How can the Netherlands move its school system �from good to great�?

by Montserrat Gomendio
Deputy Director, Directorate for Education and Skills

Activities undertaken by lower secondary teachers at least once per month,
OECD Teaching and Learning International Survey (TALIS) 2013

A new OECD review of the Netherlands education system offers a roadmap towards excellence. Netherlands 2016: Foundations for the Future, based on data from both PISA and the Survey of Adult Skills, confirms that the country already enjoys a high-quality and highly equitable education system. But it also identifies areas that need to be improved as the country moves its education system, in the words of Dutch Minister of Education, Culture and Science Jet Bussemaker, �from good to great�.

The Dutch school system is highly stratified, and uses early tracking extensively. For a long time the Netherlands has made this complex school system work well for students: students performed well at school, socio-economic status had a relatively weak impact on performance, and were readily employable when they completed their schooling  (the number of young people who are neither employed nor in education or training is among the lowest across OECD countries). Our analysis shows large differences in performance within educational tracks, and a large degree of overlap in literacy and numeracy performance between tracks. This implies that students in different tracks are equipped with more similar levels of skills than is observed in other countries, probably due to the existence of �bridge classes� and �scaffolding diplomas� which allow for greater flexibility among the different curricula. But evidence points to a worrying trend towards making the system more rigid, which could lead to less movement between tracks and an erosion of the equity levels that the system enjoys today.

The complexity of these issues calls for a coherent policy response. Netherlands 2016, the first report of its kind since the late 1980s, proposes making student selection more objective by giving more prominence to an objective national test; limiting secondary schools' autonomy in selecting students into different educational tracks; and making the system more permeable to ensure that students progress more smoothly through the education system. The latter calls for various measures, including the alignment of curricula of different tracks, more personalised teaching and learning, promoting larger secondary schools that offer all education tracks through financial incentives.

More efforts should also be made to attract talented and motivated people to the teaching profession especially since many teachers in the Netherlands are approaching retirement age. A more systematic approach to the professional development of teachers is needed. The OECD Teaching and Learning International Survey (TALIS) 2013 shows that collaborative working and learning among teachers is not well established in the Dutch school system, yet these practices have proven essential for improving the quality of teaching. These findings stand at odds with the country�s ambitions to develop its schools into learning organisations.

The system has achieved a good balance between a large degree of school autonomy and efficient accountability mechanisms. However, given the extent of school autonomy, more effort should be invested in training school principals.

The quality of early childhood education and care should also be improved. Although participation rates are high, most parents use childcare facilities fewer hours a week than parents in most other OECD countries do. A national curriculum framework, higher staff qualifications and more staff training are needed to ensure all early childhood education and care services are of high quality and deliver good outcomes for children, and long-term benefits for Dutch society as a whole.

Links: 
Netherlands 2016: Foundations for the Future
Teaching and Learning International Survey (TALIS) country note for the Netherlands
Chart source: � OECD

No gain without (some) pain

by Bonaventura Francesco Pacileo
Statistician, Directorate for Education and Skills

When Tim Duncan, captain of the the US National Basketball Association�s San Antonio Spurs, was spotted wearing a T-shirt saying �4 out of 3 people struggle with math�, everyone realised that he was counting himself among those who have a hard time with fractions, making the joke even funnier. What is less funny, though, is that PISA 2012 results show that more than one in four 15-year-old students in OECD countries are only able to solve mathematics problems where all relevant information is obvious and the solutions follow immediately from the given stimuli.

As a professional basketball player, Tim Duncan would probably agree that hard work is a prerequisite for attaining individual goals. Working hard is also important in education. According to this month�s PISA in Focus and the recently published report Low-performing Students: Why They Fall Behind and How to Help Them Succeed, most low-performing students share a common trait: they lack perseverance.

In most PISA-participating countries and economies, when students are asked to solve problems requiring some effort, low-performing students are more likely to report that they give up easily. Across OECD countries, 32% of low-performing students reported that they give up easily when confronted with a difficult mathematics problem compared to only 13% of top performers. Differences between the two groups are largest in Jordan, Portugal, Qatar, the Slovak Republic and the United Arab Emirates. This might lead us to conclude that these struggling students are largely responsible for their own academic failures, since they have ultimate control over how much effort they invest in their schoolwork.

But evidence from PISA tells another narrative: low-performing students may be less engaged at school because they believe their efforts do not pay off. This disengagement is obvious when students are asked about the returns to their efforts. While 81% of top performers agreed that they feel �prepared for mathematics exams�, only 56% of low performers agreed with that statement. Low-performing students seem to quit studying when they see their work as an unproductive and unprofitable waste of time. But at the same time, low-performing students often engage in activities that require numeracy skills. Perhaps surprisingly, they are actually more likely to play chess or to be members of a mathematics club.

The good news is that these kinds of activities may be exactly what could help low-performing students develop better study habits. PISA finds that interest in mathematics is greater among students who do mathematics as an extracurricular activity compared to students who do not, and this positive association is stronger among low-performing students. These additional learning opportunities, which could help students gain self-confidence and find enjoyment in mathematics, could be exploited to narrow performance gaps among students.

As Tim Duncan would put it, students need a proper training court where they can learn how to become champions.

Links:

PISA in Focus No. 62: Are low performers missing learning opportunities? by Alfonso Echazarra

PISA � la loupe No. 62: Les �l�ves peu performants manquent-ils de possibilit�s d�apprentissage?

Low-Performing Students: Why They Fall Behind and How to Help Them Succeed

PISA 2012 Results

Photo credit: Net Ball just before hitting the rim of the hoop @Shutterstock

Going beyond education policies � how can PISA help turn policy into practice?

by Andreas Schleicher
Director, Directorate for Education and Skills

How Do We Stack Up? Using OECD'S PISA to Drive Progress in U.S. Education from EdPolicy Leaders Online.

How are policy makers in the United States using data to help districts maximise their impact? And, what tools do districts need to work together in order to build stronger communities?  The Every Student Succeeds Act (ESSA) in the United States has transferred a great deal of autonomy to states and districts. These local authorities are now responsible for transforming state and federal policies into strategies and practices that guide teaching and learning in the classroom. This allocated autonomy creates opportunities for states and districts to collaborate, but also adds an element of the unknown, since most decisions used to be taken at the federal level. Data are crucial to understanding the effect policies have on education systems at a local level. But, collecting the right kind of data can be challenging. 

The OECD�s triennial report on the state of education, the Programme for International Students Assessment (PISA), can be a good starting point. Tracking trends over time, PISA allows policy makers to link data on student learning outcomes with data on students� backgrounds and attitudes towards learning and on key factors that shape their learning, in and outside of school. PISA examines the relationships with low performance, what makes schools successful, including autonomy and accountability, and teacher-student collaboration.

A new online course developed by EdPolicy Leaders online aims to unlock PISA to reveal what is possible in education for US policy makers and education leaders. We hope it will enable educators to leverage the experience of the world�s leading school systems to improve policies and practice.

Understanding PISA results is a first step towards defining ways in which PISA data can be used to identify strengths and weaknesses of the U.S. education system. What then follows is creative thinking about what education leaders, schools, teachers, parents and students themselves can do to support policy actions that ensure every student is equipped with the skills necessary to achieve their full potential and participate in an increasingly interconnected global economy.

There is no single combination of policies and practices that will work for everyone, everywhere. PISA�s unique contribution to the education debate is that it shows policy makers and education leaders what�s possible and shares evidence of the best policies and practices across the globe.

For the next round of PISA in 2018, the OECD will take the assessment a step further and work with member countries to build a new framework which goes beyond testing students on their cognitive abilities. PISA will also examine if schools are helping students develop trust and respect, and are preparing them to be able to collaborate with others of different cultural origins.


Links:
PISA online course: How Do We Stack Up? Using OECD'S PISA to Drive Progress in U.S. Education
PISA 2012 Key Findings
PISA 2015 Assessment and Analytical Framework
OECD proposal for a framework to assess Global Competence in PISA 2018

Time, working and learning

by Viktoria Kis
Analyst, Directorate for Education and Skills

Seven years is the right length for apprenticeships � thought Queen Elizabeth I of England as she lifted her feather to sign the Statute of Apprentices in 1563. Seven years would ensure that everyone benefits: apprentices would receive good training and masters would gain from their apprentices� labour � although it must be admitted that back then, many apprentices died before finishing their training or ran away from masters who starved them.

Today policy makers, employer and employee representatives have different considerations in mind, but the dynamics of costs and benefits matter just as much. Those dynamics need to be built into the design of apprenticeships and other work-based learning to make it attractive to both employers and learners. A new OECD study funded by the UK Commission for Employment and Skills, entitled Work, train, win: Work-based learning design and management for productivity gains casts a spotlight on these issues.

At the beginning of work-based learning programmes employers make an investment. This pays off later on when, after receiving high quality training, skilled trainees achieve higher productivity and contribute to production. That final period when trainees are more productive than they cost is essential, as it helps employers recoup their initial costs. But if it is too long, then trainees will find it unattractive. Of course, not all occupations are the same. For example an apprentice in retail can quickly become productive so a work-based learning scheme for this occupation should be shorter, while a person training to be an industrial mechanic typically needs more time to become competent at their job and longer duration would be appropriate.

What exactly trainees do while in the workplace also affects the balance of costs and benefits for both parties. A restaurant benefits both when an apprentice cook peels potatoes (unskilled work) and when they bake a souffl� (skilled work), but gains no immediate benefits when the would-be cook is doing practice exercises that are non-productive, even though they are developing their skills. The good news is that there is often room to build learning into productive work, in ways that benefit the firms and are neutral for the trainees. For example, after observing their supervisor a trainee might practice the skill either through simulations or by doing real work. They improve their skills either way, but doing real work also generates benefits for the firm. Indeed research found that German firms with apprentices reduced the share of non-productive activities by half between 2000 and 2007, and increased the share of productive work � and they did that while maintaining training quality.

The scope for learning through productive work does vary across occupations. An apprentice cook can have a go at their first beurre blanc on day one, but a would-be electrician must undertake substantial training before touching the wires. But whenever possible, learning should take place as part of productive activities and rigorous assessments at the end of the scheme can verify that learning has taken place � if an apprentice electrician is able to correctly install a branch circuit in front of an examiner, there will be no doubt about it.

Putting this into practice requires management capacity within firms, so that they can allocate trainees and supervisors to tasks that meet the twin goals of learning and production. In countries and sectors with a tradition of work-based learning firms have much tacit knowledge (as many employers used to be apprentices themselves) and there is a surrounding infrastructure, such as training for trainers and instructional resources. Developing the infrastructure and enhancing firms� ability to manage work-based learning is a big job, but well worth the effort and not just for those involved in a work-based learning scheme. Keeping a workplace up-to-date means dealing with new machines, materials and software, so firms that know how to support learning while getting on with productive activities will have a competitive edge.

When Queen Elizabeth I put down her feather, the law she signed remained in place for 250 years. Today policy and practice regarding work-based learning changes much more rapidly � but the main challenge of getting the design of work-based learning schemes right remains just as important as it was in her day.

Links:
OECD Education Working Paper: Work, train, win: work-based learning design and management for productivity gains, by Viktoria Kis
Find out more about Work-based learning
Photo credit: Vector freehand linear monochrome drawing of ancient pen and inkwell @Shutterstock

Leave it to Fleener--H&P #7

Back at it again.  

Coming back from Hawaii has been hard. Just returning to life away from the beach is less than perfect, but in the week we came home, I had chemo, cub scouts pinewood derby (kill me now), child-made plumbing issues, a child who choked on a rock and required the heimlich, a women's conference speech to prepare and give, all with many LOONG days of work for Stephen, which put me as mostly a single parent.  In the last few weeks, there have been a wave of end-of-year school activities, a quick, 3-day trip out of town, a dermatologist appoint, the usual soccer practices and games, as well as an attempt to rearrange and deep clean my house.  Basically, I feel like I've barely been keeping my head above water, so it's been difficult to even think about updating this blog (or our family one, for that matter.)  

If there's one thing I've learned about fighting cancer, it's that life most certainly does not slow down to accommodate that fight.  We have to step up and meet it, realizing that there will be things that will fall aside or slip through the cracks.  It's true that no one can do everything, but somehow all the important things get done. 

I met with Dr. Fleener today.  She was excited that I'm still in remission (and somewhat annoyed that the reports said, only "stable."  Cancer patients need to hear that they are in remission. )  My ECHO is still normal, as well.  At this point, she is very happy with how I have responded to chemo and how I am still remaining "stable."  It's hard to believe I'm coming up on a year since this all came back again!  But, she is positive that I'll make it to a year this time, and that's a BIG milestone for metastatic disease.  She was describing several of her other patients that are in similar situations as I am.  There really isn't a lot of information available on the use of Herceptin and Perjeta beyond three years, and she has several patients beyond that stage.  These are meant for use with lifelong maintenance, but most of those "life-long" timetables don't last beyond a few years.  It's fun being somewhat of a lab rat, but comforting that I'm not her only rat!  You just never know what's around the corner!  

I never dreamed I'd have cancer at age 33.  

I thought my battle was behind me when I reached my first year in remission.

I certainly never expected to have to start fighting again so soon since the last battle.  

However, I'm still here.  I'm still fighting.  I still matter, and life goes on.  

Yes, there are hard days.  There are times when I fear.  There are times when I am sad and angry and questioning.   I get nervous about aches and pains that pop up and question when cancer's storm cloud will actually begin storming once more.  There are days when I cry long, heavy tears, weeping for the unknown, for my family, for how long we have before they will have to go on without me, for this burden we all carry at all.  When I do have these days, I then get even more upset at myself for allowing the fear and doubts to creep in and overtake the peace and comfort that has blessed my life many times before.  Guilt over shrinking can make the pain that much more difficult.  

Then, I come across words that must have been written just for me:  

    

EMBRACE THE LIFE YOU HAVE.  I would rather be known for doing as much good with the time I have been given than for only grieving what could have been.  If I could go back, surely I would choose to not have cancer.  However, if that meant having to deal with some other tragedy, one for which I was even less prepared, I'm not sure I would make a trade.   Who knows why we must walk these difficult paths.  Who knows if there were choices in the past that led us to these exact points in the future.  All we can know if that we can embrace each moment, trust that every day of life is truly a gift, one in which we are expected to do and become better than we were the day before.  

As Dr. Fleener counseled me:  "You never know what the next summer [or month, season, etc.] will bring.  So, play this summer.  Soak it all in.  Do as much as you feel up to doing."  That pretty much sums up how I plan to embrace my life in the coming months.  

Still kicking'!  

Latvia is determined to build on its progress in education

by Andreas Schleicher
Director, Directorate for Education and Skills

In the 2012 PISA test, urban students in Latvia outperformed rural students by the equivalent of more than a year of schooling � half a year more than the average performance difference between these two groups of students across OECD countries. According to a new OECD report, Education in Latvia, giving equal access to a quality education, for students of all ages, must be a priority.

Latvia has made remarkable progress in improving its education system since independence in 1991. Children now start their education at a young age � younger than in many OECD countries � and many continue into tertiary education. Student performance has also improved significantly since 2000, to the point that Latvian students scored near the OECD average in the 2012 OECD Programme for International Student Assessment (PISA).

Will Latvia be able to continue this positive trend? Yes, but only if the country raises its teaching standards and ensures that all of its students can succeed. For example, the low salary and flat pay scale for Latvian teachers and academic staff stand at odds with the government�s ambition to improve teachers� motivation and professional capacity. But guided by an earlier OECD report, Teacher Remuneration in Latvia: An OECD Perspective, Latvia is piloting a remuneration system as part of a new school-funding model. The aim is to make teachers� pay competitive with that of other professions. To accomplish this aim, however, Latvian students and teachers will have to accept larger classes and higher student�to-teacher ratios. According to Education at a Glance 2015, in 2013 there was one teacher for every 9 students in Latvia, compared to an OECD average of 13 students per teacher.

Improving the country�s education-information system and its use of research to inform its education reform agenda should also be a priority. In recent years, vocational and tertiary education have benefited greatly from a series of research reports that prompted reforms to improve the quality and (labour market) relevance of education. Such efforts should be expanded to other levels of education.

Latvia�s public expenditure on education and per-student funding at all levels are lower than those in many OECD countries. The country will therefore need to make tough choices in spending if it is to obtain the best value for money. And in the longer run, Latvia should find ways to give education the priority in public policy and spending that it deserves. If Latvia would raise student learning outcomes by a further 25 points on the PISA scale, that could add almost 170 billion US$ to the Latvian economy over the lifetime of today�s school students. So the value of improved schooling will dwarf any conceivable cost of improvement.

Links:
Reviews of National Policies for Education: Education in Latvia
Teacher remuneration in Latvia: An OECD Perspective
Education Country Profile Latvia

Chart source: PISA 2012 Results: Ready to Learn: Students' Engagement, Drive and Self-Beliefs (Volume III)

Career education that works

by Anthony Mann
Director of Policy and Research, Education and Employers Taskforce

The benefits of employers engaging with education has long been reported and promoted within policy circles. The UK�s Department for Education, for example, has recently produced guidance for schools stating the need for student learning from the world of work within careers provision. Internationally, the Organisation for Economic Cooperation and Development (OECD) has reported the benefits associated with employer involvement in education. (See, for example: Learning for Jobs).

Despite international interest surrounding the topic, research has failed to keep pace with policy instincts that career education will benefit young people going into the labour market. In a new article, published in the peer-reviewed, international Journal of Education and Work, Elnaz Kashefpakdel and Chris Percy offer new insights into the relationship between career talks with outside people experienced whilst in school and later earnings. They draw upon the limited work that already exists in the area - particularly that of Mann and Percy (2014), which surveyed 1,000 young adults aged 19-24 recalling their school days and found a significant wage premium linked to the degree of exposure young people had with school-mediated employer engagement activities.

This new work analyses data from the British Cohort Study (BCS70), which tracks 17,000 individuals throughout their lives. It provides a rich and reliable set of measurements including socio-economic factors which could potentially affect income, i.e. parental social class, academic ability, home learning environment and demographics. Through statistical analysis, it is possible to take account of such factors in assessing the impact of specific interventions in determining economic outcomes.

The BCS survey offers an interesting data set for analysis related to career interventions due to the timing of its questioning in 1986, when respondents were teenagers. During the 1980s in the UK, government was rolling out the Technical and Vocational Education Initiative (TVEI). The Initiative aimed to help prepare young people for entry into the labour market and served to drive greater activity within schools. The nature of the Initiative often meant that young people were obliged to attend career talks and related sessions, though these activities varied considerably across schools and local authorities.

Data was collected during 1986 regarding young people�s opinions of any careers talks they encountered and was compared to their earnings aged 26, using statistical analysis techniques. Results revealed that, on average, for each career talk with someone from outside of the school experienced at age 14-15 young people benefited from a 0.8% wage premium when they were 26. These findings are statistically significant at 5%, meaning that there is a 95% certainty this correlation did not occur by chance. This relationship was not found for those aged 15-16, which implies that career talks had a greater value for the younger cohort.

Analysis also found a statistically significant relationship between student perceptions of the career talks that they experienced and later earnings. Students who found career talks to be �very helpful� at age 14-15 were compared with those who found careers talks �not at all helpful/not very helpful�. Findings demonstrated that for students aged 14-15 who found career talks �very helpful� witnessed a 1.6% increase in earnings per career talk they attended. This also proved significant for young people aged 15-16; with a smaller affect size, they benefited from a 0.9% earnings boost.

These findings provide a clear relationship between the number of career talks attended, and their helpfulness, and relative earnings at age 26. This provides a solid evidence-base for increasing the volume and quality of career talks with outside speakers in education.  Findings revealed that the impact of careers talks were more pronounced for the younger age group, 14-15, than they were for the elder group, 15-16. The authors argue that at the older age group young people may be more focused on examinations, while the younger group may have been more likely to be receptive to career talks due to the year group being more of an explorative period. Thus, perhaps the most desirable age group to deliver career talks to is 14-15 year-olds.

The authors hypothesis that it is difficult to gain new knowledge and skills, known as human capital, through such short duration episodes of engagement with the labour market. However, they could gain access to new, useful and trusted information and networks while interacting with professionals in an episodic manner. It is in this realm of social and cultural capital accumulation that enables young people to gain resources of meaning from the activities, such as career talks. Additionally, the findings are in line with the argument that through the repeated encounters with people from outside schools, young people are able to find helpful information about pathways to their career ambitions.

To read more about the study, visit the website of the Education and Employers Research.
Photo Credit: Careers bulb word cloud, business concept @Shutterstock

Who pays for universities: taxpayers or students?

by Dirk Van Damme
Head of the Innovation and Measuring Division, Directorate for Education and Skills

There are few issues in education that raise as much political and ideological controversy as tuition fees for higher education. Across many countries a broad consensus has developed that public education in the age of compulsory schooling should be free of charge. Even Adam Smith considered free public education for the young as a central obligation of the state, for which the cost should be shared through taxes. But the question of how to distribute the financial cost of education beyond the age of compulsory schooling � for early childhood education, adult education and training and/or, especially, higher education � has kindled heated debates in recent years, particularly as national budgets shrink and the cost of high-quality education balloons.

Education at a Glance has documented the shift towards greater private funding of higher education in many countries over the past years. The rationale for this shift is the continuously high and even increasing financial returns that a higher education degree generates over a lifetime. Higher education could thus be considered a private investment for which individuals should bear most of the cost. Funding higher education with taxpayers� money risks a reverse redistribution of social wealth from the poor to the rich, thus aggravating, rather than reducing, social inequality. The state�s responsibility is to design a framework for equitable and transparent funding regimes that also ensures access for students from poorer families through financial support systems of grants and scholarships. These arguments have convinced increasing numbers of governments to shift the burden of financing higher education to students and families.

Yet some countries maintain a welfare state-oriented social contract for higher education, where the cost of universities, like the cost of other social, cultural and educational services, is paid through progressive taxation. The private financial return on a higher education degree is largely skimmed off, through high and progressive income taxes, to become a high public return on the state�s investment. Open access and high enrolment rates prevent the system from working to the advantage of only a small part of the population. However, this model only works in a political system where high income taxes to support general social and educational services are widely accepted.

These divergent views are reflected in the huge differences in the amount that students and families have to pay for a year of university education. The most recent Education Indicators in Focus provides new data on tuition fees. The chart above presents the average annual tuition fees in a range of countries with comparable data. The chart clearly shows that the private cost of higher education, in the form of tuition fees, differs widely among countries. Obviously, within each country tuition fees for individual institutions can also vary; but the national average gives a good idea of the general approach and political preferences of a country.

On the top are countries where the cost is highly privatised; on the bottom are countries where higher education is funded through taxation, hence with no or limited tuition fees. The group on the top includes liberal market economies in the English-speaking world and Asian market economies, but also emerging economies with expanding higher education systems, such as Colombia. The group on the bottom is mainly composed of Nordic welfare states and some transition economies. In the middle section are countries that adhere to a mixture of both ideological positions.

Each model has strengths and weaknesses, not to mention technical challenges. Countries where the cost is privatised need to develop fair and transparent ways to set tuition fees. For example, tuition could be related to field of study and, ultimately, future earnings. These countries also need to determine conditions for loan systems and their income-contingent and means-tested repayment schemes. And above all, they need to secure equitable access to higher education through student support and financial aid schemes. If these policy conditions are met, these systems seem to be able to secure sustainable funding for universities.

Countries with a welfare-state model of funding higher education see participation in higher education as a right to which all capable students are entitled. The high long-term social and economic public returns � generally much higher than the direct costs for the state � ensure that the upfront investments in higher education pay themselves back in higher incomes taxes and lower social security expenses. The main challenge for such countries is to assume the fiscal consequences. Shrinking state budgets and growing resistance to high levels of taxation in such countries might result in dwindling funding for higher education � and for university-based research and innovation that fuels the knowledge economy.

But the most serious risks are for the countries in the middle section of the chart, those that don�t seem to be able to make a clear policy choice.  They might combine the risks of the two models but without enjoying their benefits, leading to a deadlock on both the public and the private side of the funding mix. In these countries, universities pay the price of political indecisiveness.

Ideologies always claim absolute validity of their arguments. Yet in policy making the challenge is to find the smartest approach that yields the best outcomes the most efficiently. What 21st-century knowledge economies need is a system of higher education that generates globally competitive research and innovation and provides high-quality education that is accessible to all talented students. This doesn�t come cheap, and countries have to assume the cost, whether through public and/or private funding. But the long-term price of underfunding higher education is much higher than the short-term cost to both taxpayers and students. An inability to make a clear policy choice seems to be the costliest (non-)choice of all.

Links:
How much do tertiary students pay and what public support do they receive? Education Indicators in Focus, issue No. 41, by Eric Charbonnier
Combien les �tudiants paient-ils et de quelles aides publiques b�n�ficient-ils ? Les indicateurs de l'�ducation � la loupe, issue No. 41 (French Version)
Education at a Glance 2015: OECD Indicators
Chart source: OECD (2015), Education at a Glance 2015: OECD Indicators, OECD Publishing, Paris, http://dx.doi.org/10.1787/eag-2015-en, Table B5.1.

PET Scan

I was not looking forward to this round of scans AT ALL.  I cried.  I complained.  I did not want to go!  I was especially not looking forward to the 24-hour diet of ONLY lean protein and green veggies.  And by "only," I mean...ONLY.  No juice, no toast, no potatoes.  No rice, pasta, or tortillas.  Avoid all sugar, all fruits, all fruit juices, raisins, beats, cantaloupe, cereal, breads, carrots, corn, kidney beans, pretzels, chips, granola, oatmeal, pasta, peas, yams, sodas, etc.  Only drink water.  Even though I was not happy about my limited food choices, I did it.  Then, in the 23rd hour, I received a phone call explaining that the PET scans were broken.  They thought a power outage had fried the computer motherboard.  Regardless of the issue, I would not be having my scheduled scans.  "Go have a glass of wine.  Eat some ice cream," the tech told me.  Well, that would have been information useful to me BEFORE I'd gone through the diet to almost the full amount.  There was no telling when the repairs would be complete, so she would call back to reschedule.

Thankfully, the machines were back up and I was able to get the first appointment of Thursday morning, May 5.  And, because I'd already eaten breakfast that day, I would not have to go another 24 hours of the diet!

That morning, I got up and going early, got Evan to a friend's house, so he would s

till get to school on time, and headed to the appointment.  I was there before the chemo nurses, but was still able to convince the tech to let me ask one of the nurses to access my port, even though we were cutting it close on time.

Once I had port access, I got the dose of radioactive isotopes and waited for them to make their way through my body.

Then, I was in and out, without a problem!

That stuff makes me tired, but gets out of my system fairly quickly by drinking lots of water and eliminating it that way.

Stephen told me he ran into Dr. Fleener at lunch that day.  "I haven't seen you forever!" she told him.  When she asked how things were going, Stephen told her that I was really worried about these scans. She then assured him that she would make a point to get the results THAT DAY.  "Have Melodee call the office by 4:30, if she hasn't heard from us."  What a relief it is to have a doctor that goes above and beyond.

While I was waiting to pick up kids from school, the office called to tell me the results.

"Your results are stable."  was how it was explained.

A little unsure about that terminology, I asked, "That's good, right?"

"Yes!  It means there is no evidence of disease. "


With a sigh of relief, I hung up the phone.  I'm now able to breath a little easier for another 3-4 months!