This morning the Podiatrist, Dr. Shuman (love the name!), visits Ryan in our home. It’s just so wonderful that Dr. Shuman is willing to spare Ryan (and me, for that matter) the hassle of taking him to her office by her coming to him. This means a lot to us. It shows that Dr. Shuman is acting in the best interest of her patients and is motivated by providing the best care.
Ryan is getting measured for special athletic shoes and daytime ankle/foot braces (commonly called AFOs). The shoes offer the extra depth and stability to prevent the likelihood of rubbing, leading to skin breakdown. The braces will be cast specifically for Ryan’s anatomy and should (hopefully) help reverse his foot drop.
Both should go a long way in enhancing his daily therapies. Especially on the ActivCycle and RT-300 FES Cycle where repetition-of-motion puts him at risk of rubbing his skin raw. The two most worrisome areas are the toe knuckles and the achilles (just above the heel). Both areas continually give me problems and I watch them carefully. Beyond the cycling, I anticipate stretching him through his range-of-motion will benefit from the ability to keep his ankle in a neutral position. allowing me to focus more on the stretch.
It’s going to be a crazy morning though. I had to reschedule his neuro-feedback (from tomorrow) because the IBRF technician is on vacation. This means that as Ryan is getting his foot/ankle measurements, I’ll be taking cranium measurements and attaching neuro-feedback wires to his head to prepare him for his session (10:00 AM). Hopefully the actual feedback won’t overlap with Dr. Shuman’s work, but it might.
Update (9:20 AM): Dr. Shuman arrived early and took the measurements already! She will handle all the order paperwork and logistics, even just having the products mailed directly to our home. I like it when a doctor is on time, but LOVE it when things go even faster. She also told me she is now a faithful reader of ryansrally.org!