Tag: Physical therapy

  • A day of fear

    Today, while in Nisarga’s favorite exercise room, I had Nisarga in a wheelchair, while I turned around and made space for him to sit in the pool of balls (a sensory stimulus exercise he loves). I must have turned my back on him for maybe a minute. Next thing I know, he had fallen head first to the floor behind me.

    There was no visible sign of injury, and the crying was normal after a head bump. The doctors didn’t seem overly concerned by what had happened, but I am out of my mind with fear. Not fear that he has been injured. He had been cranky since waking up this morning, but nothing added after the fall. I am terrified because it is dawning on me how big the problem really is.

    Nisarga was sitting cross legged in the wheelchair. Very stable. He even goes down slopes like this without losing balance. Yet he had managed a fall that would actually require him to make serious effort to achieve. He probably tried to reach out to me, or the activity in his eagerness, and fell out of the chair instead of losing balance (which would be impossible in the position he was sitting in).

    All day, his balance has been very bad. He has stopped sitting spontaneously as well and most of the time doesn’t even sit when told. This is a definite regression and it is not today alone – which could be explained as a bad day, upset stomach or something.

    This hospital seems to be so good, yet the results we are getting are similar to the physiotherapy. He hasn’t really learned anything new, he has forgotten things he used to do, and any exercises make him stiff. The effect of the medication too is unclear. Just like the previous times when I used to interpret any change in behavior very optimistically, only to realize later that there was no concrete change. The Feldenkrais sessions too lead to very confusing outcomes at times these days – is it because I have run out of insight, or is it because of two different ways of learning to move interfering with each other is tough to say, but I no longer get a clear understanding of what’s going on with him.

    Frankly, I am depressed today. I don’t know why he is regressing or whether his condition is getting worse, or it is a result of exercise or medicine or a combination of any of these. My hunch is that he is extremely sensitive to triggers that make him rigid, and the Feldenkrais method helps us work around them, but the rigidity of the movements of his physiotherapy trigger it. In the sense, he isn’t really able to sit like a normal child, but we had workarounds that let him sit at will, however he could. Now that the physiotherapy is trying to make him sit in specific ways he can’t, he can’t do that or the workarounds because of the rigidity. But I may be wrong.

    I am at the lowest point in terms of optimism in a long long while. I have no confidence in what I am doing with him, I have no confidence in what the doctors are doing with him, I can no longer even count on abilities we took for granted so far.

    On a personal note, the relationship with the husband is deteriorating, and I had been hoping to become independent and move out. One big deterrent was the lack of mobility for Nisarga. It is difficult to go shopping if you can’t even get the child to sit a minute while you take money out of your purse or put groceries in a bag. How does one live independently with added expenses AND not even have basic mobility to count on?

    And now that fear is magnified a hundredfold. Forget putting the child down to do something, the child isn’t even save if I turn my back while he is in a wheelchair!

    Things are looking really overwhelming. I have no choice but to move on, but I for the first time in my life I have no idea what I am moving toward other than putting one foot ahead of the other.

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  • Another day at the hospital

    Another day at the hospital

    Another Wednesday, another trip to the hospital. Our first since the big Cerebral Palsy clinic day, which had gone far less dramatic than we had been hyped up to believe.

    On the positive side, the session for speech therapy went well, with the therapist giving us several ideas on encouraging speech that ranged from toy choices and interaction styles to massage of his cheeks and mouth area. Lots of ideas with potential.

    The time spent in Room 106 with its various balancing apparatus was very useful again, like last time. We tried out a few more pieces of equipment including a rocking horse kind of thing, which Nisarga enjoyed tremendously.

    The two physiotherapy departments continue to be a pain. We have been prescribed certain exercises for him, that we must make him do, but Nisarga remains true to his history of not liking repetitive and regimented movement as well as becoming stiffer after doing it. Frankly, I agree with him, as logically, they do not appear to be headed in a direction that will contribute to his movement choices. I don’t anticipate much good to be resulting from these and am, in fact having to work harder to combat increased rigidity, both in him, and in my mind, as forcing a crying child to do exercises he is trying to escape just does not fit my view of humane.

    I also think it is dangerous, as crying is the only way he can indicate if he is in pain or other discomfort, so it may be possible to injure him by forcing him to do something he is resisting with everything he has in him. And he is not like that. Nisarga is one cooperative and cheerful guy. Uncontrolled crying is so not him at all. So I am very disturbed by these therapy sessions, particularly the one on the first floor, where the therapist is extremely uncompromising in the movements she wants him to make and Nisarga dislikes that so much that he simply refuses to have anything to do with her.

    I need to find a way to select the therapies that are helping and opt out of the ones that aren’t, in order to maximise the useful impact on him, and reduce stuff that wastes his energy with stress or adds resistance to an already difficult reality. Or at least ask the therapists to not force him and simply show us the movements, which I can try and weave into our Feldenkrais sessions. This is not going to be easy, as the husband is usually inclined to think I am a fool and don’t care about Nisarga’s well being and etc, so apart from resisting the considerable pressure from doctors to “do this if you want your son to get well”, there is the home front too. Why would I be happy to cooperate with one therapy and not another? What vendetta would I have for some therapists over others when they are all new to me? If I was resisting for the sake of it, I’d do it for the whole gig and save time traveling 4 hours every Wednesday in insane rush, no? Procrastinating. Who knows, maybe against the odds, the exercises help and I don’t have to do this battle?

    Anyway, I am noting the movements those therapists see as desirable and trying to achieve them in more respectful ways at home. Hopefully that will help. Or at least not harm.

    In other good news, the medicine Nisarga had been prescribed at the Cerebral Palsy clinic had been very difficult to find, and we had almost given up, when a short tempered nurse told (an even more short tempered) Raka something that led to me suggesting yet another attempt to find it. While Nisarga and I had a great time in the room with the balance equipment, Raka went out searching for it again and chanced to find some lane of medical wholesalers, where he finally got the medicine.

    This is very good, as my internet searches had shown me that it helps decrease spasms, which is very urgent for Nisarga, as he is not able to do a lot of actions he knows how to do, simply because of involuntary movements fouling everything. If the medicine helps dial the spasms down, that one chance search in some godforsaken lane will probably do more to help him than 10 therapists.

    Yeah, so that is that. So far, so good.

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