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Teaching with carpal tunnel?
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markus



Joined: 03 Jul 2007
Posts: 8

PostPosted: Thu Jul 05, 2007 6:39 pm    Post subject: Teaching with carpal tunnel? Reply with quote

I've been diagnosed as having carpal tunnel syndrome and am considering English conversation as a fun job to take up while I recover. I am able to write a little, maybe two paragraphs per day, but the less I do the faster I'll recover. I've read that NOVA only requires you to write two very short student evaluations per class and you don't even have to write up lesson plans so I think I could do that. Would I have other options in eikaiwa, hagwon, public schools, or universities. I'm open to teaching in various countries. S Korea sounds profitable while Japan, Thailand, and Cambodia sound like a lot of fun. Taiwon sounds interesting but my hands aren't reliable enough to drive a scooter. Would you all recommend I try teaching English? Does AEON require much writing? Thanks in advance!
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Girl Scout



Joined: 13 Jan 2005
Posts: 525
Location: Inbetween worlds

PostPosted: Fri Jul 06, 2007 12:26 am    Post subject: Reply with quote

How long will it take you to recover?

You should be aware that some countries require physical exams, Taiwan, Japan. A pre-exsisting condition could make a few employers nervous.

One of the schools I worked at did not want to hire a guy because he walked with a limp and most facilities had no evelator.
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mdk



Joined: 09 Jun 2007
Posts: 425

PostPosted: Fri Jul 06, 2007 6:38 am    Post subject: Reply with quote

Markus I never saw a more inappropriate place to ask this question. Nobody here is a hand specialist to the best of my knowledge.

I, on the other hand, am a quondam Workers Compensation Case Management Nurse with tres boo-coo experience working with carpal tunnel syndrome.

Here are a few points:

1. What does your doctor tell you should be done? (Are you being followed by a hand specialist?)

2. Can you use a laptop with speech recognition hardware instead of writing?

3. I presume you aren't doing anything like knitting or playing the quitar in your spare time?

4. Are you wearing your cock-up splints and doing your exercises religiously?

5. Can you dictate your reports?

6. If you aren't working somewhere that has disability benefits, why are you not doing so? Unless you are pregnant or diabetic CTS doesn't tend to go away easily.

Good luck and take care of yourself. I promise the director of that school won't.
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Stephen Jones



Joined: 21 Feb 2003
Posts: 4124

PostPosted: Fri Jul 06, 2007 8:24 am    Post subject: Reply with quote

Carpal tunnel syndrome often doesn't ever cure itself.

Voice recognition software is now good enough to mean it will not destroy your productivity however.
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mdk



Joined: 09 Jun 2007
Posts: 425

PostPosted: Fri Jul 06, 2007 10:41 am    Post subject: Reply with quote

Dear Stephen,

I've seen good results when it's caught early and treated with aggressive PT and job modification. By aggressive PT, I mean a few weeks of training for self care.

Once it comes down to surgery, I'm not so optimistic. Personally I hate to see surgery attempted in the absence of frank thenar wasting. The trouble with surgeons is that "if you are a hammer, the whole world looks like a nail".
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dmb



Joined: 12 Feb 2003
Posts: 8397

PostPosted: Fri Jul 06, 2007 12:17 pm    Post subject: Reply with quote

I have to admit to ignorance. I had never heard of it before. For those equally ignorant.
http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm#82213049

Hope it all works out well.
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Gurdeep Rivenvald III



Joined: 28 Jun 2007
Posts: 27

PostPosted: Sat Jul 14, 2007 3:04 pm    Post subject: Re: Teaching with carpal tunnel? Reply with quote

markus wrote:
I've been diagnosed as having carpal tunnel syndrome and am considering English conversation as a fun job to take up while I recover. I am able to write a little, maybe two paragraphs per day, but the less I do the faster I'll recover. I've read that NOVA only requires you to write two very short student evaluations per class and you don't even have to write up lesson plans so I think I could do that. Would I have other options in eikaiwa, hagwon, public schools, or universities. I'm open to teaching in various countries. S Korea sounds profitable while Japan, Thailand, and Cambodia sound like a lot of fun. Taiwon sounds interesting but my hands aren't reliable enough to drive a scooter. Would you all recommend I try teaching English? Does AEON require much writing? Thanks in advance!


In Japan, conversation school teachers do have to write a little. Not just reports, but in lessons too. Often by drawing a picture, or explaining something visually can help the students. If your aim is to get a job at a high school, I'd say your CTS will cause problems that you wouldn't be able to do the job, because a lot of the job requires lesson planning for yourself or others, handouts and writing on the board.

Your best bet would be teaching kids. Teaching kids doesn't require much writing at all.
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Stephen Jones



Joined: 21 Feb 2003
Posts: 4124

PostPosted: Sat Jul 14, 2007 3:45 pm    Post subject: Reply with quote

People with carpal tunnel syndrome can probably write and draw on the board OK, albeit not to Leonardo's standards.
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fancynan



Joined: 17 Jul 2006
Posts: 77
Location: Kaiserslautern, Germany

PostPosted: Sat Jul 14, 2007 10:42 pm    Post subject: Reply with quote

I had CTS in both hands. I had trouble holding the steering wheel of a car, couldn't hold a pen or pencil and had a tough time typing. I had the surgery on both hands, two weeks apart. That was about 8 years ago and I am fine now. Whenever I feel any tingles, I do stretching exercises and use the hand splints, but that is very rare. After the surgery, I had PT but I was back to work in about a week or two.
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mdk



Joined: 09 Jun 2007
Posts: 425

PostPosted: Sun Jul 15, 2007 7:09 pm    Post subject: Reply with quote

I cannot re-emphasize strongly enough that the free advice you are getting on this forum is worth *less* than what you have paid for it.

The only rational way to deal with this condition is to consult your doctor and follow his advice explicitly and faithfully. If he does not clear you to do an activity and you persist in doing it....

I speak as an RN with about 10 years of disability management experience. You are dealing with a condition that can cost you the effective use of your hands if you do not deal with it correctly. Why take such a chance to do a job for which there are hundreds of other people willing to do?
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denise



Joined: 23 Apr 2003
Posts: 3419
Location: finally home-ish

PostPosted: Mon Jul 16, 2007 12:12 am    Post subject: Reply with quote

mdk wrote:
I cannot re-emphasize strongly enough that the free advice you are getting on this forum is worth *less* than what you have paid for it.


Has anyone here claimed to be a medical specialist?!? It sounds like you're still smarting from some of your earlier threads and just lashing out at people who are trying to help.

Given that the question was about teaching with carpal tunnel and how much writing might be involved, teachers can, in fact, give useful answers.

To the OP--in your job search, look for jobs that give you a certain degree of freedom to design your lessons. At the very least, you may have to compute grades, but not all places will require written evaluations of students, and where I've worked I haven't been required to submit written lesson plans--meaning I could write them on my own time, just use scribbled notes, etc.--not a lot of writing involved.

You will have to write on the board in class. You could always try to get a student to help you, though.

Also, I think this is something you should be upfront about in interviews. Some schools might get scared off, as Girl Scout mentioned, but I think you're better off knowing in advance how much writing will be required and how flexible the school can be.

d
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mdk



Joined: 09 Jun 2007
Posts: 425

PostPosted: Mon Jul 16, 2007 5:58 am    Post subject: Reply with quote

Quote:
teachers can, in fact, give useful answers.


Madam, a mynah bird can give useful answers. The question is, "Do they have any professional competence?"


To the OP: I don't know what your situation is. I hope you have only a mild case and enjoy a prompt recovery. I hope that you have a long and productive career.

I do know that your best chance of ensuring that is to consult a competent medical professional and follow their advice. Nobody could possibly tell you whether you can do whatever physical activity without a complete physical assessment including a job analysis performed by a competent medical professional. I do not consider anecdotes from fellow ESL teachers to meet any definition of "professional job analysis".

Since nobody could possibly do that here online. ( And only an incompetent charlatan would attempt an opinion without proper studies) I urge you to get propperly checked out before you resume work.

Good luck.
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mdk



Joined: 09 Jun 2007
Posts: 425

PostPosted: Mon Jul 16, 2007 6:40 am    Post subject: Reply with quote

Quote:
It sounds like you're still smarting from some of your earlier threads and just lashing out at people who are trying to help.



Dear Denise,

I must plead not guilty here. Suppose this person follows your "advice" and ends up having to have somebody else tie their shoes and cut their meat for the rest of their life. You have the legal defense that you can't be expected to know what you are talking about and that only an idiot would seek medical advice from an ESL teacher.

I, however, would be judged by the standard of "what would a reasonable and competent RN do in this case". A reasonable and competent RN would do just as I have done, strongly advocate for the client to see his doctor. If I don't do that my malpractice insurance is going to be very disappointed in me - to say the least. This is because they might well have to pay for those personal services should they become necessary.


As to whether anybody said mean things about me in some previous thread, as a professional I don't let that dreck affect my delivery of care. That's apparently one of the things that makes a professional RN different from an unfortunately large number of professional ESL teachers.
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denise



Joined: 23 Apr 2003
Posts: 3419
Location: finally home-ish

PostPosted: Mon Jul 16, 2007 3:21 pm    Post subject: Reply with quote

Let's assume that the OP has, in fact, consulted trained RNs or doctors for medical advice. What could they tell him, though, about the workload of an average EFL teacher? For an answer to such a question, advice from teachers currently in the field could be a bit more appropriate. Let's also assume that the OP knows that this is a teaching forum for teachers with questions about teaching, NOT a medical forum.

d
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mdk



Joined: 09 Jun 2007
Posts: 425

PostPosted: Tue Jul 17, 2007 3:57 am    Post subject: Reply with quote

In point of fact I am a teacher, whether you like that or not. I can teach the past perfect tense, can you legally sign RN after your name?

A case of Carpal Tunnel Syndrome runs about a 1 percent prognosis of permanent disability. That risk level is for treatment in a modern western milieu with a competent hand surgeon, physiotherapy by a certified hand therapist and support from an ergonomist to perform job analyses and suggest work modifications. (As opposed to anecdotal advice from other teachers)

The OP however is proposing to go off to west hokeypuck somewhere in Asia, where he will almost certainly not have access to western treatment protocols. He also proposes to place himself under the thoughtful care of the director of some McSchool over there. Perhaps he will even have acupuncture. I figure that will bump his risk at least a couple of points. He is now looking down the throat of an estimated double or triple risk (at least) for the payoff of the sublime joys of teaching 1 year overseas in west hockeypuck. Doesn't sound too shrewd to me as either a teacher or an RN. Perhaps you disagree?

This isn't the sort of argument which is likely to prevail online with your average ESL teacher (in my experience), so I have urged the OP to run this past his medical provider in hopes that he will prevail upon him (the OP) to stay home until he is ready for a year overseas.
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