Wuan accompanied me to the University Malaya Medical Centre (UMMC) yesterday. It was for my scheduled check-up at the Spinal Rehabilitation Clinic. I had been anxious from the time we went there three weeks ago to have my blood drawn for renal profile, blood glucose test and lipid profile.

Blood test results for August 2010.

I had half-expected the serum creatinine to be higher than previous results. I have been going through a spell of lethargy that I thought could be due to be caused by my kidneys. It was a great relief when I saw that the serum creatinine was 288 umol/L. No doubt, it was very high due to kidney disease, it has stayed below 300 umol/L. That was all I had been hoping for.

Serum potassium was marginally higher at 5.4 mmol/L. Normal values should be between 3.6 to 5.2 mmol/L. I need to be aware of potassium-rich food that I have to cut down on. Serum urea had come down although still above the desired range, while sodium was hovering at previous levels. Fasting blood glucose looked good. Likewise, lipid profile. Saying that I am happy with the results is an understatement. I am ecstatic!

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Back in 2007, I blogged about getting my dream ride. I was deciding between the Kuschall Airlite Pro and the Invacare Top End Crossfire Titanium. In the end, I got the Matsunaga Max Pleasure Synergy GS-V instead. I settled on this Japanese-made aluminium folding wheelchair due to the fact that they had a local dealer who could take measurements and customise the chair to fit my body.

Matsunaga Max Pleasure Synergy GS-V.

The first chair that they delivered was too wide. I had problems going through doorways. I complained and it was replaced with a narrower chair. Having used it for more than two years, I quite like its maneuverability, how my body fits into it and how it improves my sitting posture. At 10kg, it is lighter than my previous chairs and easier for Wuan to lift up and store in the car boot.

Unfortunately, it began to squeak early this year. The seat does not fit snugly to the frame anymore and it tends to pull to the left when pushed. I cannot send it back to the local dealer for repairs as he is no longer in the wheelchair business. While looking for a wheelchair repairman who is familiar with this chair, I am going to get another one.

Tilite ZRA Series 2.
Image taken from Tilite.

This time, I am going for the Tilite ZRA Series 2. It is a rigid titanium frame wheelchair and weighs about 5kg without the rear wheels. I have never used a rigid wheelchair before but from what I read, the frame has less flex as compared to a folding one thus making it easier to push. Besides that, less moving parts translates to less wear and tear and less maintenance.

The Tilite ZRA Series 2 has to be ordered from one of the online stores in the USA. The frame itself costs USD1,895. The chair I configured with the parts I want is around RM13,000 inclusive of a suitable cushion and shipping. The other snag here is that I have to do my own measurements. I need to get it right else it will be a very expensive piece of living room décor. The good thing about the ZRA Series 2 it is adjustable to a certain degree should my measurements be marginally off.

My “Tilite ZRA Series 2 Wheelchair Fund” has only achieved one-third of the amount needed. I plan to place my order before the year is out. Hopefully, I do not need to dig into my savings to fund this ride by then. It may appear like a large amount to pay for a wheelchair but it is worth the money if properly tuned to fit my body. In the long run it will reduce repetitive strain injuries to my shoulders caused by pushing a badly fitted wheelchair.

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Turning a round door knob can be an impossible task for people with weak hand grip. That was how I got trapped twice in the same accessible toilet at the Penang International Airport a few years ago. Since then, I have a phobia of using toilets with such knobs affixed to the door.

Most of the doors in the house have round knobs, too. I should replace all the knobs with levers but never got around to doing it. That was why the bedroom doors were seldom closed. I was afraid I could not turn the knob to open them.

Door knob extender for people with weak hand grip.

The other solution, short of replacing the knob, is to install adaptive devices called the door knob extender or door knob turner to the knob. These devices make it convenient for people with weak grips to turn the knob by way of a lever. They are difficult to find in Malaysia. A lot of online stores carry such items but they are rather expensive.

A few weeks ago, while I was browsing at the newly-opened Daiso at 1 Utama, I found a door knob extender for RM5 only. All items at Daiso are priced at RM5. What I like about this extender is that it is easy to attach and remove. All that is need to slot it into a knob and turn. My only gripe is that the lever is rather flimsy as it is hollow.

Door knob turner for people with weak hand grip.

When I went to Daiso again, they had run out of that particular device but had another that was smaller. I bought one to see if I could actually use it because it looked a tad too small for a comfortable grip. After attaching it to the door, I found that it has a more solid feel to it and provided a better grip despite its size. This one is going into my wheelchair bag for those accessible public toilets that still use the round door knobs.

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