My Left Hand
Recently, a near-miracle happened. For the last couple of months, one stroke recovery strategy for my left arm has been playing catch with my wonderful therapy assistant Jaana. She throws a tennis ball aimed vaguely towards my torso, and I try to catch it without using my right hand. Typically, I’m not completely catching it — more catching/cupping it between hand and torso. (Throwing it back to her is also a challenge because my spastic fingers won’t let go.) But last week, Jaana accidentally tossed the ball too high and suddenly, to her immense surprise and mine, my left hand shot up and I caught it in mid-air! Neither of us could believe it. I hugged her and we immediately ended my session for the day on that high note. No way was I was going to top that (in fact, I haven’t been able to do it again since, although I’m able to consistently catch underhand, sometimes just with my hand, more often against my body).
A few days ago I managed to tie my work shoes without help. That felt like a major win. Afterward I sat awhile, pleased with myself but so winded from bending over, I had to wait to recover before heading outside. On my new meds my blood pressure actually gets low sometimes! The herons have returned to our little inlet, along with scads of songbirds, so I can sit on our deck during such recovery times and just …. recover.
My Left Leg
The physiotherapist regularly tests my left leg strength and flexibility. Although I’m still limping, and have to be ever-mindful not to trip over my dragging left toe, this month she discovered it is now back to full strength! Why the limp, then? “It’s strong enough to walk without a limp,” she explains. “The problem isn’t your leg. It’s your brain.” I don’t know how to convince my brain to relax that left calf and to pick up my left foot and bend my left knee automatically. Sometimes I’m pretty smooth, but as soon as I’m tired or cold, I’m prone to a kind of geriatric side-to-side waddle that means a sore hip. With absolutely every step I have to remember to lift my foot. It’s frustrating (until I remember how recently were the days I couldn’t walk at all!)
Lately my twice-a-week physio dates have me walking on different paths near the hospital while the therapist assesses my gait. I even found a labyrinth. Sometimes I walk to music, which seems to make my gait smoother. I guess my brain responds to The Stones better than the stones.
Botox? Why not?
You may not have pegged me as a Botox kind of guy, but I’ll soon be a new man. The doctors arranged for a shot of Botox in my left calf in the hope that — just like Botox deadens face muscles to prevent people from getting wrinkles — it will temporarily deaden my calf enough to keep my leg from “hitching” with every step, training my brain to trust that a smoother, more natural gait is safe again. (When one is initially paralyzed by stroke, the brain sometimes learns to “freeze” an area to protect it from flailing and hurting itself, much like when you’re dreaming about running but your legs aren’t actually moving.) My initial Botox appointment was cancelled because I had to fly out west for my brother-in-law Vern’s funeral. I was told the next opening would likely not be until September. I admit I’d been looking forward to a possible breakthrough for my leg. In the middle of my little funk, Sara, who has often had moments of clarity that have helped my recovery, said: “well, if shocking your arm worked so well for your hand, why wouldn’t it help your leg? Hook those wires up to that calf and give it a try!” (I’ve since found an article that confirmed her insight.) After only a couple of days of shocking my calf, I’m already noticing small improvements in my gait. (And my Botox is now bumped forward to mid-July!) At so many stages, I don’t know what I’d do without Sara’s help, advocacy, advice, watchful eye, optimism, wisdom, and sense of humour.
Longest Walk so Far!
Last week I had a visit from fellow writers-about-walking, Ariel Gordon and Tanis MacDonald. They were in Nova Scotia at a writers’ retreat at the Elizabeth Bishop House. We traded books. I took them to Pomquet Beach, and they convinced me to try walking the beach with them. (Both have written about walking slowly, and Tanis about walking and disability.) We went slow, checking out beach stones and shells. By the time we reached Chez Deslauriers road, about a kilometre later, I think my left foot was dragging more sand than I was leaving behind! But it IS getting better, even pre-Botox! I later realised it was my longest walk since the stroke.
My Speech and Hearing
I’m very, very thankful for all the things I can do. AND, it seems I can accomplish more and more each week. But when I forget to focus on how far I’ve come, and think too much of everything I want to accomplish, I can get frustrated.
Something that’s not as obvious to outsiders is that my stroke seems to have caused a kind of aphasia. During a social event recently, people had to ask me several times to repeat myself. Sara tells me that she finds I’m speaking more quietly. This may be a sign of hearing loss (of course, there is an age factor as well). But since the stroke, I find I can’t distinguish between a “v”, “d” or “p” when someone is speaking, making me misunderstand whatever they’re saying. And because of the stroke’s effects, I “hear” people slurring “s”s, even when they’re not. Almost every physio I spoke with about this said the same thing, “Matt, I think you’re noticing this because you’re you. Most stroke patients wouldn’t be this observant.” I guess it’s a blessing that that’s pretty much the stage of stroke recovery I’m at: the fine-tuning stage! (They did put me on a list for a stroke-related hearing specialist.)
On the plus side, I have recently become eligible for a beer that one of the hospital LPNs, Dionne, promised me last fall when I couldn’t move my hand. She said when I left the hospital that we’d go out for a pint of beer if and when I was able to raise the glass and “cheers” with my left hand. As of this week, I can now raise my left hand completely above my head, and I successfully cheers-ed Sara with a wobbly left handed glass of sparkling. (Ironically, my right arm now has a frozen shoulder from overuse!)
Another first: I was delighted this last week to pull the cord on our hand mower, start it up and actually cut grass. Both hands on the handle!
My Heart
A bit more on my heart surgery for those who may be interested: on April 23 in Halifax, the very professional, very personable – and very skilled – surgeon, Dr Sumaya, made an incision in my groin. He pushed a catheter tube through the incision and up into my heart’s upper chambers. Once it was in place he inserted a wire through it to explore the unusual gap that has existed, undetected, between my heart’s upper chambers since I was born. That hole allows blood (and potentially, clots) to slip through where they shouldn’t, taking a dangerous short-cut to the brain.
I was awake watching the screens. To me, what Dr Sumaya was doing looked like a plumber or electrician trying to thread a “fish line” through a tiny hole. He couldn’t do it, and told me that the gap was smaller than expected and perhaps they wouldn’t need to plug it after all. However, a quick “bubble test” determined there really was flow between the chambers (meaning: possible future brain clots).
“I’ve Never Done This Before”
A surgical huddle followed. I was on so many relaxation meds I didn’t catch most of it, until I heard the surgeon say: “Well, I’ve never done that before.”
THAT woke me up! I may have some of this garbled, but he explained that they proposed to push/drill a second hole between my heart’s chambers, large enough to pass the soft metal umbrella washers through, then bring them together to close both gaps.
He asked if I agreed. I did. Within a few minutes I could see something against the beating flesh of my heart that looked for all the world like a child’s drawing of a flower. “That’s the device,” said someone. Within minutes, all the surgical staff seemed happy. So I was too. “If that was the first time,” I said to Dr Sumaya, “you should write this up.” “Oh, it’s been done elsewhere in the world,” he answered, “just never here in Nova Scotia!”
My Energy and Weight
Did I mention fatigue? A side-effect of my taking on new things constantly is that some days I find myself taking naps. Lots of naps.
Partly because I don’t eat as quickly (too much chance of biting my cheek or tongue), I’m always the last to finish my plate. I tend to eat smaller portions than pre-stroke, and weirdly for anyone who knows my predilection for peanut buster parfaits, my appetite for sugar has diminished. The weight I lost last fall seems to be staying off. I have more of a taste for salt now, and enjoy making home-made pizza!
My Prospects
Now that it’s been nine months since my stroke, I’m realizing (yet again, for the umpteenth time) that recovery is a marathon, not a dash. In fact, recovery is a pilgrimage – one which has changed me more than any of my other walks, and one that I’m still on.
Thank you for your many good wishes, and for the support I still feel, and that still keeps me going. Just the other day, I heard voices at the door as I took a rest. It was the greenhouse crew that a year and a half ago, put in “Sara’s Forest,” the 50+ trees planted for her big birthday. They’d come to check on the trees…and to check on me!
My Birthday!
It was my birthday on May 30th – the BBQ was an unexpected present from Sara’s folks. Sara got me a lovely (made in BC) teak shower chair. Now I can take the old plastic one back to the Red Cross!
Another gift is how I keep seeing my book Someone Else’s Saint in local and national bookstores. In July I’ll be having a signing at the Curious Cat bookshop and an author meet-and-greet in Dartmouth.
My birthday made me realize yet again how grateful I am to still be here. And grateful, too, that so many of you care enough to accompany me on this ongoing journey through stroke.
Thank you. I know how fortunate I am!
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