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country life stroke-recovery Uncategorized

My Two Year Strokeaversary

ambulance trip for heart surgery

I can’t believe how fortunate I am to be where I am this on this anniversary, slowly typing these words with both hands (!), sitting at our kitchen table.

How It Started

Two years ago, a stroke caused the paralysis of the left side of my body and began a four-month sojourn at St Martha’s Regional Hospital, Antigonish. In those early dark days, as a roughly two-centimeter sphere inside my brain died and a larger area of cerebellum around it went into temporary shock, it looked like I might lose my ability to eat, talk, and even swallow. To hear and to properly understand others. My speech slurred and for a few days I was forbidden solid food. You can read my early thoughts, during those first moments, here.

I’m thankful, every day, that the worst didn’t happen. It happens to others. I was fortunate.

I’m also incredibly thankful I live in a place with a public health-care system. Sara and I did not go bankrupt over my stroke. I was not rushed out of care prematurely. Sure, things weren’t always perfect. Mistakes were made, and not all care workers are equally competent. In any system. But I was looked after for four months, then followed up for a long time, by hard-working professionals who cared deeply about my recovery. Nova Scotia’s creeping (and very intentional) health-care privatization is a threat to outcomes like mine. In our lives, in the lives of neighbours and loved ones, we will all face some of what I did in those months. We need to stand up for patients over profits.

Anyway, after it was clear I’d survived the stroke, thinking and speaking intact, other questions started swirling. Not, ever, from Sara, who just kept showing up day after day that fall, advocating for me, writing notes as doctors and physios came in and out, never questioning this new phase in the autumn schedule, like it was just another work contract that had come up unexpectedly. Not really from me, either, so single-minded on recovery. But from the extremely helpful, caring, and busy health professionals just trying to do their jobs and facilitate my adaptation to a new reality they’d seen many times before: how will you use the bathroom? Do you have stairs at home? We’ll get you a spike to hold vegetables while you cut, a post to help you stand up from the toilet. A shower chair. A walker to move from room to room. And, by the way, you’ve lost your license.

Two days after triumphantly leading a group of walkers on a 25-km jaunt from Pomquet to St Ninian’s Cathedral along roads I optimistically called “The Nova Scotia Ninian Way,” I couldn’t even to get out of my hospital bed without a two-person lift.

I’d been plucked from my comfortable, happy life and set at the base of a high mountain. No one ever told me (and Sara) we had to climb it. We just did. People have told me we were brave. Perhaps that’s true. I certainly never felt it.

In an instant, my world had been reduced to chrome bed rails, thin sheets over rubberized mattress covers, a call button that was often out of reach, IVs, meds, blood tests, and a body whose left half seemed permanently asleep. My usual varied routine had been exchanged for three hospital meals, two physio sessions a day, one quick physician visit, if I was fortunate, and hours and hours in a wheelchair by a window, left hand lifeless, furiously writing notes with my right to keep my brain active and record what life had become.

Eventually I realized I had a choice: to apply myself and do my exercises every day – or not. I’m thankful my determination had clicked in. I had flowers and cards almost daily, thanks to a community (many of you!) that kept me going. Sara kept bringing in books, quilts, and art for my room. She arranged things to make me comfortable and, as I came to realize, as a subtle way of reinforcing my individuality and worth to an institution and in the face of overworked systems that sometimes reduce real people to “bed 355B.”

I was admitted September 17th, 2024, discharged Dec 20th. Just in time for Christmas.

First steps, post stroke

How It’s Going

It’s going well! Two years on and I’m not quite back to my old self. Since the aging process stops for no one, maybe that “old self” is forever in the rear-view mirror. But it’s amazing what I can do.

I use no mobility or bathroom/shower aids, and I passed my recertification on what turned out to be the 50th anniversary of my teenaged driver’s test. I have a handicapped parking sticker I enjoy, although I’ve started to feel a bit guilty. I sleep through the night in my own bed. I’ve had heart surgery to repair the hole in my upper chamber where the clot may have slipped through (thank you again, public health care!). I climb stairs using a handrail and although I have a limp I’ve walked up to two kilometres at a go, aiming at more. I can easily crouch to fetch a saucepan from the cupboard. I can hammer a nail, use a spade in the garden, make jelly, and even climb a ladder to hammer a T-post for our saplings needing support. If I’m careful.

This summer I dared to travel by myself to a conference in Quebec City , and even managed the steep hill to the Old City (but a shout out to David Duncan and Colleen O’Toole for all the rides!). Just recently I started using my left-side pockets again. I often stop something I’m about to do with my right hand and switch to my left: unscrewing the small plastic milk lid, fetching a jar from the fridge – or if I’m brave – from a high shelf. I can tie my shoes again – although annoyingly, I threw away my old laces back when I couldn’t.

But especially in the mornings and later evenings, sometimes I feel have a robot arm…everything’s so disconnected and jerky. Nonetheless, my guitar playing gets better weekly, helped when I remember that actually, I was never that good!

I do have more “guitar face.” Guitar face is just the continuation, in a more subtle form, of the sympathetic body movements I’ve had to make ever since the resurrection of my left side. The first time I was able to very slightly twitch my left thumb, it was only after minutes of vigorously pumping my right leg up and down, straining my face, and clenching my stomach as if doing sit-ups. That ever-so-slight movement left me exhausted.  I remember telling hospital staff I couldn’t show anyone else my thumb because the rest of me was too tired!

Now, in the mornings, my left eyelid sags. I practise raising the droopy offender in front of a mirror, hoping I won’t look too unbalanced for the 8:30 am class I teach at Saint Francis Xavier University.

That left eye is the sign that my entire left side was hit by the stroke – not just my hands and feet. Occasionally, when tired or cold, I still stumble over multi-syllabic words that never would have tripped me before. And my hearing! An “F” and an “S,” or a “T” and a “P” sound so similar I often can’t distinguish them. It’s made for some funny misunderstandings.

Maybe it’s because my arm and hand have improved so much, this summer I’ve been focussed more on trying to improve my walking.

Comorbidity is defined as a “medical condition that exists alongside a primary medical issue and affects your health.”  I’ve been so focussed on getting my left leg going I didn’t realize that in the meantime I’d developed a kind of arthritis – it’s turned that side’s big toe inward into a “claw appendage.” That’s one reason my gait hasn’t improved more (try walking while avoiding pushing off from one of your big toes. It’s almost impossible).

So, this summer I bought two different straightening devices, and now I consciously spread my toes whenever I remember. The results are encouraging. I also finally got a foot brace to keep me from snagging my left shoe so much. I’m hoping it will help for longer walks and give my brain a break from having to remember to lift that foot every step.

Everything After Everything Falls Apart

In two weeks, I’m the guest speaker for a gathering of Nova Scotia United Church clergy. I asked them: “what would you like? I could lead a retreat on biblical studies, on pilgrimage, on Leonard Cohen, on settler-Indigenous relations…” They replied: “would you be willing to talk about your stroke, and your life since?”

I’m not completely sure what I’ll say. But I’ll start at least, by saying that when everything – absolutely everything – falls apart, it may not feel like it, but it can be a gift. For ourselves. And for empathizing with others.

Two years ago, I was caught briefly between life and death, and I got life. Not because I deserved it. That’s just what happened. For a few critical hours I hung on a pendulum between silence, isolation, and pablum on one side, and full, rich communication on the other. By some miracle of timing, clot placement, and grace I came through the tunnel still able to process thoughts and speak words others could understand. What a gift.

It’s no surprise that every day feels like a privilege. Because it is. That’s true for everyone, of course. All the time. Life is the miracle we spend most of our lives too dulled to notice. But to feel the brush of death’s passing and this time at least, not be taken? Wow. Mostly, I wake up every day remembering that. Every berry I pick shines with more colour, every bite of apple crisp or cheddar cheese or roast chicken tastes more luscious. Sara and I already tended toward gratefulness: my stroke has increased all those Pollyanna attitudes.

I’ve been permanently wounded, but my ongoing and slight disabilities are reminders I’m still here. Every time my toe catches, or my fingers don’t quite work, or my hip lifts, or I misunderstand a word, it’s like fingering a prayer bead. Maybe I’ll say that to the group at the retreat.

Gratefulness isn’t just personal – it’s meant to be social. It’s religious. It’s creative. And it’d better be political. It can, at its best, spill into everything. Our solidarity and our empathy with others are ways of expressing thankfulness: thankfulness for still being here, still being loved, still loving, even after everything falls apart.

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academic research media and publications stroke-recovery Uncategorized

A Year and a Half Strokeaversary

This week I found this old alarm notice on my phone. It brought me back with a jolt to my four months in hospital from September to December 2024. As I deleted it I said a prayer of thanks that, as much as I appreciated their care, I’m no longer at St Martha’s Regional.

In a minor coincidence, this week I also heard that the unpublished collection of “stroke poems” I wrote in the hospital was shortlisted for the Writers Federation of Nova Scotia‘s “Rita Joe Poetry Prize”! Rita Joe was a famous Mi’kmaq poet. It’s an honour just to be shortlisted. I have the privilege of being friends with several extremely talented poets, but have never published poetry myself. I’d love to share these poems with other stroke survivors and carers, so fingers crossed!

Eighteen months since my stroke, already! The reminders that popped up spurred me to write an update. Only, what to report?

#NoPlateau

Quite early on in my recovery, local physios warned me not to be disappointed when I hit the “plateau” at six months or so. But at the same time, they kept being pleasantly surprised at my determined progress. Sara developed the pep-phrase “HASHTAG NO PLATEAU”! I still haven’t hit one and don’t plan to.

I thought of calling this post “and then, one day, you’re putting on your belt using your left hand.” Or: “and then one day, you walk down the stairs and realize you didn’t hold the handrail.” Both statements are true in just the last two weeks. The idea that I could now be twisting my left arm around my body to dress, or to towel myself off after a shower, is an answer to prayer. For the first time since my stroke I can convincingly squeeze shut my grip exerciser. I can now actually “walk” a short base line on the guitar with my recalcitrant left pinkie. My hard-working Halifax Occupational therapist Lindsay is giving me more complicated wrist exercises on my phone’s Tenzr physio app, like tracing the entire alphabet in the air with my left fist. Miracles never cease. (Sara encouraged me to do it in Greek. Okay, not all miracles materialize.)

But the truth is, I also could write: “and then one day you’re stopped by a colleague to talk in the parking lot, and after just an extra 60 seconds in the cold, you suddenly need help to the car.” Or: “when you’re tired you still slur words, and once after climbing a bunch of stairs you lost your balance in front of a group of students and almost fell sideways into the wall.” Those statements are true also.

In a nutshell, THAT’S how it’s going. I’m grateful beyond words that my recovery continues even now, a year and a half after my stroke. Every day I have just an incremental bit more strength and flexibility and control in my left hand and arm. Every week my balance and my ability to crouch down and stand and walk improves very slightly. I mostly know this from others like Lindsay, who only see me every month or so and are amazed at my progress. Every week there are several new #StrokeFirsts I can celebrate when Sara and I read through all the slips we put into the weekly gratitude cup. Every week I’m surprised by what I can do. And less and less by what I still can’t.

Like the saplings

Sort of like Spring, my recovery is happening in bits and pieces. I almost felt like my old self again – and certainly felt a kinship with the earth – when I took a walk around the property this week. Like me, the saplings Sara planted while I looked on seem to have cheerily survived.

The stones I dumped by the inlet last summer need spreading, but it’s not yet the time.

A wild-seeded pine will almost only pop up where there is already a birch, so perhaps the birches are “parenting” the saplings? Some creature left its scat nearby but I’m not sure what kind it is, and I don’t have an app for THAT yet…

The brook on one side of our property is doing well, and this week the robins reappeared. Their singing is a joy, and might be the reason Theodore the reformed barn cat is crying so sadly to go outside for the first time since he so gleefully adopted us and moved in.

The sunset of my fellowship

There’s only a year left in my renewed Father Edo Gatto Fellowship at StFX, so I’m busily checking off my Gatto Chair goals. A big one happens this week. As soon as I knew I would be translating my historical research on the fourth century Saint Paula to fiction, I wanted to talk to other academics who do this. It’s finally happening this week! Sara will be moderating the webinar conversation, “Novel Research: Meet Four Historians of Religion Who Write Fiction.” I’m excited to talk about writing with these scholars I admire. You’re welcome to join us: register here!

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stroke-recovery Uncategorized

Strokeaversary: All the Things It Wasn’t

This week, something unusual happened.

It wasn’t the snowstorm. Having to park the car by the road at the end of our lane to be sure we can get to work in the morning isn’t that strange, even though the snow-laden trees are beautiful. Here in Pomquet, in Antigonish County, a storm day requiring our neighbour to come plow us out is starting to feel like a bi-weekly event. I had some trouble keeping up with Sara on her march to the car. But no, it wasn’t that.

Nor was it the sauna. In December, on receiving unexpectedly good news after a scary cancer test, I decided I’m not getting any younger and I’d buy that sauna kit I’ve dreamt of for years (ever since being pastor to the wonderful Montreal Finns and enjoying the rite with them). With the help of local carpenter extraordinaire Evan Theriault (Theriault Timberworks) I’m hoping we soon have our very own sauna in action for relaxing in this deep-freeze. That will be great. But no, it wasn’t that.

And no, it wasn’t that I’m starting to feel increasingly guilty about my handicapped parking sticker. Yesterday I felt badly using the space at the Farmers’ Market, although in the end I’m glad I did, since my balance on ice still isn’t the greatest. I’ve started to leave spots closest to the door for those who need them more. I guess that says something about my recovery and the general improvement to my walking! It’s easier and easier for me to tramp around the property, even on days like this (see below). But it’s still not that.

Nor is it that the big, furry feral feline we named Theodore, whom Sara trapped, neutered, and had patched up by the vet for his infected paw injury, didn’t immediately spring back out into the wild on his release. Instead he surprised us by turning into some kind of indoor love-bunny. He has apparently decided to adopt us. He’s incredibly smart and affectionate. As a dog person and someone with mild allergies I don’t encourage Theodore too much, but he seems to think I’m okay. We’re warming up to each other. But it’s not that either.

Nor is it that Sara tried her hand at making bagels (Montreal-style, of course!). As I write this I’m enjoying that yeasty, honey-laden smell and taste, and I can’t wait to try them with cream cheese. A rare delight and pleasure, indeed! (Recipe here). But no, not that…

Finally, it’s not that for the first time in months I dusted off my completed novel manuscript and read through it again, and I still think it’s great! I’ve been inspired to start sending it out to publishers again. The drawing below is from my friend Robert Aubé (more at his website). The novel is set in the very real location of St James Anglican Church, Cacouna QC. I’m rejuvenated. But no. Not that either…

What it IS, is that this last week I had Sara film my daily attempts at guitar. Every day I try to get my left hand fingers to move better by practising my playing. Here’s where I’m at post-stroke as of yesterday: https://vimeo.com/1157626018?share=copy&fl=sv&fe=ci

And here’s where I was pre-stroke, with that same piece (and with help from my youngest). I hope someday to get back to this level: https://vimeo.com/433444043

No. What actually happened this week that was unusual, was that I watched the recording Sara made, then the one from a couple of years ago. Then I broke down and cried.

I don’t weep like that often. It wasn’t from sadness, exactly, although I know I’ve lost much. I had to reflect a while on it. It’s complicated. While some of it was sadness, more of it was happiness – happiness I’m alive. Even though a year ago I could only twitch my thumb (and barely that), and now my hand has dramatically improved and is still getting better. Some of my tears came, I think, from realizing just what an endurance test recovery has been, despite the help and support of so many: the months of struggling with coats, and socks, and shoes, and bags, and silverware, and backpacks, and grocery bags, and everything else. Every day making the decision to use my left hand even though every time, it’s harder. (I just remembered to do it again, while typing this sentence.)

My point is NOT that congratulations are needed. There are lots of folks who’ve had it much worse. And there are certainly others who have to be much much more courageous. It’s that we are, all of us, emotional creatures, whole beings with needs, regrets, hopes, sadnesses, and joys. All. And life can sometimes feel the most beautiful, and the most rewarding, in precisely those times when it’s not the easiest.

I wouldn’t wish my stroke on anyone. But I was glad, this week, to go through such a heart-filling experience as that unexpected cry. Given the state of the world right now, we probably all need one.