Make Ash

Scenario: you see someone in a wheelchair fall out of their chair, and you have the ability to help.

1. Approach and ask "are you okay?"*

2. Next question if they say no, are vague, or open to continuing conversation** is, "is there anything I can do to help?" Or "what can I do?"

If they say no to help, then that's the end, just leave and go do whatever you were doing!

If they ask for help or say they are mildly injured, ask "what would you like me to do?" And wait for an answer before doing anything! If they seem dazed or confused, they might have hit their head or had another medical event*, or they might just be like that due to regular disability. Be patient.

Do not touch the person unless they say to, or they are like, unconcious in the middle of the road, ya know?? Wheelchair users usually have conditions that mean being handled improperly can severely injure us, you could cause much more damage than the fall.

Some things they might need you to do:

Bring their wheelchair closer (mine went about 5 feet away after it dumped me)

engage the brakes of the wheelchair

hold wheelchair steady if it's an unsteady surface (mud, hill, ramp, wet, etc)

offer an arm for them to hold onto to get up (them grabbing you, not you grabbing them) or move another solid item closer for them to use (i.e. a chair) [only do this if you physically have the ability to!]

If the terrain is rough (i.e. a parking lot), they *might* ask you to push their chair to a more stable area once they are back in their chair

nothing

Something else

Do what they ask, NOT what you think would be helpful. If for some reason you have to do something (i.e. you can't stop oncoming traffic and need to get them out) ASAP, tell them what you plan to do

Keep in mind they might also be D/deaf, have a communication disability, be stunned after the fall, have a head injury, not trust other people, etc. Be patient and treat them as a person with autonomy and agency! They might need to just sit on the ground for a few minutes to recover before trying to get back in their chair. They might want everyone to leave them alone. They might ask you to call someone specific. Their chair might have broken and that can be extremely distressing. All of this is like if your legs spontaneously stop working when you're out and about!

A lot of wheelchair users (NOT ALL) have ways to get into their chair on their own once the chair is close enough and brakes engaged (but it's hard from the ground!). Here's what brakes look like on a lot of manual wheelchairs, in case they ask you to lock the brakes. They're levers on each side and pushing the lever pushes a bar against the wheel to hold it still.

ID: A manual wheelchair with the brake levels circled in red and labeled "user brake levers"

*There is also the possibility of course that a person fell out of their chair due to a seizure or other medical event, so that is why it is important to ask if they are okay. If you saw them hit their head, tell them so. If they had a medical event, follow protocol for that, I'm not gonna get into it here (thought I could).

**sometimes a person will be clear after the first question i.e. "I'm all good thanks" clearly means they do not need you to ask another question, you can just leave them alone. Keep walking and don't stare. A lot of the time people will be a bit banged up but be totally fine and able to manage on their own.

really good tiktok

Transcript:

I really just have to summarize Thomas's entire life:

He was in a committed relationship with a male swan named Henry for 18-24 years before a female swan named Henrietta showed up and mated with Henry.

Thomas was initially jealous of the pair and attacked them, breaking 2 of the 5 eggs Henrietta had laid. However, once the remaining eggs hatched, Thomas warmed up to them and helped raise them.

Henry couldn't fly because of an injured wing, so Thomas taught the cygnets how to fly.

When they needed to reduce the goose population in the pond where Thomas and the swans lived, they dyed Thomas's feathers red so he wouldn't be separated from Henry.

Henry, Henrietta, and Thomas remained in their happy throuple for years and raised 68 cygnets before Henry died in 2009. After Henry's death, Henrietta found another swan and flew away, leaving Thomas alone.

Thomas finally met and mated with a female goose in 2011 and had his own babies. However, another goose named George stole them and raised them himself.

As Thomas grew elderly and blind, he was relocated to a wildlife center where he raised orphaned cygnets.

His caretaker at the center described him as "pretty high maintenance."

Thomas died in 2018 at the age of around 40. He had a funeral that included a small coffin and a procession that was led by a bagpiper. He was buried under the stone where Henry was buried, the two finally reunited in death.

The way I explain it to my patients is that our neurons don’t regenerate. They make connections with each other and that’s it. If you don’t use your brain, they make fewer connections and, if one of them dies, you’re gonna miss it, because that was the only one that knew how to do X. Now, if each one of them has many, many connections, you won’t notice the difference when one of them dies. The others pick up the slack.

As of 2024, 45% of dementia risk factors are modifiable. Relevant to this conversation, 5% for less education and 5% for social isolation.

We absolutely are going to see the reflection of this, but it’s gonna take decades and it’ll be too late. So, for the love of your brain, pretend that it’s a muscle and make it work. People complain about “when am I ever gonna use this maths formula in my life?” You’re not. You’re teaching your brain to think logically. Those sinapses will be there for when you need to figure out your week’s schedule. English classes taught me how to interpret data and how to convey it in this text so it’s clear and you understand what I’m saying, not because I needed to justify why the curtain is blue.

Make your brain know how to do different things. Logic games, puzzles, taking care of a garden even if small, planning a church’s event or birthday, learn a new instrument, learn a few words in another language, look at a calendar every day, do some manual labor if possible. Do not, I repeat, do not let your brain get rid of sinapses by letting AI do everything. Your brain uses 20% of your body’s energy — do you really think it’s going to maintain connexions that aren’t in use?

Most cases of Alzheimer’s are sporadic, meaning no family history. Family history of a first-degree relative with Alzheimer’s starting before they were 80yo increases your risk in 2-3x on average.