Hello Prayer Warriors! Grab the popcorn, soda and your sofa -gotta lot to say this time :)
Saw Amy this week. She is doing much better. She is tired some yet; you can tell because she puts her head down more than she had say a month ago. She was laughing at different times during the day though and seemed in good spirits. Her Dad said it was wonderful to see her looking so much better compared to two weeks ago.
She was to see the neurologist yesterday; Nurse Lisa was to suggest either an increase in the Straterra dose (currently just 18mg) or maybe to add some Providual back. As of this moment, I don't know exactly what was decided. But for sure, the medication is making a difference; her being more alert, etc.
"Pedro" (Eric) says that because Amy is still somewhat tired, it does take a little more encouragement or bargaining to get her to complete her therapy sessions. She isn't always willing, but not to the point of refusal or "mad", he said. With a little humor added in from "Pedro" and Terri, she gets it done. He said that the therapy staff is being sensitive to Amy's feelings. They definitely don't want to push her to do something she doesn't want to do. They want her to be comfortable with what she is doing, but they also know there are goals to be met. So, they compromise by giving Amy more "breaks" or rests in-between activity.
"Pedro" has told her and reminded us that as she gets stronger there will be "harder" stuff to do in therapy. "Pedro" knows that she is stronger, because he is sweating less. :) Meaning that he is doing less and she is doing more. In the beginning of her time at Carbondale, he (they) assisted her in positioning her feet, moving her legs/feet, holding her up; whereas now she can balance herself better, needing someone to hold on to the belt around her waist when she is standing for safety/security of not falling or losing her balance.
"Pedro" explained, with the help of G.I.Joe; that Amy can support her weight and can stand on her own. She is able to keep her right knee straight and support her weight. The therapy that Amy accomplished at the standing contraption was great to see. I will describe it the best I can. The contraption has 4 wheels and she stands in the middle of them. Her forearms rest on a pad or cushion and her hands are gripped on pegs out front. Her forearms are kept secure with Velcro straps and her mid section is also strapped in. Amy is encouraged to take a step with her left and then with assistance someone behind her moves her right foot forward (by using their foot as they follow behind her). They slide her right foot forward (they put a paper boot on her foot) and then she steps with her left and then again sliding with the right and so on and so on. "Pedro" explained that prior to taking a step we transfer our weight to the opposite side we are going to take a step with, the muscles activate the knee joint and hip. Currently, with Amy she needs to take small steps, otherwise her knee has a chance of buckling and she will lose her balance. She works at continuing to strengthen her trunk. They had her working on an activity with letters, but she was having to balance herself sitting upright on a large exercise ball; then leaning from side to side without falling over. She is definitely stronger in her trunk area; but certainly a ways to go.
The letter activity was neat. They had those magnet letters that kids usually play with on the refrigerator. They would ask her a question and then she would have to search out the letters and spell out the answer. They said she did better last week with this; this time they had the letters organized - they had them mixed up last week and she found the letters that she needed and found them fast. Also, she did not have to concentrate on her balancing on that ball last week, either.
Last week they did a trial run with the electrodes on her forearm. They said she didn't tolerate it well. I think I talked about this in a prior email; Nelson has mentioned that she kept pulling at it, wanting it off. The staff is working through their training on this device and will be trying again with Amy in the future. Some days in physical therapy sessions they use estem on her shoulder; she tolerates more on some days and less on others. It just depends.
Also, there are times when they go to the computer during vision sessions; Terri said they go to the "caring bridges" messages and read those that have been sent to her. Yippee! So, keep sending those encouraging words of hope, love and belief to Amy. She NEEDS to see/read how many people are pulling/praying for her :) www.danceforamy.com They also have been working with her to write her name (with her left hand) and Terri said it is legible.
She continues to receive massages from the Chiropractic office, sometimes twice a week: Praise God, what a bonus blessing.
Speech Therapy continues to work on building her breath support. With the combination of fatigue, overall body weakness from the original trauma and then coordination; this is a Amy's biggest challenge, breath support.
She has improvement with her trunk strength and is doing great with her posture. But, with the coordination of inhaling and exhaling takes great concentration.
Gosh? :( ?!!! Don't we take SO MUCH for granted? I mean really. Our body does so much, all at the same time to make what seems to be the smallest task; like breathing deep or inhaling or exhaling.............anyway. We sat in with Amy during a Speech Therapy session. They had her to practice taking a deep breath and blowing out with her lips pursed. They had her blow into a straw and attempt to move a small piece (quarter size) of napkin across the table.
Amy did it. But, it was just an inch or two at the very most. I just sat in amazement (trying to keep the tears from coming); seeing the desire in Amy's eyes, her trying so hard to do well. But for Amy, it was all extreme effort. Blowing a piece of napkin across the table was extreme effort........... am I right, don't we take SO MUCH for granted??? You and I can go right now and blow that piece of paper completely across the room and then some and not thing another thing about it. Enough said.
During speech she also practiced her pronunciation. She was shown pictures of things and then practiced saying them out loud. She was quiet about it. You could tell by the SLIGHT movement of her lips that she was saying the correct word. The therapist worked with her to pronunciate the letters better. Again, she tried her best. But, by this time, she had lunch, physical therapy, the evaluation session and anxious for a nap! The other thing that I sat in amazement about was the fact that Amy practiced nodding yes and no. The therapist asked her to nod her head accordingly as she also SAID the word. You guys.....even that took concentration for Amy. Sometimes the movement was small and sometimes it was big, but slow. Again, wow.
They are considering, with the family's permission and PRAYERFULLY INSURANCE COVERAGE; an augmentative (sp?) device. If approved, after trial run, etc.; it can be attached to Amy's chair and used to assist her in communicating to others. It was affirmed by the speech therapist (we already knew it :) ) that Amy is intellectually "all there", no doubt that she's "got it". But, Amy has a physical hesitation; not a cognitive issue. Their thoughts are for Amy to be able to use this device to communicate ALONG WITH speaking the words. Of course, my first thought was "oh, boy; surely they don't want to give her a crutch to use that would keep her from speaking sooner". Well, as the therapist said, "Amy has so much to say and just can't right now." She needs to be able to communicate with Bobby, her kids, her family, staff and all of us without so much frustration. I can tell you that before we left, she was trying to tell me something, over and over and it just broke my heart that I couldn't understand her plainly. I think it was something to the effect that she wanted to go with us..........I responded by saying that I wanted her to come with us, too; but that she needed to stay and do her work to get stronger..... Ugh!!!!!! It is ALWAYS hard for me to leave.
Anyway, the augmentative device: A PRAYER FOCUS, funding for the device is the next hurdle. First initial response from insurance was a NO. But, they are not stopping with that. Insurance will be approached again, maybe differently............one way or the other, Bobby is all for Amy getting the device. From a professional standpoint, Michelle (the speech therapist) seeing no negatives in Amy using this device. She mentioned that (and by the way, she speaks to Amy about her progress and challenges - not speaking about her as if she is not even in the room - I just appreciate that so much, and I am certain Amy does, too) there really is no way of knowing her speech prognosis. It could be a year or two.........all is unknown. Well, gosh!!!! Ok, prayer warriors - we can pray for Amy's speech progress, can't we? It is all a combination of trunk strength, deeper breaths, concentration, pronunciation.............SHE CAN DO IT.....WITH GOD'S HELP AND OUR PRAYERS. Keep it up, ya'll.
Something else we sat in on with Amy......... they had her to sit (not in her wheelchair, but on a bench) and watch a very large board in front of her. The board had lights all over it that lit up sporadically and spontaneously. Every time Amy saw a light lit, she was to press it to put it out. And then the next light lit up and so on and so on. It was like a race against the clock, trying to beat her best time. They did patch her left eye for this exercise and then patched her right. She definitely can see out of her right - she did just as well as when it was her left eye doing the work. But then when she would do this exercise with no eye patch, you could tell there were certain times that she saw double, because she was reaching for the lights not lit. All the while she was balancing herself on the bench with no support from the therapist team. Looking great. And then she worked at the computer with a soccer game. There was a device secured to the table in front of the screen. She had to move the joystick in the direction to catch the soccer ball (she was the goalie). Again, eye patched for more success. And then "card shark"; matching the cards on the screen with the joystick. It took a lot of concentration and balance. She did good.
Overall Amy is doing much better. Next week will be even better. It is exciting to think of the progress yet to come. We cannot give up on her in any way. It is important for us to continue to believe that she will fully recover. God has her plan in place. I asked her if I could say a prayer with her; and so we did. Clearly she said "amen" with me :)
God has amazing therapist is Amy's midst. She is in a wonderful place; being blessed with their knowledge, their determination and desire for their participants to succeed. You can tell that they care about Amy very much. And they are aware of her huge support system (that's us!). EVERYTHING is working for Amy's good. God is behind the scenes working.......
Continue to pray for Bobby. His job is now 85 miles to the job site ONE WAY. Wow, lots of travel for Bobby these days - AND THEN farming at night.............
Continue to pray for Tootie. She is to have surgery on Monday. And let's not forget to pray for supernatural favor for the augmentative device for Amy to use to communicate with her world.
Happy Mother's Day. Enjoy the Moms in your life whether they belong to you or someone else. Moms are amazing women and not always appreciated. Give them all a hug this weekend! They deserve it and more :)
Love, Lynda