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~ Acquired Brain Injury (ABI): from the acute hospital to early rehabilitation – more on: www.CaringforPadraig.org and www.ansaol.ie

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To Travel is to Live.

10 Sunday Dec 2023

Posted by ReinhardSchaler in Uncategorized

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I haven’t been everywhere but it’s on my list.
Susan Sonntag

Travelling with Pádraig is fun and a great education.

Fun, because I can share Pádraig’s enjoyment of life and adventure. Education, because I learn so much about other people’s perception of Pádraig.

Last week we went to Madrid for just a couple of nights. Because we love Madrid. Because we could meet some old friends there. And because the flights to the German Christmas markets were too expensive.

It was astonishing to see people’s reactions when we were going into bars and restaurants.

Before we even got there, we had to explain to a very nice lady at Madrid airport whose job it was to organise taxis, that Pádraig’s wheelchair did fit into most converted cars. And that we would too. She called a “Eurotaxi”, which is what the converted taxis in Madrid are called, warning the driver that this was a gigantic wheelchair, accompanied by three adults with three bags. – Thankfully, it turned out that the driver took life, and us, in a less dramatic way.

Next stop was the hotel we had booked, giving them plenty of notice that one of us was a wheelchair user. No problema. When we got there and had checked in, it turned out that the lift was too narrow – obviously, un problema bastante grande. The receptionist was a bit under pressure, I’d give him that, but what followed was very hard to swallow: Had we really advised beforehand that one in our party was a wheelchair user? Could we show them the email? Had we sent them the dimensions of the wheelchair? I mean… really??? Even when we showed them the email and said that we had never been asked for the dimensions, he didn’t really calm down. In the end, we found a cheaper, better, and more friendly hotel around the corner.

The day continued with bar staff telling us getting in would be really complicated, others that we needed to sit in a part of the (empty) bar we didn’t really want to sit in.

In the end, it all turned ou fine. We had pulpo (what else?) in the Cervecería Alemana (where else?), an exceptional breakfast in the Barrio de las Letras, and a wonderful walk in the Retiro. We met our friends and had a fabulous time with them in a little restaurant on the Plaza de Santa Ana.

The return trip turned out to be very exceptional. It was so windy at Dublin Airport that many flights were re-routed, though ours safely landed on time and without too much turbulence. As soon as all passengers had left, one of the flight attendants came over to us and said that Pádraig was going to be lifted down the steps of the aircraft because they couldn’t use the normal lift-on as it was too windy. When they heard about Pádraig’s height, they checked with the Operations Headquarter who asked airport police and firefighters to assess the situation.

For an hour or so, it was unclear how and when Pádraig was going to be able to get off the plane. Eventually, they used one of the big fire engines to act as a wind barrier and got us all of with the normal lifter.

Staff at the airport, including those with more than 15 years of experience, all said that they had never experienced anything like this first hand.

Pádraig will continue to travel, to live, and to enjoy life.

And one day the world will be ready for Pádraig.

He’s on the job. The rest of the world is on his list.


Once Pádraig was safe and back at home, I went to the An Saol Centre where a UCD student and two experts from the Galway-based company ByoWave had started to set up the new Games Room. “Cool” isn’t the word to describe it.

It’s super cool and it will add a whole new dimension to the An Saol Foundation’s offering to its clients.

I believe

03 Sunday Dec 2023

Posted by ReinhardSchaler in Uncategorized

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In reality there are very few things you actually have to do before you die.
They include: ring your mum more often; recycle; watch The Book of Mormon.
Richard Osman, The Guardian (5 Oct 2013)

Osman says it all in his articles on The 100 top things you honestly don’t need to do before you die.

In his review of various articles and books, Richard Osman found, among many other things you apparently have to do before you die :

50 boutique hotels you must visit, 100 ways to make your garden or your children happy, and 5,000 fonts you can’t PowerPoint without.

His response to all this advice? The 100 top things you honestly don’t need to do before you die.

You must never swim with dolphins. If they ever want to swim with you, I’m sure they’ll let you know. Forget Machu Picchu; the sunset on the west coast of Scotland is as beautiful as any you’ll see in the world, and it’s really nearby. And by all means go kiteboarding above the Andes, but that might be the thing you do literally just before you die. And the Guardian would miss your Soulmates subscription.

What’s left? – Call your mother more often. Recycle. Watch The Book of Mormon.

I went to New York last week to visit the Success Rehab Centre who had invited me a long time ago when they had heard about Pádraig’s accident and our efforts to establish a rehab centre in Ireland. And to visit Prof. Joseph J. Fins, the man who wrote the book everybody interested in severe Acquired Brain Injury should read, Rights Come To Mind.

There was one free afternoon. So we went to Times Square and got very heavily discounted tickets to this musical that apparently has been around Broadway for more than 15 years.

It was the funniest 2 hours I had in a long time, perhaps ever.

The videos on the songs, such as Hello or I Believe, cannot really capture all the hilarious and political incorrectness and irreverence of the musical by the makers of Southpark. But they will give you an idea.

It is hard to believe, but true, that one of the many stops of The Book of Mormons US American Tours was Salt Lake City.

One song, Turn It Off, is my personal favourite.

I got a feelin’ that you could be feelin’
A whole lot better than you feel today
You say you got a problem
Well, that’s no problem
It’s super easy not to feel that way.

Turn it off like a light switch
Just go, click
It’s a cool little Mormon trick
We do it all the time.

It answers, in a very funny, satirical way, one the big questions I haven’t found an answer to: how is it that people manage to ignore what they know is wrong – and they could change for the better?

Well, they just turn it off like a light switch, a cool little trick the Mormons must have taught the rest of the world.

The three days we were away from home and from Pádraig were incredibly busy. Full of impressions, emotions, and experiences. Everything worked out. There were no critical emergencies.

The worst thing that happened at home was that our car got a flat tyre when Pádraig was on his way to Vicar Street to see one of his favourite bands, Bell X1. His sister and friends were there to quickly deal with what was a bit of a difficult situation in a most efficient way. They handled the situation better than we would ever have been able to.

The world does not collapse on any of us when we are apart for a few days. We believed. Now we know.

Smile

26 Sunday Nov 2023

Posted by ReinhardSchaler in Uncategorized

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More smiling, less worrying. More compassion, less judgment. More blessed, less stressed. More love, less hate.
Roy T. Bennett

Ireland’s best kept secret is that of the annual pre-Christmas Late Late Toy Show set of last Friday. This year, Pádraig’s younger sister got four of the vary rare tickets to a sneak preview on Thursday afternoon. It was absolute magic to get into the RTÉ studios and into the set of the flagship programme of the world’s longest running Talk Show.

Pádraig saw the action not just in front of and behind the cameras, but through a camera. RTÉ staff could not have been nicer and more accommodating. We saw the new presenter, Patrick Kielty, having great fun with the kids all dressed up and ready for what was most likely going to be the most wonderful day in their young lives.

At the end of the Toy Show preview session we had a coffee.

And then, as if that hadn’t been sufficient excitement, Pádraig’s sister had the best idea ever: she’d show us around her workplace. What for her is by now routine, for us was a whole different world.

Pádraig went into the control rooms of Ireland’s two official TV channels and saw his sister’s pretty small studio where she works as a continuity presenter – including the red button she uses to interrupt whatever is being transmitted at the time to give an overview of the upcoming programmes to the nation. Imagine.

The highlight of his visit, however, was the weather forecaster studio with its blue screen and screen overlays, including the famous isel bars and all. The weather forecasgter on duty couldn’t have been nicer.

Leaving the RTÉ studios, we were in good time to make it to one of his best friend’s graduation in Trinity College, TCD. We met her friends who she had told us so much about and, especially, her mother who had made it all the way from Cork to be with her daughter on this very special day.

Now we’re both TCD graduates, she told him.

In response, Pádraig smiled one of the biggest, most beautiful smiles he had shared with any of us since his accident.

The day ended with all of us going to bed.

Totally exhausted.

With the biggest smiles on our faces.

And in our hearts.

Little Boxes

19 Sunday Nov 2023

Posted by ReinhardSchaler in Uncategorized

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There’s a green one and a pink one and a blue one and a yellow one
and they’re all made out of ticky-tacky and they all look just the same
Malvina Reynolds

I always thought Pete Seeger – the man who said at the 1965 Newport Folk Festival when Dylan used an electric guitar to play Like a Rolling Stone “If I had an axe, I’d cut the cable right now!” – had written Little Boxes. Until I listened to the man himself clarifying that, in fact, Malvina Reynolds had written it.

And the people in the houses
All went to the university
Where they were put in boxes
And they came out all the same
And there’s doctors and lawyers
And business executives
And they’re all made out of ticky-tacky
And they all look just the same

I listened to the song again because I believe it might give the answer to one of the fundamental questions I haven’t got my head around yet since Pádraig’s accident:

Why are those with a severe Acquired Brain Injury (sABI) left behind?

Last week was one of those brilliantly busy ones with some really incredible ‘firsts’ and some equally brilliant confirmations of Pádraig’s abilities which I want to share with you.

Here is Pádraig playing music.

First the tin whistle.

Then the pipes using the ‘enhanced handscupe’ for the recording of an RTÉ radio programme to be aired early next year.

A group of UCD researchers joined in for the recording. One of them had set up a company manufacturing “The Next Level of Adaptability and Customisation”, the award-winning super cool Proteus Controller by ByoWave. And guess what? – They left one in An Saol for our soon to be set up accessible Games Room.

The real “first”, however, Pádraig stunned us with was a much more low-tech, but quite tricky, paper-based exercise which he had attempted some time ago. Back then, he hadn’t managed to complete it successfully.

Have a look yourself.

The task was putting these six sentences into the right order. To be honest, it took me a while to get this right. There were a lot of different steps to go through. Reading, re-reading, remembering, checking and double-checking. Final check. Pádraig got it right.

And they all play on the golf course
And drink their martinis dry
And they all have pretty children
And the children go to school
And the children go to summer camp
And then to the university
Where they are put in boxes
And they come out all the same

At the end of the week, it had become blatantly clear that doctors, lawyers, and business executives need to move out of the little boxes they ended up in. Urgently.

Of course, I know this is an awful lot to ask for. It might almost be as impossible as wishing for World Peace. We won’t give up just yet. On either.

Although, these days it can seem, at times, that we’re running very low even on hope – for both, world peace and those guys moving out of their little boxes.

What then if we failed in this world?

Malvina Reynolds has another song I discovered recently that is definitely worth listening to: I Don’t Mind Failing.

I don’t mind failing in this world
Somebody else’s definition
Isn’t going to measure my soul’s condition
I don’t mind failing in this world

About

12 Sunday Nov 2023

Posted by ReinhardSchaler in Uncategorized

≈ 5 Comments

I learned a long time ago that reality was much weirder than anyone’s imagination.
Hunter S. Thompson

I wrote this 10 years ago:

I started this blog on 11 November 2013, the day Pádraig and I got ready to leave Ireland for Germany. Pádraig had been hit by 4.3-ton van on 27 June 2013, at around 10am, on Rt.6A, Cape Cod, Massachusetts, USA. He acquired a severe brain injury (ABI) and has been in a coma since, although showing sign of minimal consciousness. Following two and a half weeks in Cape Cod Hospital, Hyannis, an air ambulance had brought him to Dublin where he arrived on 15 July. Over the coming months, we became deeply immersed into Beaumont’s frontline. We learned, how the Irish health system is working at a time of cuts, scandals, and disillusionment at every level of care and therapy. We learned, how people with acquired brain injury are treated. After nearly four month in a six bedroom High Dependency Unit (HDU), with the prospect of remaining there for another nine months, until one of the three beds available in Ireland and suitable for Pádraig would become available in the National Rehabilitation Hospital (NRH) in Dun Laoghaire, we decided it was time to leave.

Everything in the blog is my own, very personal experience and opinion of what has been happening to us since that morning on 11 November 2013. But I think a lot of what has been happening to us is far from being unique. Therefore, I hope it will shed some light on how different health systems deal with ABI. I am usually writing the blog at the end of a long day of work and hospital visits, with a bit of driving and shopping thrown in. While I am trying, I am usually so tired that I find it impossible to re-read what I have written, I just fall asleep on top of the keyboard, so mistakes might slip in which, I hope, you will excuse.

Please share the blog.

Reinhard

Maria, Pat and myself were with Pádraig in a Hamburg hospital where he had just arrived. We didn’t know then that we’d be there for a while, wearing protective gowns, gloves, and face masks. Until he was discharged 14 months later. Imagine. That was what Pádraig saw of us and anybody else who visited him.

10 years after, Pàdraig is playing the tin whistle and is just back from a friend’s wedding which he immensely enjoyed. The company, the food, and the drinks.

I am no longer writing the blog every day, just once a week. And I am no longer falling asleep on top of the keyboard when I am writing it. Mostly.

The last ten years feel like a 100 life times. An eternity without a beginning or an end.

Ten Years After – I’d Love To Change the World

I’d love to change the world
But I don’t know what to do
So I’ll leave it up to you

Why

05 Sunday Nov 2023

Posted by ReinhardSchaler in Uncategorized

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Marathoning. The triumph of desire over reason

New Balance

It was a 22,500 sell-out event last Sunday. 16,540 runners turned up on what was a pretty cold and rainy day. 16,347 of them crossed the finishing line. I was one of them.

Dublin is much harder than Hamburg. I knew that from previous years, pre COVID. There are no hills to talk of in Hamburg.

I really wanted to do this, maybe because I wasn’t too sure whether I could. I didn’t really tell people about it.

In the end, I finished Dublin in much the same time as I had finished Hamburg earlier this year.

I have been recovering all of last week.

When I crossed the finishing line, I felt over the moon.

A good friend who had followed me from the start, on his bike, and I then had to walk for a another few kilometres from Merrion Square to Parnell Square to find a pub that was not overcrowded to have that all motivating quiet pint and a good chat.

The following day, I signed up for 2024, both in Hamburg in the spring and Dublin in the autumn.

I’ll do it for that pint at the end. For Pádraig, our family, friends, An Saol, and myself.

With confidence.


Last night Pádraig went to see Mary Black in Vicar Street. He had met her years ago in Donegal for the first time, and then again in the Inveigh Gardens at the Bell X1 concert this year.

She was supported by her Australian friend Shane Howard who wrote Don’t say ok, also performed by Mary Black. And then Roisin O came on stage. What a voice! I knew her name but had not heard her singing before – and only realised later that she is Mary Black’s daughter.

As an encore, Mary Black and her friends performed a cover of Dylan’s I Shall Be Released, with a reference to the Middle East.

It was a brilliant night out. Heaven had its way and fear had lost its grip, all harmonised. With brilliant music. And hundreds of happy people singing along with Mary’s songs.

No Frontiers

If your life is a rough bed of brambles and nails
And your spirit’s a slave to man’s whips and man’s jails
Where you thirst and you hunger for justice and right
Then your heart is a pure flame of man’s constant night
In your eyes faint as the singing of a lark
That somehow this black night
Feels warmer for the spark
Warmer for the spark
To hold us ’til the day when fear will lose its grip
And heaven has its way
And heaven has its way
When all will harmonise
And know what’s in our hearts
The dream will realise

Fortunate

29 Sunday Oct 2023

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

If I am more fortunate than others I need to build a longer table not a taller fence.
Tamlyn Tomita

I had never heard of Tamlyn Tomita. Turns out she is an actress, quite respectable but not too famous. She must be a very wise woman. There is no other way I could think of that could have expressed better what I have felt and thought over the past few weeks.

The PdD student from UCD came back last week. This time, he brought along an engineering researcher who knows all about designing and making structures. The two were experimenting with the Handscupe, a device very generously donated to Pádraig by its medical device manufacturer. They developed the Handscupe as an innovative, therapeutic positioning device especially designed for the hands. The use of Handscupe in physiotherapy or occupational therapy can have a sustained positive impact on therapy outcome. Over the past months, we have re-purposed it somewhat to help Pádraig along.

Here are the videos with Pádraig using it to communicate and to have some fun playing electronic instruments.

Answering questions.
Playing Drums.
Playing the Bells.

Last week, Pádraig told us that he felt fortunate. To be with his family, to have his friends around, and to be able to go to the An Saol Centre. Of course, he didn’t feel lucky for having had the accident ten years ago. Who would. He could have done without it and still feel fortunate.

This is hard to fathom for me and, I guess, for any of us. We couldn’t even get close to understanding Pádraig’s life and the situation he finds himself in since that day in June of 2013. That split second when the driver of the pickup truck didn’t watch the cyclist he was overtaking – but, most likely, the other car that had just pulled out of a side street and was now, all of a sudden, heading straight towards him. The driver that was never prosecuted. The insurance that never paid. The doctors who were pushing us to donate his organs. The health system that badly failed him.

While Pádraig is right that he is fortunate to have so many people around to help, support, and encourage him. To crack jokes, enjoy concerts, and discover new worlds with him. It is extraordinary for him to see his life this way.

There are no words I can think of that could even get close to capture or describe his forgiving, generous, resilient, and beautiful mind. It is that mind that has allowed us to build a longer table, instead of higher fences.

There is so much Pádraig could teach the world.

If it would only listen.

Beckett on a Boreen

22 Sunday Oct 2023

Posted by ReinhardSchaler in Uncategorized

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I can’t go on. I’ll go on.
Samuel Beckett

Playback on RTÉ Radio One on Saturday mornings is a programme Pádraig listens to most Saturdays. Yesterday, they played a clip of our good friend Vincent reading one of his poems, which he had called “Beckett on a Boreen”. It’s just under two minutes, totally absurd, brilliant and incredibly funny. Only in Leitrim. Listen to it. It will brighten up your day.

Beckett on a Boreen by Vincent Woods

There were another few reports from the past week that caught our attention.

Like the one in which a journalist reminded a politician that after the last really bad floods in Middleton, Co. Cork, in 2015, they had promised to build flood defences within five years. Last week, the town was, again, totally flooded, the livelihood of many people destroyed by masses of water – three years after the flood defences were supposed to be built. When the politician blamed the complicated and slow planning process, the journalist stopped him and checked whether he had heard that correctly: the Government blaming their own bureaucracy for grinding desperately needed projects to a halt, or, even worse, preventing the projects from starting in the first place.

Even when everybody agrees, including the Government, things don’t happen, not because of a lack of funding, but because of bureaucracy not working.

Sounds familiar?


Yesterday, Pádraig went down to Griffith Park to check out the water levels of the Tolka.

High Water Levels at the Tolka River in Drumcondra

No flooding yet in Dublin, but really high water levels. Pádraig likes his special ptosis glasses that help him to keep his eyes open and take in his surroundings, including a quick snack at the little café in the Park.


I asked Pádraig whether it was ok with him to blow his cover (and that of his friends who accompanied him). Not everybody would lightly admit to have been to an S Club 7 gig like the one they went to last Monday night. They said it was ok.

You can see how much fun they had.

Life must be about having fun. Even, or especially, when faced with the absurdities of life. I can’t go on. I will go on. Sun, Moon. Moon, Sun. What is it?

Oh Jaysus, lads, sure, how would I know? I’m not from around here.

We’ll have to wait for Godot. With Beckett on a Boreen. In the city. In our everyday lives.

Attitude

15 Sunday Oct 2023

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

Do not go gentle into that good night but rage, rage against the dying of the light.
Dylan Thomas

I think Dylan (Thomas) dedicated the poem from which this line was taken to his father. It’s message, for me, is that we should live life to its fullest, make the very best we can out of it, burn and rave. While knowing that death is inevitable we owe it to life to value and respect it. Giving in and resign is not an option.

Pádraig did 30 squats last week during just one session in the An Saol Foundation Centre with just a little bit of guidance. When I watched him doing it I began to wonder whether I would be able for this. Then again, I’m more than 30 years older…

30 Squads – Try It Yourself and see how you feel after:)

We wanted to go to a small Spanish restaurant. When we eventually tried to book a table, it was full. On the advice of Pádraig’s younger sister, we tried and got a table in Hawksmoore – a new restaurant “everybody” is raving about.

Apparently, the place, located in the historic National Bank building in Dublin’s College Green, was voted Best Steak Restaurant in Europe. It’s run by two Irish Brothers who set up similar restaurants in New York and London.

It was a real nice evening, giving us time to enjoy and savour, and to reflect on, life.

The most challenging question for which I have not found an answer to is how anyone can decide that someone else’s life is not worth living? How anyone can decide to deny the support a fellow human needs to enjoy life, tu burn and rave?

I am all with Dylan Thomas. Rave and rage against the dying of the light. Don’t go gentle into the night. We have to make the most out of the days we’ve got. And we need people to support us when we that becomes necessary.

Dear Guests, Freunde, agus a chairde

08 Sunday Oct 2023

Posted by ReinhardSchaler in Uncategorized

≈ 6 Comments

It is not a lack of love, but a lack of friendship that makes unhappy marriages.

Friedrich Nietzsche

Pádraig was groomsman at his sister Maria’s wedding last week. He, along with our two families and friends, thoroughly enjoyed the ceremonies, get togethers, and the celebrations with our two families and friends. First, and earlier in the week, in our church with the signing of the civil register, followed by a small get together of the two families in the evening. Then, a few days later, in a beautiful country estate the humanist ceremony with around 130 guests, followed by an all night brilliant party.

Not everything worked out exactly as planned. For one, the Child of Prague only delivered on the first day: although he was put out in the garden before the wedding we weren’t exactly blessed with glorious sunshine on the second day..

The first pictures of the Bride were taken in our back garden. After that, we went across the road into the church which I had never seen as nicely decorated with stunning flower arrangements. The civil register was signed by the happy couple in the Church, as well as by the official witnesses, including Pádraig. He had practiced his signature and did a brilliant job on the day.

Maria was driven in a 40+ year old BMW by her husband’s grandfather to the humanist ceremony a few days later. The ceremony this time, was almost entirely conducted in Irish.

The couple had decided that they would, rather than offering a ‘favour’ to their guests, making a donation to the An Saol Foundation – a very thoughtful gesture that was very well received by their guests.

We all, including Pádraig, had a fantastic day which later spilled over into a long night with the best company of new and old friends, as well as our two families.

I’ll let the pictures speak for themselves,

I wish Maria and her husband happiness, love and good health for their life together.

With a huge “thank you” to all who made the past week one we will never forget.

Love was all around us. But, above all, friendship.

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