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

Hospi-Tales

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Slán

11 Saturday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 6 Comments

It’ll have to be another short post tonight. One reason is that whatever is supposed to be easy with an Apple Mac when you migrate to a new machine turned out to be really complex when I tried it today; I’m still using my phone instead of my laptop to write this (remember when phones were used to make phone calls?).

The other reason is that Pádraig is keeping well. With a good friend from Ireland visiting over the weekend, as well as his older sister.

He keeps trying to make a real extra big effort to talk, say things that are easy and simple for us, complex and difficult for him. Of course, we have to be careful not to be over-enthusiastic, but we have no doubt that he is trying to respond to people who are talking to him

Tonight, when we left, he was so close to being himself, handsome Pádraig, saying ‘slán’ to his friend and family when we left. We are so sure he did. No doubt.

And this is just the start! Right?

Hi

10 Friday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 6 Comments

Upgrading my laptop – it’s going to take another 25 hours. Don’t ask me why! I hope that some miracle will be happening during the night and it’ll all be done by tomorrow morning.
We’re just back at the apartment after a nice meal in town celebrating 29 years together (it’s more like 34 years altogether:). When we were out we talked a lot about what happened today when Pat went in to Pádraig and then myself: we are convinced he said ‘hi’ and ‘Hello’; and when Pat left him, he said ‘slán’ – with a. very weak voice, but nonetheless!
Writing this on my phone – was ‘t even sure whether that was possible an hour ago. But it’s slow. So I’ll give up a and go to sleep – an early night, for a change:)
Hi and slán!

Gods

09 Thursday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 6 Comments

Tonight, 29 years ago, would you believe it, I was sitting with two German friends in the house of two friends in Firhouse (I think) who had vacated their house for us. We were following the ‘book’ on how to organise a wedding in Ireland. One of the rules in the book apparently says that the groom has to spend the last night before the wedding somewhere with his friends. I’m say ‘apparently’ because I have never read or even seen this ‘book’ and have always believed what my Irish family had told me about Irish weddings.

Unknown

Sutton Castle on the outskirts of Dublin where we got married, 29 years ago tomorrow.

Another ‘apparent’ rule, I was told, is that Irish women retain their maiden name after they get married – which causes a lot of confusion in Germany where Pat is called invariably ‘Frau Schäler’, which she finds really annoying, but has decided to tolerate rather than to fight it:)

Pat and I met 34 years ago and it took us just 5 years to make up our minds.

Neither of us would ever have thought that we would find ourselves one day where we are now. We would never have thought how important our relationship would become to us when facing life.

Pádraig was getting back to ‘normal’ again today. We sat him out in his wheelchair, he ate a bit, he cycled on the MOTOMed viva!, I shaved him, Pat cleaned his teeth. Whatever is ‘normal’ has changed but we will have to find some level of ‘normality’ at some time in the future. Life will have to become more predictable. It’s when you feel at the mercy of the gods who play their cruel games with you merely mortal soul, entertaining themselves watching you struggling, throwing at you challenge after challenge, that you wish for calmer seas.

We had conversations with two social workers, one in the Hamburg housing unit, one from the Schön-Klinik. They were the kind of conversations where I breath in, and out; in, and out. When I feel empty and horrified.

Tonight I’m thinking about my two German friend, one dead 17 years now. About the plans, the hope, the dreams, Pat and I had. Sitting in a kitchen, close to midnight, in Hamburg. Writing. About what.

 

Empty

08 Wednesday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 10 Comments

I had almost forgotten about it when I got the call from the lady working for the “Sanitätshaus”. They do exist in Ireland too, the “Sanitätshäuser”, I think, but they function in a different way. In Ireland, they just sell stuff: wheelchairs, walking aids and he like. In Germany, they come to the hospital, assess the person who needs the ‘stuff’, they source it, and they organise all the paperwork with the health insurance, the public health insurance, would you believe.

IMG_9143She called because we had an appointment with a rep from a company that sell shower and toilet chairs. I had met him at the fair in Düsseldorf and now he was coming to the Schön-Klinik to demo the chair. For Pádraig. Isn’t that amazing. So we spent about half an hour checking it out, thinking about the different support ad-ons Pádraig would need, measuring it, taking pictures as a reminder.

Then I noticed that Pádraig’s room, just a few metres down the corridor got very busy. Doctors, nurses, equipment. So I went down to the room. They had taken a routine EEG and a junior doctor had noticed some irregular brain activity. She then called the senior doctor who confirmed that there was something undesired going on that was not (yet) visible by observing Pádraig, but it had started in his brain.

IMG_9149It was back to a drip, a third anti-seizure drug, and an upping of the anti-seizure medication he had already been on for some time now. It was a bit of a deja vu. Almost exactly two weeks ago, after almost exactly the same number of days after day one of the ‘wake-me-up’ drugs, the injured part of Pádraig’s brain was going into overdrive. It was good that they discovered this early enough this time and were able to avoid another trip to the ICU.

Pádraig’s senior doctor came in then a bit later and explained that this was more than likely the end of the drug ‘trial’. He believes, and I kind of agree with him, that it was good to try a second drug after the first had caused the problems. But trying it a third time does probably not make that much sense.

What he is going to do now is to propose to the surgeons in the UKE to try and fix his head bone that hasn’t grown together as we had hoped. And, by the looks of it, that’ll be that.

I had an empty kind of feeling tonight. The end of something. The beginning of something else. Into the wild.

Visit

07 Tuesday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

I blame traffic control. So do Ryanair.

1412667001593_wps_27_image001_pngOn the other hand, I’d say, and, obviously, I’m not a pilot, I’d say a Boeing 737 ain’t like the Picanto I’m driving (on loan from the family). They’re kind of big and have flashing lights all over them. So even early in the morning, on a runway, you’d see one – wouldn’t you.

Well there were two Ryanair pilots who obviously missed each other and got their wings clipped. Literally.

It meant we all – that is everybody who was supposed to leave Dublin airport on a plane this morning – waited for the best part of an hour until these two planes were toed away. Read all about it.

When I arrived eventually in Hamburg it was almost noon. I managed to do some work that had to be done and then met my German family (sister, brother-in-law, niece, and her daughter) to go with them to visit Pádraig. They had come up for the afternoon and then drove back home. It was nice to see them. I’m sure that Pádraig also really appreciated to hear their voices and feel their support.

Today was the fortnightly (or so) meeting with Pádraig’s doctor. It is really helpful to have a good, calm, sit-down conversation about what is going on. Unfortunately, Pat couldn’t be there with me, but we had prepared the meeting together which really helped. They are going to keep Pádraig on his current medication until around Sunday and then increase the drug that might ‘encourage’ him to interact a bit more than he has done so far. We should see over the next 2-3 weeks to which extend he reacts to it and whether it will make a positive difference.

Here’s the link to “Róisín” from the TG4 Player, in case you haven’t seen the programme yet:)

Screen Shot 2014-10-07 at 20.26.51

Promise

06 Monday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

Just before his final exams in early 2013, Pádraig did a media course (film making) in Connemara. He learned how to handle a camera, how to structure documentaries, how to plan them. Each participant in the course was asked to come up with a concrete idea for a documentary that should highlight one particular persons life that for one reason or another had dramatically changed.

IMG_9130I had to think about this non-stop when Maria and I were driving up to Connemara to the studios of TG4, the Irish language TV broadcaster. I also had to think about Pádraig giving out about those ‘people’ who had been living for decades in the country and didn’t speak Irish – he didn’t have to point the finger at me, it was clear who he was talking about:)

So here is my promise:

The Connemara coast this afternoon, with a mini twister about to hit land.

The Connemara coast this afternoon, with a mini twister about to hit land.

learning Irish will be one of my top priorities over the coming years. Things are a bit busy right now, but I’m sure that some time in the not too distant future they will calm down a bit, and I will do it. Not that I hadn’t tried before, but I’m not going to give up that easily – and I’m sure that there’ll be plenty of people out there to lend me a hand.

The programme that we had been invited to is a weekly programme called “Róisín” – you can look it up on the TG4 player (once today’s edition will be up, I’ll link to it; it’ll also be on the air again tomorrow in the early afternoon). Róisín herself is one of the most kind and generous people you could find, and you will see that if you check out her programme.

BzRVXJlIgAAZBQ6Maria talked about Pádraig and how our family is trying to cope. Roisín herself highlighted our plans to establish An Saol as a house for persons with severe brain injuries who have no place to go to other than nursing homes, unless they can be looked after by their family at home. If you have elderly parents or are elderly yourself you know that nursing homes are not exactly popular amongst elderly people. They are even less suited for young people with severe brain injuries.

So, we were very happy that we had the opportunity to highlight not just Pádraig’s case, but also the widely recognised need to establish An Saol. If you are into Twitter, check out @RoisinTG4 and #blogawardsie.

Pádraig’s day today was as straight forward as they come. He had a MOTOMed tour d’Schön session, he was out and about on the roof garden, and some pureed food – not much, but enough to get a taste and to keep practice his swallowing. So far, he seems to tolerate the new course of the new medicine ok. No visible or noticeable reaction so far, in either way. I guess, it’ll take a few days to show some effect. Let’s hope it’ll be a positive effect this time around.

The days seem to get longer and the nights shorter – more like spring than autumn, really. It’ll be a very early morning tomorrow, and it feels already like a late night…

Another

05 Sunday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

Tags

An Saol

This morning, I thought: good job I took some pictures last night. That way I have proof that Maria and I had really been at this most of all the unusual events ever. Congratulations to all the winners!

Yesterday and today, I met with a few people who are really interested in An Saol. They are therapists and one sells equipment. There is also a plan coming together to start with fundraising.

An SaolThere are some things that are very clearly the next steps for An Saol: assembling a team, setting up a nonprofit charity, creating up a website (in English and Irish), publishing a concept paper about it, starting fundraising, looking for land, getting architects to draw up plans, finding builders, and getting started; and we will need a good accountant and a lawyer. Some of the ground work is done, some of the outstanding work will be straight forward, some will be challenging. But there is no doubt, An Saol will radically change the way persons with ABI are being treated in Ireland.

Today Pádraig started on another drug and, whether that was coincidence or not, he was able to eat better than on other days and move hands and feet better too. Of course, it’s much too early to say anything after just one day – but, who knows, this time, it might make a positive difference, for a change.

Maria and I will be on Roisín tomorrow, TG4!

BlogAwardsIE

04 Saturday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 4 Comments

photo 2So tonight was the night of the Blog Awards. Hospi-tales was short-listed in three categories (health, personal, and best blog post). Pádraig’s An Saol had been shortlisted one year (he was around 16 then, I think), and I remember how excited he had been about the whole thing: his podcast in the shortlist! Tonight, in a way, he had a second go at this.

Maria was generous enough to come along with me. Together we set off into the sunset towards Clane in Kildare. Not sure whether you have ever been in the Westgrove Hotel there – it’s huge and looks like as if it was mainly used for larger parties of young people who wanted to spend a night having a good time.

photo 1I can’t remember when it was the last time I felt so out of place. Bloggers seem to be a certain kind of people and the one who met there tonight probably were the hard core. It was a night to remember. Strange, weird, and – in its very own way – wonderful. You might have seen following #blogawardsie on Twitter what happened throughout the night and who won. Hospi-tales did not win a first prize – but it has been incredible to see it as a finalist in no less than three categories. Most of the blogs that won were about fashion or food – fun stuff. Hospi-tales isn’t for a fun night with a drag queen as MC – who couldn’t say a word in Irish (couldn’t even read the names of the blogs with an Irish name) and made jokes about UVF pipe bombs.

It’s great to have a few pictures of the night – that way I won’t wonder tomorrow, whether tonight was real.

Pádraig is doing ok in Hamburg. The night nurse said that they had to suction him, remove the speech valve and use a “feuchte Nase”, and give him oxygen, although only for a short time – all of which is a bit worrying. For months, this had not been necessary (except last weekend which was a special case). It’s also strange that this never happens when we are there, nor generally during the day. – We were wondering, should we stay a night or two with him, just to see whether we can work with him so that he doesn’t need either oxygen, nor a “feuchte Nase”?

It’s late and time to go to bed. It was a busy day today. A lovely night out with Maria.

She and I will be on Roisín on TG4 on Monday evening. – Watch out for us!

Unity

03 Friday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

Tags

Corpus Christi, Day of German Unity, MOTOMEd, Schönland

Today is a public holiday in Germany and, like many other things in Germany, public holidays are different from those in Ireland.

Germans are slow but organised. Irish are movers but anarchic.

Remember when Corpus Christi was moved to a Sunday in Ireland? And Ascension Thursday has long been moved to a Sunday too. Public holidays are, no matter what, on a Monday – and they’re still called ‘bank’ holidays!

Germans know that labour day is on the 01 May, Ascension Thursday is on a Thursday, so is Corpus Christi, and the third of October is the Day of German Unity. There are no ‘bank’ holidays and public holidays are taken when they ought to, not just when they fall on (or a moved to) a Sunday or a Monday.

Even Google is celebrating the Day of German Unity today!

Even Google is celebrating the Day of German Unity today!

What the Germans celebrate today is the realisation of their dream to be one nation. They picked today, the third of October, because on this day in 1990 the unification of Germany was formally completed.

Of course, we all know that the wall had come down the previous year, on 09 November. That day was, in a way, more significant. Curiously, 09 November is important in German history for other reasons too: it’s the day of the declaration of the first German Republic in 1918, and the defeat of Hitler’s first coup in 1923.

I remember one story from the days following the (re-) unification in my mother’s village in Bavaria, very close to the border. Many East Germans came into her village and collected 50 German marks as Welcome Money, given to each East German when they came to see the West for the first time. Some smart capitalist parked his truck in the centre of the village and sold ‘runners’ (sport shoes) off the back of his truck for 49.99 – and made a killing. It was, in a way, a taste of things to come…

photo1Anyways – I have some news from Schönland tonight: the OTs today brought in ‘new’ MOTOMed Viva (remember the MOTOMed? – the big one broke about four months ago). It’s much smaller, neater than the one Pádraig had used before and it’s not pushed over his bed. Instead, he uses it when he sits in his wheelchair – much more natural, I think, almost like in a real bicycle. It’s great to have this going again, it makes such a difference to his exercise regime, to his circulation, and his well-being. He really needs all the movement he can get.

The other bit of news is that a really nice and helpful nurse today helped us to wash his hair – the second time in a week. Mightn’t sound much to you, but it’s almost unheard of in our circumstances. The plan is to wash it about 3 times a week. The amazing thing is that it didn’t take more than 10 minutes to wash it. We brought him into the bath room, set up the basin and used the bathroom shower head for washing. Brilliant. It must make such a huge huge difference to him.

This is the last night before the blog awards tomorrow in Ireland. It’s thanks to you that this blog got three nominations in three different categories and managed to became a finalist in all of these three categories.

Whatever will happen tomorrow night, it won’t be about winning. It’ll be about being there, where Pádraig was some year ago, so enthusiastic, so nervous, so full of hope that he might win with his regular blog and podcast ‘An Saol’.

Whatever will happen tomorrow night, An Saol will be his legacy and will change the way that care for persons with Acquired Brain Injury in Ireland is organised. An Saol will demonstrate that looking after those who most need our help is not a matter of return on investment.

Whatever will happen tomorrow night, it’ll be For Pádraig.

Median

02 Thursday Oct 2014

Posted by ReinhardSchaler in Uncategorized

≈ 2 Comments

Tags

countries of the world, ireland, life expectancy at birth

Before I forget it, here are some interesting statistics I came across recently: the first is about the median age in the countries of the world, the second is about life expectancy at birth.

The median age is the age that “divides a population into two numerically equal groups; that is, half the people are younger than this age and half are older. It is a single index that summarizes the age distribution of a population.” According to a reliable source, none other than the CIA, the median age ranges from “a low of about 15 in Uganda and Gaza Strip to 40 or more in several European countries and Japan”. Ireland’s median age is 35.7

Life expectancy at birth (2012)

Life expectancy at birth (2012)

Another interesting figure which I took from Index Mundi (also quoting the CIA), is that of life expectancy at birth. In other words, how many years can a baby born today expect to live? Here again: an incredible range. From 49 years in South Africa, 60 in Senegal, 70 in Iran, to 80 in Ireland, and 90 in Monaco. There are a few interesting differences I didn’t expect: you can expect to live longer in Syria (75) than in The Bahamas (71), and longer in Tonga (75) than in than in Russia (66).

Both of these figures proof, if proof was needed, that, in general, people live longer in richer parts of the world than in poorer parts of the world; and the population of a poor country is generally younger than that of a rich country. Health systems cost money. If you are poor, you die younger.

imagesPádraig today ‘lost’ his tracheostomy tube. We were with him this evening when he had a big cough, he moved his head and neck to the side, and all of a sudden, the tube was not stuck in his neck but beside it. I went out to call his nurse who came in with two of her colleagues, one of whom stuck his finger into Pádraig’s neck to keep the hole open. Within a few minutes they had fitted a new tube.

It sounds all a bit more dramatic than it was, but demonstrated what can happen – although, coughing out your tube doesn’t happen that frequently. Because Pádraig has had this tube for more than a year now, there was no danger of the hole closing up immediately. There was also no danger of him suffocating because he can breath ok, even when the tube gets closed completely so that he has to breath in and out through his mouth and nose (unless his head is bent back into his neck). Nonetheless, there was a bit of drama this evening – before we left the doctor on call came in and checked him out. When we left, all seemed to be back to ‘normal’, and Pádraig seemed to be ok again.

Earlier on, his senior doctor came in to see us and to explain in a bit more detail what had happened last Friday. Pádraig’s cramps had gone on for an hour and a half, and only after they had given him the third drug trying to control what was going on, did he respond. Had he not responded they would have put him ‘to sleep’ and on a respirator. – On Sunday, they will try out a different drug, kind of a ‘cousin’ of the one that apparently caused the cramps, not as ‘potent’, hoping he will respond better.

We’ll wait and see. – Not in a kinda relaxed way, though. There are things in life I never knew about. Imagine. After so many years. And there are things in life, I’ll never get used to. No matter how long I’ll live.

 

 

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