Monday, December 31, 2012

The walk

I did it.

I walked A home from school. I'm totally exhausted.

I was worried that A would be embarrassed by my cane, but he had his sweet smile when he saw me. So sweet.

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Theme and Variations

February 2nd was my second stroke anniversary. I wanted to do an update about my progress. But at breakfast I read a story on the front page of the Boston Globe, and I knew I had to write about it. I had a hard time organizing the threads of different stories I wanted to include. So instead, I present you a theme and variations, for many hands:

1: The main story is about a man, Richard Mangino, who had lost all four limbs from a bloodstream infection about 10 years ago. For many years he painted with his prosthetic hands. About four months ago, he got a double hand transplant. Now he was able to pick up a milk carton with his hands. Like me, he is also starting to play piano again, if imperfectly.

2: The original owner of the hands was a man who, like me, had a cerebral hemorrhage with no warning. He had two kids, ages 5 and 11. He died the day before the day would have turned 44. His wife, Jodi Lloyd, had made the wrenching decision to donate his hands.

3: When I read the article, I remembered that about a year ago, I hadn't seen much progress with my right hand for a few months. One day I had gone down to the basement, and wanted to bring up something to the kitchen. On the way up, held on the railing with my left hand, and clutched a small can with my right. I dropped it, as usual. I sat down on the steps and start to wail.

"I can't do anything!" I sobbed when Neal came running to see what was wrong. I was exhausted with trying, and failing. Later that day when I had calmed down, I told him, "Sometimes I just want to cut off my right hand, and it be done with it!"

4: Often when Neal and I watch TV together and our hands are intertwined, I still get confused about which hand is mine. Neal is amused when I try to discreetly use my left hand to feel the pile of hands to figure out which one is mine, like a ball of yarn that I need to untangle.

5: Jodi Lloyd—who gave permission to donate her husband’s hands—visited Mangino after the transplant. From the Boston Globe: Lloyd said she was “very nervous’’ and didn’t look at his hands at first. But Mangino spoke to her about grief and put her at ease. He asked if she wanted to touch his hands, and she did.

“They definitely felt like my husband’s hands, and I knew they were my husband’s hands because I recognized them,’’ she said. “It was bittersweet. We had been together 23 years. When he was in the hospital, all I did was hold his hands.’’
 
6: At home I use special utensils to help me grip my fork with my right hand. Last week I used my right hand to hold a regular fork in a restaurant for the first time. It did slip a fair amount. Neal often reminds me that many of my fellow stroke survivors have it much worse. “Some people would kill for that hand,” he told me a few weeks ago, pointing to my right hand. After a pause, we laughed.

7: And finally, this paragraph from the Boston Globe: When his son pointed out that he was walking with his forearms pointed straight out, Mangino studied people walking at the mall, swinging their arms at their sides. “You forget these things,’’ he said. “If someone gave you wings, you’d say ‘what do you do with these?’ ’’



Here's the full story from the Boston Globe, by Liz Kowalczyk

Richard Mangino's website, including some of his art: richardmanginoartist.com

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This Writing Thing

In a rough draft of my blog post about Thanksgiving, I wrote this sentence:

I have a lot of thing to be thankful.

Writing is much easier for me than even two months ago. But still, almost every sentence I write has a mistake--usually several. Sometimes I can't remember the word I want. Sometimes I leave out several words. My spelling is awful. But the thing that pains me most is the grammar: the confused word endings; the mixed-up genders; the wrong tenses.

So I usually re-read every sentence in a whisper before going on. I spotted an error in the sentence, fixed it, and then re-read it again:

I have a lot of things to be thankful.

I don't use a grammar checker, partly because I worry that if I don't correct errors myself, my language skills won't improve. But I was still sure that something was wrong. But what? I whispered the sentence to myself over and over, trying to figure out why it still didn't sound right: For thanksful? By thankful? To thankful? Ah, I know. I had left out the final word. I fixed it:

I have a lot of things to be thankful for.

But then a voice--a chorus of high school English teachers, actually--in my head said: never end a sentence with a preposition.

Was that really true, I wondered? But I heard the chorus, again: when in doubt, leave it out.

I deleted the sentence. Back to the blank screen. Damn this writing thing is hard.

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Those Uncomfortable Feelings

A friend's mother had a stroke about nine months ago, and I've been getting updates about her for a while. I saw my friend a few weeks ago, and she mentioned that her mother has recently having gastrointestinal problems. My friend didn't go into details.

It brought back uncomfortable memories. After the stroke it could have been so much worse, but still: I have felt sick to my stomach so many days since.

I had one real GI crisis about four or five months after the stroke, when I was directed to take iron supplements, and Neal and I both misunderstood the directions. It took me about a week to figure out why I felt so awful: I was taking about 3 or 4 times the correct dosage. I had alternating bouts of diarrhea and constipation, and constant nausea for about 6 weeks. I lost more weight, which wasn't a good thing.

The whole stroke recovery has reminded me sometimes of being pregnant: a few periods of crisis, then this off-and-on stuff.  The threat of nausea is always there, even though I almost never get truly sick. My appetite has been very unpredictable. I've often felt like I have a low-grade stomach bug for more than two years.

In general, I'm feeling so much better these days. On bad days, though, I remind myself: I can deal with this feeling--the feeling that my body is a bit of a stranger to me. I'm getting to know this new version of myself. It's like a very, very long gestation. 






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Three Blogs

I've never been a prolific writer, but in the summer and early fall--when my kids' routines are changing constantly-- my output slows to a crawl.

But I have been reading other people's blogs (and tweets).  Here are three blogs/websites that I've been enjoying for a slightly different angle on stroke recovery:

Finding Strength To Stand Again : Prosopagnosia (face blindness)

Blogger Tara Fall started to have seizures in her teens. At age 27, she had brain surgery to try to stop the seizures, but suffered a stroke in surgery. When she woke up, she couldn’t recognize any faces at all, including her own. Tara’s blog is an insightful look at an invisible disorder, prosopagnosia. She also talks about her life as a stroke survivor and a person with epilepsy.


Girl With The Cane : Disability Advocacy

Sometimes I’m so involved with my own recovery that I forget how many people are affected by other disabilities. Sarah Levis is a stroke survivor, but she addresses a broad range of disabilities in her writing. Her lively and informative blog is a great way to keep up with the disability community in general.

 Stroke XYZ : Young(-ish) Stroke Survivors

This new website/blog/e-community is geared towards younger (loosely defined) stroke survivors and their caregivers, families, and friends. Isolation--physical and emotional--is a huge problem for stroke survivors and caregivers of any age, so I'm always grateful for any new voices/communities. I'm also grateful for new voices talking about aphasia: Kelsae, the blog author and caregiver to her husband Mike, has blogged about aphasia and the ways that aphasia affects relationships.

 Happy reading!

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Vacation

Every year we go to Maine, and stay in a cottage that my parents have rented for many years. Usually we don’t stay very long, but the cottage and the coast are a highlight of my kids' year.

Sometime last fall, the kids and I were telling a friend about the cottage.

“Mama, maybe this year you will be able to swim there!” my son said.

My heart sank. Neal and I often point out to the kids how much I’m improving. But it's still hard to explain to the kids about the all the unknowns in a brain injury. So I tried to say gently that I probably wouldn't be able to swim at the cottage this summer. Maybe for many years to come. Maybe never, I thought.

I was never a strong swimmer, and there isn’t a real beach near the cottage. Either you jump off the dock at high tide, or you go swimming in a rocky cove. To get to the cove, you have go through an uneven field of wild blueberries, then cross a short bridge over a swampy area, then walk down a wooded slope. You arrive in a cove strewn dried sea grass and large pieces of driftwood. You have to wear sandals or water shoes, to protect your feet from the stones, snails, and barnacles underneath. If you wade out through the seaweed, you can often see schools of small fish. My kids love it.

So a few weeks ago, we went to Maine. I didn't try to swim. I did go on a boat ride, though. And I had a great time on vacation. I felt relaxed.

Most days, I watched the kids and Neal or their grandparents setting out to go the cove to swim. I sat on the porch, reading and sipping coffee. I read guidebooks about Maine, daydreaming about the next vacation. I enjoyed listening to the sounds of the coast.

Sometimes I would think about my late grandmother, who went swimming well into her nineties, and I would remember her worn canvas sneakers she used as water shoes. I would think about how hardy my parents are, how they often swim twice a day. How Neal learned that there's no way to gracefully refuse to swim with my family. How my kids are swimming in the ocean.

And every so often I would think, how did I become the broken link?

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Vending machine therapy

I bought a snack from a vending machine today for the first time since the stroke. Since January 2010, to be exact.

I didn't realize how complicated this process is: reading a random combination of letters and numbers; putting things in the right sequence (put in money first or push the button first?); math; some physical work (bending to retrieve the snack); and finally, opening the package.

Sometimes I feel triumphant when I can do things again. Other times I feel like an alien who's just landed on earth.

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Vocabulary Lessons

I've starting to collect stroke-related words and phrases. Here are some my favorites:

Tone (noun): Specialized usage. Shortened version of the phrase "abnormally high muscle tone," or spasticity. The affected muscles are rigid and tight, which makes movement difficult and sometimes painful. Example: "I thought I was being complimented when my PT was talking about my tone.  Now she's saying  that if my tone doesn't get better soon,  I might have to have Botox injections to relax my leg."

Cryptogenic (adjective): Of unknown or mysterious origin. Example: "All the tests came back negative; your case is cryptogenic. Basically we don't know why your brain started to bleed."

Perseverate (verb): To repeat or prolong an action, thought, or word after the stimulus that prompted it has ceased. Example: "The patient has severe aphasia and has been perseverating. She keeps repeating 'why?' even though her family has told her repeatedly that they don't know why she had a stroke."

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What Comes Around...

One of the frustrating about aphasia for me is the lost opportunities to make snide remarks. I'm too slow.

A few days ago, Neal and I were driving, and the Diane Rehm Show came on NPR.

I couldn't say it, but I wanted to say: a southern drawl is nice, but she sounds like a southerner on a big dose of tranquilizers. Or: isn't time for her to retire?

Neal was about to turn off the car. I was still trying to formulate a witty remark.

"I wonder if she had a stroke," Neal said.

I hadn't connected the dots. Her voice sounds a little like... mine, I realized. But without my grammatical mistakes.

That evening we went online to find out about her. Diane Rehm has Focal Dysphonia, a neurological disorder.

One of the good things about aphasia is that sometimes I'm too slow to make stupid remarks.

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What's in a Name

Many people are puzzled why I called blog "My Happy Stroke." Even I forget why I chose the name sometimes.

So I wrote About My Blog's Name, partly to remind myself of what I was feeling in the early days of my recovery.

You can click on the link above, or on the right-side column on the homepage, after My Stroke Story.

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Whole-Year Day

A. came down in the morning and told us, "it's Ground Hog Day!" He also told us that it's Half-Way Day, where the kids at his school celebrate the mid-point of the school year.

It's also the first anniversary of my stroke. Should my family and I celebrate? Mourn? Meditate? Pray?

Maybe all of the above.

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