Monday, July 10, 2017

My Adaptive Driving Adventure

I've honestly never really been a big fan of driving. In the state of Virginia, you can get your permit at the age of 15 and a six months. You spend a certain number of months driving with a licensed adult and once you reach your 16th birthday and if you've passed your in-car assessment, you are free to drive. Well, I waited until I was about 16 and a half to start that process. Having a July birthday, I was already one of the last of my friends to be able to start driving, but by the time I could start, so many of them already had their full license that I looked at it as an excuse for why I didn't have to.

I remember despising go carts growing up. I was never as good as my younger brother and I never won (and I like to win at things), so it was automatically something I avoided. And don't even get me started on bumper cars. Within the first two minutes, I'd be the car stuck in a corner, getting hit from all angles. So, I think you can start to understand why I didn't want to get behind the wheel of a real car, on a real road, with real drivers. I also knew that as soon as I went to the DMV and passed the permit test, my mom was going to make me drive home...and I just wasn't mentally prepared for that!

My parents finally told me that I had no say in it and was going to get my license whether I wanted to or not (I think they were probably tired of driving me places since I was involved in so many different clubs, sports, etc. and it would also mean that I could start driving my brother to his various activities). I got a little Hyundai accent..base model, with no automatic windows or locks and I learned to actually enjoy driving...kind of. Any time someone else offered to drive somewhere, I never argued. I had no problem jumping in the backseat and letting someone else take that responsibility.

It's not until something gets taken away from you that you realize how much you took it for granted...or how much you may have enjoyed it despite what you may have thought. This is my relationship with driving. No longer having use of my legs automatically ruled me out as a driver. (On the plus side, I no longer had to be the DD, but I think I'd take that role over having to depend on other people any day).

When I first got sick, I approached driving with the same attitude I always had...I don't need to drive, other people can do it for me. Or making excuses saying that there was no way I'd be able to load my own chair... I even took it as far as to say that I didn't need to learn adaptive driving because it wouldn't be long before I could use my legs again. As time went by, my attitude started to change. I got tired of waiting for things to get better. I wanted to take control and I wanted my independence back in all aspects of my life....which included being able to get in the car whenever I wanted and go where I wanted to go.

It took about a year before I really got this process going. I was at the DC abilities expo last December when I met Tammy from DRCE--Driver Rehabilitation Center of Excellence. After telling her my story, she was so excited to get me behind the wheel. She has worked with a lot of wounded warriors, amputees (single, double, triple), and paralyzed individuals from Walter Reed and said that I just didn't understand how much driving was going to change my life. I started to hear that from other patients as well, telling me that I was going to feel like I was 16 again, regaining my freedom...that analogy didn't really apply to me and my prior experience with driving, but I understood what they meant.

All it took was me agreeing to get behind the wheel for Tammy to start getting the process started. Since my license was completely revoked when I got sick (something about being hospitalized in the state of PA, the doctors are required to report serious illnesses to the DMV), I had to start back at square one. I studied for and took the DMV knowledge exam that teenagers take in order to get their permit, but this time, I wasn't allowed to drive with just any licensed adult. I could only get in the car with an instructor that knew the hand controls.

I took a few lessons with Tammy and was really surprised at how easy the hand controls were. It seemed pretty natural. I remember being on the phone with Dusty after my first lesson and him asking me what it was like..."was it like driving a four wheeler? a motorcycle? a dirt bike?" I had NO idea what to compare it to because I've never driven any of those things! (I, again, have always ridden on the back of those vehicles). For me to say that it was easy and that I got the hang of it quickly really means that practically anyone can do it...seriously.

There are a lot of different kinds of hand controls. The ones I learned on were installed on the right side of the steering wheel and was a twist to accelerate and push to brake. There's a knob on the steering wheel so I can make tight turns with just one hand. The hardest part for me was getting used to how touchy the brake and gas were, which really isn't much different than the first time you drive any car.

I got my license a couple months ago, but had to wait for DARS--the department of aging and rehabilitative services for the state of Virginia--to pay for the controls. They cost almost 5K, so it was worth waiting for. There are a lot of portable versions and many cheaper kinds, but I was much more comfortable with the ones I was getting installed because they were exactly like what I learned on. I knew they were sturdy and dependable, unlike some kinds. I actually bought a pair of the cheap, portable ones to use in the meantime...I knew I'd want them just in case I had to drive someone else's vehicle because they can go on any car...they just clamp onto the brake and the gas. These were good for short rides, but not something I wanted to use for long trips (like my rides to and from Philadelphia).

Well....after months of waiting, I picked up my car with the permanent hand controls on Friday!!! My mom has a Dodge Charger (a nice sleek, black Dodge Charger that she got when she sold her minivan as soon as both James and I were out of the house) and that's the vehicle I modified. It's perfect for what I need. The doors open a full 90 degrees, which allow for an easier transfer, the radio controls are on the steering wheel, there's a gps in the car dash, there's bluetooth to use my phone, and the back seat and trunk are large enough to accommodate my chair and other people. The doors opening as wide as possible makes the biggest difference to me. At first, it was the only way that I was able to transfer myself in and out of a car. I've gotten much better at car transfers since, but now the wide doors are what allow me enough space to disassemble and reassemble my chair when I'm driving by myself. (Fun fact: that's why there are those dashed lines next to handicapped parking spots...for people like me who need all the space they can get to open the door wide and throw and 30inch wide chair out). I transfer into the car, then lean over and start taking pieces off my chair (there are a LOT of pieces that come off in order to get it in the car). I take the tippers off (which I still use because I haven't quite perfected a wheelie without them and I'm pretty terrified of falling backwards without them on), the side guards that protect my legs from touching or rubbing against the wheels, the seat cushion, and the bag I like to keep on the back since I no longer carry a big purse over my shoulder. I take each of those things off and put them on the floor in front of the passenger seat. I then move my seat back a little and move the steering wheel in all the way (another great feature of this car is how movable everything is...the steering wheel goes up/down, in/out and the seats don't just go front and back, they also go up and down). Then I fold the back of my chair down and take both wheels off (which I put in the back seat). Lastly, I take the big frame (all 25+lbs of it) and bring it across my body and into the passenger seat. Now, obviously, this doesn't quite work if anyone is in the car with me, unless they want to ride in the back, but that's when I take advantage of letting someone else disassemble it and load it into the back. It takes me about five minutes to do all of this, but it's getting better every time...and I'm getting a little less bruised up each week.

(A little side note: my brother got in a car accident in my car shortly after I got out of the hospital and it has been un-drivable since...not that I'd really be able to use it now anyways since it is so small, but yeah, when it rains, it pours, and this was just another unfortunate event to add to the pile). 

I've had a lot of people ask questions about my car or how I'm able to drive, so I thought it was a good idea to explain it and give everyone a better idea. Truthfully, I kind of like the hand controls even better than when I used my feet. It's crazy how we don't really appreciate things until we can no longer do them and driving was one of those situations for me (among many other things these days, but that's a conversation for another day).











Tuesday, July 4, 2017

Stop Raining on My Parade

I just have to get this off my chest because I'm tired of holding it in. I've had so much support, but the constant questions of "when are you going to walk" or "when are you going to do ___" are actually really discouraging. I find myself holding a lot in these days because I don't want to make other people uncomfortable or because I'd rather choose my battles and what's more important to complain about, but this has been beating me down for awhile now.

Spinal cord injuries are not like a broken bone. It's not something you get surgery on and have a set recovery date or timeframe. The nervous system just doesn't work like that. Every single spinal cord injury is different...you can take two people with the exact same level injury and even they will have different abilities or recovery. I've been fortunate enough to constantly get good news from my doctors, but I think people misunderstand what good news means. People think that my "good news" should be that I'm going to be walking any day now and that's not really what it's about. To me, improvement is improvement, no matter how little or small. I mean, there were times not that long ago, that medical students were taught that when there is damage to the spinal cord, there is no recovery. If you keep that in mind and then remember that I had complete inflammation of my brain and spinal cord--the WHOLE thing-- then for me to be where I am today is pretty amazing.

I always forget that I actually almost died. DIED. As in, there was a night where I crashed in the ICU and they almost had to call the code and all the staff ran into my room, then prepared my friends and family for the worst. My mom almost killed a resident and my brother almost broke his hand from punching the floor. (Just to put things into perspective a little).

What people don't understand is that if you hear the same thing enough times, you're going to start believing it. If you ask a person enough times when they're going to walk, nothing they accomplish is going to feel like a success unless it's that one thing.

I had all of my six month follow up doctor's appointments this past week and got some really great news. My urologist said my bladder function is stable and pretty much back to normal (that may be TMI, but trust me, this is one of the biggest blessings...so many people become a slave to their bladders and either avoid leaving the house for the fear of having an accident or are constantly watching the clock in order to be on a schedule of when to visit the restroom). My neuro-immunologist at Hopkins was extremely impressed with my progress...so much so that he told me about five times throughout my appointment. He thinks my level has improved from the last time I saw him and reminded me that this isn't a sprint. My recovery is a marathon and it doesn't matter how long it takes, but to remember that it's going to happen. He also reminded me to keep a positive attitude because that is such a crucial part in my recovery. These days, I have to fight harder and harder to keep that positive attitude because I feel like I'm constantly getting beaten down (which is why I feel like I need to write this). Lastly, my rehab doctor said he was "very very happy happy happy," which was meant to be better than the previous doctor's comment of being "very impressed." I told him that we thought my injury level had improved and he decided to do a detailed exam to figure out the exact level.

I wrote about it before, but the test is called an "ASIA" exam. It stands for the American Spinal Injury Association impairment scale and is a detailed way of classifying a spinal cord injury. It's not prefect because SCIs are so various and just because two people have the same score, they won't necessarily have the same function. Anyways, you can read a little about it here. Basically, they examined light touch sensation (can I feel something touching me), sharp vs dull sensation, proprioception (where my body is in space, i.e. if my toe is bent up or down), and then motor function and if I can move different muscle groups. There are a lot of different nerve tracts and those tests check to see which of those tracts are working and at what level they are impaired. These test were performed at each level of the spinal cord and I changed from T4 to T9, according to my previous exam.  And what's really awesome is that S1 was intact on my right side, which means everything is intact and slowly coming back. (Also, if you look at this chart, you'll notice how imperfect this test is. I have all autonomic control on the left side and some functionality from the T11-T12 and L1-S2 groups, but the grade for the exam is the last place everything was completely normal.)



This is a HUGE change. But I think what is disappointing is that unless you've been through all of this or have the knowledge of what all this means, you don't understand what a big deal this is. People may hear that and still say "but you're working so hard, why isn't it even better?" Like what I'm doing isn't good enough...and then I start to believe it. I want more too. I mean, I understand. If someone posted a Facebook status two years ago saying "I changed from T4 to T9!!" I would have had no idea what in the world that meant, so I try to educate people and not let it get to me (easier said than done).

Maybe the misunderstanding came from me telling everyone that my MRIs are normal and that my doctors said I'll make a full recovery. Maybe it's my fault that I didn't explain it could take years. Yes, years. People also think that means that I'm going to do therapy 24/7 until it happens and that's just not true. I've grown a lot and I've come to the realization that God is in charge of my life and when things are meant to happen they will. I'm not going to waste away my life waiting. I'm doing everything I was doing before I got sick. I'm finishing school, I'm driving, I'm looking into moving out on my own. I'm doing it all. Hell, if I never walked, shouldn't this be enough? Which brings me to another point. As long as I'm happy and doing everything I would have done before, taking my life back, why would it matter if I stayed in a wheelchair? It's just a mode of transportation. You use legs, I use wheels. Stop feeling sorry for me. I'm happy. I mean, I have my struggles and this world was not made to be accessible, but doesn't everyone have struggles? I'm not going to dwell on them and I'd really like for people to stop thinking that I should.

I asked all of my doctors what I could do differently or if there was anything I could do to speed things along and every single one of them almost laughed. I'm doing everything I could possibly do. Matter of fact, one told me I was doing a little too much and that I need to give my muscles a 48-72hour break between using electrical stimulation on them. So the answer is time. It sucks, but that's life. And I'll say it again, I'm happy.




Monday, June 19, 2017

Overwhelmed is an Understatement

I seem to be back to doing what I do best--committing to way more than I can handle! I must think that there are way more than 24 hours in a day (and also forgetting that I enjoy getting my 8 hours of sleep every night, making the hours I'm up and functioning even less). Let me back track a little. I went up to Philadelphia to my school a couple weeks ago. They were offering a four day CE (continuing education) class for about 50 doctors and professors. Since the class was one of the 0.5 credit courses I needed for my transcript, I was invited to come and participate. It was a little intimidating to think about...taking a class with the professors that have taught me everything I know and are already established doctors, but I was also excited to come back to campus for more than just a day trip.

I booked my favorite, very accessible, room at the Sheraton for three nights and my friend, Carly, stayed with me the first two. She was taking the same class as me and we needed to do some catching up since we hadn't seen each other in months. Mom dropped me off at the school on Thursday and Carly drove me to and from the hotel for the next couple days. (I'm still dealing with the vocational department to pay for my hand controls, so even though I have my license, I have to keep waiting).

It's such an amazing feeling to finally be completely independent again. It's crazy the things that we take advantage of on a daily basis. But when I'm in a place, like the Sheraton, that is fully accessible, I feel like myself again. I don't have any limitations (except for when I dropped the shampoo bottle under the sink and couldn't reach it). And then being back at school just reinforced that feeling. I sat there in lectures thinking "yeah, I'm in a wheelchair, but I'm doing this. And I'm going to be a doctor." I felt more determined and empowered than I have since I got sick.

Before I left to go home, I got to visit the new clinical skills lab. One of the professors asked if I wanted to come see it because it's now accessible. I asked "for the patient or the doctor?" because I had a feeling it was only for the patient, but I was told it's accessible for BOTH! The lab isn't even open for students yet because it is so new, but I got the grand tour and I loved it!! I was able to get around all the equipment and slide in under the tables without any problems. I had a couple suggestions that would make my job, as the doctor, a little easier in regards to reaching the microscope while the patient was in the exam chair, but all of the professors were really receptive to my advice. They spent a long time helping me problem solve and we talked about what changes we could make for when I come back and start doing exams.

Speaking of coming back to do exams...I got to talk with a couple of the deans and professors in charge of my education plan. In order to keep my financial aid in check and my loans in deferment, I have to complete the two classes I'm taking by July 5. Everyone was worried that was asking too much of me, but I had to tell them that I'm willing to work hard and get these last few classes over. As long as I have a deadline, I can make it work. It's when everyone tells me "do this when you're ready," that I start to think I have all this time on my hands. But anyways, we came up with a deadline. July 5. So, I got home and took the midterm for one of my classes and got an 85 (!!) and have been studying for the two finals ever since. The tentative goal is for me to finish these courses and move back to Philadelphia by the end of August to start making up some of my clinic time. I have clinic hours I need to make up and then I will be able to do my third year rotation there as well instead of having to move and then come back. We also talked about possible sites for my other rotations that were closer to home. I don't like to get too excited about these things until they actually happen because this whole process with school has been trial and error. Just because we make a plan to do something, doesn't mean it actually happens or that it happens in a timely fashion. But for now, I'm getting through these 40 hours of lectures and taking the finals for the hardest courses in optometry school. Fingers crossed that the clinical aspect will work out the way we want them to. I guess only time will tell over the next couple months!




Monday, May 29, 2017

Come Sail Away With Me

After doing the indoor skydiving last month, my friend, Josh invited me to a sailing clinic in Annapolis. He is the founder of SPINALpedia, a social mentoring network that brings together people within the spinal cord injury community and also has a video archive so people can share their knowledge and experiences with each other. He tries to set up a lot of different adaptive sports and activities for individuals and families. He mentioned this sailing clinic and I honestly wasn't that interested at first. I love being on boats and on the water, but I knew nothing about actual sailboats. As the time drew closer, Josh was persistent in asking me to go and learn about "adaptive sailing." When my housing arrangement with friends in Annapolis fell through, he even offered to pay for my hotel during the two nights I was in town. (He made it VERY hard to say no!)

The more I thought about it, I realized that this clinic would be a perfect distraction. My graduation from optometry school was scheduled for the 25th and the timing of this even couldn't have been better. I had toyed around with the idea of actually going to graduation because my roommate and best friend, Annie, had offered me her extra ticket. I wanted to go to see all my friends and offer my support, but after more consideration, I realized I would just be setting myself up for heartbreak. Becoming an eye doctor has been my goal since the third grade. All those years of school and hard work were supposed to come to an end in May 2017, I'd been looking forward to it for what seemed like forever. And while I would've been happy for my friends, I think I would have found myself feeling sorry for myself.

The adaptive sailing clinic was put on by an organization called CRAB--Chesapeake Recreational Adaptive Boating. They work a lot with wounded warriors, but I think this was one of the first clinics with just individuals with spinal cord injuries. Words can't even describe how amazing this experience was. We got classroom instructions, starting with the basics, like the parts of the boat. We took everything we learned onto the water all in the same day. I loved being able to learn and then put that knowledge to use and practice right away.

There were two SCI individuals and an experienced skipper on each boat. We had seven people with SCIs, so there were three boats and then Josh had his own boat. Since he doesn't have much hand movement, they had a boat that was controlled by a straw! There are wheelchairs like this, called "sip and puff," where you sip to stop and puff to go (or the other way around?) but I had never imagined a boat being operated like that! Even better is that Josh is very successful as a lawyer and in his business, but said that operating that boat was the most independent and powerful he's felt since his accident. And it's true. I'd tried my hand at a few adaptive sports and I like them all for different reasons, but being in that boat on the water was the most freeing feeling...having total control of the boat and just focusing on everything we had learned in order to get it to the destination we wanted was incredible.

I think what made the clinic even better was the people I met. I don't think you can really understand unless you've been there, but being around other people in wheelchairs made me feel a sense of normalcy. It's one of the only groups of people you can be around where the focus isn't about the wheelchair. You have people you can joke about your struggles with, share experiences, and learn form each other. I haven't really gotten to experience that much because I've only been around others in wheelchairs while in therapy, and that's just a different setting.

We went to happy hour and asked for a table to accommodate four wheelchairs. I hadn't done that before. I'm usually the only one, which means that all the attention is on me. When I'm the only one in a wheelchair in a group of people, everyone feels the need to go out of their way to make sure I'm "okay." While it's nice and I'm thankful that everyone looks out for me, I like going out in order to get away from all the struggles my health brings. I don't like all eyes on me or when people think it's okay to come up and start asking questions about what happened or congratulate me for getting out of the house. (This seriously happens and I swear people think that if you're in a wheelchair, you should be at home wallowing in your own pity). It's hard to explain, but it's almost like because there were four of us, no one really paid attention. I didn't feel "out of place," like I sometimes do.

While I was extremely thankful for this opportunity to learn how to sail, I was even more thankful for the new relationships I formed.















**On a side note, the clinic was cancelled for Thursday due to the predicted bad weather, but I stayed busy (Mom made sure of it). My friends still texted me to let me know they were thinking about me and that the day wasn't the same without me, but I surprisingly felt pretty numb. I didn't shed a single tear, which is pretty uncharacteristic of me in times like that. Maybe because I know that it'll be me crossing that stage and wearing my long white coat with the inscription of "Dr. Kelly Morse" in the near future (or maybe it was the wine and chocolate I was indulging in), but regardless, I didn't throw myself a pity party.

Tuesday, May 23, 2017

What's Next?

What’s next? That’s a question I get on a daily basis these days, or at least ever since I was discharged from Kennedy Krieger. Last Wednesday was (fortunately) and unfortunately my last day. I was given a home program filled with exercises to do at home and told to return in 4-5 months. I’ll be doing things like: riding my stim bike, using my stander/glider, working on standing with a walker at home, swimming, walking in the water, and strength training at my own gym.

Last time I took a break from therapy was last August, after going 3-4 days a week since that April. I remember being so upset that they were discharging me. I have to go through monthly evaluations to track progress and if I’ve met me goals or new changes were noted, they would extend me. Well, in typical “Kelly” fashion, I was crushing my goals and was seeing a lot of improvement, so I kept getting an extra month added on. Being discharged, to me, meant that I wasn’t improving or that I wasn’t doing as well as I had been. (This really wasn’t the case, but I had it in my head that it was). The next four months, I spent going to the gym, using my equipment at home, and actually having a life since I wasn’t traveling multiple days a week. I reconnected with different friends, got back to doing schoolwork, and actually got a lot stronger. Taking a break turned out to be the best thing I could’ve done, because when I returned, I was able to do so much more than I had before because I actually worked hard while I was gone, making therapy that much more successful once I came back.

During this stent of therapy, I crushed a lot of goals and definitely saw a large amount of improvement, surprising both my therapists and myself. Here are some of my accomplishments:


-First of all, I’ve lost 30lb since January and over 4 inches off my hips! This has to be first because I think it’s one of the main things that has helped make everything else easier and more successful.
-I'm completely independent (that is, if things are accessible, which unfortunately isn't the case in most places). But I've surprisingly even made non-accessible places work for me, which is a huge improvement. 
-I have accomplished a minimum assist sit-to-stand with a walker and can even stand with only a little bit of help at my knees once in a while for an extended amount of time.
-My core is strong enough to support my own hips while standing.
-I'm working on floor transfers, which is something that used to make me cry whenever someone would mention those words to me (I've come a long way...)
-I have my license and am just waiting for vocational rehab to finish paperwork in order to pay for my hand controls (they don't reimburse people, so it's worth the wait in order to save a few thousand dollars).
-I only have five courses left of school (two of which I'm in the process of completing now and one that will be done after a four day continuing education class on campus in June...speaking of that class, I'll be making that trip to Philly by myself if my hand controls come in and if not, I'll be getting a ride and spending the weekend in the hotel by myself...BIG changes, huh??)
-I'm able to load and unload my own chair into the car...not very gracefully because I'm covered in bruises. And not very fast, but practice makes perfect, right?
-My stim bike power is continually increasing and has proven to play a large role in my strength and recovery.
-Dusty and I are working on our slow dancing because we have about five weddings to attend before the end of the year. We danced at a wedding in September and it was sweet, but I think my standing has improved a lot since then, so I know we can make it look more natural and kind of blend in on the dance floor a little better, haha.

A side note about school: it's kind of an upsetting subject. And no matter how many times I say that or explain to people that I don't really know what's going on with it, they continue to ask questions. I'm just taking one (or two) classes at a time and focusing on getting through those. I'm not even as uptight about getting a perfect score on exams like I used to...I literally just want to pass and keep moving forward. Once I finish these last couple classes, I'll move onto my rotations. I don't know when they will be, how long they will be, or where they will be. All I know is that I'll be going on rotations. Thinking and worrying about it just stresses me out. Plus, with all I've been through, I've learned that God laughs when we try to plan everything. I've spent my whole life planning...planning every single detail of my life... and I simply don't want to do it anymore. 

And there you have it...a little update because so many have noticed how much I've been slacking on my posts. I can't help it! Therapy is a full time job (literally over 4-5 hours of working out per day), school takes up even more time than that, and I have luckily reserved the remainder of my time to continue to have somewhat of a social life. 



Monday, May 1, 2017

May 1, 2017- I think I'm due for a "me" update

I've gotten a little carried away with other topics and things that I want to write about lately...sometimes it's nice to not talk about myself! I feel like that's all I do in my everyday life- people what to know how I'm doing, what has changed, how's school, how's everything else and then they want to talk about how far I've come and "remember when you couldn't do ___"...and I know they mean well, but I really just don't want to focus on those things, or really even talk about myself at all sometimes.

But I think I owe it to everyone to give a little update since I haven't in a little over a month, haha. So, the bad stuff first. I mentioned in my last post how I've started experiencing this dreaded nerve pain I've heard everyone talk about. The cold and rain actually make it worse, so I've been feeling pretty great since the sun has been out for the last few days. I have some weird sensations, like my feet feel like they are asleep again. And I have kind of a new movement in my right quad...I can contract it and squeeze it on my own, which is a new "independent" movement and hopefully enough to get a little bit of an extension for therapy during my evaluation this week. I'm supposed to be done at KKI this month, which really stinks because I'm not sure when I'll be back. I turn 26 in July and really haven't sorted out the details or what I'm going to do for insurance and how that is going to affect which doctors I can see or what kind of therapy I can receive. Honestly, I don't even want to think about it because I'm worried, but I know it needs to be dealt with...I've kind of been putting it on the back burner, but it definitely needs to be handled soon because time is running out.

Anyways, so this nerve pain isn't bad at all when it's sunny and beautiful out, but during the gloomy, rainy days, I feel pretty much as miserable as it looks outside. It's kind of funny how much of an impact the weather has on us...not just how my body feels but it definitely takes a toll on my mood. Nobody likes leaving the house when it's gross out, but it's even harder going anywhere in a wheelchair...I can't hold an umbrella while I push myself, so I'm automatically wet unless someone is holding one over the two of us. Not to mention that my hands, sides of my shirt and pants next to my wheels get wet because it's not to easy avoiding the wet ground or puddles.

Therapy has been going well though. I've really enjoyed my time in the eksoskeleton and I've gotten more used to what I'm supposed to be doing when I'm in it. I feel like they're always giving me different commands and I get so overwhelmed! Weight shift this way, hold your leg straight here, kick this leg like a soccer ball, bring this foot up like you're stepping over a wall...it's a lot to keep up with! The pool has been increasingly better and I feel like that's where I see most of my improvement. Some days are better than others and on those days, I can bring my legs forward on my own and only need help keeping my knees straight. Other days, I need a lot more help and feel a little defeated that all days can't be good days. My last pool session went really well, though. My right ankle kept twisting and landing weird, so we did something we hadn't tried before- I had a therapist on each leg (mostly just to keep my knee straight as I brought the other leg forward) and I had complete control of my own hips. I usually need someone behind me to prevent me from sticking my butt out or using my body momentum as a compensation to bring my legs forward, but I was perfectly straight! My abs were on fire for a couple days after all this, but it was a big improvement!

Here's a laundry list of what is new and what I've been working on in therapy:
-working on my sit-to-stands (they have a long ways to go...even when someone is holding my knees, I still have trouble standing with the walker. I'm hoping most of it is just my own fear, but there's a lot of room for improvement in this area)
-Standing- I've even used virtual reality to help take some of the focus off all the effort it takes to stand and it has been going really well
-I did the RT600 for the first time in over 6 months, which is kind of like my bike. It uses electrical stimulation to make me support my own body weight to walk. There was a huge difference since the last time I did it and it seemed to go pretty well
-I'm still working on loading and unloading my chair from the car...it's extremely frustrating, but I'm determined to get the time down
-I GOT MY LICENSE!! I passed my DMV test last week! The Vocational Rehab said they are going to be able to pay for my hand controls...the only problem is that they've never done it before and I'm their first case, so we have no idea how long this is going to take. They don't do any back pay either, so I'm kind of at a stand still in driving until they pay for the controls. But once they do, my driver's rehab center is going to install them, make sure I feel comfortable, and then I'm free!
-School still sucks. I'm studying like crazy every single day and still feeling like I'm getting nowhere. I'm taking my two hardest classes, so I guess that is to be expected.
-I went adaptive indoor skydiving this week!! Spinalpedia and my friend Josh invited me for their "all abilities" night. They even had an extra spot and asked me if Dusty would do it... Dusty is very practical. He likes adrenaline and adventure, but he doesn't understand why I've jumped out of a perfectly good airplane before or jumped off a perfectly nice bridge...he hasn't even watched my videos from either experience! He told me once that the only way he would skydive is if he were only a few feet off the ground, so I was interested to hear his response when I told him about the opening for the indoor skydiving. Much to my surprise, he agreed, and even more surprisingly, he enjoyed it!! Even though we didn't go at the exact same time, it was such a cool experience to have together.

I guess that's a pretty good update for now. (Oh, and I've lost a total of 30lb!! So I should probably attach some photos as well...)








There aren't such things as coincidences

I don't believe in coincidences... I may use the phrase "what a coincidence!" but when I stop to think about it, is it really? Things don't just happen out of the blue. Things happen for a reason. Everything happens for a reason.

I chose to believe that when I'm stuck in traffic when I'm in a hurry to get somewhere, God is keeping me from something--from being involved in an accident if I would've gotten where I was headed to 15minutes earlier, etc. I believe that when things don't happen when I want them to do, God is telling me that His plan is better than mine (which is a hard pill to swallow sometimes). I believe that God puts people in our lives just when we need them, and He may also let people fade out of our lives if they aren't having a positive impact on us.

Well, God made His presence known loud and clear last Saturday morning. I had to go to Philadelphia last week to meet with one of my professors in preparation for an upcoming exam and then Mom and I stayed in York because Rachel's (one of my grad school roommates) bridal shower was the following afternoon.

I've honestly been in a little bit of a funk this past week because I've started experiencing some changes in my body. After I had that strange sensation in my feet, like they were always asleep, Dr. Pardo warned me that while it is a good sign and indicates nerve recovery, nerve pain may follow. He explained that those nerves are trying to rewire and reconnect, but the circuitry isn't perfect, so there will be misfiring. There's no way to know how my body will react, but he told me to let him know if I needed any medications for the discomfort. At the time he told me all of this, I kind of brushed it off, I could handle feeling like my feet were asleep. It didn't hurt, it was just a little annoying. This week is when that pain started to kick in. And I don't really like to call it pain, but more like extreme discomfort. If you know me, you know how much I hate to be cold and this sensation is best described as being cold all the way to the bone- the tops of my thighs, down my legs, and the tips of my toes almost feel frostbit. Maybe it's all in my head and how I like to think about the nerves trying to reconnect, but it also feels like small electrical zaps. I keep picturing an electrical wire cut in half and then trying to touch the broken ends together again. Those sparks are what I'm feeling (or convincing myself that I'm feeling). Along with this steady electrical hum or buzz. My friends always described a "buzzing" in their legs or feet and I can finally join the club...not that I'm proud of it, but at least I understand what they're talking about now.

I was extremely uncomfortable Friday night and was starting to have a little pity party for myself. I don't want to be like other patients I've talked to that stop doing what they enjoy doing or living their life and have to stay in bed because of their nerve pain and discomfort. Not wanting to go out to dinner that night because I was so uncomfortable made me feel like I was going to be like that...and I don't want this illness to take away anything more than what it already has. I'm supposed to be improving, taking my life back, not taking steps backwards. I did decide to suck it up and go out and was happy I did and was actually feeling much better once I got out of the hotel room.

So, back to my story about Saturday morning. We didn't set an alarm, which allowed for a slower start. I had to shower and the bathroom wasn't the most accessible, so getting in and out of the shower was a little bit of a struggle. By the time I was ready, it was 9:15 and we were worried that breakfast may stop by 9:30, so we rushed downstairs. As soon as we got down there, I took the closest table and Mom went to see what food was available. This man said good morning to me, then started to talk to Mom as he got his food. There was just something about this man and the way he carried himself that made me think people are easily drawn to him and I wanted to know more about why he was here, so I was happy Mom kept asking questions. It wasn't surprising when he said he does evangelical work.

Turns out, he was a retired NBA player in town with an organization called SportsPower International. It's an organization where several retired players and professional athletes conduct internationally televised basketball games, camps, clinics, school assemblies, etc. and share stories of faith, leadership and responsibility with today's youth. Mom and I ate our breakfast and about 20minutes later, my eyes caught this man's from across the room. He was with a group of people (some who were very tall men that I assumed must be other players) and he motioned for me to come over. I don't know why I looked up when I did or really why I felt like I should go over there when he told me to, but I just did. They were having a small devotional to start the day and I felt so privileged to be a part of it. The pastor and the one leading the discussion had been the champlain for the Knicks for 25 years!

At the end of the discussion, I shared my story and we all held hands as they prayed for me. I feel like people are always praying for me and I've been in situations like this before, but this was so much more...powerful. Mom and I both said that we felt like if they had prayed and said for me to stand up, we honestly think it would've happened right then and there. They said something I hadn't really thought about before...I'm using my story now to reach people, but God will be even more glorified when I stand up and give my testimony. It's all about timing and I don't think it's the right time yet.

The organization has a base in Baltimore and they invited us to come by the church if we have any free time when we're in town.

It was such an unexpected experience and it couldn't have come at a better time. Just when I was feeling kind of down and defeated about how uncomfortable I'd been feeling, we met these incredible people that literally welcomed us with open arms. I feel like sometimes, my wheelchair prevents people from getting close or kind of intimidates or scares them, but sometimes, it invites people to get close and share their story. These are the encounters that people talk about when you ask them if they'd change anything about being in a wheelchair. More times than not, people answer by saying they'd give anything to walk again, but they wouldn't change the journey and the relationships they've made along the way. This is what they're talking about.