Exercising in a wheelchair

HOW TO START BUILDING A NEW (POSITIVE) HABIT

Your life today is essentially the some of your habits.  How happy or unhappy are you? – a result of your habits. In psychology, the process of building a habit can be divided into four simple steps: cue, craving, response, and reward.  Understanding these is crucial to learning how to improve aspects of your daily life.  In short, the queue triggers a craving, which motivates a response, which provides a reward, which satisfies the craving, and, ultimately becomes associated with the cue.

Together, these four steps forming neurological feedback loop that will ultimately allow you to create automatic habits.  You can transform the four steps into a practical framework that you can use design good habits and eliminate bad ones.  It’s called the Four Laws of Behavior Change (James Clear provides a beautiful article summary on this).  You can think of each as a lever that influences human behavior.  When the levers are in the right positions, creating good habits become effortless.

In my personal life, exercise is a key aspect to me functioning successfully each day to reduce my pain, give me energy, keep flexible, not gain weight, and stay healthy.

There are so many preventive and wellness care techniques I engage in every day as a quadriplegic including, but not limited to nutrition, exercise, mindset exercises, work, advocacy, etc.

Each morning I wake up at 5 AM and then at 6:30 AM after my caregiving duties, I engage in exercise 6 days a week between 60 –  90 minutes each day.  I do a cardio workout, weights, bike, range of motion exercises, electrical stimulation, and then a 20 minutes dance party for myself each day for my mental wellness.

In the video below I show you a few of my workouts to get you started and I will show you the rest as time goes on.

  1. VitaGlide – Cardiovascular rowing machine
  1. RT 300 Functional Electrical Stimulation Bike – This is an incredible bike that allows you to engage in electrical stimulation (stimulating paralyzed muscles to promote potential functional recovery for those with incomplete injuries, increasing circulation, reducing spasticity, improving blood flow, etc.)  

Exercise is so important for so many reasons that we all are intimately aware of, but so many don’t take the time out of their day.  Listen, I get it, we all have busy lives.  However, if you choose to make time for something you will make time for it.  It’s as simple as that.  It is a choice only you can make. 

If you’re not ready to work out, then you probably won’t do it no matter how much peer pressure you get.  I just wanted to introduce those who may not have seen these pieces of equipment before to some of my daily life behind the scenes.

The Wild West of Online Dating in a wheelchair … So far …

Online dating.  Those two words.  I would wager a bet they are evoking quite a few emotions for many of you – either positive or negative.  As a newly divorced quadriplegic I’m back in the dating game.  I never thought I would be here actually.  You never get married to think you are going to be divorced.  Life happens, people change, directions shift, and we all have our own story.

Be that as may, the way of the world today is online dating.  Unless you’re going to a late-night bar for a one-night stand, it’s really challenging to meet people organically.  Don’t get me wrong, of course there are ways, but we have these incredibly busy lives in the face of our digital lives.

I started to dip my toe months ago in to match.com and Zoosk.  Being the scientist in my own life, I started to research different dating sites and what they have to offer.  The choices are overwhelming and they all have a similar vibe.  Dating is no different than finding a job.  It’s a numbers game.  It’s about statistics.  That is not very sexy or romantic, but I will say you do get to know a few authentic people pretty well before you go meet them for a first date.

In the name of research and a book I will be writing on Disability, Dating, and Divorce in the future, I decided to jump right in — in a very “Ali” fashion.  When I was in my 20s, I would go to a bar and bring home a guy, which sometimes resulted in a one-night stand or even dating them.  I didn’t know much about them and would take months and months before I realized I was going in the wrong direction.  I do believe online dating, and there are many creepy people out there, but it at least narrows down some of your options so you can read a little bit about a person’s beliefs, wants, needs, etc.  However, there are many fake profiles and trolls out there as well.

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How sleep deprivation contributes to my purpose

WHAT’S WORSE THAN BEING PARALYZED?  Sleep Deprivation – Millions Sharing a collective pain together

I’ve commented before that paralysis itself is not innately the biggest challenge with living a life in a wheelchair. It’s the secondary complications associated with it.  This is true for many complex diagnoses. 

For example, being paralyzed is quite easy, all I have to do is sit there.  The biggest challenges include things such as urinary tract infections, sensitive skin leading to pressure sores, respiratory infections, etc.  These sneaky complications can knock you out for the count if you are not careful.

For me, the mind numbing, consistent, unrelenting, and burning pins & needles on 80% my body 24/7 occupy many of my daily thoughts. Chronic pain is no joke and it’s tricky. You know it’s there, we cannot measure it or see it, doctors throw meds at us, and it appears never-ending.  From a medical standpoint, you cannot see chronic pain on any kind of medical imaging. 

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Adapting to your Circumstances

Things have been challenging in my care life at the moment. I am going to leave it at that and just say that everyone is doing the best they can despite unforeseen circumstances. With that said, I have some of my beautiful caregivers coming in the morning to help.

They also have other jobs and lives. So, for the last few weeks and few weeks to come I’ve been working with my 77-year-old mom to adapt my life from a caregiving perspective.

Let me say this. She may be 77, but she might as well be a 60-year-old monkey who loves to climb on counters and is faster than the speed of light. She is just one-of-a-kind. She’s an incredible crazy German lady who shows unwavering love all the time. She has saved my life more times than I can count.

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DISABILITY REPRESENTATION – What is Beauty?

black and white photo of Ali posed in wheelchair half dressed looking forward

Yesterday I had an hour to kill and I decided to do a fun filled beauty Photo-shoot for myself.  I think my mother was an excellent photographer. The behind the scenes of setting my body up, well that was rather comical and gave me a great giggle for the day, but it propelled me to think about something more intellectually and emotionally substantial.

Ali in black-and-white photo Lane back in wheelchair wrapped around with beach cover-up half naked for Photoshoot with one arm in the air.
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HEARTBREAK – The PECULIAR Path of GRIEF

Ali leaning forward in wheelchair with black pants and hand up to chin with no shirt on showing a serious face with blonde hair and background of whitewall

Despite my quirky exterior and rosy attitude as many seem to comment on, I, too, really struggle at times.  Honestly, who doesn’t?  It’s human nature.

Many of you know my life’s purpose and mission is to help other humans in a range of different capacities, but with so many tremendous personal things going on in my own life at present — I was overcome for a few hours with this incredible feeling of heartbreak.

Heartbreak for what you might ask?

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PERMOBIL HERO of the YEAR AWARD & KEYNOTE SPEAKER

Ali in wheelchair with spaghetti strap blue sequence top with white pants with Nissan Stadium in Nashville Tennessee in the background

I’m humbled & speechless beyond words!

I was invited by Permobil and that Permobil Foundation to Nashville, Tennessee this year to be there Key Note Speaker for their incredible Casino Night fundraiser to raise funds for wheelchair users to help them purchase components of complex rehab customized wheelchairs, full wheelchairs, smart drives, supporting disability organizations, and so much more.

For those unfamiliar, Permobil is a global corporation that manufactures customized manual and power wheelchairs (among other products such as Roho cushions and smart drives) for those of us with significant mobility impairments.  In my humble opinion, they are the crème de la crème of wheelchairs and you can customize them to fit your body like a glove. 

Of course, I might be biased because I have been in a Permobil wheelchair for the last 13 years since breaking my neck in 2010, but they really are beautifully designed chairs with all of their staff out to truly help wheelchairs not only survive in life, but to thrive.

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FROM START TO FINISH – WHEELCHAIR AIRLINE TRAVEL ACROSS THE COUNTRY!

Over the last week I traveled to Anaheim, California from Raleigh, North Carolina for a medical technology conference I was speaking at. I’ve traveled on planes before, but I’ve always had an entourage of people to help me as a quadriplegic paralyzed from the chest down with no hand function.

I know so many of my friends who either travel alone or only travel with one companion. I wanted to pull my big girl pants up and try this myself with one person because, well, this is life. I cannot always have an entourage with me and I feel blessed that I have been able to thus far.

I took a journey across the country with one of my amazing humans in my life who helped me and it was an adventure to say the least. There was good, bad, and the ugly – although, all with laughs along the way even in absurd circumstances.

I learned some key valuable lessons, iterated a design on breaking down my wheelchair for the plane, and try new techniques with teaching the staff in the airport how to lift me properly without the help of my caregiver all the time.

I also learned a key lesson about Boeing 737’s, a very standard plain for domestic flight travel in the US, with respect to the cargo hold. I know the cargo hold schematics with respect to height is about 35 inches, which my chair does breakdown too.

What I did not know is that the door opens inward, which makes it a lower threshold for power chairs. This provided a great deal of stress as I had to walk many individuals through how to gently tilt the chair without tipping it over to get it inside.

It worked quite well on the way to California, but not so much on the way back when our plane was broken, they had to re-load and unload me + my wheelchair multiple times. Thankfully, the wheelchair damage was cosmetic, but still need to figure out a better solution for the future.

In any event, I created a YouTube video from start to finish to hopefully give confidence or provide some useful strategies for fellow wheelchair users.

I know this experience may make some folks not want to travel by wheelchair, but while we are fighting for systemic change in the airline industry, we still need to learn how to adapt to unforeseen circumstances in order to enjoy our lives as well!

This is what we do best, I find, in the disability community – we become the most creative problem solvers in all aspects of our lives personally and professionally!

REALITIES OF QUADRIPLEGIC LIFE – WHAT’S THE ALTERNATIVE?

picture of Ali and mom in bed together :-)

I preface this article by saying first and foremost:

  • I am very Quirky.
  • I find humor even when I’m chained up to a literal hospital bed in China after spinal surgery.
  • I find hope where I didn’t know it existed.
  • I love to help other human beings through incredibly tough times, offer a change in perspective, and find incredible joy in making people smile.

This is not to say that life as a quadriplegic paralyzed from the chest down with paralyzed hands and fully dependent on another human being for my physical survival does not take a toll on my mental psyche at times.  People often comment on my incredible resilience and strength, and while it’s true, I am also human.

I would say I can probably handle more than most people, but I have breaking points as well.

2023 has been one of the best and worst years of my life to date.  Professionally life is taken off in these incredible directions, especially with speaking, and I’ve made some amazing friends along the way.

Ali in wheelchair at ALS conference as keynotespeaker with blue top with white collar and black pants


Personally, things have been rockier than they have been in many years and I don’t really feel that it’s appropriate to comment on too much of the personal because it involves other people.  There are always two sides to a story and I certainly would not want to share just one version here because everyone has their own opinions.

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