Falling Down

On Friday, I fell down twice; once when my adventure partner was home and once when he was not.  The second time, I spilled the drink I was carrying in my hands all over myself, and had to change clothes.  The first time, I was outside doing some yard work, so it sort of looked like I had taken a seat in the grass.  Two years ago, when first returning home from the hospital, I didn’t anticipate my first fall would be my last day to fall down.  I am ever thankful that my PTs and OTs have taught me how to get myself back up, which, even if someone is around me, I insist on doing by myself.

I wrote the above paragraph two years ago and saved it to my draft posts.  It recently caught my attention for many reasons.  First, it is indeed quite true that I have fallen down many times since the above paragraph was written.  Second, last week I wore a bandage on my chin due to my most recent fall.  For the record, this was the only time any of my falls have resulted in bleeding.

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I apologize for the grossness. This was my chin right after the fall. Ouch!

Two years ago, during my first few falls, a student asked me what it feels like for me to fall.  I spoke about my foot drop issue, shared my hope for continued recovery, and realized that I haven’t fully shared what it is like for me to fall.  So, I thought I would take a moment now (yes, two years later) to do just that, because I imagine that watching me fall from the outside is much different than what I experience inside.

First, I fall because I have foot drop, not because I have balance issues.  Gone are the days, thank goodness, of me getting sick from standing up (Yes, this happened January-February, 2015).  Also gone are the days of me continually walking into the right wall even when I don’t mean to do so (darn left neglect…big moments folks!).  🙂  For the most part, I am usually good about lifting my leg up high enough to be able to take a step.  However, if I’ve been sitting for awhile, am tired, or I get lost in thinking about something else instead of paying attention to lifting my leg up…I fall.

Second, I fall because I am carrying too many items (I use a backpack like a purse now), or forget that I cannot do the exact thing my brain is thinking I can do.  I walk only around 4,000 steps a day, so I need to be stingy about how I use my steps.  For example, I struggle walking through doors that self-close quickly and open from the right side.  It gets frustrating, and sometimes boring, to have to consciously think about walking.  The upside is that I’m much more aware of my surroundings than most people, because I’m always on the lookout for obstacles I might find challenging, as well as how to avoid or overcome them.

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My go with me everywhere backpack.

Third, I am usually fully aware when I’m going to fall and always try to land on my butt; admittedly, it has the most padding. 😉

Fourth, when I fall, especially if it is on my left side, it feels as though I’m falling into a hole with no bottom until I hit the ground.  It is a sort of “lighter than air” feeling and seems as if there is nothing I can do about it.  About a year ago, when I knew I was going down because I had sat up and turned too quickly, and this time I had too much forward momentum to fall on my butt, I braced myself for the moment of impact and was surprised to discover that my left foot was in a spot that helped me to stay on my feet.  This was a pleasant discovery and something that I told myself I would repeat if it produced positive recovery results…alas, it has not, or at least not in the same way that it did that day.

Finally, I know that bumps and bruises for stroke survivors are not good ideas.  Don’t worry, my blood is drawn fairly frequently to make sure that my INR is still within range.  Also, I pay a lot of attention to any bruises I do receive. I do so because, even though I have a heads up that I’m going to fall, I still find myself scared after I fall. I do not need my life explosion occurring twice.

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Issues With the Left Side

No, this is not about the political left, although you might find it to still be political.  It is more about finding hope in the recovery process regarding the left side of my body, specifically my left foot.

If you’ve been a follower of my blog over the past few years, you know that I acquired foot drop due to what I call my “life explosion” in January 2015.  I continue to work on my recovery and refuse to believe that I will stop making progress.  And, I do continue to make progress…just a few weeks ago I was able to complete five wall squats in which my left knee was level with my right knee.  This was quite exciting!  For months, due to weakness in my left hip, my left knee would turn in toward my right essentially allowing my right leg to do all of the work.  So, my PT started, and continues, to engage me in a wide variety of hip strengthening exercises.  One of which left me with inner thigh pain during spring break (major bummer) and all of which I’ve made progress in doing.  This is great news!

Still, I walk around with what is affectionately referred to as “stroke walk” and I still work to walk 4,000 steps a day.  I have moved to using a handmade wooden cane (and yes, I try to be very Dr. “House”-like with it).

I even managed to do most of the yard work this spring on my own, with shoveling being the greatest challenge.  I created a work around, though, and would use the small gardening shovel which only required more time.

Yesterday, though…yesterday frustrated me quite a bit.  First, I’ve been experiencing the pains of an in-grown toenail.  (If you are not a foot person, I apologize…and please know I am not a foot person either, but have become more comfortable with everything ‘body’ since my time in the hospital.).  This issue has been going on for a few months, however it wasn’t until recently that I went to the doctor about it.  I’m waiting to go to another doctor about it in the near future.  In the meanwhile, I soak my foot each night and use my Bioness to help keep pressure off my left foot.  Upon doing my own research and talking to the doctor, in-grown toenails are common amongst those with gait issues.  Lovely.

Second, it was raining outside.  This issue isn’t as bad as the first one, due to the fact that it is making it so that I don’t have to water the plants in the yard.  At the same time, however, it is both challenging to get all of my steps in and then walk inside a building without a carpet nearby (or a carpet that actually soaks up water) safely.  Essentially, I just need to get used to the squishy shoe sound and doing my best to drag my foot on any mat available in an attempt to wipe off the water.

Finally, I am so excited about the cognitive gains that I’ve made, especially this past spring.  Sort of similar to my wall squats, I’ve improved to the point where I actually have energy throughout the day and it’s wonderful!  Please don’t get me wrong, this doesn’t extend to unfamiliar environments; in those environments, I still lose energy quite quickly.  For example, attending a conference was quite a challenge this past spring.

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Me (on the right) at one of the conference presentations.

However, I keep pushing myself.  Everyone I speak too (e.g. doctors, nurses, therapists, etc.) encourages me to keep going, reminding me that it is possible to regain abilities even years later.  Just this week, I found this hopeful quote inside a book I’m reading for a book club,

Neural plasticity is the field of research into how, when, and why the brain develops (Stiles, 2000).  The findings of that field go against the prevailing cultural narrative of fixed intelligence.  Rather than reaching our intellectual potential in our mid-20s and simply staying there, our brains continue to develop in the areas that correspond to the skills we practice (Fuchs & Fluegge, 2014; Stiles, 2000) (p. 170).

So, here’s to continuing to practice walking “non-stroke-style”!

Our Love Affair With Dualism

As a society, we love dualism. We enjoy reducing our options to two, and framing it so that the only options we have are the two that we often can’t stop obsessing over. Yes, our love of dualism is a lens to view the most recent presidential election and its aftermath (e.g., You either were for Trump or participated in the marches this past weekend, You either were for Trump or are for abortion, etc.).

It is also a lens to view most decisions. A few dualisms related to higher education, and specifically student affairs are:

films-cinema-movie-choices-romances-tedium-rte0331_low.jpgWe either go to college or we don’t; We are either life-long learners or we’ve stopped learning; and one that has been on my mind over the past two years, “I will either get better or I will not”.  Thankfully, given my health challenges I’ve had to make my options for this one more complex than a simple one or the other.

Another that has cropped up recently in my mind is:

We are either for students developing/growing/learning/becoming complex in how they make meaning or we are for student success.

Why is it that we do this?

I genuinely am interested in knowing. It makes no sense to me why we would frame our practice as though we have two options (please know that I am not perfect in not doing it either..see above). Yes, there is a movement to use “big data” to shape the higher education experience for students. And I agree that it has potential to result in some more personalized experiences for our students, which is great! Still, I believe that it is us humans that assist in the dfear-greed.jpgevelopment of students (aka, helping others learn), not computers exporting formulas. Thus, I believe that there will always be a need for some sort of student affairs professionals.

Additionally, although I agree that the innovation of the assembly line in the United States (U.S.) allowed us to gain traction in terms of having an advantage on a global scale economically speaking, I do not think that human growth occurs in an assembly like fashion. If it did, I hope we would have had it figured out a long time ago. Thus, another reason why I believe that there will be a need for student affairs professionals.

Another way that we enjoy dualism in our everyday lives is to reduce our interactions with others to be simply an evaluation of someone’s intelligence.

They are either intelligent or not.

This one I’ve heard a lot lately due to the el130003e1461282313o8184.jpgection, so not just within education.

Although lately in higher education, we seem to be doing this in regard to a variety of issues: social justice issues, what it means to be professional, political perspective, etc. I hope that we catch ourselves in these moments and pull back from drawing a causation between a person’s intellectual abilities and how they make sense of the world. I know that we often don’t…as evidenced by conversations I’ve witnessed in person and on social media.

The multitude of options that exist between two choices is an area we as student affairs professionals can assist others in seeing. As long as we continue to be the folks who have examined change (aka development) on the individual level, as well as on the organizational level–including how the two interact. Again, there is another reason we need student affairs professionals….perhaps even for life, not just within institutions of higher education.

Lynn Pasquerella, President, Association of American Colleges and Universities, speaks to our belief in dualism as well in a video published by The Chronicle of Higher Education in December, 2016.

So, again, I ask: Why do we reduce our options to only two? And this time I add to the question: What can you doing to recognize it and help move beyond it?

Congratulations to the Class of 2015 New Student Affairs Professionals!

The following is the speech I gave at the graduation reception for Western Illinois University’s College Student Personnel program 2015 graduates.  I share it, slightly amended, because I think that it applies to all graduates entering the field of student affairs as new professionals.  Congratulations to everyone!

Hello, parents, family, and friends. My name is Sarah Schoper, and it is wonderful to stand before you here today. I want to start off by thanking you for being who you are because who you are has had a profound impact on the students. I have truly valued getting the opportunity to learn with each of them, and find them to be amazingly, beautiful individuals. I look forward to seeing how they contribute to the world around them, and cheering them on from afar.

(You should be forewarned that my mom told me to be funny so that I wouldn’t cry, and what I’m going to share is my attempt to do that.)

As you may have heard from your student, I decided to take a last minute sabbatical this semester (they probably referred to it as a trip to the hospital). Apparently, I felt the need to do a little more research on the biology of learning, and have indeed discovered that the experiential learning cycle is how learning occurs, that neurons need to connect to build pathways in the brain for learning to happen, and that we take in information through all of our sense that contributes to our learning, amongst other things. I am still in the midst of my research, also known as therapy, but so far, I can assure you and your student that I’m doing everything I can to teach only accurate and true information. It is this most recent research process that I’ve engaged in that has led me to five points, I want to share with the graduates to consider as they continue on in their life’s journey.

1.  Celebrate everything (and if you do so with nonalcoholic mimosas, various owl gifts, inspirational items, orange nails, and motivational quotes) all the better! In our world, it is far too easy to see the gl10968367_10204276114079969_5288278294979119983_nass half empty rather than half full. Don’t underestimate the small steps you take because they add u10562959_10206085533515956_3287090894491426514_np over time to big changes.

2. If you are doing your job well, you will be uncomfortable and feel quite challenged. (no, this doesn’t mean that you should go around instigating issues haphazardly). Going into the field of student affairs means that you get the opportunity to impact every day (no matter your position) the lives of the students you interact with in ways that are life altering. This enormous amount of responsibility and privilege should leave you feeling uncomfortable and challenged for many reasons, including that by doing so you are also continuing to grow and develop. (which, as we learned together in theory class, most of us don’t want to do.) So, breathe deeply, stand tall, and be persistent as you find yourself feeling uneasy, it might just signify that learning is about to happen, which is hard, but also might just provide an amazing opportunity to grow.

3. (and this relates to the point I just made about seeking out uncomfortable experiences and challenging yourself.) Do your best to step back so that you can get a different perspective on the situations you are experiencing. This can mean taking time to quietly reflect while going on a walk and/or it can mean discussing a situation with a trusted friend or mentor in order to help process out your experiences. We discussed once in class how we tend to focus on those who we interact with the most (which are also those who happen to be like us the most), but remember it is important to be aware of those we don’t spend time with and to consider why that might be. Especially since student affairs exists to serve all students.

4. It is okay to be protective of your environment, so that you can be yourself, and perhaps more importantly, so that you can have hope. In almost every class, we’ve discussed the interaction between environment and person, and we’ve established that it has a profound impact on how a person makes sense of the world, which in turn has a profound impact on what they contribute to the world. If you don’t create space for hope to exist within the educational environment, it is far too easy…especially these days, to become negative and cynical, which will then impact the work that you do and the learning that occurs for your students. If you don’t believe me about this, consider times when you’ve been around people who are pessimistic about their experience and how easily their negatively caught on and became the thing to do…almost without conscious realization of it. You will pass along such negativity to those coming to you for help if you do not create space for hope.

5. (and perhaps most important) Show love to everyone around you. I know that you are all capable of doing so, because you have shown it to me (especially this semester as I’ve been doing my research 🙂 ). Doing so, won’t always be easy either (again, sort of like this semester), but it has the ability to transform the world into a kindeunconditional_lover place, and I know this because it has transformed me.

During your program interview days, I remember sitting in the academic discussion, and one of you asking me to share what I’ve learned from the students since I had just finished talking about how learning goes both ways. At the time, I had a lot of thoughts in my head, and stumbled through my answer—the student came to WIU, so I must have done something right.  🙂  Now, that you all are about to graduate, the answer to that questions seems so clear. I’ve continually learned how to love more unconditionally, and for that, I am ever grateful. You’ve helped transform me into a stronger person, and I thank you for that because I’ve needed that strength this semester. One of my mentors, Marcia Baxter Magolda, once told me to never underestimate the students, and I sincerely believe that and encourage you all to hold onto it. All students have something to contribute, and it is amazing and beautiful to acknowledge and an honor to be a part of that.

So, in conclusion, I will leave you with two quotes. First, a Christopher Robin to Winnie the Pooh quote (seems sort of fitting at a graduate level graduation):

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The second quote is from a spoken word poet, Shane Koyczan: https://www.youtube.com/watch?v=gZfhpD42Z4Y  The specific quote I read starts on 4 minutes, 2 seconds.

“Shine in the dark places. Lend the world your light.”

From my heart to your heart, thank you for helping me to find my light this semester—I can only hope that I have returned the favor and helped you to find yours during your time in the program. Congratulations!

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Seven Lessons I’ve Learned From My Strokes

2015 has been quite the year to say the least.  Lately, I’ve been reflecting on various ways in which I’ve begun to establish a “new normal” for myself.  The following are 7 of those ways:

1. Thank goodness for long arms.  3417c9e4d91ec9173f180293fc781b59They’ve helped me be a state rated basketball player for blocked shots in high school, and make the all-conference team, and they’ve annoyed me when I’ve gone clothes shopping.  But mostly these days, I’m ever grateful for their ability to reach…especially when taking a shower.  I currently get the opportunity to take a shower in a shower chair, which means an extendable shower sprayer had to be installed too.  Ideally, before I take a shower either I or my husband remember to take down the sprayer and set it in the tub, but there has been occasions in which it has been forgotten.  During these situations, I used my arms to get it down without having to stand up, so that I don’t fall over (falling would pretty much be the worst thing that I could do).  My arms have also helped me greatly in putting on my afo, getting dressed, and in completing other tasks that require a long reach.

 

2. The quad cane has multiple uses.  This realization really should have been something that occurred to me after watching the Pixar movie Up for the first time.  29-1But, the many uses of it are coming into full effect now that I have one and use it.  I’ve used it to reach for puzzle pieces accidentally dropped on the floor.  I’ve turned it around to use the hook end to grab my MDH rehab bag.  I’ve used it to open and close various curtains in my house.  One day I will hopefully no longer need the quad cane for walking, but I might just keep it around for its other functions.

 

3. There are added benefits to living in the South.  I returned home at the end of February, and for the first few weeks there seemed to be a direct causation between my need to go to therapy and bad weather.  Unfortunately, this put a kink in my opportunity to take walks outside.  It has since turned to spring 🙂 , and I enjoy walking around the neighborhood.  But, I did notice how envious I was of my friends living in warmer climates during the end of February and most of the month of March.  Of course, I think I would feel different if it was July/August that I was talking about…I’d probably be complaining about the heat.  I fully support all of us getting the month of February off to move to a warmer climate to heal in various ways.

 

4. Fast does not exist.  M.C. Hammer declared Hammer time, and there now exists Sarah time.  It isn’t a matter of me waking up early enough, or not trying.  It is simply that I cannot move fast.  Don’t get me wrong, I’m not ridiculously slow, but I take a more relaxed pace these days. slow-300x185

 

5. It is sometimes better to not have answers.  When you don’t know why something occurred, you have more time to do things like notice each day how much the spring flowers have grown, the trees have bud, and you appreciate the birds chirping.  When you know the answers to things you often have a responsibility to use those answers to inform your experience in the world, and it can cause you to not notice many things.

 

6. Living takes courage.  courage-1Prior to all of my health concerns, I don’t think I was fully aware of how much courage it took for me to live my every day life.  I certainly realize it now, and more fully appreciate the people who are giving me opportunities to live.  Yes, I look different when I’m walking, but in order for me to get better, I need to be given chances to do what I used to be able to do.  Asking for those opportunities and then taking advantage of them takes all of the courage I have left.  I get that providing me such opportunities might make some people feel uncomfortable for whatever reason, but honestly I can’t help but feel so strongly that those folks need to work on getting over it.  Those issues aren’t mine, they are the other persons and to truly be accepting of others we need to be aware of what is our stuff and what is their stuff and what they are doing to our interactions/relationships.  After all, we are in this world together.

 

7. Learning is painful.  I had a student once who coined the phrase “if you aren’t crying, you aren’t learning”.  I don’t know that crying is necessary, but pain is most certainly necessary.  Both here in Macomb and when I was in Peoria, if I shared with any of my therapists that I was feeling physical pain of any sort, their response was often “Good! Pain is the first feeling to come back, so hopefully it means it is waking up.”  This, of course, was not the response I was aiming for, yet I did notice the pattern associated with pain and physical ability improvement.

Rehab and Student Affairs

Between January 6-7, I experienced two seizures, two strokes, and cardiac arrest for an hour. The CPR I received for 57 minutes along with the staff at McDonough District Hospital helped save my life. Recently, I was released from rehab from Saint Francis hospital in Peoria where I was for a month with the Illinois Neurological Institute. Tomorrow, I get to start outpatient rehab back in my home town. Despite everything I experienced, I am blessed to not only be alive (woo hoo!!!), but to also be cognitively able. Please don’t get me wrong, I have never been more exhausted, but my largest challenge is learning how to walk…specifically, learning how to “wake up” my left leg from the knee down. I find it fascinating to go through my day of therapies and know what I know about the learning process. Three of the highlights include:

1. Learning happens through relationships. I’ve always known it to be true, but it is SO true! The relationships I’ve developed with my caregivers in the hospital have helped me to regain arm ability and part of my leg. It causes me to pause and wonder how much we consider the relationships we are building with others in our practice as student affairs professionals. And, perhaps more importantly what it means if we expect others to build relationships with us on our terms only, as well as what it means if we “give up” on a relationship.

2. People take in information through all of their senses. As they worked to “wake up” my hamstring, they’ve tried everything…ice, electromagnetic stimulation, visualization via mirrors, physically touching my leg, if there was a smell associated with my hamstring, I’m quite sure they would wave it under my nose. I wonder how much we spend time considering the messages we are sending to others senses as student affairs professionals? Or, do we spend more time focused on having people feel good about us, our program, the experience we offer, so that the quick program evaluation we offer out at the end of the program comes back with a positive score?

3. For learning to occur it must be connected to a previous experience. It is bizarre to wake up and realize that I cannot remember how to move my hamstring, but that is what has happened. So, in order to wake up my hamstring, I’ve been trying to remember what it is like. In order to do that, I have been moving my right leg’s hamstring and focusing on how it feels, and then trying to replicate that on my left leg. The frustrating part is that I can’t visualize what it is like to move my hamstring, so I kept asking my Physical Therapist to help me associate it to other things in an effort to relearn how to use it. I can’t help but wonder how often we connect to what others know already in our practice and encourage them to associate? Or, do we treat others like we are the expert and they don’t bring knowledge into their experiences with us?

I could go on about all that I’m learning about learning, I’m proudly a bit of a learning nerd :), but I highlight the above three points because I often think that we can be caught discussing how we want to “wake up” our students to their own behavior, and I wonder if we do so in a way that will allow them to learn what we are hoping they will learn. Or, if we simply expect them to learn because we told them to do so and then we are frustrated when they don’t meet our expectations.

Current update: My hamstring has started to wake up. 🙂 Now, on to the ankle in outpatient rehab tomorrow…

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