University Daily Kansan / Monday, December 9, 1991 7B Music creates link between sound and silence for deaf The Associated Press For Alice-Ann Darrow the sound of moothing nothing melody or a thunderous rhythm. The associate professor of music therapy at the University of Kansas has chiselled out a specialty that seems preposterous to some and quite obvious to others: music in the deaf culture. "Many deaf people do enjoy music even if they hear very little of it," Darrow said. "Some others could do perfectly well without it." Combining her love of music and a fascination with sign language, Darrow has tried to forge a link between the worlds of sound and silence. She teaches hearing people to use sign language and helps those with hearing problems appreciate the sensory stimulation of music. The task is not as difficult as it might seem, although it has met with some resistance. "Very few hearing-impaired people have no hearing atall," she said. "Most can hear something, even if only a little rhythm, pitch, volume or melody." Those skills have a practical value hearing people often take for granted. A rapidly increasing sound, even if it's low, can quickly simplify an oncoming train, for instance. Though Darrow is not hearing-impaired, her father was. His frustrials and the book, "The Heart is a Lonely Hunter," by *carson McCullers*, in which a deaf man struggles against his isolation, inspired her. "Very few hearing impaired people have no hearing at all.Most can hear something." Alice-Ann Darrow associate professor of music therapy As a music therapist during the 1970s in Florida, Darrow learned that some hearing-impaired students had a lot of innate musicality. That set off a series of studies that have shaped her career in an emerging academic field. Her latest project, soon to be published, surveyed how deaf and hearing-impaired people use music. "How do deaf people perceive music?" she asked 300 deaf people nationwide. "Does it have a role? Or, is it an egistotical part of the hearing population that says you can't live in this wonderful thing called music?" Her findings were intriguing. For instance, two finalists in the Miss Dear Kansas contest this year gave musical performances as their talent entries. "Some who had lost their hearing later in life have memory tapes," Darrow said. "When they see a performance, it turns on those memory tapes and they remember what a song sounded like." One respondent said he felt left out at Christmas time, when so much of the celebration involves music. Others said they enjoyed the physical process of playing a piano even if they hadn't played it before. Still, some deaf, as well as hearing, people question her logic. "Don't you know daf people can't hear music?" one daf respondent wrote. "Music has no place in deaf culinary're we wasting the University's money." But Diane Merchant, music director at Gallaund University in Washington, D.C., said musical ability did not always correlate with hearing ability. "There are people who are deaf who are also musical," she said, "and Alice-Ann Darrow's work is participatory." She has been seen as being outside of deaf culture. More than 150 students at Gallaudet, a school for the deaf, take an elective music course each semester. Each student learns to play an instrument. One device Darrow uses resembles a cushioned bed, equipped with built-in speakers from head to toe. The musical vibrations hit different parts of the body while holding a person on the floor during a rhythm, pitch, volume and even melody. "You can use the tactile sense to train the ear," Darrow said. "We try to get across the idea that hearing and listening are two different things." Medical residents fake illness for insight into patients' ordeal The Associated Press LONG BEACH, Calif. — Jerry Ortiz LONG felt lonely as he laughed in a hospital bed. Nurses repeatedly jabbed Dynse Crunkleton with an intravenous Dexo De Souza was shocked at his $100 for a one-night hospital stay. But De Souza, Ortiz and Crankleton weren't really sick. They were young doctors who faked illness in an innovative program designed to help them see the hospital through patient's eyes. "A hospital is not necessarily a pleasant place when you're a patient," said De Souza, 28, now chief resident of family medicine at Long Beach Memorial Medical Center. First day as patient During each of the last five years, the hospital's six incoming family medicine residents spent their first work day assuming fake names and diagnoses and posing as patients. Doctors and the supervising nurse are told about the ruse, but other staffers and staffers are kept in the dark. The program inspired a scene in "The Doctor," a film in which William Hurt portrays an arrogant doctor who gains new sensitivity when he becomes a cancer patient. He ends up making his residents spend three days pretending to be patients. The goal of Long Beach Memorial's program "is to give the residents a taste of their own medicine as well as sensitizing them to the needs of their patients," said Dr. Stephen Brunton, 40, who is head of family medicine at the hospital, devised the program. "R's incredible how we can spend our lives treating patients yet never have the experience of being one." Brunton was inspired by his own unpleasant hospital experience after being kicked in the face during a karate tournament two decades ago. The blow broke his eyeglasses and sent glass into one eyeball. At a hotel in Melbourne, Australia, he was appalled by the staff's lack of concern. "While I was waiting to be seen, I could hear a resident and a nurse flirting." Brunton recalled. "I became irrelevant. I was frightened. I couldn't see. I was in shock. Yet no one allayed my anxiety. Many patients may feel similar fears and estrangement." To help doctors improve bedside manners, hospitals and medical schools conduct classes on communications, empathy, interviewing and medical ethics. Dozens of medical schools hire actors or other "professional patients" to help students learn to deal with real patients. Brunton said he was unaware of any other hospital that has doctors pose as patients, although hospitals have a long history of asking how to start such a program. Changes of treatment Young doctors at Long Beach Memorial said their experience as make-believe patients influenced how they practice medicine. Oritz, 28, started his residency last year by faking chest pain and a broken leg. He was placed in a leg cast by doctors who were in on the plot. Then he was admitted to the hospital. Nurses stuck an IV needle in his arm, placed electrodes on his chest to monitor his heart, feel him a bland sweating, and check the contents and keep waking him up for tests. "It was incredibly lonely. I was very bored, extremely bored," Ortiz said. "It was uncomfortable in that leg cast. The bed was uncomfortable. I actually started to feel sickly. It made me appreciate how isolating, how boring, how uncomfortable it can be to a patient." Ortiz now routinely orders extra foam padding for patients' beds, avoids awakening them for tests, puts them on special diets only if essential, and tries to minimize the need to put a lot of need to be stuck for blood samples. Grant Uba, 31, a Long Beach family doctor posed as an AIDS-infected patient when the program started in 1987. The Department of English Congratulates the Winners of the Fall 1991 English 101/102 Essay Writing Contest: Noel Chandler Tyra E. Kalman Karla McGlothlin Chris Obineche Sean A. O'Rear Shelena Smith Koal A. 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