Tuesday, July 15, 2014

Look Ma, One Hand!


Cerebral palsy is a disorder of movement, muscle tone or posture that is caused by an insult to the immature, developing brain, most often before birth.

Once upon a time, when I was 10 years old, myself and a group of neighbor kids were getting ready to set up a rather large game of bike tag. A simple (on the surface anyway) game that combined elements of tag, hide and seek, war, and riding our bikes entirely too far away from our parents and/or guardians.

There were nine of us, my younger brother was there. And as the summer sun shown down on us, our bunch was trying to figure out how to split teams with an odd number of boys.

My friend Ron, the oldest (who would later be the first of us at 15 to have sex with a girl allegedly, and then advise us that it was “So good he was going to try and do it again”), suggested the following; “Hey, I know, let’s have a handicapped team?”

My little brother, only seven years old and not knowing any better, shouted to the other boys, “Oh hey, David is handicapped!”

My face must’ve resembled the shade between a summer tomato and freshly ripened strawberry. Even for the humid Ohio day, I was now sweating guiltily. Quickly, I tried to cover, “Umm, he means I don’t mind playing on the smaller team, ‘cause I know we’ll kick your ass!”

At ten years old being different isn’t a statement.  It doesn’t signify out-of-the-box thinking, being a free spirit, or maturity. It is a frightening concept, one to be avoided at all costs. Or so I thought.

Signs and symptoms appear during infancy or preschool years. In general, cerebral palsy causes impaired movement associated with exaggerated reflexes, floppiness or rigidity of the limbs and trunk, abnormal posture, involuntary movements, unsteadiness of walking, or some combination of these.

                I had been diagnosed with mild CP about a year or so after birth. To look at me, this meant very little: My arm had only the slightest involuntary curvature, and my hand (when open) showed a bit of an odd splay within my pinky, ring and middle fingers. If I concentrated, these two items were nearly non-existent. My right leg was even less impacted. Plus even at that age I was adept enough to know most people aren’t paying that much attention.

About a year after the bike tag incident, I was in the backyard of another friend’s house. Fritz had a Mom who seemed to have a lot of boyfriends. Her current one was apparently trying to make a good impression, so he spent the time and effort to build her son a tree house.

In the backyard, Fritz, Tristan and I stood marveling at the ingenuity, and mystery of this impenetrable fortress.

Tristan, by the way, was the first kid to ever hit me besides my brother (though this would be in the not-so-far-away future…and no he wasn’t aware of my CP even then, so try not to hate him). He was also a bit of a bully and by all accounts more popular then I would be throughout my public school career. With ease, Tristan scaled the wonky looking slats, hammered to the trunk of the tree that made up the ladder, and in seconds was looking down on Fritz and I from inside the tree house.

“C’mon Fritz, get yer ass up here.” It wasn’t an invitation it was a command. A command Fritz obeyed; after all it was his tree house.

There I was, alone on the ground. 

While I was confident in my leg strength, I knew that I would likely not be able to support my weight (Can you say husky pants?) with only my left arm.

“C’mon Dave (hated-and still hate- being called that). Get up here already.” Fritz’s invitation was filled with wonder and excitement.

Tristan’s was less friendly. “Get up here fatty we’re not gonna wait around all day.”

There in the grass, I hesitated trying to formulate an excuse. Seconds passed, they grew to minutes as my mind mulled over the possibility. Should I try, and fail, then what would I say? What if I fell?

“What’s the matter you chicken?” Tristan elbowed Fritz in the shoulder. “Look he’s scared of heights.” Chuckles followed from both boys.

But I’ll give Tristan credit, it was a brilliant idea. “Yes,” I replied calmly, “Scared of heights. I can’t go up there… and that’s why.”

As the story goes, 90% of the greenery that surrounded the tree house was poison ivy. The mom’s boyfriend, Fritz, and Tristan ended up covered in those rosy blisters. I, however, was spared.

People with cerebral palsy may have reduced range of motion at various joints of their bodies due to muscle stiffness.

                To pass gym class freshman year, it is required that one must run a mile in no more than 8 minutes. For situations like these my parents understood how difficult it could be, not physically, but socially to undertake such an effort. I was able to meekly present Coach Hunter with a doctor’s note saying “Nah nah nah na na na, I don’t have to run”.

However, when it came time for the big “exam” I was at the line and took off anyway. Due more to my youthful exuberance for nacho cheese Doritos, and less to my CP I wasn’t able to make the 8 minute mark, but I tried it regardless, finishing (but still passing, thanks to my trusty note) with a 9:30 pace.

Movement and coordination problems associated with cerebral palsy may include: variations in muscle tone, stiff muscles and exaggerated reflexes (spasticity), stiff muscles with normal reflexes (rigidity), lack of muscle coordination (ataxia), tremors or involuntary movements.

                In my mid twenties I found myself in 24 Hour Fitness just outside Los Angeles. It was nearly closing time (some aren’t really open 24 hours ya know), so the place was practically empty. An overzealous guy in a tank top and Zubaz pants (this was around 2004 for clarity on the Zubaz reference) hollered towards me, “Hey bro can you spot me?”

                I looked up, and saw him positioned on the bench press, with what might as well have been a ton of iron on each side of the bar.  I laughed to myself, “Sorry man, I have cerebral palsy in my right arm. And I don’t feel like I know you well enough to ride next to you in the ambulance.”

                The name of that man was Brad Pitt. Just kidding, but he did kind of look like him. In Zubaz pants that is.  

The effect of cerebral palsy on functional abilities varies greatly. Some people are able to walk while others aren't able to walk. Some people show normal to near normal intellectual function, but others may have intellectual disabilities.

All in all, to look at me I’m a pretty normal human being. I have a damn good job, pay my taxes, and regularly piss off my girlfriend. Sadly though, I’ll never know what it feels like to play classical piano. Of course, I don’t like that crap so it never much bothered me.

I can’t say that I’m through experiencing awkward situations regarding my CP. Confidently, I can say I’ve learned more about myself, and others because of, or maybe even in spite of it. Some may even wonder how I deal with the odd looks, out of line remarks, and whatever else comes your way.

You just learn to live with it, and hope other people do too.

References:

(Note: Italicized portions indicated previously published material)
1)      Diseases and Conditions - Cerebral palsy;
http://www.mayoclinic.org/diseases-conditions/cerebral-palsy/basics/definition/CON-20030502
2014 Mayo Foundation for Medical Education and Research, Retrieved July 15th, 2014