Yesterday I danced with a patient in therapy. It started out as simply as great opportunity to work with a patient. I had finished with one and noticed the next patient on my list in the main room in the dance sponsored by activities. Great! I don't have to chase her down and it shouldn't be too difficult to get some movement out of her. What that time turned into was more than I had anticipated.
She agreed eagerly. As I knelt beside her to remove her foot pedals, she reached for my hand. "Did I ever tell you about the time that I danced with Fred Astaire?" Apparently she was a background dancer in one of his movies when she was a teenager. Her eyes shining, she took several minutes to tell me about the perfection that he expected and how much she learned from the experience. It was obvious how much she treasured that opportunity. As I reached for her hands, she stood up and eagerly started tapping her feet. I'll be brutally honest and say that both of my feet are left. It's true--I can't dance. That sad fact, however, doesn't stop me from trying and I was more than willing to make a fool of myself for the sake of... well... her, the experience, the therapy. It didn't matter that I have never been able to dance and that she is no longer able to fly about the room. (although she still has really good timing!)
She looked up at me, eyes gleaming. The only time her eyes left mine were to smile at other people. For a few minutes she was reconnected to the person she used to be and the life she used to have. I'm definitely no Fred Astaire, but dancing with me brought those memories to life. For that short time the reality of living in a nursing facility rolled back a bit and she was again doing something that she dearly loved. I don't have any idea how long it had been since she had danced.
I had no clue that the afternoon meant so much to her until today when I talked to the OT who treated her afterwards. Apparently that was all she talked about yesterday. Who knew the Hokie Pokie and a couple of slow dances could mean so much? These are the moments that make me internally shout, "I LOVE MY JOB!!!" Therapy that gives a person back their life.
And so we danced.
Wednesday, March 30, 2011
Tuesday, March 22, 2011
Solutions for narrow heels
Runners know the importance of a well-fitting shoe. In preparing for the mini I was excited when my crazy running friend, Zest, scheduled a trip to the store with the salesman she's worked with for the past eight years. I have terrible ankles and one not-so-great knee so I was hoping that he could help me find the right fit.
In the store I was debating between two final selections. Pair A fit great with the exception that the heel was a little bit loose. Pair B was tight across my instep and toes, but the heel stayed in place. A common shoe dilemma for me since my midfoot is wide but my heel is narrow. My wonderful and knowledgeable salesman solved the issue. This specific lacing pattern basically pulls the back of the shoe forward so that the heel doesn't slip and the shoe is tight without the lace cutting into the top of your foot. It sounds confusing the first time but is actually quite simple and comfortable while wearing. I'm grateful he shared this little tip with me.
1. Lace up shoes while leaving the top hole open.
2. Take the lace and thread it through the hole in top on the same side so that it forms a loop.
3. Now cross the end of the lace through the contralateral loop. (The lace from the right goes through the loop on the left.)
4. Repeat with the opposite side
5. Tie normally.
Pair A. My first pair of Brooks. Cinderella size 7, and definitely not leaving them behind!
In the store I was debating between two final selections. Pair A fit great with the exception that the heel was a little bit loose. Pair B was tight across my instep and toes, but the heel stayed in place. A common shoe dilemma for me since my midfoot is wide but my heel is narrow. My wonderful and knowledgeable salesman solved the issue. This specific lacing pattern basically pulls the back of the shoe forward so that the heel doesn't slip and the shoe is tight without the lace cutting into the top of your foot. It sounds confusing the first time but is actually quite simple and comfortable while wearing. I'm grateful he shared this little tip with me.
1. Lace up shoes while leaving the top hole open.
2. Take the lace and thread it through the hole in top on the same side so that it forms a loop.
3. Now cross the end of the lace through the contralateral loop. (The lace from the right goes through the loop on the left.)
4. Repeat with the opposite side
5. Tie normally.
Pair A. My first pair of Brooks. Cinderella size 7, and definitely not leaving them behind!
Monday, March 14, 2011
A Simple and Needed Hug
She has global aphasia. It's a language problem she developed after a stroke. The portion of the brain that controls speech is not working correctly. She can process her own thoughts, but the mechanism for transferring those thoughts to speech just doesn't cut it. Additionally, most of what she hears from other people is Greek to her. Basically she's trapped in her own brain. She's more there than most people give her credit for. Usually she will start a sentence with garble, the middle will be intelligible to those that care to try. The sad thing is that most people write her off as crazy simply because they cannot understand her. Cognitively she's still very much with us.
This evening, though, her speech was far easier for me to comprehend. During our walk we stood and had a conversation while looking out a window. I always thank my patients for working with me at the end of the session. Most of them will thank me in return for taking the time to work with them as well. When I helped her into her wheelchair and reset her alarm, her face lit up and she spread both arms out wide. As I leaned forward to wrap my arms around her shoulders, my eyes teared up and I wished I could tell her what that meant to me.
Rewind three years. I didn't start out wanting to work in geriatrics. I work with patients and get close to them, hold their hands when they're in pain, hold the bucket while they throw up, hand them Kleenex when they're crying. Sometimes, despite the best that they and I can do, they can't go home. Many times they go back to the hospital, or bounce between the ER and the rehab unit like a yo-yo. I've lost patients to ALS, pneumonia, cancer. I've helped families guide their way through the maze of decision-making for their loved one. That's not even counting the advanced dementia and the way it steals a person right in front of your eyes. It's like ripping your heart our every day. But some days your patients can reach right back to your heart and mend it with a smile and a hug.
This evening, though, her speech was far easier for me to comprehend. During our walk we stood and had a conversation while looking out a window. I always thank my patients for working with me at the end of the session. Most of them will thank me in return for taking the time to work with them as well. When I helped her into her wheelchair and reset her alarm, her face lit up and she spread both arms out wide. As I leaned forward to wrap my arms around her shoulders, my eyes teared up and I wished I could tell her what that meant to me.
Rewind three years. I didn't start out wanting to work in geriatrics. I work with patients and get close to them, hold their hands when they're in pain, hold the bucket while they throw up, hand them Kleenex when they're crying. Sometimes, despite the best that they and I can do, they can't go home. Many times they go back to the hospital, or bounce between the ER and the rehab unit like a yo-yo. I've lost patients to ALS, pneumonia, cancer. I've helped families guide their way through the maze of decision-making for their loved one. That's not even counting the advanced dementia and the way it steals a person right in front of your eyes. It's like ripping your heart our every day. But some days your patients can reach right back to your heart and mend it with a smile and a hug.
Sunday, March 13, 2011
From here to the Mini
Several months ago one at a get-together, one of my friends was talking about the mini marathon that she runs every year. (I'll call her Zest since she is enthusiastic about everything she does and has more energy than any woman over the age of 3 has a right to.) Apparently it's her goal to introduce a new runner to the mini each time. Also apparent is that my friends are way too healthy because several of them chimed in about their past experiences running the race. I must be insane because I started getting excited as they talked about it. (really need to look into getting that "sucker" tattoo removed from my forehead...) I don't know why, but the thought of running 13 miles and spending months training for a race that I have no possibility of winning sounded like a good idea, so I agreed to run with them. And no, my glass was filled with iced tea, not alcohol. That night found me on the laptop registering before I could change my mind. Now that I'm financially committed I cannot back out!
And now it's time to actually train. Running shoes have been fitted and purchased. Tunes have been loaded onto the iphone and earbuds located. The thought of running for almost three solid hours still scares this sprinter. Truly, the longest race I ever ran in my younger and in-shape days was the 400m dash. My main sports were basketball and volleyball, again filled with sprinting. This will be a new experience that I am somewhat looking forward to. Mainly I'm looking forward to the challenge. I've stopped pushing myself physically. When I work out I tend to stop at the point of pain and listen to the "I can't" voice inside my head. Running the mini I must learn to put a chokehold on that insipid voice.
In addition to running because of the challenge, I'm running because of the way I've been treating myself. Excuses and laziness have led the way to me becoming horribly out of shape. This is not the example that I need to be setting for my children. It is certainly not being a good steward of the body that God has given me. I haven't had the discipline that I need in either my spiritual or spiritual life. In my role of physical therapy, I see the results every day of people who have neglected their bodies. There is no pill the doctor can prescribe to combat overeating and disuse. I constantly find myself telling my patients that it's not too late to start moving and they can improve their own lives but they have to take that responsibility. So do I.
I need to run. For myself. For my family. For my patients. For my faith.
And now it's time to actually train. Running shoes have been fitted and purchased. Tunes have been loaded onto the iphone and earbuds located. The thought of running for almost three solid hours still scares this sprinter. Truly, the longest race I ever ran in my younger and in-shape days was the 400m dash. My main sports were basketball and volleyball, again filled with sprinting. This will be a new experience that I am somewhat looking forward to. Mainly I'm looking forward to the challenge. I've stopped pushing myself physically. When I work out I tend to stop at the point of pain and listen to the "I can't" voice inside my head. Running the mini I must learn to put a chokehold on that insipid voice.
In addition to running because of the challenge, I'm running because of the way I've been treating myself. Excuses and laziness have led the way to me becoming horribly out of shape. This is not the example that I need to be setting for my children. It is certainly not being a good steward of the body that God has given me. I haven't had the discipline that I need in either my spiritual or spiritual life. In my role of physical therapy, I see the results every day of people who have neglected their bodies. There is no pill the doctor can prescribe to combat overeating and disuse. I constantly find myself telling my patients that it's not too late to start moving and they can improve their own lives but they have to take that responsibility. So do I.
I need to run. For myself. For my family. For my patients. For my faith.
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