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.

True Inspiration

When you’re a person with a visible disability and you’re out there getting on with your life, it comes with the territory for people to often say to you…

You are such an inspiration!

I love the idea that my example in the world as a person living with paralysis would empower others to be the best they can be. After all, it’s my job description: “inspirational speaker.”

I don’t actually bill myself that way. But the simple fact of being a man who’s been a wheelchair user for nigh on forty years who is paid to speak in public about the disability experience automatically earns me that title.

Yet I don’t wholly subscribe to it.

Why, you might wonder, would I have a problem with that?

Because I find that the reaction people have to a paralyzed person living well is not actually to be truly inspired, however sincerely they use the word. They give themselves away with their next words: “…but I could never do what you do.”

Doesn’t sound like inspiration to me. Sounds like intimidation!

True inspiration is indeed what I’m after, so it’s been a profound struggle for me to search for a way to communicate the disability experience in a way that actually does inspire! I want people to come away with the belief that they can push beyond what they thought were their limits. I want them to at least believe that they could do what I do if they had to (like I did), even though they don’t have a clue how it’s done.

Because that’s exactly how it’s done. You move forward without a clue how. That’s how I did it — guided by therapists, reinforced by the love of my family and friends. And I can tell you it was as sloppy and emotional as any other life experience that pushes us beyond the edges of our comfort zone.

I so often see the “inspirational speaker” set up on a pedestal, set apart from others for being remarkable and uniquely strong-willed, talented, persistent, etc. Or just lucky.

What people expect from a great keynote experience is a profound emotional hit. They want the heart opening tug we get from stories of people who overcome great odds, bounce back from moments of darkness and doubt, find their way to the light of self-belief, and embrace life for all it’s worth. My job as a speaker is to energize the room, to offer fresh perspective. And to entertain (easily enough achieved with my impressive juggling skills, those of you who’ve seen me will know).

But is it true inspiration? Does the authentic insight into ourselves and our lives that we seek really reside in these kinds of powerful emotional moments? Not necessarily. I find that true inspiration often resides in a calmer place, where the recognition of our greater powers is a simpler understanding that leads to a kind of relaxed letting go, taking a deep breath in response to that moment of clarity. A moment of yes that seems obvious, self-evident.

It’s a fact: people who live well with disabilities, whether since childhood or acquired later in life, are not at all rare. It’s a pretty common thing. It’s not that big a deal.

See? Where’s the emotional jolt in that?! But if you take a moment to think about it, the above statement is quite radical. It challenges a core belief that living well with disability (and being perfectly happy with it) is exceptional. Only exceptional people achieve it — which is why they are the “exception.” Isn’t that the underlying belief in our culture?; we should honor the people who thrive with disability because they do what most other people couldn’t.

That’s the very core belief I’m devoted to changing, because the facts don’t support it.

People do it all the time. People who never would have believed they could.

Their ability to do it depends on whether they get access to what they need: rehabilitation, adaptive technologies like the Ekso, an accessible environment to live, work, and play. That’s not a matter of the human spirit, that’s a matter of public policy.

Above all else, their ability to do it depends on their ability to believe they can. As long as our culture operates on the belief that it takes an heroic force of will and the rare exceptional being to succeed with disability, people will continue to fall into the trap of self-doubt.

Many have rebelled against these attitudes, and fought their way to self-worth despite the lowered expectations which surround them. That is heroic, but why should they have to waste their energy on it?

The current inspirational model actually does a disservice to us all. By setting the bar artificially high, we make it harder for people to reach it. It will take longer for someone to adapt to a traumatic change. Some won’t make it. And that includes kids with disabilities, raised to doubt that they can play as a full a role in our world as anyone else. The inspirational model actually ends up having the exact opposite effect on the people faced with living with disability.

It costs us the contributions those people would make in their families, communities, and the workplace. It costs us money in the unnecessary Social Security and Medicate benefits everyone is so concerned about these days, from the people who leave jobs when they don’t have to, and from the secondary medical costs of depression, weight gain, heart disease, diabetes, skin breakdown, and all sorts of stupid, nasty things that happen when people are prevented from living the lives that are possible.

The true inspiration is in recognizing what the example of those of us living well with disabilities really models: that we are miraculously adaptive beings. Every one of us.

What would happen if we operated on that assumption as a society? What would happen if we designed our public policy around that belief? What would happen if instead of celebrating the exceptional people who thrive, we celebrate even more how it becomes almost mundane for people to adapt and live well with their disabilities because we expect it rather than doubt it?

This is where I get the big emotional hit. This is the dream I believe in. And I’m asking you to start by being willing to very simply and calmly believe that, with all it’s initial messiness and grieving and mystery, you could do it, too, should you ever have to.

Allow yourself to be truly inspired.

 

 

 

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.

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 +

The Steps Add Up!

By Karl Gudmundsson
VP of Marketing, Ekso Bionics


It happened in a busy therapy gym in mid-October. There wasn´t much fanfare, but it was a significant milestone. Most people around were likely clueless that it even happened. The first Ekso surpassed 100,000 total steps in a rehabilitation program.

The Good Shepherd Rehabilitation Hospital in Allentown, PA is one of our Charter members and the therapists there have been actively integrating Ekso into their daily routine. Read More +

INC’s Cover Story: “5 Big Ideas for the Next 15 Years”

By Eythor Bender, Ekso Bionics’ CEO

We were featured in a thought-provoking cover story in INC’s November 2012 issue that maintains that Ekso Bionics is one of “5 Big Ideas for the Next 15 Years” that have passed its Audacity Test. Read More +

EKSO BIONICS WINS A 2012 WORLD TECHNOLOGY AWARD AND IS HUMBLED …

2012 World Technology Award

By Eythor Bender, Ekso Bionics’ CEO

It was as much a privilege as a technological leap forward to create Ekso, the bionic suit which powers up people with spinal cord injuries or pathologies and gets them walking again.  The 2012 World Technology Award we won on Thursday in the Health and Medicine (Corporate) category has reminded us that we are playing a part in changing life as we know it. This year’s Awards theme hit the nail on the head: “Nothing will ever be the same again.” Read More +

Gary Karp Blogs for Ekso Bionics: Disability Pride

When you first acquire a disability, it’s just not possible to imagine adopting the identity of disability with pride. In the beginning, identifying with disability at all is deeply infused with stigma. In the beginning there is only loss. There is nothing to take pride in, only the deeply uncertain mire of coping with a primal sense of trauma, and a vision of the future that has gone dark. Of course people resist it — at first. 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.