"Autie" is the word used to describe any person who has been diagnosed with an Autism Spectrum Disorder as Dr. Suglia had been in 2008.
Tuesday, November 2, 2010
Living By The Rules
A good example of how I learned something by forming rules was the job I had when I worked as a data trip record clerk for Penske Truck Leasing. One of my tasks was to enter paper reports that the drivers of the leased vehicles would fill out into the mainframe computer. On a daily basis, I would type between 150 and 300 reports, logging departure cities, destinations, mileages, fuel purchases, etc. To look at the piles and piles of reports left me feeling exhausted and disoriented before I even began. For the first few months I worked there, I was the slowest in a department of sixteen people. It wasn't because I didn't know how to type. I certainly could, and I knew computers well. I just moved very slowly, as I usually do before I develop a knack. Then one day I discovered something. As I was typing along, I could modify the way I typed to form certain musical patterns. I could form arpeggios when typing in the mileage column. I could bang out a quick tap-tap to enter in a state abbreviation. I would create similar genres for each column on the page. After forming these rules by which each bit of information could be easily and playfully typed, I went from being the slowest person in the department to the fastest! But it came with a price. The better I got at typing, the louder I hit the keys. Hearing the same mosaic banging over and over again all day long caused everyone around me to have headaches.
They say that one thing an autistic person cannot do is function in any job that requires a lot of distraction and multitasking. This is one reason why I am glad that I did not find out I was on the autism spectrum until I was in my late 40s, well after having become a successful ambulance attendant, fire police officer, and respiratory therapist. I would have surely been told that I could never accomplish any of these things because of how demanding they are had I been diagnosed early on. As a result, I pursued these interests and eventually learned how to excel at them, even moreso than many people of the people I worked with. I did it by forming procedural rules within my own head. It is one thing to practice and master being able to put a sling on somebody's broken arm in a classroom. It is a completely different situation when you are performing the same action when you also have three other victims of an accident to tend to, monitor their vital signs, take their health history, write a report, and then eventually regurgitate all this information to the emergency room staff. I could do all this only after months and months of making mistakes, eventually figuring out a set of rules that would "categorize" each action until they became second-nature. If a distraction would come along, as it always did, I would form a picture in my head of whatever task I was being pulled away from, thereby putting this task on "hold", so that I knew what I had to return to. For example, when assessing a patient with a collapsed lung, and then suddenly being asked to set up an IV elsewhere, I would envision myself with half a lung on one side in order to remind myself what task I had to go back to when I was finished.
Being prudent in social situations, though, took a lot more doing. There was no forming of rules. There was only figuring out what was acceptable and not acceptable by seeing the outcome, sometimes making enemies or losing “friends” along the way. In the book “Unwritten Rules of Social Relationships” by Dr. Temple Grandin and Sean Barron, rule #6 states “Not everyone who is nice to me is my friend.” Because I never had the ability to simply “fit in,” I had no idea what guys talk about or what is appropriate conversation and with whom. I found out the hard ways that it is not okay to assume that a woman is romantically interested in you simply because she talks nicely to you, even if she is married. I found out that it is not okay to repeat gossip in front of the gossip subject’s friends. I also found out that it is not okay to be mean-spirited when directing traffic as a fire police officer because the person you may be yelling at is an off-duty sheriff. It is also not okay to tell a young black female that you talk to all the time, and think that you know well, that she looks “yummy” in a photo shoot. That situation resulted in my losing the best part-time job I ever had. Because rules are people based, as rule #1 of the “Unwritten Rules of Social Relationships” states, and because you really never truly know somebody unless you have already broken an unwritten rule, living by the rules continues to be a major challenge. In that light, it is always safer for me to simply be silent and to be a loner. I have to know somebody very very well nowadays for me to even have a conversation about varying topics with them. I am far from being shy, although I have always been reserved.
The number one reason why forming any rules even happened is the fact that I had a mentor or somebody who gave me a chance. Without my boss Linda who always liked my demeanor at Penske Truck Leasing, I had job security. Because of Larry who was my ambulance driver and mentor with the former Governor Mifflin Area Ambulance Association in Shillington, PA, I learned how to be a darn good Emergency Medical Technician – one who eventually became a trainer of new EMTs for our squad. It is so very important for people on the autism spectrum to be in the company of people who believe in them. Once they have that, they can accomplish anything they set their minds to. Nobody should ever tell a person with some form of autism that they cannot accomplish their goals or fulfill their dreams. Where there’s a will, there’s a way. I had accomplished feats and did tasks that people with autism are being told all the time that they cannot handle. I did it all by forming rules. What would have helped me even further was if I had somebody who taught me what the proper rules of social interactions are. Life would have been SO much easier for me! As for now, now that I know I am on the autism spectrum, I don’t worry so much about it. I know that there is a reason (but not an excuse) for the awkwardness.
Friday, October 15, 2010
How I Pretend To Be (Somewhat) Normal
In the book Developing Talents, Dr. Temple Grandin states that one of the most improbable jobs for visual thinkers is to work as a nurse in a busy hospital setting. There is too much sensory input coming at you from all angles, and the multitasking that is required would be unmanageable. Between 1984 and 1986, I was a student at the now-defunct St. Joseph Hospital School of Nursing. I never made it through the program because I was unable to handle being in such an environment. My mind could only focus on one task at a time, and it was very slow at doing that. Even though I was at the top of my class academically, the program administrators said that I needed to drop the program. Back then, I did not know that I was on the autism spectrum, and testing I had done at the local rehab hospital did not pinpoint anything specific. This was before the days of there being any form of protection or accommodation for people with disabilities. Six years later, though, I did become a respiratory therapist. The training itself was slower-paced and specific. Therefore, I was able to get through it. But once I was working in the busy hospital setting, I saw how very very challenging it really was. I didn't spent a great deal of time in that setting before going off to graduate school to become a chiropractor.
Where I DID spend a great deal of time was being an ambulance attendant. Ten good years of being with the same squad, working with the same mentor, was the ideal situation for me. It was where I became quite proficient at being able to handle extremely stressful situations which required multitasking to be able to get anything accomplished. Most people spend about three months being a trainee if they are just starting out on the ambulance squad. I spent at least three years as a trainee. Under normal circumstances, a person like me would have been let go of in a matter of weeks. But this was a volunteer organization, and my mentor Larry was somebody who worked with my mom and knew her very well. Besides, volunteers were always hard to come by. Little did I know that how I learned things was very different from the norm. Learning how to put a splint on a broken leg in a classroom didn't take much brains. But learning how to put a splint on a broken leg while your patient is lying in the middle of a busy highway covered in broken glass in the middle of a thunder storm while there were four other injured people to worry about is a whole different ball game. It took being subject to such situations over and over and over again to be able to form sub-rules for various situations before I was finally able to do such things on my own. A day eventually came when I could just pull out that file in my head and know what to do for what type of situation. Nothing was spontaneous. It all had to be learned, step by step.
Learning how to multitask was a whole experience in itself. How was it that I was eventually able to take a blood pressure while at the same time listening to the paramedic's assessment? This is where thinking in pictures was my best friend. Normally, such a bombardment of input would be handled by shutting everything out and focusing on just the task I was doing at the time. This is how I flunked myself out of nursing school and is also what I did in the hospital as a respiratory therapist. I knew that if I really wanted to be part of the ambulance service, being a great contributor to my community and saving lives, I better get learning! I eventually figured out that I could build my short-term memory by holding an image of what was being said in my mind long enough so that I could retrieve it when I was done with the task at hand, making that the next order of business. If there were more than one orders of business coming up, then each one would be a picture in my head, one right next to the other just like in a comic strip.
While making sub-rules and thinking in pictures were, and still are, my best friends in the work setting, starting up again in a whole new profession would not be possible. On the ambulance crew, I had three comfortable years to be able to go through all the processes and self-discoveries. This is certainly not something any employer has the time for. It is also why I am not currently looking for another career path. To reenter the world of pre-hospital emergency care is also not in the cards. Now that I know what chiropractic can do, and what medicine cannot do, I would be too tempted to educate people to these facts. I truly AM a chiropractor at heart, even if I’m not serving an abundance of patients at this time.
If there was a way to think in pictures and to form rules and sub-rules regarding successful marketing, I’d really have my hands full. This is an area that I still haven’t quite figured out yet, even after ten-and-a-half years of being in practice. Dr. Temple Grandin got to where she is today because she had a nice portfolio put together of all her successes. She did not get where she is because she had good people skills. She does not, and neither do I. While at first glance, people would never guess that I have autism, they would certainly come to know this over a period of time. My next step is to work on a portfolio that shows my accomplishments. Dr. Grandin, like me, developed her skills by having a mentor who believed in her and gave her a chance. The “real world” is not so giving or forgiving. I guess I will forever be in a state of struggle, whether being an entrepreneur or if working for somebody else.
There are other factors that affect my abilities, such as having a cognitive disorder and a circadian rhythm imbalance. The cognitive disorder affects my ability to process information and to remember things offhand. Learning new skills not only requires that I learn things my own way by forming rules. Constant repetition is also necessary. Usually when a person tells me something, such as a memorandum piece of information or their name, I will not remember it, even if I am attentive. I must hear the information a second time, or even a third. As for the circadian rhythm imbalance, ever since my senior year of high school I have had notable sleep disturbances. These disturbances have prevented me from being able to hold a daytime job. The record, though, goes to Penske Truck Leasing, who I worked for as a data entry and report editing clerk for 26 months, thanks to Benadryl and L-tryptophan. There is a reason why my chiropractic office hours begin at 2:00 in the afternoon and go well into the night. That’s what I am capable of. I mention this in my marketing efforts to let people know that it would suit them better to visit a doctor who they can see when their work day is done than to have to miss work during the day. I always find a way to make lemonade out of my batch of lemons.
Over the years, I have certainly been quite the spectacle. Kids on the playground at school would make fun of me. Adults in the workplace would make fun of me too. They knew that I was different, that I didn’t fit it. They knew that I did things in odd ways. Although I may have appeared as a recluse, I still got the job done, somehow. But for those jobs where I lasted only three weeks or less, it was apparent that I wasn’t able to cognize the skills that were required of me in a reasonable amount of time. Perhaps the most notable of these jobs was my short stint at Pearle Vision Center in January of 1988. Lots of lenses were destroyed as I tried to learn how to use the lens grinder. I would have finally “gotten it” if I had been given just a few more days. Whether we are talking about kids in school or adults in the work place, people do not like being around somebody who doesn’t “fit in”. It makes them uncomfortable to have to mesh with somebody like that. It makes them feel burdened as if they cannot be themselves. It brings out the worst in them. This is why schools and employers NEED to have mentors available for people on the autism spectrum. Mentors are truly angels in disguise. They are the ones who can let the individual on the autism spectrum know that they DO belong and that they are an important contributors in this world. The mentor is the one that the autistic person will remember and thank profusely when it comes time to give credit for their marvelous accomplishments. Despite the fact that the audie thinks and reasons very differently, the same goals can be reached, and perhaps with even greater insight. All they need is a chance.
Sunday, October 10, 2010
The Early Years
Although in third grade I started to cognize that I was very different, it wasn’t until I was eleven years old and in fifth grade that it really hit me. As we entered adolescence, differences between me and the other kids became very obvious. I wasn’t into all the gossip and rough play. Conversations did not revolve around sports, sex, or building friendships. It was as if my eyes suddenly opened one day. That’s when the inferiority complexes started rolling in – feelings that would plague me well into my adult years.
Just before being diagnosed with PDD-NOS in 2008, I read the book “Unwritten Rules Of Social Relationships” by Dr. Temple Grandin and Sean Barron. While reading Sean’s story, I couldn’t believe how much his early years were almost identical to what I experienced. It was as if I were looking into a mirror. That’s when it really started clicking in my own mind that I may have been autistic all these years. I also thought that it would be nice if I WAS diagnosed with autism because then, for the first time in my life, I could finally put my finger on the reason why I was so different.
To add to all my social ineptness, I was constantly suffering from some sort of health problem. The fact that I was small for my age didn’t help matters. Constantly having ear infections and some reason to visit the medical doctor kept me isolated from other kids much of the time. I spent a lot of time in the care of my grandparents or my Aunt Doris and being examined by some doctor for some reason. At the age of 12, during a routine visit to an endocrinologist, I discovered that I had a leaking heart valve. I myself made the discovery before the doctor mentioned it. I even pointed it out to my parents before the endocrinologist called for the cardiologist. It wasn’t until I was 19 years old that the leak in my aortic valve became bad enough to require open heart surgery to fix. While my own health challenges were an influence in my decision to pursue a career in health care, other interests developed during my childhood that are still present today. While spending time at my Aunt Doris’s place, I would walk up the street to the public library where I would spend the day reading books on anatomy & physiology, astronomy, and paranormal phenomena. While it is obvious from my choice of profession that anatomy & physiology is my forte, these other areas are still topics of great intrigue.
On the first day of fourth grade, in September of 1971, I met a new lifelong friend who would be an integral part of my life in many ways. It was the new priest who just took over as pastor of the parish, Father Steve. I remember that the reason why I was excited to meet him was because he had such a calming and accepting energy about him. As Father Steve recalls, his first great memory of me happened on the day we met, when I recited The Lord’s Prayer in Greek. This was just another feat by which I captivated an adult audience. At this period of time, I was teaching myself how to speak Greek because I had neighbors who were from Greece. From that day on, Father Steve would be the main person I would share everything about myself with. He would be there during all those years I was going through my inferiority complexes. He was there with me in the hospital ICU when I first woke up after my open heart surgery. He would also be the person I’d visit on a regular basis when I needed somebody to talk to during my adult years. I last saw Father Steve one Monday morning in February of 2001, when he made a surprise visit to my apartment in Hazleton, Pennsylvania. Because of his unconditional acceptance of others, I spent a great deal of time talking to him about anything and everything, even well after I stopped practicing Catholicism.
You might wonder what my parents must have thought as I was going through such difficulties. Among the myriad of doctors and health professionals they ever took me to, there was a child psychologist thrown in the mix. Back in those days, though, the only form of autism that existed was classical autism, where communication and logical action are lacking. Even when I saw a psychologist at the age of twenty-two for an evaluation for possible learning disabilities, autism never came into the picture. While my parents were extremely supportive and responsive to my physical needs, they were completely unaware of my emotional and social concerns. To them, I was an amazingly brilliant, precocious wonder. If I wasn’t following the rules of social conduct, I just needed more discipline to knock some “sense” into me. Needless to say, my relationship with my parents in my teen and young adult years were not always so pleasant. They were doing what they though was best, and they gave me what they thought I needed. But it wasn’t what I needed, and all that that discipline to knock more sense into me really did was frustrate me more and more. While I feel that I am very close to my parents to this day, I still do not mention all the things that are on my mind because of their limited understanding of how my mind really works. My mind works like an autistic mind, not as one that needs more sense knocked into it.
My stimming behaviors have not always been so disruptive. Most autistic people make strange repetitive motions or have undeniable behavioral mannerisms. This is not the case with me. As a child, I was completely addicted to anything that physically moved me, such as rocking chairs, a rocking horse, swings, etc. Throughout my teen years and well into my adult years, I would listen to music, sitting in a room with all the lights out, wearing out rocking chairs. I mostly listened, and still listen to, Elton John. I would daydream about being a hero with the fire department or being in the military. I would also daydream about being part of Elton John’s band, traveling with the band around the U.S. between concerts on motorcycles that could fly. This world of music, darkness, daydreaming, and rocking was so comforting.
An even more peculiar stimming behavior that I still indulge in is making lists. As a child, I made a list of every kind of car I could think of while drawing a picture of the front of the car next to the name. In high school, a circulating joke between three or four friends turned into my creating the fictitious, and now legendary, “Sugi’s Army”. My “recruitment” efforts netted over three hundred people, and I would always carry with me the list I typed up of all the army’s members and their ranks. Before the days of computer word programs, I became quite a good Scrabble player by reading through the Official Scrabble Player’s Dictionary, making list after list of strange words. While working for Penske Truck Leasing in the late 80s, I made a list of every city and town in every state and cross-referenced the names to every state that has a city or town by that name. I compiled this list be ticking off town names, one by one, in both the Rand McNally Road Atlas and the AAA Road Atlas. But perhaps my most notorious list was the creation of “Pat’s Picture Book” – the entire National Scrabble Association’s Official Tournament Word List typed, word by word, into a WordPerfect document, and many of the obscure words then being linked to websites that describe those words. Over the course of the past eight years that I’ve lived in Minnesota, I’ve created several lists – lists of all school districts, colleges, hotels, funeral homes, attorneys, trucking companies, etc. in the state and beyond, all being establishments which I advertised my services to. Making lists is what keeps my mind occupied when nothing particularly inspirational is in it. Yet, it is the inspiration to reach a particular goal that propels me to take on such an exhaustive project.
So, as I stated, I was just being me, a kid doing his own thing, following his own interests. Then, when adolescence and the teen years came, along came the eye-opening reality that I was very different than my peers. I really REALLY didn’t fit in. Although there were a couple other kids I did do things with, there was no way I could possibly go out independently into the world to make new friends. It’s not that I was shy or afraid. I was not. I was just clueless as to how to go about initiating conversation. Even when I did finally get the gumption to start talking to other kids, my ignorance of the social rules was quite evident. I didn’t even talk like a “guy”. I talked like that nice kid who was treading lightly as he ventured out of an eggshell. Knowing I was so different was indeed painful. Thanks to the adults I could talk to, though, I never reached such a low as to consider self-destruction. There was always that inner spiritual awareness, yet to a small degree during the teen years, that kept me engaged in the world. But at the same time, the strong need to “fit in” eventually gave rise to some very inappropriate ties.
During my senior year of high school, I would go to parties and do things that I would have never considered doing before. My beer chugging habits became the talk of the school. Taking a few “hits” from a marijuana cigarette seemed cool. Although I never became part of the “in” crowd, I was being more socially daring and was therefore talked to more. Once while I was at a training exercise with the Fire & Rescue Explorers Post, we visited a local fire company. I decided that it would make me look more mature if I spent some time hanging out with a loudmouthed fireman and some of his friends. When I became a fireman, I tried to act like what I thought a “guy” should act like. Having a few too many beers at the local bar with some "friends" became a pastime. In the later 80s, the scene moved from bars to a biker bar with adult entertainment where a few firemen I knew frequented. These scenes were NOT regular events at all. They were occasional activities that I felt would improve my manliness. But in the end, all they did was obviate my awkwardness. These “fitting in” digressions lessened significantly when I left Pennsylvania in 1992 and stopped all together when my fortunate spiritual journey began.
Those who have known me since 1998 know the inner adventures I so diligently wrote about during the years since. Meeting an Indian guru in the summer of ‘98 changed the course of history forever. I briefly touched upon my spiritual experiences and revelations in past blog posts. You can get a good picture of where this path has taken me in such writings as “The Healing Power Of Qi: Lessons From Avatar”. There will be more to come like this in the near future.
Thursday, October 7, 2010
What If Your Doctor Had Autism?
While many people with ASDs become great scientists, engineers, and computer programmers, those who choose professions where direct, and often personal, contact with people is required, such as being a doctor, do so for a very humanitarian reason. They are not doing what they do just because it was a good choice of profession; they are true healers. They knew from a time early on, perhaps due to having had their own health concerns, that they could make a difference for other people. As for me personally, I had many many health challenges throughout my life. Therefore, I can understand how serious your concerns are to you. I can ESPECIALLY understand the concerns of your loved one who you may be bringing to my office because they have an autism spectrum disorder. Also, it is necessary that you understand that a person with autism will express themselves differently. The social mannerisms of an autistic person may oftentimes be peculiar. This is not always evident to somebody who is not familiar with autistic people. Therefore, in jest, while listening to me speak, you can think of Dr. Gregory House on the TV show House in order to feel more at ease.
Personally, I feel that I can be more at ease when talking about health concerns. The reason is because I have been through so many of my own, and I turned out to be okay. Some of these concerns include having had open heart surgery, and I am also a stroke survivor. When I am talking to you about a condition or situation that worries you, and I know that it is something that I can help you with, then I will convey uplifting, hopeful vibes to you. My goal is to help you feel more comfortable with the care you are receiving, to instill hope, and to help you see that being positive-minded is the best healing power of all. By having appreciation for my good nature that I relay is key to seeing beyond serious “doctor-ness” which is usually expected and realizing that I am a real, down-to-earth person, one that really cares.
It may surprise you to learn that people with autism may be great contributors to society. It’s just that they are challenged because they do not interact, nor does their mind function, in the ways which are considered “norms” by society. They have to think and do things in alternative ways. Unfortunately, this oftentimes affects how one communicates as well. But once the autistic person finds the way in which he or she can communicate, whether it be through writing, drawing, speaking, or some other way, it is amazing what they can accomplish! Having an ASD does not doom most people who have them. It does give them obstacles they must maneuver around in order to be functional. They are, nonetheless, FUNCTIONAL. The stereotypes of autism being a taboo subject, a curse, or a life sentence need to be thrown out. The autistic child who disrupts the normal schedule of a classroom is not to be disciplined but is instead to be encouraged to think and do what he can in the ways that he can. Many thoughts and feelings about people with autism are actually shadows of Dark Age paradigms. This is NOT a medical condition that can be cured, and people with autism need not be institutionalized, shunned by society, or, worst of all, be made a pin cushion of by the medical establishment. One thing I often contemplate is whether or not there will ever be a cure for “neurotypical-ism”. Now THAT would be nice!
Saturday, October 2, 2010
The Coincidental Omen: Ominous Or Auspicous?
“Do you see what I see?” Anthony said.
I shook my head, laughed, and answered,
“Yeah. That’s a plane flying backwards!”
Well, that was a conversation piece for years to come. We never could figure out what kind of plane could do that. We never saw the plane again.
Fast-forward exactly 28 years to the day, minus about eighteen hours, to Friday, October 1, 2010. I was standing behind the Coyote Moon Grille on the grounds of the Territory Golf Course in Saint Cloud, Minnesota. I was dressed in my ministerial attire, mentally preparing myself for the wedding ceremony I was about to officiate. Suddenly I heard that strange buzzing noise again. I looked up to see that plane flying backwards again! It was the only time I had seen it since the first time. It took no time before I realized the coincidence of the date. Instead of laughing at the irony, a bittersweet feeling came over me. Anthony had since passed away just a few years ago. Muktananda was leaving this world the first time I saw this plane, and now my head and heart are full of his teachings and his presence. I was only twenty years old then, and I am forty-eight years old now. So much of life has been lived in those years. All of these thoughts flooded my mind. As the plane flew over my head, going east toward the Saint Cloud Regional Airport, a tear came to my eye in wonderance of what this could possibly symbolize. I feel that a new era in life is about to begin.
Add to all this strangeness the absolutely bizarre dream I had just before 7:00 this morning. The alarm went off for my wife Bianca to get ready to start her day as a school teacher. Now I’ve had all sorts of very strange dreams over the years of my life. But I never had a dream like this. I was inside a building, and I didn’t know where I was. I was in a room that was deep blue in color. On a big screen TV, there was a very weird program playing. What started off as an adult entertainment film very quickly deteriorated into a horror show. I thought this was definitely not something I wanted to be watching, either way. While purposefully avoiding eye contact with the TV, I walked over to the large windows to see if I could get a clue as to where I was. I found that I was on the ground floor, looking out into a parking lot where a few cars were parked. I then turned to leave the blue room. Instead of pushing open the door, I walked THROUGH the door out into the hallway. I saw in a large meeting room down the hallway that a couple people were gathering. Instead of approaching them to ask where I was, I figured I’d venture through the building myself, using my newfound superhuman power of being able to walk through walls. Besides, maybe I didn’t even BELONG in that building? Next, I walked through a wall and found myself in a dark dressing room with curtained cubicles and hospital gowns. Was I in a clinic of some sort? Then I thought I’d get really adventurous, and I walked through the wall behind the dressing room. That’s when I ended up in a cold place where I couldn’t see a thing. The dream then came to a sudden end as the alarm clock rang. The alarm probably woke me from my dream at just the right time.
This dream left me shaken and wondering. Just the night before, I had performed two Reiki sessions in a row. I equated being able to “walk through walls” with being able to penetrate through, very clearly, the walls within the subconscious mind. The Reiki sessions had more to do with helping people find clarity in their life choices rather that helping them to heal from some kind of ailment. Was I not using the healing gift I was given for what it was intended? Was I going into places where I didn’t belong because I was actually reckless? And what about the horrid show that was playing on TV? Somehow I intuited that it had something to do with the naivete of years gone by, particularly during the period of time when I first lived far from home when I moved to Valparaiso, Indiana n 1993. Was the building I was in my own clinic? Were the people in the meeting room coming to hear me speak? Was I trying to escape from them? Many thoughts and contemplations ran through my mind until I was finally able to fall back to sleep.
One thing that I considered odd is that this all happened on the first day of what I consider the most reflective, bittersweet time of the year – the months of October and November. Last year at this time, I felt such a deep sadness and, I ended up having a stroke. The rest of the months of October and November would be marked by profound sleep disturbances. While I feel happier and much healthier this year, I feel that this time the Universe is bringing about a profound change. Today’s events seemed quite evident of that! But is it a good thing or a bad thing? Muktananda once wrote a book entitled “Where Are You Going?” Perhaps Muktananda wanted to remind me that I need to be contemplating this question right now by sending that airplane flying backwards over my head.
Wednesday, September 29, 2010
The Doctor Is In: An Audie Journey
Doctors and health professionals of all kinds have always surrounded me throughout my childhood years. I was either constantly ill with ear infections and other illnesses or being evaluated for my neurological sluggishness, stunted growth, and heart problems. Another interesting point is that I witnessed a lot of tragedies in my lifetime where the emergency responses stuck in my head – Hurricane Agnes, numerous severe fires during the 60s and 70s, numerous severe accidents at the intersection just 200 feet from the house I grew up in. All of this exposure was fascinating. While I could probably make a strong case that all of this influenced my choice to make a career in health care, the truth is that none of this was the primary motivator.
Back in these childhood years, I knew that I was different. I knew that I was a social recluse. I knew that I had very different interests and very different ways of looking at things. I was so different that I didn’t dare try to be social with people my own age. It’s not that I was afraid to. It was just that I didn’t know how to. I derived my greatest joy from receiving compliments from parents, grandparents, aunts, uncles, teachers, and neighbors who were all astonished by this hyperlexic, awkward runt. Reading Gray’s Anatomy, textbooks on astronomy, and researching paranormal phenomena in the adult section of the Reading Public Library was my favorite pastime when I was only nine years old. I had no social life per se. Therefore, I also felt as though I didn’t belong anywhere. I felt that I had nothing to offer, and all of my interests really wouldn’t take me anywhere in life.
During this time in my life I did have a couple friends that I hung around with. One was the boy next door. The other was a kid named Michael. Michael’s dad and uncle were members of the local fire department. Michael would always talk about really neat emergencies that his dad and uncle were at. When Michael and I were seventeen years old, Michael joined the local fire and rescue explorers post, where people our age could receive basic training in firefighting and rescue techniques. While all of this sounded fascinating, the fascination itself was not the motivator that finally led me in this path. It all boiled down to one thing: if I was ever to be looked at as somebody who could make a difference to other people, I needed to be able to help them during their greatest time of need. Otherwise, I would just be this socially isolated, strange kid without a purpose. THAT was the motivator. And the more I learned over the years, the more potential I discovered within myself.
My social awkwardness did prevent me from becoming “liked”. Whether I was a member of the fire department, working for an ambulance service, or working in a hospital somewhere, I was always that hyperlexic, awkward runt. It’s just that now I had a tendency to bring out the worst in others since I was easy to pick on. But I kept going in what I did because I enjoyed it so much. Also, what I was doing in the health care field did make a difference to me. I really was helping people during their greatest times of need. I finally had a sense of purpose and fulfillment.
My early years of health care were spent in emergency care. I enjoyed the thrills of being a firefighter (until my heart condition prevented me from being able to be a firefighter any longer), an ambulance attendant, and a nurse aid. Eventually I became a Respiratory Therapist. At no point during these early years did I consider going to medical school. I was enjoying the adrenalin rushes more than anything else. Being there in life-and-death situations was where I belonged. This is where I could make that difference in people’s lives. As a result, though, I didn’t focus so much on academics. Even though I was college educated, GPAs and class rankings had no importance to me. A year after graduating from the first-ever Respiratory Care class at Reading Area Community College, I finally saw the potential in me to become – a DOCTOR.
Now working at the Porter Memorial Hospital in Valparaiso, Indiana, I saw a brighter future ahead, a clear vision of moving up the ladder even further. But because of my floundering past academia, I knew that it would be near impossible to get into medical school. This was further quashed by a conversation I had with the dean of the medical school at Indiana University in Gary, Indiana. As he slammed a rubber ball onto his desk, he said to me, “It aggravates the hell out of me to see these nurses and therapists who think that they can do a doctor’s job better than the doctor, and this becomes the reason why they want to go to medical school.” My only thought was, “What a jerk!” I knew that there were many other options to become a physician within the world of health care. So I did some research into various schools and programs, and I did some meditating.
One place I loved visiting after I got done working at the hospital at 11:00 at night was the Indiana Dunes State Park. It was so soothing and inspirational to walk in the sand, looking out over Lake Michigan in the still of the night. While standing there on the beach one night in August of 1993, the water just touching my feet, I meditated on what the right path to follow would be. I imaged myself as a doctor of various professions – dentist, podiatrist, osteopath, etc. The one that felt absolutely right for me was being a chiropractor. The rest was history. After looking into all the chiropractic schools in the U.S., the school I chose was undoubtedly the best one for me: Life University in Marietta, GA. Whereby many schools placed too much emphasis on medical didactics, I figured that if I was going to study chiropractic, I wanted to learn chiropractIC. Life University teaches more hands-on techniques and more anatomy and physiology courses than any other chiropractic school. But being part of the largest chiropractic school in the world at the time would prove to be a social challenge in itself.
I found the academics to be very interesting. My GPA soared to above 3.5 effortlessly. Just six months into the program, on April 11, 1995, I began a 15-1/2 year battle with Chronic Fatigue Syndrome. The GPA fell and attendance suffered. But I plugged away and made it through. Along the way, the Chronic Fatigue Syndrome would not be my only health challenge. But what was even more of a factor in how I did was the fact that I was still a socially awkward recluse. Now, spending more time with peers, I appeared to be even more awkward and naïve. While it takes most people four years to complete this graduate school program, it took me five and a half years. While part of that was due to my health problems, most of it was due to my social incapacities. Student interns must scrounge for their own patients to care for during their internship. Making meaningful contact with people would prove to be my greatest weakness, as it always had been throughout my life. I made it through, nonetheless.
I’ve been in practice now for 10-1/2 years. Looking back at all I have done throughout the years, I can truly say that I accomplished my #1 goal: I became somebody who could help people during their greatest times of need, health-wise. And yes, this does give me a great feeling, to be able to rise above the perpetual social awkwardness. We know now that I have an Autism Spectrum Disorder, which explains everything regarding my lifelong social struggles. I feel better knowing this. But because the social awkwardness is still there, the attempts at building a practice over the years produced mere drops in the bucket. Now I turn my primary goal toward accomplishing another great feat: finding a way to be successful at what I do or at anything whereby I can financially sustain my household and my family. All along I thought that everything would just fall into place just by being what I am professionally. It has not. The doctor is in, but nobody notices.
Saturday, September 25, 2010
How To Choose The WRONG Chiropractor
Then, I thought back in time to a couple similar situations that happened back in 2001 when I was still practicing in Pennsylvania. Patients with similar problems came to me where other chiropractors and even medical providers have failed them, only to be completely healed. How did these things happen? It’s not magic. Not even close. It’s just that I do what I do using the basics and using my heart. I really care about the people that walk into my office. My primary focus is on getting them BETTER. When they are better is the time that I turn my attention toward talking to them about maintenance care, chiropractic philosophy, and bringing their family in for care. Also, I do it all without any gimmicks, just as I took care of my wife this time around.
A question that arises now and then is how do you tell the difference between a “good” chiropractor and a “bad” one. Speaking generally, this formula applies to doctors and health care providers of ANY kind. Not just chiropractors. First I should point out that the American Medical Association has succeeded to a great extent at brainwashing the people of the U.S. into thinking that chiropractors are uneducated quacks. They did so by forming a committee in 1963 called the Committee Against Chiropractic. It was later renamed to the Committee Against Quackery to include professionals of other non-medical healing arts as well. It took a group of seven chiropractors in the state of Illinois a federal lawsuit against the AMA, which the Chicago Seven so valiantly won in 1989, for the organized slander to come to an end. But the damage was done, and organized medicine continues its nonsense in underground and backhanded ways. How did the AMA lose this antitrust lawsuit? It was pretty much a no-brainer when study after study was presented in court showing how amazingly beneficial and effective chiropractic care is for a variety of reasons. The evidence spoke for itself.
Speaking of chiropractors in particular, the REAL one will talk to you like a person. That’s first and foremost. They will greet you by name, ask you what your concerns are, and will then proceed with care. From there, the answers are all very different because not all chiropractors have the same philosophies about what they do. It is helpful to steer clear of the ones who say, “We’ll adjust you three times, and if that doesn’t work we’ll try muscle stim, ultrasound, reverse traction, or (insert your nonsense here) instead.” This chiropractor has no faith in what he does. Likewise, the one who starts by telling you that this nerve controls that organ and that correcting the subluxations in your spine is going to help you function better and has you all confused with big anatomy and physiology terms and hardly breathes between words just like this sentence is going is likewise somebody to be avoided. This person is an idealist and really doesn’t care about the pain you are in.
Physiotherapy equipment such as electrical modalities, cold lasers, and roller tables do not belong in a chiropractor’s office. Most of the people I’ve ever seen in my office say that those things either never did a thing for them or actually made them worse. These things are awesome ways for the chiropractor to pad the bill that he’s going to send off to your insurance company. Another question I often get is if x-rays are really necessary. The answer, in general, is “no”. However, there are certain chiropractic techniques that are entirely dependent on x-rays for specific analysis of your skeletal structure. And, if you were just involved in a vehicle accident and hit your head against the windshield right before walking into my office, you better believe that the first thing I’m going to do before doing any kind of adjusting or manipulating (there is a difference!) is have you get x-rays! The chiropractor who does x-rays on everyone that walks through his door is afraid he might make a mistake. He has no intuition, and he has been told that people are sue-happy. Then there’s the chiropractor who wants you to sign up for a year’s worth of care up front, or he pressures you to buy his line of products. This to me is unethical.
In the end, you are a consumer looking to purchase a service. It would be wise to shop around until you have found the person that you feel most comfortable being with. Go with your instincts! When I was still practicing in Pennsylvania in 2001, I had worked as an associate doctor to a well-liked chiropractic speaker. It became evident, though, that this person missed the mark when it came to actually caring for patients when I was the one receiving complaints about her! After that point in time, I realized that I had a unique gift – a piece of myself that I could offer, with sincerity, to people in need. I could especially understand people because there have been so many times in my life when I was the patient, lying in a hospital bed, not knowing if I was going to live or die. I feel that people who can actually EXPERIENCE such an event, let alone more than once, make more intuitive healers. All in all, I certainly know enough that I can be confident to speak up and write this article!