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Thread: Recent Accident to My Son

  1. #931
    Congratulations to Brian and to the whole family for supporting Brian in this accomplishment. Looking back over the first few posts here it is hard to believe how far he has come, and what he has accomplished with your support. Thanks for keeping us all informed so we can root him on!

    (KLD)

  2. #932
    Senior Member
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    Brian received his MPH diplomat Tuesday from the Bloomberg School of Public Health at a convocation at the Baltimore symphony hall. I framed and hung the diploma next to his desk at the condo. It looks good.

    Next week Brian starts the OBGYN rotation at Johns Hopkins. He had to postpone this rotation last year because of a pressure sore. Three clinical rotations and he'll be eligible for his medical degree. Then he studies and takes the board exam. Following the board exam he has to decide the next step. He's leaning strongly at going into Public Health Policy and not doing the three years of residency.

    Roger

  3. #933
    Thanks for the update, Roger. Many congratulations to your son! Whatever he decides to go into, he's a success already. You and your family have also made this happen.

  4. #934
    Congrats!

  5. #935
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    Brian starts the OBGYN rotation tomorrow. He is at the hospital from 7:00am to 7:00pm. Fortunately the doctor in charge is aware that Brian got a pressure sore last year from spending too many hours at the hospital during the surgical rotation. Twelve hours the first day doesn't seem like he's slacking off. This is one of the most difficult rotation because of the long hours required.

    Roger

  6. #936

    Focus on wheelchair cushion may help

    Quote Originally Posted by Roger View Post
    Brian starts the OBGYN rotation tomorrow. He is at the hospital from 7:00am to 7:00pm. Fortunately the doctor in charge is aware that Brian got a pressure sore last year from spending too many hours at the hospital during the surgical rotation. Twelve hours the first day doesn't seem like he's slacking off. This is one of the most difficult rotation because of the long hours required.

    Roger
    Has your son reviewed his options for a customized wheelchair cushion to minimize chance of another sore? I'm specifically thinking of a seating evaluation where they have the person placed on a special cushion-mold to form an impression of the whole butt, then they remove the cushion, the impression remains, and send it to a company for forming into a customized cushion.
    In addition to this, don't know if he's gone through "pressure mapping" in which one sits on a mat (I believe the mat is placed over one's wheelchair cushion), and the seating specialist holds a digital screen device with wires leading to inside the mat, that will show which specific areas of one's rear are in the "red" zone. That is, which areas are prone to excess pressure while sitting. These two techniques: the mold, and the pressure mapping, may help protect him during long hours of sitting.

    My husband, T-10 SCI, had these done, while I watched the process. The cushion-mold was placed in his wheelchair seat (I can't remember if his cushion was left in the chair), then two people carefully lifted him onto the cushion-mold, and he was told to grab his wheelchair pushrims and pull himself down as much as possible in order to sink into the mold. This was a dry mold somewhat looking like a kind of foam rubber, but would not spring back once it was pressed into.
    The mold was immediately placed in a sturdy box and mailed to some company for forming into the cushion.
    It was kind of shocking a couple of weeks later to see the finished product: a rather hard cushion, with a large "bowl-shaped" hollow in it. The bowl is easily 3" deep, maybe 10" across.
    My husband has not had a sore since it was made about 7 years ago. He no longer has sweating issues that often lead to a sore.
    The only disadvantage is that it's about 3" + high. To transfer off the toilet or shower seat, he removes the cushion then replaces it when dressed.

  7. #937
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    Triumpt thanks for the cushion recommendation. Brian has done just as you suggested, pressure mapping and custom contour machined cushion. Even with that it takes more than technology to prevent pressure sores. When Brian got the pressure sore a 18 months ago, he was doing the surgical rotation at Hopkins and spending too many hours in the wheelchair. He ignored the tell tale signs because he didn't want to interrupt the surgical rotation. He knows better now and will not sacrifice his health again. So far so good on the OBGYN rotation. This is the third week so I think he has three more weeks to go.

    Next week we're all going to Los Angeles for my daughter Christine's wedding. We're all excited about this. Ann flies from Baltimore to LA on Wednesday and Brian flies to LA after work on Friday. I'll drive from Phoenix to LA on Thursday. The wedding is Sunday afternoon. Sunday was the only day that they could get a venue with six months notice. Matthew asked Christine to marry him last Christmas. They decided to have the wedding prior to July 1 so that Matthew could travel with Christine to a missionary conference in Bangkok. Christine lived in Bangkok for three years working as a missionary. After the wedding Brian flies back to Baltimore Monday morning.

    Roger

  8. #938
    Great to hear your son has a custom cushion - that's half the battle against pressure sores, for sure. Nice that his demanding schedule will lighten up soon. My husband recently "celebrated" his 45th year of paralysis. We are now retired and still very active. He has worked hard to maintain his health.

    Wonderful that your family is expanding and very best wishes for the couple.

  9. #939
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    Triumph

    I talked to Brian today. I was overly optimistic about the OBGYN clinical rotation. It turns out that the most difficult part of the rotation starts June 22 right after Brian gets back from Los Angeles. The schedule calls for being at the hospital 16 hours a day. He has four weeks of that and then he is over the hump in the OBGYN rotation.

    Roger

  10. #940
    That's a brutal schedule that doctor's go through. Not many could handle it, let alone doing so from a wheelchair.

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