Share. Connect. Love.

Posted 2018-09-07T02:33:18Z

Looming discharge

"When is your discharge date?" "You doing the outpatient program?" These are questions I jealously overheard between other patients early on in my stay, but I am now the recipient of these on a daily basis as I race toward my imminent graduation from this chapter of my recovery next week. A week ago it seemed like wishful thinking, but the pace at which my body continues to strengthen and the maneuvers become more easily executed has left me incredulous at times. Of course the therapists all say, "We told you this would happen", and, of course, cynical me never believed them, but, of course, they were right. 


Board transfers have finally become nearly second nature, and I've started to learn something called a depression transfer, which omits the use of the board I've used to slide on in order to bridge the gap between where I sit and where I want to go. One essentially leans in the opposite direction of where one wants to go, leans scarily forward, and then pushes the hands down while simultaneously throwing one's pelvis in the direction of choice. I can already hear you saying to yourself, "What's so hard about that?", but keep in mind that I've never been what you would call a gifted athlete, so it's still a bit of challenge for me at the moment. I also transferred from my wheelchair into a car today for the first time, but much more of this will go on in the outpatient program, as will driving with hand controls, advanced wheelchair maneuvering, sitting up in bed, dressing, showering, and the subtle art of cleaning up after shitting oneself at work. Ah, the joys of lifelong learning.


I've continued to enjoy a steady stream of visitors, well-wishers and hangers on, all of whom lift my spirits regardless of their intentions. Those I can remember at this (now opioid-free) moment include, Robert Good and family, BenPugh, Gary, Holly, Bryan, Jenny and William Schaefer, Micaela Weaver, and Gene and Sheryl Harper. Gene, as many of you know, was a beloved general surgeon in Harrisonburg for many years, and is now retired and living here in Atlanta. It was he and Glenn Morrison (a brilliant and beloved pathologist) who convinced me to return to the Valley after completing my residency at Georgetown and help establish the first department of Radiation Oncology at the new Cancer Center at RMH in 1989. These two men served as mentors to me early in my career, but also showed me the importance of a life beyond medicine, and taught me how to fish, sip bourbon, and appreciate the moments of slow conversation with friends. So nice to connect again and reminisce (and make plans for dinner next week). 


Finally, I would be remiss if I did not mention last weekend's birthday festivities. Having both Alex and Jordan here to celebrate made it such a fun and cherished time. Despite the circumstances I found myself in, I again counted myself as a very lucky man to have such wonderful kids, an amazing wife, and a full life to look forward. Thanks also for the many birthday wishes and cards. Huge shoutout to the crew at the RMH Cancer Center for the massive box of birthday bling that I dutifully did not open until 9/1. Thanks for adding 10 pounds to my expanding waistline. 

Stay in the know. Sign up to receive email notifications the moment new Journal entries are posted

Comments (24)

  • Sheryl H Bomar
    Sheryl H Bomar

    We will help you add more pounds to your waistline with a nice dinner of your choosing next week. Let's discuss specifics after your busy weekend with visitors. It was so good to see you in person and give you a hug. You are a true inspiration! Sheryl

    8 years ago · Reply
  • Kathy Whitten
    Kathy Whitten

    This is a fabulous post! Continuing to pray for your return to our beautiful Valley! Blessings!

    8 years ago · Reply
  • Robin Atwood
    Robin Atwood

    Sounds like you have , indeed, made great progress. Wow! I look forward to seeing you execute your new, smooth moves in your new wheelchair (which will no doubt be kitted out with all the coolest stuff). But what will you name it?

    8 years ago · Reply
  • Shanique Palmer
    Shanique Palmer

    Rob, I think of you daily. So happy to hear of your tremendous progress and to hear your continued expressions of gratitude and positivity. Belated birthday greetings to you!

    8 years ago · Reply
  • Jh
    Jh

    Rob, so happy to hear the progress and spirit. Congratulations on the results of your effort and your family.s. John Haughton

    8 years ago · Reply
  • Colleen Mullen
    Colleen Mullen

    Robert. So good to hear your acute rehab is going well and coming to a close. It is amazing how a 1” difference can seem like a mountain when you are transferring. I thought of you today as I was using a box of aluminum foil to knock something off of the top shelf in the grocery store. This is a difficult turn your life has taken but you have incredible problem solving skills, “never say die” attitude and a great sense of humor all of which you will need on a daily basis. However, you will also have some days (just like everyone else) that will kick your butt and if you hear another platitude you will seriously consider choking the person. Fair warning Hallmark! Take good care, do your pressure reliefs and continue to “Rock and Roll” Peace. Colleen

    8 years ago · Reply
  • Jenny Acker
    Jenny Acker

    So so so proud of u!! I knew u would kick ass at this!! U have the best attitude towards everything in life! One can only aspire to be as great!! Lots of love to u and ur family. Jenny

    8 years ago · Reply
  • Lynn Hall Coyner
    Lynn Hall Coyner

    You are an inspiration. I am sure this had been one of the hardest trials you have ever had in your life. To read your messages and feel not only your sadness but your hope and determination is uplifting. My Mom used to tell me "you can do anything you make up your mind to do" and you are the definition of that quote. I have always admired your gift as a physician and I am sure you will continue to offer that gift to many. So happy for your progress and Happy Homecoming.

    8 years ago · Reply
  • Katherine Harrison
    Katherine Harrison

    It is so refreshing to see the humor and honesty in your posts. Looking forward to knowing you are back in the valley. Kay Harrison

    8 years ago · Reply
  • Jan Mangun
    Jan Mangun

    Thank you Dr. Kyler (Rob) for continuing to keep us abreast of your progress. I think about you everyday and pray along with many others for your physical and mental health and improvement. I have always admired you, and the way you are working so hard to deal with this dramatic change in your life continues to add to that admiration. God bless you. He is with you on this journey. Do not despair.

    8 years ago · Reply
  • Lynn Suter
    Lynn Suter

    Congratulations for getting mind, body and spirit to this major milestone! Virginia lovingly awaits you!

    8 years ago · Reply
  • Cathy Sumpter
    Cathy Sumpter

    We always enjoy your updates and hearing about your progress. Continued prayers for you and yours, buckets of hope and positive energy are being sent your way. We may be silent for long periods of time, but you're not far from our daily thoughts of you. Love and hugs.

    8 years ago · Reply
  • Steve Talley
    Steve Talley

    You are an inspiring and courageous man. Sawyer is coming to see you soon.

    8 years ago · Reply
  • Lynell Firebaugh
    Lynell Firebaugh

    Your progress is amazing. Keep up the hard work.

    8 years ago · Reply
  • Dianne Strader
    Dianne Strader

    Awesome update - but I knew that you could get those results. We continue to keep you in our prayers and can't wait to see you come 'rolling' into the AH Cancer Center again. !!

    8 years ago · Reply
  • Roslyn Biskin
    Roslyn Biskin

    I'm excited for you as you embark on the next chapter of your journey. Even tho it is not the journey any of us would have chosen, you have been full of grace (and great reporting) throughout your rehab, giving all of us a glimpse into both the emotional and physical challenges you face. I see a book in your future! xxxrb

    8 years ago · Reply
  • Forrest young
    Forrest young

    So happy to read that you will be returning home and of all that you've learned to overcome since being admitted to rehab. It's truly an inspirational story and one I believe can serve to help others with their struggles. Thanks for being so open and sharing all that you have with us here on this platform. I hope it continues as you begin this new chapter, as well. Cheers!

    8 years ago · Reply
  • Virginia Lloyd-Davies
    Virginia Lloyd-Davies

    Whoo-hoo! Awesomeness personified! You'll be zooming around in your special car, terrorizing the maniacal drivers of Atlanta any day now! And as far as shitting yourself at work, you have many anal cancer patients who will be eager to give you tips! First tip: avoid white pants.

    8 years ago · Reply
  • Deborah clark
    Deborah clark

    So good to hear of your progress, your fighting spirit is something to inspire us all. Glad to hear you have had so many visitors, Happy belated Birthday!

    8 years ago · Reply
  • Ellen Lewis
    Ellen Lewis

    Rob Home! Life! You’re getting your life back! Somewhat altered, yes. But still. It’s so great that you’re getting to go home already. I’m sure your progress will continue and you’ll be zipping around soon. And there’s still a bit of hot summer air for you to enjoy. I look at accessibility signs now all over the place. NYC has done a lot to make places accessible to everyone. Thank goodness that it’s become a requirement for public places and public transportation. It means something now.

    8 years ago · Reply
  • Tanya Thompson
    Tanya Thompson

    Hi Doc! I am always glad to read how your days go. I can’t help to think that you should write a book as I read your descriptive posts :) I am glad you had your wonderful family with you on your birthday and especially happy that you enjoyed your day!!

    8 years ago · Reply
  • Frank Gearing
    Frank Gearing

    Ditto to all your army has posted. Loved Colleen's post and remember her from childhood. Another inspiration. I often wake at night, count blessings and pray for God's hand in guiding you and many others including our veterans in dealing with the challenges life challenges us with. As you noted it will soon be time to redefine your role of doing for others. Jean and I are RVing Michigan and Jean sends her love and prayers. Sounds like you'll be back in the valley before we can plan an Atlanta trip. Well done. Frank

    8 years ago · Reply
  • Mandi Smith
    Mandi Smith

    BOARD TRANSFERS!!! 😘 from a little “hanger on.” 😘😘

    8 years ago · Reply
  • Julie Thurnau
    Julie Thurnau

    I don’t know how I missed this post! I think of you and Nancy often and send you well wishes. I am so glad that you will enjoy the comforts of home soon. Happy Graduation!!

    8 years ago · Reply