Archive for August, 2006

Plugging The Whole

Tuesday, August 29th, 2006 by keiron

Imgp1733_1
Excuse the pun, but I thought I’d take the chance to shamelessly plug Kaboodle since we just released the biggest update yet to our site. It’s been great to be back in the thick of it after my accident back in Feb. The release has been keeping everyone busy for the last 8 weeks as we’ve feverishly worked on a whole list of new features…the last 2 weeks have been the longest days (and nights) for everyone.

I’ve been busy developing our core technology that is used to automatically extract and summarize web pages for you. It’s the magic behind the ‘Add To Kaboodle‘ button, most of you won’t even notice it I’m sure…but that’s what makes it magic of course. And in this release we use the input from our users as they add pages to Kaboodle to improve the quality of our extraction over time, so it should just keep getting better!

We added some really cool features in this release that I personally love, one is groups. I have created the ‘Give Us A Hand‘ group where I’ve added all my Kaboodles on all things related to living with one hand. It’s an open group so feel free to join if you have something to add, hopefully it’ll be a useful resource for others.

I also love the slideshow widget that allows me to embed my research directly in my blog and share with everyone…

…very cool!

Anyhow, go check it out and if you haven’t signed up already do it now…you owe me!

Watch Out!

Wednesday, August 23rd, 2006 by keiron

Kerry gave me a lovely Tag Heuer watch many years back after we got engaged. I wear it all the time and it was on my wrist when I had my accident.

I remember at the clinic I was first taken to in Colombia that they had to take the pin out of the strap to get it off my wrist, my hand was bunched up and they couldn’t get it over it. I remember skin peeling away as they took the watch off and then forgot about it since I had other, rather pressing, matters to deal with.

It wasn’t until I was in hospital in Miami that it occurred to me to ask Kerry what happened to my watch. Luckily she had picked everything up at the clinic as we left for the main hospital, so at least it wasn’t lost…however I figured it would be pretty fried by the electricity. The surgeons at Miami had commented on how the burn damage was pretty extensive all around the wrist, the theory being that the watch had conducted the electricity and perhaps contributed to the extensive damage (if you plan on flying into power lines please wear a plastic watch!).

WatchAnyhow, Kerry brought the watch into the hospital and to our amazement it was still working. OK, it smelt of burnt skin and there were tiny bits of blackened skin still in the wrist strap, but apart from some tiny melt marks on the casing it seemed fine. That was until the next day when it suddenly stopped…oh, well what do you expect.

When we finally got back to San Francisco we looked at it again and lo and behold it was working. Once I got back home I took the watch in to be cleaned and it came back as good as new, you’d never know what it had been through (shame the same can’t be said of me). All in all it’s a pretty remarkable watch and who knows, maybe the watch was the reason the electric current didn’t stop my heart and kill me – which is what most doctors expect should have happened when I describe the accident to them. Thanks Tag Heuer!

Give Me A Hand

Sunday, August 20th, 2006 by keiron

I still haven’t got my prosthetic hand yet, it’s been a challenge for Richard at Hanger to get a test socket to fit. InitialmouldMy stump is a bit bulbous, which, as you can imagine, makes it a challenge to get a socket to go over the bulge in the middle yet still fit snuggly to the stump.

FilingmouldIt was third time lucky last week though, Richard successfully created a socket that fitted well. Now he will turn this test socket into a real one made from carbon fiber and then I can start experimenting with the hand attachments to see how they work for me, I’m quite excited to finally get to try something out and see what difference it makes.

Richard kindly took some photos of the Ovenprocess of making the test socket. The first one on the left is the initial mould taken from the cast he made of my arm, it’s pretty rough and has to be sanded down and smoothed out before they can make the socket from it. MakingmouldAs you can see they just use a normal file to get rid of the imperfections and to reduce the size of the mould by 3-5%…this is where the skill comes in to reduce the size but not to make it too small that the resulting socket won’t fit. MakingatestsocketIn my case, for the third test, Richard didn’t reduce the size of the mould at all, instead, when he took the cast of my arm he shaped the tissue in my arm while it set.

In this next shot you see them heating the plastic sheet ready to make the socket, notice how it’s bowing down. Then they shape the sheet around the mould and finally apply the vacuum to suck all the air out and create the final result.

Driving Me Mad

Saturday, August 19th, 2006 by keiron

I’ve been driving again for about the last three months since the accident. To make driving easier we sold our manual Jeep Wrangler and bought a Toyota Prius, which is an automatic (and gets 45+ MPG!). Because I wasn’t sure of the legal situation with me driving again after the accident I wanted to find out if someone is supposed to sign me off as being safe…this was three months back.

So I started of by asking my plastic surgeon if I was safe to drive, he didn’t see any reason why I couldn’t since I had full mobility in both legs and my left shoulder…but he didn’t know who I had to talk to from a legal standpoint.

Next I spoke to my physical therapist, same thing, didn’t see why I couldn’t drive since by then I pretty much had full flexion back in my left elbow…but she didn’t know who, if anyone, I needed to legally talk to.

Given the litigious nature of people here in the US I really wanted to make sure I was legally safe, so my next stop was my insurance company. I figured if I let them know and they didn’t raise an objection then I would be legal, but that wasn’t to be. I phoned CSAAA and spoke to someone and let them know I had a left below elbow (LBE) amputation, she said she was sorry to hear this but as long as I was safe to drive the insurance company didn’t care, since she didn’t even have anywhere to record this information…so I struck out there.

I then contacted a friend I had meet who had an above elbow amputation to see who he had spoken to, unfortunately he couldn’t remember and said he just started driving again.

So, running out of avenues to pursue I phoned the DMV, I figured they must know what I needed to do. The person I spoke to kindly gave me the number for the local Driver Safety Office in Oakland. At last, progress. So I phoned them, they took my details and said I needed to get my Doctor to complete a medical evaluation. I duely printed this and took it to the business office at Kaiser, where it would take 10 working days for them to process and send back to the DMV.

By this time we’d sold the Jeep and took delivery of our new Prius. Since no one had told me I couldn’t drive and I felt quite safe driving with one hand, I started to drive again, commuting about 80 miles a day into work and back.

After about a month I finally heard back from the DMV, who scheduled a telephone call with me to discuss my case. Two weeks later I was on a very formal (and recorded) call with one of the safety officers. They asked about my condition, said the medical evaluation form sent by my doctor didn’t have enough information and then said they’d send me their determination in a month…OK I thought, I guess I’ll just keep driving and wait to hear…ho, ho, ho!

So now three months on I get a letter from the DMV informing me they have suspended my driving privilege! Why? I hear you ask, because they feel I can’t drive safely with one hand…nope. Rather they don’t have enough information to make that determination. So it took them a month to tell me they needed more info and instead of just requesting more info they have suspended me and I have to now request a hearing…which given their track record could take another month to schedule, during which time I can’t drive.

Don’t you just love these people!

Anyone For A Game Of QiGong?

Tuesday, August 8th, 2006 by keiron

Qigong
Sounds like a chinese board game doesn’t it, but for those in the know it’s actually an aspect of Chinese medicine dating back over 3,300 years. I was introduced to QiGong just recently by Kerry who had been introduced to Dr. David Smith. David is the first American Medical Qigong Doctor on record in China to
be recognized for using External Qigong for the purpose of pain relief
and healing, you can check out his website for his background – pretty impressive and a really interesting guy to meet.

I’m a big believer in fate; things generally happen for a reason. The
fact that Kerry was introduced to David recently through her work, that he
lives in Walnut Creek just up the road from us, and happens to be a
QiDong Doctor with 20+ years of experience who has successfully helped
many amputees with phantom pain…well you get the point and so this is
my first experiment in easing my phantom pain.

A couple of you sent me some great info in response to my last post, many thanks. The article by The Welcome Trust
on phantom limb pain was interesting and spoke to use of mirror therapy
and other techniques to try to shift the emphasis in phantom limb pain
away from the site of damage – the stump – to the centre of pain
processing: the brain. Another article, emailed to me by a friend, from
the Economist
(requires subscription I’m afraid) talked about retracted phantoms.
Patients with extended phantoms showed activity in the hand area of
a part of the brain called the motor cortex. This response is identical to that shown by
unamputated volunteers asked to do the same thing. Those with halfway
retracted and completely retracted phantoms had
different responses. They showed activity in the elbow and shoulder
areas of the motor cortex respectively. In other words, a greater
degree of retraction involves a greater rewiring of the brain. And the
greater the retraction, the worse the pain.

As I read this I started to realize that the sensations in my hand
were in deed retracted, almost as if my hand was attatched directly to
my stump (sans wrist). Also, I realized that my hand felt as if  it was
tightly clenched in a fist, as it was at the time of the accident (I
had to prise my fingers open to get the brake handle of my glider out
of it).

All this speaks to what David told me when we first met, that the
memory of my injury was stored in two places; the cells of my arm and
the cells of my brain. He explained that his focus would be on the
celluar memory of my brain, as this was the cause of my pain.

I first met David last week during Kerry’s session with him, he had invited me to come along for the experience and I decided to go back – today was my first session with him. I like to keep an open mind, mixed perhaps with a healthy dose of skepticism and it was with this attitude that I met David. He quite happily told me that it wasn’t necessary that I believe in what he would be doing for it to work, it would work regardless. He didn’t need me to go into a trance, or meditate and he wouldn’t be dancing around me waving his hands or hitting me on the head and telling me I was cured…did I mention he’s got quite a sense of humour.

Our first session was quite incredible to be honest, hard to explain the sensations I experienced but it was both a physical and emotional release. For the first time I started to feel my hand release a little and it felt like I could wiggle my finger tips…a promising start. I’ll be going back once a week for continued treatment and we’ll see where it ends up.


Keiron McCammon

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