Nottington University

January 22, 2008

Life with a Black Dog.

Filed under: NU Serenomy Paper Vol 1 issue 2 — by nottingtonuniversity @ 5:25 pm

In the first issue of serenomy I examined the stigmas and semantics of psychiatric diseases. In this article I’ll be taking a look at the reality of living with a black dog.

It was Winston Churchill who first coined the phrase the black dog ~ it was what he called his depression. And it’s a metaphor that really works and in many ways makes it easier to try and understand what Depression is like to live with. Although my best friend Tanya made a good point when she said that Depression is like childbirth ~ you can have someone tell you all about it and understand it on an intellectual level, but until you’ve gone through it, you really don’t get it.

I’ve always had Sparky ~ my black dog ~ but I didn’t realize he was there until my late 20’s when my Dr discovered him. And then began the process of learning how to care for Sparky ~ my black dog. The first thing I had to do was accept the fact that Sparky would always be a part of my life and that having Sparky was not a character flaw, a weakness or my fault. I was never a dog person and accepting the fact that I now had one of my own was a long and difficult process. And Sparky is a very picky eater. He’d eat a certain food for awhile and then decide that he didn’t like it and act up. And then the search for a new food would begin again. And this would be after Sparky was given different portions of the same food. When he continued to act up, then a new food would be looked at as a possibility. Different foods at different portions, all the while trying to keep Sparky under control.

That’s the other reality of having a black dog. Even when he has the food he likes at the right portion he can still act up. Often for no reason at all except that he feels like it. And most people don’t care for being around an unruly dog ~ even when they know that you are doing your best to contain him. And even when he is behaving, he is always at your feet. You just do your best not to trip on him or wake up him and have him get too active. Looking after Sparky is a tricky business. When people realize you have a black dog you often are then in a position of explaining to them what having a black dog is really all about. It can be extremely difficult to accept you have a black dog when others are always questioning his presence. And Sparky himself adds to the questioning. He’ll try his best to control me. When he is acting up, he gets bigger than me, overshadowing me until even I feel invisible. And the bigger he gets the stronger he gets. The tricky part is knowing when he’s about to get stronger. Recognizing the signs of agitation. Accepting the oncoming, and often inevitable, period of bad behavior.

But there are things I can do to rein in Sparky as much as I can. I make sure that I have a professional trainer to help me when Sparky acts up. I do my best not to listen to Sparky when he tells me that his presence is shameful and I should just hide him and myself away. Sparky tells me that merely having him makes me unworthy. He wants to me the master and control me. It’s a balance between knowing he will act up and working not to allow him complete control. When Sparky is in control it is easy to allow him that control, to let him call the shots and submit to his will. At these times Sparky doesn’t like to go outside, see other people, eat, sleep or even take care of basic hygiene. He even barks at my partner, scaring him and keeping him back. Some friends are so scared of Sparky they never come back.

And Sparky has offspring and they tend to wake up when he does. Generalized anxiety, social anxiety, OCD, PTSD……..and they require a different diet than Sparky. And the diets themselves can be just as hard as having Sparky. Decreased libido, hand tremors, increased need for sleep, the sensation of being muffled from the rest of the world. Other than when Sparky is acting up, the time I feel his presence the strongest is when I have to feed him. It is a daily reminder that he is with me and he will always be with me. You can’t put a black dog down. You can do your best to control him but you’ll never be rid of him. And I mean no gender bias when I call Sparky “him” ~ it’s just how I always thought of Sparky.

So exercise him. feed him properly. Take care of him as best you can but accept that he’ll always be there. Accept that there will be times when you can’t control him. Accept that some people will never accept him. Do your best to explain Sparky’s presence to those that will accept him as part of your life. Inform others what it means to have a black dog. But most of all remember that having a black dog is not your fault. He is not a punishment and you should feel no shame in having him.

If you have any questions, please feel free to ask me either here or privately. I want people to know about black dogs and to hopefully educate them about black dogs. I am including a link for a book that is the best I’ve come across in living with a black dog. Simply written and with illustrations that also reflect the black dog’s presence, it is an invaluable book for showing others and yourself what living with a black dog is all about.

http://books.google.ca/books?id=VqyMyrC5m8IC&pg=PT31&vq=book+living+with+black+dog+depression&sig=G6Wn_8gyZEPt_R0fiA05-G1W2DM#PPT39,M1

January 18, 2008

Mardi Gras -Carnival Came to America by Mskittie

Filed under: NU Seminars & Classes — by nottingtonuniversity @ 7:07 pm

The history of a Mardi Gras celebration existed many years before Europeans came to the New World. Some time in the Second Century, during mid-February (usually February 15 according to the Julian calendar), Ancient Romans would observe what they called the Lupercalia, a circus-type festival which was, in many respects, quite similar to the present day Mardi Gras. This festival honored the Roman deity, Lupercus, a pastoral God associated with Faunus or the Satyr. Although Lupercus is derived from the Latin Lupus (meaning “wolf”), the original meaning of the word as it applies to Roman religion has become obscured over the passage of time. When Christianity arrived in Rome, the dignitaries of the early Church decided it would be more prudent to incorporate certain aspects of such rituals into the new faith rather than attempt to abolish them altogether. This granted a Christian interpretation to the ancient custom and the Carnival became a time of abandon and merriment which peceded the Lenten period (a symbolic Christian pentinence of 40 days commencing on Ash Wednesday and ending at Easter). During this time, there would be feasting which lasted several days and participants would indulge in voluntary madness by donning masks, clothing themselves in the likeness of spectres and generally giving themselves up to Bacchus and Venus. All aspects of pleasure were considered to be allowable during the Carnival celebration and today’s modern festivites are thought by some to be more reminiscent of the Roman Saturnalia rather than Lupercalia, or be linked to even earlier Pagan festivals.

From Rome, the celebration spread to other European countries. In medieval times, a similar-type festivity to that of the present day Mardi Gras was given by monarchs and lords prior to Lent in order to ceremoniously conscript new knights into service and hold feasts in their honor. The landed gentry would also ride through the countryside rewarding peasants with cakes (thought by some to be the origin of the King Cake), coins (perhaps the origin of present day gifts of Mardi Gras doubloons) and other trinkets. In Germany, there still remains a Carnival similar to that of the one held in New Orleans. Known as Fasching, the celebrations begin on Twelfth Night and continue until Shrove Tuesday. To a lesser degree, this festivity is still celebrated in France and Spain. A Carnival season was also celebrated in England until the Nineteenth Century, originating as a type of “renewal” festival that incorporated fertility motifs and ball games which frequently turned into riots between opposing villages, followed by feasts of pancakes and the imbibing of alcohol. The preparing and consumption of pancakes on Shrove Tuesday (also known as “Pancake Day” or “Pancake Tuesday” and occurring annually between February 2 and March 9, depending upon the date of Easter) is a still a tradition in the United Kingdom, where pancake tossing and pancake races (during which a pancake must be tossed a certain number of times) are still popular. One of the most famous of such competitions, which takes place in Olney, Buckinghamshire, is said to date from 1445. It is a race for women only and for those who have lived in the Parish for at least three months. An apron and head-covering are requisite. The course is 415 yards and the pancake must be tossed at least three times during the race. The winner receives a kiss from the Ringer of the Pancake Bell and a prayer book from the local vicar. “Shrove” is derived from the Old English word “shrive,” which means to “confess all sins.”

It is generally accepted that Mardi Gras came to America in 1699 with the French explorer, Sieur d’Iberville. The festival had been celebrated as a major holiday in Paris since the Middle Ages. Iberville sailed into the Gulf of Mexico and, from there, launched an expedition along the Mississippi River. By March 3, 1699, Iberville had set up a camp on the West Bank of the River…about 60 miles South of the present day City of New Orleans in the State of Louisiana. Since that day was the very one on which Mardi Gras was being celebrated in France, Iberville named the site Point du Mardi Gras in honor of the festival. According to some sources, however, the Mardi Gras of New Orleans began in 1827 when a group of students who had recently returned from school in Paris donned strange costumes and danced their way through the streets. The students had first experienced this revelry while taking part in celebrations they had witnessed in Paris. In this version, it is said that the inhabitants of New Orleans were swiftly captured by the enthusiasm of the youths and quickly followed suit. Other sources maintain that the Mardi Gras celebration originated with the arrival of early French settlers to the State of Louisiana. Nevertheless, it is known that from 1827 to 1833, the New Orleans’ Mardi Gras celebrations became more elaborate, culminating in an annual Mardi Gras Ball. Although the exact date of the first revelries cannot be determined, the Carnival was well-established by the middle of the Nineteenth Century when the Mystick Krewe of Comus presented its 1857 Torchlight Parade with a theme taken from “Paradise Lost” written by John Milton.

In French, “Mardi Gras” literally means “Fat Tuesday,” so named because it falls on the day before Ash Wednesday, the last day prior to Lent…a 40-day season of prayer and fasting observed by the Roman Catholic Church (and many other Christian denominations) which ends on Easter Sunday. The origin of “Fat Tuesday” is believed to have come from the ancient Pagan custom of parading a fat ox through the town streets. Such Pagan holidays were filled with excessive eating, drinking and general bawdiness prior to a period of fasting. Since the modern day Carvinal Season is sandwiched between Christmas and Lent, with Christmas Day being December 25 on the Gregorian Calendar as set by the Roman Catholic Church, this means that other Holy Days are “floating” in nature. Easter always falls on a Sunday, but it can be any Sunday from March 23 through April 25, its actual date being the Sunday which follows the first Full Moon after the Spring Equinox. Mardi Gras is always 47 days prior to this alloted Sunday (the 40 days of Lent plus seven Sundays). The beginning of the Carnival Season itself, however, is also fixed…being January 6, which is the Feast of the Ephiphany, otherwise known as Little Christmas or Twelfth Night. Since the date of Mardi Gras thus varies, the length of the Carnival Season also varies accordingly from year-to-year. The origin of the word “Carvinal” is from the Latin for “farewell to the flesh,” a time when one is expected to forego earthly pleasures prior to the restrictions of the Lenten Season, and is thought to be derived from the feasts of the Middle Ages known as carnis levamen or “solace of the flesh.”

In 1833, Bernard Xavier de Marigny de Mandeville, a wealthy plantation owner, solicited a large amount of money in order to help finance an organized Mardi Gras celebration. It was not until 1837, however, that the first Mardi Gras Parade was staged. Two years later, a description of the 1839 Parade noted that it consisted of a single float. Nonetheless, it was considered to be a great success and apparently, the crowd roared hilariously as this somewhat crude float moved through the streets of the city. Since that time, Mardi Gras in New Orleans has been an overwhelming success, continuing to grow with additional organizations participating each year.

The traditional colors of Mardi Gras are purple (symbolic of justice), green (symbolic of faith) and gold (symbolic of power). The accepted story behind the original selection of these colors originates from 1872 when the Grand Duke Alexis Romanoff of Russia visited New Orleans. It is said that the Grand Duke came to the city in pursuit of an actress named Lydia Thompson. During his stay, he was given the honor of selecting the official Mardi Gras colors by the Krewe of Rex…thus, did these colors also become the colors of the House of Romanoff. The 1892 Rex Parade theme (“Symbolism of Colors”) first gave meaning to the representation of the official Mardi Gras colors. Interestingly, the colors of Mardi Gras influenced the choice of school colors for the Lousiana arch-rival colleges, Louisiana State University and Tulane University. Whe LSU was deciding on its colors, the stores in New Orleans had stocked-up on fabrics of purple, green and gold for the upcoming Mardi Gras Season. LSU, opting for purple and gold, bought a large quantity of the available cloth. Tulane purchased much of the only remaining color…green (Tulane’s colors are green and white).

Today, Louisiana’s Mardi Gras is celebrated not only in New Orleans, but also in numerous smaller cities and towns around the State and in the neighboring Gulf Coast Region. Similar celebrations are also held in the Brazilian city of Rio de Janeiro…arguably the world’s most elaborate Carnival location with its Samba Dromo parades, which annually attract a huge number of tourists from all corners of the globe. Regardless of where the festivals take place, however, all share a common party atmosphere inherently associated with the celebrations.

As a resident,living just 60 miles from New Orleans,I have seen many Mardi Gras’ come and go.These parades span several weeks with floats being build for the next year almost before the end of the last floats last throw is thrown. With the many  parties,balls and all sorts of preparations going on over the weeks before Fat Tuesday there is a great excitement that can be felt in the very air.I love to take the children and watch the parades and holler for beads and all kinds of trinkets.I think that we have a lot more in common with people in other places than then we are aware of .I found that Sha and I share this holiday even if alittle different.It is like others I can name here.but wont yet.Maybe we just need to get to know each other better so we can focus on the similarities and not the differences.That is what Nottington is all about isn’t it ?We are making the world a lot smaller in our own way.

January 17, 2008

Holidays – Brazilian Carnival (2008, February 4 and 5) by Sha

Filed under: NU Seminars & Classes — by nottingtonuniversity @ 12:03 am
CARNIVAL ROOTS

The origins of carnival date back to the ancient Greek spring festival in honor of Dionysus, the god of wine. The Romans adopted the celebration with Bacchanalia (feasts in honor of Bacchus, the Roman equivalent to Dionysus), and Saturnalia, where slaves and their masters would exchange clothes in a day of drunken revelry. Saturnalia was later modified by the Roman Catholic Church into a festival leading up Ash Wednesday. It quickly evolved into a massive celebration of indulgences – one last gasp of music, food, alcohol, and sex before Lent – before the 40 days of personal reflection, abstinence, and fasting until Easter (not exactly what the Church probably had in mind). 40 days of purging sins, preceded by a week filled with virtually every known sin. The word itself comes from Latin, “Carne Vale” or “Farewell to the Flesh”.

BRASIL – RIO DE JANEIRO
Rio’s lavish carnival is one of the world’s most famous. Scores of spectacular floats surrounded by thousands and thousands of dancers, singers, and drummers parade through the enormous Sambódromo Stadium dressed in elaborate costumes (or, quite often, with absolutely no costume.) It is an epic event televised around the world. The origin of Brazil’s carnival goes back to a Portuguese pre-lent festivity called “entrudo”, a chaotic event where participants threw mud, water, and food at each other in a street event that often led to riots (an event quite similar to today’s Andean carnival – see Venezuelan section of this booklet). Rio’s first masquerade carnival ball (set to polkas and waltzes) was in 1840. Carnival street parades followed a decade later with horse drawn floats and military bands. The sound closely associated with the Brazilian carnival, the samba, wasn’t part of carnival until 1917. The samba is a mix of Angolan semba, European polka, African batuques, with touches of Cuban habanera and other styles. What we now know as samba is a result of the arrival of black Brazilians (primarily from Bahia) to the impoverished slums or favelas surrounding Rio following the abolition of slavery in Brazil in 1888. Today the carnival is organized by the escolas de samba (samba schools).
SAMBA SCHOOLSThe Samba schools (Escolas de samba in Portuguese) are samba clubs organised in the early half of the 20th century in Rio de Janeiro, Brazil. They are neighbourhood associations that today put on spectacular Carnival parades.
 Samba school
The most spectacular parade takes place in the Rio de Janeiro Sambadrome, with other major parades taking place in São Paulo and others cities of the southern and southeastern Brazil. These parades are sumptuous and attract tourists from all over the world.Samba schools, which started off first in Rio de Janeiro in 1928, have evolved around the centerpiece event of the Rio Carnaval. The schools parade down a lane lined with grandstands, thousands of members per school dressed in coordinated costumes, dancing a rehearsed samba routine to original music. Each school’s presentation has a central theme, such as a historical event, a famous person or a native Brazilian legend. The samba song must be developed around the theme, and the parade organised by each school must detail the theme through costumes, paintings or papier-mache sculpture.

Each samba school rehearses all year round for this event and all its members take part in the rehearsals, whether experts or not. It is a place where people who always wanted to write a song, play a percussion instrument or choreograph a dance will have their opportunity. Unlike the Rose Parade, which has largely been taken over by high-budget professionals, the samba parade is the work of neighbourhood communities working together. Much more than musical groups, they are in fact, neighborhood associations that cater for a variety of community needs (such as educational and health care resources) in a country with grinding poverty and poor social safety net.

Parade components

First is the front line (the comissão de frente), which consists of around ten people who have to introduce the samba school’s theme. Other than that, there is no rule concerning the order of the different elements of a samba school. Its main components are:

  • The master of ceremonies and flag bearer: a couple, sometimes dressed in royal eighteenth or nineteenth-century attire, who dance in a graceful, composed manner. The flag bearer displays the flag of the samba school. The rich costumes that the couple wear are a mark of the intense dialogues between cultures provided by the Carnival in Rio.
  • The Baianas (ala de baianas), which may include over one hundred older Afro-Brazilian women stereotypically dressed to represent the women from Bahia who sold goods in the streets of Rio during the 19th century.
  • The drum section (bateria) which consists of a few hundred men playing in rows. Instruments include a variety of drums, tambourines, and rattles.

BRASIL – SALVADOR, BAHIA

Salvador da Bahia was Brazil’s first center of government (from 1549 to 1763), and remains its musical capital. For centuries, Bahia was home of the Portuguese sugar industry and slave trade. As a result, today Salvador is the largest center of African culture in the Americas. Amidst the colonial architecture and cobblestone streets, there is an unmistakable beat of Bahian drumming. You can hear it in the stereo speakers and boom boxes blasting the latest Axê pop music. It becomes overwhelming when the large percussion ensembles (with literally hundreds of drummers) called “blocos Afros” take to the streets for carnival. It was a movement launched a half century ago by the group, Filhos de Gandhi (Sons of Gandhi). Today, there are countless blocos Afros that have taken on a new mission as part of the “negritude” movement to re-establish Black Pride. Olodum, Ara Ketu, Ilê Aiyé, Timbalada and the all women’s drumming mega-group Dida all electrify Salvador every February during carnival. Olodum’s Billy Arquimimo explains, “We started Olodum 20 years ago because at that time, black people used to be ashamed of their skin. We thought it was necessary to do something to re-establish Black Pride, and to redevelop African culture here in Bahia.”

Like Rio, the city of Salvador is famous for its carnival. For both cities, it is an enormous festival leading up to Lent. That is where the similarities end. Rio is famous for its Samba schools, elaborate costumes (or at times no costumes), and a huge parade held at the Sambódromo Stadium. Salvador is Brazil’s street carnival. It lasts for weeks. The music begins daily as early as noon and runs until 7 or 8 the next morning.

Bahian superstar Carlinhos Brown explains, “We play, not for money, but to celebrate happiness. Our carnival is a street carnival. It is for everyone, not just for those with money.” In addition to the Blocos Afros, artists like Carlinhos Brown and Daniela Mercury perform on huge trucks, packed with loudspeakers called “trio elétricos“. Trio elétrico in Salvador, BahiaThese are the big tractor-trailer trucks packed with huge speakers. The tradition began in 1950 when two Bahian musicians, Dodo and Osmar, performed with their electric trio aboard a 1929 Ford pickup truck.. Even though there are regularly 20-40 band members atop 18 wheeler mega-trucks today, the name “trio electrico” still sticks. Bahia’s carnival is perhaps the world’s largest public festivity, attracting crowds of three million that dance through the night in Salvador’s historic colonial streets.
A PERSONAL POINT OF VIEW
I really only like Carnival because it’s a long holiday that I don’t (usually) have to work and can travel or can enjoy the empty and super calm city. Carnival has never been my “thing” as for most of the Brazilians who live all year long just waiting for this moment of the year. There is a motto in our country that says “that the year in Brazil only effectively starts after the Carnival”, so as you can imagine, 2008 hasn’t started yet…..
Fortunately, this is not true for everybody. As in every part of the world, we have hard working citizens and those who aren’t…. In fact Brazilian people are known as very outgoing, friendly, easy going and one of the sociological reasons for these facts is the African influence in our colonization whose roots are also the carnival’s ones.
From now on, on TV, all I can see on the news, local programs are the Carnival’s preparations, I, personally, get tired and bored… but hey that’s my country… and after Feb 5th…. 2008 will begin! LOL
Bibliography:
Images from:

January 16, 2008

The Toronto Triangle Program ~ a Globe and Mail article

Filed under: NU Serenomy Paper Vol 1 issue 2 — by nottingtonuniversity @ 12:25 am

This article was originally written in 2004. I wasn’t able to get it from the Globe and Mail directly (they wanted I should pay for it! wankers!), but I did find it on a gay news blog ~ the link will be at the bottom of the article. I read this when it was originally published and thought of it when I finished the 1st floor of the NUSU where the NUGLBT group is located. Wasn’t too hard to dig up online but I am the Google queen!

 

The Globe & Mail, May 29, 2004

 

Welcome to Canada’s gay high school

 

Despite this country’s reputation for tolerance, young people still face discrimination for being gay, writes Alanna Mitchell. When school life becomes so hostile they can’t face it any more, Toronto’s Triangle program offers an educational refuge

 

By Alanna Mitchell

 

The classroom is makeshift, constructed by members of the congregation of this Toronto church in a building bee one weekend.

 

And it’s cramped. About a dozen high-school students, ranging across all grades, bundle their legs underneath tables that have been pushed together in two facing rows.

 

A bookshelf beside them holds the Concise Oxford Dictionary, Webster’s New World Thesaurus and The Encyclopedia of Gay and Lesbian Film and Video. The clock at the front of the room wears a feather boa in four colours.

 

This is the only high school in Canada for gay, lesbian, bisexual and transsexual students. It’s an outpost of the city’s public school system called the Triangle program, a nod to the pink triangle badges gays were forced to wear during Hitler’s rule in Germany.

 

While lots of gay students do fine in schools across Canada, the kids who have enrolled in the Triangle program don’t. They have found their way here from all over Ontario – and even from other provinces – because they felt alienated by school environments they say didn’t allow them to thrive and also acknowledge being gay.

 

Alex Rafferty, one of the refugees from the mainstream school system, is typical. She still can’t get over how an American friend reacted when she complained that it was hard to be 15 and lesbian.

 

“You live in Canada!” the friend said, aghast. “You don’t know homophobia!”

 

Alex says she does. With a horseshoe-shaped ring hanging between her nostrils, and goth-influenced clothes and makeup, she may look tough. But she shakes her head gently as she recalls the stream of hostile e-mail she got after telling a friend at her Catholic girls school she thought she might be lesbian.

 

“I don’t understand it,” she says, looking a bit shaky as she talks about it. “They were friends of mine when they thought I was straight.”

 

Yes, this country has become famous for its gay-friendly laws, especially last year’s ruling in Ontario that allowed same-sex marriages. That alone catapulted Canada to the top rung as a tolerant nation, setting a precedent that cities such as San Francisco are trying to follow and prompting the stodgy Economist magazine to dub Canada “rather cool.”

 

But as Alex and the other teens crammed into this basement classroom at the Metropolitan Community Church can attest, the fabled gay-friendliness sometimes has an element of masquerade about it.

 

Just look at the protests that took place this month in London, Ont., where some groups vociferously opposed a school-board proposal to pass policies aimed at stanching the flood of bullying directed at gay students. The protesters said they didn’t want kids to get the idea that it was “okay” to be gay. (In the end, the proposed changes – which included educating teachers and students about sexual diversity and having a contact person at each school to connect students with gay-friendly experts – passed.)

 

And in B.C., there was outrage over a play written and performed by drama students at the Vancouver-area Handsworth Secondary School that featured two young women kissing. After one performance, the school board demanded the kiss be dropped. Four parents had complained, and three teachers. The kiss vanished.

 

It’s hard to tell just from looking at them how much these kids had been through before they arrived in the Triangle program. Everyone knows that the journey toward adulthood is perilous. How different could their stories be?

 

In some ways, they are the same tales of courage, despair, joy and painful self-discovery that every teen goes through. But for these kids, being gay or bisexual or lesbian or transgendered – often without the support of friends and family – has upped the ante.

 

Several have attempted suicide. At least two have arrived fresh from psychiatric wards (Alex is one of them). Several have been kicked out of the family home for being gay and now try to make ends meet on welfare while going to school.

 

This is their school of last resort. If they can’t make a go of it here, they won’t be able to go anywhere else. There is a trace of desperation in this room, but mostly it’s acceptance and relief. This is their place.

 

Patty Barclay, the program’s only full-time teacher, is preparing for the afternoon group work, known in the school’s lingo as the “queer curriculum,” that sets it apart from other schools.

 

Ms. Barclay and other staff members over the years have created a tightly focused curriculum designed to appeal to these students. Mornings are devoted to individual learning, which means that someone doing Grade 10 math can be working beside a Grade 9 science student. The teachers move through the group, helping each in turn.

 

The afternoon sessions represent Triangle’s heart and soul, a course of study on issues, literature and history of lesbian, gay, bisexual and transgendered people that can be grafted to the different abilities of students, who could be anywhere from 14 to 23. Ms. Barclay begins to read aloud. It’s a passage from The PowerBook by Jeanette Winterson, the British novelist who has been called both a “holy terror” and a “lesbian desperado.”

 

This section is about a girl born in 17th-century Turkey to a family that didn’t want any more girls. The father wanted to drown her at birth, but the mother persuaded him to let her live as a boy. She ends up a spy who smuggles the first tulip bulbs to England, bulbs strapped to her groin like testicles.

 

The room is silent. The students are taking in the language, which is lyrical, hopeful and wildly suggestive.

 

Then, abruptly, Ms. Barclay stops. The task for the next few minutes, she tells them, is to use the tulip tale as the jumping-off point for their own stories. The ones who have been here longer immediately take up pen and paper. But a few others look shocked. They don’t have a clue how to continue.

 

But they must, Ms. Barclay tells them firmly. “Trust where you’re going,” she says.

 

Eventually, each student begins to write, some in loopy lines and others in sophisticated prose. Later, when they take turns reading their writing aloud, the room falls silent again, a sign of respect for even having attempted this task.

 

Translated into curriculum credits, the work they produce during these classes will count toward English, history, social studies, personal life management and interdisciplinary studies.

 

As in some of Toronto’s other alternative schools, a new term starts every three weeks, offering a quarter-credit for each subject. It’s education in small, manageable bites that has a better chance of keeping students coming to class than the year-long or semester-long version at other schools.

 

So far, nearly 250 students have gone through the unusual program, which began in September, 1996, after people at the Toronto school board realized that the dropout rate among lesbian, bisexual, gay and transgendered students – known collectively as lesbigay/trans – was higher than for other students.

 

The board had tried to make schools friendly to all. In 1988, after five high-school kids killed Kenneth Zeller, a librarian teacher, in a gay-bashing in High Park, the board put in place a program designed to eliminate discrimination based on sexual orientation.

 

But although the vast majority of gay students do fine in mainstream schools or at least bide their time there by hiding their orientation, gay students still report being abused in high numbers, and studies suggest that their suicide rates are higher than those of other young people. They also show greater rates of drug and alcohol use and incidence of depression.

 

Jeffrey White, who teaches at the program part-time, says the first task when students are admitted into Triangle is simply to try to put them back together as human beings. Only later do staff start teaching them academic skills.

 

“I don’t think you end up at Triangle if you’ve been able to get by,” says Mr. White, showing the barest hint of a smile.

 

An awareness of gay issues and gay-related current affairs permeates much of the curriculum. For example, a timeline stretching across one long wall catalogues some of the victories and tragedies of gay life over the past centuries. Among them is the Second World War, when gays were gassed alongside Jews at Hitler’s behest.

 

Many of the high points identified on the timeline have happened in Canada in recent years, a source of pride here in this classroom.

 

There was last year’s same-sex marriage ruling in Ontario. And there was the legal victory of Marc Hall, the Ontario teenager who fought through the courts to be allowed to take his boyfriend to his high-school prom. He won.

 

On June 23, when these students attend their Pride Prom (the theme is Through the Looking Glass), they will remember that fight.

 

On the other hand, challenges remain. The offices of a film company in Toronto making a movie of Mr. Hall’s battle were broken into this week in the wake of an Internet campaign reviling the film.

 

“It’s still not safe to be queer,” Ms. Barclay says.

 

It’s not that things are getting worse for Canada’s gay, lesbian, bisexual and transgender minority. By almost any measure, they are getting better. But Ms. Barclay says she longs for the day when the values of younger, more tolerant Canadians begin to colour the Zeitgeist even more.

 

Her goal is for the Triangle program to die the death of obsolescence, for all schools to be welcoming to all comers, for principals to stop telling her that if her students weren’t so darn flamboyant, they would do fine in the mainstream.

 

She doesn’t see it happening in her lifetime.

 

Alanna Mitchell is a senior feature writer at The Globe and Mail.

 

 

Jordan

 

Tall, beefy and 18, Jordan LeMesurier has been enrolled in the Triangle program since January. His repartee comes quick and precise, underscored with crisp wit.

 

Life has handed him more than his share of challenges. Born premature, he also suffers from Asberger’s syndrome (a form of autism) and an attention-deficit disorder that has required him to be in special-education classes throughout his school life.

 

He managed to cope with the help of a tight group of friends in Oshawa, Ont., and his mother, who holds conservative values. But when he announced last June that he was gay, the friends dropped him like a stone. “It was classic denial,” he says, shrugging. “I can’t really blame them. I blame it on their setting. The diversity in Oshawa consists of rednecks and mullets.”

 

He seems nonchalant now, but back then, “I pretty much felt like garbage,” he confesses. He crashed his car in an attempt to end it all.

 

Eventually, he ended up in a psychiatric ward in Toronto, four credits short of graduating. Then a nurse told him about Triangle.

 

He still remembers the first question he answered in class: Name a publication in Toronto. Too easy, he thought impatiently. “The Toronto Star.” The class looked at him as the teacher said, “No – a queer publication.” He’d never heard of one.

 

He’s still baffled by how Oshawa, a bedroom community of Toronto, can feel so much less safe for him than the big city. If he didn’t have the Triangle program, he’s not sure where he’d be.

 

Alex

 

The goth with the nose ring seems a lot more fragile than some of the other students. Alex Rafferty arrived here on Halloween via a psychiatric ward, in flight from the girls Catholic high school she had been attending. She wasn’t out as a lesbian then. She wasn’t even certain herself.

 

But the loud, frequent anti-queer comments from students and teachers made her feel highly vulnerable.

 

She remembers a religion teacher at school saying former prime minister Jean Chrétien should be excommunicated for refusing to ban same-sex marriages.

 

“It was pretty hard to take,” she says.

 

Even more difficult was her friends’ reaction when word got out she might be lesbian and was attending the Triangle program. Alex suddenly faced mass rejection.

 

Her father, who works in the media, is cheeringly supportive. But her mother, a teacher in the Catholic system, has struggled mightily with her daughter’s sexual orientation.

 

“You can tell she’s not comfortable with it,” Alex says. “It’s okay to tell her about heterosexual relationships. But if I tell her about kissing a girl, she says: ‘Can we talk about something else?’ She makes an effort, though, and I appreciate it.”

 

Alex is the only gay or lesbian in her family, as far as she knows. She was the only lesbian patient at the hospital. It’s scary feeling that alone, she says.

 

Within 20 minutes of arriving at the Triangle classroom, another kid came up and asked, “Do you want to join our posse?” Alex’s reply: “Yes!”

 

Nathan

 

Tall and gangly, Nathan Smith, 17, writes in a big, self-confident hand. He is the class clown, the one who is quick with a joke and a funny sexual reference. He has just arrived at Triangle and is trying to figure out how to be a student again after living on the streets and shelter-hopping in downtown Toronto for the past year and a half.

 

He was 15 and living with his family in Sudbury when his parents found out he was gay. He had already been through routine beatings at school and had even reported the abuse to police. When his parents found out, they called him a disgrace to the family and threw him out on the street.

 

He now wishes he had stood up for himself. Instead, he said goodbye to Sudbury and his family and vowed to start a new life. He made his way to Toronto and crashed at shelter after shelter, turning tricks and panhandling for spending money. A counsellor he ran into at one of the shelters told him about the Triangle program.

 

He is on welfare now. He lives by himself in a rented room downtown and works a few hours a week at a Starbucks in the heart of Toronto’s gay community near Church Street.

 

Last Christmas, he phoned home to Sudbury. The conversations with his parents, brother and sister were stilted and brief. Nathan tries to look brisk about it, but then says: “I don’t plan on calling them again, ever, ever.” Then he regains his swagger. “Look at me now. I’m in school; I have a part-time job . . . I have everything right now.”

 

Adam

 

The quietest student in the class, Adam DaSilva, 17, is slight, motionless and dignified.

 

His parents found out he was gay two Christmases ago – shortly after he came unwillingly to the realization himself – after they came across something he had written. They confronted the youngest of their three children with the evidence. He admitted it. His father spat in his face and kicked him out.

 

He fled to a friend’s house and didn’t see his parents again for seven months.

 

He had grown up in a strongly Roman Catholic family, and attended Catholic schools. When he finally came to terms with the fact that he was gay, he was terrified.

 

“It made me hate myself,” he says in his soft voice. “I didn’t want to become gay. Finally, I realized it wasn’t a choice.”

 

He talked to the social worker at his high school, where he was clearly not thriving, and she suggested Triangle. He wasn’t convinced.

 

There was a bit of dabbling in drugs, he says, eyes downcast, fiddling with the diamond stud in his ear, and a lot of despair. Finally, he arrived at the program and realized he was just like everybody else. Now, he dreams of becoming an actor or dancer. He has been accepted at one of Toronto’s performing-arts high schools for next year.

 

Recently, he moved back home, and says he’s grateful for the shelter, but he notices his parents welcome news of his sister’s romance while he is asked to avoid mentioning his own love life.

 

Junior


 

Adrian Daniels, better known as Junior, was just 15 when he ended up at Triangle, anorexic, clinically depressed, suicidal and with a bleeding duodenal ulcer.

 

Now, at 17, his eyes are bright and mischievous. He is the class’s elder statesman, the role model, the stunningly good writer whose plays have already been performed to the paying public, and the one who has come to peace.

 

The change has been dramatic. His old school in Mississauga was not a welcoming place. He was hit, beaten and thrown against the lockers regularly. On his 15th birthday, he was punched in the stomach in front of a teacher. The attacker was sent to sit in the corner.

 

Back then, Junior was known as a girl and labelled a lesbian. But at Triangle he has come to see himself as transgendered – a man trapped in a woman’s body. “Now, for the first time in my life, it feels right.”

 

Junior often declines to use pronouns to describe himself. Sometimes, he uses the genderless “ze,” meaning she or he, and “hir,” meaning him, her, his. He’s grateful for the fact that the bathroom at Triangle has no gender label.

 

Now that he’s stopped worrying about gender, he has tons of creative energy. He has written a screenplay that he’s pitching to HBO and Showcase in the United States. Some of his writing has been published. The next step, he says with a dazzling smile, is to move to Los Angeles to go to film school.

Here is the link to the article and the blog.

http://gay_blog.blogspot.com/2004/05/welcome-to-canadas-gay-high-school.html

January 15, 2008

~*~*~*~Community Announcements~*~*~*~

Filed under: NU Serenomy Paper Vol 1 issue 2 — by nottingtonuniversity @ 8:05 pm

The GLBT Center and the NUGLBT group is pleased to be screening Bent at the Glass Lecture Hall. Naturally this screening is open to all Nottington residents. Bent is beautiful love story set against the horrific background of a Nazi concentration camp and stars Clive Owen and Lothaire Blutheau.

We are trying to get both actors to come to the premiere screening so keep your fingers crossed!

~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~* 

GRAND OPENINGNottington’s Hardware store owned by Joanne will officially open on wed Jan 17th at 9am, and there will be coffee and donuts. In the store, you’ll find computer furniture, kitchen tables and chairs, bathroom material, living room furniture and bedroom furniture. And in the middle isle, there are half price items. Don’t miss! http://www.myminilife.com/viewhome.php?landid=223648

~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~* 

I am very pleased to announce that MsKittie will be leading the newly formed GLBT Christian group at NU and NV at large. Until the NU interdenominational building is complete, meetings will be held at the GLBT Center and/or the Glass Lecture Hall. Anyone interested in this group can contact Gaia or MsKittie for details, and many thanks to MsKittie who, as NV Church liason, has assumed this vital role for our GLBT community.

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Heiwa Clinic -Nottington’s Reiki Free Treatment Center, owned by Sha, will start its activities on January 25th, 2008. Heiwa Clinic will have as main purpose the hapiness of all Nottington’s citizens. For more information check http://www.myminilife.com/viewhome.php?landid=288867  or http://www.nottington-harmonybreeze.blogspot.com.
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January 14, 2008

~*~*~*~Advertising~*~*~*~

Filed under: NU Serenomy Paper Vol 1 issue 2 — by nottingtonuniversity @ 8:27 pm

Caliente Noche Restaurant
A romantic restaurant at Visconde de Mauá cottages on the south side of Dove Mountain . Come enjoy a beautiful night with your other half feeling the mountains air at this brand new restaurant. Fondue is our specialty. Call us for reservation. At 7 Dove Mt. Trail OS , Nottington. Visit us @ http://www.nottington-harmonybreeze.blogspot.com/

Strokes and Living with them by Mskittie

Filed under: NU Seminars & Classes — by nottingtonuniversity @ 8:10 pm
  1. STROKES AND LIVING WITH THEM
  2. We are going to look at stokes and how they effect the victim and family and what we can do when someone we love has a stroke.We have an important part to play in the treatment and recovery of those who have had a stroke.It is up to us whether these people recover and live a full life,as much as it is their own.
    My sister had s stroke 3 years ago and is just now getting the care she needs and a hold on life.Her family aided her to the point of making her a victim and more disabled.The fear of losing her to the stroke and hurting her prevented him from doing the therapy she needed at home and he would not let her do anything for herself.All she was taught in therapy was lost with lack of use and she found herself unable to even care for her basic needs.Now after all this time she is finally getting the help she needed.We can only hope it is not to late.
    I cared for her for a year and it was during this time that she finally was able to start caring for herself and now can do much for her family too.I pray she will continue on the path so she can walk and even run one day.She will have surgery this week we pray all will be well.
  3. Rehabilitation works best when stroke survivors and their families work together as a team. For this reason, both stroke survivors and family members are encouraged to read all parts of the booklet.
  4. What is a Stroke?
  5. A stroke is a type of brain injury. Symptoms depend on the part of the brain that is affected. People who survive a stroke often have weakness on one side of the body or trouble with moving, talking, or thinking.
  6. Most strokes are ischemic (is-KEE-mic) strokes. These are caused by reduced blood flow to the brain when blood vessels are blocked by a clot or become too narrow for blood to get through. Brain cells in the area die from lack of oxygen. In another type of stroke, called hemorrhagic (hem-or-AJ-ic) stroke, the blood vessel isn’t blocked; it bursts, and blood leaks into the brain, causing damage.
  7. Strokes are more common in older people. Almost three-fourths of all strokes occur in people 65 years of age or over. However, a person of any age can have a stroke.
  8. A person may also have a transient ischemic attack (TIA). This has the same symptoms as a stroke, but only lasts for a few hours or a day and does not cause permanent brain damage. A TIA is not a stroke but it is an important warning signal. The person needs treatment to help prevent an actual stroke in the future.
  9. A stroke may be frightening to both the patient and family. It helps to remember that stroke survivors usually have at least some spontaneous recovery or natural healing and often recover further with rehabilitation.
  10. Recovering From Stroke
  11. The process of recovering from a stroke usually includes treatment, spontaneous recovery, rehabilitation, and the return to community living. Because stroke survivors often have complex rehabilitation needs, progress and recovery are different for each person.
  12. Treatment for stroke begins in a hospital with “acute care.” This first step includes helping the patient survive, preventing another stroke, and taking care of any other medical problems.
  13. Spontaneous recovery happens naturally to most people. Soon after the stroke, some abilities that have been lost usually start to come back. This process is quickest during the first few weeks, but it sometimes continues for a long time.
  14. Rehabilitation is another part of treatment. It helps the person keep abilities and gain back lost abilities to become more independent. It usually begins while the patient is still in acute care. For many patients, it continues afterward, either as a formal rehabilitation program or as individual rehabilitation services. Many decisions about rehabilitation are made by the patient, family, and hospital staff before discharge from acute care.
  15. The last stage in stroke recovery begins with the person’s return to community living after acute care or rehabilitation. This stage can last for a lifetime as the stroke survivor and family learn to live with the effects of the stroke. This may include doing common tasks in new ways or making up for damage to or limits of one part of the body by greater activity of another. For example, a stroke survivor can wear shoes with velcro closures instead of laces or may learn to write with the opposite hand.
  16. What Happens During Acute Care
  17. * The main purposes of acute care are to:
    * Make sure the patient’s condition is caused by a stroke and not by some other medical problem.
    * Determine the type and location of the stroke and how serious it is.
    * Prevent or treat complications such as bowel or bladder problems or pressure ulcers (bed sores).
    * Prevent another stroke.
    * Encourage the patient to move and perform self-care tasks, such as eating and getting out of bed, as early as medically possible. This is the first step in rehabilitation.
  18. Stroke survivors and family members may find the hospital experience confusing. Hospital staff are there to help, and it is important to ask questions and talk about concerns.
  19. Before acute care ends, the patient and family with the hospital staff decide what the next step will be. For many patients, the next step will be to continue rehabilitation.
  20. Preventing Another Stroke
  21. People who have had a stroke have an increased risk of another stroke, especially during the first year after the original stroke. The risk of another stroke goes up with older age, high blood pressure (hypertension), high cholesterol, diabetes, obesity, having had a transient ischemic attack (TIA), heart disease, cigarette smoking, heavy alcohol use, and drug abuse. While some risk factors for stroke (such as age) cannot be changed, the risk factors for the others can be reduced through use of medicines or changes in lifestyle.
  22. Patients and families should ask for guidance from their doctor or nurse about preventing another stroke. They need to work together to make healthy changes in the patient’s lifestyle. Patients and families should also learn the warning signs of a TIA (such as weakness on one side of the body and slurred speech) and see a doctor immediately if these happen.
  23. How Stroke Affects People
  24. Effects on the Body, Mind, and Feelings
  25. Each stroke is different depending on the part of the brain injured, how bad the injury is, and the person’s general health. Some of the effects of stroke are:
  26. Weakness (hemiparesis–hem-ee-par-EE-sis) or paralysis (hemiplegia–hem-ee-PLEE-ja) on one side of the body.
    This may affect the whole side or just the arm or the leg. The weakness or paralysis is on the side of the body opposite the side of the brain injured by the stroke. For example, if the stroke injured the left side of the brain, the weakness or paralysis will be on the right side of the body.
  27. Problems with balance or coordination.
    These can make it hard for the person to sit, stand, or walk, even if muscles are strong enough.
  28. Problems using language (aphasia and dysarthria).
    A person with aphasia (a-FAY-zha) may have trouble understanding speech or writing. Or, the person may understand but may not be able to think of the words to speak or write. A person with dysarthria (dis-AR-three-a) knows the right words but has trouble saying them clearly.
  29. Being unaware of or ignoring things on one side of the body (bodily neglect or inattention).
    Often, the person will not turn to look toward the weaker side or even eat food from the half of the plate on that side.
  30. Pain, numbness, or odd sensations.
    These can make it hard for the person to relax and feel comfortable.
  31. Problems with memory, thinking, attention, or learning (cognitive problems).
    A person may have trouble with many mental activities or just a few. For example, the person may have trouble following directions, may get confused if something in a room is moved, or may not be able to keep track of the date or time.
  32. Being unaware of the effects of the stroke.
    The person may show poor judgment by trying to do things that are unsafe as a result of the stroke.
  33. Trouble swallowing (dysphagia–dis-FAY-ja).
    This can make it hard for the person to get enough food. Also, care must sometimes be taken to prevent the person from breathing in food (aspiration–as-per-AY-shun) while trying to swallow it.
  34. Problems with bowel or bladder control.
    These problems can be helped with the use of portable urinals, bedpans, and other toileting devices.
  35. Getting tired very quickly.
    Becoming tired very quickly may limit the person’s participation and performance in a rehabilitation program.
  36. Sudden bursts of emotion, such as laughing, crying, or anger.
    These emotions may indicate that the person needs help, understanding, and support in adjusting to the effects of the stroke.
  37. Depression.
    This is common in people who have had strokes. It can begin soon after the stroke or many weeks later, and family members often notice it first.
  38. Depression After Stroke
  39. It is normal for a stroke survivor to feel sad over the problems caused by stroke. However, some people experience a major depressive disorder, which should be diagnosed and treated as soon as possible. A person with a major depressive disorder has a number of symptoms nearly every day, all day, for at least 2 weeks. These always include at least one of the following:
  40. * Feeling sad, blue, or down in the dumps.
    * Loss of interest in things that the person used to enjoy.
  41. A person may also have other physical or psychological symptoms, including:
  42. * Feeling slowed down or restless and unable to sit still.
    * Feeling worthless or guilty.
    * Increase or decrease in appetite or weight.
    * Problems concentrating, thinking, remembering, or making decisions.
    * Trouble sleeping or sleeping too much.
    * Loss of energy or feeling tired all of the time.
    * Headaches.
    * Other aches and pains.
    * Digestive problems.
    * Sexual problems.
    * Feeling pessimistic or hopeless.
    * Being anxious or worried.
    * Thoughts of death or suicide.
  43. If a stroke survivor has symptoms of depression, especially thoughts of death or suicide, professional help is needed right away. Once the depression is properly treated, these thoughts will go away. Depression can be treated with medication, psychotherapy, or both. If it is not treated, it can cause needless suffering and also makes it harder to recover from the stroke.
  44. Disabilities After Stroke
  45. A “disability” is difficulty doing something that is a normal part of daily life. People who have had a stroke may have trouble with many activities that were easy before, such as walking, talking, and taking care of “activities of daily living” (ADLs). These include basic tasks such as bathing, dressing, eating, and using the toilet, as well as more complex tasks called “instrumental activities of daily living” (IADLs), such as housekeeping, using the telephone, driving, and writing checks.Some disabilities are obvious right after the stroke. Others may not be noticed until the person is back home and is trying to do something for the first time since the stroke.
  46. Deciding About Rehabilitation
  47. Deciding About RehabilitationSome people do not need rehabilitation after a stroke because the stroke was mild or they have fully recovered. Others may be too disabled to participate. However, many patients can be helped by rehabilitation. Hospital staff will help the patient and family decide about rehabilitation and choose the right services or program.
  48. Types of Rehabilitation Programs
    There are several kinds of rehabilitation programs:
  49. Hospital programs.
    These programs can be provided by special rehabilitation hospitals or by rehabilitation units in acute care hospitals. Complete rehabilitation services are available. The patient stays in the hospital during rehabilitation. An organized team of specially trained professionals provides the therapy. Hospital programs are usually more intense than other programs and require more effort from the patient.
  50. Nursing facility (nursing home) programs.
    As in hospital programs, the person stays at the facility during rehabilitation. Nursing facility programs are very different from each other, so it is important to get specific information about each one. Some provide a complete range of rehabilitation services; others provide only limited services.
  51. Outpatient programs.
    Outpatient programs allow a patient who lives at home to get a full range of services by visiting a hospital outpatient department, outpatient rehabilitation facility, or day hospital program.
  52. Home-based programs.
    The patient can live at home and receive rehabilitation services from visiting professionals. An important advantage of home programs is that patients learn skills in the same place where they will use them.
  53. Individual Rehabilitation Services
  54. Many stroke survivors do not need a complete range of rehabilitation services. Instead, they may need an individual type of service, such as regular physical therapy or speech therapy. These services are available from outpatient and home care programs.
  55. Choosing a Rehabilitation Program
  56. The doctor and other hospital staff will provide information and advice about rehabilitation programs, but the patient and family make the final choice. Hospital staff know the patient’s disabilities and medical condition. They should also be familiar with the rehabilitation programs in the community and should be able to answer questions about them. The patient and family may have a preference about whether the patient lives at home or at a rehabilitation facility. They may have reasons for preferring one program over another. Their concerns are important and should be discussed with hospital staff.
  57. Things To Consider When Choosing a Rehabilitation Program
  58. * Does the program provide the services the patient needs?
    * Does it match the patient’s abilities or is it too demanding or not demanding enough?
    * What kind of standing does it have in the community for the quality of the program?
    * Is it certified and does its staff have good credentials?
    * Is it located where family members can easily visit?
    * Does it actively involve the patient and family members in rehabilitation decisions?
    * Does it encourage family members to participate in some rehabilitation sessions and practice with the patient?
    * How well are its costs covered by insurance or Medicare?
    * If it is an outpatient or home program, is there someone living at home who can provide care?
    * If it is an outpatient program, is transportation available?
  59. A person may start rehabilitation in one program and later transfer to another. For example, some patients who get tired quickly may start out in a less intense rehabilitation program. After they build up their strength, they are able to transfer to a more intense program.
  60. When Rehabilitation Is Not Recommended
  61. Some families and patients may be disappointed if the doctor does not recommend rehabilitation. However, a person may be unconscious or too disabled to benefit. For example, a person who is unable to learn may be better helped by maintenance care at home or in a nursing facility. A person who is, at first, too weak for rehabilitation may benefit from a gradual recovery period at home or in a nursing facility. This person can consider rehabilitation at a later time. It is important to remember that:
  62. * Hospital staff are responsible for helping plan the best way to care for the patient after discharge from acute care. They can also provide or arrange for needed social services and family education.
    * This is not the only chance to participate in rehabilitation. People who are too disabled at first may recover enough to enter rehabilitation later.
  63. What Happens During Rehabilitation?
  64. In hospital or nursing facility rehabilitation programs, the patient may spend several hours a day in activities such as physical therapy, occupational therapy, speech therapy, recreational therapy, group activities, and patient and family education. It is important to maintain skills that help recovery. Part of the time is spent relearning skills (such as walking and speaking) that the person had before the stroke. Part of it is spent learning new ways to do things that can no longer be done the old way (for example, using one hand for tasks that usually need both hands).
  65. Setting Rehabilitation Goals
  66. The goals of rehabilitation depend on the effects of the stroke, what the patient was able to do before the stroke, and the patient’s wishes. Working together, goals are set by the patient, family, and rehabilitation program staff. Sometimes, a person may need to repeat steps in striving to reach goals.
  67. If goals are too high, the patient will not be able to reach them. If they are too low, the patient may not get all the services that would help. If they do not match the patient’s interests, the patient may not want to work at them. Therefore, it is important for goals to be realistic. To help achieve realistic goals, the patient and family should tell program staff about things that the patient wants to be able to do.
  68. Rehabilitation Goals
  69. * Being able to walk, at least with a walker or cane, is a realistic goal for most stroke survivors.
    * Being able to take care of oneself with some special equipment is a realistic goal for most.
    * Being able to drive a car is a realistic goal for some.
    * Having a job can be a realistic goal for some people who were working before the stroke. For some, the old job may not be possible but another job or a volunteer activity may be.
  70. Reaching treatment goals does not mean the end of recovery. It just means that the stroke survivor and family are ready to continue recovery on their own.
  71. Rehabilitation Specialists
  72. Because every stroke is different, treatment will be different for each person. Rehabilitation is provided by several types of specially trained professionals. A person may work with any or all of these:
  73. Physician.
    All patients in stroke rehabilitation have a physician in charge of their care. Several kinds of doctors with rehabilitation experience may have this role. These include family physicians and internists (primary care doctors), geriatricians (specialists in working with older patients), neurologists (specialists in the brain and nervous system), and physiatrists (specialists in physical medicine and rehabilitation).
    Rehabilitation nurse.
  74. Rehabilitation nurses specialize in nursing care for people with disabilities. They provide direct care, educate patients and families, and help the doctor to coordinate care.
    Physical therapist.
  75. Physical therapists evaluate and treat problems with moving, balance, and coordination. They provide training and exercises to improve walking, getting in and out of a bed or chair, and moving around without losing balance. They teach family members how to help with exercises for the patient and how to help the patient move or walk, if needed.
  76. Occupational therapist.
    Occupational therapists provide exercises and practice to help patients do things they could do before the stroke such as eating, bathing, dressing, writing, or cooking. The old way of doing an activity sometimes is no longer possible, so the therapist teaches a new technique.
  77. Speech-language pathologist.
    Speech-language pathologists help patients get back language skills and learn other ways to communicate. Teaching families how to improve communication is very important. Speech-language pathologists also work with patients who have swallowing problems (dysphagia).
  78. Social worker.
    Social workers help patients and families make decisions about rehabilitation and plan the return to the home or a new living place. They help the family answer questions about insurance and other financial issues and can arrange for a variety of support services. They may also provide or arrange for patient and family counseling to help cope with any emotional problems.
  79. Psychologist.
    Psychologists are concerned with the mental and emotional health of patients. They use interviews and tests to identify and understand problems. They may also treat thinking or memory problems or may provide advice to other professionals about patients with these problems.
    Therapeutic recreation specialist.
  80. These therapists help patients return to activities that they enjoyed before the stroke such as playing cards, gardening, bowling, or community activities. Recreational therapy helps the rehabilitation process and encourages the patient to practice skills.
    Other professionals.
  81. Other professionals may also help with the patient’s treatment. An orthotist may make special braces to support weak ankles and feet. A urologist may help with bladder problems. Other physician specialists may help with medical or emotional problems. Dietitians make sure that the patient has a healthy diet during rehabilitation. They also educate the family about proper diet after the patient leaves the program. Vocational counselors may help patients go back to work or school.
  82. Rehabilitation professionals, the patient, and the family are vitally important partners in rehabilitation. They must all work together for rehabilitation to succeed.
  83. Rehabilitation Team
  84. In many programs, a special rehabilitation team with a team leader is organized for each patient. The patient, family, and rehabilitation professionals are all members. The team has regular meetings to discuss the progress of treatment. Using a team approach often helps everyone work together to meet goals.
  85. Getting the Most Out of Rehabilitation
  86. What the Patient Can Do
  87. If you are a stroke survivor in rehabilitation, keep in mind that you are the most important person in your treatment. You should have a major say in decisions about your care. This is hard for many stroke patients. You may sometimes feel tempted to sit back and let the program staff take charge. If you need extra time to think or have trouble talking, you may find that others are going ahead and making decisions without waiting. Try not to let this happen.
  88. * Make sure others understand that you want to help make decisions about your care.
    * Bring your questions and concerns to program staff.
    * State your wishes and opinions on matters that affect you.
    * Speak up if you feel that anyone is “talking down” to you; or, if people start talking about you as if you are not there.
    * Remember that you have the right to see your medical records.
  89. To be a partner in your care, you need to be well informed about your treatment and how well you are doing. It may help to record important information about your treatment and progress and write down any questions you have.
  90. If you have speech problems, making your wishes known is hard. The speech-language pathologist can help you to communicate with other staff members, and family members may also help to communicate your ideas and needs.
  91. Most patients find that rehabilitation is hard work. They need to maintain abilities at the same time they are working to regain abilities. It is normal to feel tired and discouraged at times because things that used to be easy before the stroke are now difficult. The important thing is to notice the progress you make and take pride in each achievement.
  92. How the Family Can Help
  93. If you are a family member of a stroke survivor, here are some things you can do:
  94. * Support the patient’s efforts to participate in rehabilitation decisions.
    * Visit and talk with the patient. You can relax together while playing cards, watching television, listening to the radio, or playing a board game.
    * How the Family Can HelpIf the patient has trouble communicating (aphasia), ask the speech-language pathologist how you can help.
    * Participate in education offered for stroke survivors and their families. Learn as much as you can and how you can help.
    * Ask to attend some of the rehabilitation sessions. This is a good way to learn how rehabilitation works and how to help.
    * Encourage and help the patient to practice skills learned in rehabilitation.
    * Make sure that the program staff suggests activities that fit the patient’s needs and interests.
    * Find out what the patient can do alone, what the patient can do with help, and what the patient can’t do. Then avoid doing things for the patient that the patient is able to do. Each time the patient does them, his or her ability and confidence will grow.
    * Take care of yourself by eating well, getting enough rest, and taking time to do things that you enjoy.
  95. To gain more control over the rehabilitation process, keep important information where you can find it. One suggestion is to keep a notebook with the patient. Some things to include are provided in the sample that follows.
  96. Sample Pages for Patient Notebook
  97. Discharge Planning
  98. Discharge planning begins early during rehabilitation. It involves the patient, family, and rehabilitation staff. The purpose of discharge planning is to help maintain the benefits of rehabilitation after the patient has been discharged from the program. Patients are usually discharged from rehabilitation soon after their goals have been reached.
  99. Some of the things discharge planning can include are to:
  100. * Make sure that the stroke survivor has a safe place to live after discharge.
    * Decide what care, assistance, or special equipment will be needed.
    * Arrange for more rehabilitation services or for other services in the home (such as visits by a home health aide).
    * Choose the health care provider who will monitor the person’s health and medical needs.
    * Determine the caregivers who will work as a partner with the patient to provide daily care and assistance at home, and teach them the skills they will need.
    * Help the stroke survivor explore employment opportunities, volunteer activities, and driving a car (if able and interested).
    * Discuss any sexual concerns the stroke survivor or husband/wife may have. Many people who have had strokes enjoy active sex lives.
  101. Preparing a Living Place
  102. Many stroke survivors can return to their own homes after rehabilitation. Others need to live in a place with professional staff such as a nursing home or assisted living facility. An assisted living facility can provide residential living with a full range of services and staff. The choice usually depends on the person’s needs for care and whether caregivers are available in the home. The stroke survivor needs a living place that supports continuing recovery.
  103. It is important to choose a living place that is safe. If the person needs a new place to live, a social worker can help find the best place.
  104. During discharge planning, program staff will ask about the home and may also visit it. They may suggest changes to make it safer. These might include changing rooms around so that a stroke survivor can stay on one floor, moving scatter rugs or small pieces of furniture that could cause falls, and putting grab bars and seats in tubs and showers.
  105. It is a good idea for the stroke survivor to go home for a trial visit before discharge. This will help identify problems that need to be discussed or corrected before the patient returns.
  106. Deciding About Special Equipment
  107. Even after rehabilitation, some stroke survivors have trouble walking, balancing, or performing certain activities of daily living. Special equipment can sometimes help. Here are some examples:
  108. Cane.
    Many people who have had strokes use a cane when walking. For people with balancing problems, special canes with three or four “feet” are available.
  109. Walker.
    A walker provides more support than a cane. Several designs are available for people who can only use one hand and for different problems with walking or balance.
  110. Ankle-foot orthotic devices (braces).
    Braces help a person to walk by keeping the ankle and foot in the correct position and providing support for the knee.
  111. Wheelchair.
    Some people will need a wheelchair. Wheelchairs come in many different designs. They can be customized to fit the user’s needs and abilities. Find out which features are most important for the stroke survivor.
  112. Aids for bathing, dressing, and eating.
    Some of these are safety devices such as grab bars and nonskid tub and floor mats. Others make it easier to do things with one hand. Examples are velcro fasteners on clothes and placemats that won’t slide on the table.
  113. Communication aids.
    These range from small computers to homemade communication boards. The stroke survivor, family, and rehabilitation program staff should decide together what special equipment is needed. Program staff can help in making the best choices. Medicare or health insurance will often help pay for the equipment.
  114. Preparing Caregivers
  115. Caregivers who help stroke survivors at home are usually family members such as a husband or wife or an adult son or daughter. They may also be friends or even professional home health aides. Usually, one person is the main caregiver, while others help from time to time. An important part of discharge planning is to make sure that caregivers understand the safety, physical, and emotional needs of the stroke survivor, and that they will be available to provide needed care.
  116. Since every stroke is different, people have different needs for help from caregivers. Here are some of the things caregivers may do:
  117. * Keep notes on discharge plans and instructions and ask about anything that is not clear.
    * Help to make sure that the stroke survivor takes all prescribed medicines and follows suggestions from program staff about diet, exercise, rest, and other health practices.
    * Encourage and help the person to practice skills learned in rehabilitation.
    * Help the person solve problems and discover new ways to do things.
    * Help the person with activities performed before the stroke. These could include using tools, buttoning a shirt, household tasks, and leisure or social activities.
    * Help with personal care, if the person cannot manage alone.
    * Help with communication, if the person has speech problems. Include the stroke survivor in conversations even when the person cannot actively participate.
    * Arrange for needed community services.
    * Stand up for the rights of the stroke survivor.
  118. If you expect to be a caregiver, think carefully about this role ahead of time. Are you prepared to work with the patient on stroke recovery? Talk it over with other people who will share the caregiving job with you. What are the stroke survivor’s needs? Who can best help meet each of them? Who will be the main caregiver? Does caregiving need to be scheduled around the caregivers’ jobs or other activities? There is time during discharge planning to talk with program staff about caregiving and to develop a workable plan.
  119. Going Home
  120. Adjusting to the Change
  121. Going home to the old home or a new one is a big adjustment. For the stroke survivor, it may be hard to transfer the skills learned during rehabilitation to a new location. Also, more problems caused by the stroke may appear as the person tries to go back to old activities. During this time, the stroke survivor and family learn how the stroke will affect daily life and can make the necessary adjustments.
  122. These adjustments are a physical and emotional challenge for the main caregiver as well as the stroke survivor. The caregiver has many new responsibilities and may not have time for some favorite activities. The caregiver needs support, understanding, and some time to rest. Caregiving that falls too heavily on one person can be very stressful. Even when family members and friends are nearby and willing to help, conflicts over caregiving can cause stress.
  123. A stroke is always stressful for the family, but it is especially hard if one family member is the only caregiver. Much time may be required to meet the needs of the stroke survivor. Therefore, the caregiver needs as much support as possible from others. Working together eases the stress on everyone.
  124. Tips for Reducing Stress
  125. The following tips for reducing stress are for both caregivers and stroke survivors.
  126. * Take stroke recovery and caregiving one day at a time and be hopeful.
    * Remember that adjusting to the effects of stroke takes time. Appreciate each small gain as you discover better ways of doing things.
    * Caregiving is learned. Expect that knowledge and skills will grow with experience.
    * Experiment. Until you find what works for you, try new ways of doing activities of daily living, communicating with each other, scheduling the day, and organizing your social life.
    * Plan for “breaks” so that you are not together all the time. This is a good way for family and friends to help on occasion. You can also plan activities that get both of you out of the house.
    * Ask family members and friends to help in specific ways and commit to certain times to help. This gives others a chance to help in useful ways.
    * Read about the experiences of other people in similar situations. Your public library has life stories by people who have had a stroke as well as books for caregivers.
    * Join or start a support group for stroke survivors or caregivers. You can work on problems together and develop new friendships.
    * Be kind to each other. If you sometimes feel irritated, this is natural and you don’t need to blame yourself. But don’t “take it out” on the other person. It often helps to talk about these feelings with a friend, rehabilitation professional, or support group.
    * Plan and enjoy new experiences and don’t look back. Avoid comparing life as it is now with how it was before the stroke.
  127. Follow-up Appointments
  128. After a stroke survivor returns to the community, regular follow-up appointments are usually scheduled with the doctor and sometimes with rehabilitation professionals. The purpose of follow-up is to check on the stroke survivor’s medical condition and ability to use the skills learned in rehabilitation. It is also important to check on how well the stroke survivor and family are adjusting. The stroke survivor and caregiver can be prepared for these visits with a list of questions or concerns.
  129. I hope this information is helpful and informative.Bless you all.
  130. Comment by mskitte — January 14, 2008 @ 4:13 pm |Edit This

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January 13, 2008

~*~*~*~Reviews~*~*~*~

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~*~*~*~New Nottington Additions ~*~*~*

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January 11, 2008

Top 10 NU Songs.

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