#3pd

And then you get one or two that make a lot of noise and are there constantly, do that's all you concentrate on because you can't split your attention 11 ways at one

But one day, one of the issues you've all but forgotten about pokes it's head up, and it's 3PD, and you feel like you're moving even though you're standing still and you say 'you couldn't at least have waited until one of the others piped down?'

Good news, comrades. 

When I first started physical therapy, I took a test to determine how much of my day/time was spent being actively symptomatic or fighting/coping with my symptoms. Initially, I tested at 86% - which as I’m sure you can imagine is pretty freakin’ high, even for a chronic illness. When that illness literally affects all your movements and your ability to focus your eyes, retain memory, or get up and walk around, that’s pretty much a constant thing. 

Last week, after about 3 months of PT, I tested again and came up at 52%. 

That is HUGE progress in a short period of time for vestibular disorders. The groups I was in warned me that the first 3 months would be terrible but I’d likely start feeling better after that, and true enough, some of these exercises trigger my dizziness or motion sickness and most of them give me a headache. BUT, they have helped SO much, so much faster than I thought. The meds keep me from panicking when I have symptoms, and I’m able to recover faster from a bad spell. 

Overall, this is great progress. I’ve been moved down from 3-2 days a week to only 1 day a week. 

I haven’t been swimming since we left Florida, which is horrible because I’ve always been someone who spends the whole summer in the water. I’m sure part of that contributed to my depression alongside being so suddenly sick with no answers. Dizziness is super easily triggered by water, so I avoided it for that reason (and also because we have no beaches here, obvs, and very few pools). 

Tomorrow, I am going to the municipal pool in the local rich neighborhood to get back in my element and back on my game. 

Also, I’ve been writing something...but you’ll just have to wait a mite bit longer for it. <3 

I expected to feel like utter buttshit but I’m more or less alright - got a headache brewing, luckily the wife is off tomorrow so I’m going to be sleeping in. 

Otherwise, it went very well. My therapist is a super cute pregnant girl who deduced that the muscles in my neck on the left hand side are in bad shape in addition to the 3PD, so that’s going to be a priority. Mostly today it was just pulling/pushing on my head and squinching my neck around to see what triggers my dizzy the worst. I’ve got exercises to do at home til my next appointment; I always did hate homework but I’m pretty committed here.

The good news/bad news of it all: physical therapy CAN reduce the symptoms of 3PD down to nothing, but it’s probably going to be another year of good days, bad days until those symptoms diminish down to nothing. 

The first week of this class I gained a deeper understanding of the purpose for instructional design along with analyzing 3 common models to explore similarities and differences.  The four designs reviewed are Dick and Carey model, Kemp model, 3PD, and ADDIE model. The reference source for the reviewed models were: 1. (Analysis of Three Instructional Design Models - http://www.de-research.com/PhDFinalPapers/CT_3IDModels.pdf )   2. (ADDIE Based Five-Step Method Towards Instructional Design - http://fog.ccsf.cc.ca.us/~mmalacho/OnLine/ADDIE.html)

Each of the four models listed below can significantly influence learning environment and provide increase motivational satisfaction when applying the principles of the ARCS model to the instructional design. 

The purpose of instructional design models is to provide a systematic approach for implementation of instructional learning process. The models will offer design steps, guidelines, and team collaboration with developers and subject matter experts.  Branch & Gustafson defined instructional model as a way of doing something; an explicit representation of reality.  The representation of the model function as a visual and communication tool which can aid in understanding and acquiring knowledge. There are different types of models created for different situations and learning environment but most of the models core elements are similar to the ADDIE model.  All instructional final products should contain accomplished objectives and measurable outcomes.

The Dick and Carey model has 9 stages and utilize the same core elements as ADDIE. Unlike the ADDIE model this approach of design is linear not non-linear. The Dick & Carey approach are 9 stages in linear sequences with processes that are dependent on each stage and cannot stand alone.   The 9 stages are in the following order; 1) Needs Assessment and measurable goals 2) Analysis of learners and contexts 3) Performance objective 4) Develop assessment 5) Develop instructional strategy 6) Develop instructional material 7) Design  and conduct formative evaluations 8) Revise instructional material based on formative evaluation 9) Design and conduct summative evaluation. The Dick & Carey model is unique to others because of stage 1 which requires instructional goals created before implementation of the instructional design. The core essence of this model is on the learner’s objectives and their achievement prior to design. 

The Kemp model has 9 stages that are non-linear and are arranged in an oval pattern. The oval structure of the stages allows for the flexibility of design and instruction to ensure that goals of learning are not negotiated by the design.  The 9 non-linear stages are the following; 1) Identification of instructional problems and goals specifications 2) Examine the learner’s characteristics 3) Identification of subject content and task related to goals 4) State instructional objectives 5) Arrange instructional sequence for learning 6) Design instructional strategies 7) Plan and develop instructional design 8) Develop evaluations 9) Select resources to support instruction and learning actives. The core essence of this model is on creation resources, implementation, delivery, and evaluations. The Kemp model includes confirmative evaluations which are not found in ADDIE or DICK & Carey models.