The Mouths of Babes

People with disabilities spark an avalanche of questions for children, who are naturally curious and, generally, uninhibited. We look pretty unusual to them. They don’t know what to make of us, but very much want to know.

Until some adult suppresses their curiosity, that is. Usually without intending to.

I see it happen very often. A child, fascinated by my presence, will make their curiosity loudly public. Like the five-year-oldish girl at the grocery store once who saw me and shrieked in evident delight, “Mommy, Mommy, it’s a man in a wheelchair!!!”

She was louder than the public address system calling someone to clean up the broken jar of honey on aisle seven.

Mommy promptly put her finger to her lips, glaring at her child, crouched down and released an angry, “Shhhhhhhhh!”

The girl, her bubble of enthusiasm burst, turned to me with a last, sad look. So I put my finger to my mouth, adopted a wild-eyed expression, and went, “Shhhhhhhh!”

The little girl beamed. The mother got angry. “I’m trying to teach her manners,” she said. My reply: “I’m trying to teach her not to be uptight around people with disabilities.”

I’ve had some really great experiences speaking to middle and high school students. They have the most spot on questions about disability, questions that no adult ever answered for them — or at least not well. Many of them, on hearing the above little girl story, reported having a similar experience with a parent and, indeed, they had taken the message to heart that they somehow they had to behave differently around “those” people.

The only thing left for these kids are the same traps everyone else falls into: images and messages from media and the arts which are infused with inaccurate stereotypes, and their own best guesses at what it must be like to live with a disability (also always wrong, by the way). They fall into the classic stereotype holes, missing out on the chance to understand the real human experience of being a person with a disability.

There was good news in 1975 when the Individuals with Disabilities Education Act (IDEA) was passed in the U.S. Congress. One of its key provisions is mainstreaming kids with disabilities in public schools. Kids with disabilities are no longer automatically shoved into special education where many have historically been denied the chance to develop to their true intellectual potential. (Have no doubt, the waste has been immense.)

This means that kids without disabilities are getting a lot more authentic contact with kids with disabilities. Familiarity breeds, well, relaxation.

I also speak to a lot of college students, and often ask them how many had a friend or a family member with a disability when they were young. A notable number of hands go up. I take that as proof of progress.

(It’s also true that a lot of kids with disabilities are being bullied, considered easy prey. But that’s another conversation.)

There’s been a true social transformation in the functional experience of living with a disability. People are able to participate and contribute at a higher level than ever in history. But a clear understanding of real people in this modern age who happen to have disabilities is the final frontier. We’ve got a long way to go to accomplish social models that fit the truth. There is still a revolution to be achieved in people gaining a general comfort level around people with disabilities — or the very notion of disability.

I’m hopeful that it’s happening, thanks exactly to our children now growing up around kids with disabilities, finding out that they’re pretty much people. Just like the rest of us.

It really works. I have two nieces who were very small when I was injured. Someone in a wheelchair is just no big deal to them; the most normal thing in the world. “What?,” my niece Stacey said, describing her surprise as she grew up. “Everyone doesn’t have a cool uncle in a chair that gives them wheelie rides and juggles??!!”

I go out of my way to interact with curious kids. I let them pet my fantastic black Lab Trilby. I pull out the juggling balls that are always in my backpack. I pop wheelies. I want to make sure kids can relax around disability — especially assuming that they might have already had the kind of experience I witnessed in the grocery store.

As those kids grow up, I hope for a number of things for them. I hope that they won’t be surprised by the notion of someone with a disability having substantial career goals. I hope that they’ll observe and absorb the adaptive creativity those kids employ and model. And I hope that they’ll realize, should it become them, that they are capable of dealing with it, embracing a whole life with a disability, and feeling just fine about themselves in the process.

…especially when they get old, as I am firmly in the process of becoming. As I gain impairments from age — much as I already am not liking it — I’ll switch to the power chair. I’ll rely on others for more help. My disability has shown me so plainly to not let my life be stopped — because it’s just not necessary. I’m counting on a generation that understands the common sense of adapting as we age, choosing to get out and keep living, no longer reacting to disability as a stigmatizing or embarrassing thing. They’ll see mobility technologies like the exoskeleton for the useful tools that they are. They’ll know better because they’ll have seen people with disabilities in action throughout their entire lives.

Won’t that be way cool?

Ekso Bionics’ Blogger Gary Karp is an author and speaker on what he calls the Modern Disability Experience. His work supports people making a recent adjustment to paralysis, and he helps business and government clients recognize and embrace the historic emergence of people with disabilities as employees. Learn more at www.moderndisability.com.

 

Standing and Walking

What is it about standing and walking?! We all take it for granted until it’s taken away; like most things, I suppose.  Most of us do it all day long, on autopilot, without thinking twice or paying any attention.  Phrases and sayings about standing and walking are even embedded in our society.

I hear the most amazing words from Ekso™ users and I see the most amazing smiles from them.  I feel like Santa, but the gift doesn’t come in a box. I feel like a labor and delivery nurse, but there is no baby.  I feel like a superhero, but there’s no cape or special power.

People describe being in Ekso in many different ways.  “I feel like a king.”  “I can give a more intimate hug.”  “I can have a conversation eye to eye.”  “I can remember how tall I am.” “I can look down on someone rather than them looking down on me.”  That is just the beginning of the descriptions I hear.

I can’t imagine the emotional storm that arises for people as they stand and walk.  And, yes, some have used braces and some have standing frames, so maybe it’s not the first time, but there is something magical about emulating human gait. Some say it reminds them of a time before their injury.  Some say it allows them to relinquish a little bit of control and feel a different kind of freedom.  It’s not the same as the way they walked before, but it’s the opportunity to participate in an experience pretty close to it.  I feel incredibly honored to be part of this opportunity.  Like I said, it’s like being a labor and delivery nurse — being part of this powerful experience.  It really doesn’t get old.  Every person has a unique and amazing smile that’s worth a thousand words, some have tears, or sometimes it’s their family members.  Then, I have tears too.  It’s nearly impossible not to be jolted into an emotional state.  I can’t and won’t pretend to know what the user is feeling, but all I know is it sheds some light on the simple things in life that may not cross our minds that often.  These things may mean a lot to some and a little to others.  Either way, it makes me happy to have met so many independent and inspiring Ekso users and to share the experience with them and others in the future.

 

The Transition from a Clinical PT to Working for Ekso Bionics

Last summer I was sitting in my hospital’s charting room with beautiful views of the San Francisco Bay and glimpses of the Golden Gate Bridge.  Much time in the life of a physical therapist (PT) is spent documenting in a familiar environment.  One of my unit’s case managers came up to me and stated, “I intercepted this fairly vague phone call.  The caller was looking to speak with the PT supervisor.” She continued on, saying, “I tried to receive the call and answer appropriately, but she was very insistent in speaking with you.  Would you mind calling her back, if it’s not too inconvenient? Unfortunately, all I have is a name and number.”  Without hesitation, I took the limited information and after a brief call, I was introduced to Ekso Bionics™.

After 10 years of clinical work, I found myself frustrated with watching a clock, and counting minutes to assure I was fulfilling Medicare’s expectations of time spent with patients and units of productive service expected by my clinic.  Although I wasn’t actively seeking a change in employment, I found myself excited with the opportunity Ekso Bionics offered.  A series of phone calls and conveniently local headquarters offered the opportunity for me to interview and visit with the company on two separate occasions.  On the second visit, I asked Darrell Musick (the Clinical Director) if an able-bodied person can walk in Ekso and about 10 minutes later I was wearing and walking in Ekso.  I was sold and really wanted the position.

With much excitement, I was offered the position of Clinical Training Specialist.  With appropriate diligence to wrap up my former position and assist with appropriate transitions, it took a couple months to close one chapter of my PT career to open the next.  The clinic was everything I knew and one where I could anticipate what curveballs would head my way.  The challenges of patient or family members, therapy or nursing team dynamics, staffing ratios and productivity were quickly swept away.  I was moving into a world extremely foreign to the clinical-based physical therapist.  A biotech start-up company is entirely different. I was now trying to understand fairly new and evolving technology.  I think of myself as a math and science person, but I’m not very tech-savvy.  Although I feel confident in my knowledge of the body, biomechanics and neuromuscular function, I stepped into a world of technology and discovered how a robot can interface with the highly sophisticated system that is the human body.  The learning curve was eased with training from my colleagues who spent appropriate time to explain and offer opportunities for learning.

This new and dynamic experience is ever-changing and exciting.  I see the Clinical Training Specialist as a 3-dimensional role.  We are first and foremost physical therapists working with patients and analyzing gait, but we also act as clinical educators/instructors and tap into a sales and marketing component.

Throughout each week we have test pilots come to headquarters.  These appointments help on multiple levels.  It offers the clinical staff opportunity to gain exposure to learning styles and teaching opportunities, while still maintaining a clinical opportunity of patient and family interaction.  The test pilots have the opportunity to use the product, ambulate and gain benefits of walking in Ekso.  The product development team gains opportunities to test and trial new hardware, soft goods and software changes.  It’s a win-win situation for all parties involved.

The Ekso Clinical Training Specialist is also responsible to assist with sales demonstrations.  It is a rare opportunity for PTs to travel for work.  Outside a home healthcare scenario, it is the clinical model in the US healthcare system for patients to travel to the clinic due to equipment and logistical constraints.  I have been offered the opportunity to travel across the country to demonstrate and expose people and clinicians to Ekso.  It is a priceless experience to watch people witness our ambassadors and test pilots walking in Ekso each time.

The ultimate goal of many of these demonstrations is to place Ekso in the rehabilitation clinics.  When these sales are complete, the clinical PTs have the opportunity to train up to four of the clinical site’s PTs on how to safely use the device.   As a clinical instructor, it is such a pleasure to have the opportunity to get back into teaching.

This career change was certainly unexpected and an opportunity that is unmatched.  Every day I work side-by-side with some of the world’s most innovative engineers, top-notch executives, brilliant marketing and customer relations representatives and an elite group of clinicians.  I find myself very fortunate to have this opportunity and excited for the many lives we will touch in the future.

Thanksgiving Message from Ekso Bionics’ Ambassadors

“My mom just reminded me of something. When I was injured 5 years ago the doctor told me I’d never walk again.
Now patients with a new spinal cord injury are going to be told, “We are going to teach you how to walk differently.”
I’d take different over never any day.”
Matthew Tilford, Ekso Ambassador

With sincere appreciation to everyone at Ekso Bionics for the love and compassion you have shown us and for all the help we have received. We live in thanksgiving daily.
There are no words more powerful than a simple THANK YOU for helping us walk again.

From the US Ambassador Team – Paul, Amanda, Matt, Tamara, Chris, Sarah & Jason


Gary Karp Blogs for Ekso Bionics: Help Me?

While the Ekso is likely to offer some demonstrable health benefits for paraplegic users, its highest value will be in whatever ways it gives people with paralysis more options, more control.

It’s all about independence. For me, independence is what really matters. A lot. I like to imagine that we’re all wired that way — to prefer to do certain “essential life activities” for ourselves.

Actually, I don’t like being helped. Read More +

MOMENTUM

By Eythor Bender, Ekso Bionics™ CEO

As of this writing, our Ekso™ bionic suit is available at 20 respected rehabilitation centers in the United States and Europe. This means that hundreds of people with spinal cord injuries have the opportunity to stand up and walk in Ekso.

That’s quick work for a product that just began shipping in February of this year, and we intend to expand this Ekso™ Center network across the globe in the coming months. You can locate a center near you and follow our progress here.

Over 300 people have stood and walked in Ekso already, taking over 400,000 steps in total.

Gary Karp Blogs for Ekso Bionics: The Problem Ekso Won’t Solve

I’m about to write about another thing that the Ekso doesn’t do for people with paralysis.

But first, a couple of disclaimers.

I remain a big a fan of Ekso Bionics, and a total supporter of their effort to develop this technology. If you’ve been following my monthly blogs then hopefully you already know that. (If you haven’t kept up, go back and read the earlier blogs; it’s good stuff.) They’ve kept a (pretty good) perspective on who people with paralysis really are, and the quality of lives they are capable of living. They get that once people get over the initial emotional rush of standing and walking, the Ekso will have to meet the test of daily practicability. Read More +

New Levels of Autonomy for Patients Wearing Upgraded Bionic Walking Suit “Ekso”

Plus New Ways to Understand and Share Your Progress

 

RICHMOND, California, August 9, 2012 – Ekso Bionics today announced that it has begun shipping an upgraded version of Ekso™, the bionic suit that powers patients with spinal cord injuries and pathologies up to get them standing up and walking again. Each Ekso now comes equipped with three new walking modes for progressive rehabilitation options, in addition to EksoPulse™, a wireless networked usage monitor. Patients will have new challenges as they master each level and more control of the suit as they become more adept. Also, Ekso now provides both the patient and the physical therapist with better insights into that patient’s headway.

Ekso is a ready-to-wear, battery-powered bionic suit – or exoskeleton – that is strapped over the user’s clothing. The device transfers its 45 lb. load directly to the ground, so the patient doesn’t bear the weight. Each Ekso can be adjusted in a few minutes to fit most people weighing 220 pounds or less, and between 5’2” and 6’2”, with at least partial upper body strength. The patient provides the balance and proper body positioning, and Ekso facilitates walking over ground with reciprocal gait.

“With this upgrade, clinicians using Ekso can now empower their patients even more by teaching them to control the suit autonomously, thereby giving them greater independence,” said Eythor Bender, Ekso Bionics’ CEO.

“As the patient gains confidence and familiarity with walking, Ekso now permits them to graduate to a next level, and then another,” explained Darrell Musick, clinical director at Ekso Bionics. “This comfortable experience-based progression allows for sequentially- increased freedom and better control. The patients love it.”

Ekso’s Three New Walking Modes: 

Read More +

Ekso Bionics Interviews Sarah Anderson, Ekso Ambassador

BACK ON MY FEET AGAIN

As Sarah Anderson rises up in Ekso, her six-foot stature stands tall. She casts her eyes across the room and observes the world from her natural height, a perspective so different from what she’s become accustomed to – living her life in a wheelchair. We wanted to share a little more of her story with you. Sarah imparts some honest truths about when she sustained her chronic spinal chord injury, and her thoughts and feelings since.

If you haven’t yet read Sarah’s Profile or watched her video, here are some insights into Sarah’s background.

At 31, Sarah has truly lived life, and more than most at her young age. 8 ½ years ago on a warm summer’s day in June, a drunk driver struck the vehicle Sarah was a passenger in. Sarah sustained a chronic spinal cord injury and was paralyzed from the waist down (T10 ASIA C Spinal Cord Injury-Incomplete). Read More +

Gary Karp Blogs for Ekso Bionics: I’m Not Broken

I’m paralyzed, but I’m not broken. I don’t need to be fixed.

You might be shocked by that statement. “How can you not want to walk again?! ,” you might think.

Well, it’s not about whether I want to walk. Of course I want to walk. That is, if I could walk the way I did before my injury. Easily, without fatigue, secure in my balance, painlessly. That’s a pretty tall order (especially given that I’m six foot two!).

I’m talking about how it feels to be viewed as someone who is broken. That is entirely apart from the question of whether I want to walk. Read More +