iPad Review (with people with disabilities in mind)

I've had my iPad for a week now & have to say, I'm loving it! I haven't gone nuts downloading a ton of apps, but I do have a variety that I think are worth mentioning. There are a few things I'd definitely like to see in the next generation of iPads and a few flaws, that Apple could probably address with software updates.

Overall, the functionality is pretty intuitive and I can do most things that anyone else could. There are a few multi-finger gestures that I can't do, but for the most part, I've been able to navigate quite well, using my stylus. Certain functions can be done in multiple ways, for example, you can enlarge or shrink pages by pinching and pulling at the corners or you can double tap. I have noticed that the iPad is very particular and is programed to sense tiny differences in movement, pressure and the duration of your finger or stylus is on the screen. Because it is so sensitive, it does seem to work more accurately and consistently with fingers, versus the stylus. There have been many times that I've been using it and I have to try to push the same area two or three times, before I get it just right. It can be annoying at times. I think the easiest solution would be, for Apple to design a capacitive stylus with a more precise tip. All of the capacitive styluses that I've come across (including the Pogo that I'm using) have a thick tip, about the circumference of a pencil eraser. If they could somehow narrow the tip to a point, it would make it easier to be accurate.

As far as accessibility to goes, I really think Apple should include some sort of override setting for the stylus. It would solve the problem of not being able to do multi-finger gestures and it would help the iPad to recognize the difference between stylus and fingers. I haven't tried the Voice option yet, but the ability to change font size and adjust the volume and brightness, in the settings menu is helpful. I'm very pleased that there aren't many external buttons. The only other "problem" I've come across in concerns of accessibility is that, some apps rely on movement and/or do not self adjust the orientation. In terms of being accessible, Apple should consider the fact that many people with disabilities cannot pick up, or move the iPadthemselves. I realize that there are only a small amount of iPad users with this unique problem, however, it is a concern to those of us dealing with paralysis and motor skill deficiencies. It's a minor issue that could most likely be easily resolved by giving users the option of shutting of kinetic features and/or individual apps could give users alternative means of controlling the device. 

The iPad technically, has no "correct" orientation, and is supposed to adjust itself based on the movement of the iPad itself. You can choose to lock the orientation if you wish, however some apps (mostly games) rely on kinetics, such as Nintendo Wii. In the game Sims3, for example, you need to shake the iPad as part of earning cooking skills. Since I can't shake, or handle my iPad, I'm destined for virtual cooking failure. It would be simple for creators to allow tapping as an alternative; just as lazy people have the choice to play their Wii from the couch. Kinetic gaming features are cool, but I don't see any justification for them being absolutely necessary. Many of the current apps already allow for customization, so I don't see why Apple couldn't make the kinetic features optional.

A lot of the iPad apps are iPhone apps that Apple has tweaked for use with the iPad. The one glitch I've encountered in several apps, is that they are only setup to work in the "portrait" position. This means, you're forced to use the iPad vertically, and depending on how you have to position the iPadin order to use it, vertical might not be the most convenient orientation. I for one, use my iPad in the horizontal orientation, because the height is shorter than the width, thus making it easier for me to reach/touch the entire surface.The current apps that only work vertically, could easily provide updates to rectify the issue. Some of the TV sites like, ABC, TLC and Discovery Channel do not (yet) automatically self adjust, or the home page is vertical, while the videos can be watched in either portrait or landscape. I'm hoping more apps will update the iPad apps to work in both orientations. I find it ironic that there are (at times) unnecessary kinetic features embedded into games and yet, apps that should respond to movement, to auto-correct the orientation of the iPad don't always work. 

My only other complaint is the inability to view or use anything to do with Flash. I think this is a big mistake, as tons of very popular websites use Flash and aren't accessible on the iPad. No Flash means only having a limited access to the web; which stinks. I'll be using my iPad primarily from home, so I rely on my existing wireless network for internet access. However, I'd be ticked off if I was one of the thousands of people that are paying extra for 3G (access on the go) service. I can't see paying full price for internet services, if you don't have full access. Some of my favorite sites rely on Flash, like HULU and Facebook games (like Zynga and Slide games). You can also forget about playing huge multi-player games, like World ofWarcraft and Maple Story. I can't even access the social section of my own website, because it uses Flash. If I really want/need to access Flash websites, I can switch off to my laptop. Apple would like you to think that the iPad is a smaller, more convenient version of a laptop PC, but that isn't true. The iPad has the potential to replace traditional laptops in the future, but currently, there are too many missing capabilities to make the switch from a PC to iPad alone. Right now, iPad's capabilities are stuck in between the versatility of a PC and the limitations of specialized mobile gadgets, like e-books. That said, the things the iPad CAN do are pretty sweet!

Two of the best features of the iPad are it's compact size (smaller than the average magazine) and its full touchscreen. The iPad is definitely easier to lug around than a laptop, and easier to read, and operate than smart phones. My dad is always complaining about the ever shrinking size of electronic gadgets; he says, "they're designed for Leprechauns." I know myself, that trying to use my cell phone or other electronic devices are difficult to use, because of my limited mobility. I no longer have the dexterity or fine motor skills required to push buttons that are a quarter inch in size. I'm sure many people with disabilities, and the elderly, find it frustrating, not being able to read or accurately press buttons. The iPad is great, because it allows for customization. You can increase the size and type of font of text and easily zoom the screen in and out, which makes for much easier reading. The lack of buttons is also a plus. The touch screen is far easier to operate than pushing keys or having to scroll and select things with a mouse. If I want to type on a PC, using Microsoft's on-screen keyboard, I have to use mouse to select and press each key. The process is so tedious that it's not worth it for me to use. My iPad's on-screen keyboard is huge and I touch each key directly, as if I were using a traditional keyboard. Being able to type laying down gives me more time in the day to write, answer emails and surf the web. Before I owned the iPad, I was limited to only typing if I was sitting and only being able to use the mouse, if I were laying down. Now, I have more options to how I spend my day, because I have extra time to write. 

The other great features of the iPad are: e-reader, social networking, productivity, gaming, music, videos and creativity. Even though there are limitations to surfing the web, it's great to be able to check e-mails and keep up with social networking sites, like Twitter and Facebook. The e-reader feature is awesome, and has all the best qualities of the top three competitors. iPad gives users the freedom to download and purchase books from a variety of sources, so you can shop around for deals and freebies. The fact that it has a full color touchscreen, makes it feel more like you're reading an actual book or magazine. The advantage is, you can store thousands of books into it's small size, customize the font and look up words, with it's built in dictionary and search features. Not to mention, for someone like me, that has to turn pages with a stick and has an elaborate set-up (tables and book stands), every time I want to read, the e-books are a godsent. My iPad has taken out all the stress that comes along with reading and made me more motivated to want to read. 

If you get tired of reading, there are tons of fun games, which are all operated by touch, similar to the Nintendo DS. You can also save space withiTunes, since you can store tons of your CDs and movies. It's pretty amazing how much stuff you can carry around in such a small device. There's also lots of great productivity apps, that give you the ability to work on the go, manage/organize information and jot down ideas. One of my favorite apps is Sketchbook Pro, which lets me create art. I haven't had the freedom to sketch in a long time. For me, the annoyance of having to ask for help every two seconds, (for an eraser or changing colors) takes away the enjoyment of drawing. The iPad sketch book gives me the freedom to switch colors and textures, as well as to make corrections on my own. It's amazing how well the program simulates different mediums and it gives you the ability to create work in layers. I'd say it's a must have for any artist.

I realize the iPad is a bit pricey, for the average middle class person. The good news is that it does come in several versions; the cheapest runs around $500. If you already own a smart phone, you might want to wait and see what (if any) changes they make to the next generation of iPads. The originaliPad is sure to drop in price as newer versions get released. If you don't own a laptop or a smart phone, you really should take a trip the Apple store and check out the iPad. Also, if you're thinking about investing in an e-reader, it's well worth the extra $100-200, considering everything the iPad can do. I'd highly recommend the iPad for people with disabilities, especially those people that enjoy reading and/or writing. It can take the place of bulkier, assistive devices, that aren't as versatile or easy to use. Plus, the iPad gives the user freedom to switch between tasks independently. I'm always grateful to have anything that gives me back a sense of freedom or independence.

iPad

I'm currently writing from my new iPad. I'm getting used to how to use it & how much pressure is needed to access features. Right now we have it rigged on a book stand & bed table. It's harder for me to press the top two corners than it is for the rest of the surface. I bought a generic capacitive stylus (Pogo brand), since Apple doesn't have one (yet) for the iPad. I ended up going to the Apple store to try out the stylus, before I ordered one. While doing my research on the device, I couldn't find any mention of being able to use a stylus.

Initially, I called Apple to speak with one of their "geniuses" about the probability of me being able to use the iPad with my mouth stick & possibly the iTouch stylus. The woman I spoke with said that most likely the iPhone/iTouch stylus wouldn't work because of the amount of sensors used in the iPad surface. Luckily, my brother in law is a tech wiz & encouraged me to try any old capacitive stylus. As the name suggests, capacitive styluses (do I need to pluralize that word?) some how mimic our fingers by altering the electric current on the touch screen surface. Other touch screens, like on Nintendo DS, respond to pressure, so you can use your fingers or almost any inanimate object. After reading a couple of articles my bro sent me, which even showed people using sausages to control their iPhones (I'm not kidding), I figured it was worth trying.

As some of you know, I've been looking into getting an e-reader for some time now. I'd read tons of reviews on Kindle, Sony Reader & the Nook, and was leaning towards the Kindle, when I first heard about the iPad. The more I read about the iPad, it seemed like the perfect choice. It already has all the positive features of the three e-readers (audio book capability, built in dictionary, limited web access, touch screen & the ability to share information) plus it can do a host of other things, that none of the e-readers can. Granted, the iPad is more expensive, but I think the versatility of applications justifies the added cost.

The iPad is not (yet) a replacement to a laptop, because it doesn't support Flash (program that online games, like Farmville & a lot of websites use), has limited multitasking capabilities and has no webcam. That said, the amount of things it can do is pretty impressive. I'm limited to what I can do o a laptop, because I have to use a mouth stick to hit the keys & control the trackball. The full touch screen of the iPad allows me to do a lot of things laying down, that normally require me to sit. Just being able to type laying in bed is amazing. I so often have ideas or things I'd like to say, but can't because I'm stuck in bed. I hardly ever have enough time in the day to write. I have to prioritize my time sitting up, so that I can be productive. Once I've answered all my e-mails & paid bills, there's little time (or desire) to write for fun.

Hopefully, I'll be posting blogs more frequently, now that I can write in bed. I'll write a more detailed review on my iPad, after I've used it for a few weeks.


-- Post From My iPad

Going Out

As many of you know, I don't go out much these days. I basically stay inside all winter, as it's near impossible for me to withstand the cold weather. I'm usually colder than everyone to begin with, so even with the heat on at a normal level, I'm shivering. My inability to move around and poor circulation make it very hard to warm up. Unless it's something very important, I try to avoid making plans with friends that require me to leave my apartment. Luckily, there's plenty of holidays and birthdays to keep me busy. Every year it seems to get a bit harder to meet up with friends, due to the fact that almost all my friends are married and/or have children. Although, I'm grateful that my friends make the effort to visit me, given everyone's hectic schedules. I have a reasonable excuse for staying indoors during the winter; it's the rest of the year that I struggle and to force myself to go out.

Before my accident, I was on the go non stop. I spent a great deal of time in my car and juggled a lot of responsibilities, in addition to hanging out with friends and family. Spring 2005 was probably the most hectic time in my life. I was always pressed for time, but none the less very happy. At the time, I had my full time teaching career, my apartment, traveled back and forth to PA (to visit friends and boyfriend) almost every weekend, put on three art shows for my students, joined a gym, was attending bar tending school, and taking a graduate course. I still managed to go out and enjoy my free time and genuinely looked forward to spending time with my friends and family (especially my boyfriend). I loved to shop. Even when my down time was scarce, I'd hit the mall and do a little shopping. I never ran short on reasons to buy new clothes! Despite all my spending, I was responsible with my finances and had no debt. I just enjoyed giving gifts and having new things. I was not married and had no children and was making a good salary, so I had no regrets treating myself. I'd have to say, I hit the mall about once a week. Buying clothes was my all time favorite thing to do at the mall. I enjoyed seeing all the latest fashions and had fun trying on clothes. It was always fun and exciting for me to have new things to wear.

I was comfortable with going out by myself, but I preferred being with friends (or boyfriend) most of the time. I'm a people person. Crowds never bothered me, in fact I kind of liked the hustle and bustle of the city. The more people there are, the more interesting things there were to see. I used to go to Manhattan regularly during my college years, for assignments. I could spend the entire day just seeing the sites and watching other people. I loved the diversity of the city and the fast paced nature of the people. Even simple things, like taking the subway, were interesting and fun for me. I could spent hours wandering around the museums. It didn't seem to matter how often I went; there was always something new to see and favorite areas to explore.

I've always enjoyed dancing. I missed out on parties and dancing during my college years (due in part to an ex-boyfriend). I say "missed out" because there were many opportunities and invites to go out that I turned down. I would've loved to be more social in college, but my choice to be with my boyfriend (during college) kept me from going. The positives to staying at home more were having good grades and tremendous focus. However, once I was single again, I found a sense of freedom and exilleration that I had been missing. I went to clubs and bars occasionally on the weekends and had fun dressing up and letting loose. Hanging out with some of my friends required along drive, but it was worth it. Dancing was a perfect stress relief and I had a lot of laughs with my friends. I was usually up for doing almost anything and perferred to go out versus staying at home. Apart from shopping and going dancing, I enjoyed seeing all of the latest movies and spent a lot of time eating out.

I've always piled a lot of responsibilities on my plate, but somehow managed to balance everything fine. I was rather good at time management and being organized, which made it possible to have a life outside of career. When I was still living with my parents, I can remember them getting annoyed at the fact that I was hardly ever around. They felt I treated home as a hotel, and only stopped by to sleep and shower. For the most part, they were right. I've been on the go almost my whole life, bouncing back and forth between divorced parents. I had moved out once, before I had my own apartment. Moving back wit my parents after having lived independently felt awkward and suffocating. I didn't waste much time planning on getting my place. It's not that I have anything against my parents, I just prefer to be free andindependent. I liked the feeling of not having to depend on anyone and the freedom to come and go as I pleased.

The thing my parents didn't realize was how many extra hours I stayed at work, or how many projects I was working on. I was usually the first teacher to arrive, and the last to leave. I never minded putting in extra time, because I loved my job. I was never asked to do a lot of the extra things I did, but they were important to me, and I was happy to sacrifice my time. I wanted my classroom to run a certain way and I wanted to be flexible in helping with responsibilities around school. The year of my accident I put on three art shows, worked on two murals and ran the yearbook club. I attended school even and maintained an ever changing display of my students' work. I don't think anyone in my life (apart from my boyfriend) realized exactly how much I was balancing at the time. I was stressed out, but I was also very proud of my achievements and was happy with my life.

As you can imagine, my life changed drastically after my injury and there are countless aspects of my "old life," that I've lost, or no longer enjoy. My desire (or lack there of) to go out is a perfect example of how my injury has had an impact on my life. Since my accident, the thought of going out is comparable to having a root canal; something you have to do, despite the pain. My apartment has become a safe haven for me, where it is easier to cope with my situation. I have more control over what I let in and it's easier to block things out. In the nursing home I had no peace. I wasn't happy at "home" and I was scared to go out. My computer was my only window to the world and even that was bittersweet. Everything I see reminds me of what I had, what I have and what I want. Every good memory has become painful, to some degree. Every time I leave the security of my apartment I risk being bombarded by reminders of my past and feelings of jealousy, shame and regret over what I lost. I can't help but compare myself to all the people I see. I can't help but feel embarrassed by the help I need and jealous of all the things I see other people doing.

I force myself to go out, because I feel like it's the right thing to do. I have been given opportunities to help other people in my situation through my artwork and I feel obligated to do what I can. I know it's not healthy for anyone to be a hermit. We (humanity) all need to socialize and share experiences with other people. I realize that the only way to keep my friends is to be a part of their lives and contribute what I can to my relationships with them. My grandma sometimes gets sad when her friends tell her about all the wonderful things their grandkids are doing. I understand the resentment she sometimes feels, because I know how hard it is for me to feel happy for other people, while I'm feeling miserable about myself. It's those times that I remind her (and myself) that the world is not gong to stop, just because I got hurt and that friendship is about give and take. Yes, it sucks that I'm paralyzed, but my situation shouldn't over shadow everyone else's happiness. I can''t expect people to mope around over what happened to me, nor do I want them too. I try to put my sadness aside and be happy for my friends, because I realize that everything is not about me. I can't expect anyone to want to be around me, if all I ever do is cry, complain and focus on the negative. I often do things that make me uncomfortable for the sake of my friends and family. If I gave in to my emotions and refused to hangout because I didn't feel up to it, I'd never go anywhere. I could easily isolate myself within a bubble and eventually people would stop inviting me and making an effort to include me. I wouldn't blame them.

My aides, nurses, family and friends all encourage me to go out more than I do. It's not to say that I get no enjoyment from going out; it's just that every experience comes with it's own level of sadness, embarrassment or anger. I try to balance pros and cons in my mind before I decide what to do. There are just certain things that are so uncomfortable that the small amount of fun or excitement I might have is greatly out weighed by my discomfort. Events like weddings and baby showers are outings that rank high on my discomfort list. Therefor, I avoid them, unless the people involved are extremely important to me and worth the inner turmoil. A perfect example of this would be my best friend's wedding. Not only did I attend the wedding, but I had to face multiple fears and tackle new experiences. It was my first time traveling by airplane after my accident. It was my first time to Florida, since my accident. It was also the first time I had to spend a night away from home, since my accident. The trip came with a lot of emotional discomfort, stress and anxiety. I put my feelings aside and committed myself to going, because I knew how important it was to my friends (bride & groom). They had both made a lot of sacrifices for me and supported me more than anyone, the first year after my accident. I refused to let my situation be an excuse and met the challenge head on, for the sake of my friends. There are times when I feel like the outcome is more important than my personal feelings and that I'd be selfish to not participate. I try to remind myself of the bigger picture. If I can give something back to those that are constantly giving to me, I put my feelings aside. If I feel like I can help others by letting people into my comfort zone, I do it.

I think it's easy for people to forget or make light of how different everything is for me. I think it's hard for people close to me to understand why I seldom go out. They compare me to the "old Christina," that was super outgoing and always on the run . That Christina no longer exists. My accident has changed the way I see the world and my desires to interact within it. It's often the activities I used to love the most that now bother me the most. The average, some times mundane things can be stressful and not worth doing for me. Things like going to the mall, grocery shopping, doctor visits, hanging out with friends and going out to eat are common activities that most people take for granted, because they don't have all the extra concerns that I do. In some aspects, I know I can't expect people to understand things from my perspective, because they haven't lived it and often don't know enough about paralysis to consider it.

Every time I leave my apartment I have a long list of things to worry about. Not to mention the fact that I can not just pick up go, on a whim, like before. I can't just pop in my car and go. I need help getting ready. I need special equipment and a modified car (ideally) to help transport me. I always have stress and worry over my catheter and the possibility of incontinence. I also have to consider who can accompany me, or help me at my destination. I have to consider accessibility; whether or not there will there be stairs where I'm going. If so, I have to find an alternate entrance, ramp or elevator. There are places that I can no longer go, because of my limitations. Climbing to the top of the Statue of Liberty comes to mind and luckily I have no interest in doing that. However, even places that claim accessibility are often clueless and poorly suited for wheelchairs.

The average person over looks things like curbs, doors, and the dimensions of most things. I don't have the luxury of ignoring small obstacles, like curbs. Dining out also has the added stress of having to be fed (like a baby) in front of countless strangers and most tables at restaurants are either too high or too low to sit close to everyone else. I find shopping a headache, because most stores cram too much stuff into a space and it makes it near impossible to navigate a wheelchair, without knocking things over, crashing into people (who tend to be oblivious to presence wheelchairs) or access areas all together. Try wheeling around Claire's if you don't believe me, or 90% of women's clothing stores. These days, I much rather shop online than go out. Seeing all the cute things I can't wear, like shorts, skirts, bikinis and high heeled shoes, just irks me and the fact that I can't try anything on takes out all the fun for me. Many of my friends in chairs make light of things and are less sensitive and have the mind set that people in chairs can do everything, just in a different way. While there is some truth to that way of thinking, there is also the reality that there are things that people that can not walk, just can't do. Personally, I put quality before quantity and recognize the fact that no matter what I "do" it will be a compromise. I refuse to put myself through discomfort unless I feel the outcome is worth it, or because I have no choice. Everyone deals with paralysis differently and their personality and life before paralysis plays a big role in their life with paralysis. I think it's important to recognize everyone as an individual and realize that every person's coping skills are different. 

Faith, or lack there of...

Although I grew up in a Catholic household and attended Catholic school for ten years, I never really bought into the belief system. I guess you could say that I've been an analytical person my whole life, and tend to question things that don't seem logical to me. It's very hard for me to trust in anything that isn't supported with evidence or cold hard facts. I guess most people just follow through believing and/or practicing what ever religion their parents are, or the religious beliefs of their country. On a whole, the adults in my life are not overly religious, so that might have influenced me to doubt or question my religion lessons in school, and later in life. Even as a small child, I had a difficult time believing in the stories of the Bible and magical characters like the Easter Bunny or the Tooth Fairy. Other than telling my Kindergarten class that Santa Claus didn't exist, I tried to play along and not to ruin it for my friends and siblings.

I tend to enjoy playing devil's advocate and like to question or pick apart subjects and have mini debate sessions with my friends. It can be a bad habit at times, because it makes it near impossible for me to enjoy movies, television or books at face value, without over analyzing every detail. It impacts my social life at times, in the sense that I often read into situations more than necessary and end up creating undue stress or anxiety for myself. Generally speaking, I'd say the ability to analyze facts and assess social situations are both good qualities. My problem is that in the past, I tended to only apply my analytical skills to my studies, career and planning, while acting spontaneously and carefree in other aspects of my life. Sometimes, when I look back on my life I wish I could've been more consistent and took the time to think through all the choices I made. I always joke that I'm book smart and life dumb. Although my accident has given me a new perspective on life and opened my eyes to so many things; the one thing that has always remained the same is my lack of faith in a higher power.

Logically, I have an extremely hard time believing in any concept of God. I rely heavily on science and enjoy learning about how things work and why things do the things they do. I love learning the history of things and understanding how and why things are the way they are. In general, I like having answers and proof to back them up. I would imagine most people feel the same way. It is comforting when someone is able to offer you a reason or a solution to your questions. On the contrary, it's frustrating and stressful when no one can give you a straight answer or fix a problem you might have. My spinal cord injury is a perfect example of a puzzle without a solution. Not knowing how to fix my spine is infuriating. The fact that so much time and energy is spent on finding answers to other questions, when we (humanity) still haven't solved the problems of our own bodies seems absurd to me, but that is a whole other topic. What baffles me, is how people can have faith in something they have no proof of, or logical reasons for why or how it exists. In fact, I'd argue there is equal evidence, if not more, that should discourage people from having faith, yet people continue to believe. I'm fascinated by faith and often envy those that have it. I want to know what motivates people to have such one sided relationships and what influences them to believe.

Prior to my accident, I'd probably consider myself an Atheist. A lot of people confuse atheists with Devil worshipers, although they are very different. At the time of my accident I was at an all time low in terms of having faith in any deity, either good or bad. My childhood was filled with obstacles that ultimately turned me further and further away from believing in God. My parent's divorce and the death of my little sister (among other things) were enough to disprove the existence of a loving God. As I got older and learned more about the origins of religions (the reasoning and cultural history behind belief systems), I became less mystified and more aware of man's role in the creation of rituals and rules. Even now, it turns me off when I think about the corruption and bloodshed that has occurred and still occurs in the name of God.

The night of my accident I believed I was going to die and it terrified me. When I was face down in the water, unable to move and could barely see because of the darkness, I accepted the fact that my life was about to end. That night was the first of several nights in which I almost died (due to high fevers). It was during those first few weeks that I first felt the terror of not knowing what would happen if I died. Before my accident I would have said, "You die and that's it. Heaven and Hell are just fairy tales men made up to teach morality." Words are easy to say when you have no experience to back them up. Once I actually experienced coming so close to death, it's as if a switch turned on inside. The tiny flicker of doubt of "what if" has pushed me to find answers. When I do die, I don't want to find out I was wrong. Some might call it "guilt" or "fear," but regardless of my motives, I have felt the need to work on, or develop some sort of faith in God.

Now, I guess I'd be classified Agnostic. I've come to believe in some sort of higher being, but I'm not sold on any one religion, or name for God. Here again, logic steps in and makes me think that if there is a God, it created all of us and so why should it care what name we call it by? My religious friends all have arguments as to why it has to be their God, but so far I'm just convinced I have to be a good person and love my fellow man. When I describe a person as "religious," I mean someone who believes in a specific God/Gods and lives their life according to the specific rules of said God/Gods. I don't think someone has to necessarily be church going or radical to be religious.

On one hand, I envy my religious friends, because their religion gives them peace of mind and security in knowing that there is a certain purpose or plan for their life. On the other hand, I feel suffocated by the thought of having to buy into one group's set of beliefs. I don't like the thought of only a select group of people (worshipers) reaping the benefits of God, while the rest of humanity is doomed. I don't know that I'll ever be able to understand that mind set. Why should children, ignorant people or people that lived before a specific religion existed be punished for a choice they were never given? I'm trying to keep an open mind, but I can't even begin to trust in a God that would punish 99.9% of the beings it created. Why would God create us only to pit us up against one another? Who is to say which group is right? Even religions that are similar can't get along. I mean Jews, Christians and Muslims all worship the same God of the Old Testament and yet, still have been willing to kill one another over technicalities. The thinking of most modern organized religions keeps me from getting involved because it often tends to be black or white, with little room for thought or questions. Why did God bother to give me a brain if I'm only meant to follow blindly like a robot? Why give freewill if everything is already planned? So many people tell me that my accident is part of "God's plan." Doesn't that imply that I was forced to break my neck; that I never had a choice?These are the types of questions that make it hard for me to have faith.

I'm taking the time to read/learn about all different religions in my search for answers, as well as my desire to understand why people think the way they do. I'm interested in knowing what motivates people to believe. I'm especially interested in knowing how/why people that have faced horribletragedy or overcome tremendous obstacles have faith and if/how it impacts their ability to cope. I think having a stronger faith would give me more mental strength to keep moving forward. I'm met with the paradox of wanting to build faith, but not having much faith as a foundation to build from. I find it funny that I ask God to help strengthen my faith. It's as if I'm asking God to help me believe in him/her, just in case he/she actually exists. How does faith get stronger when you never receive any answers or proof to justify your questions? It's a riddle I find very difficult to deal with.

Of all the religious people in my life, I'm curious to know what factors influenced them in deciding which religion to believe: What factors make them believe in it?; How or why they think their religion is right and if they believe other religions are wrong?; What benefits do they feel they get from having faith?; Do they feel their questions are ever answered, if so how?; What proof, if any, do they feel they've seen that has validated their belief system?; What do they think about death/dying?

Pain in The Butt

I haven't been feeling well for a while now. My tolerance for sitting up in my chair has been decreasing, ever since I had that pressure sore on my thigh a couple of years ago. I used to be able to tolerate sitting eight hours (or more) every day. Now I typically feel wiped out after only four hours. Even though I'm paralyzed, with hardly any sensation, my body compensates by presenting me with certain signals: chills, cold sweat, profuse sweating on only one side of my face, tingling sensations, fever and tightness in my chest. The signals are called autonomic dysreflexia (common for people with high injuries like mine), and are my body's way of alerting me to a problem. The bad thing, is the fact that dysreflexic symptoms are secondary symptoms and I have no real way of knowing what the cause is. I tend to go down a mental checklist and try and rule out common possibilities: blocked catheter, wrinkle in clothing, a pressure area, my feet, bowel issues and my position. It's normally one of the things on the list and once it is resolved, the dysreflexic symptoms go away.


Most of the time, dysreflexia is only a minor discomfort, that I've learned to deal with. However, there are rare occasions when we (my caregiver and I) can't figure out the cause or I know the cause, but don't have help nearby. It is especially frustrating when there is nothing to pin it on and I end up feeling sick for long periods of time. In many cases, I think it is caused by urinary tract infections or indigestion. I try to avoid taking antibiotics at all costs, because they reek havoc with my bowels and sometimes cause nausea.The dangerous and/or scary part aboutdysreflexia is the fact that the majority of the symptoms are caused by my blood pressure rising. Since I can't feel the pain my body feels, it elevates my blood pressure and that's what causes the secondary symptoms. If the problem causing the pain or discomfort isn't found, then my pressure will continuously rise and I risk having a stroke. When it gets very high I feel as though I have a vice grip around my ribs, squeezing me and an immense heaviness where my ribcage meets. If you've ever had pneumonia, you are familiar with the feeling, although in my case it has nothing to do with my lungs. I do run low grade fevers quite often; always starting in the late afternoon, after I've been sitting a while. I can tell as soon as they come on, because I begin to feel very lethargic.Thankfully, I haven't had any high fevers in a long time. The first year after my accident I had a few potentially lethal fevers, that hit 106 degrees Fahrenheit or more.


Normally, I chalk up my crumby feelings to my catheter and try not to let it bother me. Lately though, I've been getting the tightness in my chest too often. It forces me to feel as though I have to lay down, because that's the only thing I've found that helps the symptoms subside at all. The tightness doesn't go away until I've laid down awhile. Aside from the discomfort, it's been really annoying not being able to pinpoint the cause. In a lot of cases, even the doctors have no way of knowing why I experience dysreflexic symptoms and they tend to blame it on one another. My urologist is always blaming my bowels, my physiatrist often thinks it's urological and my general doctor usually has no answer. Honestly, I know my body better than all of them and I often feel like it's a waste of time to be seen by doctors, since it's all a guessing game. I find doctors (at least mine) look for pills to solve everything and are quick to write out prescriptions. Most of my doctors are willing to give me prescriptions for specific things, as long as I ask. I'm sure it's because they know that it's impossible (in most cases) to know for sure what wrong with me and they rely on me to help figure out a diagnosis. During my first year post accident, I was easily taking over 20 pills each day. The bulk of my medicine is bowel and/or bladder related. In fact, I ran into problems a couple years back, because I was constantly taking antibiotics forUTIs (urinary tract infections). The antibiotics in turn, caused issues with my bowels and that's what led to my sore. It is so aggravating when the solution to one problem creates a new problem.


People with quadriplegia require bowel regimes or colostomy bags to go to the bathroom. It's a subject I've rarely discussed with anyone, besides my friends who are also paralyzed. Although, I'm not really comfortable talking about it, I think it's important that people learn all aspects about paralysis. I want people to understand exactly what I go through and why it is so crucial that we find a cure. I share things, at the expense of feeling embarrassed, because I want people to see the whole picture. Going to the bathroom (bowel movement) is my least favorite subject and yet, I find my life revolving around the bathroom, these days. What's worst is that I have had issues with using the restroom my whole life. I don't know why and I'm sure psychologists would give me some complex Freudian theory as an explanation. All I know, is that it is a part of life that I've never felt comfortable about. In a way, I feel like it's the epitome of un-ladylike behavior.


I realize that going to the bathroom is not something one can choose to do or not to do and that everyone does it. I've just always seen it as an embarrassing part of life; one aspect that was acceptable for others, but not myself. I put myself through a lot of physical pain through the years because of my issues (paranoia, disgust, embarrassment) because I absolutely could not bring myself to "go" just anywhere. I'd rather have stomach cramps, than use a public restroom or a friend's bathroom. I used to treat going to the bathroom like some covert operation; the objective being not to leave evidence behind. I know it probably sounds silly to most people, never the less, it's hard to change how you feel towards something, especially when there's not much you can do to change it. I still hate going to the bathroom, more so than ever, because I no longer have any privacy. It's like my worst nightmare, having to have someone else assist me in this area. There's also the constant worry over accidents, since I have no control or sensations whatsoever. Having a bowel regime is supposed to keep your body on a schedule and is designed to prevent accidents, however nothing is full proof. I can't even begin to explain the stress related to never knowing or worrying about the fact that your body can decide to do whatever it wants, without warning. It's always in the back of my mind.


Being paralyzed (especially quadriplegic) often requires having people in your face much more than you might want or like. It's hard to have any true privacy when you need someone helping you with ever single aspect of life. Given the fact that I've always been extremely independent, it can feel suffocating at times to hardly ever have time alone. On top of that, there are so many personal hygiene things that adults normally do for themselves that I need help with. At times it can be very embarrassing or uncomfortable accepting help. There are tons of "simple"ADLs (activities of daily living) that I need help with that the average person might not even think about, because they are second nature: shaving, blowing your nose, going to the bathroom, bathing, trimming finger/toe nails, cleaning your ears, dressing, applying cream/lotion, getting an eye lash out of your eye, scratching an itch, brushing your teeth, brushing/styling your hair, applying make up, using a napkin when you eat, changing pads/diapers/soiled clothing, eating and so on and so forth. Under normal circumstances, I wouldn't have dreamed of asking for help with most of the things I mentioned. Being healthy and able to care for one's self is something most people don't think about and take for granted. I'm also guilty of thinking that way, prior to my accident. It wasn't until after my injury that I realized how lucky I was before and how many little things are effected by paralysis. Paralysis has changed my entire perspective on life.


For me, the bowel regime is the ultimate torture and most embarrassing thing that I need help with. It's been over four years since my accident and it still hasn't gotten any easier to deal with having other people involved in such a private aspect of life. The worst part about it, is the fact that I have absolutely no choice in the matter. If I could have some sort of nutrient injection and just give up food, I would. I realize how crazy it sounds, but it's an example I use, to demonstrate how much it bothers me. Food is one of the few pleasures I have left and I'd still give it up, if it meant never having to go to the bathroom again. Unfortunately, I need to eat to survive and my body needs to get rid of the waste. It just stinks (no pun intended) not being able to control the most basic functions. Being a woman adds even more things to the list of things I can no longer control or be able to care for myself. I can't help but think about how unfair it all seems. I sometimes ask God why he/she couldn't give me a little bit of a break. Is it too much to ask to not have a menstrual cycle? I lost it for six months post accident and wish it wouldn't have come back. I mean, so many other functions were lost, why not that one too? It's not like I'm going to be having children anytime soon. Having to have other people help during that time each month ranks second in terms of embarrassment.Is it too much to ask to not have to constantly worry about incontinence? The whole point of a bowel regime is to prevent accidents and yet they still occur from time to time. It's hard to explain how awful I feel, when accidents occur. Most of my aides, nurses and family try to down play it, like it's no big deal, but I have a feeling they'd think differently if it was them.




The entire subject of incontinence upsets me. It is not easy to cope with the knowledge that I have no control over my own body, or that I have to endure a bowel program for as long as I am paralyzed. I won't even consider the idea of having a colostomy bag. It is not an option. I already know that having a colostomy bag would bother me even more than having to go through a bowl program. The thought of having a bag filled with feces strapped to me, makes me sick to my stomach. As it stands, a nurse comes every other day for three hours and I have to take six pills a day, to keep my body functions working on a routine. Although it can be tedious, I feel as though I'm left with no choice, but to grin and bear the situation the way it is. Having a bowel program (I'll try and spare you from as much detail as possible) consists of having another person manually stimulate your body into going to the bathroom. Someone like me (quadriplegic) no longer feels the sensation of needing to go to the bathroom, nor the feeling of going, nor the ability to control the required muscles. The person assisting with the bowel program is in essence, giving your system a jump start to signal it into doing what it needs to do. It is also the assistant's (usually a nurse) job to make sure that the bowel regime was a success, by manually checking to ensure that your body has no more waste it needs to get rid of. If it's done on a set schedule and you take your medication and watch your diet, it's supposed to be pretty consistent and give you the peace of mind that you can go through your day without having to worry. When things are going well (usually only ever lasts a couple of months at best), I do a decent job of coping and try to block out the situation as best I can.




It's frustrating and depressing when I do everything I'm supposed to do and problems arise regardless. It makes me want to scream. Why I am going through all this, if I'm still having to worry or feel on edge?! Not to mention, there are secondary issues that come along with the fear of incontinence that are not only embarrassing, but also unhealthy. As I mentioned early, if incontinence happens too frequently, the person risks having skin breakdown and sores. My latest discovery, is that people with spinal cord injuries are also prone to getting hemorrhoids. Oh joy! Yet another embarrassing thing I can add to my list of things I wish I didn't need help with. I never realized how common hemorrhoids actually are. Apparently, most women get them after childbirth. At this stage in my life I would probably be dealing with them anyway (from having a child), even if I never got injured. The difference now, is that there is no way of getting relief, other than topical treatments, like creams. So although hemorrhoids may be a common problem, it becomes a much more complicated issue for people with paralysis. Unlike the average person, I don't have the luxury of being able to stand or tolerate long periods of time laying on my side. On top of that, the very thing I hate the most (bowel program) is one of the main causes and primary irritant to hemorrhoids. I feel like I can't win.


Some people are better than others at dealing with needing to have help with hygiene and toileting issues. I suppose it all depends on individual personalities and how the person dealt with that aspect of life, prior to their injury. I've always had bathroom hang-ups and being paralyzed just magnifies those feelings ten fold. In general, I find that men are much more laid back about topic. Statistically speaking, there is a greater percentage of men, versus women with spinal cord injuries and the vast majority of my paralyzed friends are men. By comparison, men also seem to enjoy toilet humor and talk more openly about the subject, whether injured or not. Women with spinal cord injuries have additional issues that can add to the stress and depression, often related to paralysis. Men don't have the potential to bear children or the burdens of menstruation. It's heartbreaking to know that I might never experience pregnancy (Technically I can carry a child, but I'd have no sensation and it would be high risk. Not to mention, I'd have no ability to physically care for a baby), breastfeeding or holding my own child. These are things I've dreamed of and imagined, since I was a young girl. Men with spinal cord injuries don't have to deal with all the extra problems that women face. I'm not saying men have it easy. No one living with paralysis has it easy. I'm merely demonstrating the obstacles I face as a paralyzed woman and my difficulties dealing with the care I need.


Not all people with paralysis will agree with me, in terms of how they feel about the care they need. Like I said, each case is unique: every injury, every body, coping skills, treatments and attitude. Despite how poorly or well a person deals with living with paralysis, I'm certain that 100% of the people in the spinal cord injury would give anything to have their health back. I doubt anyone would choose help over the ability to care for one's self independently. I think it is absolutely vital that people understand paralysis, especially given the fact that a spinal cord injury could happen to anyone, at any age. 


The things I dream about now, are the most basic abilities that most people never even think about. So many people are wrapped up in trivial problems and materialistic attachments . I think it's important to help others understand how lucky they really are and to help them re-focus their priorities. As embarrassing and disturbing my conversations, blogs or interviews are at times, it is all worth it, if it opens the average person's eyes to what it mean to be paralyzed. When I think about the out pouring of generosity Americans have shown towards issues of human suffering (like Haiti, New Orleans,Darfur , etc.), I know that people will support a cure. I think two of the key factors to curing paralysis are awareness & funding. That is why I feel it is important to be open and honest. It's not about pity. It's about raising public awareness. People need to know the true, everyday obstacles that paralysis poses, so that they we be motivated to find a cure. Sugar coating my life by talking about all the things I can still do will not help bring a cure. Yes, life isn't over after paralysis, but why should I have to settle for compromise for the rest of my life? My injury has taught me to value the core things in life: love, family/friends & health. If I could regain the ability to care for myself, I'd be a happy person the rest of my life.




To learn more about Autonomic Dysreflexia, check out this link: Autonomic Dysreflexia

Art Education: Bringing Light to Contemporary Issues

Although it's been four years since my accident I still think about my "old" life on a daily basis. I can't speak for other people in my situation, but personally I find it impossible to not be reminded of everything I had and lost. One of the aspects of my old life that I miss the most is my career. It saddens me to think about all the years I spent in collage and all the time and effort I put into my work. I was truly blessed to know what I wanted early on in life and to have the motivation and talent to achieve my goals. So many of my friends floundered through college and/or chose career paths that they are unhappy with. I genuinely loved my college experience and my career. Not many people can say they enjoy their job. I have pictured myself as an art teacher ever since I was in junior high and although I always believed I'd create art on the side, I never envisioned myself as a "starving artist." I chose teaching because I wanted the stability of a steady job and for my love of children. Being an art teacher was the perfect profession for me, because I got to create art every day and inspire children to love art just as much as I do. It was also greatly satisfying to see the children creating and to see their finished artwork. Children's art is special because it captures the world from their perspective. I couldn't help but feel happy and re-energized when I would see all my students' work. Displaying the finished projects was one of my favorite things to do, because I was so proud of the work and wanted everyone to see how wonderful it was. Hanging displays also gave me the opportunity to teach the concepts or history behind each lesson to the larger school community.

It was (and still is) important to me to teach children to appreciate art and understand the vital role art plays in our every day lives. All of my lessons included historical examples of art work and highlighted the reasons behind each piece of artwork or specific techniques. This way, my students could learn about practical uses for art as well as understand how art impacts humanity and how all cultures use art as a form of expression.

I suppose there is a certain irony to my life, in the sense of how my career path changed. Most art majors in college would probably say their dream is to be a successful artist in terms of exhibiting and selling their work. In fact, it irks me that a lot of people use teaching as a "fall back" career option. My dream has always been focused on the teaching aspect of art education and never so much on my own artistic fame or success. That is why I say it is ironic that I find myself outside of the classroom and "working" as an artist.

Once I began painting again, after my accident I focused primarily on skill and technique. I joined the AMFPA and the paintings I give to them I create with the intention of them being able to reproduce them and raise money for the organization. I paint mostly still-lives for the AMFPA and working on them is great practice and skill building for me.

As many of you already know, my personal artwork focuses on my feelings and struggles with paralysis. I choose not to sell my work at this time and rather use it as a teaching tool. Although I am no longer in my classroom, it is my hope that I can educate others through my art. The paintings I've had in exhibits all touch on different issues that impact my life. Some of my work is highly person and depicts specific challenges I face or events that were traumatic. Creating each painting helps me to flush out certain emotions and thoughts I've kept bottled up. In this sense I'm sharing a small part of my burdens with the viewer. It is my hope that when people see my work they walk away with a new perspective on paralysis and desire to help raise awareness. Anyone is subject to injury and I think it's crucial that people understand that they could very easily end up in my shoes. Empathy is more important to me than sympathy. I want people to have a greater appreciation for what they have and to think about how they might feel in my situation. Many of the struggles I face are general issues that all people with disabilities can relate to. I also think it's important to shed light on the big picture and to highlight current events that impact my life, both directly and indirectly.

So, I guess you could say I am still teaching, just in a different way. I'd prefer to still be in my classroom, but am grateful that I still have an avenue for inspiring others to love art and to use art as teaching tool. I've been fortunate that people have taken an interest in my work and have supported me in my goals. I'd like to exhibit more in the future and will continue to grab opportunities to raise awareness whenever I can. For me, fame is not a concern. If I can help educate others about paralysis and in turn help find a cure, that's all that matters to me.

Stressed Out!

As you can imagine, I've been dealing with a significant amount of stress since my accident. I would say my day to day stress level is relatively high compared to the average person. I say this based on my past experience and the comparison in the types of problems or stressors I dealt with before my injury versus now. I can also cite examples based on all my friends and family. I realize that all emotions or moods are relative; given that each person has different coping skills and life experience. Stress is not something we can really quantify so it's hard to compare stress levels between people. Not to mention, one man's problem could be another man's blessing.

My entire perspective on life now is different from before my accident and in many ways I feel like a completely different person. My accident changed me both physically and mentally. I think of my life in two parts and feel as though I have lived two separate lives. It's as if the "old Christina" died June 5, 2005 and the "new Christina" emerged. Obviously, this is figurative, because I didn't actually die. However many of my old thought processes and view points "died" and have been replaced with new ones. I imagine even if I were to be cured and on my feet again, that the experience of living with paralysis will have left me forever changed.

I have to admit that despite all the hardships and loss I've endured, the accident made me a much stronger person mentally. I've been able to deal with things that I never thought I could. The human spirit is pretty amazing and I even surprise myself at times. Most people think they know how they will react to stress or trauma, but I've found that a lot of people don't give themselves enough credit. I know for sure that if someone asked me how I'd react to my situation before I was injured, I would have said I'd rather be dead. There have been many times I've thought that since my accident. However, there is a huge difference in imagining something versus having experienced it. Prior to my accident I had never so much as broken a bone. My closet "brush with death" would have been a sprained wrist, four stitches or perhaps my old driving habits. In the past I imagined giving up would be easy in comparison to living with paralysis, but the fear I felt those seconds or minutes I spent under the water that night changed all that. I felt no peace or comfort when I was drowning. There was no white light or sense of calming. In those few moments, I felt overwhelmed with fear, sadness and fear. It's hard to let go of that fear, especially knowing what I went through in the hospital. The thought of returning to that state terrifies me. I was naive in thinking how easy it would be to just give up. The cliche "ignorance is bliss" rings true when I analyze my thoughts before my injury. There's no way of really knowing how much stress you can handle unless you are faced with it. For me, the experience of coming so close to death has made push to stay alive. My driving force is based on wanting to fix my mistakes and my hope for the future. Every time I think I can't possibly go on another day I try and remind myself of everything I've been through and everything I've somehow overcome.

I feel as though paralysis is the source on ninety percent of my stress and it is frustrating trying to figure out ways to cope. There is no guarantee that my paralysis will ever be cured, therefore I live with the fact that no matter what I do there are certain problems that might not ever go away. That is why I say that I have more stress than the average person. The only true solution would be a cure to paralysis. It is especially maddening when people suggest medication or talk therapy to me. I've done both with little success. I take medication, but still feel depressed and anxious. How can I not, given my condition? Isn't it normal to be bothered by paralysis? Who on earth (of sound mind) would be happy to be sick or have a chronic illness? I think it's only logical that my situation bothers me and find it useless to think I'll ever be completely satisfied this way. If there is no remedy for the source of all my problems, all I can do is find new ways to deal with secondary issues created by the underlying cause. I'm sure most people with chronic illnesses can relate. It's difficult to cope with symptoms or outlying issues, when you know you can't get rid of the root of the problem. It can become so overwhelming at times, because I know no matter how many days I get through, there is another day of the same stuff waiting for me. My paralysis effects everything; until it's cured I will always face certain obstacles and stress.

So many of life's stress factors have solutions or resolve themselves with time. Relationships, financial troubles, raising children and even grief can be worked out over time; the pain dulls or solutions are found. In my situation, there are many stressful things that I need to do just to stay alive. As much as it bothers me, I don't have the luxury of moving on, or getting over it. I'm faced with the consequences of my accident day in and day out. Although some things that used to bother me seem ridiculous to me now, at the time they seemed valid. I try and keep that in mind when I talk with family and friends. I can see how easily someone in my situation could slip into cynicism and bitterness. It's hard to be sympathetic when your problems seem so grave in comparison to the people around you. I can't tell you how often I've thought, "I wish those were my problems." It's at those moments I have to remind myself that most of my friends and family will never truly be able to see life from my perspective and I shouldn't fault them for that. I try and think about how I might have reacted before my accident and try my best to recall my past. I push myself to make an effort to take a genuine interest in my loved ones lives. I value them and don't think it's fair to drag them down with me or belittle their problems (regardless of how insignificant or shallow they might seem to me). No one wants to be around a grouch or someone in a constant state of self pity.

I've found ways to not only cope with my paralysis, but how to mask a lot of what I'm going through. In some respect I feel it's not fair to those around me, even if I start to feel overwhelmed by everything I've kept bottled up. Most times I feel disenchanted and see no point in discussing my problems. The majority of stuff that bothers me is directly related to my paralysis such as, needing help with every single little thing. I never get a break from people and never feel like a truly have privacy. I've been injured now for over four years and still haven't figured a way to deal with needing help with highly personal things, such as going to bathroom, being bathed, fed and dressed. Outwardly, I'm not breaking into tears every morning or going into hysterics, but on the inside there's a torrent of emotions running through me. If I do express my discomfort, most people try and brush it off or down play it like it's no big deal. I understand there aren't many right answers or advice to give. No words can ever make me feel 100% better. In fact, most of the time I find myself getting annoyed and/or frustrated with the person, especially if they are able bodied. My able bodied friends and family sometimes think they can imagine what it's like to be paralyzed, but they can't. It is one of those things that you have to live through to understand. The problem with imagining something is that you are limited to drawing from the experiences you've had. There is no experience you could have that compares to certain aspects of paralysis. Often times I can't even find the words to explain what I'm feeling, because it's unlike anything I ever experienced on my feet. It can be very frustrating, because no matter what I use as a comparison, it's just not the same . Sure, you could try and simulate the experience by restraining your limbs; to experience the discomfort of having to have help, or feel the sense of vulnerability. However, such a simulation doesn't even begin to truly mimic what it's like to be paralyzed. A good example of this is how nurse's aides often have to "ride" in a Hoyer lift to help promote empathy for their patients. Although some people might feel nervous at the thought of being suspended in the air, it's nothing close to what it's like for someone like me. For starters, an able bodied person can grab onto the machine for security. I have no way to stop myself from falling or brace myself if I do fall. Secondly, an able bodied person can feel the sling beneath them. I have no sensation below my chest and therefore, if I can't see what's going on it feels as though the rest of my body does not exist. Not to mention the fact that someone taking part in a simulated exercise knows that there discomfort is only temporary. If I knew for sure that I'd be back on my feet, it'd give me a tremendous boost of strength and motivation. It's the difference of an innocent person serving a short jail sentence and being on death row. In both cases the innocent person is being unfairly punished, but the person with a designated time frame has the advantage of knowing that it's temporary. If I knew the date of when a cure will be found I would have the peace of mind in knowing what I'm up against. A set time frame gives you something to look forward; there is an the end. Even if that magical cure date was beyond my lifetime at least I'd have an answer. My situation overwhelms me at times because of the uncertainty of ever getting cured. Granted, my accident is an example that, despite set plans, no one ever really knows there future. Plans give us the illusion of control over our lives, and there are times when life throws in surprises. However, there are certain definites, just as I know for sure that my birthday will be on July 4th, it would be awesome to know when there will be a cure.

One of the many bad things about stress is that can have a direct impact on your health. Stress, like many emotions, it is not limited to just effecting your mood. I think keeping all of my stress bottled up is having a negative effect on my body. Lately, my aides and I have noticed that I'm losing hair. Having long, thick hair that is prone to knots means I'm accustomed to losing a certain amount everyday, just by brushing it. Recently though, it's been much too much to be normal. I know it could be from a dietary deficiency, but I doubt it. My diet is well rounded with fruits, veggies and protein and it hasn't changed drastically in any way. My medicine and environment are stable, so I'm thinking it's got to be stress related. I've also been battling acne since my accident. My skin used to be near flawless, which I had chalked up to good genes. Now I'm beginning to wonder if other factors (like medicine) were keeping my skin so nice or if the problem is only related to my current situation. I have several theories as to the cause; stress being number one. I have been going to a dermatologist and trying various treatments, but none have been very successful. My body has already been through so many changes because of the paralysis and now it seems I'm creating more problems by stressing out. I know emotion/mood has an effect on health and healing, but it is near impossible for me to eliminate the stress, anxiety or sadness I often feel. My hair and skin are not only proof of stress, they are now also a new source of stress. I feel faced with a double edged sword.

I've decided to attempt to lower my stress level by writing letters to a few people close to me. I think some of the things that are bothering me could have solutions, if the people doing them are willing to compromise with me, or change. Although I don't particularly mind arguing, I'm terrible at approaching situations where I have to tell someone they are doing something that bothers me. I'm fine once the ice is broken, but I struggle to bring up the subject. I have the most difficulty when the issue effects me specifically. In other words, if you did something mean or bothersome to my friend, I have no qualms about opening my mouth immediately. I'm fine at speaking up to help others, but I stink at sticking up for myself. I often just bite my tongue or let the frustration roll off my shoulders. I can forgive easily, so minor annoyances often get overlooked. The problem is, if I ignore or avoid things when they are small, they tend to snowball into something big; making it even harder to address or fix issue. It is the one area that I have a hard time expressing myself. It's especially worst with adults and even more so the closer you are to me (relationship wise). Writing down my thoughts gives me the comfort of being able to say almost anything. I also get satisfaction in knowing I've said everything I wanted to say, without getting interrupted or forgotten. So, I'm hoping to break the ice with a few people, about a few issues that are resolvable. I'm hoping the letters will open up the dialog and that I'm able to get a little relief.