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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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Bleeper

27 Wednesday Dec 2017

Posted by ReinhardSchaler in Uncategorized

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I was going to write something about onions, comfort zones and the illusion of control (my favourite topic:), stuff that has been on my mind for some time now. Alas, it’ll require some quiet time to do that. And quiet time is in short supply at the moment. And when it’s available, it’s too late in the day and I can’t get my thoughts together.

So instead, here is a piece about the miracle of Christmas or rather: a Christmas miracle. Whether you believe in them or not, this one really happened. And it wouldn’t have happened without some divine intervention.

After months, if not years, of waiting, of first appointments and follow-up, it took just a day or so for a specialist in the Dublin CRC Assistive Technology Department to build a new table for Pádraig that has a build-in sunk-in button that is connected to a bleeper giving him (and us) auditory feedback when he uses it.

Pádraig has been using a button giving this auditory feedback for some time now, but mostly with his left food – which made the whole exercise logistically a bit complex. In addition, this new button can also be connected to the Tobii Dynavox or any other electronic device and, we hope, with the help of a splitter (which I will be looking for) to the bleeper and the Tobii at the same time.

So, here we are, practicing with the new, invisible, always available, button. One bleep for ‘yes’, two for ‘no’, three for ‘I don’t know’, a bleep to make a selection, a number of bleeps to solve simple maths problems. And then we thought to introduce an ’emergency bleep’, the ‘SOS’ bleep, the ‘Mayday Mayday Mayday’ bleep. In other words: loads of bleeps until someone reacts and comes to the rescue.

IMG_1571.TRIM

IMG_1571.TRIM

It’s absolutely fantastic. And great fun. (In order to keep the video short, this is just an extract of the session we had – and Pádraig stopped the ’emergency bleeps’ by himself when I asked him to do so. These bleeps are totally controlled by him.) You could see how Pádraig is enjoying the access to a device that is there when he needs it. That he can control. One for which he doesn’t need anybody to offer it to him to answer a question. I think he was quietly over the moon. And he couldn’t stop himself having me on with his provocative ‘bleeps’ answering (consistently) the opposite to what I would have expected. Great fun.

But also quite frightening. Because: seeing the difference that this is making to him, knowing that there are people around the corner from where we live, them knowing how dependent Pádraig’s well-being is on such a device, well knowing all this and more – how could it take so long to make it available to him. What a difference it would have made to him, his life and his health, if someone had followed through on this two years ago.

They had some ‘experts’ on in the morning giving advice on how to deal with difficult situations in your life: break the problem down into manageable chunks, sleep well, eat well, exercise.

There was only one way to deal with this – and that had nothing got to do with any of the advice given this morning by the experts on the radio.

Starting

26 Tuesday Dec 2017

Posted by ReinhardSchaler in Uncategorized

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A friend of Pádraig’s one evening came and brought some incense and an oil lamp. It was dark outside and in Pádraig’s room. He prepared everything to sit on the floor beside Pádraig’s bed to meditate with Pádraig. The door to the kitchen is just a wooden sliding door which isn’t anything proof, meaning light, smells and noise pass from the kitchen into Pádraig’s room. Someone in the kitchen said ‘sorry, I’ll be making a bit of noise here while I’m cooking but I’ll be finished in a few minutes’. To which Pádraig’s friend answered ‘don’t worry, you can make as much noise as you like, it won’t make a difference to me’.

I will try to be a bit more like this. I can do what I want to do, when I want to do it, what I need to do almost independent of the ‘noise’ around me. I don’t need the ‘ideal’ circumstances to allow me to do this. They might never materialise. I can meditate in the middle of kitchen chaos, I can run when it rains, I can work on stuff others don’t believe in, I can be nice and reasonable when someone is driving me nuts. Sure, there will be setbacks and I’m convinced that friend of Pádraig’s didn’t manage immediately to meditate amidst the chaos of life. It takes practice. I’m starting to practice tonight.

Dustin

25 Monday Dec 2017

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If you’re not Irish you mightn’t be familiar with Dustin The Turkey. After he came last (or second last?) in the Eurovision Song Competition representing Ireland, his popularity slightly declined. He really didn’t ever like Christmas and was always a bit nervous around this time of the year. Understandably.

This year, we had the best turkey ever. We were told it was a happy turkey from a real farm who had roamed the fields and the woods all his life. Happy or not, Christmas brought an end to his life – which is kind of sad. There is this thought in my mind that ending an unhappy turkey’s life is maybe less cruel than ending that of a happy turkey.

The uncle from America, turned vegetarian recently, had, of course, his own opinion about killing animals and eating them….

Earth

24 Sunday Dec 2017

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There was definitely magic in the air at Dublin Airport today with so many people arriving home for Christmas. When Pádraig and us got into the arrivals hall, we thought ‘wow’. The sound of that Gospel Choir was pretty unbelievable. The energy, the joy, the sheer drive and believe behind their songs and their singers was really special.

We went there to meet Pádraig’s uncle from America who has the habit to arrive, like Santa himself, on Christmas Eve.

A few decades ago, it all was the other way around: I was coming to Dublin and he picked me up. It was my first time to meet him and his family. The evening and the night are now a firm part of our family’s folklore and has been remembered at weddings and funerals and, just last Wednesday, on ‘Talk to Joe’. Today, it was and altogether more ‘civilised’ affair. He brought with him best wishes, cards, and presents from people we barely know. Love around the world! And peace on Earth.

Rules

23 Saturday Dec 2017

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I’m having trouble getting into the Christmas spirit. Whatever that is. Instead, I am getting this urge of making long overdue decisions. Some of them I wanted to make when Pádraig’s accident happened. But, everybody knows and Dr Google will confirm that for you: never take important decisions at moments of life-changing events.

My best friend once said: nobody ever changes, unless they really have to. And that is at breaking point. Decisions are too risky otherwise. Especially the big ones.

I am taking a precaution: I’ll try to get some sleep because rule number 2 says: never take important decisions when you are exhausted. Although, if that doesn’t work out (getting some sleep), I’d say rule number 1 will kick in automatically, because I’ll find myself closer to that point where taking a decision won’t be optional.

There is a third rule. Before you introduce any drastic changes, get rid of ballast and clutter. So over the coming days (hopefully) and weeks (more likely) I will get rid of stuff that I feel captures my life. Books, pictures, clothes and other stuff important to no-one else but myself – and I won’t have the time to read those books, looks at those pictures, or wear any of those clothes filling up that wardrobe to a point where it no longer closes.

Pádraig went out food shopping today to one of those gigantic supermarket to get what we will need over the Christmas. Another pretty good thing to be able to do. We’ll have a full house over the coming week. Family will be joining us from Europe, the US and Australia. It’ll be mad, chaotic, great fun, sad (because of all the people missing), never-ending (like the turkey being served, again, on Stephen’s Day:), and (occasionally) happy. Just like Christmas is supposed to be.

Initiative

22 Friday Dec 2017

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Yesterday was the shortest day of the year. Following months of days getting shorter and darker and more miserable, with each night getting longer, times are now changing and change is on the way! Brighter times are on the way!

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Just in case you’re not living in Dublin – check out the new Luas, Dublin’s tram, blocking the view of the city’s humongous Christmas tree on the picture above. The Luas is now running down O’Connell street, turning left into Parnell Square, causing some incredible traffic jams and pedestrian pile ups!

Pádraig had another lovely dog visiting him yesterday, together with his owners (yes, the attention was on the dog:). Unfortunately, I didn’t manage to take a few snaps, but it was obvious how well Pádraig got on with the dog. I started to think (and I haven’t really be a dog-person) that if we found the right dog, with a bit of training as a companion or a therapy dog, I’d almost go for it. Two of his friends recommended a Rottweiler because of their gentle character. Gentle character!!??? Just shows how little I know! I had that picture of Rottweilers in my mind chasing away thieves from expensive properties, fletching their teeth. But gentle? Apparently so!

Every so often these days, memories are seeping through from four years ago when we had just ‘furnished’ that small apartment in Hamburg’s Forbacherstrasse and Pádraig’s lungs weren’t doing that great. He could not eating, he could not drinking, he could not move’, he was not communicating, he could not smell, he could not taste, and he was on a respirator.

Today, Pádraig is on the verge of taking control of his life back, at least to a degree, and he certainly wants to and makes that very clear. What a change that is and how much brighter the future looks today than it did back then, only four short years ago.

One of the most important things he is able to do, and he did it yesterday very obviously, which made it a first, is to do things out of his own initiative, not something anybody had asked him to do, but something he did because he wanted to. We had talked in the morning about the winter solstice and then, in the evening, when he had his dinner, they were reporting on it on the telly. When he heard it mention, he turned his head around to look at the telly. Small move, BIG independent, not-prompted decision making with subsequent initiative.

Good Night

21 Thursday Dec 2017

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Pádraig went out to town to see and experience a bit of the crazy Christmas atmosphere. While he was out on the town, I tried to connect by driving the car through impossible traffic.

I’m tired but I am afraid I’ll have to leave it here:)

Simple

20 Wednesday Dec 2017

Posted by ReinhardSchaler in Uncategorized

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For some reason, I’ve been feeling edgy for the last few days. I have this list of stuff to do. A list I put together last week. The list is a long as my arm. All important things. All need to be done. Not tomorrow, not next week or next year, but now. Urgently.

The problem is: no-one, not the best organised or capable person in the world could possibly do all those important and urgent things on that list. It’s impossible. Yet, I keep working on it. Trying not to become overwhelmed. And keep going

171220 CRC Switch IMG_1523

171220 CRC Switch IMG_1523

Pádraig went back to the CRC today to get a new table with an integrated switch. If it works as planned, it’ll be fantastic.

It became so clear today that what stands in Pádraig’s way, what makes it so difficult for him to communicate, is not a lack of ability. The barrier is access to services that would assist him to overcome whatever restrictions there are.

It’s as simple as that.

Knowing this and not providing him with this access is against any common sense. In fact, I would say it’s denying him his basic human right.

Example

19 Tuesday Dec 2017

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If you ever tried running, you probably have experienced that feeling when this person comes up from behind, passes you out, and you wonder how they do it. It looks as if they were not touching the ground at all. They seem to float by, defying gravity – while you are struggling to put one foot in front of another.

Ok. Maybe it’s an age thing. At least in my case. Comparing my fitness level with that of a 20 or 30 something year old just doesn’t make sense. At least that’s what I’m telling myself when it happens. Even if that person passing me out is pushing a buggy.

But today, I experienced the ultimate insult. Two fully dressed lads just flashed by. I could hardly see them, they were that fast! And, as it turned out, they were not even ‘running’ – they were just trying to catch a bus!

I’m not giving up. I’ve set my eye on the Hamburg and Dublin marathons next year and will just keep trying. I won’t win them, but arriving in one piece would be nice.

I’m doing it because I want to show Pádraig that he is not the only one who is trying really hard on that long, long road to recovery. Today, he had a brilliant session in the standing frame when he held, for the first time, his head and upper body straight with just some back support. This afternoon, in the pool, he did brilliant leg work both on his back and when walking across the pool, in addition to showing really good hand and arm control when pulling and pushing himself towards and away from the side of the pool while holding on to the side rail.

There is no doubt in my mind that Pádraig will be walking one day, maybe in 2018. Because he just won’t take no for answer and the very concept of something not being possible has never entered his mind. What an example to follow.

Keep

18 Monday Dec 2017

Posted by ReinhardSchaler in Uncategorized

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One night last week when one song brought on another, I kept a couple that I wanted to share. So here are the fabulous Moody Blues with The Story in your Eyes and Dutch band “Focus” with the truly (literally) incredible Hocus Pocus.

I can make some sense out of The Story in your Eyes and can really relate to  the lyrics:

Listen to the tide slowly turning
Wash all our heartaches away
We are part of the fire that is burning
And from the ashes we can build another day

But – what do you make out of this:

I mean – “Full lyrics on Google Play Music”??? I’d love to see the rest of these ‘lyrics’!!?? The thing is: no member of the Moody Blues would ever have managed to roll his eyes like Thijs van Leer on ‘vox’, flute and organ did, when he psyched himself up during this breathtaking live performance.

Around Pádraig it feels like everybody is packing up their bags. There is an exodus of therapists and carers out of Ireland that is unreal. It’ll be interesting to see how he and us are going to cope. A surprise is unlikely, but might not be completely out of the question: maybe, just maybe, we’ll have a brilliant, very normal, time. In good company, with late lie-ins, nice walks along the sea or in the mountains (well, what passes as ‘mountains’ here). On the other hand, it could mean complete melt down and final burn out. “Wir lassen uns überraschen”, we’re looking forward to be surprised, as the old German saying goes. (Not that Germans really like surprises.)

Finally, a journalist published a piece in  The Irish Daily Star on 20 November, the day Pádraig became famous on RTÉ One during Science Week. She was so kind to send it on.

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