Tuesday, 10 February 2015

Orthotics review.

So, with everyone jumping on the vaccines cause autism bandwagon again, I am trying to compose a thoughtful and fact checked post about it, you know, to jump all over that bandwagon until the cymbals fall off.

In the mean time, I managed to bag me a review of lefty (why can't it be more like righty, that's snug and not wearing a hole in my ankle?) this morning. The orthotasit (?) was really patient. She took a long look, and sent lefty off for melting into a more pleasing shape.

To stop my ankle joint eating my trousers, apparently socks should be worn outside my orthotics. I'm not cool enough for that, so I'll have to just keep an eye on my ankle biters.

Equally to prevent sweaty legs (it's very sexy) the long sock, recommended by Robb Brydon on Qi, to help soak up sweat.

A fellow patient told me they put a sock right up over the top of the orthotic to prevent chaffing.

The department took my strap pad measurements so when they wear out, they can post me more.

Looks like I'm in for some fun experimenting.

Better get researching.

Saturday, 7 February 2015

The rub.

So, it's been just over a week since I got fitted for the orthotics. I've been warned to watch for redness that doesn't fade.

I've noticed blanching redness under my ankle bone on my left foot. Now, full disclosure, I've probably been wearing them a bit more than I should be. It looked like it was blistering today but it seems to have gone back to angry red.

I grabbed some silicone strips and tried to protect my foot but it didn't last and I ended up taking them off halfway through my (14 hour) shift. I thankfully haven't thrown away any old shoes yet, so I was able to plod along in my old shoes without damaging the new ones.

Pressure sores are very much what they sound like, also known as bed sores. They are generally associated with the elderly due to reduced mobility. However reduced mobility can happen to anyone, from spinal injuries to anyone who spends too long on a theatre table. In my case, it's sheer force and pressure from the orthotics. While there are many different tools to help alleviate pressure, like those mattresses or cushions, or the silicon I grabbed in work, the best way to deal with pressure damage is to remove the pressure. People get walked and stood or turned to take the pressure away and I think that'll have to be my tactic over the next few days.

I'm going to minimise my use of my legs over the next few days and ring the department on Monday and have a review.

Goodnight.

Thursday, 5 February 2015

Interesting.

Vlad the impaler, sorry sorry, Mr Putin, Russian president, has been remotely diagnosed with Aspergers, writes the Telegraph. It's based on a Pentagon report from 2008 and is only based on videos. While it may be true, it's methods are limited and it's postulation that he has an extreme need for control as a part of his Aspy is speculation at best. The Telegraph is also not peer reviewed.

Let's have a quick Google search. Sky and MSNBC are running this story too. Sky reiterates the Telegraph, saying that his mother may have had a stroke during pregnancy, interupting fetal development. However, Sky quotes a Dr Stephen Porges, a psychiatry professor from the university of North Carolina as concluding that Mr Putin has a form of autism but caveats that with the fact that the report was never finished and he would shy away from an Aspy diagnosis.

MSNBC (citing USAtoday) states it's a U.S. Naval War College (Rhode Island, yes I'm splitting hairs) report and has a video. Anchor just called it Assburgers. They are claiming it's just a theory (read: hypothesis) that can only be proved with a brain scan.

Wait, what? My brain scan was for CP, all my Aspy tests where written and one on one with an educational psychiatrist.

This smells. But it's been fun diving into it.

Before I start demanding my own country (and grumble "show everybody"), I can't help but think this is a little propaganda. Also, to every Aspy who reads this blog, look what we can achieve.

Disability my eye, super powers engage! Guess we'll all have to settle for fictional universes in gaming.

"Show everybody!"


Links:

http://news.sky.com/story/1421850/putin-has-aspergers-pentagon-report-says

http://www.msnbc.com/way-too-early/watch/vladimir-putin-has-aspergers--study-394342979846


Disability and procreation.

Disclaimer, before I start, this post is opinion based on my own experience, internal thoughts of my own scions and thoughts conjured by articles I have read today.

These articles are both from the Independent and are about disabled persons of both genders who are to be sterilised for their "own good". One is a lady with six children already who doctors feel will die if she falls pregnant again. I know it's the 21St century and we all have this magical view that dying during child birth doesn't happen anymore. According to Margaret C Hogan, et Al in the Lancet (2010 Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5) the UK ranks No. 23 with 8.2 deaths per 100 thousand. Last time I looked, the UK is a first world country. Child birth is still a risky business. There's an argument that this is the start of the descent into eugenics. While that would hold water if there wasn't both a good medical reason and the woman did not already have six children. The second article was about a man who had an IQ so low he would forget to use condoms (although, frankly, every man is guilty of that while plastered) and, while he was having supervised visits to his girlfriend, who also has learning difficulties, he managed to impregnate her. The resulting child is reported to have had significant impact on both families, which I read as neither parent was able to cope. Babies are said to be hard work for every parent, disabled or not. I know plenty of disabled parents, who cope and are great parents.

I have butted up against learning difficulties and parenthood in university. I took ethics in my final year, and both in the literature and in group projects, there where case studies of parents with various grades of learning disabilities, including Downs syndrome, and hypothetical outcomes. Would a parent with a learning difficulty understand the needs of a child? Would they understand the implications and impact of having a baby?  How will they feel if the child's intellectual ability grows at a "normal" rate (if you've read this blog, I don't believe in normal), and out grows theirs? Are disabled parents going to become a burden much sooner than other parents might (i.e. through dementia or stroke) and with more certainty? Does it limit the child, both through possible poor parenting (although honestly most parents muddle through) and by stunting their future, inadvertently?

None of these questions have simple answers, I certainly don't have any answers. I'm asking them to get us all to think through issues surrounding disability and parenthood. They are, in my opinion, slightly negative. I haven't once considered that blind parents are perfectly capable, a mother in a wheelchair is more than able to care for everyone in her family. Disability should never be an automatic preventative of parenthood. I'm sure everyone reading this blog knows someone who is both disabled and a capable parent. For every negative example presented, I'm always sure there's ten positive examples, E.g. for every dole scrounging illegal immigrant with ten children and a criminal past that the Red Tops love to parade around as an example of Broken Britain, I suspect there's ten hard working, law abiding immigrants who want a better life and to contribute to society.
It takes ethical committees some time to discuss these issues and come up with a conclusion.

I have met people who are just below the line of what is considered disabled who are automatically banned by law (Ireland) from marriage and children. It makes me wonder if I fall into some draconian law. I've discussed before that I have thought long and hard about babies. I understand the concept that children take work and have no off switch, but some days I struggle to self care, so how can I suddenly be able to care for this vulnerable, helpless creature that is totally dependant on me for everything? Maybe these are feelings of all parents, but I think for me there are serious considerations to be made.

None of this is helped of course by my opinion that in the general population that the ability to have babies doesn't automatically entitle you to babies. If the forced sterilisation on medical grounds of intellectually disabled people has people screaming about eugenics, then a broader brush stroke really will set off the eugenics alarms. Today you can stop disabled people, tomorrow what stops you from declaring another group "undesirable" and we're free falling into 1930s Germany.

While I would hope our laws, judicial system, government and general populace (yes, when things start going pear shaped, the citizens of any society need to join the debate and stand up for each other and what's right. Remember the lesson of "when they came for me, there was no one left to speak out for me") have enough checks and balances to prevent wholesale and indiscriminate breaches of human rights, including that of procreation.

It's a ridiculously difficult topic, filled with pit falls and caveats, that requires nuanced and thoughtful discussion. Monotone honking about eugenics on one side or equally tone deaf "it's for their own good", is neither constructive or growth inducing.

All I know for sure is my parents are going to be enjoying years of not being grandparents, and I'm going to enjoy disposable income and holidays during term time.

Be safe and thoughtful of others.

Wednesday, 28 January 2015

Orthotics day 1

So I've had the orthotics for just over a day now and I've worn them for approximately 8 hours, including four hours in work.

Aside from the fact that my shoes are all too small, they are comfortable and I am learning how to do stairs with them. My colleagues, again, have been amazing and supportive.

I'm not sure if my work shoes are too tight but the heel foam has already flaked off. I rang the department and I'm due back on Friday. I think they said they sell shoes too, so I might enquire about that.

Tuesday, 27 January 2015

New legs

What's this, two posts in one week? And on consecutive days no less. It must be bizarro world.

Anyway, the long wait for new legs is over. I dutifully got to my appointment this morning and got fitted with these babies.

They even have an ankle joint, but on the down side they limit my ability to crouch and kneel. From the back they look like some medieval style armour.

I'm to wear them an hour a day and gradually increase the duration, so immediately I wore them for two hours, after which everything below my knee hurt. They are snug. Getting into shoes is the next challenge, and I see shoe shopping in my future.

There'll be a review, and I'll try to update regularly.

For now, have a good one.

Monday, 26 January 2015

Physio update.

So today was my last day of intense one on one physio. There'll be more, but from now on its gym sessions then a review in a month (for anyone paying attention, tomorrow is my orthotics fitting so the review in a month thing lets the physio see how well I'm doing while having my legs corrected), and then I will be told to join a gym and spread my own little wings and take some responsibility for my own   work outs.

What matters from today's session is the physio retest. I scored 50/56 on "admission", proving I'm not as contractured or disabled as others, and today I scored 56/56. Two months of weekly visits has already made a significant change. Hopefully with more work and the orthotics, things will continue to improve. 

In other news, I rang my local MP to find out more about their stance on the subtle cuts not only in disability support but also in work schemes for the disabled. I've blogged before about not doing unsupported posts, and I plan on reading up about cuts before I go on a gut busying tirade, but if what little I have read is true, then it's deeply worrying. 

Fortunately, my managers  manager told me recently she felt that I was doing "really well" after three months in my new post and my manager by proxy (my own manager got one of those holiday things I hear so much about) told me I was doing "well". I feel I'm doing fair to middling (which I think is a nonsense phrase meaning "it's ok but I'm being modest") but I would rather under estimate myself than get over confident. My own managers recent preformce review of me is so good that I feel it's not a review at all but inspiration to do better again this year. I've said as much and he laughed, which is code for he's caught.

So orthotics tomorrow, in the mean time, enjoy this gem: