Recovery

June 27, 2004

Jenny has a couple new movements today. She has spent most of the day pulling her right leg in while in a sitting position. I watched as she practised this for almost an hour, which is pretty good considering that she has not used this muscle in 3 months. Jenny was given the task of being up in her chiar more than in bed, and she has definately met that goal. She is now to the point that she can stay out of her bed all day long. Jenny is determined to get her back storng enough to sit up on her own. Jenny still has frequent episodes where she cries constantly for little or no reason. Today, I had to take her out of sunday school for laughing. These are two things that she has little or no control over and it frustrates her.

June 25, 2004

Jenny had her first real trip out in public today. We went to the sea horse exhibit at the zoo that Jenny talked about seeing prior to her stroke. It started out rough when a child, doing what a child would do, commented to peer something concerning Jenny’s condition. Jenny already resisted going out into public for this reason (being looked at as the “handicapped” person). She was able to calm herself, but had various outbursts of emotion throughout the visit for various reasons. It was crowded at the time we went to the exhibit, but a quick walk around the zoo was pleasant for her. She continues to do well in therapy and is getting slightly stronger each day.

The highlite of the day was when Jenny was hooked up for assistive communication and environmental controls. In just a few days, Jenny has become able to control a delicate pressure switch that can work a speaking board and turn on/off things that we use every day (such as lights or tv). Jenny burst into tears of joy when she turned on a light by herself. For the first time in over 3 months Jenny had actual physical control over something in her environment. Such a small act was so huge to her. She powers switches powered by her hand, head, or toes- where she has most movements. Today marks a dramatic change in our lives. It will take a while for Jenny to become good at the speaking device, but it will be so nice to know that Jenny is having her needs made known all (or most) of the time.

June 24, 2004

It seems that I write less often, but Jenny is actually doing more and more each day. It is to the point that Jenny may demonstrate more movement in her hand (ie-opening and closing the fist) and add a new movement during that therapy session (bending the wrist). Later that same day, as we practise her new movements, Jenny will demoonstrate even more new movments (twisting her wrist). Again, these are all weak and slow movements, but they are getting better each day and they are definately voluntary. We just got a tilt table (table that Jenny is strapped into that allows her to stand and bear her own weight as it slowly tilts strait up to 90 degrees). Jenny hates it, but she does it anyway. Her neck movements and strength are very strong and we hope to have her able to sit in her chair without head supports soon (at least for short periods of time). We feel very blessed with her progress and Jenny has been more upbeat baout her progress. It is great to see her improve so much.

June 21, 2004

We just finished a therpay visit and I am still amazed with Jenny’s progress. It seems like every movement is buidling upon the next and they are getting more defined and controlled. At the suggestion of some friends, I began working the ASL alphabet into Jenny’s range of motion. Her fingers have become more flexible and just today, she demonstrated huge movements in both hands and sets of fingers for the first time. I will be proficient at the ASL alphabet, but unfortunately, only if I am able to use someone else’s hand to sign with. Jenny was given the assignment to do 100 toe lifts each day. The next morning she did 200 right off the bat. I see her moving and practicing all the time. The only real area where there is no advancement has been in speech. It almost seems as she has digressed even though her swallowing, tongue/mouth movements, and breathing have improved.

Jenny went to another church service yesterday and it was much easier on her. The primary children sang for Father’s Day and Jenny handled it much better than I thought. Jenny looks better and asks to get out of bed more often. She does report constant pain or discomfort with various parts of her body, so I want to be clear that this is still a very difficult process- even though she has made great strides in the use of her body.

June 18, 2004

Just when I thought there was a stop to progression, Jenny burst out of the gate today with a bunch of new movements. She feels better today for the first time in over a week, due to infections, and this most likely is a contributer to the improvements. Jenny was lifting legs, moving toes, holding her neck and moving it, and supporting her trunk. Jenny’s brother, Steve, had located a bed that has really improved what the therapists can do in therapy. Jenny also got out of the house again today and went to the community pool to see the kids swim. She seems to want to be more active and up in her chair. On occassion, Jenny has had long stretches of crying and extreme emotions (which is par for the course), but she has been in good spirits with family visiting this weekend. I think Jenny did a little showing off today with her visitors. In that case, I will have to rotate visitors in and out during therapy times.