The Stroke: Part III – The Venture

[This article is the third in a series of articles on this topic. Others will be completed at later dates.]

Introduction

The Venture that God had in store for me moved forward, and once again I was in a transport heading up I-35W. Only this time I was heading back north from Fort Worth Harris to Denton to a rehab facility there called Denton Select. Once again, night had fallen, and I arrived in time to find some rest and get some sleep. The unknown lay opened as to what this rehab facility had in store for me. But God’s providence emerges in all places. I would find that to be true in Denton Select.

Rehabilitation Work

Life as a Christian is still a learning process as the believer grows in sanctification. I would learn about three types of rehabilitation into which I would be immersed over the next eleven months, even after leaving Denton Select. My rehab work would include physical therapy, occupational therapy, and speech therapy. My desire to get better collided with my impatience, which produced irritation, anger, frustration, and the desire to just give up at times. This fact presented me with the goals I had to reach to grow not only physically, but also spiritually.

Physical Therapy

Daily prayer was a constant. My eyes were still affected by the stroke, so I couldn’t read anything in book form. Two highly skilled and compassionate physical therapists worked with me. They engendered in me the desire to work hard. I discovered rather quickly the reality of what is known as stroke fatigue. Regardless of my desire to be up for the daily tasks presented to me, there were days I possessed little or no energy. My lethargy frustrated me to no end because I really wanted to engage the therapies. Each day the hospital staff would post on a marker board my scheduled therapies for the day. Some days my workout included four to five hours of work, which wore me out, In the long run, however, I realized how much small increments of progress contributed to my overall physical health. Talk about patience as a fruit of the spirit. God used highly skilled people to teach me some much needed lessons.

My two physical therapists were named Kenlin and Jenlin. I never thought to ask if they were sisters with such similar names. My physical therapy led me to the Denton Select gym where I would work on balance, standing, walking, and muscle tone and coordination. All of these areas had been hit hard by my stroke. I practiced walking on the parallel bars. This exercise, however, presented a couple of problems. The stroke brought on vertigo, especially if I stood up or turned to my right or left too quickly. I had to learn to approach my environment slowly, cautiously, and not “multitask” while walking. For example, if I turned to look behind me while walking, I would lose my balance and fall unless someone caught me. This fact challenged my patience as well. I suppose that anyone in my position would want progress to occur quickly. Secondly, I developed orthostatic or postural hypotension. When I stood up, my blood pressure would drop to the point of making me lightheaded so that I couldn’t keep my balance. When this occurred, I could not engage the physical therapy exercise for that day, which was usually the parallel bars. I had to learn through God’s grace that speedy recovery is not the case with the kind or stroke I experienced.

Speech Therapy

Melissa, another highly skilled therapist, worked with me to regain my ability to speak. As I stated in earlier blogs, I lost my voice to the extent that I could only speak in a whisper. As time progressed at Denton Select, I regained a rough and gravelly voice that was at least louder and more clear than a whisper. Melissa worked with e-stems that she attached to my throat. She would send a current through them at a volume I could stand. This work allowed me both to swallow better and speak with a clearer voice. The swallowing therapy was important work because I still couldn’t swallow food, so I was being fed through a feeding tube that had been inserted into my stomach at Fort Work Harris. By the time I left Denton Select, I could swallow water, ice ships, and some apple sauce. I still had a long way to go before I could eat solid food. This therapy also led to my being tested in what are called swallow studies. I learned that with certain swallows that I could asperate anything I was trying to swallow into my lungs.

Occupational Therapy

Rebecca and Audra were my OC therapists. Some of what we did overlapped with PT. Otherwise I worked on several exercises for coordination. This type or work entailed some of the most frustrating experiences for me. My left arm and hand had lost some of its strength and much of its coordination. Many of the skills that Rebecca and Audra challenged me to accomplish were tough sledding, as they should have been. More than once Rebecca had to remind me that my saying I can’t do something wasn’t going to get it done. I had to try these skills so as to know how much progress was needed. Talk about patience as the fruit of the spirit! Both Rebecca and Audra were fantastic in challenging me and being patient themselves with my frustrations. They also helped me accomplish daily tasks, such as moving from my bed to the wheelchair, taking a shower, and moving up and down the hallway in my wheelchair. I also developed some coordination with my left hand.

Grace Upon Grace

I stayed in Denton Select for several weeks. I remember my release date: November 20th, 2020. The time that passed from the day I had my stroke totaled about six weeks. I clearly needed to keep that in mind because I wanted to progress much faster than I felt like I was. All together, six weeks is just not that long. If I could let go of my impatience, I could see that I was doing much better than I thought. The words from the Russian doctor at Fort Worth Harris returned to me. You are our super patient. We expect good things out of you. Well, I didn’t feel much like a super patient, but I did notice ways that my strength had returned to my body. Though frustrated at times, I did maintain some hope that was nothing but a gracious gift from God.

Then even more grace came my way. I had no idea, what my life would be like after leaving Denton Select. I had spoken with the doctor there about getting into a rehab facility called Day Neuro. The facility had been recommended to me by some of the staff at Denton Select and others outside of there. But God’s grace poured out upon me in another way. Two friends of mine whom I had known since the 80’s at Denton Bible Church, Paul and Jean Terrell, took me into their home so that I could rehab and recuperate. The blessings that flowed from their graciousness extended beyond any measurement that can be devised by the human spirit. Paul contacted the owner of the apartment I had rented at the time and received an okay from him for me to get out of the lease due to my stroke. Both Paul and Jean coordinated the moving and storage of all my belongings I had in the apartment. Paul made sure that my bank and other businesses had my change of address for mailing and billing purposes. For the next eleven months, this gracious family would put up with me while I battled through all the physical challenges of getting stronger so that I could eventually and hopefully live on my own. Once again, God’s providential care and grace fell upon me in ways that I could not even have imagined.

Conclusion

November 20th, 2020, 5:30pm: I checked out of Denton Select, sill wheelchair bound, unable to walk, having weak eyesight, snd a gravelly and whispery voice. But I felt the security of God’s grace as I was heading to live under the care of good, close, and loving friends. God’s providence had already led me to Denton Select and working with therapists like Melissa and Audra who were solid believers connected to Denton Bible. Once again, I didn’t know what the future held as Thanksgiving and Christmas approached in 2020. I knew however I was in good hands with Paul and Jean, and I was in the blessed hands of God’s providence that continued to unfold in ways I would have never even suspected.

John V. Jones, Jr., Ph.D./January 14th, 2021

CHRISTIAN THOUGHT