A swim in the Y pool may not be a walk in the park

I am training myself to walk again. It's no walk in the park.

I looked up "walk meaning" and found some leisurely reading.

It's a verb (I walked to school) and a noun (It was a leisurely walk). It's a word you hear on almost of every episode of "Law & Order:" "We can't just let this perp walk!" If he does, I'm certain he will walk quickly from the building most likely in the company of his attorney.

Walk is quite popular. A chart on Google Ngram Viewer shows that the popularity of walk is at an all-time high in the 2020s. It may not remain there judging by our unfit population, all in need of a good walk or even a not-so-good one.

This brings this post to me. I cannot walk. My body revolted and, judging by a photo taken in a hospital ICU, I was revolting afterward. "That's not me" I said when my wife showed me the photo of the old man on the gurney. He was obviously out of it. IV tubes snaked from his arm. He had been intubated and fitted with a feeding tube. You couldn't see the Foley catheter or the heart monitor but they were there amongst the jumble of sheets and blankets.

That was Sept. 9. I can walk now, sort of. I get around with a standard walker complete with tennis-ball feet and I also have a rollator walker with four wheels. I sometimes scoot around on an electric scooter labeled Buzz Around XL. When Chris and I go for a walk on the bike path, she walks and I scoot. Still, we call it a walk. I do. 

But I can't walk, not yet anyway. Over the past five years, I hurt myself in ways that blunted my walking mechanism. That's a silly way to put it. I sometimes tell people I am partially disabled. I did that the other day. Jeff escorted Chris and me on an introductory tour of the Ormond Beach YMCA. We joined and wanted to see what we were getting into. A lifeguard about my age but looking 20 years younger, showed me the chair they use for hefting people like me into the pool's shallow end. I explained that I was partially disabled and that I could walk down the five steps into the pool to join each morning's water-ex class.. I plan to walk unaided or maybe with a cane in the near future. I aim to be a walker again. It will not be a walk in the park and it hasn't been. Still...

A return trip to the Mind Eraser may help me with mobility issues

I can't walk. OK, I can walk but with difficulty. I fell three months ago and the docs finally figured out I sustained some spinal damage that took its time showing up. My fall was a wimpy fall. I lost my balance and fell into s snow-packed gutter. It was the last snow of the season in Fort Collins and I was helping my daughter move. Nobody saw my fall. If they had, I am sure they would have rushed over to help the old guy out of the gutter. So no witnesses. I brushed the snow from my keister and realized I was going to walk around the rest of  the day with a cold, wet butt. Five days later, my back began to ache. The ache stretched across the entire lower back. It hurt like hell. I started having trouble walking. I retrieved my cane from the closet and used that to get around until I couldn't and then made the transition to a walker. My fingers began to tingle and I lost coordination in my left arm.

It took three months to get to the "bottom" of the problem. My spine sustained some damage from the wimpy fall. A minor whiplash exacerbated my arthritic spine, and maybe a blow that I had sustained in an earlier fall or a traffic accident from three years ago. Whatever, I needed surgery. That's today. I was bummed to hear I needed spinal surgery but I hunted down a great surgeon for the task. So nervous about it. Excited, too, as this might be the beginning of the end of my decrepitude. The doc says I will probably need therapy to get back the use of my legs and arms. I can deal with that. But not walking? I am an active guy and this frustrates me. Even when I write, I get up and pace. I work out in the gym three days a week and swim two days a week. I love to hike but the  mountains have missed me this summer and I have missed them. 

I have a friend Tom with MS. We've known each other for 25 years. He was jut diagnosed when we met at our Denver church. I've seen his struggle. I've been part of the group getting him from his van to the wheelchair. I've helped Tom negotiate non-accessible spots, of which there are too many. He no longer walks and has difficulty with his hands and arms and innards. Still, he keeps on. When our boys were teens, we took them to Six Flags Elitch's in Denver. My son Kevin went off to swim with a girl he met and the rest of us decided to ride the Mind Eraser. Tom's son Brian insisted. Riders with a handicapped tag get to go to the front of the line along with their family members. The Elitch's staff members were good about helping Tom into the contraption that looked like a medieval torture device. The ride picked up speed and five minutes later, my mind was totally erased. I screamed the entire time, or at least I think I did. We were shaking when we disembarked but also laughing like fools. Tom needed help getting back in the wheelchair and we enjoyed some of the more sedate rides the rest of the day.

Tom showed courage and grace getting on that ride. I was skeptical he insisted, as did Brian. Tom's mind has remained sharp even while his body did not. He played baseball but now is just a dedicated follower of the MLB, notable his hometown Red Sox and our regional favorite, the Colorado Rockies. I look upon him as an example of what you can do when threatened with one of life's toughest physical and mental challenges. When I had to use the walker, I stopped going out. I didn't want people to see me in such sad shape. After six weeks of that, I was a mess. My wife challenged me to go to our annual Fourth of July party and bocce ball tournament. I sat and kept score while she refereed. A few of the grown men had stopped at the Fireworks Superstore on the way to the party. They set off smoke bombs and twirly, flashy things. No big rockets as fireworks are illegal in this Wyoming town that everyone in Colorado equates with Fourth of July celebrations. I had fun. We all did. At that point, I began to get out of my shell and get back in the world. That's it, isn't it? You have to get out in the world. No excuses.

Following today's surgery, I will be challenged to see what my body can now do. Sure, that's a challenge. But it's the mind that's the real issue. I get to test the strengths and weaknesses of my physical self. But it's my spiritual and mental state that makes the difference.

Maybe I need a return trip to the Mind Eraser. 

Wyoming Rep. Bob Nicholas, R-Cheyenne, arrested by Florida authorities for allegedly beating his disabled son

What can you say about an elected official (anyone, for that matter) who does something like this (as reported in the Wyoming Tribune-Eagle):

State Rep. Bob Nicholas, R-Cheyenne, faces a felony charge of abusing a disabled adult in Florida following a Nov. 23 arrest.

Nicholas, 54, was arrested in Boca Grande, Fla., while on vacation after allegedly punching and kicking his 19-year-old mentally disabled son, according to a Lee County Sheriff’s Office report.

The document indicates that multiple witnesses outside of a restaurant saw Nicholas hit his son repeatedly with a closed fist, push him onto the sidewalk and then kick him more than five times.

--clip--

Nicholas said his son became disruptive and combative during lunch. He said he was only trying to get his son out of the restaurant, and he described his response as "corporal punishment," according to the sheriff's report.

--clip--

"I accept I will have to explain my actions," he said. "And if I was too strong with my son, I will address that as well."

Nicholas, who lives in Cheyenne, is an attorney and was elected in 2010 to represent House District 8.

He serves on the Legislature's Joint Judiciary Interim Committee. The biography he provided for his last campaign listed that he has served for more than 10 years as a board member on the Caring for Children Foundation and is a Special Olympics coach.

Nicholas' son lives with him in Cheyenne. He has two other adult-age children.

The legislator said he has no intention of resigning his legislative seat.

"I don’t think I committed a crime, so why would I?" he responded when asked.

Read entire story at http://www.wyomingnews.com/articles/2011/12/03/news/20local_12-03-11.txt

Put your kids first, Wyoming

UPLIFT Executive Director Peggy Nickell was interviewed for the latest edition of Wyoming Kids First. We're all hoping that the State of Wyoming will put its very considerable fiscal resources into its most precious natural resource -- its children. The overall political atmosphere does not look favorable for this, as selfishness and stupidity are on the rise in state and national politics.

Still, Peggy Nickell provides a voice of reason in a difficult time. In the name of full disclosure, I must claim my role of UPLIFT board member since 1998. Here are some kind and wise words from Ms. Nickell:

Question from Wyoming Kids First: In your opinion, what is the most important thing Wyoming can do for its children?

Peggy Nickell: Wyoming is fortunate to have the resources to ensure that all children have a good start to life. The first five years are so critical in the development of children. It all starts with prenatal care and education and then home visiting nursing services for first time moms. It is hard to list one thing because every component of early childhood care, education, and services are so important but it does have to start before these precious children take their first breath of Wyoming’s clean mountain air!

The Progressive: ALEC, Republicans Beat Up On Kids in Special Ed

To see what's coming Wyoming's way in the form of ALEC-sponsored "education" bills, read this story in The Progressive: ALEC, Republicans Beat Up On Kids in Special Ed

Wyoming Republican legislators will be traveling to the ALEC wingnut conference in August to get their marching orders for the next session. Beating up on special ed kids will be in the mix.

I am the father of two children who benefited from the very comprehensive special education programs offered in public schools in Colorado, Maryland and Wyoming. While not all teachers and administrators were easy to work with, they all had to comply with federal regulations as spelled out in the Individuals with Disabilities Education Act (IDEA) and other legislation.

It's a different story in private schools. Those schools do not have to comply with IDEA. And some of those schools according to The Progressive, are fly-by-night academies who prey on parents desperate for solutions to their children with learning disabilities and/or behavior problems.

How Wyoming progressives can take action on health care reform

Brianna Jones, the excellent communications director of the Wyoming Democratic Party, sends this list health care reform action items:

Taking Action for Health Insurance Reform

Be informed -- Know what is happening locally, state-wide, and nationally by glancing at the paper to see what elected officials, media, and activists are saying. Get the facts straight so you have the most up-to-date information. Along with your local media, some great sources are:
Wyoming Public Radio
Casper Star Tribune
WyoFile News Reader

Spread the word -- This may seem like a very small thing, but speaking to your neighbors, chatting in the local coffee shop, and generally voicing your opinion can be extremely powerful. Keep in mind that you must have your facts straight and keep your cool. This isn't about confrontation, it is about moving forward for positive change.

Connect Online -- It is fast and simple to update people through a number of online tools. Post a note on facebook, write a tweet on twitter, or tell your thoughts in a blog. It is simple to get an account with any of these websites and to bring more attention to the issues you find important. This is also a great way of letting people know about events in their area. You can find the Wyoming Democratic Party's version through the following links:
Website
Facebook
Twitter

Hold an Event -- One of the most effective ways to gain attention regarding an issue is to hold an event. This could be a:
Roundtable discussion
Table at the farmer's market
Rally or march
House meeting
These events do not have to consume your life, but will help to bring greater attention to the issue. If you are willing to hold an event, please contact me and I will help you with the logistics, information, handouts, and general enthusiasm.

Attend an Event -- Know what is happening in your area and pay attention to events that have to do with health insurance reform. Having a presence, whether they are in favor or against, is important. Be sure to spread the word and then attend events that are happening near you. Some important ones to keep on your radar are town-hall meetings, rallies, conventions, and public forums.

Write a Letter to the Editor -- Letters to the editor can be a great forum for voicing your opinion. I have template letters available that speak specifically about health insurance reform and I can help you with research information or wording if you are unsure. The best letters will be backed up by facts, be concise, direct, and call for a specific action. Letters should not exaggerate, insult, or be riddled with jargon. Be sure to sign your letter with your name, hometown, and contact information. Your letters can be sent to regional papers and also your local papers. If you need help with contact information to your local papers let me know. Editorial emails for the two largest papers are as follows:
Casper Star Tribune: letters@casperstartribune.net
Wyoming Tribune Eagle: opinion@wyomingnews.com

Speak to a Member of Congress -- You can call, write, or go personally to let the Senator or Representative and their staff know how you feel. I do not recommend sending an email in this instance. Contact information for each of the following representatives can be reached by following the links below:
Senator Mike Enzi
Senator John Barrasso
Congresswoman Cynthia Lummis

FMI: Bri Jones, brianna@wyomingdemocrats.com, (307) 752-5288

Mountain West still a frontier for doctors

Joan McCarter blogs from Boise about issues in the Rocky Mountain West. Her posts appear regularly in New West and (as mcjoan) on Daily Kos. Leading up to the election, she was guest blogger on the Denver Post’s election site.

She’s written widely about health care issues in the rural West. A year ago in New West, she rolled out some shocking statistics. They won’t be a shock for residents of Lusk, Wyo., Montpelier, Idaho, or Glasgow, Mont. These small rural towns are hours from any major medical facility and sometimes have no doctor of their own.

The situation isn’t much better in the West’s small cities, such as my town of Cheyenne and Pocatello and Bozeman and so on. Here’s info that McCarter detailed in a 2007 New West post:

Yup, Idaho is dead last when it comes to the doctor to patient ratio, around 140 for every 100,000 residents.

It’s actually not much better for the rest of the region. None is in the top half of states when it comes provider access: Nevada comes in at number 48 (not counting D.C.), Wyoming at 47, Utah at 44, Arizona at 37, Montana at 35, New Mexico at 32.

The health care debate in the country and the region has largely been focused around insurance--a valid concern, since some 47 million Americans are uninsured, about 16 percent of the total U.S. population....

Of course, having health insurance is small comfort if it takes you four or five or even six months to get an appointment with a regular family doctor.

In a Friday, Dec. 12, post on New West, she goes on to write about hoped-for changes with Obama at the helm and former S.D. Sen. Tom Daschle as new chief of Health and Human Services. Read the entire article at http://www.newwest.net/topic/article/our_broken_health_system_its_not_just_about_insurance/C530/L37/

According to McCarter’s above figures, each doctor has 700-some patients. No wonder it’s tough to find someone to look after your infected toe or broken arm. Not sure how many nurse practitioners or physician’s assistants there are in the West. It’s possible they take up some of the slack, but they’re obligated to practice under physician supervision. So, no doctor, no physician’s assistant or nurse practitioner.

During my 17 years in Cheyenne, I’ve been relatively healthy. Only a few visits to Dr. B’s office during that time. Once for bronchitis, once for a sinus infection and once for gastroenteritis caused by drinking some bad water up in the Snowy Range. Also, two complete physicals. Each of those times, I saw a C.N.P. or physician’s assistant. They were good, they fixed me up but they were extensions of Dr. B. They wouldn't have been there without his credentials.

McCarter's focus is on general practitioner, docs who can serve an entire small community. We use to call them family doctors. Small- to mid-sized towns are lucky if they have one. Specialists are rare to nonexistent. That's why people in Goshen County have to travel to Cheyenne or Scottsbluff or Casper. Or, in some cases, have to go all the way to Denver or Billings. There are allergists and orthopedic doctors in Cheyenne who dedicate some of their work days to satellite offices in Wheatland and Scottsbluff. A well-known orthopedic clinic even has a plane for its physicians, allowing them to see patients all around the state.

But, as with all things in Wyoming, some specialists are nonexistent. Pediatric psychiatrists and neurologists, to name two. You have to travel across borders for that level of care. We have made the trip to Fort Collins and Denver many times to see specialists. Neurologists in Denver; psychiatruists in Fort Collins and Denver; my wife's endocrinologist in Fort Collins.

Yes, as McCarter says, it's great to have health insurance. Without it, we never could have afforded the right kind of health care. It also would make a big difference if there were more general practitioners to serve this high, wide and lonesome (and rapidly aging) state. Perhaps Mr. Daschle can help us get there.

Abandoned children a mental health issue

We’ve been hearing a lot about Nebraska’s safe haven law. Thirty-four children -- mostly teens -- have been abandoned in the state since mid-September, shortly after the new law went into effect.

Today, I read another piece about the situation in Karen Ball’s sobering Time Magazine story, "The Abandoned Children of Nebraska." There are some parts of the story worth repeating.

....dealing with the underlying causes of abandonment is much harder, child welfare experts say. "These parents had to be totally overwhelmed to do something like this," says Rev. Steven Boes, president of Boys Town — the original safe haven of Father Flanagan fame, which happens to be headquartered in Omaha. Once upon a time, Depression-battered parents would buy bus fare for their children and hand them a sign, "Take Me to Boys Town." Their counterparts today "are parents who have tried to navigate the system for years and this is their last resort; these are parents who ran out of patience too darn fast and gave up too early, and everything in between," says Father Boes.

Boes says one root of the abandonment problem is that there is simply not enough help for parents in crisis. In Nebraska, for instance, there are only six child psychiatrists in the entire state, he says. "It's a national problem... insurance often won't pay after six visits — so if the kid's not fixed, you're out of luck. States have a jumble of services. It's a puzzle with missing pieces."

Only six child psychiatrists in Nebraska? In a state with 445,000 residents under 18 (2006 census), that’s one child psychiatrist per 74,000 kids. That’s a lot of 50-minute appointments.

Wyoming, Nebraska’s squarish neighbor to the West, doesn’t fare much better. At last count, Wyoming had two child psychiatrists. That’s one psychiatrist per 60,770 kids. How many of these youngsters will need mental health care in the course of a year?

The National Alliance on Mental Illness web site cites that fewer than one-third of adults and one-half of children with diagnosable mental disorders get treatment in any given year (stats from HHS Mental Health: Report from the Surgeon General). Suicide is the third leading cause of death of those 10-24 years old (suicide ranks number one among that age group in Wyoming). 90 percent of those who commit suicide have a diagnosable mental disorder. More than 50 percent of kids with a mental disorder at 14 and older drop out of school.
Both of my kids have a diagnosable mental disorder. They used to see a child psychiatrist in Cheyenne, back when we had one. My son moved to Arizona. Not because AZ has more shrinks, but because he went off to college. My daughter has been diagnosed with bipolar disorder and relies for assistance on our family physician and a psychiatrist who specializes in adult mental health and a great therapist.

Resources are available, but you have to seek them out. I'll address those in future posts. Meanwhile, those of us in the 177,000 square miles that comprise Wyo-Neb will have to resort to the Depression-era strategy quoted above. Take your child to the airport (very few buses anymore). Pin a sign to the tyke’s shirt that reads: "Take me to a child psychiatrist in Colorado or Kansas – anywhere but here!" Or, you can follow the example of some frantic parents, and abandon your troubled child at any Nebraska hospital.

Poets lend voices to a great cause

Chris Ransick, Denver poet laureate, sends this:

Most of us take reading for granted; imagine if this singular pleasure and means to an education were cut off by the fact that you were blind or dyslexic. Fortunately, there are organizations like Recording for the Blind & Dyslexic that bring the printed word to life for people who would otherwise struggle to access books.

Last year, the first time we conducted Colorado Poets Lend Their Voices Day, we brought in nearly 40 poets to record texts for RFB&D. This year, our goal is to reach 60 readers. Can you help? Please consider joining me on Oct. 17 at the offices of RFB&D. It only takes and hour of your time and there are slots open from 8 a.m. to 8 p.m. that day. I would greatly appreciate it if you could stop by and read--and also, please bring along a friend. You needn't be a poet to participate!

If you are interested in signing up, or if you'd like to know more, please contact organizer Betsy Boudreau at betsyrfbd@qwest.net.

You also don't have to live in Colorado to participate. Chris once lived and worked in Wyoming, even got married on Casper Mountain. I'm sure Wyomingites (poets or not) would be welcomed.