Hot Packs and Pain

Polio Story Continued . . .

The reason for being sent from Contagious Disease Hospital to Michael Reese Hospital instead of going home was to receive physical therapy.  Dr. Horner convinced Mom and Dad that I needed extensive physical therapy (PT) to recover.  He was correct in that judgment.  My face did not work, and I dribbled when I ate or drank. A smile existed in mind only.  I had to turn my head to the right to swallow.   I still do that fifty-eight years later.  My head flopped to one side. Both legs were a mess, and the right leg was noticeably smaller than the left.  The right hip muscle was a sting. This made walking difficult.  In fact, when I arrived at Michael Reese, I could barely swallow or stand.

In today’s world all the PT I had would be done outpatient at a local therapy center. MR was the leader in PT, and there were no neighborhood therapy centers.

Everyday two very pleasant black women named Thelma and Wilma entertained me.  Their job was to administer hot packs to the dead muscles of polio patients.  Since they were not nursing staff they wore tan dresses and not the traditional white

Every morning, about ten, they wheeled in a machine that resembled an old washing machine.  Inside the tub were various sizes of dark brown woolen cloths.  The machine steam-heated the wool, and spun the water out.  The cloths were very hot; I mean really hot.  When Wilma fished a hot cloth out of the tub, she used a stick.  The rag steamed.  They never dripped but they were damp.  Then she gingerly unwrapped the cloth with the tips of her fingers and lay the rag on my thigh.  Thelma did the same thing on the opposite side.  The first time they put one of those things on my legs I felt like jumping out of the bed and run, not walk.  The two girls talked back and forth in their Ebonics and made me laugh.

They wrapped  hot rags around my neck, arms, chest, back, legs and feet.  As one rag cooled down, another hot one took its place.  The treatment lasted  an hour.

The hotpack is a recognized treatment for injured muscles.  It is still used today, but with less barbaric methods.  Today, the therapist warms a special pad in the microwave to 160 degrees F and applies that to the muscles.  The theory is that the muscle fibers are more elastic when they are warm, thus enabling them to stretch without damage.

Immediately after the hot pack treatments came the physical therapy.  My chauffeur wheeled me down to the PT room where Miss Landau took over.  She was a thin, good-looking woman with graying hair and glasses. She was kind and gentle, but hurt me a lot.  It was her job to stretch dormant muscles back into normality.  She did that by putting me into various positions on the table, grabbing an arm or a leg and bending it into positions it hadn’t been to in months.  One drill I remember involved my thigh muscle.  She rolled me on my stomach and lifted my foot so the leg bent at the knee.  On the first day she could only get my leg to the twelve o’clock position before I vibrated with pain.  She relaxed the leg for a short moment and than raised the leg again, holding it in the stretched position, then relaxing the muscle to repeat over and over.  She worked on every muscle group the same way, twisting and pushing to reach the point of pain.

By the time I left Michael Reese my heel reached back to touch my ass without pain. I learned that without pain there is no gain.

I knew the polio weakened me, but in PT I got to find out just how weak my muscles became.  One exercise I remember vividly involved my right hip.

Miss Landau ordered me to lay on my left side with legs stretched out.

“Lift your right leg straight up,” she commanded.

I strained like hell to lift but the leg didn’t move.  All the time she watched my hip muscles, watching for a single fiber to move.  When she finally spotted movement she got all excited and told me how great I was doing.  At the start I didn’t have the strength to lift the weight of my leg, so she helped by lifting under my ankle. Her boost gave the muscle an idea of how used to move.

It was a slow process with one hour workouts everyday after hot packs, and the  progress was measurable. When I left the hospital I could lift my leg high, even with Miss Landau pushing hard against it. My right hip bulged with an over developed Arnold Schwarzenegger muscle

I learned to walk between parallel bars.  At first, I had an aide in front and in back of me.  My arms straddled over the bars to support my weight. It was easier to move my legs that way. When I stood up with all my weight on my legs  My right hip just swung right out.  I couldn’t hold my hip joints horizontal. The right hip muscle could not hold the hip straight.

Miss Landau ordered a pair of crutches for me.  The crutches took the weight off the hip and kept me from developing a permanent deformity.  I used the crutches for over a year before I walked without my hip swinging out and I didn’t need them anymore.

One day, an aide wheeled me down to a special lab. A prosthetics technician measured my neck, and made a special brace. Its function was to keep my head straight, and to keep my neck muscles from shrinking. I raced between getting a stronger neck or a permanently tilted head. Wearing the brace gave my neck time to get stronger.  The brace also prevented me from becoming Mr. Bobble Head. The technician made the brace, the first of its kind, for me.

He made the brace by hand out of  heavy cloth board.  The young man cut and fit, cut and fit, then cut and fit some more.  When he had enough measurements he sent me back to my room.  The next day, he came to me with the finished product to try again.  He shaved more until the collar was comfortable.

I wrapped this thing around my neck and pulled two very long straps around to the front and threaded them through the metal clasps. Today, the thing would use Velcro and be very easy to open and close.  Velcro hadn’t been invented yet.

The collar supported the weight of my head so my neck muscles could develop without overworking.  I wore the darn thing for as long as I used the crutches.

Miss Landau was a spinster whose roommate  also worked at the hospital. The roommate was the head nurse on one of the floors.  The two got together to talk about what  to do on the weekends.  Miss Landau had just bought a new 1954 Chevy convertible.  Often, her roommate came during break just to say that it was nice enough to ride home with the top down.

I owe my recovery to the work of Miss Landau.  I never did learn her first name.  She made me go through the drills even when I didn’t want to.  At the same time she was kind, sweet, compassionate; always up-beat and encouraging. She never tired of looking for a positive muscle fiber to work with. She pushed, talked, and encouraged every strand of muscle to work harder so it would wake its neighbors.

Thank you, Miss Landau where ever you are.

Another Life Begins At Michael Reese

2929 S. Ellis Ave. Chicago, IL 60616 (312) 791...

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The name Michael Reese was totally strange to me as were the names of any hospital.  At the time Michael Reese Hospital, a prestigious teaching hospital, pioneered in polio rehabilitation techniques.  Our family physician, Dr. Imre Horner, was on staff there. He arranged to get me in.

Michael Reese (MR), on 29th and Ellis Avenue, is four and a half miles straight east from Contagious Disease Hospital (CDH).  The two hospitals were relatively close to each other, but the difference between them was enormous.  CDH was a government operated public facility designed to control or prevent the spread of communicable disease.  Michael Reese was a private hospital in business for curing disease.

I didn’t need curing when I entered MR.  I needed rehabilitation, and Reese had a strong polio rehab center.  The polio virus damaged many of my muscles. My body needed a program of training and exercise to teach the remaining muscles to substitute for the damaged ones that didn’t work; weak muscles needed strengthening.

The aides slid me off the ambulance cart to a hospital cart and wheeled me through miles of corridors and into an elevator.  Up it went, then, a ride through more corridors to a room on the sixth floor. Immediately, I noticed the rooms at MR were different from at CDH. The walls were solid except for one which had a window looking outside.  It was dark when we arrived and I couldn’t see out of the window, but I saw stars and city lights. At CDH, with all of its glass walls, there was never a ray of sunshine or outside light to see.

“One, two, three…..move” and I was on the bed in a new home.  There was a second bed in the room, another difference between the two hospitals.  A young man just lay there smiling at me.

He welcomed me with a big “hello.”  He had dark curly hair with bushy black eyebrows and a contagious smile.  His arms and head were the only parts of him exposed. He was very thin, nearly skin and bone.

” I’m  Myron,” he said.

He also survived polio, except his paralysis affected him from the neck down to his toes.  His chest muscles functioned just enough to let him expand and contract his lungs without the help of the iron lung.  He had limited use of his right arm, which allowed him to scratch his nose.

Myron was three years older than me, and a senior at Steinmetz High School.  We became good friends during our time together.  I often wonder what happened to him and what quality of life he had.  I’m sure he had a much harder time than me because he never regained the use of his muscles like I did.

Life at Michael Reese improved over that of the Contagious Disease Hospital. There were no restrictions on getting up to walk around the room.  Visitors actually came in to sit and talk without a chalk board.  I saw more of my friends.  Mom even brought some of the girls to see me.  I recall Mary Ann Pavel from Woodlawn as one.

The window looked out on the back-end of the hospital.  The view provided a look at the roof with lots of steaming vents and pigeons.  Way in the distance, the buildings of the loop were in view.  Chicago didn’t have many sky scrapers yet, so I didn’t see the spectacular skyline of today, but I did see a 1953 skyline. Soldier’s Field blocked any view of Lake Michigan just four blocks away to the east. I didn’t care, I loved the new home.

Forward Progress

Mount Everest from Kalapatthar.

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A major step to recovery came when I got to sit up on the edge of the bed for the first time.  What’s the big deal, I thought to myself?  Two nurses came in to help slide me over sideways to let my legs hang off the bed.  The nurses lifted from under the arms and around my back to raise me into a sitting position.  Wow! my head started spinning. I had not been off my back for a month.

Meals were a joke because I took nourishment through a feeding tube.  The first thing they did after inserting the tube was to extract a bunch of vile looking fluid from my stomach. A nurse pulled green fluid from my stomach  for a couple of days before she got the okay to feed me. She did the reverse and pushed a syringe full of milky white fluid into my stomach. Just a shot glass full at first, then gradually increasing the amount over a period of days to a full eight ounces.  I felt the cold liquid stuff going down the tube.

Why did they have to feed me through a tube?  I couldn’t swallow.  The polio damaged the nerves controlling my neck muscles.  If I tried to sip something I would  drown.

Gradually,  I got better and started to talk with the nurses and doctors, I learned I had bulbar spinal polio.  This type of polio attacks the face, neck and chest.  Luckily, my chest muscles were the least affected.  My face, neck, and right leg from the hip down were the most affected.  The result was that I couldn’t smile, swallow, hold up my head, or walk.

Every evening in the Contagious Disease Hospital an attendant wheeled a snack cart through the halls and stopped at each room except mine.  I could see the cart through all the windows. The cart had two large glass bottles filled with colored water.  One was a brilliant red and the other green.  Something about the colored drink attracted me. I longed to have a glass of each.  As the cart came closer to my room I debated with myself as to which color I would ask for – the red or the green?  The hall lights helped make the color of that fluid vibrant, and I longed to have some.  Each night, the cart passed by my room without stopping, but I played the game each time. I later learned the magic fluid was cherry and lime jello water.

Another big adventure was to stand up.  Earlier in the week I got to sit on the edge of the bed. Sitting up for a few minutes became a daily ritual. Each day I sat for a few minutes longer. It was great to sit up, especially when Mom came with Mrs. Thomas.  Sitting made it easier to write on the chalk board and to hold it up to the window. When the time finally came to stand up, two nurses came in.  Again, I thought what is the big deal?  Just let me slide off the edge of the bed and stand.   That’s just what they did.  They let me slide off the edge until my feet were on the floor. One nurse on each side held me under the arm. Each held their leg against my knee. Wow! It felt good to stand;  It also felt strange. After a minute my legs started shaking and got all wobbly and I had to sit down again.

The day I stood up for the first time is when I realized how much damage the virus did. That day also marked the start of my re-hab.  There wasn’t any facility to do re-hab at CDH, but the simple act of getting me up and out of bed was the start.  I still couldn’t swallow, but I could sit up and stand.  Later in the week, they let me take a few steps which was hard because my hip and thigh muscles on the right side were gone.  I dragged the right leg along putting all my weight on the aide. The remaining muscle groups couldn’t hold me up straight, so I leaned heavily to the left to compensate and my head just rolled around like I had a  broken neck.

A nurse started me on swallowing exercises.  She let me take tiny sips of water, just enough to wet my tongue, and encouraged me to swallow.  I strained with all my might but nothing in my throat moved.

The jello water cart came every night. Each time I saw that red and green fluid I tried hard to swallow, but nothing seemed to happen.  I was never allowed to sip water on my own for fear of choking.

One day after what seemed like a month of practicing to swallow the nurse had to leave the room for a moment. What the heck, I decided to sneak a sip of water.  I felt the muscles move in my throat and the sip went down. I swallowed!  Things were moving in there, and the water went down the right pipe. At that moment I felt like I had just reached the top of the Mount Everest.  The next day, when the nurse came to exercise my swallow muscles, I showed her I could actually do it. That night the jello water cart with the fantastic red and green juice stopped at my door.

My first day at CDH was in early August, right after my fifteenth birthday.  It was now late October.  I missed football tryout, I wasn’t managing the basketball team, I hadn’t opened a book to study and I saw my friends once in that time.  It didn’t matter, all I could do is look forward and do the best I could.

One day a nurse came to tell me the news they were sending me to another hospital.  There was nothing more they could do for me at CDH.  It was Halloween night when the ambulance took me to Michael Reese.

Leaving all the nurses was a sad time.  There were so many who worked with me, mostly students from area hospitals.  All of them were great nurses.  It dawned on me that I never met another patient at CDH because everyone was so isolated.

Two aides slid me on a gurney and bundled me up. As they wheeled me out of the room I called home for so many weeks I touched the big ugly iron lung breathing machine parked outside my door. I whispered “thanks for being there for me.” I also thanked God that I never needed to use it. The attendants wheeled me down the corridor to the ambulance dock. I never saw any of the angels who cared for me to say goodbye.

During my last few days at CDH I thought about becoming a doctor.  All of the staff at CDH was so good and nice to me. I thought of giving back to the world by becoming a doctor.  The question stayed with me and I debated for very long time. Eventually,  I concluded that even though it was a noble idea that I was not the right kind of person to become a doctor.  I decided to stay on the path to become an engineer.  The ride to Michael Reese took only a few minutes, but it seemed like a trip around the world. In my mind I saw kids out on the street going door to door to “Trick or Treat”.

A Freshman Class Turns Into a Career

Pens Pencils

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DRAFTING

The pre-engineering curriculum at Mendel included Mechanical Drawing.  My drawing skills were pretty fair by then, and I became familiar with the tools by watching my brother Bill use a T-Square and a compass. The first day of class it became obvious I had to begin from scratch.   Each student received a package of drawing tools that included a small board, T-square, 2 triangles, protractor, compass, a triangular scale, some pencils, a brush, and a Pink Pearl eraser.

Printing the alphabet became the first assignment, but before starting, I learned how to use masking tape to fasten paper to the board.  Mr. Allen, the teacher, showed me how to properly use a T-Square, and to draw parallel guide lines for the letters.

Pencils suddenly became a science.  There are many grades of pencils. I learned to identify the softness of lead by the code number and letter printed on the end, ranging from very hard, to very soft.  For instance, a 4H lead is very hard and will make a very fine gray line, and an HB is very soft and black.  Pressing hard on a pointy 4H pencil  to make a heavy line will cut the paper.  Soft leads like “HB” make blacker, wider lines that look good, but smear easily, and smudge the paper.  A dirty drawing brought a reduced grade.  Neatness was essential to survive the class.

During my years of employment, I learned that machine drawings are larger and more complicated. They smudge easier because of the amount of lead on the paper.  The smudged lead makes the background gray resulting in a poor blue print copy. A print machine requires light to pass through the drawing paper everywhere except where there is a line. If the background around the lines is smudged and dark gray, the copy will show blue lines on a dark blue background. The quality is lousy. The most easily read prints consist up of sharp blue lines on a white background.

It seemed like weeks before we actually began to put a pencil to the paper. That is when I learned to print letters using prescribed strokes. First came large capital letters. When Mr. Allen felt I had mastered those, he started me on lower case. I learned to print letters between guide lines upright, slanted, large, and small before progressing to lower case. It must have been four classes before we finally got to draw something real; a two-inch square.

Mr. Allen referred to every drawing as a plate. Each plate required a border, a title block, and finally the object.  The title block needed space for the plate title, the date, our name, and class number.  Each time we turned in a plate, he graded the quality of printing, line sharpness, and neatness. He subtracted points if lines defining a corner did not meet by touch.  Conversely, he subtracted points if the corner lines crossed.  In modern Computer Aided Design (CAD) programs, the computer will not recognize lines that are not connected to form a geometric solid model or wire frame.  The lines appear on the screen, but the surface is not fully defined until the lines connect by five decimal places.

I loved the drawing class, and still love all aspects of it till this day.  I loved making the plates and using two views to create a third.  I really like making 3D solids views using a vanishing point perspective.

Mechanical Drawing was my first and only “A” in freshman year.   Mr. Allen did a great job teaching the fundamentals and I eagerly learned by doing the work.  Drawing takes practice to develop skill, just as cooking or working a computer.  Without the hands-on practice, the skills are lacking. The training served me well, because I used that basic skill to make a very good living.

One of my classmates had a terrible time with drawing. After several weeks, he still lacked the ability to draw a right angle using the tee-square and a triangle. His square never was square, his printing looked infantile, and the drawings were dirty. The lines resembled those made by a crayon. It was painful to watch him struggle so hard with something that came so easy to me. I helped him as much as I could by coaching, but he failed the class, and dropped out of pre-engineering.

Many years later, one of my draftsman was similarly handicapped. The man graduated from a prominent technical school with a degree in drafting. I assigned only the most simple components for him to draw. He struggled with completion. It took days for him to finish a drawing that would have taken another draftsman a couple of hours to complete. I reviewed his work often. I finally spoke to him frankly,

“Ike, you are not qualified as a draftsman perhaps you should find another field of work.”

“I have a diploma from my school.” I paid $5000 to get it.”

“Ike, I don’t care how much tuition you paid, you are not a draftsman.”

Because Ike was the first and only black employee in our engineering department, my boss wouldn’t let me fire him. Ike had nine kids, and worked part-time as a minister. Often, when I made my rounds, and walked in on him, he was on the phone counseling one of his congregation. Eventually, I learned that Ike started a second full-time job with benefits. That became the trigger for my boss to give me the signal to let him go.

Firing a guy is not easy, but in this case, I did Ike, the company, and me a favor.

More Torture Followed by Joy–Part Five

The new doctor’s assessment brought me two new tortures: One is a Levine tube, the second a foot board. The first little beauty is a rubber hose, brown in color and very flexible. The doctor inserted one end of the tube into my nose and quickly fed it down the throat into my stomach. Just what I needed another tube: first a catheter, then a cut down, and now a feeding tube.

The second torture was to lay with my feet pointed up and flat against a board. This exercise kept my calf muscles from shortening permanently. Shortened calf muscles would make walking harder. I still thought that one day the doctor would say ‘time to go home’ and I’d jump out of bed and walk out.

Visiting days were becoming a major highlight of each week. The longer I stayed in the CDH the more I wanted to see my friends and family. The half hour seemed so short yet there were times when it was too long. Mom came with a friend most times. It had to be hard on her to get there. She took five streetcars to reach the hospital. That took several hours each way. Selfish me, I never thought about how hard it was for her, I only looked forward to seeing her. Dad came on Sunday. I’m sure Sis visited too, but I don’t remember. My brother Bill couldn’t come because he was in the army stationed in Germany.

Once I could sit up in bed, we began using small chalk boards to write messages to each other. Finally, we communicated again. Mom’s girlfriend Barbara Thomas and our neighbor Mrs. Lihota came with her often. They did all the writing because Mom couldn’t write in English.

After being in for several weeks, Mom and Dad drove Joe Barath and Jack Adams to visit.  It was good to see them, but awkward. They were brave to come into that environment. We separated when we left for high school, and now this new adventure separated me even further from my world of friends.

To be continued . . .