{"id":8624,"date":"2016-07-13T21:07:20","date_gmt":"2016-07-14T01:07:20","guid":{"rendered":"http:\/\/www.lisaschnellinger.com\/pennies\/?p=8624"},"modified":"2019-05-15T13:51:18","modified_gmt":"2019-05-15T17:51:18","slug":"first-steps","status":"publish","type":"post","link":"https:\/\/www.lisaschnellinger.com\/pennies\/?p=8624","title":{"rendered":"First steps"},"content":{"rendered":"<p>Tom took his first steps today.<\/p>\n<p>I mean that he walked.<\/p>\n<p>He hoisted himself up off the bed,\u00a0using a walker. The two assistants hovered, advised and guided, but the balance, coordination and movement were all Tom&#8217;s.<\/p>\n<p>The attending neurologist and team of six residents happened to be making the rounds, so they watched. Tom barely noticed them, his concentration was so intense.<\/p>\n<p>As I saw him stand up straight, I could almost hear the internal drill sergeant commanding him. He focused straight ahead and pulled up his head and chest.<\/p>\n<p>Then he lifted his leg and put one foot ahead of the other.<\/p>\n<p>Tears in my eyes. Last Thursday he couldn&#8217;t move his right side.<\/p>\n<p>Until this moment, I hadn&#8217;t allowed myself to think about what he is facing. I concentrated on getting him the best possible care, arranging his pillows, shooing people out of the room when he was sleeping, asking questions to make\u00a0sure that I understood all the diagnoses of his health, ordering his food and feeding him, demanding things he needed.<\/p>\n<p>For him, it has been all about moving his right side again.<\/p>\n<p>Every step was a huge effort.<\/p>\n<p>His right foot wants to turn on its side with each step because the muscles in his ankle aren&#8217;t listening to his brain.<\/p>\n<p>He has to give very deliberate instructions to the muscles in his right leg in order to lift it and move it ahead.<\/p>\n<p>For now, he has to lock his knee, which is counter to everything he&#8217;s ever learned about the correct way to stride.<\/p>\n<p>I looked around the room as he walked that ten feet across it. The residents were amazed; jaws literally dropped.<\/p>\n<p>Tom stopped at the end of the room. He stood for a moment, resting. A general murmur and exclamations of praise went through the audience.<\/p>\n<p>Then he walked back.<\/p>\n<p>Wow.<\/p>\n<p>The attending neurologist was impressed, too.<\/p>\n<p>She told Tom, &#8220;With so\u00a0much progress in a week, your trajectory is this,&#8221; and she drew an upward line at about a 75 degree angle.<\/p>\n<p>&#8220;Whereas normal progress might be this&#8221; and she drew a 30 degree angle.<\/p>\n<p>I appreciated her attempt to graph his prognosis, especially since Tom is a data scientist.<\/p>\n<p>For me it was simpler: He walked.<\/p>\n<p>Today&#8217;s penny is a 1964, a very special year indeed &#8211; when Tom walked for the first time.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tom took his first steps today. I mean that he walked. He hoisted himself up off the bed,\u00a0using a walker. The two assistants hovered, advised and guided, but the balance, coordination and movement were all Tom&#8217;s. The attending neurologist and team of six residents happened to be making the rounds, so they watched. Tom barely &hellip; <a href=\"https:\/\/www.lisaschnellinger.com\/pennies\/?p=8624\" class=\"more-link\">read more <span class=\"screen-reader-text\">First steps<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":8627,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[318],"tags":[1102,486,625,484,20,566],"class_list":["post-8624","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-refraction","tag-1102","tag-hospital","tag-progress","tag-stroke","tag-tom","tag-walk"],"_links":{"self":[{"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=\/wp\/v2\/posts\/8624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8624"}],"version-history":[{"count":6,"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=\/wp\/v2\/posts\/8624\/revisions"}],"predecessor-version":[{"id":8660,"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=\/wp\/v2\/posts\/8624\/revisions\/8660"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=\/wp\/v2\/media\/8627"}],"wp:attachment":[{"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lisaschnellinger.com\/pennies\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}