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His spine was fractured into pieces around the lower cervical vertebrae, the spinal cord was compressed and additional damage occurred in the thoracic region of his back. As he lay on the court, still conscious, Arvind realized he was paralyzed.
That morning, Arvind’s day had begun at home in an ordinary way. He got out of bed, attended to personal needs and made breakfast. He walked up and down stairs and took the dog out for a quick run. He settled into a chair in his home office to email clients in his private legal practice. He played with his son, Christopher, a sixth-grader at The Green Vale School, and leaned over and hugged his wife, Fran Tria, who was working on lesson plans for her Great Neck South High School US History class. Then he changed clothes and drove to play squash.
At the hospital, two surgeons operated on Arvind’s injured spine. They concluded he had a C6 – C7 spinal injury, immobilizing his body below the chest. A breathing tube was inserted through his mouth, where it would remain for almost two weeks, and his spine was reconstructed and stabilized. Deeply sedated, with medical lines running in and out of his body, Arvind would not recognize for days the concerned visitors at his intensive care unit bedside.
One of the operating surgeons at the hospital told Arvind’s wife, Fran, her husband was unlikely to ever walk again. The other said there was only a very slight chance, due to the spinal injury level. As Fran came to grips with a new reality, she made a decision. She would hope, for her family’s sake, that Arvind could make the best recovery possible. They would all hope that one day Arvind could hold a squash racquet and coach his son again in the sport they both love.
Following his recovery at the hospital from double pneumonia, Arvind was flown to Shepherd Center in Atlanta, Georgia on January 28. There, his long journey of intensive rehabilitation begins.
As news of Arvind’s injury spread, many people wondered how they could help. Arvind’s lively personality, natural social gifts, and inherent kindness have brought him into many lives. Now, people want to do something for him.
While Arvind has good insurance coverage, additional resources will be necessary to assure the long-term outpatient rehabilitation he will require. The Lall family house will need major modifications in preparation for Arvind’s return, including those that will allow him to use a wheelchair and regain as much independence as possible. A specially-modified van will be needed for transportation. These and other critical expenses that are not covered by insurance can quickly climb to hundreds of thousands of dollars.
To help with the financial burden of Arvind’s uninsured expenses, a fundraising campaign in his honor has been established with HelpHOPELive, a trusted nonprofit organization that has been providing community-based fundraising guidance to patients and their families for more than 30 years. All donations, which are tax-deductible, are held by HelpHOPELive in the New York Spinal Cord Injury Fund and are administered by HelpHOPELive for injury-related expenses only.
Arvind has chosen to fundraise with HelpHOPELive in part because HelpHOPELive assures fiscal accountability of funds raised and tax deductibility for donors. Donors can be sure that funds donated will be used only to pay or reimburse medically-related expenses. To make a tax-deductible donation to this fundraising campaign, click on the Donate Now button.
For more information, please contact HelpHOPELive at 800.642.8399.
Thank you for joining us in helping Arvind by making a contribution today.
Squash for a Cause pictures! https://sweetpotatophotography.shootproof.com/gallery/squashforacause/photo/685215224
Check out these amazing new Squash for a Cause 2017 raffle items! http://bit.ly/SquashRaffle
New video 2!
First new video!
April 2016 Update
I have been home and enjoying Long Island. I continue to go to Push to Walk in New Jersey for therapy at least once a week. They make me stand and, with the help of a walker, therapists move my legs in a walking motion so I can walk across the room. Recently I did this on a treadmill with the help of a harness. My therapist told me he felt my leg muscles doing more of the work. I was happy to hear this and it encouraged me. Therapists also put me on a standing frame with a glider. I work on my core strength and balance. I have purchased a standing frame for home and expect delivery soon. I will then be able to use it more often as a therapy tool.
In March I had a medication pump implanted in my abdomen. I was taking medication to reduce my spasms and tone orally but the side effect of drowsiness was too great. I now get a smaller dosage of Baclofen throughout the day and feel much better with reduced spasms and tone as well. I also had another round of Botox injections, this time in my bladder to reduce spasms. These medical treatments have taken much time to achieve but have been successful.
Driving is my next goal. I am going to an accessibility trade show in New Jersey this month. I will investigate the automobiles and wheelchairs. I need to decide if a car or a van will best suit my needs. I also want to check other new technologies now available.
Spring seems to be here and I eagerly await the warm weather. Even though there was not much snow, I found the cold weather very uncomfortable. This was my first winter after my injury. Spasms and tone are less of a problem in a warmer climate.
I continue to be thankful for the unfailing support of family and friends.
JANUARY 2016 UPDATE
Today is January 10, 2016--the first anniversary of my date of injury. My family and I have been anticipating this day and our response to the anniversary. We have chosen to make it a day of reflection and celebration. I am blessed that I survived the accident and have begun a strong recovery and have a second chance to appreciate life. I am very happy to report that yesterday at Push to Walk (physical therapy in New Jersey where I starting going in the fall and just again resumed after returning from Atlanta) I pulled myself up to a walker and with the help of therapists moving my legs, I crossed the room upright. I have put some pictures of this in my photo album. It felt great that I was able to sustain being upright and that my legs did not buckle and collapse beneath me. This was an important step to stimulate my brain and body in the memory of walking.
I realize that I still have a very long, slow process ahead of me. But my goal still remains the fullest recovery possible. I continue this month to return to Johns Hopkins to work with my doctor there to address spasms and tone by using Botox injections in my legs. I plan on acquiring a standing frame so I can strengthen my ability to stand up and maintain core balance. Keeping my blood pressure stable is an on-going challenge which I hope will improve as I continue to shift from sitting to standing positions on a regular basis. And I will continue working with local physical therapists.
As I reflect on this past year, I know full well that it has taken a village to help and support me and my family. So many people in so many ways have joined us in this journey. Acts of kindness, compassion and expertise have been far too many to list but each one is recognized and deeply appreciated. I know that one lesson my son has learned (as well as my wife and I) from my accident is that life is precious and people are good. Thank you to all, especially to Fran and Christopher.
DECEMBER 2015 Update
I am spending the month of December in Atlanta at the Shepherd Center. I am doing 20 hours per week intensive physical therapy for my core and legs in the program called Beyond Therapy. This is an extensive exercise program for patients who are no longer in-patient or in the day-program. In several sessions, I have gone from a seated position to a standing position with the therapist holding my knees to avoid buckling. While standing, I was made to shift my weight from left to right in a sideways motion and then to begin to sit and pull myself back up. It was a nice stretch and a feeling of accomplishment that I could finally stand for the first time (without extensive equipment) since my injury. I have included some pictures of this. I also did a similar move in the pool, which I was not able to successfully do in the pool on my previous stay in July. So I feel that I am moving in the right direction, but at a snail's speed. This makes me feel frustrated that it is going to take a very long time to see a substantial improvement.
My core exercises include sit-ups, lifting light weights, shadow boxing for balance, and ball tossing. Building up my core strength is essential for me to be able to stand and/or walk independently. By the end of the day, I am completely exhausted from the physical work coupled with the medications I need to take.
My family was with me for the month. We all drove down in the car--me, my wife, my son, and my dog! It was quite a two-day journey! We stayed in an apartment near the Shepherd Center and celebrated the holidays together. This trip also enabled Christopher to play a lot of squash, taking lessons and match play with other kids. It is always comforting to see Christopher improve each time that I watch him play squash. And Fran and Sadie (the dog) had a great time walking in Piedmont Park almost daily. Sadie is a real southern girl, originally from Tennessee!
I have already scheduled myself to return to the Beyond Therapy program in July, for four to six weeks. I have much to do to get myself emotionally, medically and physically ready for the next level of therapy. I intend to do my best.
NOVEMBER 2015 Update
My big accomplishment in October was Botox injections for leg spasms and tone. It has helped. I will now be returning to Baltimore to address my neck. I am going to be evaluated for facet injections to improve my neck range of motion and, if I am eligible, I will have it done as soon as possible. I am so eager to be an independent driver again. At this time, my neck limitation is the biggest obstacle to driving.
My plans to go to Johns Hopkins for therapy did not work out. It became a financial issue; no insurance coverage and the expense was too great. Instead, I am now finalizing plans to return to Atlanta and the Shepherd Center for therapy at a specialized program called "Beyond Therapy." It is an advanced therapy program that takes place at the Shepherd gym but is not one of their in-patient or day programs. Fran, Christopher and I will be in Atlanta for four weeks in December so that I can participate in this program.
But when and where I am going to do my next round of intensive therapy is less important than why. I need to rededicate myself to hard work in order to honor those who are close to me who have suffered tragic loss recently.
I will celebrate Thanksgiving this year from a very different perspective. I reflect upon much that I and others have lost but also on the hope that sustains us all for what we each need and desire.
OCTOBER 2015 Update
After spending a couple of months here in Long Island doing therapy, I went to the Kennedy Krieger International Institute for Spinal Cord Injury to consult with a doctor there. I have had some medical setbacks that are limiting my progress. I am experiencing a lot of spasms and something called tone (which causes a great deal of stiffness) in my legs. Kennedy Krieger is affiliated with Johns Hopkins University. To reduce the spasms and tone, my doctor used Botox in my legs. I joked with her that I hoped it reduced my wrinkles as well. No chance. But it has begun to help with the spasms and tone. So now I need to get to work doing intensive therapy and I want to do it at Kennedy Krieger in Baltimore. They have a great program for physical therapy. I am in the process of determining if my insurance will cover my therapy. I hope to spend a month there if possible. Fran will stay with me for the first week and then family and friends will rotate in.
I continue to get more sensation on my legs and very small movement as well. It gives me continued hope for a strong recovery.
On the home front for rehab & recovery
AUGUST 2015 Update
Upon my second return from Shepherd Center, Fran and I visited numerous rehab centers on Long Island. To our surprise, we found two places that seem to fulfill my needs. The first one is John Gardiner Physical Therapy in Glen Cove. John is personally providing essential stretching and upper body and core strengthening. The second one is STARS located in East Meadow. It is affiliated with North Shore/LIJ Hospitals. Here there are physical therapists with spinal cord injury experience. It is a newly opened facility with some of the latest equipment. I am also doing aquatic therapy on my own (actually Fran is my "therapist") in Syosset at a local gym pool. Finally, I am trying something on my own outside of any of these facilities using cold laser. Again, Fran is my "therapist"--Fran senses a pattern here for a new career for her.
A bit of a set back is that I am still not able to drive. This is because of my very limited neck range of motion. I am meeting my neurosurgeon next week to discuss this. So, I still have to rely on the kindness of strangers and friends to get around!
Improvement includes my new ability to slightly lift my legs up and push them out while they are dangling off the side of the bed. This is exciting stuff! So my time in East Meadow is especially focused on strengthening my legs. I try to spend about 30 minutes each therapy in a "standing frame" that is also an elliptical. Some photos are posted with this and the other new equipment I use. It is all hard work and exhausting and well worth it. At home I continue to use my FES bike, at least 5 times a week. My goal continues to be to walk. I know it will take a long time and that there are no short cuts or easy paths.
Family and friends continue to inspire and support me. I have also made some new friends at rehab; we share common challenges, advice and experiences.
Squash is still my passion and remains the topic of conversation at our kitchen table. I am enjoying the sport vicariously through my son Christopher who is proving to be a dedicated player. He plays a lot with friends and local coaches and intends to play in tournaments.
On the home front for rehab and recovery
JULY 2015 Update
I finished therapy at St. Charles at the end of June and headed back to Atlanta for more intensive work at the Shepherd Center. I stayed as an outpatient for 4 weeks. The therapists worked on my neck--I still have limited range of motion issues--and my legs. It was good to be back and meet friends, nursing staff and therapists. I was able to get on one of their newest pieces of equipment called "Erigo" which is a combination of a standing frame, walking motion and electrical stimulation. Picture of this is attached along with some others. I was also finally able to get into the pool for aquatic therapy. This therapy is especially useful at reducing tone (stiffness) and stretching leg muscles.
Just before we returned to Atlanta, my son Christopher had the privilege of attending a fabulous one-week squash camp at Yale University through the generosity of Pam Saunders who runs the camp. It still amazes and humbles me how the squash community and friends continue to support me and my family. Christopher learned a lot about squash and was exposed to the beautiful squash facility at Yale.
On the home front for rehab and recovery
JUNE 2015 Update
I am finally settled in and have routines in place. I go to physical therapy at St. Charles in Albertson three days a week. They do not have the equipment there to work on my leg muscles so instead they work on my neck and shoulders. The therapists have done incredible treatment to relieve my neck pain. More importantly, they have improved my neck rotation and movement so that I no longer resemble a turtle. Yes, people have been teasing me that I look like a turtle when I move my head. They did it to get a rise out of me and inspire me to work hard. It succeeded!
I have been trying to live a normal life again. But really what I am creating is a new normal. Getting around is not easy. It takes a lot of effort transferring in and out of my wheelchair to travel in a car. But I consider the challenge therapy as well as the opportunity to go watch my son play a sport, to go to a store, or to go visit friends and family. My wife Fran has become a pro at transfers; my good friend Jody is an apprentice!
I am enjoying my FES bike. I try to get on it daily or as often as I can. Daily is not always possible. Sometimes I am just too tired after therapy at St. Charles or I do not feel well enough to do it. I take one day at a time.
I miss playing sports, especially tennis, now that the weather is warm, and squash. But I can enjoy it vicariously since Christopher is now playing squash seriously. Good friends are making that possible. We played bocce on the lawn the other day. It was fun to be outside doing an activity together. Fran and I were a team verses Chris; it was close but we beat him. He awaits revenge!
As I end this update I want to express my sincere thanks to all who have been generous to me and my family in so many ways. As friend Stephen Watters expressed it, it is the people around me who lift me up in this journey.
On the home front for rehab and recovery
MAY 2015 Update
I am adjusting to being home again. It is a different perspective as I am seeing things around me in a seated position. Also, I just came from Shepherd Center where many of the people are in wheelchairs and conversation is at mutual eye level. Now, I am the only one in a wheelchair at home and am often looking up to speak with people. Nevertheless, I am adapting and have a greater impetus to work harder.
A highlight of my return to home life was being able to attend my son's recent track meet. Some people brought folding canvas chairs; I brought my own chair too! Seriously, I had a good view of the action and could easily see Christopher cross the finish line. It was nice to meet his coaches and some of the other parents too.
I have jumped fully into my rehabilitation at St. Charles in Albertson. Right now we are focusing on a lot of stretching and increasing my flexibility. I am also waiting for my FES bike to arrive so I can be on it at home. The FES bike is crucial to maintaining and further developing my leg muscles. It is also beneficial for circulation and endurance.
I am able to be a passenger in cars by using a long sliding board. It is a skill I learned at Shepherd and one I am still revising. It provides a good workout each time I do it. Living in the suburbs makes it crucial to travel in a car. It is one of my goals to eventually drive myself around again.
Arvind's Weekly Update From the Shepherd Center, In-Patient April 2015
Week #12
I am home at last! It feels fabulous to be here with Fran, Christopher, and Sadie. Sadie is our dog. I have been missing her. I wasn't sure if she would remember me after more than 3 months absence. To my surprise she ran to me, jumped up on my wheelchair and licked my face. I was happy to hug her in return. I am enjoying seeing my family and friends, eating home-cooked meals, and sleeping in my own bed.
My final two days at Shepherd Center were hectic. I had a final assessment of my muscle movement and sensation (ASIA test). There were improvements in both but I have a long way to go. I was fitted for my new custom-made wheelchair. It is much lighter than the loaner I have been using and more appropriate to my height and weight. I also attended my graduation from Shepherd in one of my favorite and most-visited spaces--the 4th floor gym! Fran brought New York bagels for everyone. It was a big hit. I received a tee-shirt with a profoundly true declaration, "Shepherd Center Boot Camp. I survived." The ceremony was attended by my family, my lead physician, my therapists and nursing staff, some of my fellow patients, and graciously Alana Shepherd as well. It was my pleasure to get to meet Mrs. Shepherd and have friendly chats with her. It has been to my great benefit as well as many other patients that she and her family seized the opportunity to respond to a family medical crisis by building a premier facility for brain and spinal cord injuries. As I said goodbye to the staff, it was not as hard as I imagined because I know I will see them all again in July when I return as a Day Program outpatient. But I did squeeze in one final "test" with my physical therapist. He and I played a ping pong game together. He won (a close game) and so we will have a rematch in July--I have to practice hard and bring my own paddle!
I left Shepherd similarly to how I arrived--during a weather storm. My arrival was delayed by one day because of a blizzard in New York that cold day in January and my departure was almost delayed because of a tornado warning! We all had to evacuate the gym and huddle in the halls my last full day in Atlanta. Stormy weather seems to push me along to my next destination on this journey I am on!
So I end my updates about my Shepherd Center experiences and will begin anew next week about my new phase at home continuing my rehabilitation. Stay tuned!
Arvind's Weekly Update
Week #11
This was my last full week at Shepherd. The highlight of my week was going to Atlanta airport for an entire day outing. Shepherd arranged with Delta airlines to practice passing through the security check and boarding a plane. At security, those in wheelchairs have a separate entrance as a courtesy. Boarding involved shifting from my wheelchair into a very narrow wheelchair provided by Delta that can fit in the plane's aisle. From that chair, I transferred into a regular seat. I happily learned that my days of air travel are not over. This is good news because I plan on returning home on a commercial plane next week! This will be a much less dramatic departure than my arrival was on a medievac plane!
I baked a chocolate cake for my therapists as a thank you gesture for all their hard work in helping me in my rehabilitation. It was good therapy to do some cooking and even better therapy to do something on my own for my therapists. It is really hard to find appropriate words to express my gratitude toward my team of therapists, including my physical therapist, occupational therapist, recreational therapist, and personal trainer. All of them are professional, patient, and endlessly supportive. The theme of my floor at Shepherd is "Hustle, Hit, Never Quit" and my therapists never quit on me and always believed in me and my ability to grow stronger and be independent. As happy as I am to be going home, I will miss them.
The same is true for the nursing and physician staff here. They became my de facto family for nearly three months, showing me kindness, compassion and encouragement. Much of the time we laughed together making hard work not only endurable but fun. I will miss them too.
I have become the senior on the floor, a mentor to the freshmen patients. It makes me feel good to be able to share my experience and help others as they begin the long process of rehabilitation here. In fact, it is an expectation here that those patients who are "graduating" share their "wisdom" with the in-coming patients. This is just another example of the holistic process that Shepherd Center has created to make rehabilitation as thorough and successful a process as it can be.
Arvind's Weekly Update
Week #10
It was a bittersweet week as my fellow patient and new friend Kent left Shepherd Center to go home to his family. He and I spent many hours together undergoing physical therapy and just talking about topics of mutual interest including the recent NCAA basketball tournament in which his alma mater was victorious. As a physician, he helped me further understand some of my medical challenges, medications prescribed, and potential for improvement. He encouraged me and we competitively played board games together--part of recreational therapy and just for fun. The therapists joked and laughed about the board game battles between the doctor and the attorney. I look forward to seeing him in July when we both plan on returning to Shepherd for additional therapy.
So now I have become a soccer player too on the treadmill locomat. I hope the photographs accurately show how determined I was to kick that ball. Not easy, but I did it! It really pushed me to maintain my stride.
Fran spent the week with me to complete her training. We both have to be experts in my exercise and health care routines. For two days Fran was completely responsible for my health care 24/7 (she had to sleep in the hospital room too). This is required by Shepherd to ensure that primary caregivers are as ready and able as they can be to take over upon discharge of patients. Fran, exhausted, graduated summa cum laude! I am proud of her and feel more secure about going home without the medical personnel I have been surrounded by for months.
I am really looking forward to going back home, spending time with my family and friends, sleeping in my own bed and eating favorite foods. I will also start my therapy on Long Island and my family will be able to return to as normal a routine as possible. My therapists at Shepherd have strongly recommended that I especially continue physical therapy on the FES bike that I have been using here. Unfortunately, it is not readily available in all rehabilitation centers so I am investigating the purchase of one as an essential therapeutic tool in my recovery process.
Arvind's Weekly Update
Week #9
Thank you to all my supporters who have written messages to me in the guest book. I read them all. Your expressions of concern, compassion and encouragement due more than any physical therapy to lift my spirit and give me the courage to carry on each day. Knowing that I am not alone in this challenging journey is truly powerful medicine.
As it becomes more difficult to sustain the energy, enthusiasm and endurance required for rehabilitation, my therapists have focused in on what motivates me most--sports! This week they added on bowling and basketball to my repertoire of therapies. We went on a recreational therapy outing to a local bowling alley. It was, frankly, a disaster! I only managed to knock down a few pins each time I threw the ball. I think maybe bumpers would have been in order! Basketball took place here at Shepherd in the gym--it is a full size gym with a full size basketball court. I was in the sports wheel chair again and learned how to dribble and shoot from a seated position. This was very different from my high school days and recent one-on-one battles with my son Christopher. Nevertheless, it was fun.
I have been spending a lot of time learning how to do a transfer from my wheel chair into a car (passenger side for now). This will be important to perfect soon as I have a discharge date of April 22. I am so looking forward to returning home, to be with my family and friends again.
Arvind's Weekly Update
Week #8
I played ping pong today in my wheel chair--table tennis for you true fans. I played with my therapist. We had a bet; if I won, she had to push my wheel chair all the way back to my room for me (which she never does). I won, 3 games to 2! She was pretty shocked and I got a nice easy ride back after therapy.
More training on the locomat and the FES bike. I spent more time on each than I did last week--building up my endurance and leg muscles. I feel the electros on my legs when I am on the bike. I hope to be able to continue to work on these machine when I return to Long Island.
I went on another therapy outing, this time to a Lebanese restaurant. It was tough going, pushing my manual wheel chair up and down hills as I traveled along uneven sidewalks. I never realized how uneven and full of pot holes many sidewalks are. I guess I never had to pay such close attention before.
Arvind's Weekly Update
Week #7
Played tennis again in my chair and was able to hit more balls over the net. I have been doing some stretching exercises (done in the bed, easy to imitate when home) so that my hips and legs are more flexible and better able to dress myself.
Fran and Christopher arrived very early Saturday morning (crazy snow storm flight delays Friday night) and in the afternoon we all had a barbecue cook-out in the garden with some of my friends here at Shepherd. It was a great, sunny and warm day, anticipatory of the summer to come back home.
I had dry needling therapy in my neck--similar to acupuncture-- in order to loosen some of my neck muscles. The muscles are very tight and I am having a hard time lifting my head up. The more my head droops, the tighter the muscles become. It felt like someone sticking darts into my neck. But it helped a little and I will be doing it again on a weekly basis.
Fran brought me pizza from New York which felt like I was having a gourmet meat at a fancy restaurant in Long Island! It is amazing how it is simple things you miss and how it is simple things that can bring you comfort.
Arvind's Weekly Update
Week #6
Tennis any one? Game on this week! I had rec therapy and was given a tennis racket to play with and put into a sports wheel chair--large wheels set on an angle for fast, quick turning. I did really well with it, surprising my therapist with my returns and slices. Yes, I still have my slice! It felt really good to play a favorite sport again, in a different way.
I also spent more time on the locomotion therapy simulator. This is where I am suspended over a treadmill and "walk" via the robotic attached to my legs. It is encouraging that the therapists continue to believe in me and my potential for improvement. I also spent a lot of time learning how to shift myself from my wheel chair onto a bench and then back again via something called "depression" rather than using a board. This takes a great deal of upper body strength and timing to lift up and shift over enough to land on the other surface. If I miss--not pretty. But learning this will enable me to make a variety of transfers in real life situations--to a sofa, into a car, etc.
I am lucky to be here at Shepherd and doing the hard work of rehabilitation but I do miss home. And the food is starting to be an issue for me. It is not that it is bad; I just miss the selection of food I enjoy eating as do most patients around here after they have been here for a while. Fran has begun to bring me "care packages" from home when she comes. This weekend, she brought me kabob roles from one of my favorite Indian restaurants. It tasted great. That along with dried mango slices and bourbon chocolate biscuits (cookies) and I am a happier man.
Yesterday and today Fran and Christopher took me out of the rehab center on a "push pass." Basically, this means that I can venture out of Shepherd as far as I or someone else can push me. And I really made them push me! We went out for a couple of meals to some local restaurants. The weather is spring-like sunshine and warmth so that made it even nicer to be out. We met a lot of fellow patients outside as well, some now on out-patient status. It makes me envision my own out-patient status to come.
Arvind's Weekly Update
Week #5
Another hectic week of therapy at Shepherd. I was fitted to use the locomotive equipment on the third floor. This is a robotic fitted onto my legs so that I can use the treadmill. I was on this machine for 30 minutes. The physical therapist was extremely happy to see my stride and informed me that I was well balanced and "walked" with the correct posture. I will be going on this machine many times in the next few weeks--photo to follow soon! The physical therapist is now working on my leg muscles while continuing to build my upper-body strength. I take one day at a time and hope that I am progressing to achieve my goal of walking one day. To that end, my daily focus is my rehabilitation and not practicing law--which works out well since my doctors have strongly advised me not to return to work for a minimum of six months.
One evening Shepherd was transformed into Monte Carlo and Casino Royale. My fellow patients and I played black jack and craps. It was fun to be engaged in this recreational activity--but it had a bit of a local twist. Instead of playing for money, we played for stickers! I won some Sponge Bob which I was able to trade for some Scoobie Doo!
I was fitted this week for my customized wheel chair. The process involved measuring my arms, legs, weight and seat. It is a manual chair that can be easily disassembled for storage in a car. My only real choice in the chair's appearance is the wheel spokes. I'll be in the black chair with yellow spokes when you come looking for me in the future!
On the home front, the contractors went to my house and met with Fran to discuss what alterations need to be made to our home. A primary focus is the entry into the house--we are considering a ramp and/or a lift. As well, the bathroom must be modified. I will need a wheel chair accessible shower, especially. We are measuring door frames too, but need to wait until final wheel chair dimensions are established.
My wife Fran and son Christopher have been going through a tremendous change as well. They have been very supportive and have been coming to see me every weekend in Atlanta. Fran has been solely responsible for taking care of the house, juggling all day-to-day activities for Christopher, managing dog coverage for Sadie, and going to work at her teaching position in Great Neck. For Christopher, weekends in Atlanta has meant time away from friends (important to 6th graders) and his sports activities. But their sacrifices have been done with love and I appreciate that beyond imagination.
Arvind's Weekly Update
Week #4
Survived another week at Shepherd! This week my therapist put me on the "tilting table." The purpose of this table is to put your entire body weight on your legs and feet while completely strapped to it and then lifted into a vertical position. It sort of looks like some kind of medieval torture table, without any daggers flying at you! I went for recreational therapy to a local shopping mall, pushed my wheel chair around for four hours (that part more work than recreation to me!) and sampled some of the local mall food. There is nothing like some mall fast-food to put a few pounds on, which I need to do, fortunately. I will try to recover this weekend from all the exercise.
Arvind's Weekly Update
Week # 3
It's been 6 weeks since the injury and completed 3 weeks here at Shepherd. Happy, welcomed news when Dr. Murry stopped by room to tell me that my neck brace could come off! The official lingo here is "dc" meaning discontinue the brace. Will try the brace on my dog Sadie when she is naughty. Trying to build upper strength--left side is stronger than right though I am right handed. This makes my wheel chair pushing a bit cockeyed. Lifting a lot of weights and continue peddling on the electro stimulation bike. Starting to plan for home modifications, especially the bathroom but will have to balance making decisions as I wait to see improvements in my leg function. Continued increase in sensation in legs, and slight movement in toes!
Arvind's Weekly Update
Week #2
Physical therapy has become more rigorous. From 9am to 4pm I can be found doing occupational therapy, physical therapy, speech therapy, and recreational therapy! By the end of the day, I am completely exhausted and in pain, but it is the good kind of exhaustion and pain that comes from hard work building muscle strength. Made some new friends--patients like myself with similar injuries. Biggest surprise this week was when they expected me to wheel myself out of the building, across a busy street, and into the local CVS! I bought Fran a nice Valentine's Day card and chocolates! I was on the FES bike this week with the electro stimulation for nerves. Though unable to move my legs, sensation is improving daily--I guess that is a good thing, but no guarantees.
Week #2 Update
Physical therapy has become more rigorous. From 9am to 4pm I can be found doing occupational therapy, physical therapy, speech therapy, and recreactional therapy! By the end of the day, I am completely exhausted and in pain, but it is the good kind of exhaustion and pain that comes from hardwork building muscle strength. Made some new friends—patients like myself with similar injuries. Biggest surprise this week was when they expected me to wheel myself out of the building, across a busy street, and into the local CVS! I bought Fran a nice Valentine’s Day card and chocolates! I was on the bike this week with the electro stimulation for nerves. Though unable to move my legs, sensation is improving daily—I guess that is a good thing, but no guarantees.
Week #1 Update from the Shepherd Center, In-Patient January 2015
Arrived off the medevac at the start of this week, completely dependent on others. Rehab began immediately, sort of a light start to the full program to come. Met my full medical/rehab team, took a lot of tests, and went to the gym. I jumped right into a manual wheelchair—this was my biggest surprise of the week— to build my upper body strength. By the end of the week I was learning how to shift out of the chair by using a board. Need to work on my balance and technique!
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Dear Arvind & Fran:
We learnt about your challenges just yesterday thru a friend. We are deeply touched. It is our humble wish and a prayer that the Lord provide you with courage and stamina and strength to go through the challenges.
With lots of love,
Kanwal & Sunita Kapur
Kanwal & Sunita Kapur
Dear Arvind, I miss you and am so sorry for your pain and for my absence.
Ozzie Torres
With fond memories of your family from GVS, we are sending our very best wishes for continued strength and courage during your recovery process. All the best in 2017!
The Durban Family
Arvind and Fran,
It was a pleasure meeting you both. I'm very impressed with both your courage and resilience at this challenging time. I'm sorry I couldn't attend the recent event. Best Wishes,
jay kadiyala
Dear Arvind,
My contribution is in your honor, but in memory of your squash friend and my beloved husband, Peter.
My thoughts are with you and Fran and I wish you a complete recovery.
Warmest wishes,
Sybil Sternlieb
Arvind,
We are thinking about you and pulling for your recovery. Keep up the good work, keep your positive attitude, and keep making progress!
Harrison and Kit Knight
Arvind,
Good luck on the therapy sessions. As an avid doubles player myself, I hope one day you will get back on court in some form. Jody is a good friend. I'm sorry I won't be at the Creek tomorrow for your cocktail party. I hope to meet you one day.
Joseph Purrazzella
Arvind and Fran: We heard the news about your accident from Annalisa last year and have not been able to get any more info from her since then. John just went on line and we were shocked to see your story there and your fight for recovery. We know that your drive and determination will help you on your long journey and we are here if you need our help. We were just talking with Pat about when you and Pat brought us to the airport when we left on our honeymoon and it was raining cats and dogs! All of us here will keep you in our prayers and hope for your FULL recovery! Love to Fran and Christopher, John and Doreen Reali
John & Doreen Reali
dear Arvind, Fran , and Christopher , I wish you love and continued progress. I pray for all of you everyday . I am in awe of each of you as you go through this battle to normalcy. Love carol
carol goglia
Hi Arvind,
Thinking of you on your first anniversary of the accident... wish you a miracle recovery very soon! I am stunned by Fran's and your courage and spirits. All the best to you and your family!
Veronica
Arvind; you and your family are an inspiration for us all. Keep up that competitive spirit. From, the Wednesday night men's tennis group at the Creek.
John Belt
Hi Arvind,
How are you doing? Anil and I have been thinking about you and wondering how your progress has been. I am a firm believer in the power of prayers. You are in my prayers every time I pray, every day.
Best wishes to you, Fran and Christopher. Hope you have a wonderful Christmas and best wishes to you for 2016. Let's hope you get back on your feet!!
Vimala Raheja
Arvind, My fiance and I received your note. It was lovely, thank you for the gesture. I have no doubt you are going to beat this setback. Your courage and perseverance is an inspiration. I wish you and all your family all the best.
Ram Subramanian (squash community (NYSC/YMCA)
Arvind, I learned about your accident from Dudley with extreme sadness. Ever since, I think about you and your family every day and I pray for your recovery. I admire your courage in handling this situation. Hang in there, work hard on your therapy, and God willing your recovery will come much faster than anyone anticipated.
Becher
Arvind, All of us here at RWTT are hoping for a speedy recovery !!
Best
Robbie Wagner
Hey Arvind, It's John Bermingham and the rest of the family sending you our love, prayers and best wishes as you work towards recovery. All the best to Fran and Christopher. Hang in the there.
John
Hello Dear Arvind,am so happy to learn you are back home with Fran and Chris: What a very positive and stimulating this must be. You are definitely on the upturn and have made such good progress already! Make the most of your stay at home with your work-out on the FES bike so that you can surprise your therapists with the good results. Will speak soon. Hugs
Mirabella
Arvind, Fran, Christopher,
Terrific to see the progress you've made. With your determination and spirit we are confident you'll be back on the court soon. Hope to see you guys in the summer. Best of luck!
Ravijit and Lotika
Hello Arvind:
I know that you must have been looking forward to coming home and be comfortable in familiar surroundings. Yes, we all can relate to the feeling that Home is the Best! We are very happy that you are steadily working your way to recovery and, as always, we wish you the very best.
Dudley, Sharon & Menaka
Hi Arvind:
Eddie & I are happy to here that you are home with your family until you return for further rehab.We pray that you will make tremendous progress in your recovery through all your hard work. We are thinking of you.
Roger & Eddie
Welcome back, Arvind! Great to see your progress.
Kit Boyatt and Linda Riefler
Arvind
Good to know you are home and wishing you more determination as you improve daily - take care and God Bless
Jyoti - Class of 79
Arvind,
We think of you each and every day, and we look forward to seeing you soon!
All the very best,
Gus and Vasilianna
Hi Arvind,
I am so proud of how far you have come. I know you will continue to improve and I look forward to taking a long walk with you in the future. Both you and Fran have now given me more reasons to admire you than ever before. I am so happy that you are home where you belong.
Your Friend, Susan DelToro
Welcome Home Arvind!!
Sue Petersen Lubow
So glad you have arrived home! I hope you continue to improve daily. Your determination is inspiring!
Donna Nystrom
Arvin,
So happy to hear you will be returning home to your family shortly. Keep up the good work!
Christine and Lou Koskovolis
Arvind!!!! I am so happy you are coming home! Sadie will be ecstatic. We better hit Taby's sooner than later! Love you my cousin!
Roseann
Arvind:
We remember you and your family in our devotions. There is nothing impossible with God's grace and his miracles. You have and will get more strength to get through this period of recovery, and you truly have been an inspiration to the three of us. Without a doubt we will be back to enjoying our farm, skiing, camping and penn re-union trips with our families like we did before.
Prayers for a speedy and a miraculous recovery.
Look forward to visiting with you when you are ready.
Sharon, Dudley and Menaka
Bext wishes as you return home, Arvind. Thank you for being such a positive and truly inspiring presence here at Shepherd Center. We will be sending you prayers for strength and healing as your journey back to NY.
Lindsey Vicente, Shepherd Center Foundation
We are very happy to hear that you are finally coming home. Keep the faith. Hope to see you soon.
Mark & Pat
We love and miss you Arvind.
Are looking forward to visiting with you when you are ready.
Denise and the rest of the Reiner Clan
less than a week left Arvind...so so happy for the three of you....
safe journey home....
shalini
Arvind, my friend as much as this is somewhat of shocking news for me, I know that nothing can put down a sportsman and a sports lover. I called you several times, with no response from your side, but Sharon did a search and found this site. After reading your blogs I am delighted to know that the worst is past and, soon, you will be on your way home to a familiar turf on a better wicket. It's cricket ol' chap!! We will visit you at some point when you get home. Our best wishes always for a speedy recovery. Regards. Dudley, Sharon & Menaka
Terence Dudley Fernando
arvind..the countdown begins...you'll be home before you know it...I am sure all of you are very excited...and be prepared for an onslaught of visitors as you are a very popular person...
ajay anahita and shalini
We are happy you will be home soon. Looking forward to seeing you !!!!
Love, Aunt Carol, Gina, and Bobby
Hi Arvind!
We've been monitoring your progress through your updates and it is amazing to see how hard you're working and how far you've come. We had no doubt you would work so hard at it since that is who you are. We think of you, Fran, and Christopher every day and keep you in our prayers. So glad you will be home in the very near future and with your family on a daily basis!
Bruce and Debbie
hi Arvind, I cannot wait to see you. I am fully updated and I pray for you every day. Keep fighting and keep your spirits up. You are almost home!
carol
Thinking of you and your family. Glad to see you making such amazing progress. Looking forward to seeing you soon.
Gene & Lori Souther and Family
Arvind,
Easter Blessings to you, Fran and Christopher. So pleased to hear you are progressing and we are looking forward to seeing you back home on Long Island soon!
The Catalano Family
Hello Arvind,
You are in the thoughts and prayers of the Carlstrom family . I am glad to hear your recovery is progressing and I look fwd to seeing you back on LI soon.
Eric Carlstrom
Hi Arvind, You are an inspiration to us all with your positive attitude and hard work! Keep it up. We look forward to seeing you back in Long Island!!! AllBest,
the Cushman Family
Hi Arvind! We are so happy with all the progress you are making and we are looking forward to seeing you soon!
The Bondy Family
Good to know you are progressing well.....you are in my thoughts daily....keep it going man...Cheers
Jyoti Class of 79
Thank you for inspiring. Look forward to hearing more updates of your improvements and have faith that you will return to the court with a vengeance.
David Jung
What a handsome family you have! May all the love that surrounds you and the hard work that lays ahead lead you quickly back onto the squash court.
Moss Kahler
From one squash addict to another. My thoughts are with you during your struggle.
Russ Cobb
Arvind, sounds like you are in great hands. Just be sure to put the beer cup on the ping pong table when you play. Would love to stop by for a game when you return. Good luck. Mike
Mike Clark
Arvind: Glad to see that you are on the mend. I want to see you on the tennis courts at the Chaminade Tennis outing in June. All the best, Ernie
Ernie Bartol
Hi Arvind. So good to see you working hard and staying positive. I can see from your blog you are making great progress. Hope to see you all soon when you return.
Ashok and Baishali
Hi Arvind,
a fellow squash enthusiast, came to your page via USquash. wish you all the very best.
Ram Subramanian
Hi Arvind --
So glad to see you look like your usual dapper self and to read that you're back with racquet in hand. You are never far from our thoughts.
Sonia & Sandeep
Hi Arvind,
Trust this reaches you well. I have been thinking about you daily since we played against each other Jan 10th. You're a great guy with an indomitable spirit. Wishing you all the best for a successful recovery. You are in my thoughts and prayers. Hope to see you at Nassau this summer. Sincerely...
Randy Smith
Hi Arvind...I am having Sadie withdrawal!!! I actually called her one day on the phone. Fran said she got the message!
You are in my prayers everyday...a long road, but a positive road. I look forward to seeing you soon.
Love, Roseann
Arvind,
You have been in our thoughts and we continue to monitor your recovery. We look forward to seeing you around town very soon.
The Bystrom Family
Arvind just heard about your accident from Neil. Pat and I are so sorry to hear. We will pray for your full recovery.
Andy Sinha
arvind good to see you on the treadmill...it will keep your muscles toned...and soon god willing you'll be able to do it without any help...
ajay anahita and shalini
Hello Arvind
I have been thinking, praying and inquiring about your condition since the terrible accident. In fact my close friend Charlie Summers, who is a PA at Winthrop, took care of you. Please stay strong and maintain that great spirit and attitude to help you recover . We all care and think of you everyday. "where the willingness is great, the difficulties cannot be great " Looking forward to seeing you soon
Dr john Maurello
Say-hey, Arvind. Love and greetings, cousin, from sunny Charleston. Heard the news with shock, but, man, you got some chutzpah. I'm awed. Your strength and resolve are very impressive. We've put you, Fran and Christopher on our prayer list, so keep up the good work, and stay faithful. We know so well it's not easy, but you are an inspiration. Yeah sure, you could say to yourself, "what choice do I have?" (I know, Myrna and I are walking that path now). But you do have a choice, and inspiring you remain! I'll be in touch with Fran directly. All our love.
Cousins Peter & Myrna P.
Hi Arvind, It is great reading your updates; thank you for sharing and inspiring. Never doubted you would stay true to the way you have always lived -- great attitude, hard work, high expectations, and accomplishment. Looking forward to seeing you (and your 'slice'). Blessings!
Love, Steven & Rosemary Schmid
Arvind,
We all think about you and your family daily. Your progress is inspiring. Hope to see you soon
Tom and the Staff
Dear Arvind
I have never met you but have heard about you from Paul. I hope to one day to meet you, shake your hand and have a good walk with you. Keep up the good fight!!
Rich Podpirka
Hi Arvind!
We're very happy to hear about your progress and look forward to seeing you when you get home.
The Mooneys
Dear Arvind,
Thank you for the update. We welcome learning about your progress. We think of you all the time and look forward to seeing you when you return home!
The Deane Family
We are happy to hear about your progress! We think you're a great guy and hope to see you back at Robbie Wagner some day soon!!!
The Brudermans
You are always in our thoughts. Keep up the good work. :)
Love, Aunt Carol, Gina, & Bobby
Well Arvind, all I can say is...thankfully you were able to exchange your stickers for SCOOBY DOO! Not that I don't like Spongebob, but there is nothing like Scooby!!!
Love and Hugs, Roseann
You are doing great Arvind...keep it going....all the best
Jyoti Class of 79
Arvind, I will pass the Web site To all in Valley . and send you the best wishes possible . I am glad you are making great progress , keep it up
Lisa Ramos-Lopez
Hi Arvind:
I just received the link to this website. So glad that you are making progress in your recovery. Hope to see you soon.
John Kania
Arvind you are making great progress...keep it up...
much love...
shalini
Hi Arvind, We think of you daily and send strength and comfort your way! Keep up the good work!
Looking forward to seeing you soon.
Flink Family
Hi Arvind, We think of you daily and send strength and comfort your way! Keep up the good work!
Looking forward to seeing you soon.
Flink Family
Hi Arvind, we are thinking of you and ready to help in any way we can. Keep up the good work!
The Deane family
hi arvind...your latest pic shows you looking better...and positive...keep it up.....
shalini
Hi Arvind Looking good!! Keep up the good work We're thinking of you and hope for a speedy and full recovery real soon.
The Fine family
Hey Arvind, I have been reading your updates and am amazed at how hard you are working! Just wanted you to know I was thinking of you!
Tonia Mangan
Hey Arvind, As Khaled would tell Chris, "Eat, work hard, there are 24 hours in a day..." I know the kids are working hard at the courts, so you better work hard there in Atlanta if you plan to keep up! Now that the schools are done at Creek, there is more court time. I'll get Roger to play with the boys. Also, the boys seem to be having some interesting discussions at squash. Had a talk about Physics. Go figure!!! Hope to see you soon! Best, Lisa & the Mullarkeys
Lisa Mullarkey
Praying for your speedy recovery. Please get well.
Ken and Sara Gatto
Dear Arvind, Wishing you a speedy recovery and Keeping you in our prayers..
-Sharmas
Just heard the news...whatever you need...we're here. Sending hugs...We will keep you in our prayers. I will be in Atlanta next week, are you allowed visitors? We're confident we'll see you all at Gulden's soon! Much love, the folks up the hill....
Jim and Sue Murphy
Arvind,
We continue to pray for you and your family.
The Koskovolis Family
Our prayers are with you
the Sbirolis
Be strong my friend. Glad to see your progress and your positive attitude. Looking forward to seeing you when you get home!
Robert Jakobsze
Arvind,
Wishing you the very best in your rehabilitation, and keeping you in our prayers
Kerrill & Christine
Arvind, Stay strong! We are thinking and praying for you. xoxo
Betsy & Brendan
Dear Fran and Arvind,
Wishing you strength and hope during this journey.
Stephanie Bontempi
Arvind thats super news if there is some movement in your toes.....
loads of love...Ajay Anahita & Shalini
ajay shalini anahita
So I had the 'honor' to spend a full week with Sadie! She was wonderful...such a pal. Looking forward to seeing her again. This time I will try getting the 'video' correct. Glad you liked the pictures!! Love the updates...we pray for continued progress.
Love, Roseann
Hey Arvind! Stay strong and keep working it! You are a very powerful individual with a strong will. Fran, if you need anything please call me. I am here.
Heidi
You look so much better than when I saw you in the hospital. Nice to see you smile.
Pat Tria
Hi Arvind, sending our love and support. Thinking of you daily...Stay positive.
greg and alison
Arvind. Chin up buddy and wishing you a speedy recovery and hope to see you at the DGC courts someday!
l
Sheila, Nyrah, Amira, Sharon and Dev
Arvind loved the picture with the three of you...you are going to recover...and soon
much love...
Ajay Anahita and Shalini
Arvind,
Here's wishing you a speedy recovery.My prayers are with Fran ,Christopher and you.
Regards,
Hiroo
Hiroo Mirchandani
Dear Arvind.
I so hope you will make a quick and strong recovery. I know that you will fight with all of your strenght and eill never give up. i hope to see you soon. Ozzie
Osvaldo F. Torres
Hey Arvind, With all of us praying for your speedy recovery Iam sure our prayers will be answered !! I know you are a strong man and will pull through. One day I will beat you n Table Tennis. Take Care
Jasvinder Anand
Our prayers are with you.....wishing you a speedy recovery
Jyoti - Class of 1979
Arvind,
We think of you every day and pray for a speedy recovery.
Marie & Eric
Your 200+ brothers wish you well, think of you & Fran and send many good wishes.
Ashutosh Misra Xavier's 1979
Arvind Get Well Soon. Our prayers are with you.
Sanjeev Bagga - class of 79
Arvind I think of you everyday and your courageous battle. Looking forward to you returning home.
Cottie
Arvind,
You are a true friend! We will be with you during every challenge you take on.
Paul, Heather, Julia, Ben & Ryan
Paul Annunziato & Family
We were so sorry to hear of your accident Arvind. Sending our very best wishes to you for a speedy recovery.
Ann and Joe Cooney
Hoping you GET WELL SOON !!!!!
Love You !!!
Aunt Carol, Gina, & Bobby
Constantly in my thoughts and prayers!
Love and hugs...
Roseann
We are praying for your speedy recovery.
Mark, Pat, Nicholas, Anthony, & Natalie
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