Monday, June 14, 2010

Friends

As my condition has progressed and I can no longer walk, work or drive, I have seen my world become very small. I didn’t happen over night, but it did happen.Activities become limited. Friends begin to drift away. Fatigue takes hold. Opportunities for friendships, old and new become more difficult.

I belonged to a book club for 14 years. We would meet at a different member’s home each month. The hostess choose the book and had the choice of dinner at a restaurant before the meeting or a potluck at her house. For several years I was the club secretary and co-ordinated the calendar. This was easily done, even after I stopped working because it was all done via email on my home computer.

Getting to the meetings began to become an issue when I could no longer drive.
My friends offered to pick me up and for a while (when I was still able to use a walker) this worked out ok. Even so I remember one meeting where we were having a pot luck dinner at someone’s home. I had come in and found myself a place on the sofa in the family room to sit and folded the walker next to me. As the other women came in they all gathered around the kitchen island, drinking wine and filing their plates. One or two waved or acknowledged me, but I began to feel very isolated. Eventually one person came over and asked if I wanted her to bring me a plate and what would I like to drink. I accepted her gracious offer. Over the course of my eating dinner two women did come over to sit and talk with me for a few minutes but I still felt I was on the fringe of the group.

Then they decided to move into a different room for the discussion, so I got my walker and went along. The discussion was good, but it was at that moment that I first felt like an outsider.

Later on, as I became more dependent on my wheelchair for mobility I found it even more difficult to attend regular meetings. I needed my van with the lift to carry my wheelchair. My husband said he would drive me and pick me up.
Problem was many of the homes had stairs or steps or landings at the entrance and getting my chair in and out was going to be a problem. Not to mention the bathrooms! My chair does not fit into most guest bathrooms. Although I have grab bars and an ADA height approved toilet seat at home, other homes don’t have this, so this became my second problem.

Last December I hosted the holiday party/book club. I announced ahead of time that it would be my last meeting and that I felt it was time for me to back off. I was also having a problem holding the books and turning the pages as my condition was now affecting my hands and arms. I passed the administration duties on to someone else. I felt it was the end of an era.

At the end of meeting, someone handed me a card signed by the group.
I thought it was just a nice gesture until I realized that it held a $200 gift card to Amazon.com so that I could buy a Kindle e reader to continue to read and enjoy many books. I began to cry. Everyone told me how much they would miss me and how much I had meant to the club. I had no idea. Many people told me to call if there was ever anything I needed done, needed picked up or ever needed a ride. What a wonderful group of friends. A few of the women have remained in contact and even
picked up lunch and come over to my house to spend some time with me.

I have not attended a meeting for 5 months. June’s meeting hostess lives a mile from my home. She asked me if I would like to hold the meeting here (she would do all the work) so that I could attend in the comfort of my own home.

It just doesn’t get any better than that. I said Yes!

Tuesday, June 1, 2010

Getting around

The Good

I live in Tempe, AZ, a lovely well kept, relatively new suburb of Phoenix. Two years ago, when I determined that it was no longer safe for me to drive, I began to look for other options of getting around without always having to depend on my husband, Phil to drive me.

First obstacle.. Getting out of the house. Ok, not a big problem. Phil made ramps for the front and back door so I could take my Jazzy Power Chair out of the house.
That was the easy part. I got down my driveway to find that all of the sidewalks in our neighborhood did not have the usual 45 degree curbs with ramp cut outs at the driveway. Instead they had what is call rolled curbs. How best to describe this?
The curbs are all sloped with no difference between the curb and the driveway. The angle is pretty steep and when I tried to get from the sidewalk to the street, and back, I would loose my balance and almost tipped my chair on several occasions.
If I were going to be independent I would have to find a better way.

I did some searching on line, called the city, got referred to several departments before finally finding the right office. I explained my situation and the gentlemen knew immediately what I needed.... cut out ramps. YES! He said they had done that for another women a few months ago and he would look into it. His answer came back the next day that the people who do that are backed up and it could take 6 months or more. :-(

Then he surprised me... off the record, he suggested that I send an email to the Mayor of Tempe and the City Council explaining my situation. It was a matter of Health and Safety for me. I did that.

That day I had 4 replies saying that they would looking into the matter.
The NEXT day I got an email from the person in charge of this type of work saying that the were holding a special meeting and that The Supervisor of Minor Cement (really) would be at my home to look over the situation and that they may be able to get it done in perhaps 2 weeks. I was also told at that time that the ramp could not be put in front of my house, only at the corner. This was fine with me since I am only one house away from the corner.


Sure enough Jim (supervisor of Minor Cement) showed up the next day and asked what I needed. He asked if I wanted a ramp in front of my house (??) I said I was told that could not happen. He smiled and said HE was the supervisor and he could put the ramp wherever he needed it. He also said he would put one across the street, one on the opposite corner and 2 up the road so that I could have access from my house to the main road where I could pick up the bus. This was a Thursday, he said they would be there on the next Tuesday to start work. They were there at 7 am on Monday, put in a total of 5 ramps and were finished and gone by 2 pm.

It is all a matter of getting to the right person. Don’t give up!


Getting Around

The Bad

I have a Jazzy Power Chair purchased for me through Medicare. This is the only way I can get around. My arms are too weak to push a manual chair and I cannot walk. Beware. Medicare guidelines are very specific. You need to prove that you need the chair for “Activities of Daily Living” (ADL). This means getting around your home. Not taking out the trash, not walking the dog , and certainly not going to a movie or to visit a friend, not even going to the doctor. It means that the chair is a medical necessity to getting around your home, period. A friend of mine was turned down because she made the mistake of telling her doctor she uses the chair to take out her trash and walk her dog. Be careful what you say to your doctor and if possible, have the paperwork done by your specialist, not your PCP, he /she will be more aware of the Insurance/Medicare requirements.
Good Luck.



Getting Around

The Ugly

So now you have your chair or scooter. If you ever plan to get out of the house, you will need a van with some kind of lift or ramp to transport the chair.
This is NOT a medical necessity and will NOT be covered by your insurance or Medicare. But first, you will need a ramp to get out of your front door.. also not a medical necessity so not covered by Insurance... are you getting the drift here.
( that is why my husband built them for me). So apparently the thinking goes, you are disabled and therefore not entitled to lead a full or productive life outside the home.

This of course is nonsense, but that is how it works. In some areas you can use the bus or mass transportation. In more rural areas this may not be a possibility.
In Tempe, they do have a “Dial a ride” with a wheelchair lift, that, if you qualify, will pick you up and take you to appointments ...or even (whisper) to the Mall! They are not always as reliable as you would hope so you must allow extra time and be patient, but it is a way to get around.

We purchased a 1999 mini van ($23,000) and a used lift ($2500) and so far it has served me well.