spacer
vertical spacer
Logo of the National Spinal Cord Injury Association
background image to display current date Thu, July, 24 2008
spacer
Toll-Free Helpline: (800) 962-9629 • info@spinalcord.org
spacer
Leading the way in maximizing the quality of life and opportunities for people with SCI and diseases since 1948
spacer
New Injury
Resource Center
Contact Us
Find a NSCIA Chapter
Join NSCIA
Donate
Conferences and Events
Become a member of NSCIA Community Forum
NSCIA Columnists divider 2 divider 1
Username:
Password:
 
Divider
spacer
Want to make a donation?




[ more about donations ]
spacer
your rights

 

NSCIA E-News

Just a Beginning

By Gary Karp

Just out of rehab? These days, spinal cord injury or disease (SCI/D) below the cervical level means you probably spent about a month in rehab after a brief acute hospital stay. People with a higher level of injury typically get a few more weeks of inpatient attention.

Gary Karp

Gary Karp

So, now you’re home and the whole situation might look pretty unpleasant. (For some of you I realize that is a vast understatement.) There wasn’t time for your family to adapt your home, you’ve barely made a medical recovery, the rehab center taught you a few skills and some exercises that don’t feel like nearly enough, and you, your family, your friends, and your colleagues are still trying to absorb the emotional impact of the whole thing.

Welcome home!

That first few days away from the safety and consistency of rehab can be as shocking as a dive into a freezing pool with a live wire in it — and can seem to confirm the worst scenarios that have run through your mind from the start about how hard it is going to be in the world with a disability.

I beg you to pause and reconsider. You are just at the beginning, and you have no idea how much untapped potential there is for you.

Trust me on this. Here’s how I know.

People used to arrive home much closer to their ultimate potential, because they would spend weeks in an acute setting, recovering from the medical issues surrounding their SCI/D. No one would be sent on to rehab without being medically stable, and ready for the hard work of getting trained for maximum independence. That was the whole idea.

Which I consider proof that you have a ton of potential yet to reach.

In my case, in 1973, there wasn’t much choice. They didn’t insert braces in the spine, so it was necessary to lay around until the surgery healed. There was plenty of time to absorb what had happened, to be spoiled silly by loved ones (if you were lucky enough, like I was), and for the medical staff to get your body ready for rehab. Regardless of your level of injury.

Then rehab — for as long as it took to get you strong, teach you wheelchair skills, how to dress, manage your waste systems, mess around in the kitchen, and so on. If you had enough upper body potential, you might go home with some stretch marks from the speedy enlargement of your muscles (my mark of pride on both shoulders).

Now they put in braces, send you off to rehab, and the clock starts ticking on your insurance coverage until you’re shipped home, regardless of your remaining potential or your ability to participate fully in the rehab process.

The reasons why this is happening are too complex to go into here, and not really the point I want to get across. I’m asking you to look to the past and see that putting the requisite amount of time into strengthening and skill development paid off in more independence and confidence and possibility. I’m asking you to look at the proof of what people used to commonly achieve thanks to longer rehab stays.

The difference now is that you have to do it more on your own, without the convenience of inpatient staff dragging you into the gym and cracking the whip every day in rehab.

The fact of your potential to be stronger and more skilled is entirely unchanged by the fact that you’re doing the work at home instead of in rehab.

Maybe you’ve got access to outpatient services, maybe not. In any case, don’t let the process stop because things seem nasty once you get home. If you give it up now, you’ve cost yourself your own options — only multiplying the injustice of being pumped through the rehab process before your time.

You have no idea how much untapped potential there is — until you take the time to find out. Rehab was just the beginning. For better or worse, the rest is up to you.

[ top ]
Contact Us | Terms of Use | Copyright | Privacy
© National Spinal Cord Injury Association 2003 - 2006. All rights reserved.
Site maintained by HDI Publishers