Life on Wheels (47 page)

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Authors: Gary Karp

Tags: #Health & Fitness, #Physical Impairments, #Juvenile Nonfiction, #Health & Daily Living, #Medical, #Physical Medicine & Rehabilitation, #Physiology, #Philosophy, #General

BOOK: Life on Wheels
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Beliefs about disability are planted very early in life. It’s evident from the experience of any chair rider in any shopping mall in America. As you wheel through the crowd, parents frantically pull their children out of your path. Of course, parents naturally want to protect their child from a collision and are likely trying to be considerate so you don’t have to maneuver around the child. But the message the child gets is that something is not OK with a person using a wheelchair.
Another scenario is more telling. Many children will innocently come up to you and ask why you are in a wheelchair. They don’t yet know that it is “rude” to ask. The child’s interest makes the parent very uncomfortable, and that gets communicated. Irving Zola wrote:

 

The wheelchair is quite visible and of great interest to the child, but he or she is taught to ignore it. A near universal complaint is, “Why can’t people see me as someone who has a handicap rather than someone who is handicapped?” Young children first perceive it that way but are quickly socialized out of it.
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Children are not mature enough to understand these boundaries, and there is a danger of communicating through your actions that people with disabilities are unapproachable. You can be in the delicate position of wanting to demonstrate that disability is a feature of many people’s lives and does not preclude a full life, while at the same time being entitled to your privacy and dignity.

 

A child can’t distinguish whether I’m in a bad mood, so I am never bothered by a child’s questions. I have a “spinal cord is like a telephone system” story that I use. An adult needs to use some judgment, but most of the time I am happy to have an adult approach me in public and ask why I wheel. I’m glad to explain it, but I also try to give a picture of my life as a whole.
Sometimes parents will give the child their own answers:

 

I cannot count the times I have been in public and have heard a parent telling their children ridiculous things to explain why I am in a wheelchair. Things like “Her legs are tired,” “She is taking a break from walking,” or “She’s resting by sitting down.” I always would rather have the parents have their kids approach me in these situations with their questions so I could tell them the truth.
How you respond to being asked about your disability is a personal matter. In a given instance, you just might not be in the mood! You will have to find your own balance. You can decline politely, by saying that it is a private matter and that you reserve discussions about such things to people you know better. The more someone gets to know you, the more appropriate it becomes to ask such questions. As Carol Gill says, “If you have an intimate relationship, you’re allowed to ask more intimate questions.” Just as often, people will delay or avoid asking about your disability.

 

In a company where I worked for eight years, there were people who never knew why I wheeled. They never had the courage to ask. Many, I expect, assumed I was disabled since birth, or had been in the Vietnam War, neither of which is true.
Attorney Deborah Kaplan is quadriplegic but is able to stand, has full sensation, and is a mother. She also has more than 25 years of disability activism behind her. She says:

 

By and large, it isn’t so much a stereotype as the fact that we just really scare people. People don’t want to have to think about disability. It’s very personal. It’s very deep rooted, I think almost cellular. We remind people that we exist in a soft, vulnerable body and that they’re vulnerable. People don’t like to be reminded of that. That shows up when somebody looks at my resume and they go, “Oh!” What are they so surprised about? I’ve been on every commission in the world and I travel all the time. They’re telling me something about what their expectations are.
The more significant or visible the disability, the larger the attitudinal obstacle you’re likely to encounter. Notes Carol Gill:

 

If there is going to be a person with a disability who is accepted by society first, it’s going to be the young white male who is okay from the chest up. But that’s not the majority of the disabled population.
I really feel I have made a contribution. Not only to the disability community, but to society and to my neighbors and everybody else. The work that I do. My son that I raised. I am a valuable person, but I think that the average person who sees me would think my life is not tenable. I use a ventilator, I need help with all activities of daily living, and I feel that if I hit a significant medical crisis I am much less likely to receive aggressive measures to protect my life than someone else.
Professor Zola granted the value of his family and support system in adapting to polio and subsequent auto accident injuries, while at the same time condemning societal attitudes:

 

Had my family been poorer, less assertive, my friends fewer and less caring, my champions less willing to fight the system, then all my personal strengths would have been for naught. On the other hand, if we lived in a less healthist, capitalist, and hierarchical society which spent less time finding ways to exclude and disenfranchise people and more time finding ways to include and enhance the potentialities of everyone, then there wouldn’t have been so much for me to overcome.
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But appearances are not the only thing that counts. Says psychologist Gill:

 

A lot of the people we do hit it off with people in the nondisabled community tend to be people who are more open. Sometimes they have what I would consider deeper values and are people who would critique the same superficial American values that our community does. It gives us a common bond.
Perhaps your interactions with ablebodied people are a chance for them to learn from the experience. Perhaps, as they encounter the truth of a person living with a disability, they can adjust their beliefs after seeing the evidence of an active person living fully with their disability.

 

I’ve heard from many people who say that, after getting to know me, their fears about people with disabilities subsided, that it was a chance to overcome their misconceptions. I find that satisfying.
You can also hope that children will grow up knowing better because they are increasingly living in a world where people with disabilities are visible, active, and part of their lives in meaningful ways—including children with disabilities who are increasingly mainstreamed in the public schools and our communities.
Disability Pride

 

You have an important contribution to make to this society. You are in a position to teach that focusing exclusively on narrow standards of physical beauty, youth, and conventional athleticism is a problem for all of us. By continuing to demonstrate that you are not looking to be cared for, but to be treated as a whole, self-determining person with the right to make your own decisions and have a full life, society gets the chance to develop values that respect everyone.

 

My own philosophy is that there is one thing you show the outside world: pride. On the other hand, living with limitations is sort of a drag. That’s the reality. But you don’t go shouting that to everyone in the world.
Carol Gill expresses her view:

 

I think our Western world in many ways is in a moral crisis. Some of the values of the disability world can really help the greater world in sorting out this moral dilemma—to look at what’s important and develop a whole new slate around what it means to be human. I think we have an important lesson to teach the world because we have to deal with our own acid test of what’s human. I’m an idealist, too. I’m hoping we will win out and be heard.
References

 

1
. Zola IK.
Missing Pieces: a Chronicle of Living with a Disability
. Philadelphia: Temple University Press; 1982.
2
. Morris J. Spinal injury and psychotherapy. In: Yarkony GM, ed.
Spinal Cord Injury: Medical Management and Rehabilitation
. Bethesda: Aspen;1994:223-29.
3
. Gregory MF.
Sexual Adjustment: a Guide for Spinal Cord Injured
. Bloomington, IL: Cheever Publishing; 1974.
4
. Yapko MD.
Breaking the Patterns of Depression
. New York: Broadway Books; 1997.
5
. Shapiro JP.
No Pity: People with Disabilities Forging a New Civil Rights Movement
. New York: Times Books/Random House; 1994.
6
. Chödrön P.
When Things Fall Apart: Heart Advice for Difficult Times
. Boston/London: Shambhala; 1997:13.
7
. Price R.
A Whole New Life: an Illness and Healing
. New York: Scribner; 2003:55.
8
. Anderson J. Psychological issues related to ventilatordependent quadriplegia. In: Whiteneck G, Lammertse DP, Manley S, Menter R.
The Management of High Quadriplegia
. New York: Demos Publications; 1989:107.
9
. Risher P, Amorosi S.
The 1998 N.O.D./Harris Survey of Americans with Disabilities
. New York: Louis Harris & Associates, Inc; 1998.
Chapter 4

 

 

 

Wheelchair Selection

 

Selecting the optimal wheelchair is a crucially important process for you. All of the choices you have to make can feel overwhelming if you are choosing your wheels for the first time. You might anticipate that you will recover from your injury or illness, so you wonder why you should even bother to get a wheelchair at all. But the right wheelchair is a liberator, not a prison. When you configure the right chair for you and your abilities, your quality of life increases dramatically. Even people with significant disabilities can have a considerable degree of independence and activity with the right chair—more, in fact, than ever before in history. That’s small consolation when you’re facing a recent loss of mobility, but perhaps you can appreciate how much more limited you would have been not so long ago, but for the dramatic advances in wheelchair design described in this chapter.
Wheelchair design has advanced tremendously. No longer limited to the aluminum folding chairs you might be accustomed to seeing in hospitals or airports, there is now an immense array of designs and options for both manual and power wheelchairs. Wheelchairs are highly adjustable— or even custom built—available in various sizes, with features that make them easier to drive, safer, and more dignified—even stylish.
Modern chairs are also better-looking; even power chairs have become less bulky and obtrusive and institutional-looking. The visual emphasis on disability has been reduced, bringing more attention to the user of the chair instead of the chair itself.
This chapter discusses the issues involved in selecting a wheelchair, including funding, researching products from various manufacturers, working with professionals who will advise you, the many features and options of manual and power wheelchairs, and criteria to help you navigate the sometimes complex web of choices you will face.
Your Role

 

The optimal approach to selecting a wheelchair is to work as a team with a therapist (typically an occupational or physical therapist) who specializes in “seating and positioning,” and a local dealer who will actually provide the chair along with support services, such as adjusting it properly on delivery. But no matter how skilled and knowledgeable your therapist and salesperson are, you are the leading expert on you. You are the one whose life depends on having the right wheelchair, so it is very, very much in your best interest to take an active role in its selection. Learn as much as you can, and be patient with the process before making the final choice.
Do Some Research

 

Other chair users you have encountered—possibly from your rehab experience, support groups, participation in athletics, or your local center for independent living—are valuable sources of information about wheelchairs. But keep in mind that experienced chair users tend to be very opinionated and vocal about their choices. You can learn much from what others say, but what works best for them might not work for you. Each person’s physical capacities, body type, and lifestyle are completely unique as a set, so your wheelchair must be unique to who you are and how you intend to live.

 

My experience with purchasing the best chair for me came primarily from my own research, which included talking with other wheelchair users. I got a couple of names from the retailer, but the best information I got was from the Internet.

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