Hour-long Three Minute Ramen

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Since returning from my two week out-of-town-wedding-fest I've been recovering. It always takes me awhile to recover after a trip.  I came home pretty exhausted, sick and tired from the traveling as well as all the bridesmaid and sister duties. I feel like I am back at square one and trying to build myself back up again.

It just took me over an hour to get up from my desk, go to the bathroom, make a cup of ramen noodle soup and shuffle back to my desk.

Imagine spending over an hour in slow motion, paranoid of falling with every step. I hate the feeling and dread each journey when it comes to accomplishing a task.  It sounds strange that it could even take so long when I cook up complex dinners for large group of friends. For those, I have my sous chef Jason, a routine and everything is propped up, including me, like a staging area. With someone near me I can create mountains of food, yet alone simple tasks like cooking microwave ramen and getting it successfully to my desk is my arch nemesis  

It is sort of funny but painful at the same time. I'm stubborn and try to beat "it" as if nothing can stop me, but it quickly puts me into my place.

I'm stuck between sort of walking and not. 

Even though it takes forever to do such a small task I must do it to maintain what walking ability I have left. Iit would be so much easier to quit.

By the way, all that effor and the ramen sucked.  To be expected, but alas the only thing I could make on a tired day like today.

Michigan Autumn Love

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I've been in Michigan, my hometown, for the past week thus my absence here. Both my brothers scheduled their wedding in the same October week. I have alot to share but for now trying to drown out any usual stress or demands from every day life and enjoy as my brothers step into a new chapter. That and basking in childhood memories among this beautiful Michigan Autumn weather.

I'll be back soon to share.

I Spend A lot of Time Thinking About...

I'm sitting in an airport waiting to be on my way. People watching is my favorite thing to do. I think it is for many of us, right? 

I spend alot of time thinking about...

the lives of the people I pass on the street; where they're going, where they're coming from, who is it they really love and why are they with someone when they don't. Who they are going home to, why they did it, what is their motivation, what scares them the most, did they really mean to do it, what were they like as children and why did they run in the opposite direction. How many of them will meet the stranger they just passed at a future moment and how many times has that happened. I think about how each person's steps is in sync with their own heartbeat. I think alot about floating particles, how old they are and their journey.

One comes to their own self awareness through collective thoroughfares, each one its own puzzle piece adding to the completion of a scene only to be part of another scene.

I'm quite tickled by story lines and motivation. What makes them do it. What made them take a shortcut or what made them take the hard route.

I spend alot of time thinking about people whom I've never met.

Strings

“One of the basic things about a string is that it can vibrate in many different shapes or forms, which gives music its beauty."

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Pick Up and Go

I'm so frustrated with the logistics of getting around. That's the difficult part of a progressing condition, especially as it nears going into a chair or beginning stages of one. A affects B, B affects C and everything thereafter. Any little change in a situation changes the entire plan.

I had an old pair of e-motion wheels loaned to me. These are sensor activated motors in the hub of wheels that assist my propulsions. My arms and hands are two weak to push a manual chair.

Last week I was able to successfully get out of my apartment door, into the elevator, out the lobby door, into the disabled lift, down it, rolled myself down the steep ramp and onto the curb all because of the wheels. All by myself. It was nice. I felt like independent hot stuff

But, today they aren't working so I had to have a neighbor come let me out. I have physical therapy from 6-8pm for the next few weeks so I scheduled my Access (paratransit service) to pick me up at 4:40 pm.

On a typical ride to my weekly therapy it can range from a 1.5-2.5 hr trip due to shared ride policy. However, today, Access got me to my therapy in 20 minutes.

So, here I wait an hour early, usually an hour late, in the lobby unable to push myself around because one of the motors are broken. The wheels are really old, so I guess it was going to happen. Crap thing is I've been waiting for these loaner wheels for months so I could gain some independence. I finally get them and then they die right away.

Oh well, heightened independence was great while it lasted. This is how it is for everything, every minuscule chore. It's not just this situation I find frustrating, it's the entire package. It's grains of rice that lead to the entire harvest.

Frustrated. I despise the loss of freedom, the incapability to pick up and go. It's really something wonderful to have this privilege. I despise depending on others to accomplish the most minute task. 

I know I'm supposed to try and friend you, but the truth is, I hate you HIBM. My only desire to is to pick up and leave you and yet you hang around tightening your grip on me. At times I feel jipped. I did everything "right", so what happened? Unbeknownst to me, you were always lurking there, you waited, and then suddenly you hit me at the most productive years of my young life. You jipped me. You have shocked me for the rest of my life.

This is a recent response. I didn't used to feel this way. I've not a, "Why me?" person, because why anyone? Perspective tells me I'm ridiculous but the "moment" tells me to feel this way. You can have clarity and yet at the same time the sensitivity of a moment can be so great that you can't see beyond your own soaking eyes that reflect some obscure amber version.

Emotions, humility and feelings work that way, I suppose. They do not obey.

Week One

I completed my first week of therapy.  I signed up for a four day a week semester of therapy: 2 days aquatic and 2 days land based exercise at the Brown Center for the physically disabled in the Department of Kinesiology at California State University, Northridge.

From what I hear it is one of the best rehab clinics in the country with its 19,000 square foot indoor aquatic facility and a packed gym with every exercise machine you could need.

This week was good and it's nice to feel "active" again. I degraded alot during my time in San Francisco, and coming back to LA has made me realize how much so.  

As soon as I hit the gym I want nothing else but make due with the hour I am given.  An hour goes by really fast especially when it takes so long to transfer in and out of machines, into the pool, changing clothes, etc. I have an assistant although I'm not terribly friendly during the hour because all I want to do is workout.  I strap on my headphones and try to move as fast as I can and work as hard as I can.

I also completed my first week of Access para-transit service. Access transports those that qualify in the city's disabled transportation program. That has been interesting.

My first day was Monday for a 5pm pickup. I rolled out to the front of my apartment and for some reason felt jitters. As I sat on the curb I reflected back to my first day of school, holding my strawberry shortcake lunchbox and backpack while nervously waiting for my first bus ride.  It's weird to make connections to times that you think are over, and yet revisit you as you get older.  For the elderly who age and become like children again or for a young girl in her prime to feel like a first grade school girl again. It's interesting.

I've already met alot of "interesting" people, both drivers and passengers, and learning to adjust to the schedules of their pick up and drop offs.  

With Access paratransit:

1) It's possible to spend hours in the van for a location that is only 20 minutes away.  For example, if I have to be at my therapy at 4:30pm I should probably schedule an hour and a half in advance, so a pickup at 3pm is probably necessary.  But, there may not be a 3pm time slot open, so I may be forced to reserve an unnecessarily earlier pickup. They may only have a 1pm available and I'm forced to take it :/.  

In addition, I am not the only one in the van. If I get lucky I may be the only pickup and drop off and can arrive at my destination within an hour. But, there could be 2-3 other people in the van and they may get dropped off or picked up during my time in the van, which adds on my time in the van. It's a gamble.  

In addition, Access has a 20 minute window so they can be 20 minutes late after your reservation time., In reality I have waited as long as 2 hours for my ride to show up.  Many times you will probably be late for your appointment. If I book extra early then that means I will arrive to my destination hours early and be all alone for those hours which means I'm cringing and hoping that I don't have to go to the bathroom during that wait time.

Yesterday's transit is a prime example of spending alot of time in transit and the day not going right. I was picked up at 3pm with more than an hour and a half in the van so I missed most of my 4:30-5:30 swimming class. Then I had a 6pm pickup to go home but due to miscommunication they were nearly an hour late. Then it took me about 45 minutes or so to get home. A long day of 3.5 hours related to Access for only 10 minutes worth of swimming.  

When I arrived at the pool I wanted to get any exercise in I could so they loaded me up with ankle weights, threw me in the pool and I walked a consecutive 10-15 minutes in the shallow end (more difficult to walk in the shallow side). At least I did something.

Being at the mercy of others is in no way fun, and as some patients progress, and for those way beyond my level, they have to be at the mercy of others just to take a drink, scratch their nose and the list goes on for these simplest of tasks.  

Gosh, I really miss driving. To be alone with my own thoughts and in control of my tasks.  When I realized I had to stop driving back in January it was a day that I had been dreading for awhile.  I loved driving more than anything and it was the last bit of "running" that I was clinging to.

2) Sometimes, I feel like a bartender listening to the Access drivers spill their problems and complaints to me.  You know those times when you just want to be alone and not forced to conversate?  Well, I can't really do that during the ride as I'm sitting in the front seat right next to them, so ignoring is not an option.

For example, my driver from last night was an interesting one.  He clearly looked distressed, not confident, hated his job and drove all over the road.  He couldn't stop talking about how much he hated his life. I tried to help him by telling him to change his career and that there are always other options out there but seriously I just wanted to get home. I had been in the van for way too long and a bit nervous of his unpredictable and agitated behavior.  Perhaps he has a hard life and feels like there is no way out. 

There it is.  A brief synopsis of my first week in therapy and the transit service. Not bad.  All these new experiences may serve as material for future illustrations.

She Likes to Move It, Move It

Well, I'm very happy.  I was accepted in the Los Angeles Paratransit (Access) services, a transportation service for people with disabilities that offers door to door pick up and drop off.  A few weeks ago I was evaluated and then the city decides if I am a candidate.  

It may not seem like much, but it's a big deal to me.  I stopped driving at the beginning of this year and lost alot of independence. Not having the freedom to pick up and go can seriously do a number on your spirit. It's something we take for granted.  Like, going to the bathroom on someone else's schedule. I hate being at the mercy of others and that's exactly what it is.

There are a few logistics to I have to figure out in terms of getting myself to the curb to meet my ride. Like how do I get myself from standing position into my wheelchair, over my door threshhold, that's only 1/8" high but remarkably makes it hard for me to push myself over it, roll myself down, into the elevator, out the apartment complex door, into the handicap lift and down the ramp to the curb.  Sounds like alot of steps. Every step of every day has to be considered and planned.

I'm looking into different wheelchairs and still waiting for my sensor activated wheels (that will help with some of the propelling over thresholds and curbs). The front wheels of my current chair are proving to be too small to handle slight thresholds so, I need to improvise.

The paratransit service isn't a complete answer nor complete independence, but it's a  step toward more independence. Paratransit won't work for every scenario, but ithelps a great deal.  It's much easier to get around this way.  It's all new to me and every stage of progression throws me into an unfamiliar land of not knowing how to adjust.  It can be physically and emotionally tiring, but gotta keep going.  It has been great to come back to Los Angeles and see what friends are there to help me get through these stages. It's an advantage to see who is there for you when the chips are down.

In addition, today I start my physical therapy semester.  Every week it's two days land (gym) and two days aquatics. I'm very geeked. Lack of physical activity  means lack of endorphin release.  Without endorphins there's a chance of depression. When you can't get out of your house for some sun intake, the lack of vitamins can lead to sadness, too. An HIBM patient can't go crazy with exercise as it risks muscle damage, but something is better than nothing.

Lately, I've been trying to eat better and stretch and exercise as much as my body will allow me.  I'm even losing weight O-0.  It's been awhile since I've been in full workout attire. It's kinda nice.

If I'm not moving in some way, mentally, inspirationally, creatively, intellectually or physically, then I get down. So here's to getting up. 

GreenGreenGrass on Tumblr

I started a tumblr awhile ago.  I've finally attached it to my blog and will do my best to actually post stuff in it. I wanted a simple spot where I could do quick posts of things that I find cool or inspiring.  Afterall, I have other things to talk about than my cane, wheelchair, orthotics (left one named Charlie. Right one names Bucket) and the like. 

www.mygreengreengrass.tumblr.com

Dorsal Interosseus

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I started this illustration awhile ago.  I just finished it. It is meant to be a wall piece, each one its own framed panel. Mix and match as you please.

With a progressive muscle condition there are major and minor milestones.  Some that are noticeable to others and some that can only be experienced in the most intimate moments.

I can physically feel the depletion of my muscles. It can be deciphered tactilely. I can detect the growing loss through increased difficulties of both major and minor tasks, and I can even visually see the loss.

HIBM, although a wasting condition, it's not the type of condition where the body wastes away to mere skin and bones. At least not to the extreme like other conditions. So, to most I look perfectly healthy.

I generally experience the loss through weakness, but rarely do I visually notice it on my own body. I guess because I'm with myself 24/7 and don't stare ay my body all day (I know, how could I not? ;)  There are little things I notice. For example, where there was once muscle in my thighs and triceps, it now has degraded to flappy, fatty, droopy skin. At least I notice, no one else may.  My thighs have gotten heavier, fatter. I know, I know as one gets older this is supposed to naturally happen but there is nothing I can do to influence the situation, unlike "normal" 30 somethings that could hop on a bike and work it off. 

There is less muscles to absorb the calories one intakes, so it turns to saggy skin. My triceps are like this. They hang lower and lower and if you feel them there is barely anything left.  

A few months ago my friend was stretching me out.  I've decided to take time to focus on my health. I rarely do. I rarely put myself or my pleasures first.  I normally am too busy doing for others.  It's a good thing but also a mistake.  I just moved back to Los Angeles and as part of my new location I signed myself up for a four day a week therapy program. Besides that I do my best to either have someone stretch me out or do my own daily stretches by myself.  

My friend Joey was stretching me out and he started rubbing my hands.

"You have no muscle between your thumb and index finger," he said.

"Huh, I had never noticed that," I said while gazing at my hands wondering why I had not noticed it.

The area casted big shadows and pretty much was hollow with only skin connecting my fingers. Like a web of skin. The muscles, Dorsal Interosseus whose primary function is to flex the metacarpophalangeal joint, occupies the space between the metacarpals must have decided to take a vacation. They left me.  No Dear John letter in sight. Nothing. I was more surprised that I had not noticed it myself. That's when I started doing this drawing.

It's fuck'n amazing all that goes into every breath, every step, every movement, things that we will never take notice of or give a round of applause to. The body is in constant work mode even when we are at rest. There's no possible way to notice every second and really appreciate the amazingness that happens inside our own body.

I'm not here to preach about how we should appreciate everything. Yuck, who likes preachy people?  Afterall, I still don't appreciate every second of my life. I would say I do take notice and appreciate way more than ever, but it gets away from us.

The friends I have that really take advantage of their bodies and talents, I admire and watch them from afar.

When I say we don't appreciate things when we have them, I don't just mean "appreciation" as in indulging every physical pleasure one can get their hands on. I mean appreciation by noticing those that don't have and extending ourselves to others.  If we fully appreciate, we pass it along to others rather than going on about, "How lucky, how blessed I am". It's like pushing down the gas pedal as the light turns green, leaving those temporary thankful thoughts to the wind.

Even though I have really bad days, days that I don't think I'll be able to drag myself out of the continuous loss and would rather retreat for forever, I know I have to slap myself and not make it just about me. It's not just about me.

With that, I'm not here to hide the fact that it can be deeply saddening and there are days I feel like I will never quite get over the loss. I miss the physical movement and I know every other patient does, too.

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Fear Is Normal

Fear is normal. It's not about ruling your emotions. It's about working through them. 

"Ultimately we know

deeply

that the other side of fear is freedom"

TushPush.2000

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This drawing is kinda old but just getting around to posting it. There seems to be much bathroom talk on this blog but don't worry, I will spare you all the gory details.  

We never seem to recognize the mundane routines of our day to day, until it stares us in the face and commands utter and complete attention.

"Look at me, look at me!!"

There's been many times where I have found myself stuck on the toilet pleaing and crying to my body to, "Please get up, you can do this".  

Throughout my days I absolutely dread the Porcelain God and that nagging urge to peepee.  I would literally be in FEAR of this necessary routine. 

As my progression has evolved the style in which I rise from the toilet has evolved over time.

I remember that day in Dr. Seidel's office in 2002 when he asked me, "Can you get up and down from a seated position?" as he filled out my chart with checked boxes and notes.

"Ummm, well yea, why wouldn't I be able to?" I thought, as I arrogantly demonstrated getting up and sitting down on his office chair without a blink, without assistance, without even holding onto the arm rests. I could do this all day" I thought as I reveled in the things I could do rather than what I couldn't. At this time the list of "can't" was much shorter.

Over time this has obviously become more apparent and my getting up and down has become slower to non-existent.

I've adopted the style of using my hands, arms and legs to push myself up from a chair. Sometimes I have to literally throw my body onto a table - that I use as leverage - with my face squished onto the surface while I slowly and ever so carefully push myself up while being forced to consciously utilize every muscle available.

Even thinking about using a public bathroom has become a nightmare.  A year and a half ago I could use the public bathroom at my work. If I am familiar with a surrounding I can wiggle and create a magic routine until my body gets used to the situation. My left hand grabs the handicap bathroom rail, my right hand resting on the toilet seat pushing my body up at an angle, and as soon as I feel my hip lock, with every muscle I have left, I could push myself up slowly with an assistive and constant mutter, "Please don't fall, please don't fall."

Nowadays, going to a public bathroom alone is non-existent.  However, my home is a place I can have a little more control over and outfit to my body's changes. When we move (which we do frequently) I have to take into account every new bathroom. The size, what I can grab on, what I can lean on, etc..

My last bathroom in San Francisco was pretty small, which was a good thing, because I relied on the wall and the door that was situated right next to the toilet to assist me up.

When I first moved into that place my bathroom style was to grab the doorknob with my left hand, put my right hand on the toilet, wedge my foot in between the door and the wall which allowed me to  pull the door closed while lifting. The door was my leverage and my foot the barrier that I could use to push my against the door and use as an extra weight to push up on.

This was shortlived. The toilet was too low for me to get up by myself.  Onto plan W.

I bought a plastic toilet rise that gained me an extra 6 inches of height. This was less height for my legs to push up from. This worked for a very short time.  My wrists had gotten weaker, along with my legs, and I would find myself stuck on the toilet, alone - crying to myself and to my little Pippi in the most broken hearted sob.

I had alot of downtime to think in the bathroom. I created stories in that very quiet space imagining the bathroom tiles, the light peering through the window, the walls, as something more than what they were.

I soon put a wood stool in front of me, so I could lay my stomach on it and push my body onto it while lifting with my legs and arms. The stool acted as steady table, much like how I use my desk to assist me up. This became a tricky scenario and each time I hoped I wouldn't fall. I made it up each time by the skin of my teeth.

My latest bathroom style is this very wonderful electronic toilet lift.  I didn't know it existed.  I push a button and it propels me up towards the heavens in a very slow, yet breezy, adventure.

Weeeeee!  

It's called the Neptune Toilet Lift but there are many different versions that do the same thing. I seriously fell in love with it when it arrived in its great big cardboard box. It was like Christmas. I now need a $2500 lift to help me go to the bathroom. People don't realize how expensive it is to be disabled. And I'm not disabled due to "laziness" or one "looking for handouts" but unless you're disabled or have a disease you don't know what it's like. Private healthcare is corrupt and they won't cover a lot of things and the things they do cover they battle you on. And durable medical guard, just like big pharma, has huge markups. Not all disabled people can work nor do they have family or a spouse to help so imagine what they go through. 

I wanted to hold hands with my Neptune. I loved it that much.  It became more than a piece of equipment, yet a doorway to some independence. I personified him as "tushpush.2000".  Christmas in July, indeed. I thought I was pretty neat stuff rising and lowering in the air.  Where there is a will, there is way. Don't ever give up.