Saturday, February 18, 2017
February 17, 2017
The PT part of the "PT and ski" also went well. I brought my walker and showed the girls how my therapists help me stand with it. Dennis usually sits in a chair in front of me, with a pillow between our knees and a strap around my waist to help me get up. Once I'm up, I pretty much do all the work. The therapist is able to let off both my hips and my knees, but it's really hard! It takes a lot of core strength to keep my butt tucked and my knees like to give out, so I'm constantly trying to squeeze my thighs and keep those legs straight so I can stand tall. I think this is just going to be something that gets better with time...I'm only going to get stronger and my body will hopefully start remembering what it's supposed to do.
I didn't mention it last week, but I finally took my DMV knowledge exam! It was really hard to find a whole day to devote to spending it at the DMV, so it took me awhile to get it done. Like I said, it's the same exam you take when you're 15 in the state of Virginia and I'm still confused as to why I had to redo it before starting my driving courses, but I'm glad it's over. The next step is to schedule my driving courses so I can learn how to use the hand controls. There are two problems with this though...the first is that I'm not sure when I'm going to find time to drive to northern Virginia for the courses while I'm in therapy in Baltimore two days a week (or what availability the driving school has) and secondly, in the state of Virginia, you have to show the instructor that you can disassemble your chair and load it in the car (and unload it) on your own. I'm hoping it's nice enough this weekend to start practicing that...the chair is just so bulky that it's awkward to drag across my body to put it in the car myself, but I'm hopeful that it will just take some problem solving and practice.
Wednesday, February 15, 2017
February 15, 2017
First of all, Quyen did an assessment last Wednesday. I get one every four weeks (once a month) to track my progress, change/update my goals, and to determine if we should extend therapy based on any improvement seen. She did probably the most thorough assessment I've ever had. She did the normal tests and then moved my legs or repositioned my body to check movement in different positions in order to tell where certain movement was coming from and if I had any activation of smaller muscles we've never checked before. A lot of my reaching measurements improved from four weeks ago, meaning my core and balance are still getting stronger. I had new ankle movement that was even stronger in a different position. There are two muscles that move your ankle up and down, so she moved me in a way to isolate one from the other so we knew which one was responsible for the movement. Surprisingly, the lesser muscle was actually stronger (I've realized that I'm never part of the norm). She told me that in a normal position, like laying on my back, my calf muscle responsible for the ankle movement has to fight my own tone and spasms...basically, I'm working against myself. I wonder how many other muscles I do this with?! Afterwards, we did some standing and she made me do most of the work. She was surprised at how well I did with the "sit to stand" and then how I was able to hold my knees and hips on my own. She had even called a tech over to help because she thought we would need them in order to get me to the standing position and then to help hold my hips once we were up. We didn't even need a second person!
Thursday was my first day of skiing. I volunteered as a patient for the Shenandoah PT program a few months ago and it went so well that I signed up to be a patient again for their "PT and ski" at Wintergreen resort. I spent an hour doing PT work and then an hour on the slopes. I haven't skied in years and I definitely hadn't had the opportunity to do adaptive skiing before. There are two types--a bi-ski and a mono-ski. The mono-ski doesn't require as much core or upper body strength, so that's what they start everyone on. It's kind of like a sled that I sit in. I had two "rigors" in each had that had blades on the bottom and I used them to steer with. I was tethered to another person behind me, either on skis or a snowboard, and they yelled out which direction to steer. It had been pretty warm last week, but Thursday was a lot colder and definitely windier. The snow was probably all fake and it was pretty icy, but it was such an awesome experience. I honestly was kind of dreading it because I absolutely hate the cold. I'm the first to volunteer to do anything, but I also like to try to talk myself out of it when the time comes because I'd rather stay home in my pjs in front of the fire, but I'm so glad I didn't bail. The PT went really well and I was surprising pretty good at the skiing! They kept having to make it harder, having me make sharp turns or weave in and out of different obstacles. They think I might be able to try a mono-ski sometime soon!
Dusty and I went to a nice brunch on Sunday to make up for our Valentine's Day apart (I have therapy on Tuesdays) and then went to a brewery. I think all we've been through has taught us that we should celebrate our love every day and that experiences last way longer than anything materialistic. Everyone kept asking me what he got me for Valentine's Day and I just couldn't help but think about how much things have changed. "What he got me?" Why does the day have to be about that? I mean, if you want to talk about what he got me, it's the Apple Watch he bought me for Christmas that will probably also be my Easter and Birthday presents as well, haha. Most importantly, we do things for each other on a regular basis. We show each other that we are constantly thinking of each other and if there happens to be something materialistic that reminds us of the other, we get it for them. Isn't that so much better anyways?
Today was luckily a much better day of therapy. (I needed that after how down I felt about yesterday!) Quyen was out sick, so I was with Rachel (one of my favorite therapists from the pool). She's so smart and always suggests something new for me to do by saying "why don't we try this?" Usually a therapist says that and it's kind of a disaster because we don't think everything through, but every time Rachel says it, I find something new that I'm able to do. She was the first one to make me swim in the pool and today, she was the first one to make me crawl and tall kneel walk over ground. She had to help me stabilize my hips and unweight the leg I was moving, but said that I was initiating the movements and I had to use both my core and arm strength. We also did the Ge-o and like I've said, I did the complete active mode for the first time a few weeks ago, meaning I was doing all the work. It was the first time they had a patient be able to "walk" in that mode that wasn't already walking, but we put the threshold, aka resistance, at 1 (the lowest it would go). The next week, Quyen made me do it at a resistance of 20 and she just made sure the balls of my feet made contact with the foot pedal with each step. Well...this week, Rachel had me in passive mode (where the machine did everything as a warm up), then we switched to active assist (where the machine did 40% and I did the rest), and she finally switched to completely active mode. However, she never changed the threshold! I was thinking about how well it was going, but it was also SO hard! I let a few minutes pass before I asked what the threshold was set at and she said 40! So I pretty much doubled the resistance I was at and that's a HUGE jump! (Quyen is going to be so pleased when she reads the notes from today!!)
I finished the day in the pool with Dennis. I was already exhausted from my session with Rachel, but knew Dennis wasn't going to take it easy on me. He had a student with him (who I really like and think is going to make a great therapist). We did walking with the water walker and it was so much better than the walking over ground yesterday. I was moving each leg forward completely on my own and for the first time, I wasn't using much hip compensation. It's so much easier to use my abs and hip to throw my legs forward, but I was focusing on just using my leg muscles (and Dennis noticed without me even saying that's what I was doing). We then did some kicking, side stepping and marching, all which went well and I was so relieved to leave Baltimore on such a high note after feeling defeated from my 20 minutes of struggle yesterday. Hopefully things continue on an uphill climb as I go to Wintergreen tomorrow for more PT and ski with the SU students!
Tuesday, February 14, 2017
February 14, 2017
Tuesday, February 7, 2017
February 7, 2017
So here's my thought: have you ever prayed to God for a "sign"? or even not prayed about something and sought His help when maybe you should have? Maybe God uses dreams to make us listen. It's the one time He can actually have our attention. I've told the story a few times, but when I was in the ICU at UVA, I dreamt that Molly and I were walking around the nurses station all night. I told my mom the next day that I wasn't doing anything because I was way too tired from walking around with Molly all night. I wasn't even done telling the story when Molly texted both her and Dusty to say she dreamt we were walking around the nurses station all night. We literally had the same exact dream--right down to what we were wearing and what we were talking about. As if that weren't weird enough, when Molly called to tell her mom about it, her mom admitted that she had the same dream two nights before. It still gives me goosebumps! But really, ever since that, I've been really intrigued by dreams. So many people have told me about their dreams of me walking or running. And Dennis's dream! He's only dreamt of two patients, ever, and one was me. And if that weren't enough, he's had the same reoccurring dream THREE times of me walking into a BBQ with crutches to say hello.
I always have dreams like this when I start to have worries or doubts. Not that my dream of rock climbing in a cave was really a "sign," but maybe I needed reassurance that nothing is going to hold me back. That I can do whatever I want and there aren't any limitations. (but trust me, I don't really want to go rock climbing in a cave anytime soon).
Monday, February 6, 2017
February 6, 2017 (by Nancy not Kelly)
Many of you are aware of the struggle that we have been going through trying to get Kelly's wheelchair adjusted and modified to be comfortable for her. To make a long story (very long story) short, the chair has been a lemon. We are now meeting weekly with the distributor trying to fix the issues of exploding tire inner tubes, broken bolts, broken brakes and more. I am again, very thankful for the staff at KKI for helping us to deal with this problem. Erin has been such a great advocate in trying to get things corrected and I would be lost without her expertise.
On with the incredible week. Monday, Kelly had an appointment with Dr. Busch, the chiropractor. He is so incredibly intelligent and you can see his desire to help Kelly. He reviewed her progress and then did some massage and pressure treatments on her shoulders and scapulas. She was sore the next day but really feel a difference in how much looser her shoulders felt for therapy. He is a great addition to TEAM KELLY.
Tuesday morning was spent in the pool with Kim and she was cheering Kel on the entire time. She did some knee walking between the parallel bars both forward and backward. Then did side stepping. Her hip joints are really showing a lot of control as she was able to go left and right. Walking on the treadmill was made much tougher when Kim told Max to stand by but don't give her any hip support. She nailed it!
That afternoon was Dennis and the Therastride followed by over the ground walking. She had the "dream team" on the therastride and it went so well that she was able to support a lot more of her own weight and the two "leg movers" said they didn't have to fight her much at all. When Dennis had her walk over ground with harness and walker, Dee was amazed. She has always been Kelly's biggest cheerleader. Kelly was "racing" another patient across the gym and she was lapping him because she was determined to take a step before Dennis could even grab her leg to pull it forward. He told her that she was using both legs better than ever and he couldn't even pick a "stronger" leg. This is great news! Usually Dennis offers Kel a little break after each lap of the gym but not this time. He claimed that standing for 3 minutes (supporting her own weight) was enough of a break. He has become quite the slave driver!
We had a wonderful dinner with friends at a cute little bistro. Dara and her daughter, Kate, joined us and the McAllisters and it was such a nice break from therapy. Kate is such a delightful and sweet young lady and her mom embodies the spirit of KKI. It was fun to just laugh and enjoy one another's company while having a delightful dinner.
Wednesday Quyen had Kelly on the GEO. (KKI has one of two GEOs in the US.) She again changed the mode so that Kelly was driving the machine all by herself but increased the resistance this time from 1 to 20! She did so well that she turned the resistance up to 25 for the last 5 minutes. Kelly was exhausted, like she had run a race. Exhausted or not, there was still work to do. The next hour was spent on core exercises and tall knee work. Quyen told her that she can see a difference week to week.
We were able to schedule the afternoon pool time a little earlier and it was with Dennis. He and a student worked with her in the large pool (which doesn't have a treadmill). She worked on walking with a water walker. She did laps around the pool on her feet and on her knees. More side stepping in both directions which impressed the student and Dennis because she required minimal assistance to go right or left.
Overall a very successful week and we are now seeing improvements every time she reports to therapy. This week we will be in Baltimore for two days and then we go to Wintergreen for PT and SKI with Shenandoah University. We will see about the ski part since it is supposed to be 60-65 and raining this week.
We are hoping to proceed with Kelly's DMV testing, her school work (which has been a bit of a nightmare), and looking for me a job that will fit in with life. We are also trying to look at modifying our hall bathroom to make it more usable by Kelly and Grandma. So much going on and so little time to fill you all in. Thanks for your continued support. It means the world to all of us.
Tuesday, January 24, 2017
January 24 (Back at it in Baltimore)
We are back in Baltimore two days a week for "long term" therapy. That means pool on Tuesday morning followed by 2 hours of PT in the afternoon and then Wednesday morning PT for 2 hours followed by pool in the afternoon. It's great that we only have to stay for one night a week but it's a lot of moving in and out of our place.
In order to get Kelly into a long term slot she has to be assigned to two therapists. This is a bonus as far as we are concerned. Everyone at KKI is so great at different therapies that we love having new ideas and treatments to try.
Today started in the pool with Rachel. She couldn't believe how well Kelly was crawling and walking on her knees. They also worked on moving side to side. Kelly moved so well. Rachel also had her walk with the walker in pool on the treadmill and it went much better than last week. She did use a little more hip support but I'm not surprised after how wiped out Kel has felt from this terrible cold.
The afternoon was spent with Dennis! He was her therapist for months and we didn't realize how much we missed him. He started by putting her on the Therastride. He had her walking at a very quick pace and everyone was working so hard to make her legs move correctly on the treadmill. In between her walks he would have her stand for a few minutes. During that time she was supporting more than 70% of her own weight and Dennis wasn't even supporting her right knee at all.
Research has shown that walking with the harness goes much better after some rapid walking the Therastride. Dennis was very uncomfortable taking the upper part (the core support) part of the harness off to walk with the walker. He told Kelly that he was afraid she would fall. She showed him how well she has been doing. He actually was so excited about her progress that he was almost choked up. He told her that he may cry. So sweet! She showed him by walking 4 lengths of the gym. Dee (the PT aid) hasn't worked with Kelly since August and she kept telling me "I'm not doing anything to help her with hip support. This is incredible". I am so thankful for such caring people that rejoice in my daughter's victories.
The day ended with some work on her knees. Again, she showed off how much stronger she is becoming.
Dennis always makes us feel comfortable asking questions and he always has great feedback for us. I asked him about a few different therapies and treatments that we have seen at KKI and he was quick to tell us that most of what I was asking about is reserved for those that have hit a plateau or are no longer experiencing nerve regeneration. He said that Kelly doesn't qualify for them because she is showing too much progress. WONDERFUL!
Dennis also told us a sweet story about himself. He said he has only dreamt about two of his patients walking. He said he has dreamt about Kelly walking three times now. Always the same dream of her walking into a BBQ with crutches and saying hello to him. Great to know that even more people are dreaming about her being on her feet.
We ended a great day with wonderful friends. Having dinner with the McAllisters is always so good for us. We love spending time with a family that is going through similar struggles. We always learn so much from hanging out with other SCI (spinal cord injury) families. The emotional support is priceless and we have friends for life. It's great to reconnect with our friends that we haven't seen since August. Especially great to see all the progress that they are making.
Tomorrow morning therapy starts at 8 am with Quyen. Looking forward to impressing someone else!
Sunday, January 22, 2017
January 22
I really think I pushed my body to complete exhaustion because now, I'm not only sore all over, but I have a bit of a cold. I'm thankful to not have any plans this weekend, because all I want to do is lay around. (And that's saying something because I HATE staying in bed longer than necessary...the day I got out of the hospital, I vowed to not waste time in bed during the day unless I needed to). I think this is one of those times where I really need to let my body rest and recover.
I start my long term therapy this week on Tuesday with Dennis and Wednesday with Quyen (pronounced "queen). I'm in the pool and the gym both days and while it's only twice a week, I know it's still going to be tiring. I'm also looking forward to the week because my friend, Kristen, will be in town from Knoxville for her two weeks of boot camp. Her and her parents will be staying at the same place as us, so I'm hoping we'll have time to catch up if we both aren't too exhausted, haha.