Musical chairs

A few people have asked me recently how I’m getting on with finding a wheelchair. The short answer is, terribly. I’ve been avoiding  giving the long answer, because just talking about it makes me want to scream. But here goes.

Initially, things actually looked quite encouraging. Enable NZ happened to have a power-chair in store with the functions we figured I might need. I was able to try that, and a manual chair, within a couple of months. The manual chair is new and light and has a fancy honeycomb cushion. The power-chair goes up and down and back and forth and fast and slow and is very nifty. My technician estimates it’s probably worth about $18,000, which is pretty generous for public funding. But neither are worth much to me.

At the moment, when I use either of the chairs for a decent length of time, my pain levels shoot up. Not only is the pain more intense, but it spreads further into my head and neck, and it lasts for longer. I don’t know exactly why, but something about the positioning and support (or lack thereof) just doesn’t work for my body.  I’ve explained this to my OT and physio on numerous occasions, but they always just make me feel like I’m being fussy. Like I’m asking for chorizo instead of mushrooms with my big breakfast. They don’t seem to understand that if the chairs cause additional pain, they don’t meet my needs, and they’re not worth using.

The DHB did order a new backrest and headrest for me to try, but when these weren’t successful, they weren’t willing to keep looking for other, more suitable products. When I make suggestions from my own research, the answer is always “that won’t work”; but no-one seems interested in finding a solution that will. There has been very little analysis of my posture or musculature, and zero thought about what might exist beyond this one power-chair, which has proved over and over to be unhelpful.

Having a wheelchair that supports me adequately would open a whole range of opportunities for me. It would mean that I could commit to social events and voluntary or paid work, because I’d know that I could sit for a while in any location. I’m sick of turning down offers and leaving early and desperately looking for walls to lean my head against. I’ve been in the system for eighteen months, and it feels like I’ve spent most of that time in the too-hard basket. The hospital should be trying harder and thinking much much smarter to find a solution.

Why can’t we be as good at serving complex health needs as we are at serving brunch?

Cripples are hipsters too

Last January, in my disability infancy, I had a conundrum. I really really wanted to go to Camp A Low Hum, but knew that my back and shoulders would be very much opposed to the idea. Thinking of possible solutions, I emailed Blink to see what he thought about using a wheelchair at Camp Wainui. He said it wasn’t going to work;  the terrain is rough and uneven, and the stages are all over the place. Some of them wouldn’t be accessible at all. Basically, the site wasn’t set up for people with disabilities.

I decided I’d go anyway. I knew I wouldn’t be able to do everything, but figured it would still be worth going, even just to catch up with lots of  brilliant people in one very pretty location. The people and place were, indeed, pretty and brilliant, but to be honest, it wasn’t really fun. I had a lot of trouble getting to get to and from the tents, I couldn’t access lots of the stages and I had big FOMO. My muscles hurt, and I ended up self-medicating more than I’d intended just so I could join in, then feeling yucky about that, too. As I was waiting for my ride outta there, I reminded myself not to come back next year, as much as I knew I’d be tempted.

A few weeks ago my sister noticed that WOMAD were offering some free tickets for carers of people with disabilities, so I did some investigation. It turns out that TAFT, who run WOMAD, have gone to a lot of effort to make the festival accessible for people with disabilities. Not only do I get a free ticket for Emmie to come as my carer, but we’ll have a parking space right next to a special campground, shuttles running between the stages & campground every half hour, mobility scooters for loan, and special viewing platforms at three of the big stages. They’re also providing sign-language interpreters to make things better for deaf and hearing-impaired attendees. I’m so impressed.  And it’s got me thinking about responsiveness.

At some point, someone in the WOMAD picture has obviously said, “Hey, I bet there are lots of disabled people who would love this, how can we make it possible and worthwhile for them?”. I reckon that is the crux of responsiveness. Everything else, the parking, the ramps, the interpreters, they’re all important too, but not as important as asking that initial question. Now, Camp a Low Hum is on a totally different scale to WOMAD, and has a much less accessible site. It would be impossible for Blink to offer the kind of disability services WOMAD does. But it would be easy for him to ask the question, and just asking it might make all the difference for someone. Because cripples are hipsters too.

In hope of wheels

Because I was late today (because it took me three attempts to back down the driveway), my OT met me at the door of the hospital with a wheelchair. I don’t think that’s part and parcel of the Enable Wheelchair and Seating Outreach clinic, but it was a nice touch.

Enable NZ are contracted by the Ministry of Health to assess for and purchase disability equipment. These folk are going to put together an application (to MoH) for approval for me to trial two wheelchairs; one of which is powered, and one I’ll propel with my feet (shuffle shuffle). If my application is approved, Enable will source the chairs, which will take two or three months. If the chairs are a success, they’ll put in an application for funding to buy them. If that’s approved, I’ll have chair(s) by early next year.

Today was great. I came away feeling like someone with the right knowledge and authority is going to try, on my behalf, to get me what I need. Bonza. What’s frustrating is that it took ten months, and a lot of effort on my part, to get to this point. I know mine is a common story, and that others with far more urgent needs than mine have suffered worse, but I thought I’d share the circles I had to tread to make it this far.

1. Despite my symptoms and family history pointing towards FSH, it took three attempts (and three months) to persuade my GP that I should be referred to a neurologist.

2. Another month, (and $500) later, I had a clinical diagnosis, but no advice on how to manage my condition. When I asked about adaptive equipment, the neurologist said that my GP should organise an occupational therapist.

3. Back to the GP: she was unclear on the purpose of seeing an OT. But referred me to one when I insisted on it.

4. After spending two months on the waiting list, then seeing an OT three times over another month, she told me I was unlikely to meet the criteria for wheelchair funding. Could my Dad (who is involved with furniture design) or the Muscular Dystrophy Association help?

5. The MDA advised that my OT should apply for funding through Enable NZ. When I asked my OT to refer me to Enable, she said I need to be assessed by a different OT first. But I’d need to be patient, because that would take a few months.

6. Minor tantrum via email.

7. Another month, another OT, another assessment.  I was finally referred to the wheelchair clinic. A month away.

It’s incredible that it’s taken this much time and energy just to get the start of the application process. And I still don’t know whether I’ll get funding – apparently I fall through somewhere in the gaps between the eligibility criteria. Sometimes it feels as though I’m not a valid invalid because my legs still work, because my invisibility cloak hides the fact that each step is still a struggle. But today I met two people who knew better, and, without question, accepted that a wheelchair could very possibly be the key for me to access more of life again. And for that I am truly grateful.