Showing posts with label OI parents. Show all posts

Relating to (able-bodied) Parents

There is a saying about how the bond between parent and child is strong, unbreakable, the closest. While my parents have no idea this blog exists, and talking about "what it feels like to be the only one.." wasn't exactly dinner table conversation (or any kind of conversation ever) - I believe that bond is true for me. This reflects not just the wholly dynamic and complex relationship between my parents and I, but goes to show that the differences in my genes isn't enough to get in the way of anything.

This doesn't mean that there were not some rough moments from my perspective as the child of able-bodied parents. There were definitely incidents that I felt isolated, times that when I look back are cringe-worthy and likeohmygawd so awkward.

I remember days of trying to clack-clack around in my mom's high heels in my walker. The plastic of my leg braces were wedged into the very tops of those points, where my mom's toes would come together snugly my toes remained rigid. The sides of the brace's plastic foot piece jutted out against the sides of her shoes, it was like my feet were rectangular blocks. It wasn't just that when I wore them the back of her heels still had room to easily fit a beanie baby or two, or that I wobbled precariously to the point where I just slid along inch by inch. My mom didn't have the experience of trying to look lady-like while wearing braces. And no matter how many reassuring words she could offer just didn't fill in that gap - it wasn't something that I recognized at that point, but it is something that I realize now.

Then there were those times when I would be plopped into the carseat to go run an errand with them: the bank to deposit a check, to the grocery store to grab that forgotten item, to the library to drop off books for return - quick errands that lasted no more than ten minutes. Instead of taking me out of the carseat, getting the wheelchair out.. I would remain in the carseat. "Read your book, I'll be out very quickly." And I don't remember if it was ever told to me directly, or if I just mistakenly overheard one of my parents saying: "it's okay if we leave Sandy alone somewhere for a few minutes, no one is going to kidnap a child who uses a wheelchair.. too much trouble." I didn't ask why or how come. To me it all made sense, and there was definitely a part of me that was glad for this logic! How come someone would potentially kidnap my younger brother and not me? How come not everyone knows how to fold and unfold a wheelchair? How come I would be too much trouble for a kidnapper? None of these questions, in my mind, really needed to be asked. I just knew the answers from the way my parents acted.

It took multiple instances of when I would be sent to lunch detention, and when my middle school guidance counselor would call home to say something like: "Sandy keeps getting away from her aide..." It wasn't until I simply ignored my aide for a good two months that my parents realized that unlike my older brother I was not getting teased, and I didn't feel like a 'loser,' and I wasn't embarrassed because I was a dork or a "teacher's pet." My parents went through their own days of classroom teasing but they couldn't tell me to stand up to my bully, were unable to tell me "go talk to the teacher.." because they had never experienced the awkwardness involved between a thirteen year-old girl and an aide breathing down her neck. The larger issue here is my parents weren't naturally able to help me figure out how much help is too much, and how to ask adults I "depended" on for space and boundaries. It was decided through a series of IEP meetings and meetings about "responsibility" in my guidance counselor's office that sorted everything out.

There are lots of other times that I can recall as well. The thing is that even though my parents were not able to give me first-person insight on "what it's like..." that is often not what's necessarily important, or what I needed most in those instances. What I needed most (and have always needed) is to know that my parents were always there to guide me, to help, to support, to explore options, and to just try to understand.

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What I Didn't See Coming

For many of us, the total time from when a fracture happens to when we register it in our minds that we broke a bone (yet again) - happens within the same time frame it takes for someone's eyelid to go from top to bottom in a blink. Sometimes it's while we're holding our arm or our leg as we wait to go to the orthopedic's office that we replay the events in our mind. Did I see the sneaker my wheel hit before I tumbled face forward from my wheelchair? Did I see when my younger brother let go of his crib and fell on to me? Did I realize that my turn was far too sharp in my tricycle before I toppled over? 

And it's so easy to respond to each of those questions with a guilt-tripping If only I were more careful... If only I had paid more attention... If only I had cleaned my room... If only I had reacted faster. While it doesn't necessarily sound like we are doing so, each of those statements in effect makes us responsible for our own fractures. In some cases this might be the case! Should I have been horsing around with the boys in fifth grade and throwing punches at each other? Probably not. Was it my fault that I didn't put my walker close enough to my chair, so that when I reached forward I instead face-planted? Maybe so. Should I have been hopping on my parents' bed right after my tonsil surgery? Nope.

There is nothing worse than sitting with a broken bone and blaming yourself for an injury. I've done it hundreds of times before: now dad has to take time off from work to sit for hours while I get a cast. Now mom is going to start crying and get really upset. Now both of my parents will have to wake up a little earlier in the morning to help me get ready in the morning because I have a body cast. It's awful! The spiral of thoughts that run through our minds is dangerously fast, and dangerously negative. Sometimes they happen just as fast as fractures happen!
I think that what many people with O.I. (including myself!) tend to quickly forget is that fractures will happen regardless of what is done or what is not done. For someone who enjoys control and structure, and having agendas and schedules for what is to come -- having brittle bones can really trip my sense of self and ego big time! And you would think that having lived with O.I. for a quarter century I would have gotten over some of this by now.

I haven't really completely figured it out but I'll share what I have come to see:

It does make me uncomfortable that I won't know if this winter my colds will bring on broken ribs or not. I dislike the fact that when I go away on vacations, I have to pack splints, braces and slings *just in case.* And I don't know if bumping my leg will have caused the screws in my leg to have loosened themselves. What I do see is that beyond all the thousands of possible things that could go awry, and of those things only a small handful I can really prep for - I have a life to live and on most days I see the structure of my life so vividly in my mind. I see my to-do lists, my color-coordinated google calendar, the goals I have for this semester, the professional benchmarks I'd like to meet, or the parties with friends I have to plan, the books I have on my to-read list, the guys I crush on, the pranks I pull on friends, the beers on tap at the bar I have yet to try, the blog stats I pretend to understand, the dream jobs I come across online and sigh wishfully at, the killer leopard print boots I want.

And at the end of the day I realize that for all the hundreds of things that I don't see, I would never trade being able to see them for the things that I do see so clearly. Is it easy for me to say that? (Because you're probably thinking well Sandy, you don't exactly have a choice in the matter). That might be true! But if preventing fractures for the rest of my life means that I don't get to do that one thing in my life that I have my sights set on, I don't think it's worth it. Call me an egotistical freakazoid, call me whatever you want ..but ya know what? My bones heal, the gaps in my life that I miss might not. 

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Five Experiences Every O.I. Child Should Have

5. Invincibility: Whether it's soaring high on a swing set or the freedom of doing flips underwater in a swimming pool - life doesn't always need to feel fraught with worries of fractures. By showing young kids that it's possible to grab life by the bull horns without feeling pain, it instills a spirit of joy and 'can do' attitude early on!

4. Rehabilitation: There are numerous life lessons that are taught when anyone is in rehab. Whether it's recuperating after an injury, exercises that stress patience & persistence, or just the mental focus of putting one foot in front of the other: the experience of rehab is humbling. For a child it's important to not only teach how to 'bounce back' after an injury or operation, but in doing so you are showing him or her the process necessary to come back after any other future set back.

3. Self-Advocacy: It doesn't matter that children are 'only minors' or that children have parents and other adults who will make the decisions. Start simple and small: are they the ones to choose what they want to wear in the mornings? Are they advocating for how much something hurts? Can they choose what color the cast is? Aside from the decision making skills or the self-awareness that this builds, it also helps children begin to realize that they can speak up about what their disability needs vs. the disability speaking for them.

2. Collaboration: This seems almost silly to include because it is virtually impossible to avoid doing. But I think, at times out of fear for safety, there is a hesitation among the grown-ups of children with O.I. to allow kids to work with others - of every ability. Since O.I. is such a rare condition it's important that kids learn how to step out of their comfort zone and collaborate on projects, team sports, at camp etc. Working together, regardless of how rare or common the differences people have is a valuable skill as adults.

1.
Adaptation: Childhood presents itself as a period of exploring the world around, and learning what your body is capable of doing. In other words, for a young child with O.I. childhood is also a period rife with opportunities for adaptation; learning how to do so successfully and unsuccessfully inspires creativity, problem-solving skills, possibility, and what is so often the most difficult thing to do: to simply try


    

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Getting to Point B: Moment of Healing

These incidents happened more than a handful of times, but not too frequently to make them a regular occurrence. But every now and then a fracture would happen and my parents couldn't get me to my orthopedic right away.
When these injuries happened it meant my parents would put a temporary brace or splint on the fractured area. They would help get me into a reclined position on my bed, keep my brothers from playing near me, put a stack of books and a bronze bell in case I needed anything near by. Going to sleep this way was the toughest part of the whole situation for me. Despite the temporary splints and braces, the fractures was still fresh and sensitive to any movement or the slightest touch. Fresh fractures also seem to be the breeding ground for muscle spasms, and though I wasn't physically moving it felt like my muscles were tripping the light fantastic till the break of dawn. I would go to sleep repeating in my head, "don't move in your sleep, don't move in your sleep, don't move in your sleep..." hoping that maybe I could teach my body that having brittle bones can be less painful if it would just understand: don't move. 


Eventually after drifting off and then jolting awake, and then slightly shifting my body weight, or itching a spot, or cracking my back, or ringing the bell for another glass of milk, or flipping the pillow over again -- I would fall asleep. Finally I would reach some sort of compromise between the fresh fracture and my body's clear exhaustion. Both would collapse across some invisible dotted line that stretched between Point A: Moment of Fracture to Point B: Moment of Healing. The two parties are completely zonked out, snoring, drooling, deep into la-la land - it translates into some rest for me.

And then morning would come. Usually I would try to wake-up before my parents awoke in an attempt to enjoy the calm before things started being moved around again. Even to this day, there is nothing I despise more and find more uncomfortable than a fresh fracture being moved. I hate it. I would rather repeat all of high school math than be moved around with a non-stabilized broken femur. Please, spare me. But that dreaded moment would come. When I got older, around middle school, I would tell myself it needs to get much worse before it gets much better. And that was the only thing that I kept in my head as I gritted my teeth while my parents, inch by inch:
Transferred me from the bed to the chair. And then from the chair to the toilet. And then from toilet back to the chair. From the chair to the car.. (all the while I am whimpering like a baby)... and on until we had arrived in the x-ray room, and are well on to making a little bit of progress towards Point B: Moment of Healing.

The mental and physical sensation of pain is always going to be overwhelming. What's more is that it's only ever going to be an overwhelming sensation that you can understand. You're the one who knows how big it is, how persistent it is, when it will appear, when it fades, why it comes, or when it goes. So with all of these facts in mind, what are ways that we can better manage the pain? There are a million pain management techniques and tips out there. There is only one that I have found that works, for me, every single time. Inch-by-inch and bite-sized pieces:
When I lay in bed with a fresh fracture thinking about how I need to somehow get from there into the car, and then onto the highway with all of its swerves and bumps - I will only want to curl up into bed and refuse to move. However, if I think - now I need to move 4inches over and into my chair. The pain seems far more bearable and less infinite. In fact, the pain becomes finite because soon I know I'll be able to say: now I need to move from my chair to the examination table so he can put the cast on and it's all done. Destination Point B: Arrived. 

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But What If..?

There are a slew of things that I worry about on a routine basis: will that spider drop on my head and lay eggs in my ears while I'm sleeping? Will I stay employed? Will my wheel get stuck in the gap between the train and the platform? Will I get stuck in the elevator? Will my wheelchair suddenly break down? Will I find another gray hair in the morning?

Here are some other "But what if's" that I have:
What if I...

  • Get into a car crash. Commercials that showcase a car's safety features with the billowing air bags that explode on impact into the face of a crash dummy freak me out. There should be no need for explanation as to why that is the case. 
  • Am alone when I sustain a fracture. Seeing whether or not I can reach the highest cabinet in the kitchen by climbing on top of my wheelchair, and then swinging from the knobs on the cabinets is probably a bad idea.. but particularly if I am home alone. I am also not great about having my cellphone near by in case I need to reach 911.
  • Start fracturing a lot again. I have heard that my 20's will probably be my most stable period in terms of physical health (especially for someone with type III). The frequencies of fractures has dwindled and I am able to put all my energy into life goals without being tripped up by healing time or bones breaking. I dread the day when the frequency of my fractures increase once again; I am afraid I will not be able to have the same stamina and energy as I did when I was a child.
But as a friend once told me "you can't what if your life away.." It's up to us to turn our worries into sources of motivation for action. Whether small or large, there is always going to be a risk and a consequence to whatever we do -- and some of those consequences we might not even foresee. If we were able to tell the future then I'm pretty sure my parents wouldn't have let me off my bed for fear of the fractures I sustained, but then what would the results have been had they decided to do that?

I once heard someone say "the only things worth doing are the things we fear.." And I agree with that to some extent. Obviously if it risks our safety and life then these are not the decisions we should go through with; however, if it makes us feel a little uncomfortable it's not because we necessarily dislike the situation instead we are experiencing the physical act of learning. The wonderful thing about life perspective is that it is never set in stone, and we really don't need to consciously do much in order to continually expand that perspective - each time we are learning something it adds to that spectrum of perspective. Discomfort, uncertainty, and fears in these instances are then fleeting because the next day will provide a new set of uncertainties and "what if's"; the trick is to never forget what you've already accomplished and recycle that energy to continually push yourself further.
We can all be energizer bunnies, but whether or not we decide to flip the switch to "on" is all in your hands. You can start today.     

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Teaching Dr. Self

Parents of kids with O.I. are often referring to "the scream." This is the noise that sends our parents scurrying to our side and then whipping out the bag of old splints and bandages that appears out of thin air. It is not the same cry you hear when a toddler is getting a booster shot, and it isn't the same heartbreaking wail when a child's hopes are crushed at the toy store. It is part shriek, part cry, part scream, and all of it is directed at a sliver of wispy gray-white that no one can see until hours later on the x-ray. And even then it is sometimes invisible.
There comes a time when the scream doesn't serve so much as an "alarm" for our caretakers because we realize for ourselves what has happened -- we begin to recognize that the pain is coming from a broken bone, just another fracture. And instead of "the scream" we are then able to say "I just broke a bone.."
So when is that moment? How can caretakers or parents help kids develop that recognition? How do kids with O.I. become better aware and more knowledgeable of where a fracture is? How do we know how 'badly' it is broken? Or even how many places the bone is broken in?
There are a few tips that can help make the experience a little less frightening and a little less uncertain ---

Structuring the Suddenness: 
Warning: Just because you are raising a "Dr. Self" doesn't mean medical opinions should be ignored! 

  • It is always most important to listen to the child! Or become acutely aware of where their hands are gripping, or which limb has become oddly limp and unused. Just because you may have heard a crack coming from there, doesn't mean that may be where the bone is broken!
  • Let the child hold the broken bone as much as possible - particularly during the transition before going to the doctor's. I know that from my own experience it is difficult for parents to not want to rush in and 'fix' everything themselves; however, knowing how the broken bone feels to us, where it is, how tightly to hold, what position to rest the broken arm in are all small details that begin to build our awareness of our bodies. The body is learning even when things may be breaking down.
  • Know which questions to ask. At the time of a fracture, especially for an O.I. fracture, "how did this happen?" Might be one of the first two questions that are on the tip of your tongue. But think about it!! The child has O.I.!! And most of the time, especially for young children, we aren't always aware of how the bone suddenly broke. From my experience, I used to become extremely frustrated with school nurses who would ask me "how did this happen? What happened?" before they would assess where the injury was. It doesn't help the O.I. child when you are trying to figure out the "how and why's" while they are in pain; in my experience in fact, it only made me feel worse. Instead figure out "where does it hurt?" "What hurts?" "How much does it hurt?" "Can you wiggle your fingers?" "Does your leg feel numb?" Thinking about fracture prevention is important, but not until after you have taken care of the incident at hand first!
  • Let the child be a part of the 'grown-up' discussion. This might be difficult because the fine line between protecting and shielding are so often blurred. However seeing the x-ray, listening to the doctor talk with my parents about healing time, and becoming 'naturalized' to the language and vocabulary all became useful tools to becoming self-aware of my body. Of course no parent wants their child to hear the doctor say "healing might take about 5 months.." but the reality of it is that we begin to connect the pain to healing-time that is required. It is a difficult connection to describe in words, but understanding that my arms heal faster than my legs or that my ribs take about 2-3 weeks to heal have helped me become better equipped at assessing my own physical abilities.
  • Routine. No one likes the idea of breaking bones becoming a routine. But because of the frequency of these incidents the truth is that there is some kind of routine to each of our own fracture management procedures. Whether the child fell off a trampoline, broke a clavicle, or sustained a bruise to the bone -- try to keep some semblance of order in the chaos. I know, I know many of you are thinking Sandy, you just wait until YOU have a kid with O.I and THEN you try doing this..but growing up I have appreciated the order in which my parents dealt with broken bones. It helps to know that small instances in life that can quickly be turned upside down are not reasons to feel despair. It helps to know that just because you broke a bone doing something your brother does all the time doesn't mean you were wrong to do it. And it helps to watch that no matter how badly things feel anything can be righted once again!  



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Fractures: from the perspective of a mother

In previous entries I have talked about what is going through my head as my body registers that a fracture has just occurred. But what is going on around me? Let's shift the camera lens to my mother --


I'm at home sitting at the dining room table, about to get up from my seat and walk back to my room with my walker. My mother is in the kitchen cleaning up. She sees me turn sideways in my seat, she watches as I reach for my walker, and somehow to her disbelief she watches how I missed the millimeters from where my fingers should have grasped the walker handles -- suddenly I am face down on the floor, screaming that both of my femurs had snapped on impact. 
"Does your chest hurt? What about your ribs? What about your arms?" She rushes towards me, takes off the yellow rubber maid gloves she uses to wash the dishes and kneels by my side. My mom knows that she is going to have to turn me over, and she knows that it is going to cause me a lot of pain with two of my legs broken. But thankfully because I was walking I had my leg braces on, so she used them to stabilize the fractures as best as she could. She turns me on my back and while I have sweated through my clothes she carries me in her arms onto the couch. 
Her face is focused and determined. No other person exists for these moments until she gets her daughter to the hospital, until I am in the care of my orthopedic doctor. Skillfully she has then transferred me to the car, called the doctor and let him know that we will be meeting him shortly in the cast room. There is no talking during the drive there, she winces and holds her breath with me whenever she goes over a bump or as she gently maneuvers the car over a pothole. During the x-ray she is tense and stands nervously by the radiologist as he tries to position me; I am not sure who I feel bad for - the radiologist who is visibly nervous as a fiercely overbearing Asian mother is breathing down his neck, or for my mother as she knows that the painful process of positioning broken bones for an x-ray is a necessary evil I must go through.

And she can't do anything about any of it.

Her face is white, her lips drawn tight, and she wrings her hands as she watches the doctor peering at the x-ray over the light table. 
"Okay well, we're going to need mom's help to help hold while we put the cast on. Gently now.." My orthopedic doctor will say like a stage director, cuing my mom onto the scene. She gets up from her chair and helps to undo my pants, taking care to notice where the injured areas are before the doctor touches anything. Mentally noting where her daughter is gripping her broken bones so that she will know to hold them in the same way, with the same desperation and intensity as the fiber glass cast goes on. 

While the cast is being put on, my burden is temporarily in someone else's hands. It is in the hands of skillful precision of my orthopedic doctor, it's in the hands of a gentle orthopedic cast specialist, and most importantly in the hands that I, as the child, trusts the most - my mother's.
As she is holding the broken limb it is the closest she will ever be to how I am feeling. Or to understanding what it's like to be me. We are not a family that talks about feelings, or to even acknowledge that I may be any different from my brothers in terms of expectations and abilities. And I begin to feel better during these moments because even if she doesn't know what it's like to have O.I., or if even if she's never broken a bone in her life, and while she may not be willing to talk about emotions -- she is being my mother in these moments, and over the years this image is what remains when I think of my mother; this is the image that explains to me what mother's do: they will drop everything and everyone if their kid is broken, they make every effort to be there when their child needs it the most, and above all they will be the surest hands that hold everything together when none of the pieces seem to fit and no science can explain them away. 

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The Mutant Speaks!

Most of you already know that I am the only one in my family with O.I. When I was born my parents opted to not have the genetic testing (skin biopsy) to find out which side the gene was on. As a child my parents explained to me that knowing where the 'cause' of the O.I. came from didn't change whether or not I still had the condition, and I grew up being okay with that decision. I still am. I suppose that for the most part I am someone who would prefer to learn how to adapt, manage, or solve a situation as opposed to being curious about the origins of the problem. At the end of the day I go to bed still with the O.I. but I learn each day how to deal with it.

With that said, to my knowledge, I am a mutant. A genetic mutant. Growing up the Teenage Mutant Ninja Turtles were wildly popular among kids and I loved them. (I even dressed up as one for Halloween.. the picture is somewhere..) Rafael, Michaelangelo, Donattelo, and Leonardo were my buddies and it wasn't just because they loved pizza as much as I did. Or taught me to say "cowabunga!" It was because they were the first to make being genetic-errors cool. They were mutants too, the closest thing I had to people who were 'like me.' They were my mutant role models.

When you're a child you lean on your family and parents to show you how to be a person. Everyone comes from some perspective, rules, ideals, values, culture, or some understanding of the world/society in which we live. It is through this construct that our parents and family raise us. If a child is black their family teaches them about what it's like to be black; if they are Eskimos a child is shown how to survive as an Eskimo; if a child is born into a family of politicians they quickly learn about life in public office. But when a genetic mutation happens it means this is a child that has something no one else in the family has. Who does the kid lean on? Who is going to tell the child about the perks or pitfalls? Who serves as the role model? Who is going to show him or her the ropes?
For me much of that was whatever I was surrounded by. Whether it was the Teenage Mutant Ninja Turtles or Roald Dahl's Matilda or Wheels (the wheelchair character from the Burger King's Kids Club).. I learned early on that I couldn't expect my parents or family to have all the answers for me. Other kids might be able to go home and ask their parents why they don't celebrate Christmas and have a Christmas tree, but I couldn't go home and ask my parents "how do I tell my friend I can't go to her gymnastics themed birthday party?" Or "How do I tell my friend about what a genetic disorder is when we're only just beginning to learn the song 'heads, shoulders, knees and toes..knees and toes'?" Well I COULD ask them these questions, but I already knew they wouldn't be able to help. They just wouldn't get it. There were a lot of other situations where I was at a loss in. Who was going to show me how to dance in a wheelchair with that boy at the middle school dance? Who was going to teach me about wheelchair sports? What about all the politically correct and incorrect terms that differentiate a disabled and able-bodied person? How do you open doors with one hand and push with the other? What do you do if you can't reach something and no one is around? What happens if I break a bone and no one is around to help? I am sure that there are a lifetime of these situations that I could list, and I know that these are situations that I will continue to find myself in - questions that I will continue to discover answers for on my own.

There is no doubt in my mind that I wish I had met someone else with O.I., or someone else who used a wheelchair earlier on than I did. I think it would have made a lot of things easier for me, both logistically and socially speaking. But this doesn't mean that I resent the rest of my family for having missed out on this mysterious gene. When I was a kid and was fracturing more frequently (at least once every 4-6 months), when all of the commotion was done and I had gone home in my cast - I used to wish that at least ONE of my parents had O.I. too. Maybe that way they would have been able to warn me about how much it would hurt, or maybe that way they would know the most comfortable way to be picked up when you have a fracture. But no, instead as a kid I was always the one screaming my head off in the cast room -  crying because I didn't know it was going to hurt this much, and because I didn't know when it would stop, and because no one had shown me the way first. Maybe it would hurt less on that hospital table if I knew one of my parents had also felt the jagged burn that comes with a fracture... and then had grown up to raise a family, to have a life, to have survived the ordeals.
But these are thoughts that I would never allow myself to think too long on. I would immediately begin to feel guilty. What am I doing? Why would I wish this on anyone? Sure. It's true that I have managed and have done fairly well with my life, but that doesn't mean that I would want to put anyone through the same situation. Having non-disabled parents and family members is the only family that I've ever known, so of course I wouldn't trade them for anything! In some ways having unaffected family members has forced me to adapt earlier on, and to push myself to 'be like them' (and the majority of the rest of the world) as much as I am able to.

Here's a take away thought: Being a genetic mutant shouldn't just be limited to super heroes or medical labs. For me it's a way of life; it's a way of life that I do my best to live and it's not something that I think about constantly or even daily (or monthly). I live like anyone else does, I have the same questions and life challenges that you do, and in the mornings I put my pants on the same way that you do. After all of the differences that being a genetic mutant may come with - I would argue that there are a lot more similarities between me and the rest of the world than whatever lab tests may reveal, and that is how I continue to proceed.


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Wrap-Up

Posts from this week can be found below --



Have a great weekend!!

  •  Fracture Free Friday: Dental care, Dentinogenesis Imperfecta, Oral surgery, Braces.. here it is.

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I Wish for a Day When...




1. Everything is accessible, but especially the homes / apartments of my family and friends
2. Curb cuts exist where they are supposed to exist, and do not become a fortress of snow in the winter
3. Able-bodied people will not have to think which way the accessible route is
4. Catching a bad cold will not be reason to panic about the state of my lungs
5. I will not have to depend on my wheelchair's battery but can rely solely on my own energy
6. Planning public transportation trips will not also require checking whether or not elevators are working, or which stops are accessible 
7. Moving around in a crowd will not be tempting a visit to the emergency room
8. People will stop their condescending behavior i.e. patting me on the head, or saying 'awww you poor thing' 
9. Our society will stop associating 'disability' with 'excuse' or 'cop-out' of contributing to a productive life
10. I don't feel the need to over compensate for my inabilities in other ways
11. My family realizes I'm going to survive without them because I know of & believe in no other option
12. I can see and respond to other people's thoughts when they are staring from the corner of their eyes
13. Every disabled child has the kind of incredible teachers & aides that I have had 
14. I can give every disabled person and their families a moment of possibility, relief, and or hope    
15. We all realize there is very little reason to be afraid or uncertain of one another, and all the more reason to connect, to understand and to help each other succeed


Yeeeaah I know...but what can I say? I dream big. 

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Wrap-Up

Most of the posts for this week were more focused on my current/adult life. I talked about my college years, gave advice on the college essay, and went into the joys of being in your 20's. So when I got this week's Fracture Free Friday question it was nice to think back on my childhood... who could dislike the memories of a whimsy and carefree time! :-)

  • Monday: In my opinion (and from what my friends say) being in your 20's with a disability is not much unlike being in your  20's without a disability! So, what's it like now? 
  • Tuesday: It can be highly amusing to me when people freak out over incidents when my friends are more seriously injured."Trust me, I'm fine."
  • Fracture Free Friday: This week's question dealt with one mother's uncertainty of how to encourage her daughter's dreams of becoming a ballerina but also being realistic. Dreams vs. Reality 




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Keep it in the Family

This post comes from a story my mother used to tell me.

At first she didn't think she would be able to do it. She doubted whether or not she had the mental and emotional strength to care for an extremely fragile and tiny human being, that human being was her infant daughter, me. My mother was afraid of hurting me, of causing more damage, she didn't want to be responsible and probably felt a certain amount of dread and guilt when it came to taking care of me. Although it used to hurt to hear her tell me this, I have come to be able to place myself in her shoes: and I just can't blame her for how she felt. Mentally I have decided I cannot choose to be angry at her, and emotionally there is no longer any feeling of hatred or resentment whenever this is brought up in my family. I can't be angry with her because she wanted to give up on me when I was born. It must have been scary and terrifying and a whole slew of other emotions that ... quite frankly... I hope to never experience myself. (Being able to forgive is a whole different story though, that process has taken many years of my 20 something years of living). And so it was that for much of my early infancy I was sent away, placed in the care of my paternal grandmother.

"All of my paycheck went to babysitting and nannying fees that you and your older brother required" she would tell me. It didn't surprise me that my mother only trusted family members to look after me, her only disabled child. I am also sure that it would have been difficult or near impossible to find a babysitter skilled enough to know what to do with an infant who had O.I.
"I only trusted family members. At least this way everything would still be kept in the family, especially if something went wrong. There was no need to involve other people or strangers. I was tired of hospitals and strange doctors already."

In the re-telling of this story my mother always made it a point to let me know that she came and visited me every opportunity she had.
"Whenever your father had the day off or any free time we would drive over and come see you." I lived at my grandmother's apartment, "all of your furniture and medical equipment was over there. Your crib, your bathtub, the special seat you used, any of your splints and casts -- all of that was over there. You lived there. Most of the time you just lay on the couch and watched t.v., you were quiet unless something was wrong, and other than the broken bones you were a non-fussy baby." For awhile there didn't seem to be any issues. I was content, healthy, and seemingly happy. My grandmother was getting paid and had no complaints, and my mother was able to continue on with her job and career as an accountant.

Then came the day when all of that would change.

It happened when she came to visit one afternoon,
"One of your arms wasn't moving and I noticed it right away. You were a baby and normally babies are constantly fidgeting and moving about, everything else was moving except for one of your arms and I realized something was wrong." To this day I find it shocking that my mother could immediately tell that something was wrong, but it is also relieving. It's relieving to know that despite sending me away as a baby my mom was somehow still connected to me, in fact it makes me glad to know that her mother-instincts were still on point when it came to my well-being.
"I told your grandmother that I think something is wrong with your arm and that I should take you to the doctor. But she refused to believe that anything was wrong. She kept insisting that you weren't crying and that you were happily watching t.v. But I knew something wasn't right. My gut told me." Somewhere in the conversations my mother and grandmother were having was a great misunderstanding.

My grandmother interpreted my mother's concern as accusing her of having done something wrong, or worse injuring my arm. But this in fact wasn't at all the case.
"Since I knew you had a brittle bones disease I knew it wasn't because of anything your grandmother may have done. This is just something that happens with you and I am not sure she ever understood, I wasn't blaming her" my mother would say.
"I told your grandmother that even though you were a baby, in your mind you probably knew that it was broken and you had taught and trained yourself to not move something that was broken. I assumed you weren't crying because you had probably cried enough. I believed you had no more tears to show that you were in pain, I thought you were probably tired from having cried so much already."

Every time I heard this story I was always amazed by how much my mother "just knew" and how accurate her "gut instinct" was. This relationship isn't something that I can really describe but I am sure many other OI parents are familiar with this 'feeling.' Although now that I think about it it's probably not just limited to OI parents, probably every parent has this ability -- it's like a superpower, another sense that clues parents into what may otherwise be indescribable for a child. (Pretty cool for a parent! Sometimes slightly annoying for a child!) 
After that incident occurred (and it turned out my mother was right, I did in fact break my arm), she decided to stop sending her children away for other people to care for. She realized that not only did she just know what to do but in fact with practice, and by being around her kids everyday she did in fact have it in her to raise and care for us. Over time and with numerous struggles in the process my mother became less fearful of my limitations and disability. My mom's ability to be my full-time care taker as a child took patience, experience, failures, mistakes, and a strength that grew over time; as her daughter I won't know what else it took but I'm sure there is much more to it than just that. (I MEAN, LOOK AT HOW I'VE TURNED OUT! :-P)


***
Now that I've written this post I'm beginning to wonder why I felt the need to write it out. I think this is going to be one of those stories I wrote without fully understanding the point myself. There seems to be too many lessons to be learned and those lessons will probably vary depending on the point of view (are you a child with O.I.? Or are you the parent? Or are you the relative? Or are you a caretaker?). I believe that this is one of those stories where the meaning will evolve over time. When I read this in five years I will probably get something very different from the story than what I get now...and that leads me to believe that you probably will too.

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5 Things I wish I could do...

In a previous post I had mentioned that there are a handful of things I wish I could do but I can't, for everything else I have figured out an alternative. Here are those 5 things:


1. Run a marathon. Well, I wish I could run in general. I'm a sucker for all things fast and speedy. But there is something about marathon runners that's incredibly dedicated and determined. To be able to say "I pushed my body through 26miles.." is probably something I won't be able to do any time soon.

2. Snowboard down a mountain. A lot of my friends snowboard. No, I don't want to ski - I want to snowboard. My friends make it sound cool and it looks awesome! Besides there aren't too many ways I can really enjoy winter and the never-ending piles of cold white stuff that we get here in the Northeast. To race down a mountain on a board, fly through the air while you're doing gravity-defying turns and flips, and then land upright (hopefully) -- what's not to love?!

3. Diving into a waterfall. I can't really explain this one but it's just something I want to do.

4. Climb stairs in my wheelchair. This would solve a lot of my day-to-day problems, not to mention it would make it SO much easier to hang out with my friends (most of whom are not wheelchair users). Not only are these special chairs way out of my budget but I also doubt my health insurance would ever say yes, climbing stairs in your chair would dramatically improve your physical health - we will buy it for you. Even if I did somehow manage to get one in my possession some day, I would probably still be paranoid of it malfunctioning in the middle of the staircase or something! What can I say? I'm suspicious of technology..

5. Stop breaking. This would be the ULTIMATE dream for me - but it's not something I've figured out how to do yet. I know, I know, we can't STOP breaking but we can do our best to prevent fractures from happening and strengthen our bodies so that fractures are not as frequent -- but don't we ALL wish we could just STOP already?!


For everything else that I have ever wanted to do that may have seem slightly ... impossible.... I have either just done it with all the risks & consequences in mind, or I have been lucky enough to find an alternative. As someone who is an adult, my capacity to "just deal with it" is a lot greater than when I was five years old, and unable to "deal" with not being able to run around with my friends. There isn't an easy answer to teaching kids that unfortunately their disability is limiting in some capacity.


(Major bonus points & automatic friend for life if you message me telling me how I CAN do one or more of those things).

Tips on "getting over it" :

  • Instead of saying "You can't" it's less harsh and less definitive if you said "I'm not sure..." or "I don't know..." 
  • Don't bullshit. At a certain age it's appropriate to cover things up and say "well you can't go on the Superman roller coaster but the kiddie one is just as fun!" But after a certain age we all know that's just not true. Being honest and owning up to the facts and reality builds on a younger person's ability to cope. "I worry that you might get seriously hurt if you went onto the 'bigger' kids' rides.." is legitimate, honest, and also introduces the idea of consequences
  • Personally I have 'gotten over it' by finding things that only I can do well that other kids aren't able to do as well. These are things that I am passionate and interested in, practice a lot of because I enjoy doing it, and have found my own 'thing' to hold over other peoples' heads and have THAT be out of reach for THEM
  • Allow the time and ability to express how upsetting it is to not be able to do something. Brushing it off and moving forward too quickly is just another way of 'covering things up' and it will feel like you are not legitimizing a young child's feelings or dilemmas




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Whole to Fractured - The Mental State

Special Note: This is my 100th post! Let's hear it for 100 more =) Thanks for reading & for your support!!
--

"Does having a broken bone slow you down at all?" My high school journalism teacher asked me. To this day I don't know what spurred her to ask me this; maybe it was because that time I had my head down, and was heading to my next class away from the rest of the crowd - taking care that my broken arm wouldn't be further jostled.

I have often re-visited the question my teacher asked me in my head, do I have a 'fractured' mentality? One that is more than just taking extra care, moving about with caution, and taking care to keep the cast dry in the shower? And if I do have a broken-bone mentality, how do I make that transition from being 'whole' and in my 'normal' state to one who is injured?
When a fracture has just happened I get very quiet. I stay away from the group and generally prefer to be left alone. In this state I definitely do have a 'broken-bone' mentality in that all my energy is focused on assessing the injury, stabilizing it, and 'getting used to' the feeling. A fresh fracture heats the surface of my skin and is sensitive to the movement my body makes with every breath that I take. Aside from the extraordinarily annoying distraction that comes with the pain and discomfort a broken bone brings, I think around this point I'm already trying to figure out how to "move on" from the fracture. I talk myself out of being totally succumbed by the pain and annoyance of the fracture:
It's just another fracture. Bones grow. Bones heal. This isn't going to be forever. Be calm. Ignore everyone else. Make sure no one touches the broken bone. Defend and protect it. 


I am only 40% listening to anyone who is not a doctor or a nurse when a fracture has just happened. Don't get me wrong, I always appreciate friends and family who are there with a comforting word or are trying to help - but my world suddenly becomes limited to the fracture and managing it the best way only I know how. There is an underlying fear in me that if I get distracted by other people talking to me I won't be paying attention to the broken limb. I won't be holding on to it the right way. I won't be paying attention to when my skin has stopped heating up. I won't notice when someone accidentally bumps into me. All of these slip-ups on my part can cause a lot of pain that I have somehow taught myself can be avoided. From this point on whatever pain can be avoided I will leap towards! If it means waiting for my orthopedic doctor to come back from his vacation before setting the bone again, I'll wait. In my 'broken bone' mentality I will only do things that I am most comfortable with, know the outcome of, and take no risks; this is pretty much 200% contrary to how I usually am.

After the broken bone has been stabilized and there is a cast over it I try my best to get right back into my usual routine. Of course there are things that will need to be adjusted. The way I transition from the toilet to my wheelchair. Or the way my family or friends carry me. The technique I use to open doors while in my wheelchair might need to be adjusted. The way I get dressed. There are a thousand things that need to be tweaked a bit but because I am old enough, have had the experiences, but most importantly have learned -- I usually do these things now without a second thought.
Aside from all of the day-to-day tasks my 'usual' routine has also consisted of school, work, hanging out with friends, volunteering, going out with friends, hanging out with friends, and did I mention hanging out with friends? Here's the biggest obstacle for me whenever I have a broken bone: FATIGUE. I sleep a lot when there is a fracture, and usually almost immediately after a cast is put on I am fast asleep. It's hard for me to accept that I am not able to do as much with my day. It's annoying to admit that I need to stop and rest. The toughest part of this part, for me, is when I am resting I realize that I am resting because I broke a bone. During these moments it's usually just me and the cast, and right then at that moment - Yes. I hate to admit it but yes, my life is slowed down a bit when I have a broken bone.

I s'pose the title of this entry is inaccurate. My mental state is never fractured and I wouldn't say that it is at all slower when I have a fracture. The lull moments are when I realize how fortunate I am, those are the times when I am teaching myself how to be stronger, when I am 'talking' to my body and telling it to heal quickly; these are the moments when I am learning how to roll with the punches and adapt quickly but cautiously. All of these are things that I carry with me long after the doctor has taken the cast off, I might not remember every fracture incident or every bone that I have ever broken - but I do remember the things each one has taught me and how each one has subtly shown me more of life than I am otherwise conscious of.


Mending a 'broken' mind:

  • Growing up in an environment that encouraged my abilities helped reinforce my coping abilities when I had a fracture as a child. Sure, my parents were a little extreme in that they always sent me to class after they splinted a broken bone themselves - this insanity actually had its benefits!
  • It's easy to slip into the "why me?" mentality. And the few times I have done this I have always been frustrated by the lack of answers, and also by the ultimate pointlessness of this thinking. I think that this is a normal process of thinking and one that each person has to figure out on their own, but for me the dead-ends that I always wound up in taught me to just stop asking the question 
  • This took me forever and years to recognize and it's actually something I recently have come to understand - but it's okay to cry! It's not a sign of being pathetic or weak, it actually helps get stress out when there's little else that you can otherwise physically do
  • What I wrote above is only true for me. Each person has a different way of reacting to injuries and different ways of dealing with your body. It's important to take time to understand how your body reacts to best know how to manage and deal with it! So even though I'm a huge proponent of getting back into the routine ASAP, I know that taking time to rehab and let your body & mind adjust is important to managing fractures
  • Surround yourself with people that you enjoy being with and do things for you! 

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Weekly Wrap-Up

This week I got back from the Easter Seal's Explorers Camp in Maine and hit the ground running with loaded entries! Miss any of'em? Check them out here:


  • Monday: I started the week off by writing a Post-Camp Letter to myself summing up my week away
  • Wednesday: Part 2 of "My Evolving Self" was a tough entry to write but an important one nonetheless!
  • Thursday: Originally written in 2003 by my 10th grader self, it was then published in the OI Foundation's Breakthrough! "The view from the bottom..."

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Weekly Wrap-Up

Hey everyone, I had a great experience during my week away and I hope you enjoyed the posts from this week. Next week I've got an exciting announcement and will write a more detailed entry about my time in Maine at Explorers Camp! If you missed any of the posts while I was gone catch them here:


  • Monday: Before I left for camp I wrote a pre-camp letter  where I shared my excitement for the adventure to come
  • Fracture Free Friday: This week's question dealt with young children who find my appearance to be a little "off" or different. What do I tell them? 

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If I had an O.I. Child

At this point in my life I would rather raise a drooling three-headed dog than a human being, I'm just not interested in having kids. It's more than the genetic risk or the potential damage it would do to my physical anatomy, right now I have an aversion to all crapping, gurgling, milk chugging, and diaper-changing babies. When other people are "ooh-ing" and "aww-ing" over babies I automatically zone out. To me the wisps of fish-scale clouds are far more interesting. Of course given how old I am this could easily change in the next 10 years...(is this what people mean when they say life is an adventure?? Because to me it's just shit scary!)

But this doesn't mean that I have my own ideas of parenting. In the natural progression of this blog I've written many entries that inadvertently comment on parenting, and what I think is "the best thing to do." Probably .009% of these comments come from my brain, but the rest comes from experience - from what my own parents have done. Whether I intended to or not I have done it over and over again: What would I do if I had an O.I. child? What would I do the same as my parents? What would I do differently? 




5 Things I would do Differently:

  1. Instead of isolating me from other O.I'ers I would encourage more interaction with O.I'ers. Whether that means camps, or conferences -- I now understand the benefits of being a part of the community. Too many times growing up I would wonder this question silently to myself What do other kids like me do? How do adults with O.I. do this? It'd be so much easier if I knew someone like me. Sure, O.I. might be a very rare condition but from my facebook page alone, I know that 241 of you exist!! 
  2. Though my parents did this on occasion I wish they would do this more, particularly when I was a teenager: Put the person first and the O.I. second. Not only does this enforce a life time of 'can-do' mentality, but it strengthens skills in adaptation. Learning to adapt life and the things you want to do to the disability instead of the other way around is empowering, and to me, is critical to living successfully with a disability. Had my parents stressed this more with me I would be less afraid to try new things or feel less like I need to "prove" myself.
  3. Trust that I will figure things out on my own. My parents had a tendency to jump to me and my brothers' every beck and call (we were/are incredibly spoiled and in many ways I find it wrong and slightly embarrassing). I think this is similar to the point above -- allow me to figure out how to adapt instead of being reliant and counting on someone else always being there
  4. Perhaps it's because the rest of my family is unaffected by O.I. that it's difficult/impossible for them to do this, but I wish my parents had been more open to discuss the differences between having a disability and being 'normal.' Especially during the time of my life when it was most consciously obvious to me, during adolescence. 
  5. Don't hide feelings of being helpless or scared. I've said this before but I will say it again: when kids see you are vulnerable that's how they know you're human too. Parents will seem less like they are 2000 Light years away (Green Day reference!) and it will be easier to bridge the gap, especially if the gene is a mutation and no one else in the family has O.I.

5 Things I would keep the Same:
  1. I would continue to keep school and the pursuit of education as a top priority. I grew up knowing that education is a place of no boundaries and can be used in incredibly empowering ways in the life of an O.I.'er 
  2. As over protective as my parents and family were of me they still encouraged my (nerdy) interests and talents in every way possible. I am thankful for this because these developments have given my life meaning and has been a frequent and positive distraction to some of the more challenging/painful aspects of having O.I.
  3. Treat all siblings equally regardless of whether or not they have O.I. or the status/type
  4. Whenever I was injured or had a cast, and even shortly after leaving the hospital from surgeries my parents would always encourage me to go back to my 'normal' routine. I was still expected to go to school as soon as that cast was dry, or once I was discharged from the hospital. Music lessons, attending my brother's soccer games or track meets, and socializing with my friends -- all of that day-to-day activity resumed without a hiccup. 
  5. Work together (with the child) to figure out ways to adapt equipment so it is most comfortable for the one who needs it. I was lucky that my mother was so crafty and creative with her ability to adapt supposedly accessible equipment to make it.. even more accessible for me.

If you have O.I. what would you do differently or the same? 
And if you are a parent what would you change or keep the same?   



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Another instance of gaining independence

“Explorer’s Camp is really your typical sleep away camp with camp fires, swimming in the lake, friendship bracelets, and sleeping in cabins…”  said C, a fellow OI’er I had met a couple months ago who is in charge of Explorer’s Camp.

As she was telling me about the camp schedule, the set-up of the area, and what to expect as a volunteer counselor – I had a flashback to 10 or 11 years ago when I was in the 8th grade:

“Mom I want to go to Nature’s Classroom with everyone else! We’re going to be living in the woods together and learning stuff, everyone else is going!” That was pretty much all I was aware of when the teacher told us about our class trip; I was 13 or 14 and only cared about doing what ‘everyone else’ was doing. It may have only been something only my classmates were participating in, but in my mind back then the entire world was doing it, and I don’t want to be left behind.
Up until then I had only ever gone to summer day camps or nerd camps (“enrichment” summer classes at the local high school). These other camps I went to ensured that when the program or class was over I would be sleeping in my own bed, and go home to my overly-attentive helicopter parents. I should also note that I was never allowed to attend a sleep over at my friend’s house; so literally, this whole going away for a week in the woods was brand new territory for my family. I should also add that during this time my fractures were unstable and occurring fairly frequently. The year before I had broken my legs four times and by the start of 8th grade I was enjoying an injury-free few months.

With all of that in mind, I totally understand now why my parents were hesitant. Their reluctance was so much so that my mother came into the middle school and told my teacher I was absolutely not going to be attending the trip. I think it was my 8th grade science teacher who had the joy of calming my frantically nervous mother down. He told her about the activities we would be doing, that there would be aides on hand and around me at all times; my mother resisted, she kept on spewing out worst-case-scenarios like my wheelchair breaking down, or if I broke a bone in the middle of the woods “Sandy, you know how much it hurts when you break a bone. Imagine if you broke a bone in the middle of the woods, you’d have to wait several hours before you could get back to Chldren’s Hospital in Boston.” In my naivety and stubbornness I remember insisting to her: “I won’t break anything! I promise!”
For weeks the tug-of-war between the school and my mother went on. Finally the tie breaker was decided to go to my orthopedic doctor, Dr. Shapiro. “We’ll ask Dr. Shapiro what he thinks about you going. If he says you can go, then you can go.” Although Dr. Shapiro was the guy who diagnosed me at birth, and though he knew practically everything about me – I was nervous and restless during the days leading up to the appointment: I wondered to myself, what would he say? What would he want to know? Will he say that I can go? Why wouldn’t he let me go? What if he says that I can’t go?! I am pretty sure that I had some half-dreamed up plan to run away if Dr. Shapiro said “no;” it involved my best friend hiding me in her duffel bag.
Finally the day came when we went to go see Dr. Shapiro. It was one of the few times when I went to see him without a fracture or a cast. My mother explained to him the class trip and I sat there silently watching his facial expressions. Dr. Shapiro is an extraordinarily calm and composed fellow. He takes his slow steps down the hall with certainty, and he always speaks with a reassuring confidence – so when my mother was done exasperating him with all of her “What If This Terrible Thing Happens” scenarios, he looked at me and shrugged: “Sure, I don’t see why she can’t go. As long as she stays in her wheelchair for the activities and keeps her leg braces on. I don’t want you to be doing any walking with your walker in the woods, and no strenuous physical labor in the woods – don’t go cutting trees down.”  

So it was decided! I left his office ecstatic with the news, I felt like he had just taken off a spica cast that I had been in for 5 long months!
Now fast forward a decade or so later, and my parents have long ago stopped being by my side for every single decision I make in my adult life. Although no one in my family was at that meeting yesterday as I listened to the details of Explorer’s Camp -- I could still hear my parents’ frantic worries, my own stubbornness to participate in everything, and Dr. Shapiro’s reassurances. This time at camp I won’t have an aide by my side every single second of the day; in fact I’ll be one of the volunteer counselors helping the young campers instead! There won’t be anyone there to remind me to charge my wheelchair every night; no one to make sure that my hearing aids don’t get wet in the lake; I’ll be the one to help accommodate activities for others; I won’t need to ask Dr. Shapiro’s ‘permission’ or get a medical ‘okay’ beforehand; and this time instead of pleading my family to let me go, I am just…gonna go! As I was thinking about this last night I had one of those self-assuring moments where I thought yes, I have attained another aspect of independence! 

Growing-Up with O.I.:
  • It's really easy to only think of the progress OI'ers make in terms of fractures: "oh she hasn't had a fracture in 5 months now.." or "he had a rod surgery 6 months ago and is now able to walk for much longer distances!" As in the above story I shared, it's important to note all the intangible things too!
  • What I didn't appreciate then that I understand now, I really learned a lot from the decision my parents helped me with in the 8th grade BECAUSE they included my doctor and me! Although my parents were initially against my decision to go, the fact that they heard me and wanted to make the safest decision for me paid off a lot now that I am an adult! I now know about the things I need to consider when I make decisions like this
  • No matter how ridiculous and stubborn your child might be in trying to 'make a call' in his or her life, let them! It's the only way I learned what my limitations are and how to problem-solve in 'the real world' without my parents by my side 24/7
  • Parents might be losing hair, sleep, and gaining bags under their eyes over the decisions their OI'ers might be making - this is probably normal (although I wouldn't know cuz I don't have kids). The best thing to do, as hard as it probably is, is to be supportive while GENTLY and QUIETLY voicing your concerns. Badgering and screaming "WHAT IF THIS HAPPENS?!" Is probably going to put distance between you and your child for the next 'big' decision
  • Though I don't TOTALLY know what I'm getting myself into, the fact that I am willing to take this risk AND look forward to doing it, I think, speaks volumes about how my parents raised me. 

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Wrap-Up

I don't know about you but this week just seemed to drag on forever for me! In between work and getting ready for the upcoming fall I managed to squeeze in a Red Sox game and saw the movie Friends with Benefits; then my younger bro turned 18 and I attended an event that honored the 21st Anniversary of the ADA.

  • Tuesday: In this entry I wrote about my most traumatic fracture to date. After a fall from my manual wheelchair: two fractured femurs, a pool of blood, and an ambulance ride later I learned what to do in the event of a '911 fracture' incident. 
  • Fracture Free Friday: What's the point of having a rod surgery if you can't walk 'normally' afterwards? I talk about some of the pros & cons of rod operations in today's Fracture Free Friday post over at Unbreakable Journey! 

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911 Fractures

Andrew, my younger brother, would later tell me my mother thought he was annoying me yet again when she heard my screams. “But I wasn’t doing anything. I was just sitting on the kitchen floor flipping through the dictionary – you know the yellow one? I was looking at all the pictures.”
Meanwhile in my bedroom I was face down on the floor with a pool of blood around my head, my wheelchair tipped forward onto me, and both of my legs had snapped in half. The events of this incident are choppy in my memory, like some mind-twist of a horror film the scenes cut in and out of my mind. When I really think about it I remember the fall (I can see it happening to myself): the front wheels of my wheelchair had hit something and I was lurched forward, still seat belted in, but by the time I had hit the floor my wheelchair was at a forward tilt two feet behind where I was sprawled. I screamed. I don’t remember who I was screaming for or what I screamed, but I made the loudest noise I could possibly muster; it wasn’t from the pain of my two broken legs, at that moment the pain hadn’t even registered to me yet, I screamed because I was totally freaked out by the endless amounts of blood that poured out of me. There was so much of it!

The next thing I remember my mother had rushed in my room and made a sickening groaning noise. Up until that point I had never had a fracture that involved THAT much blood (when my rod migrated and protruded from my skin there was just a little trickle); what happened after my mother came in are now just a blur. Suddenly I was on a pillow on her lap and my older brother had called 911. I could hear him just outside my room giving the emergency dispatcher the information “my sister she has Osteogenesis imperfecta, and she just fell from her wheelchair. There is a lot of blood everywhere…it’s a brittle bones disease.” Next I remember he was shouting at my mother “Mom! Mom! They said don’t move her spine or her neck, it might be broken!” But at that point I had recovered a bit from the impact of the fall. The pain from my fractured legs had begun to settle in, all I knew was that some part of my legs had broken – so searing and encompassing was the sharpness that I couldn’t pin point an exact location of the fractures. I also knew that no other part of my body was broken, or at least that my back and my neck were fine:
“No. My neck and my back are fine. It’s my legs. I broke both of my legs!” I hollered back out. It seemed only a few minutes while we waited for the ambulance to come. During that time I had never seen my mother look so horrified and confused while she had me on her lap, not even touching me because she was afraid of what other damage she might discover or cause.

When the emergency medical crew arrived they first cleaned up the blood and then shone a flashlight into my mouth and up my nose. “Where did all of this blood come from? Well she has braces on her teeth so maybe the metal cut her mouth when she fell? She’s not bleeding anymore though.”
“She was born with OI, it means she has brittle bones, it’s a very rare condition. This has never happened before. But she says her legs are broken, she knows when something is broken” my mother told them.
It was clear to me that my mother was being fiercely protective of me, not letting them touch or move me at all. The emergency crew moved around my room slowly, at that point they were all trying to figure out how to move me from my mother’s lap to the stretcher.  
“This is going to be a challenge guys, we’ve never come across this before.”

I don’t know whose idea it was but someone had contacted Dr. Shapiro, my orthopedic and surgeon. The phone was handed to one of the emergency personnel and I could imagine my doctor, who has known me since birth, catching him up on the fast facts of O.I.
“Alright guys, the doc says to not apply any pressure anywhere. We can’t use the head or neck stabilizer on her; he says to just use medical tape instead of straps or buckles. We can slide the board underneath the pillow that she is on now and then put that on top of the stretcher – he says we absolutely cannot touch her. The doc is going to be waiting for us in the emergency room at Children’s in Boston… alright so let’s do this slowly and steadily.”
At this point I don’t remember every lying so still or stiff my entire life. I was afraid to move, to breathe, to know what would happen and all I wanted was for Dr. Shapiro to make me better. I wanted to skip all of this stuff and get to the point where I could just pass out on the hospital table as the heat of the fiber glass cast was cooling against me.   

When we got to the emergency room at Children’s Dr. Shapiro trusted no one else to touch me but him. He took all of the tape off of my head and asked me what was hurting the most, he then ordered an x-ray machine to be sent into the room and took the pictures himself. He gently touched my hip area and when I whined he quickly backed off “Okay so it looks like there’s some soreness to the pelvic area so we should get a few pictures of that too.” After he looked at the x-rays it was confirmed that both of my femurs had broken and there was also some damage to my pelvic bone, my head had severe bruising and he when I didn’t cry out as he gently touched the bones in my face he knew all he had to do was focus on the lower half of my body. I was put under general anesthesia and when I woke up two bulky light blue casts were on my legs; I remember feeling the relief that it was all over now, the crisis had subsided and while usually I would be excited to get back to school – this time I just closed my eyes and fell into a deep sleep.

911 Fractures:
  • The fast facts of telling someone in an emergency setting about O.I.: it means she has brittle bones, there have been numerous fracture before, there is a specific doctor and hospital that she always goes to. This allows strangers to the condition to know what it is they are dealing with and where the end destination for them is
  • If possible it's important to keep awake. During the wait for the ambulance and on the ride to the hospital I remember that everyone was trying to keep me awake and conscious
  • In this incident I was in middle school and old enough to know what was broken, but this might not always be the case for younger children. Use your best judgment because you probably know the child the best! And if you're unsure it is probably best to have them be transported to a hospital right away so that x-rays can provide the confirmation for you
  • I was lucky  that my doctor was around at this time and I would advise the emergency team handling the situation to speak directly with the orthopedic doctor. Otherwise, now you know to that added pressure is not the way to go and should be avoided at all costs when transporting someone with O.I. Use tape! 
  • It was helpful that my family and the emergency crew remained calm. I probably would have been in far more discomfort and unable to focus on where I was most injured
  • Listen to the person who is injured
  • I don't know how my mother got me from being face down on the ground to being on my back on a pillow, but she did it - and the best thing about all of that is that I don't remember the transition so I don't remember how much that probably hurt
  • If there was a traumatic fall of some kind it will probably take a few minutes for shock to subside and for the person to connect with their body again - trust that the injured person will tell you where it hurts when the time comes!

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