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Medical Forum / Diseases and Disorders / Arthritis / October 2005

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Wheelchair or not - revisited

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photog - 12 Oct 2005 03:53 GMT
Hi all,
I've got severe advanced DISH/OA so I've got bone spurs on hips,
shoulders, and thoracic spine in addition to the OA. I'm quite strong
and can hike, walk, do all sorts of things--but when I hit my limit I'm
unable to continue and in severe pain, and if I push that limit, I'm
miserable for days afterwards. My muscles and heart can easily outlast
my joints. Good days and bad days.

I've been considering a wheelchair to extend my range on days where I
know whoever I'm with will be doing a ton of walking around parks,
malls, airports, and so on.

I feel guilty for considering one when there are many people who would
give anything to have the legs I do. But DISH has destroyed the hips,
and hip replacement is not the best option because I am young--they
want me to put it off longer if I can, even though the joints do need
replacing because they will wear out in a few years and my docs say two
replacements (bilateral) is all my pelvis will support, if that. I feel
that a chair would enable me to mitigate some wear/damage while I
continue PT.

The chair would be a good way to extend my range and capabilities.

Has anyone dealt with thinking about the guilt of having the luxury of
being able to get in and out of the chair versus those who must stay in
one? Am I wussing out? Am I overthinking this?

Is it weird to have to explain that I can bicycle well (low impact),
but can't walk well? Do people get weird when they see you in a chair
one day, and the next you're walking around? I can't help but have all
these conflicting emotions about going for the chair simply because I
am in pain.

I am more active than many people my age. Yet one small twist or
stumble can cut my range from miles to yards, and a long day walking
means pain for days afterwards. I've also found myself suddenly unable
to continue walking, somewhat "trapped" in the aisle of a store. That's
a bummer.

I've looked up previous threads but, hey, this is bugging the heck
outta me.

Thoughts?
MikesBrain - 12 Oct 2005 12:44 GMT
2005-10-12, Responding to photog...
> Hi all,
> I've got severe advanced DISH/OA so I've got bone spurs on
[quoted text clipped - 8 lines]
> days where I know whoever I'm with will be doing a ton of
> walking around parks, malls, airports, and so on.

Excellent idea. Many people stick with the self-defeating
"I'm not ready for one of those yet!" attitude and as a
result, miss out on preventative support equipment that
could have extended their health, pushing things beyond
what they really know are practical limits, rather than
actually deal with the bank of fear and trepidation that
can surround the idea of using a wheelchair.

> I feel guilty for considering one when there are many
> people who would give anything to have the legs I do. But
[quoted text clipped - 5 lines]
> will support, if that. I feel that a chair would enable me
> to mitigate some wear/damage while I continue PT.

You KNOW you could use a wheelchair, I can tell you've done
some thinking about this. You do NOT need anybody's
"permission" to act on your own good advice here!

> The chair would be a good way to extend my range and
> capabilities.

Absolutely.

> Has anyone dealt with thinking about the guilt of having
> the luxury of being able to get in and out of the chair
> versus those who must stay in one? Am I wussing out? Am I
> overthinking this?

Yes you are overthinking it. Everybody does/will. There is
no "solution" to this as there is not really a problem. Its
a reasonable self-assessment with a reasonable and
practical conclusion. Didja know that that the majority of
wheelchair users are capable of getting into and out of
their chairs unaided, and many are quite capable of short
walks?

http://www.ju90.co.uk/

> Is it weird to have to explain that I can bicycle well
> (low impact), but can't walk well? Do people get weird
> when they see you in a chair one day, and the next you're
> walking around? I can't help but have all these
> conflicting emotions about going for the chair simply
> because I am in pain.

No, its not weird, it just seems that way right now. It
comes with the decision, and is your "trial-by-confusion" as
you now face the pool of misconceptions around wheelchair
use. Nothing is black and white, and nothing fits those
neat little catagories we live with until we are forced to
question them.

One thing you will need to keep in mind is the ignorance
that will surround you once you start using your chair. ATM
we have a popular comedy series called "Little Britain" in
the UK, in which one of the main characters is a sullen
wheelchair user who allows his carer to struggle and suffer,
only to jump from his chair when unobserved, do something
that requires health, and get back to his chair just before
his carer notices he's been doing something. NOT the best
mainstreamed conceptual model for rollers huh?

There will necessarily be a kind of role-play required when
using a chair. A balance is going to need to be found that
suits you, between avoiding "scaring the horses" and
accepting more imposed limits on your developing lifestyle.

http://tinyurl.com/b28fq

> I am more active than many people my age. Yet one small
> twist or stumble can cut my range from miles to yards, and
> a long day walking means pain for days afterwards. I've
> also found myself suddenly unable to continue walking,
> somewhat "trapped" in the aisle of a store. That's a
> bummer.

So... get a wheelchair and start the great adventure.

Nothing wrong with the idea, in fact, its a damn good one.

Just make sure you get a GOOD chair, one that provides what
you need, and not some boat-anchor that will add to your
list of injuries. Start researching how to figure out what
kind of chair your need before you spend money on one, and
remember that luxury in the showroom rapidly becomes basic
function after 4 hours in a shopping mall. 8(

> I've looked up previous threads but, hey, this is bugging
> the heck outta me.
>
> Thoughts?

Yup. Here's mine...

STOP FEELING GUILT! Its not YOUR problem what other people
think. If THEY have a problem, leave it to them to solve.

If you're going to be a roller, which is better...

1/ Wait until you do not have a choice?

2/ Do something positive now, and extend that choice.

One thing IS for sure, you're gonna learn something about
human nature, and not all of it will be good. :(

Me? I'm looking forward to my next "leaning experience".

http://tinyurl.com/9z43s

P.S.
Don't forget to keep a diary of your adventures!

Many others will benefit from your tales, trust me. :)

Signature

----
* Another squeaking wheel @ http://tinyurl.com/b28fq
* Mike's (curious) Brain  @ http://tinyurl.com/4872c
- Have a nice day, it really does do you good! :)

Navy1 - 13 Oct 2005 19:51 GMT
<clip>>
>> I've been considering a wheelchair to extend my range on
>> days where I know whoever I'm with will be doing a ton of
[quoted text clipped - 7 lines]
>actually deal with the bank of fear and trepidation that
>can surround the idea of using a wheelchair.

One time when my mom and I went to Michigan for a nephew's wedding, we
both got the wheelchairs at the airport.  It was great.  It's a long
walk most places from the check in to the gates.  We left here fine.
When we got to Cincinnati, first plane had been canceled because our
destination was closed due to thunderstorms, so the pushers took us to
the other gate that had a plane going (it was at the opposite end of
the concourse we were in.)  We got down there and they told us that
the plane had been changed to the gate we *were* at, so back we get
pushed.  Then we get on the plane and it taxis out, only to have to
taxi in, because the thunderstorms that closed our destination, had
moved in a big line from Cincinnati to Detroit and there were so many
planes taking the bypass route to the west, that "that" flight had
been canceled.  So back in we go, and get the news that we all are
going to be put on a big plane leaving from a concourse *across* the
runways, so we get rolled onto the shuttle and it scuttles across the
runway, everybody looking to the north where there is the nastiest
looking black sky with great big bolts of lightning!  We just get into
the other concourse, and up to the waiting area when we see horizontal
rain on the windows!  After the line of storms passes, we get on the
plane and finally take off, only four hours late.  When we got to
Detroit, we took the shuttle to get our rental car, then got lost in
the housing area where my sister lived, because they had added a stop
sign one street before where we usually turn.  Since it was now 11 at
night - not too many lights and the big trees they have there block
the streetlights.  Well, we finally made it.  I was certainly glad I
had taken a wheelchair that time.  My legs weren't too bad, but my
back could never have taken it.

>> I feel guilty for considering one when there are many
>> people who would give anything to have the legs I do. But
[quoted text clipped - 9 lines]
>some thinking about this. You do NOT need anybody's
>"permission" to act on your own good advice here!

Precisely.  If you feel you need it, go for it.  There are people with
heart problems who aren't supposed to walk more than a few feet and
they look perfectly healthy.  You know what your limitations are and
it is nobody else's business.  Excuse the rant.

>> The chair would be a good way to extend my range and
>> capabilities.
[quoted text clipped - 29 lines]
>neat little catagories we live with until we are forced to
>question them.

I seriously doubt anybody pays enough attention to it, really.

>One thing you will need to keep in mind is the ignorance
>that will surround you once you start using your chair. ATM
[quoted text clipped - 5 lines]
>his carer notices he's been doing something. NOT the best
>mainstreamed conceptual model for rollers huh?

Oh, so helpful.....not.  We have one store here that provides
wheelchairs, but not electric carts.  So, how did they expect the
single shopper to get around?  I went up to the service desk and asked
how soon I could get a pusher.  LOL  Needless to say, a pusher did not
come with the chair.  I don't do much shopping there, other than in
and out for one thing.

>There will necessarily be a kind of role-play required when
>using a chair. A balance is going to need to be found that
[quoted text clipped - 20 lines]
>remember that luxury in the showroom rapidly becomes basic
>function after 4 hours in a shopping mall. 8(

Actually, I have discovered that many places are going to the electric
carts.  Of course, some aren't done with a reasonable measure of
thought, as at one mall, where the carts were kept in the middle of
the mall, halfway between the two entrances (at least a dozen stores
apart!)  

>> I've looked up previous threads but, hey, this is bugging
>> the heck outta me.
[quoted text clipped - 16 lines]
>
>Me? I'm looking forward to my next "leaning experience".

Definitely, now is a good time to learn before you get to the point
that you put dents in all your walls at home!

One more thought.  I've had many people ask me if they could help get
something off an upper shelf.  One person even took one item my mom
got that she didn't want, back to the other aisle.  I don't use a
wheelchair - I can manage with my cane, but only for straight in and
out type of situations.  Sometimes, after I've rested for quite a
while, I will get up and walk out of the room forgetting my cane, but
my knee says oh-oh before I get very far.

Loujean
God didn't promise us
that life would be fair.  
If it were, who would try
for the stars?  
DeeTee and Bob Taggart - 12 Oct 2005 14:18 GMT
I've been doing the same self-searching about a scooter.  I love going to
malls and exploring my new area, but my body has decided we're done with
walking.  I keep going back and forth.

Fortunately I got to teach a class at church last Sunday and, since we're
new, they wanted me to start off with telling a little about us.  I told
them about me and said that if they see me without my cane it doesn't mean
I've had a miraculous cure, it just means I'm having a really good day.

Decisions, decisions, decisions.  OTOH - I have applied for disability.  No
more jobs for me.

DeeTee

> Hi all,
> I've got severe advanced DISH/OA so I've got bone spurs on hips,
[quoted text clipped - 39 lines]
>
> Thoughts?
spodosaurus - 12 Oct 2005 15:23 GMT
> I've been doing the same self-searching about a scooter.  I love going to
> malls and exploring my new area, but my body has decided we're done with
> walking.  I keep going back and forth.

I've gone to a scooter (a sometimes uncomfortable entry model shoprider
4 wheeler) and can't wait for the motorised wheelchair and deployment
arm or lift. Being able to move around again without agony is great. Get
the scooter.

Signature

spammage trappage: remove the underscores to reply

I'm going to die rather sooner than I'd like. I tried to protect my
neighbours from crime, and became the victim of it. Complications in
hospital following this resulted in a serious illness. I now need a bone
marrow transplant. Many people around the world are waiting for a marrow
transplant, too. Please volunteer to be a marrow donor:
http://www.abmdr.org.au/
http://www.marrow.org/

Skip - 12 Oct 2005 15:43 GMT
Change is tough, even when you know it has to happen.  We all have the "what
will people think" voice going through our heads.   The only thing that
matters is what *you* need to stay moving today and keep moving in the
future.  A chair will keep you going on the extra active, long days and
means getting around easier on the bad days.    Either way, you to keep
moving, get more rest and be more active without pushing your limits so
hard.  We can't avoid having good and bad days, but there is no reason that
we can't smooth them out a bit.

The frst time I went socializing with my cane, I chose to go with people who
really didn't care how I showed up, as long as I did.  I got a couple  looks
and a friendly check on how I was doing and that was it.  I was so nervous
about being "different" that it took awhile to notice how much better I
felt.

I don't need a cane every day, and did take a while to not feel strange
about it.   These days I usually work an "having an off day" into the
conversation, with a vague wave towards the cane and move the conversation
along.  I have found that my friends need a little reassurance that it is
just another normal day for me, that nothing serious has happend.

My advice, shop around and find something you *like* as well as can afford.
Paint and decal and grafitti it!  Having something that makes you grin when
you see it will go a long way to feeling better about using it. My current
cane is burgandy and gold checkers.  A lady in my neigbourhood has one that
is psychadelic 60's.  We all need stuff that makes us feel good, no matter
what that item is.

hth,
skip

> Hi all,
> I've got severe advanced DISH/OA so I've got bone spurs on hips,
[quoted text clipped - 39 lines]
>
> Thoughts?
DeeTee and Bob Taggart - 13 Oct 2005 22:25 GMT
My cane is infamous.....it's bright yellow and covered with smiley faces.  I
have strangers pass me and say, "Love your cane!"

DeeTee

> Change is tough, even when you know it has to happen.  We all have the
> "what will people think" voice going through our heads.   The only thing
[quoted text clipped - 70 lines]
>>
>> Thoughts?
Cindy - 13 Oct 2005 14:37 GMT
I am in the beginning of sometimes I appreciate having access to one at the
department or grocery stores....but I find that once I decide to put up with
"you look too young and good to be in that chair looks"  I spend so much
energy getting in and out of it trying to shop that I think I defeat its
purpose and probably do better without it...
Does that make sense...

But I believe that if it makes your quality of life better....Do it...You
are the one that puts up with the pain...Not the person that watches from
across the street...I am sure that your knees do not keep them up in the
middle of the night....;)
Hugs Cindy
> Hi all,
> I've got severe advanced DISH/OA so I've got bone spurs on hips,
[quoted text clipped - 39 lines]
>
> Thoughts?
Jo Firey - 13 Oct 2005 17:25 GMT
>I am in the beginning of sometimes I appreciate having access to one at the
>department or grocery stores....but I find that once I decide to put up
[quoted text clipped - 7 lines]
> across the street...I am sure that your knees do not keep them up in the
> middle of the night....;)

This is something I'd definitely do if I were you.  Have you used the
electric carts that are available in grocery stores and places like Wal
Mart?  Are you relaxed and comfortable using them?

And try before you buy.  Borrow or rent a chair for a week and see if you
will use it and if it helps.

When I really feel like cr%p I'll go to KMart or WalMart during a not too
busy time of day, use an electric cart and just kind of ride around and
"window shop".  Something I normally don't have the energy to do.  Usually
all I can manage is go in, get what I need and get out.

My whole family had a blast at Disney's Expo when my BIL insisted that I
rent a scooter for the day.  It made things so much easier and I was able to
have so much more fun that no one was self conscious.

Jo
MikesBrain - 13 Oct 2005 21:03 GMT
2005-10-13, Responding to Cindy...
> I am in the beginning of sometimes I appreciate having
> access to one at the department or grocery stores....but I
[quoted text clipped - 3 lines]
> defeat its purpose and probably do better without it...
> Does that make sense...

Yup. If you're up to using a trolly for support, then do so,
but if you really need to give your body a rest, use a chair
and ask for help if you don't have any with you. Many stores
in the UK tend to send the new staff around with rollers if
asked, and sometimes you can get a really helpful assistant.
(Watch out for the over-enthusiastic helper though, as these
can rapidly become a real nuicance.)

The only way to figure these questions out is to "just do
it", but leave more time that usual for "learning
experiences" until you get the hang of how things work for
you in your circumstances.

Signature

----
* Another squeaking wheel @ http://tinyurl.com/b28fq
* Mike's (curious) Brain  @ http://tinyurl.com/4872c
- Have a nice day, it really does do you good! :)

Kate - 14 Oct 2005 14:15 GMT
I've decided based on observation it's more "socially acceptable" to
see a person get up and walk when using a scooter than a chair and so
I'd feel less self-conscious with a scooter. that's why I'm looking at
that option. But I have used wheelchairs and walked and when in pain
the difference it makes in quality of life and ones ability to enjoy
longer treks is worthy ANY look someone gives me.
photog - 18 Oct 2005 00:06 GMT
Wow...great posts, all. And Mike, thanks so much.

I've decided to pursue the wheelchair.

I'm also looking at universal design features to build into my house as
a retrofit.

I can't thank you all enough for your thoughtful answers.
MikesBrain - 18 Oct 2005 11:53 GMT
2005-10-17, Responding to photog...
> Wow...great posts, all. And Mike, thanks so much.
>
[quoted text clipped - 4 lines]
>
> I can't thank you all enough for your thoughtful answers.

You're more than welcome.

When making the "sign here" decisions, ALWAYS sleep on the
the deal BEFORE commiting. You'll only likely get one shot
at many options, so take your time and try to figure out
where the pitfalls might be. Trust me, they're there. :(

(And don't get pushed into anything with excuses or
pressure!)

Now go ask some questions on alt.support.wheelchairs

Enjoy. :)

Signature

----
* Another squeaking wheel @ http://tinyurl.com/b28fq
* Mike's (curious) Brain  @ http://tinyurl.com/4872c
- Have a nice day, it really does do you good! :)

 
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