26 July 2007

This Isn't As Easy As It Looks

I don't use my stove often, almost never in fact, but I have figured out a few things I can cook without subjecting myself to severe bodily harm. Using the oven presents some interesting complications because anything that has any weight to it, say a casserole or cake (not that I know how to make either of those anyway), is nearly impossible for me to pick up. Plus, I'm not a big fan of leaning down and sticking my face in close proximity to the heating coils. I might need these All-American good looks to pay the bills some day and it'd be a shame to sacrifice my lone ace-in-the-hole for a quiche. I made the decision though, partly spurred on by a hunger-induced grocery store impulse buy, that a frozen pizza was a foodstuff that I could probably bake without too much trouble.

Figuring out how to cook the frozen pizza took some planning, but I've managed to get fairly competent at it. Depending on the brand and the packaging, after removing the pizza from the box, the trickiest part of the whole process is getting the pizza out of the oven without dropping it or burning myself on the pan. I have yet to completely lose one to the bottom of the oven or face down on the floor. That being said, I came real close to losing this one, as you shall see.

In most of the other videos I posted here I edited out most of the parts in which I screw something up, but that sort of distorts the reality of how easy or difficult it is to accomplish the various tasks depicted. This time, for the sake of accuracy, I left in the bigger gaffs.


17 July 2007

New Developments In Ambulation

A few weeks ago I spoke to Dr. Carlos Lima who performed my olfacotry cell transplant surgery back in April 2005. I asked him what specific types of excercises his patients in Europe were doing therapy-wise in their quests to regain mobility. His recommendation as to how to get the greatest potential benefit out of the surgery is that body must re-learn the movements it lost from the paralyzing injury. For instance, if the legs don't move because they are paralyzed the best way to regain potential function is to get them moving in a walking motion. Sit and do nothing and nothing will happen. The theory is that even if the original neural pathway is damged, putting the legs through the walking motion may help the nervous system open up and develop new pathways to the brain: reverse engineering or kind of like creating a neural bypass. This can be accomplished in a varitey of ways, like unweighted treadmill training, riding FES bikes and the like. I have utilized KAFO braces for assisted walking and standing exercises for two years now, and although Dr. Lima is not against the benefits of incroporating braces into the therapy program he has stressed that many of his european patients do not use leg braces in their therapy routines. His contention is that the braces do all the work of bearing the body weight and thus the legs don't get used to supporting the body.
When I asked him to suggest excercises that his European patients were having success with I was relieved that, for the most part, my therpy sessions included similar activities. He reassurted me that I was doing the right things, but then he also sent me a video clip of a patient of his, a C4 level quadriplegic, assited walking without legs braces eight months after her transplant operation. After watching the clip, I determined that there was no reason for me not to try the same thing. So, for the past month I have been doing my assisted walking without the KAFO braces I used in the past.
Using the braces I was getting to the point where I would be able to cover a couple hundrd feet before my shoulders reached their point of fatige. I went from swinging both of my legs at the same time to alternating gait, which I demonstrated here. I also started to notice a real improvement in my balance through my hips and when standing still, while utilizing a platform walker for upper body support, I can control my balance to the point where I don't need anyone supporting my hips to help keep me upright.
Assisted walking without the braces is different though and more fatiguing because all of the support and rigidity that the braces provide is gone. The weight of the braces and the fact that the legs are fixed at full extension contributed to the swing part of the walking gait once I was able to get momentum headed in a forward direction. Without the leg braces and without any voluntary function the knees want to buckle under the body weight and so getting the leg to swing forward is much more strenuous and difficult. What I concentrate on doing when not wearing the braces is shifting my weight side to side and trying to create a hip turn with my abdominal muscles to pull my trailing leg forward. Right now though, the majority of the hip turn I'm getting is coming down from turning my shoulders. When I have significant spasticity in my legs the contractions of the muscle spasms help me to lock my knees out and straighten up my back and at those points I'm able to bear most of my body weight with my legs. The spasticity is sporadic though and so 90% of the time while I'm walking, my PT has to assist with not only swinging my legs forward, but locking out my knees as well. Because of the style of walker we are using with this type of exercise I'm also doing less in terms of controlling my balance at the hips as the walker has a strap that can be used to lock my hips in a secured position. In the long road though, I hope this will help me accomplish more as now my legs are being forced to support the majority of my body weight as I go through a more natural walking gait pattern.
This is what it looks like:

09 July 2007

The Dude Abides (and Uses Profanity as a Crutch)

My dad called me recently to make sure I didn't actually hire creepy, space cadet lady (I didn't). He also suggested that at some point I should think about trying to reach a wider audience, but if I did I'd have to, "Clean up the language a bit." I won't get into the irony of that advice, but it did remind me of this:

06 July 2007

(Good) Help Is So Hard To Find


So you’re middle-aged, horribly…horribly sincere, have a strong desire to help others in need, and are 100%, bat-shit certifiable, space cadet: A few interview tips.

1. When our interview appointment is scheduled for 11am and you forget about a prior scheduling conflict, DON’T show up 11 hours early unannounced. Call ahead and ask to reschedule.
Addendum: In the event that you have already shown up 11 hours early unannounced, DON’T explain that you have borrowed a stranger’s cell phone to call and get directions from one side of the apartment complex to the other.

(Note to self: ALWAYS reschedule, especially if space cadet is at front door 11 hours early. NEVER deviate.)

2. When asking about the prospective employer’s personal history DON’T interrupt and attempt to relate personal hardships if those hardships aren’t apropos to the employer’s. Specifically, I did not ask, nor is it wise to volunteer the story about your abusive marriage, your children being taken into foster care and their subsequent abuse at the hands of foster parents, your remaining in said falling marriage and custody battle with the courts, your abusive husband’s untimely—yet liberating—death in an auto accident, and your stalking of your estranged, adult son at church in hopes he might have been there tonight (he wasn’t). Revealing that information would be better left for, let’s say never…or at the very least the second fifteen minutes of the interview.

3. This is less of a tip, more of an observation: Going back to school and furthering (finishing?) one’s education is laudable, commendable, a bold step. Good for you. A degree in Dance? At 50-ish? Maybe not the best pathway to financial solvency in your impending golden years. But what do I know? I'm just the one trying to keep calm on the outside, while secretly wondering if you'll be sleeping outside my door in the morning waiting to see if I made my decision about the job yet.

4. Want a job. Desire a job. Be desperate if need be, but don’t look or act desperate for said job. It’s a fine line. It’s only 5 hours a week. You’re freaking me out!

5. Bladder incontinence in times of excitement or nervousness is cruel indeed. I suppose I can relate. However, if that is a reoccurring personal battle PLAN accordingly. At the very least wear dark pants.

I’m pretty sure it was sweat. It didn’t leave any mark that I could see. I mean it was hot today. It had to be sweat. So yeah, that was sweat (Dear god, please have been swass. PLEASE have been swass!).