Please click here to order your copy of Worth the Ride: My Journey with Duchenne Muscular Dystrophy. All proceeds go to Parent Project Muscular Dystrophy (PPMD)

Tuesday, May 15, 2007

Take Me Out to the Ballgame


The baseball season's been underway for a month and a half, but I don't consider it official until I actually get out to the ballpark to see the Phillies for the first time.

Tonight was the night, and why not? With a game-time temperature of 80 degrees, low humidity, a comfortable breeze, and the first place Milwaukee Brewers in town, it was the perfect occasion for my season debut. Apparently, 41,000 other people had the same idea, too, perhaps because it was also Dollar Dog Night (hot dogs for $1) and College Night (lots of rowdy, drunk students).

I always enjoy a night (or day) at the ballpark. Citizens Bank Park, which opened in 2004, is extremely accessible. There are plenty of great places for fans in wheelchairs and their companions to sit, and when fans in front of such seating areas stand up to cheer, they don't block the view of those in wheelchairs. The stadium also has several family (unisex) restrooms, which makes it more convenient when I have a female nurse with me.

With accessibility concerns out of the way, it means less aggravation and more time eating, criticizing manager Charlie Manuel's moves, yelling at umpires, and oh yes, cheering for the Fightin' Phils!

Getting out to games at night is not the easiest thing for me. I must arrange for my nurse to come in later and leave later, which affects my mother's schedule. And then there is a big rush to get ready. I need to remember things like preparing my evening medications to take with me and changing my ventilator battery so that it doesn't die before I get home (Yes, it's always nice to be able to breathe; it really adds to the experience!)

In the end, though, it's always well worth it, especially when the Phillies win. I couldn't have scripted the ending any better tonight: two outs in the bottom of ninth, tie score, when catcher Carlos Ruiz hits a dramatic home run. Game over. Phils win!!!

Sunday, May 13, 2007

Feeling Blue


Comedian Josh Blue (see video clip) shows that there's nothing wrong with laughing at yourself -- even if you have a disability. Blue, who won NBC's "Last Comic Standing" in 2006, has cerebral palsy, which he incorporates into his brand of humor. One of my nurses told me about him last year after he won the competition, so I checked out a few video clips and found them funny. When I saw in the newspaper that he was to perform nearby, I decided to find out if he was as funny in person.

Although I was exhausted from a busy day yesterday and hardly felt like getting ready to go out in the rainy weather, I was glad I did because Blue certainly didn't disappoint. The two other comics who preceded Blue on stage, Kristin Key and Michele Balan, were very funny as well. But Blue's act was high-energy from the start; the guy must have walked three miles with all the pacing he did back and forth, across the stage. His disability was a key component of his act, whether poking fun at his out-of-control right arm and its effect on everything from voting to hailing a cab or taking on condescending people with his signature phrase, "Hey, buddddy!"

I couldn't help but admire him for being able to laugh about his disability. I try my best to do the same and have incorporated bits of humor into my autobiography (unfortunately, no news to report about that), but it's not always easy.

It was definitely an enjoyable evening. My only concern was that my seat was so close to the speakers that I worried about my defibrillator, as being in close proximity to magnetic fields such as those produced by speakers can potentially render defibrillators temporarily inactive.* The last thing I needed was to have a problem in the middle of the show -- it would have been a real shocker! Okay, I guess I don't have a future in stand-up (or sit-down, for that matter) comedy, but I had to at least try to say something funny in this entry.

*A call to the nurse practitioner on Monday morning assured me that I was most likely sitting far enough away from the speakers, though she suggested that in the future, I might want to consider sitting a bit further away.

Friday, May 04, 2007

The Weakest Link


"If you look close enough, you'll find everyone has a weak spot."

That's a great line from "Fracture," starring Anthony Hopkins (excellent movie, by the way), but I think one could say the same thing about the wheelchair lift in my van. Its weak spot is the trip wire attached from van door to the lift, without which the lift will not operate (see picture). And to think that the ability of a piece of equipment strong enough to pick up a heavy motorized wheelchair all hinges upon one measly wire.

Well, the chickens came home to roost yesterday. Ready to grab some lunch after watching the aforementioned film -- no, Sir Anthony did not eat anyone, in case you were wondering -- my nurse and I were less than pleased to hear a loud "snap" when he opened the van door. Gulp!

"That's not good," we said at the same time.

Though I had several hours of power left on my ventilator battery as well as a cable to hook the ventilator to the van's cigarette lighter adapter, the goal was now to get me home. A few phone calls later and we learned how to use the lift's manual override. As we discovered, it has one speed: FAST! Let me tell you, I've never been happier to hit the ground. By the time we got home, I was so tired and hungry that I could have eaten someone!

For a relatively small sum, the folks at Accessible Vans and Mobility were able to fix the problem -- today (what a relief). They reattached the wire and added a spring that should have been there in the first place to relieve some of the tension on the wire.

But come to think of it, there are plenty of other weak spots in my life. You see, an existence such as mine is heavily dependent upon technology. The equipment that I use to move around, to get in my van, to operate my computer -- and even to breathe -- is so reliable that I sometimes take it for granted. But if any of these things fails, all that goes out the window -- and this life that I live becomes ever more complicated.

Of course, when that wire snapped yesterday, about the last thing that I was saying was how reliable the lift is. No, I think there were a few other words coming out of my mouth at that particular moment!

Tuesday, April 24, 2007

Back by Popular Demand


Seems I'm becoming quite the public speaker. Today and yesterday, I spoke to first-year medical students at the University of Pennsylvania School of Medicine, as part of their "Doctoring" course. The picture to the right is of me outside my house, just before leaving for one of the classes. The goal of the sessions was to help the students learn about treating patients with disabilities.

Though I would have been happy to answer any medical questions, I was glad that the discussion focused on what my day-to-day life is like instead of on the specifics of my disease because, as I told the students, people like me don't exist in a vacuum. I talked about some of my bad experiences with doctors, and also my positive experiences, which far outweigh the negative ones. And fittingly enough, the topic of people being uncomfortable around those with disabilities came up, which I had just addressed in my previous blog entry. I told the students not to worry so much about saying the right thing. Certainly, it is important to make one's best effort to address patients with disabilities properly, but at the end of the day, I can forgive mistakes like that if the doctor demonstrates to me that he or she really cares.

It was with a heavy heart that I spoke to students today, having first attended the funeral of my friend Eric, who had Duchenne's. Although we had not been close for many years, he was my first friend with the disease. We were the same age and first met almost 20 years ago, when we were both just becoming wheelchair-dependent. I thought it was so cool to know someone else going through the same things that I was.

I used to be able to tell myself that it wasn't going to happen to me (even though I knew the reality), but after losing four people I have known to this disease, it's not so easy to convince myself of that any more. Even so, I'm still here and I owe it to the guys who aren't to do something constructive with whatever time I do have. My book is not just for me, but for them as well. And every time I shout obscenities at the TV when the Phillies are losing for a change, it's for them, too!

Saturday, April 14, 2007

A Word About Political Correctness


In the aftermath of Don Imus' firing over offensive comments made regarding the Rutgers University women's basketball team, I have heard a number of people decry the radio host's dismissal as an example of the overly heightened atmosphere of political correctness that exists in our society. While it has become fashionable to criticize the concept of political correctness, I think that's a bit extreme.

People should always consider how the way they describe others affects them. If you're one of those people who asks, "How am I supposed to know what is offensive?" use some common sense.

That said, when it comes to disability (a topic on which I am obviously qualified to speak), I must say that some of the conventions of political correctness are a bit overdone. Even I don't follow some of them, so I really don't care much if others don't follow them.

For example, you're not supposed to call someone a "disabled person," but a "person with a disability." The logic, which is certainly understandable, is that you should focus on the person first, not his or her disability. Trust me, people will adopt such language, but they will still have no idea how to act around a person like me. I'd much rather have people treat me well than merely use the right language when they refer to me. It is well known that people are uncomfortable interacting with people like me to begin with. If I sit there and get so particular about what words people use to describe me, how is that going to make them feel any more comfortable?

At the same time, it's understandable why it's not nice to refer to someone as "wheelchair-bound" ("in a wheelchair" is appropriate). It has recently come to my attention that I should be referring to my muscular dystrophy as a "disorder," not a "disease." I'm not sure how I feel about that one. The idea behind it is that muscular dystrophy is definitely not a "virus" that makes a person "sick," which is what the word, "disease" implies. But I don't particularly like the word, "disorder" either. In my own writing, when I use the word "disease," it has no meaning to me. I'm simply using it as a point of reference in conveying my thoughts. That argument obviously doesn't fly when it comes to describing a person's race, religion, etc., but I'm only talking about political correctness as it pertains to disability.

I'm sure that there is no shortage of opinions out there on this subject, so let's hear them...

Thursday, March 29, 2007

Genetically Speaking




I had another speaking opportunity today, this time at Children's Hospital of Philadelphia, where I addressed graduate students in genetic counseling. The students had the, dare I say, "pleasure" of listening to me for a full hour!

My talk was complete with a sharp PowerPoint presentation (put together by one Winheld's World reader -- you know who you are) that illustrated me at various points in my life. There were cute pictures of me and my sisters in our younger days, graduation pictures from high school and college, and some scary looking pictures from when I had lost tons of weight prior to my tracheotomy. My favorite picture (at right) was the one of me at Halloween the first year I was in a wheelchair, when I dressed as a military tank!

As this was a class of genetic counseling students, I also touched on the issues of prenatal testing for Duchenne's and of pregnancy termination when a fetus is determined to have the disease. I told the students that while my life has been good and that I have been able to achieve plenty, if it is possible to prevent a child from being born with Duchenne's, I believe that should be done.

Certainly, I like the person I have become. However, I would trade it in a heartbeat for a "normal" life. And there is a huge physical, emotional, and financial burden placed on families raising a child with the disease. People can obviously deal with such concerns, but why go through all of this if you can avoid it in the first place?

The discussion lightened considerably when someone asked me what I didn't like about going to summer camp (the subject of one of the photos in my presentation). Yeah, something about group showers and using the toilet while your fellow camper is attempting the same feat on the adjacent throne didn't really do it for me.

But, hey, maybe that's just my personal preference!

Wednesday, March 21, 2007

Kickin' Around the Tires


About the only thing missing today was the new car smell, as I was fitted for a new motorized wheelchair. The price tag was certainly there, but fortunately it will be covered by insurance (not that that is cheap, either, but it certainly helps when paying for equipment as expensive as a luxury vehicle).

After looking at three particular models from various manufacturers and consulting with the physical therapist and medical equipment salesman, I decided to go with a mid-wheel drive chair by Invacare (pictured above), from its TDX series (Total Driving Experience -- being in a wheelchair is apparently now an "experience").

Though the measurements of my new chair will not change, the new chair should be a major improvement over the current one. With a battery for my ventilator incorporated into the design of the chair, the chair should not tip back when going over inclines.

It will definitely be a bit different to drive at first, as the fact that it is mid-wheel drive means it has six tires instead of the four to which I have been accustomed for nearly 20 years (I can't believe I've been in a wheelchair that long). When going up an incline, the chair uses the back four wheels; when going downhill, it will use the front four.

As the physical therapist told me, "You'll probably hate [the mid-wheel drive] for the first week, but then you'll really like it."

Apparently, the turning radius is not nearly as wide, so I should be able to navigate turns more easily. However, I'm sure that it will run over toes just as easily, so people better be nice to me -- or else!

The new chair will also be able to recline. Hopefully, that will make it possible for me to take a nap during the day when I get tired. I never do this now because it would mean getting out of my chair, into bed, and then back into my chair.

The most important component of this wheelchair, as with my current one, is the mini-joystick, which allows me to control the chair with the tip of my thumb. As I told the physical therapist and the salesman, I would be unable to drive my chair without such an innovation. I explained how, when I got my current chair with a mini joystick, driving became so effortless for me once again that I could not sit still, so to speak. When people ask me now why I'm constantly moving around, I tell them that I am "pacing!"

I was my usual humorous self throughout the process today. I got a good laugh when the salesman asked me if I were sure that I didn't want a color other than black.

"No sparkles or anything like that?" he asked.

Sparkles? I don't think so. Look, this is coming from a guy who once had a teal wheelchair frame when that color was popular and from the same guy who once had a fire engine red seat cushion. It's a wheelchair, for god sake! Trust me, having a really cool color isn't going to make being in a wheelchair any better. Being able to recline and drive really fast, well, that's a different story!

Tuesday, March 13, 2007

What's up Doc?

I had a housecall today from my childhood doctor (standing next to me), affectionately known as "Dr. Shep." Nearly 25 years ago, when my parents realized that my physical development seemed too slow, they took me to several doctors, none of whom recognized what was wrong.

That was until they took me to see Dr. Shep. A bell went off in his head and he was able to immediately diagnose me with muscular dystrophy.

Over the years, as I progressed from preschool to college, Dr. Shep provided a calming influence for my parents and me, never panicking, but also being proactive when necessary. A computer enthusiast, he also taught me all that there was to know about the Apple computer I owned back in the day.

Retired for several years now, Dr. Shep spends his time working at his computer and on his golf game. Like a fine wine, his stroke has improved with age, or so I've been told!

Saturday, March 10, 2007

Winheld's World Rant of the Week


We interrupt our regularly scheduled programming to bring you the following Rant of the Week...

One of my doctors recently relocated to another location, and when I went there this week, I arrived to find a cramped parking lot that did not have any handicapped spaces. Now, my doctor was wonderful about everything and promised to have things straightened out by the next time I come for a checkup, but that's not the point.

The reason I bring this up is that it highlights a lack of accessibility, in of all places, the medical world. A few weeks ago, I visited another doctor's office about a week and a half after a snowstorm, to find that the curb cuts from the parking lot to the sidewalk had still not been shoveled. I had not dressed very warmly, so I was freezing by the time I went halfway around the block in my wheelchair in order to reach the sidewalk!

But many of the problems I have encountered occur once inside medical offices, where hallways are so narrow that I have to drive perfectly just to get inside an examining room. Fitting the doctor, my nurse, and me in the same room and being able to close the door requires all sorts of coordination. Kind of reminds me of the old "How many people can you fit inside a telephone booth?" experiment. (Anyone remember telephone booths?)

To be fair, the costs involved in renovating doctors offices are probably too high for individual doctors. But shouldn't there be a funding source for such projects? Maybe there is and I just don't know about it. Perhaps someone out there can shed some light on the subject.

Many times, hospitals aren't any better, unless you are in newly-constructed areas. Getting into the bathroom with your wheelchair is often impossible, and getting through doorways can be difficult. And then, if you try to get into bed using a Hoyer lift, as I do, the bottom of the bed is often too low to accommodate the lift.

I mean, come on people, if the places where people like me come for medical treatment are not accessible, how can we expect other kinds of places to be accessible? Medical care is a necessity; eating at a restaurant is not, but I've encountered far more accessible restaurants that I have medical facilities. What's wrong with this picture?

Sunday, March 04, 2007

29 and Counting...


It's hard to believe it, but I turned 29 today! Yep, that means the end of my 20s is fast approaching. It seems like only yesterday that I turned 20.

My life has certainly changed since then. I am lucky to be alive, in light of some of the medical situations I have been through in recent years. On the other hand, it saddens me that my 20s are over and I haven't had the opportunity to do the kinds of things that most people get to do in their 20s, like moving out of my parents' house (although my father has offered me the supply shed out back, rent free!) or being in a relationship. It's not that these things can't happen in one's 30s, but the 20s to me represent vitality, youth, and the freedom to try new and exciting things and I cannot help but feel a bit cheated. And yet, I feel guilty for feeling this way because there are so many others with my disease who have not been as fortunate as I have to even be here.

Nevertheless, I celebrated my birthday with family, which took my mind off of things for a while. And I started thinking about what I want to accomplish in my 29th year. Maybe I don't have many years left, but I'm determined to make this one count. Hopefully, I'll find a publisher for my book. I'll go girl-watching -- I mean on long walks in Center City (I can't believe I just said that!) -- spend time with friends, and attend lots of baseball games. Hey, maybe I'll even see the Phillies win the World Series (I won't hold my breath on that one even if my ventilator would let me!)

And hopefully, next year at this time, I'll be writing about a 30th birthday bash the likes of which have never been seen!

Friday, March 02, 2007

He's Baaack!


Fame and fortune may come calling, but there's no place quite like Winheld's World! So when my nurse, Frank, (pictured with me outside the Philadelphia Museum of Art last fall) left for another job, it was only a matter of time before he returned. I mean, where else does the opportunity exist for a nurse to work for such a cool guy? (That would be me, by the way!)

Today was Frank's first day back, and while he will only be working for me on a limited basis, Winheld's World will be all the better for it. And, as it turns out, the day of the week that Frank will be with me happens to be the day of most of the Phillies Businesspersons' Specials. It's going to be a terrific summer, indeed!

Welcome back, my friend!

Wednesday, February 28, 2007

Home Alone (Sort Of)


With my parents out of town this week, I've had the house to myself. Well, not completely. With nurses coming and going at seemingly all hours and our loud-mouthed dachshund, Zoe (pictured at right) on the prowl, it is rather impossible to ever be alone!

Because insurance only pays for 16 hours of nursing care per day, it is an expensive proposition whenever my parents go on vacation, as they must pay out-of-pocket for eight hours of nursing care for me each day. Although respite care hours are available to the parents of children with serious disabilities in Pennsylvania, there is no program of which I am aware when it comes to adults like me. But parents like mine deserve a break, too. (And trust me, while my parents are great, I also need a break from them every now and then!)

So far, I have enjoyed my "vacation." It has given me the opportunity to entertain friends and family -- and to see every possible photograph from my aunt's recent trip to Cambodia! And with the assistance of my nurses, I've had a chance to dabble in the kitchen. We haven't burned down the house yet, which is always a plus!

But all the fun comes to an end late tomorrow night, when my parents return. After they're done calming Zoe, maybe they'll say hello to me...

Thursday, February 22, 2007

Heart of the Matter


Winter is a difficult time of year for me. My body doesn't seem to respond well to the cold temperatures and I spend weeks at a time inside the house. (You know something's not quite right when I look forward to outings to the doctor) The way I feel physically, I spend more time thinking about my mortality.

But I got some encouraging news today from my cardiologist: my annual echocardiogram indicated that my heart function had not declined over the past year and may have even improved a tiny bit. I was surprised to hear that this is the case, but I'm not about to argue with good news.

The reality remains that I still have a weak heart and something fatal could always occur suddenly -- the doctor has told me more than once, "You'll be okay until you're not okay" And while my heart function may be better, my heart will inevitably continue to weaken. Still, the doctor also reminded me that I'm no longer in heart failure. He couldn't say that 4 1/2 years ago when I first rolled into his office with a heart function of nine percent.

With excellent medical care and lots of luck, we've managed to turn things around. I'll turn 29 soon. And that's all the evidence I need.

Wednesday, February 21, 2007

A Star is Born


In case you missed my TV interviews today, here they are for your viewing pleasure, the first of which took place today in-studio, LIVE!

When TV calls, you had better be ready to answer the bell. Well, it did and I was!

My big plans for today included going to a copy center to order bound copies of my book manuscript and watching the my recently-taped interview air on TV.

That all changed a couple of hours before the interview was to air, when my mother received a phone call from the TV station, asking if I could get down to the studio in two hours for a LIVE interview! After my mother frantically tracked me down, she and my nurse rushed to get me ready. In record time, they got me in and out of the bathroom, dressed and shaved, washed my hair, and gave me my medicines. My father sped us to the studio. The traffic even seemed to cooperate!

With the excitement, there was no time to be nervous. Before I knew it, I was on stage being interviewed. Everything seemed to slow down and the words just came to me as I answered each question as if on cue.

It was a great experience and hopefully, it will generate some interest in my book. But it wouldn't have happened without some great people behind me. Thanks, guys!

Monday, February 19, 2007

SEE ME ON TV!!!


CATCH MY INTERVIEW W/ NBC-10 MEDICAL REPORTER CHERIE BANK

TUESDAY (2/20) BETWEEN 4 & 5 PM, NBC-10 (Philadelphia)

For more details, please see entry from 2/13

(TV news is not an exact science, so this could change, but I have been told that this should happen...)

Tuesday, February 13, 2007

Blast From the Past



When researchers identified the gene responsible for Duchenne's in 1985, NBC 10 medical reporter Cherie Bank interviewed yours truly, then 7 1/2 years old and with missing teeth! I was filmed walking (with difficulty) down the stairs and playing the piano with delight, as Ms. Bank looked on.

Fast-forward more than 20 years and guess who came to interview me about my life -- and my book? None other than Cherie Bank (pictured above)!

With my piano-playing days long over (trust me, I was no virtuoso), I instead showed off my voice-activated computer and read aloud a segment of my book. Though not nearly as cute as I was back in '85, I still have the same smile and I'm just as talkative!

I'm not sure when the interview will air, but as soon as I know, I will post an announcement here. So please, stay tuned to Winheld's World...

Saturday, February 10, 2007

Still Tickin'


Two years ago today, I had my pacemaker implanted. It was a time of great uncertainty in my life. Although the way my heart felt was scary, I was unsure whether I wanted to go forward with the procedure. I was not doing anything productive then, unless you count watching TV as productive! What was the point of going on?

But I decided to take a chance and I'm sure glad that I did. I started my job handling communications for an IT accessbility consulting firm and later that year, I began writing my autobiography. I've been busy ever since.

Who knows what the future holds? All I know is that I probably would not be here today without that tiny device in my chest.

Now it's time to find a publisher!!!

Friday, February 09, 2007

Social Insecurity, Part II


Winheld's World was not a very happy place this morning. The other day, I sent in the money I owed to Uncle Sam (see my post from 1/10/07) So I was less than pleased this morning to open my mail and find a letter from the Social Security Administration, telling me that my disability payments were being reduced because I had not paid them back.

But when I was first was notified that I owed money to the government, I was told that I had 60 days to respond before they cut my payments. When I called to find out why I had received this letter so soon, I had a riveting conversation with a Social Security representative -- we'll call him Pencil-Pushing Bureaucrat (PPB)-- the highlights of which follows:

Me: I've just sent my attorney the check to pay back what I owe to Social Security and he's going to send it in along with the form--
PPB: What form? Do you mean the appeal form?
Me: I'm not sure. I guess so.
PPB: If you're paying back the money, then why are you appealing?
Me: I'm not appealing, but I still have to fill out the form and send it with the check.
PPB: No you don't.
Me: Um, I'm looking at it right now. It has option to check to pay back the money.
PPB: You don't have to send in the form unless you're appealing. Who told you that?
Me: My attorney. Look, it's not like I would lie about something like this.
PPB: (with heavy sarcasm) Oh, then I'm the one that's lying! (hangs up)
Me: What the hell -- You #$%@&&!

Fortunately, I reached another representative on a subsequent phone call. She told me that it would probably take three to four weeks to process my check, so it would not be in time to stop them from temporarily reducing my payments. So much for 60 days!

And that, my friends, is your tax dollars at work. If you live outside of the U.S. and are reading this, I can only hope you don't have to deal with such ridiculous bureaucracy.

Thursday, February 08, 2007

Rejected...Not Dejected


Well, it was bound to happen sooner or later. I received the first rejection of my still untitled (a little help here please, folks?) book from a local publisher. They did not even want to look at my manuscript. It was surprising only in the sense that this particular publisher has put out several books on topics very similar to mine.

But I was actually somewhat happy! The first rejection is out of the way. And you know what? It wasn't so bad. As one of my friends put it, "Now you are a true author!"

There are plenty of other fish in the ocean, although the ocean seems to be controlled by three or four major conglomerates. I just need to find the right fish, er, publisher. It won't be easy, and it may take a while, but I'm confident that my book is at least worthy of a look by potential publishers.

I'll just need to have my nurse cross my fingers for me. Still, it's hard for me to wait, considering the life expectancy issue staring me in the face. So I'm pulling out all the stops, trying every possible contact. I have at least one promising lead so far.

In the meantime, please keep your fingers crossed, too. And if you have any contacts in the publishing world -- even if it's the friend of a friend of a friend's second cousin one removed's daughter -- please let me know. Title suggestions would also be great...

Monday, February 05, 2007

Meeting of the Minds


After years of receiving invitations and being unable to attend due to scheduling conflicts, the stars finally aligned and I was able to make it to the quarterly advisory luncheon held by my attendant care services provider, the Jewish Employment Vocational Services (JEVS).

Pictured next to me are (from left) Ann Doloff, of the Pennsylvania Initiative for Assistive Technology (PIAT); Barbara Cohen, Attendant Care Advisory Committee Chairperson; and my attendant, Monica.

In addition to brief presentations by various program administrators, Ms. Doloff, the invited guest speaker, spoke to us about PIAT's lending library, which provides people with disabilities the opportunity to borrow and evaluate assistive technology items -- special telephones, mouse devices for the computer, page-turners, adaptive software, etc.

I have been a "consumer" of attendant care services for over 10 years now (I have written about the joys and horrors of attendant care in my autobiography). These services are a vital part of my daily life. Although I require skilled nursing care, insurance only pays for 16 hours of nursing per day. My attendants help to fill the gaps in my nursing coverage so I don't have to depend on my parents as much.

They help me with very important tasks such as getting in and out of bed, bathing, and toileting. Many of my attendants have been certified nursing assistants (CNAs), but friends, neighbors, relatives, or students can be paid as attendants. The particular program in which I'm enrolled through JEVS is free of charge, funded by the Commonwealth of Pennsylvania.

The luncheon was informative and gave me the opportunity to meet some other consumers and attendants, as well as administrators whose names I recognized from attendant care program correspondence over the years, but whom I had never met before. It was a lot more pleasant of an experience than the 20° weather outside. The grilled salmon and roasted potatoes also helped!

If the calendar gods cooperate, I plan to attend future luncheons. Hopefully, they won't fall on the coldest day of the year, like today.