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Thank you all so much. It's so hard. Here's my hero, just a few months shy of 90 now.

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And here's the college essay my son is working on for his common app this week (due Nov 15):

My grandfather has Alzheimer’s disease. Not long ago, as a former law professor with a dry sense of humor who loved a good debate, he was the life of the party. Now, he struggles with processing spoken words. He often mishears or misunderstands words and ends up on a tangent when they are repeated, losing the original thought. Sometimes, without realizing it, my grandfather makes a replacement error where he will say “automobile” when he is thinking about a “lamp”. Compounding word-switching and comprehension issues, he is easily distracted and loses track of conversations altogether when there is background noise. Communications difficulties are muting his personality. I am determined to find a way to bring him back to the center of conversations.

My grandfather still can read. Noticing that he enjoys closed captioned television programs, I became inspired to find out how to add subtitles to our conversations. Along the way, successes and failures alike have deepened my understanding of cognitive impairment, guided my approach and redefined my quest.

I first tried writing by hand on a small whiteboard. Encouraged by results, but nursing a case of writer's cramp, I searched the internet for automated captioning products. Given widespread voice-to-text use and the prevalence of seniors with dementia and hearing problems, I was stunned to find a lack of commercially-available assistive subtitling solutions. I resolved to improvise.

I tested mobile phone apps with live-captioning for the deaf. These were quick and eliminated the manual scribing, as desired. Importantly, they showed that augmenting speech with text could improve our conversational flow. Except they often didn't. Frequent errors made them unsuitable. Ironically, autocorrect fails mirrored the very problems I sought to resolve. Instead of relieving communication challenges, I had compounded them by adding a synthetic version to the mix. I also discovered that regardless of content quality, mobile phones and tablets wouldn't transmit messages well. My grandfather spent more time scrolling, tapping and fidgeting than reading. His eyes were fixed on the screen, depriving him of critical body language cues and detracting from the interpersonal face-to-face experience. A key takeaway is to first do no harm.

Throughout the trial and error process, my determination has been strengthened when I've overcome challenges. To unite captioning with eye contact, I repurposed inexpensive LED-display baseball caps and lapel badges sold for use at conventions. It took time for the novelty to wear off and data entry was a bit awkward, but displaying corrective text near my eyes, yielded both promising conversational results and beaming smiles. Then, when a portable voice amplifier headset designed for fitness instructors was deployed to overcome background noise, I was rewarded by a substantial drop in the number of times "What?" is uttered.

I've learned that I need both to develop my vision and to acquire the skills to realize it. My mission has evolved considerably. I set out to purchase something that would fulfill what amounted to a vague notion of a conversational captioning app. I now aspire to learn how to deliver a pattern-adaptive assistive live captioning system that augments natural language capabilities; considers context and word order to identify and correct errors in input or output, effectively translating broken English to corrected English; recognizes commonly-spoken phrases and speech patterns of specific users; and incorporates directional microphones, voice amplification and a simplified wearable, large-font display.

On a good day recently, my grandfather's advice was to "enjoy life, take care of those most in need, look to the future, do everything you can correctly and wisely, learn, stay healthy, and stay alive". Among the many gifts he has given me, my favorites are empathy and hope. I can't help but feel compassion for him and others whose human connections are being disrupted by cognitive disability. I plan to dedicate my college years to learning how to brighten their futures. This pursuit has become my calling.
 
Thank you all so much. It's so hard. Here's my hero, just a few months shy of 90 now.

View attachment 2468

And here's the college essay my son is working on for his common app this week (due Nov 15):

My grandfather has Alzheimer’s disease. Not long ago, as a former law professor with a dry sense of humor who loved a good debate, he was the life of the party. Now, he struggles with processing spoken words. He often mishears or misunderstands words and ends up on a tangent when they are repeated, losing the original thought. Sometimes, without realizing it, my grandfather makes a replacement error where he will say “automobile” when he is thinking about a “lamp”. Compounding word-switching and comprehension issues, he is easily distracted and loses track of conversations altogether when there is background noise. Communications difficulties are muting his personality. I am determined to find a way to bring him back to the center of conversations.

My grandfather still can read. Noticing that he enjoys closed captioned television programs, I became inspired to find out how to add subtitles to our conversations. Along the way, successes and failures alike have deepened my understanding of cognitive impairment, guided my approach and redefined my quest.

I first tried writing by hand on a small whiteboard. Encouraged by results, but nursing a case of writer's cramp, I searched the internet for automated captioning products. Given widespread voice-to-text use and the prevalence of seniors with dementia and hearing problems, I was stunned to find a lack of commercially-available assistive subtitling solutions. I resolved to improvise.

I tested mobile phone apps with live-captioning for the deaf. These were quick and eliminated the manual scribing, as desired. Importantly, they showed that augmenting speech with text could improve our conversational flow. Except they often didn't. Frequent errors made them unsuitable. Ironically, autocorrect fails mirrored the very problems I sought to resolve. Instead of relieving communication challenges, I had compounded them by adding a synthetic version to the mix. I also discovered that regardless of content quality, mobile phones and tablets wouldn't transmit messages well. My grandfather spent more time scrolling, tapping and fidgeting than reading. His eyes were fixed on the screen, depriving him of critical body language cues and detracting from the interpersonal face-to-face experience. A key takeaway is to first do no harm.

Throughout the trial and error process, my determination has been strengthened when I've overcome challenges. To unite captioning with eye contact, I repurposed inexpensive LED-display baseball caps and lapel badges sold for use at conventions. It took time for the novelty to wear off and data entry was a bit awkward, but displaying corrective text near my eyes, yielded both promising conversational results and beaming smiles. Then, when a portable voice amplifier headset designed for fitness instructors was deployed to overcome background noise, I was rewarded by a substantial drop in the number of times "What?" is uttered.

I've learned that I need both to develop my vision and to acquire the skills to realize it. My mission has evolved considerably. I set out to purchase something that would fulfill what amounted to a vague notion of a conversational captioning app. I now aspire to learn how to deliver a pattern-adaptive assistive live captioning system that augments natural language capabilities; considers context and word order to identify and correct errors in input or output, effectively translating broken English to corrected English; recognizes commonly-spoken phrases and speech patterns of specific users; and incorporates directional microphones, voice amplification and a simplified wearable, large-font display.

On a good day recently, my grandfather's advice was to "enjoy life, take care of those most in need, look to the future, do everything you can correctly and wisely, learn, stay healthy, and stay alive". Among the many gifts he has given me, my favorites are empathy and hope. I can't help but feel compassion for him and others whose human connections are being disrupted by cognitive disability. I plan to dedicate my college years to learning how to brighten their futures. This pursuit has become my calling.

Given that the only reason I’m not mentioning his dad’s contribution to your son’s development is that I am unaware of it because I have not had the chance to observe him. I must say:

This apple did not fall far from his mom’s tree, did It?
 
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Given that the only reason I’m not mentioning his dad’s contribution to your son’s development is that I have not interacted with him. I must say:

This apple did not fall far from his mom’s tree, did It?

Actually, Liam's a mini-me of Charles. It's striking how much Liam looks like a younger version of Charles and both are introverted, empathetic, mechanically-inclined tinkerer/techies. Hope they can meet you someday!
 
Your father is such a handsome man, it’s heartbreaking what this disease does. I found your son’s essay to be so interesting AND touching! I hope he continues to improve and develop and succeed. He’s certainly a wonderful young man. Can’t wait to see what’s in his bright future.

Susan
 
Great essay! But - wasn’t Liam just 13 an hour and a half ago? How is he applying to college??

And how is he doing post-op?

Your dad and mine are almost exactly the same age. Dad will be 90 in April.

This is a bad pic of us toasting Biden’s election just before his victory speech on Saturday evening. We were trying to figure out where to look, and I had the phone in one hand, my glass in the other, and Charles had to push the button. As soon as we go one pic, we sat down to listen and drink. 2469
 
Great essay! But - wasn’t Liam just 13 an hour and a half ago? How is he applying to college??

And how is he doing post-op?

Your dad and mine are almost exactly the same age. Dad will be 90 in April.

This is a bad pic of us toasting Biden’s election just before his victory speech on Saturday evening. We were trying to figure out where to look, and I had the phone in one hand, my glass in the other, and Charles had to push the button. As soon as we go one pic, we sat down to listen and drink.

I like that photo quite a lot, actually! Nice to see your smile and you all look great! A belated "Cheers" to you! Bet our dads would be friends if they had met!

Liam's 17. It's so hard to believe! He's having a rough go of it post-op, alas. The weaning off of steroids and withdrawal is a nightmare - he's just terribly fatigued, plus headaches, severe anxiety / panic attacks, nausea, OCD hand-washing (hard to stop that during COVID), you name it, peppered with the occasional adrenal crisis and rescue shots. Plus he is trying to manage the whole college application process on top of remote learning for senior year with AP Calculus BC Environmental Science and Computer Science, and he worries about my Dad, with whom he is close. He did get a National Merit Letter of Commendation in the mail yesterday, so that was nice to see. :) We're trying to keep him as comfortable as possible and looking forward, because once he gets through the weaning, he'll be on Easy Street (hopefully).
 
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