you after so many years of hard work.”
The old carpenter was shocked. “What a shame!”, he thought. If he had known that he was his house, he would have done things differently…
That’s how it is with all of us. We construct our day-to-day lives carelessly without giving the proper attention to detail and then we have to live in the house we built. Afterwards we think that we could have done things differently, but time doesn’t come back. Too late now…
Remember that you are the carpenter of your own life. You construct your life a little bit per day – you hit a nail here, build a wall there and so on…
Author Unknown
ABC 2018 STEP Award
Easterday Construction Co., Inc. participated in the ABC (Associated Builders and Contractors) STEP (Safety Training and Evaluation Process) program again this year and achieved Silver Level status. Thanks to all our employees that made this possible.
