Balance Assessment at Susquehanna Service Dogs

About three years ago, Eva– my daughter, in the beginning of her career as a pet caregiver and dog trainer– said she wanted to train me a service dog. She wanted something to babysit me once she left home or when I was home alone.

She showed me some videos and I did some research and thought she had a point. When she leaves home, I will be a 50-something woman living alone with a history of falls and accidents. The presence of a dog in my life would keep me active and prevent spasticity issues, improve my gait as a dog’s gait never falters, and perform small tasks like bringing me my phone or picking items off the floor.

I have no doubt that with the right puppy and the time, Eva could train a service dog. But I suggested that for our first experience in the realm of service dogs, we should apply to an official service dog program.

Working with a program would teach us how the dogs are trained, give us support, guarantee good breeding and the physical fitness of the dog, and have some added legitimacy should people question my dog’s work.

Now there are no rules that prevent individuals from training their own service dogs. I think this is why one can encounter a variety of “fake” service dogs doing public access work. [I saw two service animals in the same restaurant this week. One looked like a well-trained Labradoodle with a handler who wasn’t cognizant of her surroundings. The Labradoodle was lying across the main floor area of the restaurant and not tucked under a table. The second was a small dog, perhaps some sort of schnauzer who barked and begged and whined and scratched at its owner’s leg for food the entire time. So, either that handler was having a medical emergency and the dog’s alerts were being ignored or the dog was not properly trained. A working dog should not make noise in public and it should not be distracted by food.]

I understand that training a dog with an agency or a professional trainer is expensive, but people who insist on using dogs for public access that are not properly trained make life harder for those people who have working dogs that don’t misbehave. Improperly trained dogs with public access are the dogs more prone to cause an incident with another dog.

And once I pay for my dog– which will take ALL of my savings– if that dog is attacked or threatened while working in public, that could impact its ability to do its job in the future. My dog might become afraid and unable to focus on its job. So I will have invested all of my money in a dog that won’t leave the house.

In the United States, there are no rules or governing agencies that regulate service dogs. There are, however, rules about what people can ask to a handler of a service dog– Does this dog do work that mitigates your disability? What tasks does the dog do? That’s it.

I have chronicled my service dog adventures on this blog. Here are most of the entries. (I am also working on a disability memoir.) There’s a lot to the process. My dog will be a light mobility dog.

They say the average placement takes four years start-to-finish. We filled out the application with Susquehanna Service Dogs in Summer 2022. I went to their facility and had an interview, fill out a survey of my life and health every six months, did an assessment while working with a dog where they recorded me, brought Eva with me to do public access work in a mall, passed a home visit, collaborated with a case worker to develop a plan of what my dog would actually need to do, and now yesterday, I went back to the facility with Eva for a balance assessment.

They had a mobility professional join us– I believe she was a physical therapist– and I worked with the dog and showed them how I get up off the floor and answered questions about my life and recent fall history. I love when Eva can come because she can tell them her insights. Apparently, she was annoyed because physically I was having a good day yesterday.

I worked with Captain. What we learned was that my dog will need to walk on my right. The dogs are trained to walk on the left, but when the dog is on my left I struggle to walk in a straight line. When the dog is on my right, my posture and ambulation is much more natural.

We also decided that my dog will be guided by a leash, versus a strap or a mobility harness. A mobility harness is rigid and has the most feedback between human and dog. In the photos, I am using a red strap on the far right. The strap was okay, and it’s an intermediary step between the harness and the leash, but it didn’t feel natural. (And the benefit of using leash only is that it gives the dog more freedom and space to get out of the way when I fall. Some dogs are trained to do things when a handler starts to fall, but I want my dog out of the way.)

It also seems like I’m at the proper place in the timeline. The next step: When they have a group of dogs that are flexible enough to work on the right and the right size to work with me, I will get to meet them. It might take a few meetings to find the right dog. Once the right dog is selected and assigned, I believe they will do any specialized training while boarding on site and then I go to their facility for a three-week training session.

The dog itself has to be two-years-old and fully grown and cleared by a veterinarian before entering the work force. Moibility dogs have some of the hardest and most physical jobs out there for service dogs.

The close-out of my medical fitness program

Monday is my last session as part of the Thrive medical fitness program at St. Luke’s. Working with the trainers in the program has reminded me of some hard truths– and the part that’s hard is the reality of your own habits and thinking patterns.

The numbers show some nice progress. I lost four pounds of fat and gained one pound of muscle. (And had I eaten better imagine what those numbers could have been.) My blood pressure according to their records has stayed the same, but based on my home readings has gone down and requires less medication. The strength-based tests– well, I kicked butt.

I certainly feel better, and stronger, though I still have work to do on my cardiofitness. That won’t really improve until I commit to more cardiovascular exercise, even if it is just walks around the neighborhood. I would love to return to riding my bike again, but there’s a fear factor there. It’s an activity I don’t want to do alone, which is also true of walking.

But here are the lessons:

  • When my body hurts and locks up, strength-training stretches all those muscles and gets rid of the pain.
  • I can only lose about a pound a week if I eat well and exercise at least three times a week. Diet alone won’t do it. And my food choices don’t have to be perfect but they have to be solid.
  • Salt is my nemesis. Too little and I experience orthostatic hypotension and lightheadedness, too much and I end up with as much as five pounds water weight.
  • I must be choosy about my fast food. Domino’s or Little Caesars pizza will put me in a coma, and I will sleep so well, but the impact will show on my heart rate, blood pressure and weight. Wing Stop has no benefits, only the effects of the salt. I now keep various processed chicken products in the freezer because while they are not a wholesome choice, I can make my own sauces to replicate Wing Stop and save the truly detrimental health effects. Taco Bell in small doses can be tolerated, and I usually get a cheap box deal and make the items all vegetarian. It adds some extra fiber and vegetable matter to the mix.
  • And out of all the fast food chains– I can navigate the menu at Chick-Fil-A and not notice any real impact. Their fruit cup and kale crunch salad, especially when paired with grilled nuggets, are solid choices. They also have a chicken (or vegetarian) cool wrap, which, while it is calorie dense, is easy and quick to eat– with a good portion of lettuce and cabbage. (Yes, they also have amazing salads, but those big salads are realistically three portions. That’s a lot of salad and chicken. A lot.)

Do I have the discipline to not only continue but improve upon this progress? I don’t know. Honestly. IF I made a commitment to meal planning and cooking, I could. But with money and time always an issue, I don’t know. With stress leading me to seek comfort in my favorite foods– did you know they have Sour Patch Kid Jelly Beans? Eva says they flipped Sour Patch Kids inside out… With fatigue influencing my choices– caffeine and sugary carbohydrates, anyone?

Will I get up in the morning, drink a glass of water, and commit to some sort of exercise in my home gym?

Damned if I know.

Stay tuned.

The Massachusetts Whirlwind (Day 1)

Gayle and I left my house in Pennsylvania’s Lehigh Valley at 7:50 a.m. Our destination was the Embassy Suites in Marlborough, Massachusetts, for EH Jacobs’ book signing at Tatnuck Booksellers tomorrow.

I noticed the other day that Dunkin has its spring menu out and I was very excited to have a pistachion flavored coffee. So, after about an hour on the road, we stopped in Bernardsville, N.J., for breakfast at Dunkin — and I didn’t like my coffee. Which I used to love.

For some reason, no matter how many times I told the GPS not to, it insisted on taking us over the George Washington Bridge and threw the Bronx. That was unexpected.

And somewhere early on in Connecticut, the tire pressure light came on. But briefly thereafter we stopped at a service center in Alltown that had free air, but it was too cold and windy to check the tires and deal with them. I’m fairly certain is the 60 degree to 30 degree temperature drops from the course of the last week causing issues, but it could be every time I come to Massachusetts, I don’t put enough air in my tires.

New Haven

Before we left I googled interesting bookstores around the half-way point so we can get out of the car, wander a bit and connect with some new people. New Haven popped up as the stop with the most potential based on geographic location, the time we left (Because we leave early and stuff isn’t open sometimes until 11 a.m. or noon), and the number of potential stops in the vicinity.

It’s usually done by gut feel, google search and social media. And I typically completely forget WHY I picked a place.

STOP 1: POSSIBLE FUTURES

So, if you don’t know, I have a bachelor’s degree in English/French language and literature and a second bachelor’s in international affairs. I did somewhere around a third of my master’s degree in world history– where I intended to focus on post-colonial Francophone Africa. My academic interest is in stereotypes and the racism against indigenous people, especially in the case of the French, the prejudice against Muslims. The French treated the Muslim colonial subjects as the lowest class of citizen, deeming them unfit for miscegenation (a tactic popular as part of the civilizing mission in Asia, for example) because it would weaken the French bloodlines.

Gayle and I approach this bookstore and find a mural. Gayle loves murals. We find a memorial to abolitionist Ruth Wilson Gilmore and evidence that in warmer weather this area houses a container garden.

The academic critical theorist in me loved seeing the works of Aimé Cesaire and Franz Fanon on the shelves, with memoirs of people like Josephine Baker (which I almost bought). Black novelists (stunning collection of Octavia Butler, but she is making a comeback) and quite a few Louise Ehrlich. The inventory included feminist books, Muslim books, lots of queer and other marginalized voices. And such great vibes! This one will make my bookstore and book detour list as part of my Substack newsletter/resources.

Although our other stops were only a mile away on the Yale Campus, we opted to drive as the wind was brutal.

And I did the worst parallel park job of my life on York Street. We’re not going to talk about it. But in my defense, the space was small. But I got in it!

GREY MATTER (south)

This was a really great used bookstore with reasonable prices. (Have you been to those bookstores that base their prices on the original price of the book? I don’t like those.) I bought three books– The Long Island one by Taffy what’s-her-name and two books about colonization in Africa from the 1960s. My bill was $19.

I’m not sure if I should write this… but the vibes between the two places made me think… Possible Futures was obviously the more liberal place and had a lively energy, lots of color, friendly staff who liked to chat, and a real sense of mission and place. Grey Matter felt much more conservative, dusty and stodgy and entrenched in that sense of academia and, well, whiteness. (Which one of my Africa books is by an Indian man from an Indian publishing company so I can’t wait to see his report of what was happening in Africa.)

Gayle grabbed an iced chai on the way back to the car, but sadly she dropped it before she even had a sip.

Speaking of sad, the GPS continued its revolt and took us up smaller roads to the Boston area. Route 20 looked very, very strange. The buildings were all empty at the side of road and neglected and lots of construction everywhere– Gayle thinks they are widening the highway.

We arrived at the hotel and were extremely impressed with our room. And the snacks. And the location and the friendliness of the staff. We were scheduled to meet author E.H. Jacobs and his wife at Welly’s for dinner. And I gave Ed his royalty check.

I had a lovely fig and arugula pizza and came back to the hotel for a soak in the hot tub.

I had hoped to fulfill one of Gayle’s wishes and go see Harvard’s Gutenberg Bible, but we discovered too late that they do not have Saturday hours.

The Ups and Downs of February

Lately, I’ve felt like nothing about my life is out-of-the-ordinary or interesting. Maybe that’s true, maybe it’s not.

But this week has been a humdinger. On Monday night, I came home from my supplementary part-time job (because as I’ve heard other people phrase it, “Winter is a hard time for small business” and I found what I think might be an awesome 10-hour-a-week job for me– if my body can handle it). I took a few Tylenol PM because my body was aching and I hadn’t used that particular medication in a long time. But, it’s spring kinda-sorta, and I haven’t been consistent with any antihistamines so I choked on the damn pills because of the allergy-related mucus.

Now, that’s not the end of the world, except I managed to recoil away from the bathroom sink and hit my face on the wooden shelf we use as a cabinet. I hit right along the cheekbone and it hurt like heck and managed to leave a narrow bruise almost parallel to my nose.

Now– some update/backstory as I move forward here– I am two months in to my three-month program at St. Luke’s medical fitness program Thrive. I have worked with several of the trainers (Alex, Claudia, Jim) and I can feel a difference since I returned to the gym. And this week I trained with Alex after several weeks primarily with Jim and Alex noticed I needed to up a bunch of my weights and he’s looking into changing my program.

Jim taught me some stretches for my IT band, because I’ve been having some new issues with spasms in that region, and my chiropractor had determined during our visit Wednesday that I had locked up my right knee. That’s totally new.

My blood pressure and heart rate has been weird. My heartrate has been high at random periods and at one point on Monday it dropped from 120 to 60 and went back up to 130 which could be a sign of afib. And then my blood pressure would come in at 120/65, which normally my blood pressure is 115/70 or 95/65 and now it’s blending the two.

I really have the feeling that to keep my weight and blood pressure under control I have to be very meticulous about what I eat. I am still struggling with that same five pounds. If I do my strength training and my workouts, walk at least 5,000 steps a day, and eat what a lot of people would call “clean” foods, I can lose weight and keep my blood pressure low (with an occasional salty snack when it dips too low). But even if I skip a workout, the weight comes back. It got so frustrating– that nothing ever changes– that I stopped tracking in my fancy fitness journal. And if I’m discouraged now, what happens in April when my program ends?

Thursday evening I had another great workout with Alex. I was mentioning that it had been almost two years to the day since I had my afib incident. I’m really starting to wonder if the change in the weather, and allergies, has something more to do with all this.

Thursday night I came home, showered, and went to bed, only to discover that one of the household cats was in my room and did not want to be. So I got up to let her out. And when I turned to get back into bed I don’t know if I tripped over something or if I misjudged where the space was to walk, but I fell.

Onto a stainless steel litter box.

Hard.

I took a photo of the bruise on the back of my knee today (it’s Sunday) and it’s blurry because it’s at a strange angle. I have another on my arm, that one’s less vivid but bigger.

On Friday, I did a lot of work for Parisian Phoenix Publishing and even agreed to pick up some extra hours Saturday night at the part-time job. Then, I had a really nice business meeting to brainstorm some strategy for 2025 and that included a beer and some wings (and some really yummy thin Triscuits. I had never had thin Triscuits before).

But then Saturday, I woke up with some sort of gastrointestinal issue. It didn’t seem severe enough to be a stomach bug, but I couldn’t come up with any food items that would have given me food poisoning. So I found someone to cover my shift and slept most of the day (and read Fourth Wing when I was awake).

Because I barely moved yesterday my body is painfully protesting walking. My lower body muscles don’t receive messages from my brain like they are supposed to, that’s due to the cerebral palsy. When I have a lazy day like I did yesterday, my legs literally forget what to do. There will be stretching today.

And it’s interesting that I think spring might have something to do with the stuff that keeps happening in March– because March is Cerebral Palsy Awareness Month.

The healthier side of fast food

I worked my way through school at a very busy McDonalds franchise, working full-time there after college graduation until I found my first professional job four months later. When I returned to food service in my thirties, it was at our local Target (in the cafe, making official Pizza Hut pizzas and popcorn and selling icees) so that I had the income our family needed to make ends meet yet have the flexibility to raise our daughter. And go to school. And travel. And all the quirky things I have done.

So throughout most of Eva’s childhood, we didn’t eat fast food and I certainly didn’t set foot in a McDonalds for 20 years. (When I finally did, it smelled exactly the same as I remembered.)

Once Eva started to work and drive and as the pandemic changed a lot of our shopping and eating habits, we have revisited a lot of the fast food options. (There is a reason I gained 30 pounds since then, I guess.)

I was vegetarian for about eight years before Eva was born and fast food is traditionally not a place where vegetarians find many options– I remember making vegetarian Big Macs and “grilled cheese” at McDonalds. Basically, take the meat out of the traditional burger. Frankly, I always thought that sounded gross.

So imagine my surprise when I was recently scrolling the Chick-Fil-A menu online and discovered a host of vegetarian and potentially vegan options. And I decided to work my way through them. Now, I have had Chick-Fil-A’s salads, and any of them can be made without the chicken (and cheese or bacon or egg depending on the salad). They even have three vinegar-based salad dressings.

Now, let me say that I am no longer a vegetarian but I still gravitate toward vegetarian options.

I am in love with the relatively new kale crunch side salad– kale, cabbage, and almonds with the apple vinaigrette dressing.

The fruit cup surprised me. It’s mostly apples, but it also has fresh strawberries and blueberries and a couple mandarin orange slices.

The macaroni and cheese is a unique take on a classic. It does not have the uber-creamy texture of velveeta like most fast food macaroni and cheese, but almost has a rich gruyere flavor and a thicker texture.

Yesterday I tried the vegetarian cool wrap, which is the traditional cool wrap (with cold chicken, lettuce, cabbage and shredded cheese) but with the beans and corn from the southwest salad as the protein.

I’m surprised at how many easy options there are.

And there is also applesauce.

Pre-Snowstorm at the Modern Laundromat

Preamble: New Job

So, life got more hectic than usual this week. That’s a large statement on my behalf because my life is normally chaotic, but I promise this is not hyperbole.

I started a very part-time job this week (two days a week, short shifts) and the details of that shall remain for a separate post. But needless to say, the interview, the job offer, my acceptance, and my orientation happened in less than a week.

Winter is a terrible time for retail– and book sales follow retail trends– and my political journalism work won’t resume for another month. With the trials our furnace put us through this autumn and the illness that knocked us out of commission in December, I needed some predictable income even if it does only add $150 a week to the household coffers.

The Flat Tire

On Tuesday, Eva and I had a tight schedule– I had a morning meeting, Eva had some lunch dog walks and a therapy appointment and when she was due to get home, I would head out the door to my gym appointment at St. Luke’s fitness.

But when I got out of my meeting I had a flat tire with a screw sticking out of it. Luckily, a man in the parking lot had a portable air compressor and filled my tire. Then I picked up Eva, drove her to her dad’s to get his car, and then drove to the tire place.

Did I mention it had started snowing?

I had not slept much because of all the goings-on so I opted to cancel my gym appointment.

The Bedroom Reno/Redo

I’ve needed to deep clean my room for a while. I live with a bratty Goffin’s cockatoo and have three cats who live in my bedroom, so it’s always gross. I vacuum and clean cat boxes every other day if not every day but there’s still dust on everything, whether it be plaster dust, dust dust, bird dander or bird seed.

Eva painted my room originally about six years ago in Behr Diva Glam, which later turned out to be a pretty close match for “Parisian Phoenix Pink.” At that time, we painted the trim almond and ripped out the carpets but we never finished the old hardwood floors. Nala, my naughty Goffin’s cockatoo, has been peeling paint off the wall and eating window trim, and when we first painted the room we had an issue where the paint didn’t quite stick.

So, somehow, one thing led to another and the upstairs of our house has been scheduled for a deep clean. But somehow even that deep clean has gotten out-of-hand. Like maybe I should have gotten a bagster or dumpster.

We ripped down everything from curtains to bedding and Eva repainted my room and updated the color scheme. I managed to find the exact color I used to have. Eva also cleaned and updated the electrical outlets and switches. We also have a new ceiling fan to go in there eventually.

Eva decided to go ahead and learn how to refinish the wood floors and she stained them Behr “espresso” water-based poly/stain combo. This room has not had the floors done since we’ve owned it, but we also did not want to wait for the oil to dry or asphyxiate ourselves while doing this in winter.

Today, before the impending snow storm, Eva and I opted to take all of the curtains, bedding and animal beds and stuff to the laundromat.

The Modernity of the Laundromat

So, I haven’t gone to the laundromat in 20+ years– even our apartments either had a laundry room or a washer/dryer hookup. But I have retained the habit of collecting “sacred laundry quarters” for parking, Aldi, tolls, emergencies like a cup of cheap coffee.

I know of at least three laundromats within a half-mile of my house and I googled them. I decided on So Fresh N So Clean for its location across from Wawa and Home Depot and between the former salon where my favorite nail tech used to work and Papa John’s pizza in the old health food store.

I expected, thanks to the web site, that there was wifi and that I could pay for my wash with my quarters or digital options or use the change machine to get more quarters. But I did not anticipate the app. The app attempted to tell me what washers and dryers were free and texted me when my laundry was almost done.

Fitness update

I have completed SIX workouts as part of the St. Luke’s Thrive medical fitness program with trainer Alex who will be starting his Ph.D. program in physical therapy this summer. I have attended and completed one boot camp workout at Apex Training, the gym where I trained regularly from Summer 2020 to March 2024.

I have tried to start taking my supplements again: multivitamin, calcium + D, iron, and zinc. I have increased my daily step goal AND my dosages of my muscle relaxer.

Hopefully soon I will start using my home gym, see some consistent weight loss, and start taking the dog for a walk regularly.

And now, for the past week, I have struggled to keep my blood pressure UP.

I met Alex at the gym today for a 7 a.m. workout. He had the early shift so he started at 5 a.m. and I had my butt on the treadmill by 6:45 a.m. We did a pull workout today. I didn’t have as much flexibility as I do later in the day but for the first time in a week I am looser and more mobile after the workout. Typically, I am sore and achy and want to sleep for a week.

The push workouts hit me harder than the pull workouts.

Alex thinks we’ve hit the muscle memory plateau– he’s commented during my last couple workouts that I have jumped weights amazingly fast, that he has never seen someone progress that quickly. I tried to warn him, but I guess seeing it with his own eyes still impressed him. But now we’re getting in the neighborhood of my old weights and he’s seeing me struggle more.

It’s a riot that I can do bicep curls with 15 pounds on each arm but I’ll want to cry if I have to walk across the room with a resistance band around my thighs. Ah, the dichotomy of diplegia spastic cerebral palsy.

But I have also noticed that A. There is a lot of people hanging out at the gym early in the morning and B. There are some old ladies lifting HEAVY weights. Good for them! Go, Ladies!

I’m thinking more and more about long-term habits and choices and how I will keep myself engaged.

Stairs make me cry

The hardest part about any health or fitness journey is forming better habits. The exercise isn’t hard. Taking your medicine or vitamins isn’t hard. Heck, if you have a balance of choices in your house, healthy eating isn’t hard.

Fighting with your bad habits is hard. Discipline is hard. Showing up is hard.

Once you walk in the door, going to the gym isn’t hard. Once you have a plan and get the ingredients out of the refrigerator, meal prep isn’t hard.

But change, change is damn hard.

I had two workouts this week with Alex at the Thrive Medical Fitness program at St. Luke’s Hospital. My first was Wednesday, and my second was Friday. I felt good after my first, but man oh man did my body hurt after the second one.

My next workout isn’t until Tuesday afternoon, so I found myself thinking that in order to maintain momentum I should do something today (Sunday). Because at this stage in the game any action that helps reinforce a consistent change in behavior is necessary.

So I contacted Greg at Apex Training and asked if he was hosting his Sunday morning boot camp at 8:30 a.m. The boot camp is drop-in and costs $10. I have never attended one of Greg’s boot camp programs, because I typically spent Saturday morning at the gym with Andrew. And a body needs a chance to recover.

Of course, Greg basically told me to get my ass over there, and so I did. What I love about my time at Apex is that all of the guys and all of the regulars are genuinely enthusiastic and helpful, and we’re all a tad sadomasochistic, which is of course part of what makes us successful. Plus the gym is a slow ten-minute walk from my house. The walk there and back is my warm-up and cool-down.

You see, even if I got to the gym this morning, did one set of exercises and left, it would have been a win. Because the goal was to get up, go out in the cold, and walk over. Once you achieve that mental hurtle, the rest is easy. At this point, I want to encourage myself to do something every other day and to increase my steps, not because of my steps per se, but for heart/cardio health.

And I know some people will use exercise as a reason to “reward” themselves with “cheat” or “treat” foods– but I’m the opposite. If I’m working out, I’m more prone to not sabotage my progress.

And, because I’m stubborn, I survived Greg’s workout.

But the way my body feels, I’m already struggling to get up the stairs.

But that’s how it works.

A Clean Start?

My hope for the new year was to finish the book A People’s Guide to Publishing and use it as a guide for making goals for the publishing company for 2025 and to maybe, perhaps, finally finish my business plan.

With the ailment I inherited from the college student, I didn’t do nearly as much I had hoped over the holiday season, except for reading light fare like Blubber and binging old movies (Practical Magic, The Dream Team, A League of Their Own).

This year has been challenging– even with my attempts to get my act together– I am still where I was six months ago when I joined the Omada program.

But with my colonoscopy which happened December 30, and getting cleared for the Thrive Medical Fitness program at St. Luke’s Hospital Dec. 27, with my first workout scheduled for Jan. 1, I literally had a clean start.

A new year. A clean colon.

And then the dog ate a lot of the leftover Christmas cookies.

So now I won’t be tempted to eat them.

Back to the gym

Wednesday’s exercises

I did my first workout with Alex at the St. Luke’s Sports and Performance Center at the Anderson Campus on Wednesday morning at 8 a.m. That was the “push” workout. The exercises reminded me a lot of the workouts Andrew and I did together at Apex Training. When I told Andrew about it later, he remarked, “the basics always work.”

I survived the workout well, and the next day my chest muscles in the area of my shoulders and armpits reminded me that I had exercised the day before. Alex has me using the treadmill for 15 minutes, with the goal of getting my heart rate to 120-130. It’s embarrassing how challenging the treadmill can be for me, all that walking fast and making sure my feet do the right things. I so envy the people who don’t have to hold on for dear life.

Friday’s exercises

Today we did the “pull” workout. I even brought an earphone so I could listen to a podcast on my treadmill walk. The fifteen-minute walk allows me to cover a half-mile. I know that’s rather pitiful, but we all start somewhere. Alex is learning that I can handle a lot more weight than he suspects when it comes to upper body exercises, and like Andrew, he loves to make that sadistic little statement of “looks like that was too easy.”

Alex wanted to see me four times a week, but he’s only at the Anderson Campus one day next week. So, I asked, where he would be. And he said Phillipsburg. And if you know me, you know I know Phillipsburg.

He looked surprised if I could come to Phillipsburg and I asked if that were okay or if it were too stalkerish… I’m literally in the middle of the two facilities.

I’ll be seeing him in Phillipsbug on Tuesday and Thursday afternoon and then on Friday afternoon in Bethlehem Township. We scheduled all that when I saw him Wednesday, and today he said he was very excited to see me in Phillipsburg next week because that’s the gym he spends the most time in and it’s less cluttered.

When I left the hospital today, everything hurt. But I was proud.

Functional Fitness

My dear friend Thurston has been writing about what he calls “crisis conditioning” and functional aging as part of his Phulasso Living newsletter. (Read more about that in his own words here.) After a traumatic and severe leg break in Autumn 2023, he experienced his own fitness challenges. As an active guy, and a strong “in-shape” kind of guy, I think it surprised him how much energy and muscle power it took to have a mobility issue like his broken leg. He had to rely on mobility aids to get around his house (after weeks in bed) and I remember him commenting to me about how his strength did not guarantee that he had the upper body strength to support his own body weight.

The world suddenly looks very different when you face a flight of stairs with a pair of crutches or worse– a walker.

Thurston’s career has focused on safety and emergency preparedness. I think his accident may have changed his view on how much he can trust his own body, or perhaps how much he can take his body for granted, because in some ways, aging is a crisis event. Aging makes it harder to recover from injuries and from workouts. Aging makes it harder to maintain and even harder to build muscle.

But I have often viewed my own body as an unreliable partner. And something Thurston said in his newsletter hit the nail on the head.

After achieving a great deal of progress up until the spring and summer, I noticed something that really frustrated me. If I missed 3 or more days of exercise, I experienced stiffness and pain, and the number of repetitions and sets in my exercise routine would decrease! It was almost as if I hadn’t been doing much exercise at all.

–Thurston D. Gill, Jr.

I have been strength training on and off since college– which is 30 years now. I spent almost 10 years working at Target in a physically demanding job. As I approached 40, after a broken hand, I recommitted to my own fitness. And at 46-ish, I joined a private gym and hired a strength coach. I was a consistent client at Apex Training for three years, even when I had to scrape pennies together to pay for it, until my trainer had a family emergency that put a pause in our relationship and suddenly, I no longer had the money.

What Thurston describes is what I experience. That is what cerebral palsy does to me. My muscles in my legs and lower body never relax. They never get the message from the brain to relax. To facilitate better motion, I stretch and strength train and go to balance and gait physical therapy to show them rather than tell them what to do.

And the more I do it, the more that becomes their default.

And if I don’t do it, they forget.

I guess Thurston and I are both telling you not to take your body for granted, but to also realize that you need a plan to maintain your health and your strength because you never know what might happen. When I broke my hand, it was my dominant hand. That happened when I was in my late 30s.

Would it be more difficult now, a decade later, to do all those everyday tasks with my left hand?

What if I suddenly did have to use crutches?

If I fell, do I have enough upper body strength to pull myself across the floor? Into a chair?

Can I balance on one foot? For how long? Can I do it on each leg?

How do I carry items upstairs if I need one hand to hold the railing?

Can I navigate without relying on my eyesight?

Can I still walk a mile? Two? (If the car breaks down in the middle of nowhere…)

Do I have the strength to change a tire?

Colonoscopy

Yesterday I had a colonoscopy, which means that I went 36 hours without food and experienced my first bowel prep. As with many things, I approached it with the same curiosity I would other aspects of life. Like how long does it really take to clean one’s colon? How does it feel to fast for an extended period of time? Can I find a broth or a gelatin dessert I like?

I’m not a big meat eater, and was vegetarian for eight years before my daughter’s birth. So the clear liquids diet seemed abhorrent to me, and the fact that they asked you to avoid nuts, seeds, whole grains and vegetables and fruits with skin for five days also troubled me.

The directions for the prep said I needed a 64-ounce bottle of Gatorade, but not in red, orange or purple as those colors could look like blood in the colon. I didn’t know if blue were okay. I looked at all the flavors in ever store and it looked like yellow was the only color that was safe. Except Gatorade is gross. And it’s hard to find a 64-ounce bottle of Gatorade, so I had to hit the grocery stores. That’s a LOT of Gatorade.

I told myself– find a small bottle of a flavor that might work and taste test the Gatorade. But even then I could not do it.

I looked at this logically. The whole point of the Gatorade is to suspend the Miralax powder into a liquid and to offer the body electrolytes so you don’t end up horribly dehydrated. Gatorade is not the only electrolyte drink out there. There’s also Propel, G2 (okay so that’s just diet Gatorade), and high-end products like Liquid IV. I’ve been down this rabbit hole before with research when my primary care provider suggested I drink more electrolytes to treat my orthostatic hypotension. I already had a favorite.

(Here’s an old blog entry about the cardiologist I now refuse to see who thought he knew better than my primary care provider. Smug little doctor man. And here’s another that mentions electrolytes.)

I ordered myself some of my favorite electrolyte powder (Powder Vitamin Plus), in lemonade, unflavored and ginseng green tea. No colors.

As for clear liquid diet… I made chicken stock and froze it. But, I don’t like chicken broth and I could not convince myself to thaw it out and drink it. I found some gelatin that expired in 2022 from when I promised I would make Eva finger JellO, but I couldn’t find the JellO. Eva also brought home a bottle of Sprite.

I used the Sprite and a random can of Beetlejuice spiced apple soda from Fanta to make one batch of finger JellO but the color of the soda was bright green and I expected it to be golden. I also made a batch with white grape-strawberry juice (and that was diet).

Saturday morning I had a big salad, removing all the items from the “avoid list.” Then I had a decent dinner, and a few homemade Christmas cookies. Lately, if I have more than three Christmas cookies, the sugar makes my belly feel wonky and this night was no exception. I stopped eating at 6:30 Saturday night (and didn’t eat solid food again until 10 a.m. Monday).

On Sunday morning, I made some electrolyte water and a hot ginger drink. Midmorning I made black coffee and laced it with a little chocolate chip cookie dough Torani syrup. For lunch, I had a heap of finger JellO and a small cup of vegan soy ramen broth. In early afternoon, I drank a cherry Coke zero.

I took my first set of laxative pills at 2 p.m. and an hour later, well you can imagine the results. I already had no stool left in my colon, but as most of my intake had been brown liquid…

At that point, I filled a glass jug with 64 ounces water, and a scoop of lemonade electrolyte powder and a half scoop of the ginseng powder. I shook and started to add the miralax powder. Except it didn’t fit. Even with me stirring with a long spoon as I added it slowly.

I poured it all into the blender, which resulted in about 72 ounces of final mixture.

I put it into the fridge, with the overflow in a mason jar so that I could track how much I was drinking.

At 6 p.m., I started drinking. At first, it tasted good. The directions said to drink half. Now, at this point, it already looked like my colon was clean. And I was supposed to drink it in about an hour. A glass every ten to fifteen minutes. I managed the amount suggested in an hour and twenty minutes. By the end, I never wanted to see the mixture again.

The final set of laxatives were at 8 p.m. I went to bed about 8:45 p.m., but my lingering cough kept me up, and every time I coughed I had to use the bathroom. I finally dozed off at midnight, only to be scared awake by my alarm at 3:45 a.m.

My procedure was scheduled for 9 a.m. and the directions said to finish the prep mixture four hours before the procedure. I went downstairs and poured a glass, drinking while I watched the Apple TV program Trying. I made it through almost two glasses. Then the drink started to gag me. And I used the bathroom and saw that my waste was still as clear as my urine so I returned to bed.

Around 6:30 a.m. I woke again and took a shower. Checked my blood pressure and my weight. Blood pressure up, weight down by 3 pounds.

Eva took me to the hospital at 8. They had asked me to arrive by 8:15 a.m. Now, I schedule a lot of these procedures at St. Luke’s Easton Campus as it is about 600 steps from my house. It’s usually empty, and the doctors and medical professionals there always seem to take good care of me. I used the self-check-in kiosk and went up to the Lotus waiting room.

That waiting room is full of the chairs that I love. We had a teal chair that we called “the throne” that I bought myself when I found it on clearance. I loved that chair, but in its first few months of owning that chair, we got a puppy who ate the chair. We tried several times to fix it, but she repeatedly ate the chair until there was nothing left. For a while, we took the legs off and set it on the floor with a slipcover over it and just gave it to the dog, but eventually, we gave up and threw it away. Which broke my heart. Because she also ate holes in my couch.

When I ended up in the ER for stitches in March 2023, after the fall that left the scar under my lip, I noticed the Lotus waiting room was FULL of my chair. Half of them in the color I had purchased, half in St. Luke’s blue. I had been admitted to an upper floor, perhaps the third. I looked down upon the chairs as I headed for the door.

It’s an ugly waiting room with a collection of my chairs.

They took me back to the unit at 8:40. Eva had to leave to feed some clients breakfast and the nurse told her to come back to this waiting room. The unit looked the emergency room from every television medical drama made in the last thirty years. There was another person there getting prepped for something. And maintenance men changing the lights which technically put them at an angle where they could see through all the privacy curtains from above. Not that I care.

Two nurses started prepping me and the doctor and the anesthesiologist lined up for my consent and the consent of the person next to me. The whole process was a very efficient assembly line. I mentioned that during my prep all I could think about was saltines. And the staff laughed and said they could handle that. The nurses took one look at my tiny veins and I think they panicked. They got a third nurse specifically to start my IV.

That IV was beautiful.

She was like an IV angel.

Normally IVs are a tumultuous experience for me. When I had my tilt table test, the man who administered that IV dug around under my flesh for what felt like an eternity and left bruises all over my hand and arm from his failed attempts.

I have never had blood draws as smooth as what this nurse did yesterday. I included a picture: If you see the three dots on the top side of the frame in the middle of the edge of my hand and think of them as Orion’s belt (they are from an old cat scratch) and travel to the middle of my hand slightly to the left, you will see a tiny pin prick– and not the one between the two lines on my wrist– that’s where my IV was. There is no bruising. At all. I had an IV in this hand and there isn’t a single piece of evidence that it was there!

As the placed an oxygen mask over my face and told me to turn to my side, someone else gave me an extra pillow concerned for my comfort. My last thought as I watched the nurse or whomever finish pushing the plunger on my medicine was “Why do I need to be comfortable? I’ll be unconscious.”

It was 9:20 when I woke to a small bottle of water and a pile of saltines. I texted Eva and she was almost to the hospital. The doctor told me he did find and remove a polyp. And I was home by 10 a.m. And the saltines were delicious.