Monday, 21 September 2015

Not My Job

I don't like the way today started. Last night I was looking forward to Monday. A new week, a day of therapy, friends coming in the afternoon. And here it is, 10:35 before I am ready to start my day. I may come back later and re-write this post, but maybe not.

I know that I need to speak up for myself and make sure that if someone is doing something wrong with my care - so that wrong thing doesn't happen. But I don't think it is my job to "train" someone new. Let me try to put this into the context of teaching. If a new teacher came along, and she told the kids she was new, and was not sure how things were done in "this classroom" then what would the kids do? And what about if one kid said, "oh, we don't do that anymore", should that teacher believe him? Well, I think we can all assume that chaos would reign.

So this is just a bit of a rant, because I am not happy with my care this morning. It's about being left in the bathroom for an extra 15 minutes (let's face it, I am already in there way longer than I want to be), missing an appointment (leaning to get dressed while sitting) because my care did not start early enough, and missing my outdoor time (i.e. recess) before OT. All because the new girl did not have her shit together.

I know that we all have off days, but professionals need to be professional at all times, as much as possible. When you are making a first impression (i.e. the first day of school or the first day with a patient) you want to send the right message - that I am competent and will do my job well. It is not a student's job to tell a teacher what to do, nor should it be a patient's job to tell a nurse what to do. But, having been through this experience, I am reminded that I do need to speak up at all circumstances where my inside voice says "say something". That is my job, because no one will look after me the way I want to unless I do speak up.

So now that I have vented, I am going to re-start my day. In 10 minutes I will be starting my "seating assessment" where we will be deciding what kind of wheelchair I will be getting. I am excited about that because it means that we are that much closer to getting me home. I am going to go upstairs after OT and get my lunch and come back down to get more sunshine, except on my forehead, because that is what I need the most.

P.S. The nurse did apologize by offering a semi-reasonable explanation. But first impressions really stick.

Sunday, 20 September 2015

No longer natural

I am struggling to understand how something can be wonderful and awful at the same time. Wednesday, for physiotherapy, I finally got to go in the pool. It's a therapy pool, so small and quite warm, but it is a pool none the less. I have been scheming since I got here to be able to go in, and was told that I had to wait until my brace came off. So last week, once the brace was "weaned" Kristin and Barry agreed that it was time and they booked my one hour session to be in the pool.

The PT pool is well equipped with a lift for getting in and out of the pool, both with a chair and a stretcher. Prior to going in the pool I told many people that I would not need a lift, that all they would need to do was put me on the edge of the pool and I would just roll in. Well, I was wrong. That would be an incredibly unsafe thing for me to do. Not being able to feel what my legs and back are touching could lead to danger - skin abrasions, bruises, cuts - and I would not even know that they had happened until much later. So rolling in is not an option.

I don't know how to explain what being in the pool felt like. When I first got in, Kristin wanted to put noodles and belts under me to keep me afloat, but it all felt wrong. I felt like a toddler whose parent was trying to put on an outfit that they did not want to wear. It just did not feel right. So I made her stop and just let me see how it was to be in the water on my own. I discovered that I had no centre of gravity, not like I used to. I was a swimmer - some say the fastest woman in the pool - as a kid I learned synchronized swimming, was on the swim team, and most recently was an olympic distance triathlete. So, throw me in the water and I always came out on top, it was my second nature.

Now I need to give myself some time, time to adjust to this feeling, that seems so unnatural and not right. I was able to log-roll from front back to my front in both directions. My syncro-arms came back to me. With sculling hands I could travel down the pool on my back and then they let go of me long enough to try my back crawl - which was slow, but worked. But my legs, my legs just sort of drag out behind me, of no help at all. My wish, that being in the water would just wake up those nerves responsible for making them kick, did not come true. Not last week anyway. So I will keep trying to wake up my legs and strengthen my core to keep me stable in the pool (and everywhere else). Then I will work on figuring out how to make being in the water natural again.







Wednesday, 16 September 2015

Hands

I can't count as high as the number of hands that have helped me since all of this started. The first and most significant are the ones that saved my life. When I arrived here in London at Victoria Hospital my level of response had dropped drastically and the surgeons needed to take fast action. The hands of the spinal surgeons repaired my vertebrae and spinal cord. The plastic surgeons stitched up my face and chin, pulling skin back together to hide my exposed skull. All this while the anesthetist kept me alive.

And then there are the nurses. All women with the exception of one. Sidebar: when only one man has been privy to my lady parts for the past 21 years, it took a bit of adjustment to be comfortable with that - but he was wonderful and taught me the importance of being an advocate for myself. The nurses have a tough job, they mostly deal with bowels, bladder and skin here all day, every day - none of which are pretty sights. But they continue to be wonderful - which is good because I am helpless without them. The design of the rooms here at Parkwood were meant for long term care, not for people with paralysis. So consequently I can not reach anything with my own hands. Most frustrating. "Use your grabber" is a common phrase, but you can only use your grabber when your grabber is within reach!

That hands that help me in therapy are amazing. Kristin uses her hands (and her whole body) to stretch my legs - muscles in paralyzed legs that do not get stretched can shorten - and then what good would they be for walking? She and Barry use their hands to help me learn to sit up with proper posture, making me feel what it is supposed to be like. And it's weird, because I can't tell if it is me, or them that is doing the work because I can't feel their hands. When I can't take any more Barry is my backrest, his hands (and body) providing comfort during a time of exhaustion. In OT, Gary has magic hands. He supports my arms in the exact right position for the muscles I am working, and he finds the pressure points in my back, neck and shoulders that release the pain and tension that is holding me back. When Kristin and Gary find those spots they always ask "is that okay". My usual response is "no and yes". It hurts, a lot, but if you just give it that extra moment or two, it is always worth the pain.

Although I said the surgeons hands were most significant, the most important hands are those of my family. While I was in critical care, and then beyond, I had a hand to hold 23 hours a day. Only during the nursing shift change were they made to leave. Theo, Lara, David and Jane rotated through being in the chair at my bedside along with my parents. They slept in the tiny room with the tiny couch, and gave each other some rest every few hours. Even more than the oxygen I was receiving, those hands I held were my life line.

Friday, 11 September 2015

One Good Thing

Today was not the best of days. Mostly because it was a bad night, but I don't want to go into the details of that. I am frustrated, angry and disappointed. My nurse Lisa put a fine point on it this morning. She was astute to recognize that I often wear a brave face around here, not showing what is really going on in my head (and heart). She wondered if depression was starting to rear it's ugly head. But I don't think so. I don't always feel the anger, even though it is just below the surface. I would be better off (and I try) to channel the anger. Into something positive. That used to mean doing something like going for a run. But what is my run now?

It is going to be some time before I realize that everything just takes way more time then I think it should. Prime example: dressing. I had my OTA Kelly give me dressing tips this morning, so including rest time and shoes it took 20 minutes. 20 minutes! To get dressed? Yup. My nurse Nicole says I will get much more efficient, but working part-time next year is looking like the most likely outcome of this whole fiasco. I would otherwise not make it before first bell. Eating takes longer too, just because of the awkward angle that I sit at in my bed. Once I get into my own custom wheelchair I expect that will change.

I get also frustrated by the seemingly mixed messages. Like: You need to eat more fibre, maybe you are eating too much fiber, you need a stool softener, maybe that was too much stool softener... And then there is water, need to drink more, need to drink less, especially in the evening, it may be causing the puffiness in your feet... It is a fine balance, and one that seems to not be achievable, I hope to come close, but I do not think it will ever be mastered. My body is not my body. I was a fine tuned machine (for a 41 year old who works full time and has a family). But now my body is a stranger, an alien that does not follow the rules that were laid out by evolution. One that needs drugs to run "properly" and deal with pain.

My Mom's friend Andrea says the best way to deal with crappy days is to find one good thing, and focus on that to get to the end of the day. Here is one: I started my cognitive testing today. It feels like being in grade 3 all over again, the "gifted" test. I find it very interesting because this is the same test that is used in schools to assess our students, the very same test that my own children took. I was pleased with my results from today, apparently I answered two questions correctly that no one ever gets right. I guess my giftedness, at least some of it, is still up there in my head. Thank goodness.

Another good thing happened today, and I cry as I write because it just goes to show how much Theo loves me. He found my wibbly woo bear. This is Ella's small pink fleece blanket with a bear head and arms sewn to it. She is letting me have it for company while I am away from home and I have been sleeping with woo bear over my eyes every night to block out the lights of this strange room. Well I was, until last Sunday when she got swept away with the bedding laundry all the way to London Health Laundry Services. LHLS does all the laundry for all the hospitals around - even Wingham. So you can imagine how many lost items they get. Well Theo made a miracle happen, and he picked up woo bear this morning and brought her back. So tonight I get to sleep a little better. And I guess that makes two good things.

It's Not Just Bikes and Cars

I wish I could say that I was a model citizen when it comes to driving. When I turned 16 and got my 365 my Dad took me to a yet-to-be-built subdivision and said "okay, drive". So I did, and he taught me to do it safely. But I was not a perfect driver. A while back my at my women's group, our meeting opener was "what is your worst driving habit". I don't remember too many of them except for one friend who admitted to driving while pulling out her grey hairs (which she has stopped doing for fear of having no hair left). I admitted to eating my breakfast (bowl of oatmeal or granola) in the car on the way to work. I am pretty sure that at that meeting I said I would stop, but I didn't. There were no oatmeal driving incidents, but that doesn't mean there could not have been. I am pretty sure eating breakfast would lead to a distracted driving charge.

Theo and I have heard from many people who have told us that they have changed how they drive. Giving a wide berth to cyclists and slowing down when it is not safe to pass. Even a self-proclaimed "redneck driving" friend of ours says he has changed how he drives around cyclists. This is Huron County folks, that is big. But it is not big enough, because even people who do know my story have not changed or "make exceptions".

Here is an example. A couple of weeks ago Theo arrived to visit me one evening and he was seething. Now this is a man who is tough to ruffle, so this, of course was quite shocking. He described a distracted driver who was on the phone behind him, driving way too close for comfort. Those of you who live in the area will know that Hwy #4 is stop-and-go with lots of bridge construction. At each bridge there is a stoplight to allow for one-way traffic over the bridge. Theo took a red-light opportunity to get out of his car and go talk to this lady who was behind him. She made many excuses for herself even after he explained that he was on his way to see his wife who was paralyzed after being hit by a car. While he was walking away, she said she knew my story, and that she was sorry. After the bridge she pulled off the road, we assume to finish her conversation and we hope, to think about her driving decisions.

Over the past couple of years at Madill we have been inundated with the idea that we choose our behaviour. And the same applies here. Choice. Make a decision to drive with care, care for the passengers in your car, the people who are taking advantage of the five months of good riding conditions the people whose life requires a horse for transportation. For me, Share the road is not just about bikes vs cars. I know I am up on my soap box here. I originally said this in my interview on Ontario Morning but I think it needs to be said again. And again. Remember that Vidal Sassoon commercial? I'll tell two friends, and you tell two friends, and so on, and so on...We need to share the road with everyone. Not just bikes, but with tractors, pedestrians, horse and buggies, and each other.

So when the province introduced new bike safety laws I thought they were good, a step in the right direction, but it is not enough. Because it's not just bikes and cars.

Wednesday, 9 September 2015

Ready to Go Home

I am exhausted. What seem like just a few little things, have added up to be a tiring, but accomplished day. Now that I am healed and my brace is off, I am able to do more with my body. It started yesterday in PT. Kristen helped me reach forward while sitting straight-legged on the plinth, and from there I was able to touch and reach past my toes. That felt amazing. I have always been fairly flexible and that has been and will continue to be to my benefit through this recovery and into my new life. Boy, if there is one thing I have learned (and I said this to my fit friends Nancy and Karri-Anne who visited yesterday) being fit and flexible is so important because you never know when you are going to need it.

That increase in flexibility and my new found freedom to reach my toes lead to my curiosity about dressing myself this morning. And so I did. Underwear, leggings, bra, t-shirt, socks AND shoes. I have been doing my "uppers" for a while, but was not able to sit in a position to do my "lowers". I surprised my nurse and the folks down in OT when I told them, but Kelly is still going to come up and give me some pointers and short-cuts, because I was exhausted by the time I was done.

Remember how I said that they often surprize me in the morning and add something to my schedule? Well that happened again today, "Speech" was added - but I quickly learned that the plan is to assess my cognitive abilities to determine if my brain is still the way it used to be. I already know that my word recall speed is not the same and my reading eyes are different, so I am curious to know the outcome. The testing will help me make decisions about returning to work and any help that I may need in the future. Connie was interested in the fact that I was blogging, apparently that is a good sign. :)

After meeting with Connie I went straight to PT where Theo met us so we could try out transferring from chair to car! Now, he was supposed to bring the Kia, but he forgot and got distracted by the need to drive a clean car for Laura whom he brought with him this morning. Apparently living in a car leads it to not being clean enough for company? So anyway, before going outside there was some serious debate about whether or not this would work, as the Element is so much taller. All the worry was for naught - we did it anyway. It certainly was an uphill battle, and there are a lot of dangers to look out for, but I (we - thanks to Barry and Kristen) did it! I think that there will be dangers no matter what car - all those knobs and bits of metal that are inside the car door frame pose serious danger to my back as I can't feel it if I scrape along them as I get into the car. Safety first.

Even though I just wanted Theo to drive away with me in the car, we went back inside to the elevation table. I got all the way up to 65 degrees which is the highest they go! Yahoo! Now Kristen said I have to do it several more times to prove that my bp can handle it, that it wasn't a fluke. You see the whole time I was on the tilt table Theo was telling me about the home assessment that happened yesterday, and about all the changes that would need to be made for me to come home - even for a weekend. So, Kristen's theory is that Theo's talk was what kept my bp up, perhaps I was a bit worked up...I guess we will see.

To top off my day I learned how to do my own catheter. The nurses were all right - I am easy. So when all is said and done, I am ready. I can get dressed, get into and out of a car and pee on my own. What else is there? I am ready to go home. I wish it was that easy.

Sunday, 6 September 2015

How are the Kids?

Yesterday I had a morning visit from my friend Shannon and spent the afternoon with Theo and the kids, and it was great. The kids scootered on the paths out back, we raced (I really thought my wheelchair was faster than it is), we ate from my giant bin of food in the fridge and just enjoyed the day. Everyone helped me do some of my physio homework and the kids got a kick out of how floppy I am (read: laughing hysterically). I wish home was closer and they could come more often, and not just for me. Their laughing, smiling faces bring happiness to others that are here. Children are therapeutic. My old neighbour in bed B says she will always remember the time she watched Oliver crawl right up into my bed and snuggle right in beside me, pure happiness.

Just before they left to get subs to eat in the car on the way home, Oliver said to me that I was lucky. "Oh, why is that?" His response, "You get to lay in bed all day." Which of course made me cry, and I feel awful about that. Awful. Because he was just being a nine year old boy. Then he wished I could trade places with him - which just made me feel sick because of course I imagined that it was him lying in this bed. To which I responded NO WAY. He doesn't get it - he's not there yet, and that is okay, because he is nine. In his mind, lying in bed all day would mean that he would be able to spend even more time memorizing his pokemon cards.

While we were racing, Ella asked me if being in an electric wheelchair was fun. And of course I can't just say yes to her. Instead I said, "if I didn't have to be in one, I probably would be." I don't know why I can't just think like a kid and not take everything so seriously. It's hard.

So "how are the kids" is a pretty common question these days. My response is that they are fine because I don't really know, and I think that they are. Ella understands, I think, but Oliver is not there yet. I am missing Ella's experimentation with make-up phase and Oliver's joy of having new back to school shoes. Things will be different when Mom comes home in a wheelchair, then we'll see how the kids are.
This was the location of the race - behind the dumpsters where are the old hosptial beds go to die.