Monday, June 1, 2020

Video Update (May 2020)

My video update today shows my progress using AFOs (ankle-foot orthotics).  In years of working with orthotics, I've found the trickiest transition to be from KAFOs (long leg braces) to AFOs (braces below the knee).  As always, every spinal cord injury is different, so not everyone would find this to be the hardest change to make.  For me, regaining knee function has proven a challenge.  Plus, the last time I was closest to making the switch occurred right before the discovery that my leg was what the doctors called "impressively" broken.  The broken leg had nothing to do with using KAFOs or AFOs.  It had everything to do with osteoporosis, a side effect of spinal cord injuries.  But whenever AFOs come up, I worry that something else might happen — and that others, thinking it had to do with the orthotics, will miss out on the benefits of KAFOs/ AFOs!

In future posts, I'll be saying more about both KAFOs/ AFOs, including what they are and how to use them on a daily basis.  I'm also going to talk a little bit about osteoporosis.  These are some of my most requested topics.  If you have questions or comments about what would be helpful, or if there's something that you're curious about, please contact me or leave a comment below. 

Tuesday, May 12, 2020

Carrying the Rosetta Stone . . . and Other Exercise-at-Home Adventures

Health and fitness are always huge topics, but with the COVID-19 situation, a lot of people are asking questions about staying fit while staying put.  For some with disabilities and injuries, being out of physical therapy is not only mentally trying, but also physically difficult.  It can really set you back.  Today, I thought it might be helpful to talk about ideas for therapy at home.  Please remember that none of this information is intended to serve as medical advice.  It's based on personal experience and/ or research, and has nothing to do with a professional capacity or recommendation.  (I'm a doctor, but not that kind of doctor; please, consult with your medical professional and/ or physical therapist for their suggestions and ideas.)

Today's post touches on information for exercising both the upper and lower parts of the body, especially fingers, hands, and toes.  My past videos and posts have primarily focused on exercises for the lower body, and mostly for larger muscle groups.  This is because my spinal cord injury occurred at the thoracic level.  While it was catastrophic, there was no cervical spinal cord trauma or lasting neurological damage to my arms, hands, or fingers.  It was a close call.  In the accident that caused the SCI, I sustained very serious upper-body injuries, including a broken neck, broken ribs, and collapsed lungs.  After being in Intensive Care and Critical Care, I had to relearn how to breathe and move again.  Again, thankfully, the nervous system was intact to at least T10 despite many broken bones in the cervical area, so for me, respiratory therapy mainly involved using a spirometer (a topic for another post).  Physical and occupational therapy had to wait.  It never occurred to me how much muscle mass had vanished from my arms and hands until about the first day of being allowed to eat again.  Wow, was that an eye-opener.  I could hardly lift a small half-glass of water.  Before then, I wouldn't have begun to be in any shape to think about maintaining muscle tone.

That was where Occupational Therapy came in.  The routine with OT involved everything from stretching Therabands and lifting one-pound weights to measuring pinch strength of the thumb and index finger.  By the time I left in-patient therapy, I could lift two-pound weights.  Still, when I returned to school in August 2014 and was handed an iPad, that device alone felt impossibly heavy.  My backpack was a supported pack with lumbar straps, and all I could tolerate in it was that iPad.  Glasses of water were easier to lift than they had been, but books?  I could barely lift a paperback, much less a typical textbook.  Daily living became the best therapy.  Without help for tasks during the day, I learned how to do small dishes, carry lightweight bags with a walker, and sit while transferring books between locations.  By 2015, I was picking up huge books from the library and carrying them against a walker.  (The triumph came on the day I hauled a Demotic Egyptian reference book back home and unfolded its life-size replica of the Rosetta Stone.  I call that "The Day I carried the Rosetta Stone.")

Fortunately, with the exercises here, you don't have to be able to lift the Rosetta Stone (which is great, because even if you had access to it, the real thing weighs over 1600 pounds).  And I've tried to do some of the "heavy lifting" for you with these links by giving some extra information.

Questions or suggestions?  Please comment below!  You can also learn more by subscribing to my YouTube channel.

FlintRehab: Clever ideas for building hand strength after spinal cord injury: flipping light switches, sorting small items like candy, popping bubble wrap, turning the pages of a book, etc.  Using a yo-yo or scissors makes this list, and so do painting and sculpting.

CareFirstRehab: A resource for stretching and strengthening your hands after injuries, this page has ideas that don't require many props.

VeryWellFit: With everyday items like hand towels, rubber bands, and Silly Putty, you can find some pretty useful exercises here.

BeachBodyOnDemand: This link includes photos of foot, hand, and arm exercises, plus lower-body workout suggestions.

Athletico: A lot of interesting ideas here.  I haven't tried working with laundry detergent bottles, but in a pinch, being caught at home under the coronavirus conditions . . .

WholeBodyHealthPT: Including a nice list of items with approximate weight values (e.g., 5 pounds = 1 bag of rice).

Theraband Hand Exerciser: A product and not really an exercise website, this link includes a guide to hand exercises using the Theraband hand exerciser.  Take a look at the PDF image for suggestions like pinching, compressing, and finger-walking.  Note: I haven't used this product.

Friday, April 3, 2020

Awesome Gang Feature

Ifscapes: Empires and Androids can now be viewed on Awesome Gang's book promotions page! Available on Amazon, the ebook is marked down to 0.99 through noon (PDT) on April 4 and then will be available for 1.99 until 11:59 p.m. (PDT) on April 7. Thanks to Awesome Gang for the feature! Click here to follow the link.

Thursday, April 2, 2020

Video Update (April 2020)

At long last, a video update of walking forward with the Lifeglider!  This recording dates to earlier this year (February). 

As a general note, it's inevitable that the COVID-19 situation is affecting people's opportunities for physical therapy and recovery.  Unfortunately, some with spinal cord injuries are also having even more serious problems finding help with everyday tasks and maintaining routines essential to daily health.  Due to coronavirus, they may have caregivers who are ill or unable to come, for instance, and they have to take extra precautions from the contagion.  Many of the same people already suffer in silence from ongoing isolation.  Please keep them in your thoughts and prayers!

Ifscapes Markdown

On sale April 1 — April 8

Ifscapes: Empires and Androids

0.99, April 1 until noon on April 4
1.99, noon on April 4 until 11:59 p.m. on April 7


Wednesday, March 25, 2020

Coronavirus, the COVID-19 Outbreak, and Science Fiction

A global pandemic sounds like, and occasionally has been, the stuff of science fiction.  Science fiction is all about asking questions and pushing boundaries, speculating and considering, positing and challenging, making social commentary, dreaming up worlds or taking them apart.  Suppose the already dangerous COVID-19 was even more dangerous and that it was unleashed on a society in the near future.  Then push the idea further.  What would happen if a massive plague were to spread across the world as an unstoppable force, causing destruction and chaos wherever it went, in a time when the world was the capitol of a galactic empire?  Or when humanity was busy colonizing other planets?  What if the disease was discovered in another system and accidentally — or intentionally — carried back to the homeworld?  And then expand on that: what if the pandemic lingered?  What if the virus mutated into something else altogether, not a flu or cold or respiratory attack, but something that altered the thought patterns or anatomy of its victims?

Science fiction tackles these types of questions head-on.  The genre compels us to journey through scenarios that actually can happen or those that seem much too far-fetched to be real.  Sometimes, reading SF (science fiction, not San Francisco) leads us to think completely differently.  Mind-bending twists and turns, feats of the imagination, amazing technology, virtually everything is possible in the narrative.  Of course, the science fiction story may be an overtly speculative story, and it might pose a situation just like the one we have happening in our world right now: a worldwide pandemic of unknown impact.  COVID-19 is going to shape generations and societies one way or another, like it or not.  How?  Science fiction is not afraid to ask the question and to explore a multitude of answers.

Maybe you're finding yourself wanting to escape the pandemic by exploring other questions and answers in science fiction.  Perhaps you're itching for some excitement and travel, and need a good book or short story to launch you on your way.  Or maybe you stumbled on this post by accident looking for more information on Isaac Asimov's Foundation Series, in pre-production for Apple TV+, or on Arthur C. Clarke's vision of the space elevator.  Whatever the case, here's a short list of some great classic science fiction titles to help you get started with the genre or pass the time while in  Coronavirus quarantine.  If you're a veteran of SF, this list has some classics you might have missed.  Murray Leinster and E. E. "Doc" Smith, anyone?

A Quarantine Short List of Science Fiction:

Against the Fall of Night, by Arthur C. Clarke
Citizen of the Galaxy, by Robert A. Heinlein
Foundation Trilogy, by Isaac Asimov
Lensman Series, by E. E. "Doc" Smith
Lest Darkness Fall, by L. Sprague de Camp
"The New Utopia," by Jerome K. Jerome
"Sidewise in Time," by Murray Leinster
"Slips Take Over," by Miriam Allen deFord
Space Trilogy, by C. S. Lewis
Time Patrol Series, by Poul Anderson

"Times Without Number," by John Brunner
"To Serve Man," by Damon Knight