On August 20, 2011 -- Glen Steen was in an unfortunate cycling accident which required immediate spinal cord surgery and has left him in a quadriplegic state. Glen is a warrior and because of his determined nature and dedication to therapy, he is making gains each day. Follow Glen on his journey here in his Blog, written in his own words.


Monday, 13 August 2012

Another Two Weeks


Another 2 weeks:

Monday July 30th PT this AM worked left arm while in the standing table, stayed up for 20 minutes.   Worked on opening my left hand…they say the movement is there to initiate the finger straightening and moving the wrist back so it seems there is some nerve impulse getting thru. Meghan makes fun of me when I write the ‘problem is’, but the problem is as mentioned previously my knee bone is attached to my left arm bone. When I stand on my left leg my left arm, hand and fingers are so tight it is very difficult to open my fingers…they do work hard to get the fingers open, the wrist straight and the arm extended.
They are trying to arrange another time slot so I get 3 sessions per week. It would be 2 with the physio and 1 with a physio student, Monday, Wednesday Friday….yeehaw and a woooowhoooo
At home did some launches off the bed and the usual exercise routine and Dr Ho on the finger flexors, triceps and quads.

Tuesday July 31:  Yonna and Grandpa came over and they warmed up my leg and left arm did stretching on hamstrings and then I stood up several times. Can get from sitting to standing by myself the hard part is getting in the proper standing position…you know the drill bum in, chest out shoulders back and head up chin in.  Grandpa mentioned that there was some separation of left arm from left leg.
Have Dr. Ho on my forearm while typing this and the fingers are opening a third of the way and I close them and they open again don’t know why it is working today.
Taking a urine specimen to the Doc today and hopefully get some anti-b’s. Used norfloxicen the last two times, want something different this time. Would also like a sensitivity test done to see what anti-b will kill the little suckers.
On the bike for ½ hour and it tightened up my arms.

Wednesday Aug 1st:  In PT did prone lying to prone standing…stretched legs wide apart, haven’t been that far apart for a long time a good stretch of the hip abductors or is it adductors well anyway a good groin stretch. Stood straight up for a minute from prone standing which is very hard on my tight hamstring and there is a little relief if they/I tuck my tail bone in and my butt under. They say I am getting better at standing and my arm is starting not to tighten up as much. I guess that is like Sir Winston Churchill’s statement about the war….’it is not even the beginning of the end. But it is, perhaps the end of the beginning’. Hmmmm….perhaps I shouldn’t be using Sir Winnie’s quotes in this blog.
Anti-b hasn’t kicked in yet, as my bladder is still burning and cloudy and burning pee.

Thursday Aug 2nd: As mentioned the lift is still broken and they won’t have the part for another 2 weeks. The outdoor splash pool is like the beach, the water depth goes from zero to 4 feet. They have a small wheelchair and they wondered if I could transfer to it from my electric chair. I’d stand, by holding Yonna’s hands and they pull my chair out and push the little chair in…it worked. In case you don’t know The Sarge and I are always zinging each other. The Sarge took great delight in rolling me into the water very slowly as it rose to chest depth…yikes! Note the outdoor pool is several degrees cooler than the indoor pool. Once into the 3 foot depth they tie the float on and I float for about ½ hour with Yonna moving my legs to stretch the hamstrings, quads and hip muscles. It is then time to stand up in 3 foot water which isn’t very buoyant and off comes the float. I have found that standing in the pool is hard on my feet as I have no calluses left on them and my toe next to the big one rolls under. Yonna and The Sarge both say the pool bottom is smooth…well it isn’t to my prissy feet. I think I’ll look into some aqua shoes. Oh yes, we share the  pool with about 25 ladies doing aqua fit and they are very supportive and some come over at the end of class to give me some encouragement.

I think the anti-b is starting to work
Did ½ hour on the bike in the afternoon once finished I stretched the left arm by getting Darcy to open my hand and slide it on the handle bar and then I sit back and it straightens the arm out as it is very tight even though I did the chicken dance. Did 4 sets of 10 launches…had to pull with my arm very hard to get a foot off the saddle, oh yes, I am still on the bike then again I realized I was doing it wrong. To stand I must put my nose over my toes, keeping head and shoulders up…surprising what a difference it makes…almost stood up straight about 2/3 of the way up quite easily. I must remember that while sitting here typing, to bend from the waist and keep my head up and not be all hunched over the keyboard

Friday, Aug 3rd:Coffee with the guys at 10 this morning, then another massage by Jeanie at 1. Then lying on my right side for 45 minutes, which stretches me a different way than lying on my back. Should actually sleep on my side for 4 hours and then go on my back, not going to happen as Darcy would have to get up and help me get on my back. Friday we were told that we would have 3 new people coming in on Friday, Saturday and Sunday. Being a long weekend and vacations, it is understandable they would be short staffed. However, no one showed up on Friday night so Darcy had to do my bowel care…oh joy oh bliss. We managed ok but Darcy hurt her back lifting my legs into the bed. The workers not only do bowel care they have been trained to do 8 exercises on my arm back and ribs so I missed the exercises, which I need.
Did 2 sessions on the bike, first one for 15 minutes, then 25 minutes. As Darcy says, I always overdo and 40 minutes was just a tad too long and really tightened up my arms and trunk.
Anti-b’s are working, pee is clear, not the kind of clear like when you drink too much beer…eh Marnie!  I mean not cloudy, no burning bladder, no burning pee and fewer muscle spasms.

Saturday, Aug 4:   Woke up very tight with lots of muscle tone everywhere, arms legs and back muscle spasms are back...not as bad but there. Hope it is the hard workout that caused it all and not the bladder infection acting up…still on anti-b’s ‘til Monday. Did a very light workout on the bike and still tightened up. No worker showed up at 8:15 as stated and no phone call to say they weren’t coming. Darcy had bowel care once again, sore back and all.

Sunday Aug 5thAgain too tight to do much. Didn’t ride the bike as it tightens me up more. Did some leg extensions and pelvic tilts, and lying on my side…pretty much a rest day.
A worker actually came in at 8:15 and did the bowel care and she had only been on the job for a week. She asked for direction and people tell me I am pretty good at giving direction, Darcy calls it being ‘bossy’. She did a fine job. The regular workers have been trained to do 8 exercises on my arm, back and ribs. The operative word is trained so no training, no exercises, even though I could walk them through it quite easily.

Monday Aug 6th: Woke up looser or should that be less tight. Rode the bike for 40 minutes, 2 sessions, one for 25 minutes with a 3 minute cool down and an easy spin for15 minutes. I am really missing therapy and the exercises from the workers. A regular worker came in at 8. Note she usually does mornings and even though she had been trained several months ago I had to direct her through all the exercises…hmmm…why can’t I do that with new workers. I understand there are rules but there is the letter of the law and the spirit of the law. The supervisor of the agency says she is going to get more workers trained but she doesn’t know the exercises and I will have to train them all…what a waste of time and money when I could do training on their first visit…grrrrrr

Tuesday Aug 7th:  In the splash pool with Grandpa Bob and Yonna. Did stretches for ½ hour with grandpa working on my arm and shoulder. Then off comes the float and I do squats by sitting down on Grandpa’s and Yonna’s knee and then stand up and hold it. Again, my feet are tender my feet hurt when I get up. I tend to twist as my right side is so much stronger than the left. Must work on standing straight.
Learned a new trick. As mentioned, Darcy hurt her back putting my feet into bed. She has to lift my legs from the floor and push them into the bed. I haven’t been able to lift my legs and swing them into the bed as my butt sinks into the bed. I had a brain wave that I could sit on my slider board that I use to slide in and out of the wheel chair. I sit on the board and can easily lift my legs and swivel my butt on the board and put my legs into the bed. It even gets me in the right position so I don’t have to slide up in the bed so my feet don’t touch the bedboard. The PSW’s appreciate it as well.

Wednesday Aug 8th:  Wow got back to phyisio with a bang. Laura and Marion were working on my arm and posture and I mean head up shoulders back chest out, sit and stand tall, all the time…then we got into standing with 4 physios, one in front keeping my arm extended, one on my right making sure my leg was straight, one on the left stopping my left side from collapsing and keeping my leg straight as possible and my heel on the floor and one behind making sure my tail bone was tucked under and my gluts were on. When I stand, my right leg does all the work and the left goes along for the ride. If I put weight on my left leg the whole left side collapses, knee, and hip. They said I must do 8000 reps a day of putting weight through my left leg and tighten my left glut (bum). The work Yonna and I have been doing on stretching the hamstring is helping as I can get the knee straighter without pulling the hamstring i.e. no pain. They like my ‘stamina’ as I was able to go from sit to stand many times without a rest.
Darcy and I have a standing bet of 25 cents depending on whom is right. As physio wants me to stand and practice putting weight on my left leg I needed something to stand up to from the bed. I need to be on the bed as I can raise it up higher than a chair. Darcy suggested I use the handle bar on the commode. I said the commode was too light and wouldn’t work…she won the quarter. With a PSW standing beside the commode and Darcy sitting in it, I grab the handlebar, keeping my chest and head up, put my noes over my toes I stood up, 5 times. I was a little wobbly but managed to stay standing for a couple of minutes each time. Darcy doesn’t feel comfortable doing it alone as I wobble to the left and she is afraid I’ll fall….note I’m not afraid as if anything gives out I’ll just sit on the bed.

Thursday Aug 9thNo swimming pool as it was quite cool and raining. Yonna did lots of stretching of hamstrings and the hip flexors. Did some stands from the bed trying to tighten my butt and tuck tail bone under and putting weight through my left foot. Hard to keep gluts tight. Must get a leg press machine to work the legs and get the butt working. I was not so wobbly this time and my left side did not collapse when I put weight through it. Darcy now feels comfortable doing itby herself.

Friday Aug 10th:  PT today as a replacement for the civic holiday…yeehaw. They had me standing for45 minutes at the standing table. They put some weights under my toes to lift them up that really stretched my hamstrings. I could only tolerate it for ½ hour.  Again trying to keep my legs straight and pressure on my knee, again my left arm bone is attached to my left knee bone and the ol’ left arm tightened up. They tried to get my fingers open and they did extend my arm with a lot of difficulty. Then they got me into side lying and stretched my quads i.e. bent my knee and pulled it back to stretch the quad and the hip flexors, feels good when they stop.
Came home and had another great massage from Jeanie and she commented on how much more flexible my ankle was.
I would be remiss if I didn’t thank the Tillsonburg Rec Department for all they did in getting me into the pool.

How am I feeling?

The long weekend was not good. It was too hot to go outside and there was no therapy for a week. Rode the bike but even with the air conditioner on, I was sweating a lot. Started to doubt what I am doing but the therapy on Wednesday got me over that hump. Being able to get my legs into bed is great and standing at the commode is fantastic.

I have stopped setting goals for when I am going to walk. I’ll keep doing what physio says and I’ll walk when they tell me I am ready. There is so much that has to happen before I get there. There is the whole balance thing and just picking a foot up with the weight entirely on the other foot must be learned all over. Then there is stepping. I know I was walking in the pool, don’t get me wrong, that was a great feeling but, two people plus the water were holding me up as I have no balance and I need to stand straight and shift my weight from one foot to the other all the time keeping my leg and butt muscles turned on. It’s tough to have the brain send the signals to the right spot at the right time, that’s the unknown learning variable which may take time…will take time.

Oh yes I watched a lot of the Olympics…yeehaw Canada…well done. Some great performances, Damian Warner in the decathlon and our only gold and the soccer team and last in women’s triathlon… and…and…and…and damn about the relay, rules must be followed…oops did I say that.
Thanks for listening….

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