Thursday, May 23, 2013
Thursday, May 23, 2013

How to hoist, pivot and climb into an SUV with a giant leg brace

I'm finally home! But getting here and getting set up was a lot harder than I thought it was going to be.

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How to hoist, pivot and climb into an SUV with a giant leg brace

POSTED: Monday, May 16, 2011, 6:38 PM
Rachel with some of her favorites, a pork roll egg and cheese sandwich, and Coco by her side at home.

I’m finally home! But getting here and getting set up was a lot harder than I thought it was going to be.

On Friday at CHOP, we had to get a lot done before I could go home. My parents, nurses, physical therapist and I had already spent a lot of time figuring how we were going to get me into our car. My dad brought a big SUV, but I have this giant, heavy, metal and plastic brace on my leg – from my waist to my right foot -- that only bends a tiny bit at the hip and knee. If I couldn’t get into the car, we would have had to go back and forth to CHOP -- a two-hour drive -- in an ambulance until I got my brace off! Needless to say, my parents and I really wanted to find a way to get me in the car.

We finally figured out that the front passenger seat was a fit. From my wheel chair right next to the car, I had to stand on my left leg and, using my walker, pivot so my back was up against the front seat. Then with the front seat all the way back, I hoisted myself using my left leg on the running board and the handle next to the door. Once up on the seat, I had to scooch around a bit until I got into a position where my legs fit and I could close the door. I just fit! Then, my dad had to figure out how to pack all of my luggage, books, blankets, stuffed animals, plus balloons and gifts I had received, and the wheelchair, in the back of the SUV. (Hey, I’m a girl and my dad tells me I don’t travel light).

When got on the road Friday afternoon, I slept all the way home. The chemo that I had on Wednesday and Thursday (not to mention the prom) made me tired. When we got home, there was a banner over our front door that my friends had made and signed. They hung balloons all over the front of the house and on the back deck. My friend Shane’s parents had a ramp that they put on our front porch that made getting in the front door easy. My friend Grace and her mom came up the driveway right after we pulled in. My friends are awesome.

I can’t go up any stairs yet, and since my bedroom is on the second floor, my parents decided my temporary “bedroom” will be our family room on the first floor. They had to spend some time (okay, a lot of time) getting the hospital bed with the “trapeze” situated in the family room so I could get my wheelchair right up next to it to get in and out of bed. They also had to remove double doors into the family room because it turns out that my wheelchair is too wide for a regular door. (Which means my wheelchair will not fit through the bathroom doors, so they also had to make sure that there was enough room to put the commode next to the hospital bed.)

The bed is pretty comfortable and it’s cool being in the family room with the big TV. My mom sleeps in the room with me in case I need to get up in the middle of the night. Coco sleeps in here with us too.

It feels nice to be back home after almost two weeks at the hospital. On Friday, it was late in the afternoon by the time we got settled, so we had take-out Chinese food. On Saturday morning, I had pork roll and egg and cheese sandwich from my favorite diner. My dad grilled steaks and chicken for Sunday dinner (yum).

I have some physical therapy exercises to work on for the next few weeks to build up the strength in my leg. I have to go see Dr. Dormans on May 23rd so he can check out how my leg is coming along, and then back to chemo on Friday May 27th. Seven rounds to go!

A POSTSCRIPT FROM MOM:

As you can tell, even simple things, like clothing, are not so simple in a full-leg brace. Before we left the hospital, I surfed the Internet trying to find some “breakaway” pants, the kind with Velcro that athletes wear. I couldn’t find anything suitable. I thought, “Well, I guess she can go home in a hospital gown.”

Instead, a couple therapists went and got a pair of surgical “scrubs,” cut open the inseam of the legs, then punched holes in the fabric and laced it up. When we got home, Rachel’s principal, Melissa Wisk, pulled up. She said, “I can do better than that.” So she ran to Walmart and bought really big pajamas and sewed Velcro in the leg!


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Rachel Kovach @ 6:38 PM  Permalink |
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About this blog
Rachel Kovach, 12, is a seventh-grader at Mother Theresa Regional School in Atlantic Highlands, N.J. She lives in Highlands, N.J., near the Sandy Hook national seashore, with her parents, Mari and Kurt Kovach.

Since first grade, Rachel has been swimming with the Monmouth Barracudas, a year-round competitive United States Swimming Club program. She hopes to continue competitive swimming after her cancer treatment; if not, she envisions coaching someday or maybe a career in medicine. Figure skating and jazz dancing have been big parts of her life. One of the things she hates about being in the hospital is missing her dog Cocoa and her many friends.

Rachel's doctors

These are the key physicians overseeing Rachel’s care at Children’s Hospital of Philadelphia:

Naomi BalamuthNaomi Balamuth, pediatric oncologist, specializes in treating pediatric sarcomas, a subset of solid tumors.

 

 

Richard B. WomerRichard B. Womer, pediatric oncologist, led studies of the latest chemotherapy treatment protocol for Ewing’s sarcoma.

 

 

John P. DormansJohn P. Dormans, M.D., chief of orthopaedic surgery, is an international expert in the surgical treatment of musculoskeletal tumors.

 

Timeline of Rachel Kovach’s Treatment

Dec. 3, 2010: Pain in Rachel's right knee is initially diagnosed as tendinitis.

Jan. 20: An MRI reveals a tumor in right leg.

Jan 24: Rachel sees John Dormans, chief of orthopedic surgery at Children's Hospital of Philadelphia.

Jan. 27: A biopsy confirms Ewing's sarcoma.

February to mid-April: Regimens of chemotherapy alternate every other week. The three-drug regimen is given over two days; the two-drug regimen is given over five days.

May 3: Surgery replaces most of the right femur with a prosthesis.

May 5: A Children's Hospital team will help Rachel get out of bed.

May 10 to September: Alternating regimens of chemotherapy are to resume.

Around May 10: Physical therapy will begin in the hospital and continue for at least several months after Rachel goes home.

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