Spring Happenings pt. 2

This latest adventure started two weeks ago.

Two years ago I put together an adaptive climbing clinic at the Amputee Coalition Youth Camp. One of the campers at the time, Corey, a below the knee amputee, attended my clinic and got hooked on climbing. Fast forward two years and he is now in college north of Atlanta and climbing avidly. We reconnected and I flew up to the Southeast to take him on his first outdoor climbing trip.

Me, Corey, and Brandon

It has been really rewarding to see some of my efforts in the past bringing forth tomorrow's generation of adaptive climbers.

Corey had his eyes set on one of my past projects Fat Cat (V5), one of the pristine climbs that the Stone Fort has to offer.

He worked out all the moves in a strong effort, but was unable to link together for the send. I am sure he will be back soon to take the rig down.


Overall we had a blast and just climbed around on the endless amounts of classics the boulder field has to offer. We were able to connect on some of the challenges on climbing with one leg, and share our similar experiences. I have made many friends through climbing that I am proud to know, and I think it is a safe bet to say I made another friend for life on this trip as well.

On Mizzen Mast, a long never tried classic. 

Part two of the trip was the start of my California adventure. I flew into LA to meet up with my friend Andrew Chao, and Damon Corso, a professional photographer and videographer out of the area.

We drove to Bishop for a quick 3 day trip to experience the amazing climbing that the area has to offer.

The view of the Sierra's from our campground.

Bishop is distinct in the sense that it has 7-8 different areas of established climbing, all on varying kinds of rock and terrain. Our first day focused around the rock in the canyon of the volcanic tableland at the Happy Boulders.

The Happy Boulders provide a very gymnastic kind of climbing venue, and are an absolute blast to climb on. We toured through all of the classics V0-V4 even finding some gems off the beaten path.

One of my favorite climbs of the day was the towering I am Leaving for Constantinople, Tonight (V0) on the rim of the canyon. One of the most enjoyable moves I have ever done leads to a committing top out 30 ft above the pads.

The Happy Boulders

Scoping out Leaving for Constantinople Tonight.

On day two after getting shut down on the committing top out of Strength in Numbers (V5) at the Sad Boulders, we decided to go have an adventure. The guidebook touted Church of Lost and Found (V1) at the Sherwin Plateau to be world class. We made the hike from Bishop, and drove 7.2 miles on dirt trails (almost destroying the rental car in the process :-) until we were completely alone in the high wilderness. A short hike by foot led to the rim of the Owen's river gorge canyon and the best rock climb I think I have ever done.

Church of Lost and Found
The photos do none of this justice.

The scenery was second to none and we left with one of my most memorable climbing experiences. We finished day two with an awesome evening session at the Happy Boulders, ticking off two projects from the day before, Solarium (V4) and Cue Ball (V4).

Scenery at the Sherwin Plateau.

Down climb on Solarium (V4)

Day Three we were refreshed from a mellow day two and made our way to the field that Bishop is famous for, the Buttermilks. We toured tons of classics and tried not to get blown away by the 40+ mile an hour wind. In the ever unpredictable weather it went from Sunny and nice, to hurricane force winds, to snowing by the end of the day. The outdoors is a powerful thing.

Damo on Saigon (V6)

Buttermilks!

Lastly we headed back to LA to get ready for our 2nd annual adaptive climbing clinic in Joshua Tree which I have described in a separate post.

We spent our last day of climbing on easter sunday at Joshua Tree, mostly having a mellow day (by comparison). Our agenda revolved around three boulder problems The Chube (V2), Slashface (V3), and Satellite Left (V3). All of these climbs were in different areas and in total we hiked about 6-8 miles in the SoCal desert.

Slashface (V3 R)

Topping out the Chube (V2)

I managed to take down one nemesis from last year, The Chube (V2). Finally managing to press out the crux top out. Unfortunately I was not strong enough (and did not have enough skin left!) to take down Slashface for the second year in a row. I also got shut down by the terrifying last move of Satellite left, and after a couple of nasty falls decided that I was emotionally drained from everything and threw in the towel. Damon's girlfriend, Crystalyn and his sister Larissa hid some easter eggs for us and we relaxed and hiked out in the sunset to mark the end of this awesome trip.

Group shot on the Illicit Sweetie Boulder

Hiking to Slashface

Exhausted.....

I was really lucky to be able to even climb this trip.....I had torn a pulley in my right middle finger about five weeks prior. Thankfully I was able to rehab it and it was on the mend for this trip. It was a blessing in disguise because rather than focusing on difficulty I was truly able to enjoy the climbing and re focus on the journey this time around.

I had been passing by "easy" climbs at Stone fort for years now, after doing them wondering after the fact why I had never climbed it years ago. The journey is what truly makes climbing special, the people you meet, how you get there, and all the memories in between. I still have my sights set on big goals ahead, but need to remember to take a step back and soak it all in every once in a while.

Spring 2012 part 1

This spring has turned into a complete whirlwind! So many things have happened that it has been hard to completely wrap my head around. To kick things off I got my prosthetics certification! I am really excited to be a full blown professional. It has been a journey that has been six years in the making since I started college! I have been practicing for the past year and a half and I absolutely love what I do and am blessed to work for the best company in the business. 

I am officially in the midst of our next project, documenting my journey to become the first amputee to climb the V10 bouldering grade. It will be a journey that hopefully comes to fruition over the next year! 

My first climbing trip on the agenda this spring was to Hueco Tanks. I was feeling strong from all my training and my goal was to tick off my first V9. Over the four day trip I was able to get on four different V9's, coming agonizingly close on all of them but going home with the send on none! Hueco has a very dynamic climbing style which seems to suit me perfectly. It is almost like a rock playground with heinous moves in-between decent holds. If you can crank down hard you can send hard at Hueco. I was also able to check out some potential V10's while I was there. The biggest difficulty with this whole project has been finding a climb that is actually going to make sense to project. I realized that doing my first V10 is a huge undertaking, and having a climb that is thousands of miles away from me does not help my cause any, especially when I only get to try it for a couple of days before taking off again. I did manage to send my second V8 second try, the sit start to New Religion. Along with ticking off some other classics while in the area. I can't wait until my next trip back, too many projects, not enough time!

After doing some thinking after the Hueco Trip, I decided that the climb that I have the best chance for success is right here in the Southeast. This fall I managed to do my first V8 called Harvest Moon. It is a really powerful project and a true gem of a rock climb. It has a sit start, that adds 3-4 difficult moves into the stand, that clocks in right at V10. Here is some bad iPhone video of me sending the stand this December! 

So long story short I was supposed to head up to the southeast to start trying the moves on Harvest Moon sit, then I picked up the first bad finger injury of my career. I thought I was taking it easy, but I guess I needed to give my body some more time to recover after Hueco Tanks, and ended up tearing my A4 pulley in my right middle finger. That effectively ended my spring climbing season. 

Its funny how some things are a blessing in disguise......right around that time we moved from a 5,000 square foot facility at work into 22,000 square feet, officially making us one of the largest prosthetics facilities in the country under one roof. The week after that I moved from staying with a friend into my own apartment. As all of this was going on I had two speaking engagements to plan for along with adaptive climbing clinics in New York City and Joshua Tree National Park, all tied in with a trip to Venezuela for my grandma's 90th birthday! I think that if I would have had the pressure of training at a high level also that I would have been on the verge of collapse! So while it is never fun being injured I have to say it may have been for the better this time!

Both of my speaking engagements went well, my grandma's 90th birthday was a blast and a great opportunity to reconnect with family. The adaptive climbing clinic at Brooklyn Boulders in NYC was a huge success! We were able to introduce 31 people with disabilities ranging from Cerebral Palsy, Spinal Cord Injury, Upper and Lower extremity amputation, vision impaired among others to their first climbing experience over two days! NYC has a vibrant adaptive community and it was inspiring to get the opportunity to work with them. Check out some video done by Brooklyn Boulders here! http://vimeo.com/39219966

Part two of this post coming your way later this week!

Joshua Tree Recap 2012

I am excited to announce that this year's Joshua Tree event went extremely well. We set up at the Indian Cove section of the park at an area known as the Amphitheatre. The setting was grand and we were completely encircled by the towering formations of rock that Joshua Tree is known for. 

We were lucky to have nine participants with disabilities join us for the day! The whole group meshed well and the not only was there a lot of great climbing going on throughout the day but a lot of camaraderie as well. The climbing was mixed from some lower angle face climbing to some intense scrambling. Participants were able to learn that every part of your body is a useful climbing tool as they worked their way up the 50 ft. walls. 

One of our participants, Corey Reed, aside from missing his right leg below the knee, is also severely visually impaired as well. It was super impressive to see him use his natural physical talents as well as his sharpened senses to make quick work of all five of the top ropes that were set up. 

Another participant, Anna, missing her leg at the hip due to cancer, found that sometimes the easiest way up is not always the straight forward way. After some difficulty on the first climb, Anna ascended the majority of her second climb backwards! The awesome thing about climbing is that there is no one set way to do things and the same climb can interpreted a million different ways. When she got to the top she spent an hour there enjoying the view. 

We were lucky to have some great weather, spend time with all of our amazing participants and volunteers, and be in a grand setting like Joshua Tree. In between climbs friendships were being made and solidified, and everybody was hiking around enjoying the day and exploring the endless amounts of killer views and scenery that Joshua Tree has to offer. 

Disability is only a state of mind, and I think we all learned that you can accomplish anything that you put your mind to, no matter how intimidating it might seem. 

Thank you to our title sponsors Athletes w/ Disabilities Network, Inner Passage Guiding Service, Black Diamond and Evolve Sports and Design as well as our other sponsors prAna and Mountain Khakis. 

Winter X Games 2012

Hey Guys! So its crazy how random things pop up when you least expect them. Last week I was driving home and got a call from my boss with the opportunity to fly to Aspen to be the prosthetist at the Winter X Games. I did not hesitate to jump at the opportunity.

Keith and Mike getting a practice run.

 Two of our patients were involved in the event, Amy Purdy, one of the co-founders of Adaptive Action Sports (AAS) and Evan Strong (the reigning X games gold medalist in Adaptive Boardercross).

Amy shredding the course.

Evan going back up for another run.

Our time in Aspen was a blast! I mainly made sure all the riders were in good working condition. Occasionally parts break or malfunction and it would be terrible to have that happen before the biggest race of your life. Thankfully I only had to help out with socks, sleeves, and minor adjustments. I feel like I have a better understanding of some of the prosthetic adjustments that help the riders excel at their craft.

It is exciting to see adaptive snowboarding and mono skiing getting some attention at the X-Games. No doubt in years to come I am sure they will join the other events on national TV.

This years race was really exciting. The field was as deep as it has ever been, featuring 5 BKs and 1 AK. It had all the drama to go along with it too. In the first quarter of the race last years winner, Evan Strong, burst out of the gates to an early lead. It almost seemed like he was going to cruise to the finish until he went hot into a jump and ended up crashing about halfway through the race. This opened the door for Ketih Gabel and Mike Shea to pass and take the lead. Evan ended up recovering, with a concussion and the bronze medal. Carl Murphy, Mike Schultz, and Brandon Robins rounded out the rest of the field.

Congrats to all the riders!

It is really cool to see all the opportunity that Amy Purdy and Daniel Gale of AAS have created in adaptive snowboarding. There are "World Cup" races all across the world now and a pool of 80+ riders thanks to the work of AAS. Check them out at www.adacs.org They run clinics all year round and provide opportunities for persons with disabilities to get back into action sports.

For now I am back in the office. I have a busy week working with a bilateral AK and a couple of BKs. Next week I am off to Hueco Tanks, TX to do some bouldering and start the beginning of the V10 project.

Take it easy!

Evan scoping out the course.

Mike Schultz, and his BioAdapt Knee. Check it out on the web.

The AAS Van!

Evan waxing his board for the big race. 

2012 has kicked off in full swing!

Hey Guys, forever since I have posted. Lots of exciting things have been going on. I recently took my last certification exam for prosthetics, and should have news that I am officially a certified prosthetist sometime in the next month or so.

In November I was accepted to the Athletes with Disabilities Network Hall of Fame! Really honored to be a recipient.

Getting accepted into the Athletes w/ Disabilities Network Hall of Fame in November.

My job at Prosthetic and Orthotic Associates has been going great! We are currently expanding from a 5,000 square foot facility into a 22,000 square foot facility and will be incorporating an amputee training facility and our silicone manufacturing plant all under the same roof! We will officially be one of the biggest prosthetics facilities in the nation.

The building plans

I have been training hard for a couple of climbing goals in 2012.

The first is the V10 project. I am working on becoming the first amputee to boulder the V10 difficulty grade. First stop on the tour is Hueco Tanks in the beginning of February! The bouldering style there fits me perfectly so I am hoping I find some hard boulders to romp around on.

Slashface (V3) is one boulder from the past I am hoping to make it back to this year.

I will also be representing the United States in the second World Paraclimbing Championship, to be held in Paris, France in September. When bouldering season is over I will have to get my endurance up!

Lastly 2012 will be an exciting time in adaptive climbing. I am hosting clinics in Joshua Tree National Park, Brooklyn Boulders in NYC, Planet Rock in Ann Arbor through the University of Michigan, and "The Gunks" to round out the year.

The group at last year's Joshua Tree event.

Anyways this is a quick post before I get out of the office for the day! Excited to be back up and going in the blog scene and I hope everybody has been having good success working towards their goals in 2012.

Take it easy!

Ronnie

Otto Bock Genium Knee Product Profile

Hey Guys! Finally getting back into the swing of posting. There have been lots of really exciting things going on lately at work, and my first climbing trip of the Fall season is this weekend to Northwest Georgia to go explore the boulder fields of Rocktown and Zahnd.

One of our patients at POA, Karen Hughes, got the opportunity to try the Genium Knee and made a nice write up. Check it out along with video below!

POA has begun fitting the new Genium knee on patients and their feedback has been very informative. In an effort to share those helpful first impressions with the rest of the amputee community, I will begin posting patient feedback via written words, photos, and videos on this blog, starting with my own….
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Karen Hughes, age 52, above-knee amputee
since age 13 due to osteosarcoma (bone cancer)

I was recently given an opportunity to try the new Genium knee by Otto Bock. I’d been following its evolution over the past five years, and looked forward to testing it myself. But at the same time I was trying to curb my enthusiasm for it a bit since I knew my insurance company would not likely pay for one. While I truly believe that this technology will be the standard for the future, I am concerned about its affordability and availability for all amputees. Incredibly, many of the private sector insurance companies are still denying microprocessor knees which have been on the market for 12 years because they consider them “experimental?!” Not much chance they’d cover this new and more expensive technology.

So with that in mind, I took my first few steps with the Genium knee. It was unlike my past experience with another Otto Bock knee, the C-Leg, which I found to be very controlling and robotic. The movement of the Genium knee was smooth and responsive in a way I have never experienced before.

Set-up was quick and easy, based on information provided by the knee which allowed the practitioners to fine tune the settings to my personal requirements. In less than 5 minutes I was ready to go!

The first thing I tried was going from a standing position to a seated one. The knee sensed my movement and released the knee instantly with just enough support; I didn’t have to push down with my foot to initiate it! Then I began to walk. Because I don’t choose to fully utilize the stance flexion feature of my current microprocessor knee (it inhibits my ability to control the prosthesis myself), I was worried that I would have difficulty adapting to the Genium. That was not an issue. I was amazed at how quickly I just relaxed into it! The motion was smooth and natural in a way that is different from other microprocessor knees. It seemed to respond faster and I was able to change direction and/or walking speed without even thinking about it. The knee intuitively knew what to do. I felt like I was walking on my two natural legs again! The Genium didn’t require me to initiate anything other than a normal walking motion – it was effortless.

Then I tried it on the stairs. I always use a handrail for support when walking down stairs foot over foot. I’ve never trusted the hydraulics in my knees enough to “ride them down.” This time I walked down without gripping the handrail; in fact, I barely touched it! The knee supported and released without hesitation or effort no matter where my foot was placed. Ascending the stairs required a backwards sweeping motion to activate the function, which I found awkward. However, I’m sure I’d be able to master it, with time and practice. That same motion is used to signal the knee to step over an obstacle. I tried using it to step over a curb and kept reverting back to my usual method - swinging it around and bringing the foot down heel first. Again, that is something I could easily learn to do if I desired.

I was also able to walk up and down a steep ramp without a thought. From what I have read, that was because gyros and sensors were making adjustments in heel rise as I moved. All I know is that it was very easy and required no extra effort.

Would I recommend the Genium to other above-knee amputees? In a heartbeat! There is nothing else like it on the market today. Although not everyone will utilize every single one of the knee’s features, its ability to sense where it is in space is HUGE, and something that would be beneficial for us all. I have seen ads and videos featuring young, athletic men using the Genium knee to help them do things faster, smoother and easier than they were able to before. While that in itself is exciting and definitely life-enhancing, I think Otto Bock is targeting too small a group. The people I believe it will impact most are “average” amputees of all ages and physical condition. The optimized performance of the Genium could give them the confidence to try things they never had the courage or stamina to try before! It could be life-changing.

All that being said, I also have had very good experience with my Plie’ microprocessor knee for the past 5 years. It allows me to do most things I want to do and is safe enough without being controlling during most activities. But the Genium is definitely more cutting edge and responsive, in a different class than all other microprocessor knees.

Overall, I was very impressed with the Genium knee, and I hope that this type of technology will soon be the standard for all prosthetic knees. Its important that we advocate for ourselves as a community to change the way insurance companies determine coverage of prosthetic devices. We need to push lawmakers to require insurance companies to cover prosthetic care on par with other essential medical care.

Last Residency Column for the O&P Edge Magazine

“Fifteen hundred years ago, everybody knew the Earth was the center of the universe. Five hundred years ago, everybody knew the earth was flat, and 15 minutes ago, you knew that humans were alone on this planet. Imagine what you’ll know tomorrow.”
-Agent K, Men in Black (1997)

My residency experience has flown by. It is difficult to sit down and reflect on the experiences of the past year while still caught up in the whirlwind of the present. Workflow is a fickle thing in this field; it is hard to strike a perfect balance between not busy and swamped. While things have calmed down this month, the whole month previous was my biggest learning experience to date. Managing multiple patients every day allowed me to pull together all the skills I have acquired and implement my own clinical decisions with little assistance. It feels good to see all the pieces of knowledge I have gained over the past year come together.

Simply put, I love my profession. It is inspiring to see people of all walks of life overcome obstacles and adversity and be a part of that process. Doing the job right takes work, but there has never been a time where the extra effort spent on a patient wasn’t worth it. There is no amount of hours spent or check sockets fabricated that could diminish the feeling I get when a satisfied patient walks out the door with a smile on his or her face.

I have come a long way in the past year as both a practitioner and an individual, but I still have a long way to go on a journey that never really ends. I look at my boss, Stan Patterson, CP, who has been in this profession for approximately 20 years and never stops learning. Although he’s the owner of a successful P&O practice, he is constantly trying to better our day-to-day practices. I have come to appreciate the benefits of actively trying new techniques in order to make myself a better practitioner, even with the possibility of failure. I have come to believe that resisting new techniques and new technology can be damaging to the progression of the field, and it can also negatively impact the level of care available for patients. Prosthetics is a dynamic and changing field, and I know that if I don’t stay on top of my game for even one day, I could easily be at the bottom the next day.

Stan has always told me, “It takes five years until you really start to know what you are doing,” and I do not doubt that for one second. It takes time for everything to soak in. My whole process of fitting individuals with transfemoral amputations, for example, has changed drastically in the past three to four months, and I imagine that my approach will continue to evolve as I develop my skills. I am sure that a year from today I will not even recognize the practitioner that I am as I complete my residency. I know I have always tried my best, but looking back I already see times when I could have done better. While I cannot go back and fix what I did yesterday, I can change what I do tomorrow. I will embrace the experiences that come my way—both positive and negative—continue to learn every day, and actively work on making myself better so that I can directly influence the quality of people’s lives to the best of my ability and in the positive fashion I know I am capable of.

Thank you for letting me relate my experiences over the past year. It has been personally rewarding to share my thoughts with readers. These columns have allowed me to reflect in a way that I otherwise would not have taken the time to enjoy.

Ronald Dickson is a graduate of the bachelor of science in orthotics and prosthetics program at St. Petersburg College, Florida. He is a resident at Prosthetic and Orthotic Associates, Orlando, Florida, and has been sharing his experiences as he completes his residency.