Posts Tagged ‘Technical Aids’

Eigude Shame Part XIX

Friday, November 25th, 2011

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To protect my – caused by the paralysis – non-existent sexy butt after the accident I have got a prescription 2008 from the health insurance for my home for a special mattress and a vertically adjustable electric frame for my double bed to facilitate the transfer in and out of the wheelchair.

This mattress to prevent pressure sores consists mainly of around 5 cm x 5 cm small rubber foam cubes which relieve the pressure on the body by bending. It is quite good.

If you are like me supplied by 3 different medical supply stores at once you shouldn’t get upset if a 100 cm wide mattress is pressed into a 90 cm wide slatted frame of my double bed. That will do, better than lying on a blank frame. An exchange of the wrong mattress was arranged by medical supply store # I only after my request after 1 year when they needed a new prescription (see letter below, in German).

The screwing of the slatted frame on the bed was not considered necessary by medical supply store # II. My wife was lucky that she didn’t crash onto the floor on her side of the bed together with her slatted frame because this was not screwed tightly either because of the modification. The squeaking of the brand new electric frame could be heard by the whole neighborhood. But this could be resolved by a friend with a can of silicon spray within two hours only.

Within 2,5 years the second mattress, the third remote control on which within 6 weeks the labeling was not readable any more, and the complete electronics including power unit were exchanged at this bed.

Each year I am contacted by medical supply store # I that they need a follow-up prescription from my doctor for the continuous supply of the mattress. If it would be defect, 10 cm too wide or sagged it would possibly be exchanged.


(Letter asking for a new prescription and to get in touch with the medical supply store under the mentioned telephone number to make an appointment.)

Since a couple of weeks the prescription is lying about on my desk. I am definitely interested to make an appointment, see letter. Nobody is answering the phone, the waiting loop is yelling as if you are at boot camp, and nobody reacts on my e-mails either. At least they are thanking me in advance for my efforts.

Translator BL

I am freezing, let’s get going!!!

Friday, November 18th, 2011

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I took the ad hoc decision to follow the established tradition as German retiree and drive around on the canary islands in the coming winter.
Because the journey with the boat would be “going” a little bit too slow (actually it wouldn’t matter, I would have time and could “sit” it out easily) I decided anyhow in favour of flying.

Because I have already gone through a couple of flight miles with a wheelchair and experienced some weird things here are some tips.

Flight trips with wheelchair made easy!

When booking at your travel agency specify already any required medical devices with indication of size and weight, and if required additional assistance at the airport. Medical devices will be transported free of charge anywhere.
It came to my attention that if you need to take along any hard drugs, especially at the entry of the United States, a medical certificate and a lot of time is required.

At the check-in, approach an airport employee and get to the check-in counter with him from the side without any bad conscience, independent of the length of the queue.
Alternatively there is a “handicapped meeting point” in the terminals with an assistance button, after pressing of which a professional wheelchair pusher is coming who will manage everything.

In Frankfurt it is allowed to sit in your own wheelchair until you reach the door of the aircraft. Usually you are the first passenger on the flight. Then you are carried by two “volunteers” in a small plane wheelchair which reminds a bit of a sack truck to your seat, and then the “dwarf tossing” to the window seat begins.

Now it is advisable to pray.
Will your own wheelchair find its way into the cargo bay of the same aircraft?
Will your wheelchair be available and navigable at the destination airport?

In order to avoid that your wheelchair will be treated like ordinary luggage at the destination airport, but hopefully will be brought to the exit of the plane instead there is a label:

Delivery at Aircraft.

This means for the luggage guys at the plane as much as: Please be so kind not to load the object adherent to the label on the luggage cart and leave it here!!!
Keep the labels, don’t throw them away, you might need them for the return flight.

Sometimes there are no more labels available, which might end up extremely annoying when you are still sitting in the plane, and the wheelchair is already lying on the bulky luggage belt in the terminal.

The airport employees around the world are trained so well, they even manage to fold a wheelchair with a rigid-welded frame.
Although I have a foldable wheelchair it has a cross bar to attach an electric wheelchair-tractive type Minitrac. What I have experienced with that, see older blog post.

When the luggage loaders tried to fold my wheelchair it ended with little crashes several times already. Meanwhile I have a reversible, bilingual label on the seat:

Wheelchair not foldable.

It helped the last two times.

I have another label to offer:

Handle with care!

It probably doesn’t help, but brightens the wheelchair up with its red and blue design.

You shouldn’t forget to remind a flight attendant approximately 30 minutes before landing that you are a wheelchair user.

The pilot then hopefully won’t forget the notification at the destination airport, and the probability to leave the aircraft in a reasonable time increases dramatically.

Have fun with your next flight trip!!!

When I think about it, maybe I should better take the boat after all!

Translator BL

Wheelchair Tuning Part XXVII

Saturday, October 29th, 2011

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The instruction of my chief physician to rest my injured leg in an elevated position meanwhile causes sleepless nights for me.

Because the special

rented tank wheelchair

with foldaway footrests is innavigable for me and far too big I am already thinking since the time in hospital how I could realize to mount something on my wheelchair so that I can permanently rest my leg elevated, but also bend it.

I got the tip several times to put a wooden board below my cushion. Everybody who was ever sitting on a rocker knows where that ends.

Yesterday morning I woke up after a leg-elevation nightmare and miraculously I had a foldaway, removable footrest from my tank wheelchair on my everyday wheelchair. Strange things happen…???
I was very much delighted, a miracle, it must have something to do with Halloween.

First active wheelchair oft he world with fixed and foldaway foot rests

 

I would never dare to drill holes into my medcial supply store wheelchair. ;-)

Translator BL

Technical Aids construction corner :-)

Tuesday, October 25th, 2011

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I already mentioned several times that I should rest my broken leg despite orthosis in an elevated position as much as possible.

To rest the leg elevated sitting in my own wheelchair under my desk on a small flower stool turns out to be a little inconvenient, especially when you permanently need something, or the arm is not long enough again…
I refuse the tank wheelchair in my flat (see blogpost below).

The latest “technical aids construct” appears a little clumsy at first sight, but is well thought on and almost ready for series production.

With a Swedish drawer box, the book “Our Wonderful Planet” and a blue pillow of a German coffee roaster a rolling board for flower pots from my stairwell which I coaxed as permanent loan from my neighbour was pimped to the exact positioning height of my leg.

Rolling board

I now put my leg coolly on my rolling board-drawer box and drive comfortably with my wheelchair under the desk.

With a special adaption on the wheelchair my rolling board should also be outdoor suitable. A medical device number has been applied for, and a motorization is currently in the planning phase!

Translator BL

Technical Aids Tips and Tricks XLV

Sunday, October 23rd, 2011

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I am coming back again to my favourite subject,

Handicap Parking

(See older blogposts).

I have already experienced the “Worst Case” several times, that somebody parked his car in that way next to mine so that I wasn’t able to open the driver’s door completely any more, what is a “must” for me and my wheelchair.

To draw the attention of the other road users to it I have fixed a sign 15 cm x 15 cm with the text: „Please keep distance“ at the inside of the door, which is however still “not seen” by some people.

The CBF (Club of handicapped and their friends, Darmstadt), sells for little money a

yellow sign, “Please keep distance!”,

which one can fix to the window of the driver’s door, like the flags from the football world cup. This sign can’t really be overlooked any more.
I think this is great and ordered it immediately. Due to my broken leg with hospital stay a long time test could not be executed yet.

Source of Supply:
CBF Darmstadt e.V.
Link: www.cbf-da.de

There you can also order the handicap toilet key (see older blogpost).

Who still parks his car too close to mine then, I declare handicapped as well, i.e. blind, chronic off road dementia, or an incurable psychic disease.

Addendum:

A guarantee can’t be provided, teehee…read Robo’s comment :-)

Translator BL

Technical Aids Tips und Tricks XLIV

Wednesday, October 5th, 2011

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With all my replacement parts in and on my body I have to apply for a passport as “Borg” soon if it is “going” on like this. But without all this high tech there wouldn’t be much going on with me.

It always makes me a little sad when healthy adults call each other a “spaz”.

I only think: If you haven’t got a clue simply shut up!

Click here on the picture!

Spasticity occurs due to neural damages. The reasons are various, e.g. genetic defect, stroke or as in my case an injury of the spinal cord.

My damaged nerve endings got bored in a way six month after the accident, and they decided to give my body, especially my legs, tremors.

There were such powers that I could unintentionally do a backbend where only heels and shoulders were touching the bed.

In that time the spasticity increased daily. Some day one has reached the end of the medication dose that can be delivered with pills.

There is an ingenious solution, an

Implanted Medication Pump.

This pump is “embedded” surgically under the skin in the abdomen. From there a tube (catheter) is going to the spine. There is a needle which delivers the medication into the intrathecal space where fluid flows around the spinal cord. Because the medication is delivered directly to where it’s needed instead of tablets going through stomach, intestine, blood…, only small amounts of medication are needed.

The pump is programmable from the outside. To refill it the skin and a small silicone membrane in the pump are pierced with a needle.

Such a refilling with the amount of three-quarter of a champagne glass is enough for around 6 months for me.

After 7 years the batteries of the pump are empty and I have to go under the knife again. But I don’t mind…!!!

Just in time for my last birthday the pump got additionally filled with morphine against the pain. What a trip, I’d rather be boozed!!! :-(

Translator BL

Chock Part X

Thursday, September 29th, 2011

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Master Geppetto’s orthopedic craft shop

Escape from the hospital, target: Friday

Meanwhile my hospital stay has escalated to an

Extreme Orthosis Testing.

Type one, the “Blue Lionpard” (see older blogpost Chock IX), had a very eventful life. After a couple of cuddling hours in the first night my heel cancelled the friendship with the orthosis. I better refrain from posting a picture of my heel.

The “Blue Lionpard ” was permanently parked on the chair opposite of my bed for the time being.
As an interim solution until “Leo” only would be completely cushioned, I got orthosis two, the

Black Knight

After the chief physician himself brought the orthosis back to the orthopedic craft shop to Master Geppetto, it was gone for the next eight days.

On Monday, despite of the morning call from my doctor and verbal promise, I was waiting for Master Geppetto without success.

Tuesday noon Master Geppetto came to my room with orthosis “Leo” under his arm, cushioned and stretched. After the fitting he said they would have to rework it again. It still would be a little tight (so true!), but promised to come back in the afternoon. Geppetto didn’t really come… Total failure, nothing again!

Wednesday morning the same. On inquiry of my physician, where Geppetto had been on the previous day, he said he had worked on the orthosis and he would come during the day. When???

This time I called myself and asked when he would come. What a miracle, Geppetto came with reinforcement and the lower part of a substantially wider and cushioned orthosis. In the first moment I thought he had repainted the Blue Lionpard .
This thing was white.
Far from it, orthosis three, type

White Snow Leopard

Geppetto promised to come back definitely in the afternoon with the then double cushioned lower part so that I can try it in the night. He would “carve” the upper part the next day.

I knew that he was closing the craft shop towards 18:00 h and called him at 17:40 h. I talked to Angelo who reported that Geppetto would be out of office, probably on his way to see me.

This was not the case. On my second call the master told me he had done something different, but would come the next day at 11:00 with the finished orthosis.

I called on Thursday at 11:00 h, he put me off to 13:00 h. Master Geppetto actually came with the supposed finished

Snow Leopard Orthosis

He observed during the fitting on my leg that the upper part needed to be adjusted a little bit, but this should be done quickly, and he would be back in a moment. The master was back only 40 minutes later. Geppetto observed that the whole orthosis still needed a little fine tuning, but this should be done in around half an hour if nothing unexpected would come up, and off he went. This was at 14:00 h. Let’s wait and see if my fracture has completely healed when I see Master Geppetto the next time…

And the moral of the story:

I know now how Pinocchio got his “long nose gene”.

Next time I will carve my medical devices myself again!

Translator BL

 

Technical Aids Tips und Tricks XLIII

Wednesday, August 31st, 2011

Sorry, this entry is only available in Deutsch.

Addendum Technical Aids Tips and Tricks XIV

Friday, August 5th, 2011

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Addendum to

Swedish laptop knee table Bräda (new name BYLLAN)

(see older blogpost).

I have introduced this laptop table as rather cheap, useful wheelchair tray.

The writer and musician Robert Schneider volunteered courageously as Bräda tester.

He is known for his extravagant-hessian writing style (www.laufenverlernt.de.vu).

I mentioned one of his books in an older blogpost.
He took the knee tray Bräda through extra tough quality tests.

Despite of the little bit too soft surface board I was positively surprised.
Here during a transport test with additional tray, at speed of exactly 11 km/h with

3 liters hop blossom ice tea and 6 x 0,5 liter pints

Due to safety reasons, this test is mainly executed with dummies. ;-)

A typo has slipped in, it was at 0,11 km/h.

Translator BL

Technical Aids Tips and Tricks XLII

Wednesday, August 3rd, 2011

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I have extensively described my enthusiasm about a cooling vest (see older blogpost).

Yesterday evening I have tested a

cooling baseball cap from the company Cooline

www.e-cooline.de

Actually unbelievable, but you are sitting with a black cap in the sun at 28°C in the shade with your head being cooled.

“Only” water is put on this cap, like on the vest, about 0,3 liter. The fleece on the inside of the cap absorbs the water, and the cap virtually sweats and cools.

Ingenious!!!

Unfortunately my match was cancelled, I forgot my tennis shoes.

Translator BL

Technical Aids Tips und Tricks XLI

Tuesday, July 26th, 2011

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After a few months in the hospital you get on rather friendly terms with nurses and physicians.

Of course a little piece of humour belongs to it as well.

If one as quadriplegic (spinal injury in the cervical area) like me can’t use arms and hands in an efficient way any more, spaghetti are not the favourite type of pasta.

One day the nurse came with the lunch, it was spaghetti, put it on my bedside table and was waiting for my comment if he could cut the pasta for me.

He was waiting for the comment in vain. I tried to eat these long objects by myself, have to see it sportingly, luckily I was not hungry…

It was a perfect show!!!

At some time a physician came into the room and watched this scenario with the pasta and me slightly grinning, but didn’t propose to cut the pasta neither, and I wasn’t keen on asking her.

I said to her that next time when the food is spaghetti again I would be motorised. I would only need two tie wraps to fix a fork. But had the suspicion that my milk frother would be a little bit too fast. We both had some fun. She didn’t seriously believe the thing about motorisation.

I only thought: You don’t know me!!!

Have a look yourself, one week later the

9,5 Volt Spaghetti Tetra Fork

About risks and generated injuries please contact your physician, nurse or nearest do-it-yourself-store staff.

Addendum: Construction manual for spaghetti tetra bit by popular request.

Saw a standard fork off and forge it flat. Really flat.

Saw approx. 5 cm off an M6 Allen key and weld it lengthwise to the fork stump. Not to the tine, I know it can happen!!!

Polish the welding seam with a one hand angle grinder. If possible keep a little bit of the welding.

Balance the bit at low speed on a drill press with a rubber mallet like a car tyre. Placing additional weight is not absolutely necessary.

Buy a cordless electric screwdriver with very low rotation speed, otherwise the special fork can be used to whip cream.

Boil spaghetti, and it’s done.

Safety instruction: Don’t start screwdriver with fork brought into the mouth, otherwise only the dentist will be happy.

Have fun with dotting your flat red!

Translator BL

Eigude Shame XVII

Wednesday, July 13th, 2011

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My suspicion is that construction engineers compress their planning to the most confined space not because building sites are so expensive, but only for that reason because they would otherwise need to print another piece of paper!

Everybody knows it, when you are writing a letter on the PC and the text doesn’t fit onto one page, you also try with smaller line spacing and font to squeeze everything onto one page.

In a building in the neighbourhood a new emergency stair case with new entrance area was built in the record-breaking time of two years.

They have taken much effort that the residents of the neighbouring houses will still remember the reconstructions years later.

I was positively surprised that on the side of the entrance a small

Outside lift for wheelchairs

was built. Great thing because in this building there are living also many old and frail people who may need a wheelchair in a couple of years.

We generously overlook the stair on the left with which the waste disposal is made a little difficult for us “travelling people”.

I am actually not concerned any more, but how can you construct such an extremely

Steep Stairway.

The stairs are very high and consist even out of polished granite. The lady on the picture had greatest difficulties to climb the entrance with her walking stick. There would have been more than enough space to front for the stairway construction, but as mentioned probably the paper was too small. The guy who is responsible for the construction of this stairway should be accused for attempted injury.

After the next winter the fresh wheelers due to a downfall from the stairs will probably queue in front of the outside lift!!

Translator BL

Technical Aids Tips and Tricks XXXIX

Saturday, July 9th, 2011

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Some wheelchair users proudly claim to have a

“standing wheelchair”

paid by their health insurance. This would be so great, you could be standing again in your favourite pub at the bar to have a drink, and you would be able to get a coffee mug from above out of the cupboard without problems.

All this might be correct, but the question is, did the “standing wheelchair” get a medical device number for this ?

Everybody should be clear that coffee mug transportation from the cupboard and “standing elimination” of draught beer in general don’t belong to primary health care, therefore the public health insurance would cover the costs only in exceptional cases.
Furthermore the insurance would have paid already for an everyday wheelchair for sure with which you can also get drunk. So why a second…

I am outing myself, I have such a chair, and it is medically reasonable!!!
But officially it is not a standing wheelchair, but a

Standing chair or Standing exercise device

I repeat again, why should the insurance pay for two wheelchairs…

Everybody knows it, you were lying in bed with the flu for 3 days, and when getting up you see little stars first because you feel dizzy.
After my accident I have looked at the ceiling in hospital for 9 weeks and claim since then that I knew all shades of white.
During 8 months I was buckled up each day for 1 hour on a tilt table and tilted upwards as on a torture rack to permanently stabilise my circulation without additional medication.
Furthermore the standing chair helps to prevent muscle wasting and pressure sores.

After I was home also my tilt table was gone. My circulation was not happy at all with that. Although we para- and quadriplegics are famous for our low blood pressure… with a blood pressure of 42/35 I could still count the drops of my medicine… this was hard. I got a prescription especially for a standing chair, because my blood pressure refused another standing device comparable to a speaker’s desk.
It is incomprehensible, but when using these “standing desks” I felt close to fainting after seconds.

After testing of another device and longer correspondence with my insurance, roundabout a year, which was very fast, I got a

Standing exercise device

l

(ca. 7000€) approved.

Read my blogpost about a handrail (back at the wall) as transfer aid (see older blogpost), from everyday wheelchair to standing chair.

At this point I would like to personally thank all these blithering idiots because of whom the approval of these upscale medical device at the health insurance is understandably so difficult.
If you absolutely want to “stand” at your pub’s bar, buy your standing wheelchair by yourself!!!

Small tip, even if you are not so educated in using a language. In case of non-approval of a medical device by the health insurance consider correct wording and spelling in your objection. Otherwise the correspondence can drag on for years…

I know a case in which the insurance wanted to place an electrical standing wheelchair in re-use which is 10 km/h fast into the living room of a patient in the 1st floor.
This is somehow unusual, but medically absolutely justifiable.

Translator BL

Technical Aids Test Crete Part II

Saturday, July 2nd, 2011

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Freeway T 40

(I don’t mean the bus.)

The White Mountains of Crete

The place on my right is free…

Freeway T 40, the off roader among the shower commode chairs :-D

The English shower commode chair “Freeway T 40″, not to confuse it with a Ferrari F 40, is a quite useful medical device. The idea to take a commode chair on the island tour with 4 wheelers from the wheelchair Hotel Eria Resort on Crete is great because wheelchair accessible toilets on Crete are scarce.

If you would like to learn more about this great little hotel, have a look in Facebook or press on the link!

Translator BL

 

Where are the 70.000 workers at Frankfurt Airport???

Thursday, June 30th, 2011

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Long “fairytale”, but worth reading!!!

On Saturday I landed exceedingly on time on 22:30 from Chania (Crete) in Frankfurt.

I will never understand why some people are applauding after the landing. Nobody was ever applauding for me when I did my job well. Anyway…

The aircraft was parking on a remote stand, I had as usual a nice window seat and watched very relaxed the totally stressed pedestrians leaving the plane.

As wheelchair user you have the privilege of the last passenger after the landing.

The flight captain stated that he had requested the special lifting bus and adequate members of the ground staff already several times, so that I could leave the plane as well.

But nobody came!!!

Parts of the crew and the pilot provided some company to me with which they apparently had some fun. The unwritten law that the captain is the last to leave the ship is still of great importance at Condor.

Eventually someone from ground staff came and seriously asked me if I could walk. He accurately observed that he could not help me on his own. Insight of the day…

While waiting for the lifting bus the luggage was unloaded, so I asked a crew member to check if my wheelchair and wheelchair tractive Minitrac are waiting on the airfield and hopefully are not loaded on the luggage carts.

He said that this would be the case, the things would be standing there. Uff…

The lifting bus finally arrived around 23:10, I left the aircraft with the help of two strong guys and my beloved plane transit wheelchair.

Afterwards they helped me into my own wheelchair which unlike my Minitrac was fortunately still there.
Anyway, so we had to get my Minitrac at the bulky luggage claim.

With the bus we were not brought as usual to the FraCare Service (Service for handicapped at Frankfurt airport), because this area was already closed at this time, but to a different entrance.

There a friendly employee from FraCare was waiting for me.

She said that our luggage would be in the reconstructed building C, and we would have to see how we get there at this time because some of the elevators were switched off.

She used her phone virtually as GPS and lead us confidently like a bushman in the desert through the corridors of the building.

When we finally arrived at the luggage belt we didn’t have to search our luggage for a long time, our 3 bags were rotating around and around.

The whole baggage claim area was almost deserted, there was not even a luggage thief.

My Minitrac

stood with its 65 kg a little disjointed in a plastic box on the bulky luggage belt!

My wife reassembled the Minitrac to begin with.

It is unbelievable, but at 23:44 nobody responsible was there nor could be reached by telephone, who could lift my little box from the luggage belt.

In the meantime even the last passengers were gone who we could have asked for help.

At last my wife has magically lifted my Minitrac from the luggage belt together with two men whom I just call Mister X and Y here. At this point I would like to thank them and the employee of FraCare again!

I left the terminal at 23:55!!!

My pre-ordered wheelchair taxi was kindly waiting in front of the terminal.

I have sent this “fairy tale” in a slightly modified version to Fraport (operating company of Frankfurt Airport) requesting their comments. I will keep you informed.

To my shame I have to admit that I used to work 9 years at the Frankfurt airport before my accident.

Translator BL

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