Tag Archives: mobility

And breathe… for now

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Overwhelmed with enthusiasm for her return to school

Miss Z is back at school! It has been over a month since her surgery and today will (hopefully) be the first day that she is back at school normally – taking the bus and staying the whole day.

Even though her recovery was totally straightforward and did not involve any major dramas, I found it a challenge. This actually had very little to do with Miss Z, who has amazed me with her ability to bounce back after such major surgery. No, this was probably much more self-imposed.

First, I committed to returning to work too soon after Z came home from the hospital. Miss Z was sent home on a Thursday, and I was back at work on Monday. Working as a freelancer and from home, I’m acutely aware that if I’m not working, I’m not being paid. I also know that if I’m absent for too long, the client might decide that they can manage without me. With a chronically ill child, it is a difficult balance to maintain, between looking after Z and keeping up with my career. For me, it often leads to working odd hours (I’m generally most productive late at night) and in odd places (including at Z’s bedside in the Emergency Department).

I also think that bringing Z home post-surgery highlighted the increasing difficulty of moving and positioning her as she gets bigger and heavier. Particularly in the early days after Z came home, we only lifted her by hoisting. Fortunately, thanks to the extensive home modifications we did last year, this was possible. But anyone who has had to use a hoist for manual handling knows that it is time-consuming and that it isn’t always very easy. Trying to get a hoist sling in the right position underneath Z while she is lying on her back is difficult, and I often felt like I was causing her more pain by rolling her and pulling the sling than if I’d just lifted her myself.

Added to this is our ongoing transportation challenge. Miss Z is no longer safe to go in her carseat – she doesn’t fit properly and it would be dangerous for everyone if QB or I tried to lift her into the car ourselves. So, we’ve relied on Maxi Taxis, which is fine – or at least it is when they turn up on time and the taxi is clean and the driver knows how to secure Z’s wheelchair properly, and the air conditioning is working, and money is not a concern.

However, you can’t use a taxi to take Vegemite to school. Or to pop out for a few items from the grocery store. Or to pick up a package from the post office. Well, you probably can take a taxi for those things, but it isn’t really practical… So, this has meant that I’ve been unable to leave the house during the day, unless Miss Z had an appointment. Most weekdays we had one of Z’s carers come for a few hours in the afternoon, so I could run errands and get things at the shops, as well as ferrying Vegemite to all her after-school activities.

And finally, throw in the fact that Miss Z was waking several times a night, needing pain relief and repositioning. I’m no stranger to getting up at night to tend to Z, but the multiple times and for longer periods – as we waited for the meds to kick in – left me frazzled.

So, getting Miss Z back to school has been a huge relief. I’m once again able to do all those little things, like filling up the car, dropping off dry cleaning and shopping. I feel so efficient! And this morning I also started to book all those appointments that I’ve let slide while Z was recovering – hair, physio, dentist, etc.

Getting back to normal will be a much-needed breather.

Except…

The Orthopaedics team phoned me this afternoon to reschedule Miss Z’s next appointment. They needed to move it so it fit better ahead of Z’s surgery.

Wait, what? Didn’t she just HAVE surgery? Didn’t I just get her back to school after a month of recovery?

However, this is our new life. Growth rods mean that the rods grow with her. And the surgeons have decided that she needs them extended every four months. So, she’s due for her first rod extension in May.

The good news is that the surgery is much quicker and easier.

The bad news is that it will entail an overnight stay in the hospital.

And the even worse news is that we’ll be staying overnight in the “23-hour ward”. I’ve got no idea why it’s called that (maybe because you’re not intended to stay for a full 24-hours?), but it is an excruciating place to spend the night. It is all one long room with bed after bed (at least 20, probably more) full of children who have just had minor surgery, so they’re all miserable and noisy. The parents with the miserable children are mainly those who rarely, if ever, spend time in the hospital, so don’t have the hospital etiquette that those of us who are “frequent flyers” tend to have (and yes, I am biased against non frequent flyers). And the nurses aren’t used to dealing with complex care kids, so I’m usually up at all hours explaining how Z’s feed pump works or some other minor issue).

(In case you’re wondering, children’s hospital stay etiquette includes such basics as: don’t gawp at my child, don’t have long, loud conversations on the phone, don’t invite your whole extended family to visit late in the evening, don’t turn your bedside tv up as loud as it can go, silence your damn phone overnight, and do not expect the nursing staff to jump at your beck and call.)

New goal for 2019 – convince the Ortho team that Z doesn’t need to spend the night after rod extension surgery. We’ll get this first one under our belt and then I’m going to start lobbying.

In the meantime, I’m going to enjoy our breathing space… while it lasts.

 

 

And so it begins…

At 7am this morning, a man began knocking a hole in the ceiling of our garage and the floor of our spare bedroom. By 10.30am, there was an elevator-shaped hole in our house.

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Before…

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…and after

Not to mention the fact that the closet doors are the only thing separating my office from the garage!

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My office is on the other side of these closet doors

So, now we have to wait for the lift to clear customs. Hopefully it will arrive by the end of the week and construction will continue.

 

However, what was really amazing today wasn’t the giant hole in the floor or the fact people can now pop out of the closet and surprise me while I’m working. The really, really amazing thing is that Miss Z slept through the process of knocking down walls and cutting giant holes in the floor. The overpowering noise that had me wanting to hide in a closet to escape. She completely slept through it. She has won my respect – that is a serious commitment to sleeping in during her last week of school holidays.

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Miss Z demonstrating her unwaivering commitment to sleep

Love lift us up where we belong

The only problem with the title of this blog is – as everyone with a mobility issue or who lives with someone with a mobility issue knows – love can’t lift you up where you belong. In Miss Z’s case, someone who loves her has instead been lugging her up a flight of stairs to where she belongs, and then back down the stairs again later.

We live in a “Queenslander” style house, which means it is raised up. Although previous owners have converted underneath into additional bedrooms and an office, most of the living space is upstairs. Until now, Miss Z has had her bedroom downstairs (to be close to us) but spends her days upstairs in the living areas of the house. This has meant that we need to carry her up and down stairs.

Miss Z is now 5 1/2 years old and weighs 23kg (50lbs) and no matter how much we love her, it is getting harder and harder to carry her up and down the stairs. And it is becoming less and less safe for everyone.

This comes as no surprise – we’ve known this day has been coming for a long time. Our initial hopes at a “quick fix” that might resolve the stair issue were a flop. After a lot of discussion (some of it quite emotional), a lot of advice from occupational therapists, builders and equipment providers, and a lot of planning, we have decided to install a small lift (elevator for those of you in the US). It will start in the garage and office closet and go up into what is now a walk-in wardrobe in our spare upstairs bedroom – which will be converted into Miss Z’s new bedroom.

Making major modifications to our house is both scary and exciting. Scary because it involves significant amounts of money and exciting because it could transform the way Miss Z accesses the house.

The lift is manufactured in Europe, so although we made the big decision to do it several months ago, it is only now arriving in Australia. In the coming weeks, construction is scheduled to start.

I will update the blog on our progress. However, in the meantime, please keep your fingers crossed for us!

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The upstairs bedroom – all cleared out and ready for work to begin

Getting mobile – part 2


After a bit of organising and schedule adjusting, we managed to have our first special needs pram trial before Christmas. I was very excited because I was finally going to get my hands on some of these pushchairs, instead of just looking at them online. We arranged to do it at FECS, so that Lil Z’s physios could be there to give their opinions as well. I know what will work for me, but I don’t always know what will work best for Lil Z, so it was really good to have a second opinion.

The supplier who was giving us the demonstrations was bringing three pushchairs: the Pixi and the Zip (as mentioned in my previous mobility post) and the Bingo. The supplier also had a three-wheeler with her, the Liberty, which we tried just to see what it was like. So, here are the initial conclusions:

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This one is just about right…

1. The Medifab Bingo really fit Lil Z well, but the chair was still adjustable for growth, so it would last her for several years. The physio described it as an armchair on wheels – it looked really comfortable and Lil Z was very content to sit in it. It gave her great support and she looked very good sitting in it. There is also an indoor high-low base to which you can attach the pushchair seat, which means you could also use it as an indoor supportive seat as well (which could come in particularly handy when she starts school). It was easy to push and steer and didn’t look too “special needs”.

...so long as you have a lot of space in your car! (although this is proof that it does in fact fit...)

…so long as you have a lot of space in your car! (although this is proof that it does in fact fit…)

On the downside, to collapse it, you have to lift the seat off and then fold up the wheelbase. It was huge and only just fit in the back of our car, even though it is a station wagon.

The biggest issue (at least initially) was the price – which could run as high as A$10,000! Although the quote we were eventually given was A$6,000, that was the bare bones pushchair without any of the extras or the indoor base…

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This one is too small…

2. Lil Z’s physio and I had the greatest hopes for the Pixi because it provided the right level of support, was fairly lightweight and foldable, and was less expensive than the Bingo. Unfortunately, it wasn’t to be… It was just too small for Lil Z. Even the size 2 – which is meant for children up to 6 or 7 – was tight. I’m baffled by that, since Lil Z is very tall but she is also very slender, so for a buggy to be too snug for her around her hips and shoulders makes me wonder who exactly it would fit. With no growing room and an already snug fit, this one just wouldn’t work.

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And this one is too big!

3. The Zip was more or less the opposite of the Pixi. It was ENORMOUS! Lil Z’s feet didn’t reach the footplate and because there was minimal support and the seat was so wide, Lil Z slumped to one side when she sat in it. It is a pity because this one was even easier than the Pixi to fold and was the lightest of the three. Maybe when she’s older…

4. The supplier also had a Liberty Jogger in her van, since she had an appointment later in the day to show it to someone else, so we decided to have a look. It was even bigger than the Zip, although Lil Z had a bit better support. It would fit her until she’s an adult – I could have sat comfortably in it! The stroller was so big and so long that it just wasn’t practical. It would be good for running (which is its main purpose), but you couldn’t take it into a shop or really anywhere indoors because of its size.

And this one would fit Goldilocks until she’s 30! As long as she could always do 3 point turns…

Overall, I was a bit disappointed by the trial. I had sort of expected them all to work, and my biggest challenge would be to figure out which one would be best. Instead, we were left with only one workable option – and that one was pretty pricey and not the most convenient option…  Lil Z’s physio suggested that we try some different brands – which would involve starting all over again with a different supplier (each special needs equipment company carries different brands, so you have to arrange appointments with each one separately). But as it was getting close to Christmas, we probably wouldn’t be able to do anything until after the holidays.

I was worried because not only did our Mountain Buggy no longer fit Lil Z, but the backs of her legs rubbed against the footplate. On two separate occasions, I’d taken her out in the Mountain Buggy, only to discover that she’d rubbed the skin off the back of her legs. So, I felt like I couldn’t take Lil Z out in her buggy anymore – apart from very brief trips. A delay in finding a special needs stroller meant that Lil Z would be home-bound for longer.

And then our physio came through with nothing short of a miracle. He talked to a friend who worked for an organisation that has a large stockpile of equipment. And she agreed to loan us a Kimba special needs stroller. The physio brought it over and it fit Lil Z perfectly (much to his disappointment since he’d brought all his tools to do the adjustments). And I love it. It folds easily and fits in the back of the car. Lil Z sits upright in it very nicely and is comfortable and happy. It has recline and tilt in space options, so it can be adjusted if she falls asleep, too. And in fact it fits her so well that she only needs a lap belt – and sometimes I don’t even use that.

It isn’t perfect. It is heavy – so not entirely easy to lift into the back of the car. And after pushing a Mountain Buggy for both girls, its lack of off-road capabilities too me by surprise – no more jumping curbs or bouncing down stairs. In fact, it was a bit of a challenge to get it off and on the train because it is hard to get across the gap between the platform and train. But these are all minor issues when you see how good Lil Z looks in it.

So, in January we are meeting the Kimba supplier. Lil Z currently has a Size 1 and although it fits her now, she will outgrow it soon. So, we’re going to try a Size 2 with a bit of lateral support to keep her sitting upright. I feel hopeful that we’ve found the right stroller at last.

Now this one is just right!

Now this one is just right!

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