Saturday, December 6, 2014

Just some updates

I've been quiet in here for quite long now, not because I haven't been wanting to write, but because I've been (and am) more busy than usual, along with needing a lot of rest when I'm not busying around so I've been focusing more on my Swedish blog when I have been blogging at all. 

A lot of things have happened since my last post. 
I've celebrated 1 year since my hysterectomy, gotten a year older, got FreeWheel attachment for my wheelchair, been on a camp for young people with physical disabilities, been asked to join the board of my regional youth disability organization (and accepted), working on some projects with the organization, coming up with new ideas for events and projects, looking into the possibilities to arrange some wheelchair technique school for friends with Ehlers-Danlos Syndrome as we need to save our joints, I'm also trying to not overdo things even though I tend to overdo things all the time. 

I'm still fighting for the right medical care. I have good pain management and bracing and a good wheelchair, but that's about it. I'm not getting proper testing or treatment for my neck, I haven't had my heart checked, doctors here don't even know occult tethered cord syndrome which I may have, I'm having some worsening issues when it comes to my balance when standing and legs just giving way plus other issues that probably comes from my neck and/or spine. 

I've come to the realization too that I'm probably too stubborn when it comes to walking. The week I was at the camp for young people with disability, I used my wheelchair all the time except for when I was inside the hotel room and just going between the bed and bathroom, but other than that I was in it all the time, even when getting a cup of coffee. I needed no help to get coffee or take a tray. I could have gotten up and walked to get coffee or carry the tray, but I choose to sit because it felt safest. And that week, I actually felt better than I normally do and it can't just be because I had a lot of fun! I should have been totally shattered every day, but I managed to almost all of the activities we tried and without suffering too much afterwards! I feel worse after walking or standing for a few minutes, than I did after a whole day of being in the wheelchair and listening to motivational talks or playing wheelchair sports (Wheelchair basketball is SO MUCH FUN!)

But back to other things before I go to sleep. 
My neck... Seeing the radiologist that looked at my images was incompetent, I'm getting help from the zebra community to get some answers as many have gotten really good at reading images. Apparently I have retroflexed odontoid, and what seems to be Chiari malformation. Someone else has mentioned some signs of instability. 
Thanks to those people who are able to read images, I know I have to continue the search for a competent doctor and not just blindly trust what the first radiologist said "nothing except for a straightened lordosis of the cervical spine" for my neck MRI. 

Seeing what Ehlers-Danlos Syndrome does to me, I'll be forever grateful that a friend told me about four years ago to read up on Ehlers-Danlos Syndrome when my symptoms first began to escalate rapidly. Had it not been for her, maybe I would still have been undiagnosed and not knowing what the hell is going on with my body! 
Now I kinda know what's going on, or well, at least I know why in a way. And I can deal with things as they happen instead of just wondering why it does. 

Feels like this post is all over the place, but I'm tired, and just wanted to give a brief update on things. 

Saturday, September 20, 2014

Flaring...

I'm flaring big time at the moment. Extreme fatigue- I napped on and off all day yesterday and then I slept for 12 hours last night and have still been exhausted today. 
I'm also in a pain flare, mainly my back and knees, it's to the level where I'm in so much pain I can't even cry...
The result of me totally overdoing it lately, being too busy for my own good really... 

Going to sleep in a minute, need to get up early tomorrow because me and mum are going out tomorrow morning to a market that's only one Saturday each year, and I totally don't want to miss it even though I'm in so much pain! 

Oh well, time to sleep so I can wake up on time! 


Monday, September 15, 2014

Relief!

It's been some hectic weeks lately!
Sweden has just held elections for parliament, regional and town governments.
For the past 8 years, our government has been led by the blue right (our right and left have opposite colors compared to America) which has been pretty disastrous for those in the country who are considered "weak" such as the unemployed, disabled, retired or low income workers.

Today, 8 years of tyranny has ended and Sweden has elected a new prime minister who has a past working as a welder and many years of experience as a leader of a big workers union. He's leading the political party I'm active in, the Social democrats which is a party where solidarity plays a big role and where you generally think that "just because it hasn't happened to me yet, doesn't mean it won't, so it's better to be safe than sorry" A strong welfare and social safety nets plays a big role, and everyone's equal value.

The right wing government has left quite a mess now, they sold out a lot of government owned businesses and lowered the taxes for the richest people, all while retired or disabled people even with a low pension or disability payment got hit by higher or unchanged taxes, and disability payment levels that hasn't been increased for many years!

I am one of very many in Sweden who has suffered under the blue government, even though I was approved for disability on my first attempt, my disability payments are not very high and I still pay as much tax as someone who's working full time- all while rich people get subsidized cleaning services in the nice neighborhoods. Sure, I could get subsidized cleaning services as well, but even with the tax cut on the service, I wouldn't be able to afford using the services regularly...

Anyway, we now have a prime minister from a left side, red party which is a whole lot better for those who aren't able to work due to illness, or who happen to be between jobs, or people who have worked their entire life on a job which doesn't have the highest wages.

I feel relief now! Next year I'll turn 30 which means I'll have to file for permanent disability. I haven't been able to work at all for over 3 years now due to my Ehlers-Danlos Syndrome, so I don't see how another year can magically give me any work ability back. With a blue government, I'd be very likely to face pure hell, I know many who have, many who have lost their sick leave payments, been denied disability despite being even worse off than I am and so on. The red government is a lot more humane, it's still difficult to be approved for permanent disability, but at least not as difficult. I feel a bit less worried about next year now than I would have if we had gotten another 4 years with the blue government!

And believe me, I would work if I could! I still miss working, but my health just has to have my highest priority! I'm still young and my body has to last for many years still, it does that best by being able to take each day as it is, and engage in activities just every once in a while, not with a daily schedule or a lot of must-do's.

While I do miss working, and do need a lot of rest, I don't just bum around in bed all day unless my body tells me to. I go places, do things, I'm into some politics these days- though not on a list to be elected anywhere. I'm an accessibility activist, I try to make changes both in my town and in nearby cities for better accessibility, be it by Instagram while being somewhere, or just let people know that something is a problem for someone who's in a wheelchair or having mobility difficulties in general. Oftentimes, people who don't have any kind of disability don't know it's a problem, they just don't have the perspective. If people with a disability starts letting others know if there's a problem with accessibility, then it truly shines a light onto the issue and others will know. If we keep silent, then nothing happens, because it's only us knowing about the issue...

Thursday, August 21, 2014

Denial

I've been very busy lately, doing way more than I should and forgetting to pace myself properly, in a sense I've been in, and am in, denial about my capacity these days.
Now granted, I've had more events than usual to go to, but the point is, I'm really bad at saying no! I just keep going and going and going despite knowing that I will crash sooner or later!

In the past couple of weeks I have been to a big amusement park, helped mum to pick and set up her new laptop, celebrated a friend's birthday, attended a meeting out of town, had a flat tire on my wheelchair twice in a week, helped out at an event out of town and having to take a detour with way too much walking to get my flat tire fixed at a bike shop, attended a concert out of town, attended a family party, attended a circus and tonight I went to see our likely next prime minister being interviewed in my town. And all this is on top of all the usual with laundry and such. I'm absolutely exhausted and of course in pain, but I just keep going, I just can not say no even when I should because I really want to do all the things I have been doing, and I have some more things coming in the next few weeks up until the parliament elections in September.

I honestly don't know how I manage even, but I'm guessing it's pure will power and I will pay for it afterwards, I always do when I've overdone it. It's not without reason I have disability... Some days I can't even do the laundry without paying for it afterwards, or a shower is the big achievement of the day. Other days I can manage to go out of town to do something.

I'm just waiting for the big crash right now, I know I've so totally overdone it for weeks and not rested enough! I don't sleep well either, often waking up due to pain, sleeping restlessly, being kept awake by thunderstorms and whatnot.

My joints aren't doing great either, when I'm tired, I'm more prone to injuries and at the moment, I'm tired, and also suffering a case of the weather... Last week one of my kneecaps decided it didn't want to stay in place and it slid upwards a bit. My knees are odd... My kneecaps don't dislocate sideways, they go upwards when they go! And it happens my entire knee subluxes if I suddenly loose control over my legs and a knee goes backwards and I'm not prepared for it at the time. Thankfully my knee braces prevents the hyperextension some at least, so I've been wearing my knee braces more than usual in the past week. My knee braces don't keep my kneecap in place though as my braces are the rigid frame kind that relieves your knees and prevents hyperextension without immobilizing the knee, and they don't have patella support. But oh well, most of the time I just need the support and hyperextension prevention anyway.

Now I need to rest! But I'm too busy, but I need to rest... Pacing... Don't forget pacing!

Thursday, July 31, 2014

Summer, water park, sunburn and...

Psoriasis?!

Yup, it looks like that anyways. I'm yet to see a doctor about it though, just trying hydrocortisone cream on it first to see if it helps, if nothing else it's keeping me somewhat sane while waiting to see a doctor because I can count on having to wait for an appointment.

The reason I think it's psoriasis? My paternal grandfather had it, my dad has it, my maternal grandmother probably had it. My spots look like psoriasis and the family history says it may very well be. I've asked in a couple of closed groups as well what they think, and showed my parents and everyone has agreed that it looks like psoriasis.

I'm not letting this stop me though! My affected areas are visible when I'm wearing swimwear, but I wear swimwear anyways and I go swimming because I have every right to, just like anyone else! If people stare at me, that's their problem, not mine.

Anyways, I started getting some psoriasis-ish marks a few weeks ago now and have in the past couple of weeks gotten more of them. But I've been out enjoying the summer anyways, and even went to a water park almost two weeks ago now. The water park was a lot of fun! I haven't been there for over ten years and I do love being in the water, so with this awesome summer weather outside, a friend and I decided to go. It was extremely tiring in the park, especially in the pool area as that area has anything but flat ground. In other words, the pool area wasn't accessible at all, so I had to walk more than I had planned to, which of course tired me out completely. I was barely human when I got home that evening, thankfully I managed to drive home but had it been just a few miles more, I would have had to take a break to rest before driving the rest of the way home.
The day my friend and I went to the park, it was very warm (for being here) and very sunny, so by the time we came to the pool area, my POTS was acting up some and I was close to passing out from the heat so needed to get into a pool ASAP. In that process, I forgot to put on sunscreen, and also forgot to when getting up to rest a bit. Needless to say, I got a tad bit sun burnt that day! But seeing I was out in the sun for about 7 hours, mostly in water, I didn't get even nearly as burnt as I had expected to, probably much thanks to me already having a little tan when arriving the park and my skin having had time to adapt to the sun since about April as we've had an unusually warm and sunny spring and summer!
Now my redness has shifted to tan, I'm more tanned now than I've been in many years! Still shedding some skin but nothing too bad. To be honest, I wasn't even in much pain from this sunburn, I've been a lot worse in the past, so this was nothing.

My joints are feeling pretty decent in these summer temperatures, though I still have to be careful so I don't overdo it, the heat doesn't cure my Ehlers-Danlos Syndrome, it merely makes it a bit more manageable. I've probably been overdoing it lately, it happens so easily as soon as the pain is a bit more manageable than usual... So now I'm extremely fatigued!
I was going to go to a market in a nearby town this morning, but when I woke up I just felt that okay, no driving today! Then shortly after I fell asleep again and didn't manage to wake up properly until 3:30pm despite having slept for about 6 hours or so when my alarm sounded at 9 this morning. So yeah, that's what fatigue can do to you! Been really tired all day even with all that sleep so probably going to try to sleep pretty soon, I just can not stop yawning today!

Bit worried about one of my friends too, a friend who has Osteogenesis imperfecta, he was in an accident over the weekend and is currently in hospital with two broken legs and a broken shoulder and is going to be transferred to a bigger hospital sometime this week for surgery. Due to the complexity of his fractures, only one hospital in Sweden can manage it. I just hope his surgery or surgeries will be successful and that he will recover fast! Right now I'm anxiously waiting for updates from him, as is all his other friends!

Tuesday, July 15, 2014

A day out on the coast

Last week a good online friend of mine was on a coast camping resort little over an hour away from my town as her children are performing with a youth circus that had their show at the resort last week. So on Saturday I drove out there to see her, and to see the circus! The circus was really good, the performers were between 7 and 25 years old, and very skilled! My friend's daughter won the award for best performance this year at the circus, she's very skilled on unicycle, with acrobatics and now also aerial silks, but the different awards were announced long after the show so it was just the kids, their parents (and in some cases grandparents) who were there, and me as I was with my friend.

My friend, like me, has Ehlers-Danlos Syndrome, and that's how we got to know each other- through Facebook groups for the syndrome. We would likely have met long ago had it not been for the fact that we live several hours apart, but yeah, now when she was on the coast with the circus, it was within driving distance for me to go there.
We had an absolutely amazing afternoon and evening together! We have the same kind of humor, and way with words so we had so much fun together and quickly became great friends as our personal chemistry matches so well! I wish we could hang out more often, but we live so far apart so it takes a fair bit of planning to visit each other. But we're already planning on seeing each other soon again, I'll probably visit her at the same time as I go to Stockholm as her city is very near there, I haven't visited her city before, only gone through by car in the very outskirts so traveling there will be both exploring and hanging out, and most likely meeting more fellow zebras! She will most likely come visit here as well, and we'll probably go to Gothenburg together, I'll try to arrange a meetup with my friends in Gothenburg when she comes to visit as they'd like to meet her as well, and she wants to meet them as she's only talked with them on Facebook before.

Anyways, Saturday was awesome! And it was like a little mini vacation for me to drive out to the coast. Just getting away from home for a day and enjoy the summer weather, spend the day in a camping resort, one that I hadn't been to for 18 years, and to get to spend the day with such an awesome friend! We had such a nice time, I didn't start my drive home until about midnight and I got home shortly after 1am.
And for me, it's always nice going to a camping because it reminds me of my childhood as I grew up traveling around in northern Scandinavia every summer with my parents, living in a caravan for 4-5 weeks at a time. My parents left for their vacation on Friday so they're currently in the northern half of Sweden, one would think it's far north, but if you were to fold the country in half from north to south, they're actually just north of the middle. I know exactly where they are at the moment, and remember the scenery of the location despite it being 11 years since I was there last time. I'm hoping to go up there again sometime, but most likely I'd have to take the train or airplane up to the north and then rent a car because I don't think my body would be able to cope with so many miles in a car now.

But back to Saturday. Both my friend and I use a wheelchair to get around outside. Mine is fully manual, while my friend has the same model of wheelchair as me, but she has eMotion wheels on hers which only requires a gentle push on the rims and the electric motor in the wheel does the rest. Funnily enough, we have the same wheelchair measurement as well, so we could try each other's wheelchair to compare cushion and setup. When I tried hers, I did find she had a better setup on the backrest, it was lower than on mine and upright, my backrest is a tad bit reclined, but that can easily be adjusted. Changing the height is more difficult as that means needing to change the whole backrest, it's doable but nothing I can do myself, I will have it done though because I really feel my backrest is too high!
Trying the eMotion wheels was quite the adventure too because I've only used manual wheels before, it was pretty fun and very easy to move forward, but seeing my manual wheelchair being just about the only exercise I can manage, and the fact each eMotion wheel weighs more than my entire wheelchair, I prefer to stay with fully manual wheelchair for as long as I possibly can as I often lift it in and out of the car independently. My friend said my wheelchair was very easy to propel for a manual chair, and her shoulders are way worse off than mine- hence her using eMotion wheels. We also compared cushions, I had brought my old cushion as well just so she could try that one as well before I return that cushion to the wheelchair center. It's a Varilite Meridian cushion, about the only good thing about it is the low weight, but it didn't take long before I started to have pain when sitting on it, which is why I changed cushion to my current which is a Jay Xtreeme. My friend uses a Jay Easy which also has the Jay Fluid under the bum. I tried her cushion too and it was definitely a whole lot better than my Jay Xtreeme so I'm going to ask my occupational therapist to order one of those for me instead. The Jay Easy has more positioning and keeps the legs in place better, and it also felt like it had more Jay Fluid under the bum. I sometimes feel my Xtreeme feels hard, and my legs tends to fall outwards unless I manually hold them together which of course is tiring but very necessary due to my SI joints. The more my legs are helped to stay together, the better really.

It's always awesome meeting others with Ehlers-Danlos Syndrome and just chitchat and exchange experiences, extra awesome with the chemistry match with humor and such too, and it was definitely valuable to compare the wheelchairs as well.
I'm pretty exhausted since I came back home, and in fact lost the use of my legs for a while yesterday while being up at my parents place to tend the tomato plants on the balcony. I was just sitting in the sofa at my parents place watching some TV after watering the balcony plants and just letting the balcony door be open for a while to let some air into the apartment. As I was sitting there, I didn't feel my legs very well and had to look at them to know where they were, and I couldn't move them for a while, guess my body just shut down from fatigue, it has happened before as well, just not when I'm sitting alone on the 2nd floor with no elevator. I was wondering for a while how the hell I was going to get downstairs again to go home, and I had to take my wheelchair down the stairs too. I didn't want to slide down on my bum if I could avoid it as the stairs are hard and surface dirty. Fortunately it helped to rest for a while longer on the sofa and then I could slowly walk down the stairs with my wheelchair in front of me as usual.

Now I really need to try to sleep, it's already light outside and on Sunday I have to leave home already at around 6:30 to head out of town for a whole day event, so I'd better try to change my sleep pattern a bit during this week so I have slept in the night to Sunday!

Thursday, July 3, 2014

Cervical instability and headaches, plus some other odds and ends.

I'm in a period of headaches again it seems. I totally overdid it on Friday when a friend and I went out of town for a day's leisure with some shopping and a trip to the indoor adventure pool where we stayed for about 6 hours, playing in the pool with wave machine, riding the water slide, jumping into the water from the trampoline, relaxing in the sauna or jaccuzzi and taking quick dips in the cold water pool which had a water temperature of about 10C or 50F. On top of the long day out and all the activity I also drove both ways as my friend doesn't have a drivers license.
I don't know if the headache is just from totally overdoing it on Friday, or if it's my unstable neck throwing one of its random hissy fits, or if it's a combination of overdoing it and a random hissy fit. My guess is that it is the latter! Either way, you know your neck is bad when putting in some metal scrap in the neck to stabilize it sounds like a good idea even though that would be a very major surgery...
I really hate these headaches! They're so debilitating and no morphine in the world can ease the pain in my neck and at the base of my skull and the headache, the only things I can do is to lie down or wear my Aspen Vista cervical collar, preferably lie down WITH the Aspen Vista collar. Fortunately I do not get light and sound sensitivity as I do with migraines, so I can at least use my laptop when having one of those cervical headaches, I often end up watching a movie unless I just sleep in an attempt to sleep the headache away.

I'm at least feeling a bit better now than I did just some hours ago. I both looked and felt more dead than alive during a Google+ hangout with some friends earlier tonight, when the headache hit me less than an hour before the hangout began, I even considered skipping the hangout today because I felt so awful and just wanted to rest, but these hangouts are like the highlight of the week so I really don't want to miss one if I'm just at home at the time! If I'm out somewhere, I even do all I can to be home on time to attend the hangouts, that's how important it is to me!

On a totally different note. I'm beginning to feel I need to make some adjustments on my wheelchair. I've had it coming for a while, but now I definitely think I shall call my occupational therapist to make an appointment at the wheelchair center for some technician to make adjustments to improve my positioning in the chair and make the wheelchair fit me even better. One of the things I'd like to change is the angle of the backrest, it's currently slightly reclined but I'd like to try adjusting it to straight instead to see if that makes it more comfortable. I'd also- if possible, want the backrest to be lowered slightly. If possible I'd also like to change the axle so the camber goes from 4 degrees to just 2 degrees or even 0 to make the wheelchair more compact. May also need to make some adjustment to the center of gravity, but I'm not sure. There's both pro and con with making the chair more tippy than it is now. Pro would be easier to pull a wheelie and stay there. Con would be easier to fall backwards. I am used to the setting I have at the moment and I'm really good at wheelies, I just sometimes feel the chair is a bit front heavy which isn't needed since my balance in it is very good, and the front heaviness makes it a bit more difficult to keep the wheelie when rolling down a ramp for example. But I'll see, seeing it's the major vacation period here now, I'll probably have to wait until August or so before anything can be done to my wheelchair so the staff at the wheelchair center can focus on emergencies instead, either emergency repairs on wheelchairs or urgent fitting for new wheelchair users who need a chair ASAP for one reason or another.
While I do want to have the adjustments made quite soon, it's not like it's an emergency so I don't have to have it done while many of the technicians are on vacation!

Having a couple of events coming in the next week and a half too. One meetup with EDS friends which will include a boat trip to some island in the archipelago, and next week another EDS friend from another part of the country is coming to this area, or well, at least much closer than usual as she'll be about 50 miles away compared to over 300 miles, so I'm hoping to go see her when she's in the area! But much of it depends on my neck. If I can only do one activity I'll definitely choose seeing my friend who's normally not in this area, my other friends are people I meet at least about once every month so if I have to cancel one meetup I'll just see them soon enough anyways. I'm hoping my neck and the rest of my body will behave though so I can do both activities! Just going to rest as much as I possibly can for the next couple of days, hoping that it will be enough.

Now I really need to sleep, it's 5am and already light outside. Just this headache has kept me awake most of the night as I haven't been able to get comfortable... Been watching a movie to have something to do before writing this post, but now I'm utterly exhausted so fuck this headache, I'm going to sleep!

Thursday, June 26, 2014

Summertime and activism

It's been a while since my last post. I have been having pain in my hands so was limiting my typing for a while, and then I've just been really busy so I haven't really had time to just sit down (or lie down) to write anything. 
Anyways. I'm glad to announce that my hand pain has improved some, so it seems resting from blogging for a while did help. Hopefully I'll be back to blogging more now.

June is also quite a mixed month for me nowadays as June 8th marked 1 year since my grandmother passed away after a months battle against the effects of a severe stroke. I was there that day at the hospital and held her hand as she passed away and had to deal with a lot that day, but not more than I could handle. I did what I felt was right for me when it comes to being in the room, telling my uncle on the phone that my grandmother was gone and making the call to my mum to let her know as well. Calls the nurses had offered to make, but I felt it was better I did it since I was there and able to. So of course, June 8th was very emotional for me, I cried several times and kinda relived that day a year ago, looking at the time and remembering what I was doing and so on. 
I am by no means traumatized by that day, nor am I traumatized by experiencing a similar situation in 1999 when my adoptive grandmother passed away before I even turned 14 and all the adults said I was too young, but I insisted on staying and I'm glad I did. 
It's just that first year, the year of all the firsts that I like to call it. All the birthdays and holidays in the first year did go surprisingly well, but on June 8th my facade crumbled from time to time and I just let it all out that I had been keeping within me for a long time, then I was fine again, and I am fine. 
I focus on the positives and all the happy memories. 
I focus on the fact that I got 16 very happy years together with my grandmother and that she was at good health through those years. I focus on the fact that she had been longing for us to find her and that we found her on time so we got all those beautiful years. 
Things could have been so different you know. She could have given my mum away because of not wanting her, she could have wanted nothing to do with us when we found her, or we could have found her at poor health or even too late. But we found her when she was 69 and doing really well, she had been waiting for 43 years for mum to contact her, and those first 11,5 years of my life where my grandmother wasn't actively in my life, those have been well covered for and mum and my grandmother caught up on their 43 years apart as well! 
So I focus on the positives and cherish the memories. I live, I laugh and I love! 

Other than the one year since my grandmother's passing, this summer has been pretty busy this far. I've been buzzing around like a busy bumblebee lately. 
I celebrated our National Day on June 6th at a friend's place over 50 miles away, my friend hosted a BBQ party and Party Lite demonstration for a group of friends to celebrate our National Day. It was a lovely day and it was great to get to hang out with that group of friends again, hadn't met some of them in three years now and a couple of them had been about 9 months since we last met, so it was quite the reunion and we were very fortunate with the weather too! No rain until I was in the car driving back home again in the late afternoon. 

On June 10th mum and I went to a nearby lake in the afternoon as we were having a heat wave here, the lake was already as warm as you'd expect it to be in July or August so both mum and I were just soaking in the water for quite a while before getting up to dry in the sun, and then jump into the lake again and dry in the sun once more before going back home. Dad was on a bus trip to Germany at the time and they had a heat wave there as well with extreme temperatures of about 39C which is little over 100F which is extreme for northern Europe. You normally only see those temperatures down in the south like on Balkan or Greece, parts of Spain and such. 

Last Wednesday I took part in a peaceful demonstration in Gothenburg against the inaccessible public transportation. We were 10 wheelchair users that occupied a tram for about 1.5 hour, stopping the traffic past that stop during that time, protesting that there's currently only one or two designated wheelchair spots on the trams and those spots are also used by prams, and luggage which means a lot of the time, a wheelchair user will have to wait for a long time before a tram comes where he or she can actually get on to go to their destination. There's plenty of space on the tram that could easily be made into a wheelchair spot. We'd like to see four wheelchair spots on the trams that currently has two, that would mean it's more likely a disabled person can get on a tram sooner, and it also means it would at least in theory be possible for a group of up to four wheelchair users to travel together by public transportation. It's really not much to ask for on a vehicle that's 40 meters long and weighs several tons, it has the capacity, it's just the city and the public transportation company that are asshats. The average city bus in America has more designated wheelchair spots than a tram in Gothenburg has, and the average bus is only about half the length of a tram. 
We're also protesting against the often broken ramps into the trams and the fact that many wheelchair users have been verbally abused by tram drivers, some have even been physically abused which resulted in bruises. So we'd also like to see an improved attitude and values among the drivers of buses and trams. 
I guess you could call me an accessibility activist these days! And even though I am able to stand up and walk past an obstacle, far from everyone in a wheelchair can! I have friends who can not walk at all, in fact, my friend who took the initiative to the demonstration in Gothenburg, has a high level spinal cord injury, he can't just get up and walk past an obstacle! 
I always think one step further when I look at accessibility and think "How would this work for someone with a spinal cord injury who can not walk, or due to their injury have limited or no trunk control?"

My friends and I don't want to stop the traffic and occupy trams, all we want is to be able to use the trams more easily as at this moment, we belong to the category of customers that gets discriminated against the most. 
If a group of four walking friends wants to use the public transport to go somewhere, they can just get on the bus or tram and go. If a group of as little as three wheelchair users wants to go somewhere by public transport, they can not go together in Gothenburg. Even just two wheelchair users going somewhere together, can have a really hard time to actually get onto the same tram due to the designated wheelchair space(s) often already being taken.

And as always, everything that makes something more accessible for the disabled, also helps everyone else! Ramps or elevators helps prams as well, or people with a lot of luggage, same goes with curbs that are lower or at least angled so it becomes ramp like. Easy to read signs for people impaired vision and people with mental diagnoses also helps tourists and newly arrived immigrants who don't know the language. There's only benefits by having the public space and shops accessible! 




On a completely different note, this past Friday was Midsummer's Eve and my parents and I always celebrate it by an old castle and I always stay in my parents RV over the weekend. It's pure meditation being at the campsite next to the castle, I was just relaxing in the RV on Saturday and despite there being many caravans and RV's in the camp site, the only sound outside was from birds chirping in the trees. It's on times like that you truly feel alive! And it reminds me of my childhood as well as I grew up traveling around every summer, living in a caravan for up to 5 weeks at a time. I miss going out camping like that, so truly enjoy it when I do stay overnight in the RV with my parents these days. My parents went to the campsite already on Thursday, but I came after in the car on Friday. 
There's something special about being in a camping vehicle, especially when you've grown up with it. I don't think an RV is as cozy as a caravan is, but yeah, there's something special about it anyways. Something about the simple conditions compared to home, but it's still comfortable. And the pull down bed in the RV is very cozy at night, and also very comfy once you just manage to climb up there! 

Thursday, June 5, 2014

Rough time

I've been struggling physically for a while now, my body is in some serious flare at the moment! I'm in a pain flare plus many of my joints being more loose than my normal. My hands are still hurting pretty bad too so I'm limiting my typing a lot, both on computer and touch screens in the hope my hands will feel better with some rest. It's not very fun though because I miss texting with friends and updating my blog, but typing just hurts too much... Even just this little text this far has required me to take breaks, and each letter is painful in my fingers, hands and wrists. Today I'll just let the post take its time though, I haven't posted for so long now...

Joint wise I'm having a hard time at the moment, not just with pain but with more frequent subluxations and in more joints. There's been some joints that often sublux and I'm used to that, but yeah, now more joints have joined in. My left kneecap has subluxed several times in the past week, but it doesn't go like most people's kneecaps do, mine subluxes upwards! Last time it happened was when I was walking to the car earlier tonight after just having been up at my parents place for a short while (had left my wheelchair in the car). My left elbow is also subluxing a fair bit now, and my elbows have been quite stable before unless I'm pulling the drivers seat of the car forward or putting weight on my arms in the wrong way.
Right wrist is subluxing more than usual as well, and it's now also very painful so I'm having to wear a wrist brace quite a lot. My left thumb is getting ridiculously loose and in all its joints... Neck is a mess as well, I'm currently needing to wear my Aspen Vista cervical collar when I sleep, and keep my neck and head supported more or less at all times or I get a headache and awful pain at the base of my skull.
And I most likely subluxed a vertebrae while just turning around in bed a couple of days ago.

Along with this pain flare, I'm also having a rough time with fatigue. I'm guessing the pain levels wears me out in a sense. At times I even just nod off while sitting at the computer, almost like passing out, as if my body just needs a break. I'm still trying to keep busy though. I pretty much buzz around like a restless bumblebee between meetings and meetups, and when I'm doing that, I'm resting as I am really pushing myself way too hard, but I don't want to skip things either if there's any chance for me to attend it, I've only just gotten to know most of the people I hang out with now since joining a political party and the youth organization too. I've been to a meeting with the youth organization tonight, it's only just starting up in my town and neighbor town so I'm with it from the beginning locally. I had an awesome evening with my friends in the youth organization and we're all very motivated and full of ideas to get this going.
I'm hurting like hell now though, because I was sitting for too long at the meeting when already being in a lot of pain. Last night I even resorted to taking extra painkillers to give my body a short break from this flare, it worked because the medicine I took was (my last 5mg tablet since I was on them before the patch) OxyContin!
But yeah... Have avoided the ER at least, so that's always something!

Tomorrow I'm going to have a haircut and then in the evening I may attend an event with my political party, but that depends on the weather and my condition tomorrow as I'm going to a BBQ party 50 miles away at a friend's place on Friday to meet up with some fellow EDS'ers and celebrate our National Day and I totally refuse to miss that as I haven't met those friends for over half a year and some of them I haven't met for three years now so I'm really looking forward to meeting them all again!

Now both my hands and the rest of me needs to rest! I'll probably go to sleep really soon because I'm beyond exhausted even though I got 8-9 hours of sleep this morning...



Thursday, May 22, 2014

Rough day physically

It seems like everything is hitting me at the same time, like some kind of mega flare or something!

Seriously, I'm not joking when I call it a mega flare!

I'm currently symptomatic of the CCI to the point where I've been laying down a lot to relieve symptoms and I've needed to wear my Aspen Vista collar again, both sometimes in daytime and when I sleep. It's been a while since I last needed to wear my collar at all. I should probably wear it more than I do at the moment, but I do want to keep my muscles in my neck too, so I try to limit the time I wear the collar and only wear it when the symptoms become unbearable.

I'm having a hell of a time with my body from my waist down with a lot of pain in my lower back that radiates down my legs, and my legs feel like they're full of local anesthetics and lead, I'm barely able to move my legs when having that feeling of local anesthetics and lead in them and getting around at home is kinda interesting to say the least. Apart from the pain in and around my hips, knees and ankles and the pain radiating down from my back, my legs are a bit numb so if I pinch my thighs a bit, it doesn't hurt as much as it normally does- but I don't try that all that much, because I don't want to look like a smurf! This together with other symptoms I'm having indicates tethered cord syndrome or occult tethered cord syndrome, it's yet another complication of Ehlers-Danlos Syndrome. I have just about every symptom of it, and it has been going on for years actually, I just haven't had my legs feeling like this before, at least not this much. It's yet another thing I'll need to bring up with a doctor. Actually the tethered cord symptoms along with the pain in and around joints below my waist, and the rapid fatigue, are the main reasons why I'm using a wheelchair, the wheelchair also helps my upper back and spares my arms and shoulders compared to crutches or a walking stick, it's also individually set up for me so it's the only chair I can sit in somewhat comfortably, so there you have it.

And as I've mentioned in the post yesterday, I'm having hand pain that at the moment is impairing the use of my hands which means I've had to limit my typing compared to my normal.

I also seem to have caught tendonitis in my left elbow.

With the very intense breakthrough pain I've had (and have) today, I was for a while considering going to the ER as the pain is so bad I find myself holding my breath at times, something I only do when being in intense pain and I do it unconsciously! Now I do have a high pain tolerance, I can break a bone and barely flinch or severely sprain a wrist and just keep going, so when I am considering going to hospital because of pain, it's bad!

Now seriously body! Why does everything have to hit at the same time? I have things to do, a life to live! I don't have time to be in this much pain!
Tomorrow it's supposed to hit 27 degrees C here (81F) and I have every intention to go out of town to enjoy the nice day! My plan is to go to Gothenburg and just sit in the big park to enjoy some ice cream in the sun and maybe meet up with some friends too. But if I can go or not depends on the condition of my legs, and if I'm able to be upright. I'll be driving if going to Gothenburg so have to feel fit to drive. It's a 100 mile round trip too! I won't know until I wake up tomorrow if I can go or not. But I'm hoping I can!

Tuesday, May 20, 2014

Doctor appointment and CCI

My hands are still hurting pretty bad so I've been limiting my typing, but today I just have to give you all an update!

I had an appointment this morning with a doctor, I did not know if it would be my primary care physician or someone else at the clinic, but it was an appointment anyways, mainly to discuss my positive experience on the Betamethasone.

I got a young doctor today who was doing her internship for her degree, she had been studying medicine abroad rather than here in Sweden and I have to say, her level was very very high!
It was the most amazing appointment I've had with a doctor! She truly "got it" and she was interested and really listened. While she was totally against continuous low dose of Betamethasone (and I understand it as it IS a steroid), we talked about things in general, the struggles people with Ehlers-Danlos Syndrome have when it comes to doctors and always having to advocate for yourself and basically know more than your doctors or you're screwed.
I also mentioned the issues I'm having with my neck and how it has been left as it is apart from having my Aspen Vista cervical collar. She looked almost afraid when I told her about my symptoms from my neck and how it affects my life, I also showed her an image from my MRI in August and she could also see what friends in Ehlers-Danlos groups and Chiari groups on Facebook has seen: There's something odd with my odontoid bone! Someone also mentioned that my Clivo Axial angle is not right. Now these are finds that indicates Cranio Cervical Instability also known as CCI, I also have a lot of symptoms that fits with CCI and it is sadly a common complication to Ehlers-Danlos Syndrome due to the weakened connective tissue. Now when a doctor has also seen that something is fishy with my MRI (and she's going to look at my images more) and literally called the radiologist at the hospital who initially looked at my MRI, an idiot, things may actually start to happen! The doctor I saw today is going to speak with her mentor/supervisor at the clinic on Thursday to discuss my case, and she's going to do all in her might to get me to a neurosurgeon at the university hospital so I can get a proper diagnose and hopefully a treatment plan and treatment! She was also pretty angry when I told her the best way to see Chiari is in an upright MRI, but that there's only one such machine in the entire country (over 500 miles away) and its resolution is really bad, it doesn't make sense at all that the three biggest university hospitals in the country doesn't have an upright MRI machine each, if the three biggest hospitals got upright MRI's too, that would mean one machine in the north (the existing one), one in the capital, one on the west coast and one down in the south. Like I said to her "We're over a thousand living with Ehlers-Danlos Syndrome in Sweden and CCI and Chiari malformation are common complications with the syndrome, and currently we can't even get proper imaging to properly diagnose those issues! Plus everyone else in the country who may need an upright MRI" Upright MRI also happens to be the best way to see Dural Ectasia in Marfan Syndrome, plus being beneficial for a whole range of other things as us humans spend a big part of our lives upright and things may look different while upright compared to supine.

I'm truly beginning to have some hope again when it comes to my neck! Maybe I'll actually get a part of my life back again if my neck is possible to fix!

Now the prospect of maybe needing a surgery fusing the skull and at least C1-C2 together, is freaking me out as it's such a sensitive and high risk area, but at the same time, such a surgery can improve the quality of life so much for a CCI sufferer by stabilizing the instability of the cranio cervical junction, I know many who's been through it and doing much better after their fusion than before!

I have a feeling this young doctor I saw today will be an excellent MD once she finishes all the internships. Who knows, maybe I even planted a small seed today so she will specialize in rare conditions? She did appreciate that I was so open (and she complimented me for being very positive despite my health situation) and giving her an insight in the life with a rare, chronic condition.

Okay, now my hands need a rest from typing again... But I really had to share this!

Thursday, May 15, 2014

It's been a year (plus some days) since the stroke hit...

I've been quiet for a little while, a week to be more precise. Have been struggling some with my body lately, spinal headache, neck pain and also issues with the small joints of my hands and fingers so I haven't been wanting to type much. I'm also going through a somewhat heavy period at the moment emotionally as May 9th marked one year since my biological maternal grandmother had a severe stroke which effects would later claim her life.

So while it is Ehlers-Danlos Syndrome awareness month, I am dedicating this blog post to my grandmother and to stroke awareness.

My grandmother Lizzie was born on February 28th 1928, she grew up with her parents and her brothers and grew up to become a very independent, stubborn yet very caring woman with her heart in the right place. She got two children, my uncle and my mum and there's five years apart between my uncle and mum, my uncle being the older.
Due to my grandmother being a single mother in the 1950's, she faced some hardships from society, at the time when my uncle was born, she still lived with my great grandparents. At the time when my mum was born, she tried to get an apartment of her own in the same block, but the landlord refused to give her the apartment that was available "as there's already too many children in the building" yet my mum had already been born and already living there. It was just the landlord making a point about my grandmother being a single mother. Seeing no other option, my grandmother took mum to an orphanage as a temporary solution while she was fixing her housing situation. She got the apartment she had been denied before, but at that time, my mum had already gotten to a foster home which would eventually become the home where she grew up. When mum turned one year old, my grandmother came to visit mum in the foster home and when she saw how well cared for and loved my mum was in the foster home, she said that she'd sign the papers if the foster parents wanted to adopt, as all she wanted was the best for my mum and she saw that she couldn't give her that stability herself. Papers were signed, mum grew up with her now adoptive parents and had a very good childhood, she always knew she was adopted too.
After the papers had been signed, my grandmother was no longer allowed to make contact, but she never stopped thinking about her daughter, not a day went by without her thinking about my mum.

Years went by, in the early 1990's my grandmother was on a bus trip somewhere and there happened to be a lady from my hometown on the same bus, that lady knew my adoptive grandparents and gave my grandmother the news that her daughter was now married and had a daughter of her own. My grandmother was so proud! She was a grandmother!
Some more years passed by and on my mum's birthday in 1997 we got a call from this to us unknown man in Stockholm, this man shows to be a younger brother of my mother, on their fathers side, the reason my grandfather had left my grandmother while she was pregnant with mum. My biological grandfather had passed away that Easter and mum's name had showed up in some documents. My mum and younger uncle had not known about each other's existence up until then.
After that call, mum decided it was time to look for her roots, it didn't take very long to get an address and phone number to my grandmother. Mum tried to call a few times but no one was home, so she wrote a letter and left address and phone number to us in the letter. One day when I got home from school, and was the first one to come home, the phone rang and it was my grandmother! By the time mum came home from work, my grandmother and I had been talking on the phone for quite some time and mum got the phone from me and she and my grandmother talked for even longer and arrangements were made to go visit a short while later.
My grandmother had been waiting for that call and letter for 43 years!

The weekend of the meeting came, and my parents and I went to my grandmother. It was instant bonding! As if we had never been apart! Since that day, both me and my parents have had a very close relationship with my grandmother and uncle, we would visit each other as often as possible, my mum and grandmother would talk on the phone a couple of times every week, my mum and grandmother even went on a cruise together in 2006 all the way from Bergen to Kirkenes in Norway.

How things went with the younger uncle? My grandmother embraced him like a son of her own! And they had a great relationship as well, and me and my parents have a great relationship with that uncle too, as does my older uncle!

When we were first reunited, my grandmother was 69 years old, and to be honest, she didn't seem to age during the time we had with her. She was plagued by chronic pain from a young age, and a pretty severe kyphosis and scoliosis, so she was retired on disability from a pretty young age, yet she lived a very social and active life, she had a passion for crafting and an amazing eye for detail. She could cross stitch the most complicated cross stitch patterns you can find and make the most amazing embroidery you can imagine, she was also an avid knitter. Basically, you'd never see my grandmother without some embroidery or knitting project in her hands!
She kept embroidering and knitting up until the very end, she was in fact working on a table cloth at the time when the stroke hit her last year, taking away her ability to use her right side and her ability to talk.

My grandmother was 85 years old, she was very active, social and never even owned a walking stick, and apart from her pain and spine, very healthy with very little age related health issues. I believe she may have had Ehlers-Danlos Syndrome at a mild level due to the severity of her spine and long history of pain, and also migraines. There is hypermobility on that side of my family too, and my grandmother, as I mentioned above, didn't seem to age at all between 69 and 85, she looked very young for her age and her skin was silky soft.

So, on May 9th last year, my life was changed forever. My parents were traveling in the south in their RV due to it being a long weekend, I was at home, it was just a regular Thursday until mum called me in the early evening. My older uncle had been trying to get in touch with my grandmother that day but she hadn't picked up the phone, so he had gone to her apartment to check on her and had found her in bed still in nightdress. Ambulance was called and she was taken to hospital. My parents immediately turned around and started the long drive home, they were about 250 miles away by the time of the call. They came back home at about 1am.
Friday May 10th mum and I went to the hospital to see my grandmother and talk with the staff and my uncle. At first the prognosis was slightly positive. Due to the time that had likely passed between the stroke hitting and her coming under medical care, there wasn't much hope for a full recovery, but there was hope for some recovery and survival. My grandmother always knew where she was, who we were and what had happened to her, she just couldn't speak or use her right side of her body. But the trooper that she was, she was up in a wheelchair already that day when we visited her and we even saw what looked like controlled movements in her right foot. Things were looking really good!
A few days later, we got a call again. My grandmother had developed pneumonia in the hospital, pneumonia happens so easily in elderly people as soon as they get bedridden and unable to cough properly. The first slightly positive outlook now started to look more grim. Time went by, we went to visit as often as possible, I've calculated that I drove about 1000 miles in a month just between home and the hospital.
With the pneumonia, we knew it would only go one way. One evening we got the dreaded call from the hospital that they believed it wasn't much time left, we went to the hospital immediately, I went home late that night due to being in too much pain to sit through the night, mum stayed the night with my grandmother. My grandmother pulled through that night, and the next day, and the day after that, which was Mother's Day here, she was even up in the wheelchair again to our great surprise when we came to see her.
My grandmother appeared to recover some again so little over a week later, my parents had a week long vacation where they again traveled south in their RV.
On June 8th, I drove down to the hospital on my own and me and my uncle visited my grandmother. I stayed for longer than my uncle as he lives in Gothenburg and could visit more easily, and he isn't a fan of hospitals. As I was sitting alone with my grandmother, her breathing changed so I called for nurses. A few minutes later, she was gone, she had passed over to the other side peacefully, surrounded by love from her only grandchild! We firmly believe she had chosen her time and waited for me, she knew I could handle being there when it happened, she knew I had seen it before, almost 14 years earlier when my adoptive grandmother passed away from old age (88) and several rounds of pneumonia.
I am very grateful that I could be there until the very end, and it puts our minds at ease in the family too, knowing she went peacefully and surrounded by love.

I made all the difficult calls to my uncle and mum, the nurses had offered to do it for me, but I felt it was better I did it.


Strokes are relentless! They can kill instantly or slowly like in my grandmothers case, and they can take away a persons entire identity by claiming speech and memory. Rapid medical intervention is essential when someone suffers a stroke, regardless of severity of the stroke. They say that if you get treatment within three hours you have good chances of recovery. We believe my grandmother may have been waiting for help for about 6 hours or even longer.

Knowing the signs of a stroke can save someones life! The signs of a stroke includes but aren't limited to:
- Face drooping and inability to smile
- Arm weakness, the person can't hold out both arms
- Speech difficulty, speech may be slurred and/or the person can not repeat a simple sentence

You can read more here: http://strokeassociation.org/STROKEORG/WarningSigns/Stroke-Warning-Signs-and-Symptoms_UCM_308528_SubHomePage.jsp

If someone around you show signs of a stroke, immediately call for an ambulance! You may well save that person's life!
Keep an eye on people around you, check regularly on elderly around you or people you know may have an increased risk of strokes. A simple phone call to the person can change everything! If someone isn't responding, go check on him or her to be on the safe side.

While my grandmother couldn't be saved as in still being alive today, my uncle's actions of going there to check on her when she didn't pick up the phone did save her in the sense that we got one more month together and both her and us in the family and her friends had a chance to say our good byes, and she got to pass surrounded by love, rather than alone and later being found without anyone knowing for how long she had been laying there or if her passing had been peaceful or full of panic.

Knowing the signs and checking on someone can make all the difference in the world!

The month when my grandmother was in the hospital after her stroke was the most physically and emotionally exhausting time of my life, but I came through it being a stronger person. It changed my view on life in a way, taught me to appreciate things even more.

The year of all the firsts has been rough, I still cry at times, missing her voice and missing seeing her. She was the kind of old lady you would have thought would reach 100 years old, and I'm sure she would have, had it not been for the stroke. I had seen her just two days before the stroke, and she had been totally fine then. Things can change so fast!

This is a long post, and it wasn't easy to write it. But I felt I wanted to share it, especially now as I'm in the one year anniversary of the most difficult time of my life.

Now my hands hurts like crazy though!

Thursday, May 8, 2014

Getting a wheelchair with Ehlers-Danlos Syndrome

In light of Ehlers-Danlos awareness month and having more and more friends with Ehlers-Danlos Syndrome getting a, or considering getting a wheelchair, I thought I'd share my experiences and advice on wheelchairs in this post.
For many, getting a wheelchair is a big thing, and many see it as a failure, as if you're giving up.
Getting a wheelchair is NOT a failure! Getting a wheelchair is a way for you to fight back against your condition, a way to get out of your house more, a way to participate in more activities that you've had to skip due to it requiring more standing and walking than you can handle, and it's also likely you'll suffer less pain afterwards in a wheelchair than on your feet. Now, how's that failure?

I have had my wheelchair for over a year now and I use it as soon as I go out of my apartment which is almost every day. Thanks to my wheelchair I'm able to go places independently, I can go to the supermarket on my own without relying on the car unless I need to buy more than a backpack can hold, I'm participating in social activities both in and out of town, I can be a bit more spontaneous and just go to a mall or something whenever I feel up for it as I don't need to worry about whether there will be places to rest or not, I have my own comfy seat under my bum already! And in fact, since my wheelchair is set up just for me, it's the only upright chair I can sit in for a somewhat decent amount of time without getting too much pain.

So, I've had my wheelchair for little over a year, and while I obviously don't have the same wealth of experience as someone who's been a chair user for many years, I do have a fair bit of experience by now and I try to keep up with the current models and development when it comes to wheelchairs and the all important accessory for it: the cushion.

Getting a wheelchair with Ehlers-Danlos Syndrome can be a bit special as we have our loose joints to keep in mind as well, both here and now and down the road. Some people with Ehlers-Danlos Syndrome manage just fine in a manual wheelchair for a long time, others may need electric assisted wheels instantly or a short while after getting their wheelchair as self propelling may be too rough on shoulders, wrists and hands. I belong to the group of people doing fine with a fully manual wheelchair and that despite my shoulders subluxing at times just by moving my arm the wrong way, and I'm completely independent in my wheelchair as long as the terrain isn't too rough, or a slope or ramp is too steep.

When you first request a wheelchair, you may be met by skepticism from medical staff and getting to hear it's counteractive to use a wheelchair. People saying such things clearly have no idea about how Ehlers-Danlos Syndrome works. For us, being conservative with our energy and relieving parts of our body often mean we can manage more. The one thing to remember though, is to still use your legs as much as you can as you don't want your muscles to atrophy on you. Don't get lazy just because you get a wheelchair!

When you're getting a wheelchair, it's important it is set up for your needs! Don't settle with one of those standard hospital chairs unless you're only going to use the wheelchair very little and/or always have someone pushing you in the wheelchair! But even if you have someone pushing you a lot of the time, you will still need a wheelchair that suits your needs for comfort and positioning, which again rules out a standard hospital wheelchair for most people.

So, how to pick YOUR wheelchair?

The most important thing when it comes to your wheelchair is its weight! You want a lightweight wheelchair, the lighter, the better! Especially if you intend to be independent in it and know you'll lift your chair in and out of the car independently as well.

The second most important decision you need to make is whether your wheelchair is going to have a rigid frame, or be a folding frame. Based on personal experience and reading, I'd highly suggest a rigid frame wheelchair unless you have to have a folding chair due to space issues in your home and car. A rigid frame wheelchair is generally more lightweight and sturdy than a folding frame and it's also more stable as you propel it. The more "stiff" a wheelchair is, the easier it is to propel and maneuver, it will literally follow the slightest touch of the push rims once you get the hang of it.

Footrests comes in different variations, and as with the actual frame, a rigid footrest will add more stiffness and stability to your chair and enhance its performance. If you absolutely need some kind of swing away footrest for transfers, many wheelchair manufacturers today offer a rigid footrest that can be folded up for transfers so you get the best of two worlds.

Taper or no taper? Taper means the wheelchair is more narrow at the foot plates, than up at seat level, having a wheelchair with a tapered front may be beneficial if you have a lot of hip pain and need help holding your legs together while sitting in the wheelchair, it also makes the chair a bit smaller and enhances maneuverability of the wheelchair.

Backrest comes in different variations as well. Go with what feels best for you, if you need a lot of positioning a rigid backrest may be the best choice for you even though it does add some more weight to the chair than a soft backrest does.

Accessories: DON'T GO THERE! Have as little extras on your wheelchair as you possibly can! The only accessories I'd highly recommend getting is side guards to protect your clothes from the wheels. And do get the anti-tip wheels at least to begin with, you don't want to flip over backwards. If you need push handles for a carer to push you, the flip down kind that's attached directly on the backrest of your wheelchair may be the most convenient compared to push handles that are fitted onto the chair with holders. But again, the less "crap" you put on your chair, the lighter it will be.

The push rims for your wheels is another very important choice you need to make. There's a wide range of different push rims available, aluminium, titanium, different diameter of the rims, with or without coating of rubber, plastic or color, ergonomic rims or just a round tube. There's a push rim for every need so choose wisely depending on your need and preference.

Cushion, another of the most important choices you need to make! There are so many different cushions on the market today. Air filled of different types, foam, honeycomb pattern, liquid/gel and so on. Don't just settle with a standard cushion if you have a lot of issues with pain and/or will be using your wheelchair for hours at a time. You need to sit comfortably, have proper positioning for your needs and even though us living with Ehlers-Danlos Syndrome aren't high risk for pressure sores like someone with paralysis, we still need to take good care of that bum and a good cushion will give you more time of being able to sit in your wheelchair before the pain gets to the level where you may need to go lie down. Which cushion is right for you is something you'll find through trial and error. I first had an air filled cushion with two chambers in it from Varilite, I now use a gel/liquid filled cushion called Jay Xtreme, and may ask my occupational therapist to get to try get another gel/liquid filled Jay cushion soon, or re-try another kind of air filled cushion that I did not like at all when I tried it the first time, but maybe I'll like it now? A gel/liquid filled cushion does weigh quite a bit more than an air filled or honeycomb pattern cushion. But don't let the weight of a cushion scare you off if you happen to find a heavier cushion to be the most comfortable for you. Sometimes comfort is worth a little extra weight!



How my wheelchair is set up?
Well, seeing my wheelchair is my first custom set up wheelchair, it is not exactly the way I want it as the occupational therapist who set me up with it had her own ideas about what was best for me, instead of listening to what I wanted. I have a lightweight active chair, and I do love it! But there are details on it that I will change when I eventually get a new wheelchair. I do not have a tapered wheelchair for example, not because I didn't want to have a tapered wheelchair but because the occupational therapist insisted I should have fold away footrests which at the time of my fitting wasn't available with tapered chairs and still isn't with the manufacturer that made my wheelchair. I have since had my footrests changed to a rigid footrest as I never folded up the footrests anyways and found that the fold away footrests wobbling under my feet as I was propelling myself or going over uneven ground. The rigid footrest is a lot better and also has my feet closer to the rest of my body, making my chair more compact and having my feet closer to me gives me a better position when propelling, enabling me to give a more effective push with less strain on my arms.
Initially I had push handles that were fitted with holders on the bar that's on the backrest of the wheelchair, but as I managed to be very independent in my wheelchair and never needed assistance, I had the push handles removed entirely after just a month, if I ever need help these days, I'll just have someone give me a slight push on the metal bar on the backrest. Not having push handles also shows people that I am independent and don't want them to push me around just because I'm in a wheelchair. Sometimes push handles can be seen as an invitation for someone to just push you around randomly and that can be extremely annoying if you haven't asked for someone to help you!
My backrest is a soft backrest with Velcro straps on the back so I can adjust the support in different parts of my back. The height of my backrest is about halfway up my back to offer good support and comfort.
When it comes to camber of the big wheels, I currently have a 4 degree camber making the base of my wheelchair a bit wider than it is up at seat level. I was told more camber would make the chair more maneuverable but I honestly don't know if it makes any difference other than size compared to having the (for my manufacturer) standard 2 degrees camber.
Initially I also had anti tip wheels as a lightweight active chair is very tippy until you get to know it! It didn't take long however until I had learned where all my sweet spots are and I no longer relied on having the anti tip wheels. I got my wheelchair in March last year, in July I no longer used the anti tip wheels (they were folded away under the chair) and by August I had them removed entirely. I've flipped over once since then, when attempting to jump up a curb that was too high and I had too little speed, but I knew in theory how to fall backwards so it was no biggie at all.
For push rims I have 19mm titanium without any coating on them, rubber or plastic coating can cause burns in your hands if you slow down while going down a slope and don't wear gloves. Seeing how my skin is very sensitive, I opted to go with a "burn safe alternative" so to say, and I went with a slightly bigger diameter of the rims than standard. Standard is 16mm but I felt that was too small, 19mm felt better in my hands and I like my push rim setup. I do well without having any grip improving coating on my push rims. I use leather gloves or work gloves at times when it's damp weather or cold and that works great!
The only accessory I currently have on my wheelchair is side guards to protect my clothes from the wheels.

For my next chair I will want the front to be tapered, partly to hold my hips together better and partly to make the chair even more easy to maneuver than my current chair and most likely I will go with just the standard camber rather than the 4 degrees I have now, I want my next wheelchair to be as small and light as possible, I will not have any anti tip wheels at all nor push handles as I don't need it, the footrest will of course be rigid on my next wheelchair as well. I may also opt for a slightly lower backrest than I have at the moment. The only accessory I'll have will be the side guards.



Weaning off the anti tip wheels:
I can not emphasize this enough, you WILL need anti tip wheels in the beginning! But try to not depend on them. Practice those wheelies until you can do it in your sleep and it becomes second nature for you to hold that wheelie. And practice curbs, both up and down. Just be careful trying going up high curbs, that's something I still haven't mastered even, see above where I mention my this far one and only flip backwards. Down a curb is easier as all you need to do really is go to the edge and go straight out landing on your back wheels or all four wheels. Once you've weaned off the anti tip wheels and go without, you'll find that your mobility improves more as anti tip wheels often get in the way when you need to jump up or down a curb, or "bunny hop" on your back wheels on terrain like grass.
To learn wheelies and how to hop curbs, I can highly recommend searching for videos on YouTube, there are many wheelchair users who share their tricks on there and it has helped me immensely!


Hope this post will help some fellow Ehlers-Danlos Syndrome fighters, and others who are about to get their first wheelchair. Sorry for it being a really long post, but it's a subject where you can't really take a whole lot of shortcuts. If you're in a country where you have to purchase your wheelchair out of pocket or with the help of your health insurance, it's even more important that you get a wheelchair that is right for you to begin with. Where I am, all I need to do is calling my occupational therapist and say that I feel I need a different setup wheelchair and I could get to change it completely as I do not own my wheelchair, it's owned by my region and costs me nothing. If I need to change wheelchair for one reason or another before the current chair is worn out, my current chair would just be set up for another patient once returned to the wheelchair center when I have gotten the new wheelchair. But unless I desperately need a tapered front, I'll just stick to this wheelchair as I do love it!

When walking gets tough, you just gotta keep rolling!

Tuesday, May 6, 2014

Oh the ups and downs and accessible towns.

Yesterday I had a pretty nasty day. I woke up in a severe pain flare which nearly landed me in the ER due to the pain level. My hips felt like someone had hit them repeatedly with a baseball bat, my SI joints felt like someone was trying to take them apart with a crowbar, my knees had a kind of grinding pain in them, my neck was (and in a way still is) throwing a hissy fit and I had a spinal headache from my neck. Needless to say, I was in agony and I stayed in bed pretty much all day!

Seeing how I had big plans for today, I was pretty worried yesterday. I would have absolutely hated to have to cancel plans again, especially since it was an activity I had really been looking forward to!

Fortunately, this morning when I woke up, my pain level had eased enough so I felt well enough to drive and go to the event I had planned going to. I knew going would take a lot from me physically as it meant a 100 mile round trip, this time completely on my own, but at the same time, I've always loved driving, especially longer distances! I truly miss being able zooming mile after mile after mile like I used to. Driving today causes so much pain, much due to me driving a car that doesn't suit my needs. I drive a stick shift car without cruise control, but really should be driving an automatic car with cruise control, or even a handicap adapted car where you can drive either with feet or with hand controls, and of course with cruise control. Hopefully one day I'll have a car that fits my needs, either my own, or share with my parents- it's their stick shift car that I currently drive when I need to drive.

Anyways, I love driving! It's such a freedom to get behind the wheel and just go somewhere, see the landscape zoom past outside, see cars and trucks from different countries, see towns flash by as you drive through them, all while listening to some good radio station pretty loudly!

Today's freedom venture out of town was to attend a meeting, a meeting with a newly started political party aiming to improve the accessibility in Gothenburg to begin with, hopefully they'll go national as well. It's such a great initiative, just sad that it's needed. Even though I live out of town from where they're active now, I'll do ALL I can to help out in every way I can and attend as many meetings and events as my body can handle! Awareness and accessibility is something I have a passion for, it's so important, but often forgotten by the people who live a healthy and unlimited life.

People living with a condition or disability have to fight to be seen, to be heard and to get around! It's 2014 now, the days of putting disabled people in institutions are long gone, yet the public space outside isn't adapted to get around in. People living with a disability are frequently discriminated against by cities placing high curbs, cobble stones instead of smooth surfaces, no ramps or too steep ramps, no elevator (or a long detour to get to one- and you wonder why some wheelchair users simply use the escalator?)
We're constantly facing obstacles when out and about. All we want is independence and to get around like everyone else, use the same entrance like everyone else, be able to use public transportation without having to ask for assistance etc.

I'm really glad my Ehlers-Danlos decided to behave well enough today for me to attend this meeting in Gothenburg. I met some truly awesome people and I can't wait to see them all again!
I feel very motivated now! I have my local battle in town for better accessibility, and I'm definitely going to be in Gothenburg as much as I possibly can for events for accessibility!

I can always get out of my wheelchair to walk past an obstacle, but it shouldn't be needed! And I fight for those who can't get out of their wheelchairs to walk past an obstacle! My friend who started this political party and hosted the meeting today, is a paraplegic, he can't just stand up from his wheelchair and walk past an obstacle, his legs doesn't work at all!
Everything that helps someone in a wheelchair, makes life easier for EVERYONE else!

Monday, May 5, 2014

Ehlers-Danlos Syndrome, what is it?

In light of May being Ehlers-Danlos Syndrome Awareness month, I shall be sharing some information about the syndrome in some different posts throughout the month. I took most of this post from another blog that I'm running, just to save some time as I saw no reason to write the same thing twice.
Ehlers-Danlos Syndrome, often simply referred to as EDS is a genetic connective tissue disorder where one or more types of collagen is affected. There are different types of Ehlers-Danlos Syndrome: Classical, Hypermobility, Vascular, Kyphoscoliosis, Arthrochalasia and Dermatosparaxis.
Hypermobility type is the most common type, followed by Classical type. Vascular Ehlers-Danlos Syndrome is considered the most severe out of the "common" types of Ehlers-Danlos Syndrome and that's due to the weakening of blood vessels and organs that increases the risk for aneurysms and dissection.
Kyphoscoliosis, Arthrochalasia and Dermatosparaxis type are all very rare, between them all there may be as few as 100 cases confirmed.
Symptoms of Ehlers-Danlos Syndrome ranges from mild to severe and it isn't uncommon to have crossover symptoms from another type. The wise are still arguing whether you can have only one type of Ehlers-Danlos Syndrome or if you can indeed have more than one type. I personally prefer to say someone has one type, with crossover symptoms of another type, but I am no doctor.
The hallmark of any type of Ehlers-Danlos Syndrome is joints that can move beyond normal range of motion, and some kind of skin involvement, the most known being hyperelastic skin. Skin involvement also includes velvety soft skin, a doughy feeling, too much skin, abnormal scarring, striae and translucent skin. You can have one or more of the skin symptoms.
Example of joint hypermobility that I have

Example of scarring and striae on my shoulder area
Ehlers-Danlos Syndrome also causes a lot of pain for many patients, often both chronic and acute pain and it may be very complex to treat as it's not uncommon to be either very sensitive or resistant to medicines. It is sadly all too common that doctors don't understand the pain, and as it for the most part can not be seen on imaging, patients are often labelled as drug seekers or have their pain labelled as psychological when it's very much physical. It can take a long time to find a doctor who understands the complexity and to get a good pain management.
Ehlers-Danlos is so much more than skin and joints though, you may also have some form of dysautonomia, Chiari malformation, Cervical instability, pelvic floor prolapse, IBS, heart problems (mostly mitral valve prolapse) or early onset arthritis for example.
You are born with Ehlers-Danlos Syndrome but for some, symptoms don't develop until later in life, or the symptoms are so mild in childhood that you mistake them for something else, like claiming the pain is just growing pain, it's also common that people get misdiagnosed with Fibromyalgia when they do in fact have Ehlers-Danlos Syndrome. 
If you suspect you or a loved one may have Ehlers-Danlos Syndrome, talking with your doctor is the first step to make. Depending on your location, where and by whom you're diagnosed may vary.
Pages to learn more about Ehlers Danlos Syndrome:
http://ednf.org/
http://hypermobility.org/
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Friday, May 2, 2014

Ehlers-Danlos Syndrome Awareness Month

Today is May First! Or well, it's already past midnight here as I'm typing this, but matters less!

May First marks the start of Ehlers-Danlos Syndrome Awareness month, a month where us living with Ehlers-Danlos Syndrome do as much as we can to spread awareness and knowledge about our relatively rare genetic condition! Now we do like to spread awareness all year, but May is extra special to us.

Now I do blog a fair bit about Ehlers-Danlos and how it affects me normally as well, but now in May I shall try to do it even more, and I may even try to put together some YouTube video about it. I used to have some videos up on my YouTube channel but recently made them private due to them not having the best quality and they were recorded directly on YouTube so no editing or anything was done. Think I shall attempt to make an EDS awareness video combining both photo and video and edit it in Movie Maker before uploading so it looks more neat and has a better flow to it, I may try some vlogs again as well, but I'm pretty camera shy and with my brain being the way it is...


So you can imagine trying to record a vlog and staying on subject throughout the whole video... I also feel really awkward talking "to myself" on camera. But I'll try! It's for the greater good and if it can educate people about Ehlers-Danlos Syndrome, maybe help someone currently who's running rampant without a diagnose, it's all worth the awkwardness! 

Seeing how I have been feeling a bit better lately despite my pretty severe pollen allergy and a pollen season from hell, I don't look too bad at the moment so yeah, videos may be coming soon!



I'm also beginning to suspect that I may have some kind of cortisone deficiency in my body. I'm going to discuss that with my doctor ASAP as I started to feel better the same moment I added the Betamethasone tablets for my allergy a couple of weeks ago. This pollen season has really been...


So I haven't been allergy symptom free even with the Betamethasone, but even WITH allergy symptoms still (though they've been kept at manageable levels with all my medicines) I have been feeling a whole lot better in general than I do on your average random Thursday anytime of the year when I'm not taking any Betamethasone. 
I've also gotten a bit more normal appetite compared to my usual barely wanting to touch food kind of appetite, and the pair of jeans that I bought on Good Friday are already like a size too big and I normally stay the same when it comes to size, possibly due to my body often being in starvation mode when my appetite is very low, and hence storing all the nutrition that it does get. 

It's just a theory, but I am definitely willing to try it out for an extended period of time, especially since we're talking really low doses of Betamethasone. My sweet spot seem to be as little as 1mg twice daily or 1.5mg twice daily, so yeah, 2-3mg per day! It's such a low dose that it doesn't really even pose any risks when it comes to your body's own production of cortisone. 
I know taking any kind of steroids is bad for connective tissue though, but again, it's such a low dose so it shouldn't be a problem, and if it does work out and giving me more energy and a more normal appetite, the benefits definitely outweighs any possible risks! I really could do with weight loss for my long term health (at this time, I have no health issues at all that can be blamed on my weight) and having a bit more energy to do things is never a bad thing! It's not a cure, but yeah, just being able to get on with my day a little better, being a little bit more spontaneous with activities and being able to drive a bit more again, to me those little things are just utterly amazing! 
I have been doing more in the past couple of weeks alone, than I'd normally manage in a month or two, plus that I've been driving more in just one week, than I've done in a 3 month period lately. If 2-3mg of Betamethasone per day is giving me all these benefits, then being on that medicine is the right thing for me and I will fight for it if I have to!

On a completely different note before I finish this blog post.
My blog has reached over 10,000 hits! Thank you so much everyone who's reading this and reading my posts! When I first started this blog some years ago, I could have never imagined it would ever reach 10,000 hits! But the number definitely keeps me motivated to continue writing as often as I have something to write. 

This shall be celebrated with a short clip of the fireworks that were displayed at the spring celebrations I attended yesterday (April 30th). 



Wednesday, April 30, 2014

Ten years!

I'm writing this post a bit early actually, seeing how most of my readers are from America. But seeing how I may be unable to blog any tomorrow I figured I may as well write this post now before I go to sleep.

April 30th of this year marks 10 years since my high school graduation! I can not believe it's already been 10 years since I ran out of the school, cheering while wearing my graduation hat! I remember the school years before high school, high school felt so distant into the future and each school year felt like an eternity, then when finally reaching high school, those three years just flew by and the years since have really been speeding by! It's hard to imagine that 10 years ago at this time, I was still a high school student, laying in bed in my little apartment a couple of miles from school, sleeping nervously and having less than 12 hours left as a student.
I got up early on graduation morning to get ready and then the school's bus came to pick me and other students up in the town to drive us all together to school for a traditional graduation breakfast consisting of Champagne (or in our case, alcohol free cider) and various fruits and bread, a generally festive breakfast together with the whole class and our teachers, just chitchatting, signing each others hats, hugging and looking forward to the graduation ceremony that was held later in the day.

Family and friends came to school to attend the ceremony and celebrate, some had many coming if they lived nearby, for me who had nearly 100 miles to school, only my parents, my grandmother and a friend came, and my at the time boyfriend who was driving the rental car I had as graduation ride, a 1970 Cadillac DeVille with cab. That car was quite a sweet ride to graduate in I must say!


It was definitely a joy traveling almost 100 miles in that car! It was surprisingly comfortable too! Though we did put the roof up for the long drive home. 

Anyways, before going home we obviously had the graduation ceremony in the Auditorium of the school. Music was performed, speeches held and diplomas given out, then parents and so on went outside to wait for us students to come running out from the school singing and cheering!

Cruised around the town for a bit before driving home, didn't have a whole lot of time due to the long journey and the fact that I had a graduation party later in the afternoon in my hometown for family and friends so I needed to be back at a certain time. 

Here I am with my sign and some of the flowers I got, and wearing my hat and graduation outfit. It's traditional for girls to wear white when graduating high schools, either white pants and a jacket like I did, or a white dress. Guys traditionally wear a suit, preferably black, so the attire is pretty formal when graduating high school, note how we don't wear any special robes and such.

Here's one of me where the hat can be seen more clearly, and it's not a sailors hat, it's a Swedish high school graduation hat and the band around it is dark green, representing the high school program I attended: Agricultural. Each program has its own color, but you can also choose to just have black for high school in general. I choose to go with program specific and also choose to have my major and years embroidered onto the colored band. I wish I could have gotten the school name and years embroidered but we only got the choice of major and years or no embroidery at all at the time, unfortunately.


And yes, I did have really long hair at the time! I'm not sure if that is the longest I've had, or if my hair was indeed longer in 2011 before I cut it to shoulder length, but anyways.

Ten years has passed now since that day. And a lot of things have happened in those ten years. I have been working different jobs, gained a lot of life experience, lived abroad for a few years, worked abroad too, I've traveled some, some travels were near, some really far, all the way to China actually. 
I've attended some college where I studied some Chinese, Mandarin, and not just any college for that matter but one of the top universities in Sweden, Lund University. 

I've got to know people from all over the world, I have advanced my English level far beyond the level any school could have taught me, I started this blog some years ago and am now nearing 10000 hits on it! I could have never imagined when I started this blog that so many people would read it!

I've also in these last ten years found a lot of answers to mysteries in my life, namely health issues that I've had since childhood, my Ehlers-Danlos Syndrome. 
I have gone from a very active young adult, to a still relatively young adult living with a disability but still taking on each day with a smile and a fighter spirit from out of this world. I am Chronically Awesome and I'm damn proud of who I am! I am an awareness advocate for Ehlers-Danlos Syndrome and other rare conditions and disabilities. 

I am someone! Someone who may not be able to work a regular job any longer and am on disability, but I am someone, someone who has a very meaningful, happy life, someone who hopes her positive attitude may inspire others to think more positively about their own life! If I can change even just one person's life to the better, that is huge! 
And that's why I keep posting in this blog, and share things from my own life, things that has helped me or does help me in coping with a debilitating condition. I choose to be very open about my condition, and I write both about good and bad things. If I was to say everything about living with Ehlers-Danlos is fine, I'd lie! It's a condition that I wouldn't even wish upon my worst enemy, but you CAN live well with it, and a positive attitude helps a lot there! 

Ehlers-Danlos Syndrome has forced me to rethink much in my life, change a lot of plans and put dreams on ice, but it has not stopped me from living a purposeful life!


I sometimes look back to the time before my diagnose, to the time where I was still in high school and often wonder what my life would have looked like had I chosen a less physically demanding education and career after high school. I literally abused my body for ten years before my crash came in 2010-2011 that ultimately lead to me being diagnosed in 2012. I often wonder what degree I would have aimed for had I gone with a theoretical high school diploma and then college. Would I still be able to work had I not been doing so much that was very physically demanding for such a long time?

I don't have the answers to those things, but what I do know is that I have no regrets! I look back at those years of physically demanding education and jobs and see it as one hell of a good life experience to have! I also got one of the most important things in my life thanks to choosing the path that I chose. Had I not attended the high school that I did, and done some farm work afterwards, I would not have had my cat Nisse now as he was born on one of the farms where I worked some! Nisse is extremely important to me, he's always there for me when I need him, purring, headbonking and loving and he senses how I'm doing and stays even closer to me when I'm having a rough day. Without Nisse, I wouldn't be where I am today! 



Now I should try to catch some sleep, tomorrow is a day where I am going to celebrate, celebrate ten years since my graduation, celebrate where I am today and celebrate life! I shall also wear my graduation hat with pride! And in the evening my parents and I will go to attend a traditional spring celebration that happens each year on April 30th, a choir, preferably all men's choir sing special songs welcoming spring and sending off winter, and then there will be fireworks after the songs and spring speeches. 
There's usually also a big bonfire on those spring celebrations. I'm no fan of big fires so I stay far away from those though, I'm actually afraid of fires bigger than just say, a fireplace or so. A fair bit of wildlife may be hiding in the piles and being unable to get out when the fire is lit, and that really haunts me when it comes to bonfires like that. I just don't like it! 
I prefer just songs and fireworks!