Browse content similar to Can You Stop My Multiple Sclerosis?. Check below for episodes and series from the same categories and more!
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Tonight on Panorama: Exclusive access to patients pioneering a | :00:07. | :00:12. | |
radical treatment for an incurable disease. I just melted. My body was | :00:13. | :00:19. | |
just unable to get across the road and I just slumped onto the floor. | :00:20. | :00:25. | |
Multiple sclerosis affects 100,000 people in the UK, most of them | :00:26. | :00:31. | |
diagnosed in their 20s and 30s. This all happened within a couple of | :00:32. | :00:35. | |
months. I had to get a wheelchair, couldn't cook, couldn't dress | :00:36. | :00:41. | |
myself. It's just scary because you think, well, when is it going to | :00:42. | :00:46. | |
end? Now there's hope that a bone marrow stem cell transplant, usually | :00:47. | :00:50. | |
given to cancer patients, could stop MS in its tracks, preventing | :00:51. | :00:55. | |
lifelong disability. To live without that burden is going to be the | :00:56. | :00:59. | |
biggest release for me and the freedom for me and that, you can't | :01:00. | :01:10. | |
get any better than that. I hope I get the blue kayak. Blue one? Steven | :01:11. | :01:16. | |
Storey was diagnosed with MS two years ago. In that time, he's gone | :01:17. | :01:20. | |
from being a marathon runner to losing the use of his legs. Let's | :01:21. | :01:26. | |
see how well we can wheelchair across this gravel. Before MS life | :01:27. | :01:36. | |
was fantastic. I used to do lots of sport, triathlon, mountain | :01:37. | :01:38. | |
marathons, cycling. I did a lot of climbing. I spent a lot of time with | :01:39. | :01:42. | |
the kids and doing lots of those things with them as well. Now he's | :01:43. | :01:50. | |
back kayaking with his daughters for the first time since his diagnosis. | :01:51. | :01:56. | |
It's really fun, yeah. I'm enjoying it. It's like what we used to do. | :01:57. | :02:02. | |
It's bringing back a lot of memories from before. There's lots of | :02:03. | :02:08. | |
adventures, we've just got to redefine what those adventures afr. | :02:09. | :02:12. | |
Whatever your condition, there's always things you can do. Steven | :02:13. | :02:17. | |
hopes we will way one walk again. He's part a group of MS patients in | :02:18. | :02:23. | |
Sheffield undergoing a cancer treatment at the -- at the Royal | :02:24. | :02:36. | |
Hallamshire Hospital. Paul Kirkham is one of 100 people a week in the | :02:37. | :02:41. | |
UK diagnosed with MS. I was one of the most active person. The last | :02:42. | :02:45. | |
three months, since I've had a relapse, I've not been out of the | :02:46. | :02:51. | |
house to be honest. He's being assessed by neurologist Professor | :02:52. | :02:55. | |
Basil Sharrack in the hospital of starting the intensive stem cell | :02:56. | :02:58. | |
treatment. Step forward. OK, I'd like to see how stable you are. | :02:59. | :03:09. | |
Stand there. I'd like to walk heel to toe like that. That's a bit | :03:10. | :03:14. | |
difficult. It is, yeah. That's fine. We're done. What I've noticed it's | :03:15. | :03:22. | |
them toes here. I feel like them ones are | :03:23. | :03:26. | |
them toes here. I feel like them walking about with blocks of | :03:27. | :03:32. | |
your feet. That's because of the inflammation in the pile | :03:33. | :03:35. | |
your feet. That's because of the affecting the ability of these | :03:36. | :03:38. | |
nerves to transmit normal sensation up to your brain. That will give you | :03:39. | :03:44. | |
the feeling of your toes not feeling normal. MS occurs when the immune | :03:45. | :03:53. | |
system mistakenly attacks the protective insulation around nerve | :03:54. | :03:56. | |
fibres in the brain and spinal cord, causing inflammation. Just as a | :03:57. | :04:01. | |
frayed electrical wire short circuits, the nerve fibres | :04:02. | :04:03. | |
malfunction. This causes a huge range of symptoms, from fatigue and | :04:04. | :04:07. | |
pain, to balance and walking problems and sometimes permanent | :04:08. | :04:11. | |
disability. For 13 years, Paul's MS was mild. But the disease recently | :04:12. | :04:15. | |
became aggressive, forcing him to stop work. | :04:16. | :04:22. | |
Even going back to work, I'd well, I'd love to do that I'd go back to | :04:23. | :04:28. | |
work and crack on with my life. This has only happened in the last three | :04:29. | :04:35. | |
month, prior to that, you could go for a walk, take the dog, probably a | :04:36. | :04:39. | |
couple of miles. Can't manage it, can you? I'm struggling, really | :04:40. | :04:46. | |
struggling, aren't I? Yeah. Despite Paul's MS, the family used to enjoy | :04:47. | :04:50. | |
all kinds of sports together, but now skiing is no longer possible. I | :04:51. | :04:56. | |
cannot believe that were a year-and-a-half ago. I were doing | :04:57. | :05:05. | |
that. Now look at me. I'm a bit gutted we didn't go this year. But | :05:06. | :05:09. | |
hopefully we'll be there next year. Should be a lot of us. It should be | :05:10. | :05:16. | |
good. There you are. Just going over some jumps. Professor John Snowden, | :05:17. | :05:25. | |
a specialist in treating blood cancers, hopes to fix Paul's immune | :05:26. | :05:29. | |
system with a standard treatment in his field, a bone marrow transplant. | :05:30. | :05:34. | |
We would hope to rebuild your immune system in a slightly different way. | :05:35. | :05:39. | |
It will still be your own immune system. It's not actually a true | :05:40. | :05:43. | |
transplant, because it's going to be stem cells from yourself. In effect | :05:44. | :05:48. | |
an immune system that's been reset or rebooted back to a time point | :05:49. | :05:56. | |
before it caused MS, This reboot of the immune system uses the patient's | :05:57. | :06:00. | |
own stem cells, found in their bone marrow. These cells are at such an | :06:01. | :06:05. | |
early stage they've not developed the flaws that trigger MS. But the | :06:06. | :06:12. | |
transplant is an arduous treatment. We have to mention that occasionally | :06:13. | :06:16. | |
some people have quite a difficult time with this type of treatment, | :06:17. | :06:27. | |
because it does involve intensive chemotherapy and transplant | :06:28. | :06:32. | |
procedure. Hey up, mum. Hello, love. You all right? I am now. I've been | :06:33. | :06:42. | |
thinking about you all day. I'm on chemo now. All right dad? Lovely. | :06:43. | :06:49. | |
How do you feel coming in and seeing Paul today? A bit emotional. But | :06:50. | :06:58. | |
we're positive, aren't we? He's the youngest, yeah, he's me baby. You | :06:59. | :07:03. | |
don't expect anything like this to happen to them. I know that he's | :07:04. | :07:09. | |
been really poorly. He's tried toe put a brave face on, haven't you? | :07:10. | :07:16. | |
And he's been a bit depressed, haven't you? He's not been able to | :07:17. | :07:22. | |
work and he's always been a worker. Loves his job. He loves his | :07:23. | :07:28. | |
children. Paul's first dose of chemotherapy, which is combined with | :07:29. | :07:31. | |
growth hormones, is designed to flush out stem cells from his bone | :07:32. | :07:39. | |
marrow. Had a bit of a rough night. But got about four hours sleep. Felt | :07:40. | :07:44. | |
a bit sick in the night, but they seem to think that might go, but | :07:45. | :07:55. | |
we'll see. A week later, the drugs have done their work. The stem cells | :07:56. | :07:59. | |
have left the bone marrow and are now circulating in his blood, ready | :08:00. | :08:07. | |
to be harvested. They're going to start sieving the stem cells out of | :08:08. | :08:11. | |
me body. It's amazing what they can do. You all right with needles? | :08:12. | :08:18. | |
You're not a fainter? No, I'm not. I've been like a hedgehog the last | :08:19. | :08:22. | |
few days, with the amount I've had in me! Feeling all right? I feel a | :08:23. | :08:27. | |
bit hot headed. Get me fan. Blood is taken out of one arm and the stem | :08:28. | :08:33. | |
cells skimmed off and collected whilst in Paul's other arm, the rest | :08:34. | :08:39. | |
of the blood is returned. Have you come to look at me stem cells. Can | :08:40. | :08:48. | |
you see them? That's it there. That bag to the right, that's me stem | :08:49. | :08:52. | |
cells. The one to the right is the plasma. | :08:53. | :09:00. | |
Say bye to your cells. That's the size of the potato we've got for | :09:01. | :09:05. | |
tea. Give over! There'll be other ones. Louise Barritt lives with her | :09:06. | :09:13. | |
fiance, Steve and her son Owen. Like more than eight in ten MS patients, | :09:14. | :09:18. | |
Louise has the relapsing remitting form of the disease, which this | :09:19. | :09:24. | |
therapy hopes to treat. It means she suffers acute attacks, relapses, but | :09:25. | :09:30. | |
with periods of recovery in between.er It's got worse this year, | :09:31. | :09:34. | |
since I've had the relapse. MS takes its toll not just on her body, but | :09:35. | :09:40. | |
her mind. The biggest thing is the fatigue and just feeling absolutely | :09:41. | :09:44. | |
exhausted and not just feeling tired, but it's the brain fog and | :09:45. | :09:48. | |
the inability to concentrate and follow conversations and make | :09:49. | :09:55. | |
decisions. Louise has already started her stem cell treatment at | :09:56. | :10:04. | |
the royal Hallamshire. My mum, she has relapses, like and she sometimes | :10:05. | :10:10. | |
has like her hands go all pins and needles because she's got MS. And | :10:11. | :10:14. | |
they're trying to put, well, make it better. Her stem cells have been | :10:15. | :10:22. | |
harvested, so Louise is about to go back into hospital, where she'll be | :10:23. | :10:27. | |
kept in isolation to prevent infection while doctors first dleet | :10:28. | :10:32. | |
and then reboot her immune system. -- deleet. -- delete. She might feel | :10:33. | :10:44. | |
a bit, probably nervous. But she might feel happy that she's having | :10:45. | :10:48. | |
it. But I know it might not work, but hopefully it does. Owen won't be | :10:49. | :10:55. | |
able to visit his mum for several weeks during this second phase of | :10:56. | :10:59. | |
the treatment. That's going to be the tough thing through all this | :11:00. | :11:03. | |
really. Because he's only ten. He's never really been apart from me. I | :11:04. | :11:08. | |
don't think he quite understands what they're fixing. | :11:09. | :11:22. | |
Louise doesn't have cancer but is about to start aggressive | :11:23. | :11:29. | |
chemotherapy and knows it will have side effects. With everything else | :11:30. | :11:34. | |
going on with the treatment, I want this to be one of the easy things | :11:35. | :11:39. | |
I've got to deal with. Before I cut all my hair off, I spent a long, | :11:40. | :11:43. | |
long time growing my hair, so I'm very attached to it, it's actually | :11:44. | :11:50. | |
quite a big deal for it all to go. So, yeah, I'm trying to make it as | :11:51. | :11:56. | |
easy as possible really. Louise is now in isolation. She's had her | :11:57. | :12:00. | |
chemo and has reached a critical day in her treatment. You've got a | :12:01. | :12:05. | |
calendar with all the days crossed off? Yeah. There's the freedom | :12:06. | :12:12. | |
crossed off in green tick there's. That's today up there? Yeah. This is | :12:13. | :12:18. | |
what we call today, day zero, transplant day. Inside this tank, | :12:19. | :12:28. | |
stored in liquid nitrogen, are the stem cells that could transform her | :12:29. | :12:35. | |
health, hopefully rebuilding her immune system free of MS. And the | :12:36. | :12:41. | |
lovely Louise is due her stem cells today, on the 13th. She's had all | :12:42. | :12:45. | |
her chemotherapy over the weekend. We're good to go. Snap, crackle and | :12:46. | :12:53. | |
pop! Just two bags containing two cupfuls of Louise's own stem cells | :12:54. | :12:57. | |
are all it takes to re-Kindle her immune system. It just takes a few | :12:58. | :13:05. | |
minutes to do. So the volumes are not too big actually, so they should | :13:06. | :13:08. | |
only take about ten minutes to go in. For nurses treating cancer, this | :13:09. | :13:14. | |
is routine practice. What happens to these cells is they hover around in | :13:15. | :13:17. | |
your circulating blood system for three or four days am then they have | :13:18. | :13:21. | |
like a homing mechanism on them and they migrate into the marrow. The | :13:22. | :13:27. | |
things are that going to rescue me. More tan 100 patients are relapsing | :13:28. | :13:32. | |
remitting MS are being recruited in four cities - Sheffield, Chicago, | :13:33. | :13:37. | |
Stockholm and Sao Paulo, to a major trial, which will report in a couple | :13:38. | :13:41. | |
of years and could establish this as a mainstream treatment. It's such a | :13:42. | :13:49. | |
small procedure really, just putting it back into me body and that's it. | :13:50. | :13:52. | |
We're just waiting then for the stem cells to do their work. For Paul, | :13:53. | :14:03. | |
it's also day zero. Like Louise, his stem cells are being transplanted. | :14:04. | :14:08. | |
Once they're established, both can go home. | :14:09. | :14:19. | |
How you doing kid, you all right? Steven is back on this ward for the | :14:20. | :14:26. | |
first time since his transplant. What gets me is there's no | :14:27. | :14:29. | |
guarantees. They won't tell you how you're going to be, which I | :14:30. | :14:32. | |
understand they don't know fully do they. Of course, no. You know what I | :14:33. | :14:38. | |
mean? Whether I'll make 100% recovery, I don't know. I'm getting | :14:39. | :14:42. | |
rebooted aren't I? Exactly, that's the whole point. People what | :14:43. | :14:45. | |
understand computers and that, you know what reboot it. Exactly, just | :14:46. | :14:51. | |
turn it off and restart it. It just reboots the system. That's what | :14:52. | :14:54. | |
Steven used to compete in It's just absolutely staggering. | :14:55. | :15:04. | |
Steven used to compete in triathlons. But then, out of the | :15:05. | :15:10. | |
blue, MS struck him down. I was crossing a road. I did not fall, I | :15:11. | :15:16. | |
just melted. My body was unable to get across the road and I slumped | :15:17. | :15:20. | |
onto the floor. Somebody came over to help me and the next day I came | :15:21. | :15:27. | |
into the hospital. Within nine months, Steven's condition had | :15:28. | :15:31. | |
deteriorated to the point where he needed 24-hour acute care. Where you | :15:32. | :15:41. | |
bad when you came onto the second phase? Yes. At your stage now I was | :15:42. | :15:47. | |
completely paralysed, unable to even move might hope, unable to do | :15:48. | :15:52. | |
anything. There is a point in your spinal-cord called T10. From there | :15:53. | :15:58. | |
down I had zero muscle sensation and zero muscle flicker. | :15:59. | :16:04. | |
I had a feeling it would be the rest of my life like that. I had a | :16:05. | :16:07. | |
conversation with my kids about mortality. The prognosis could well | :16:08. | :16:16. | |
have been continuing the speed of the decline, risperidone failure, | :16:17. | :16:23. | |
intensive care, we almost that ends. Almost immediately, the treatment | :16:24. | :16:27. | |
allowed his nervous system to start to recover. From day zero, the day | :16:28. | :16:32. | |
you get your transplant, within nine days I could flicker my toe. It felt | :16:33. | :16:42. | |
pretty good. I could flicker my toe. I spoke to the girls on Skype and I | :16:43. | :16:46. | |
think they dropped their tablet. They were not expecting that at all. | :16:47. | :16:55. | |
In the middle of his treatment, I am thinking, I will try my best, | :16:56. | :17:01. | |
whatever I can do, I pushed myself as hard as I can. When I was in this | :17:02. | :17:06. | |
room I made a commitment to myself, that if I ever got back to being | :17:07. | :17:10. | |
able to do something, I made a bucket list of various things I | :17:11. | :17:15. | |
wanted to do when I got out. One of the things was within a year I | :17:16. | :17:18. | |
wanted to take part in another event. | :17:19. | :17:22. | |
Just ten months later, Steven completed a mile long swim in the | :17:23. | :17:28. | |
Lake District. People often come up to you and say, are you locate? No | :17:29. | :17:32. | |
one was doing that. If you are wearing a wet suit ready to do a | :17:33. | :17:37. | |
race, you don't need any help, just crack on. It was great. I felt I was | :17:38. | :17:42. | |
back. Well done! CHEERING | :17:43. | :17:49. | |
But for Steven, the treatment came only after MS had done severe damage | :17:50. | :17:53. | |
to his nervous system, so there may be limits to his recovery. | :17:54. | :18:02. | |
That is one foot there. Try and get both feet on the floor first. We are | :18:03. | :18:12. | |
on! So this is something that you did not have the balance to do | :18:13. | :18:21. | |
before? No. Because of all the cycling and sport that I have done, | :18:22. | :18:25. | |
the muscle memory has come back pretty quickly. There seems to be a | :18:26. | :18:31. | |
natural feeling for it. But you have not had the bike out yet? No. I have | :18:32. | :18:38. | |
spoken to a few people about doing it, but I don't think my balance is | :18:39. | :18:41. | |
good enough yet. OK. I know what Steven's ultimate | :18:42. | :18:52. | |
aims are. They are big games involving running and cycling and | :18:53. | :18:56. | |
swimming and so on. I have always been a big goal driven guy. Emma has | :18:57. | :19:04. | |
identified that pretty well. I guess and aim for me would be for Steven | :19:05. | :19:08. | |
to be walking more than he is using the chair. That is it initially. | :19:09. | :19:17. | |
But if relapsing remitting MS is caught in time, could it be stopped | :19:18. | :19:23. | |
in its tracks? Holly Drewery was just 21 when she was diagnosed. | :19:24. | :19:29. | |
After giving birth to her daughter, Holly's condition deteriorated | :19:30. | :19:36. | |
quickly. I couldn't walk steadily. I did not trust myself holding her in | :19:37. | :19:40. | |
case I had a fall. I was a new mum and I wanted to do it all properly. | :19:41. | :19:45. | |
The MS was stopping me from being able to do it. This all happened | :19:46. | :19:51. | |
within a couple of months and then I had to get a wheelchair. I got worse | :19:52. | :19:57. | |
and worse. I could not wash myself, I couldn't dress myself. It was | :19:58. | :20:04. | |
scary because I thought, where is it going to end? Standard drug and | :20:05. | :20:10. | |
blood treatments had failed for Holly. When I was in the hospital | :20:11. | :20:20. | |
having the plasma exchange, Professor Sharrack said there is the | :20:21. | :20:27. | |
stem cell option. The treatment costs ?30,000, no more than the | :20:28. | :20:31. | |
yearly cost of some MS treatments which need to be taken for life. | :20:32. | :20:41. | |
This is you when you were tiny. Holly had the experimental | :20:42. | :20:46. | |
transplant and for her, the improvements were astonishing. I | :20:47. | :20:50. | |
started seeing changes within days of the stem cells being put back in. | :20:51. | :20:56. | |
I walked out of hospital, I walked into the house and cuddled Isla. I | :20:57. | :21:02. | |
just cried. I just cried and hugged Isla. It was all a bit overwhelming. | :21:03. | :21:08. | |
Was it all just a dream but I have done? Has the past month or so been | :21:09. | :21:17. | |
a complete dream? Yes, a miracle. A miracle. It is now two years since | :21:18. | :21:24. | |
Holly's stem cell transplants, and she has come back to review her | :21:25. | :21:29. | |
progress. I will just show you this one. This was a scan we did in 2013. | :21:30. | :21:36. | |
That was when you were about to have your treatment. Left untreated, | :21:37. | :21:41. | |
areas of active inflammation would cause permanent damage. But now, | :21:42. | :21:48. | |
they have all but disappeared. The good news, that is when we go to the | :21:49. | :21:52. | |
last scan, this is the scan which was done a few days ago. You see all | :21:53. | :21:59. | |
these little scars. You don't really see any evidence of disease which is | :22:00. | :22:03. | |
really good news. Really, this is an indication that your MS is being | :22:04. | :22:08. | |
quite dormant and you have not suffered further relapses. Yes. | :22:09. | :22:13. | |
Hello! Holly's MS has been dramatically | :22:14. | :22:31. | |
halted. She will need to be monitored for years but the hope is | :22:32. | :22:35. | |
the transplant will be a permanent fix. When I was doing my training we | :22:36. | :22:48. | |
had treatment for multiple sclerosis. To have a treatment which | :22:49. | :22:56. | |
can potentially halt the diseases a good treatment. Louise needs to | :22:57. | :23:01. | |
remain in isolation after having received her stem cells. She has | :23:02. | :23:05. | |
used the time to plan for the future. We have decided to get | :23:06. | :23:13. | |
married in a year off my transplant birthday, which is the 13th of | :23:14. | :23:18. | |
October. And we have decided to get married in the village where we had | :23:19. | :23:24. | |
our very first date. To see that transition from where she was to | :23:25. | :23:31. | |
wear she is going is great. I think that first birthday for me, I will | :23:32. | :23:36. | |
have got overall the hair loss, started to rebuild my life, and I | :23:37. | :23:43. | |
will feel the full benefit of the transplant. After 18 days, Louise | :23:44. | :23:55. | |
finally leaves the isolation unit. Look at you! You have changed. You | :23:56. | :24:08. | |
look grown-up. I am not! You do, your hair has changed and everything | :24:09. | :24:12. | |
and you are wearing your grown-up jumper! Give me a couple. -- give me | :24:13. | :24:28. | |
a cuddle. I have missed you. Poll is back home, 12 days after his | :24:29. | :24:36. | |
transplant. Are we going for a walk? That will get you excited, mate, | :24:37. | :24:46. | |
won't it?? I will bang kettle on. I have noticed improvements in that. | :24:47. | :24:54. | |
If I get to 100% improvement and recovery, I will be saying it is | :24:55. | :24:58. | |
great, the best thing in the world. When I was having the treatment, it | :24:59. | :25:02. | |
is quite intense and it does not queue. I would rather have done ten | :25:03. | :25:07. | |
rounds with Mike Tyson than go through that. But I have done it. | :25:08. | :25:18. | |
Ideally what the differences, you want to do a bit of walking. Before | :25:19. | :25:25. | |
it was like, you know. You are walking a little bit better. It is a | :25:26. | :25:33. | |
lot more effortless now. This is indeed a very potent | :25:34. | :25:36. | |
treatment and time will tell whether it is a cure or not. We need to have | :25:37. | :25:41. | |
longer-term follow-up which perhaps goes into decades before we can say | :25:42. | :25:47. | |
cure. Here is to be year of dad being out | :25:48. | :25:52. | |
of chemotherapy and being well and healthy and being a good dad. Steven | :25:53. | :25:58. | |
has reached his first transplant birthday. He is out celebrating with | :25:59. | :26:03. | |
his daughters. Cheers to that. A year ago I could | :26:04. | :26:10. | |
not even hold a fork, I could not eat. | :26:11. | :26:14. | |
Do you remember? Lets crack on. Stem cell | :26:15. | :26:20. | |
transplantation for MS is experimental and the long-term | :26:21. | :26:24. | |
results are unproven. But if the international trial, which Sheffield | :26:25. | :26:31. | |
is a part of, is a success, then many more patients might be offered | :26:32. | :26:35. | |
it in years to come. The day you get the stem cell jazz fusion is called | :26:36. | :26:39. | |
Day zero. That was the previous part of your life. This is now days zero | :26:40. | :26:45. | |
for the rest of your life -- the stem cell transfusion. | :26:46. | :26:53. | |
I was in a very dire place, through 365 days of this pioneering | :26:54. | :26:57. | |
treatment, to get from that point to being here, words cannot describe | :26:58. | :27:02. | |
it. Good afternoon, Basil. Good | :27:03. | :27:14. | |
afternoon. Hello, John. I will sit down there. This is marvellous. One | :27:15. | :27:23. | |
year since your transplant. The last time you came in, you came in a | :27:24. | :27:29. | |
wheelchair. You walked in today. Steven is showing the results of his | :27:30. | :27:34. | |
most recent scan. You look hard and you see nothing. Really? You have | :27:35. | :27:44. | |
walked in and this is mirrored by the scar not showing evidence of the | :27:45. | :27:49. | |
disease. That is good to hear. I suppose you have heard about my | :27:50. | :27:52. | |
surprise in the last few weeks as well. I was out with the girls and | :27:53. | :27:57. | |
there was a cycle hire place. I went to speak to the guys who put the | :27:58. | :28:01. | |
saddle on the lowest level, so I could stand on the bike without | :28:02. | :28:05. | |
having to balance and I just pushed off. The first couple of feet were | :28:06. | :28:09. | |
wobbly and really hard to get my balance. Go on, pedal, pedal, pedal! | :28:10. | :28:18. | |
Within ten feet, my balance had recovered and I cycled all around | :28:19. | :28:23. | |
the park. Cycling is something I can now do. I can swim, now cycle and | :28:24. | :28:28. | |
hopefully walking is the next big step. | :28:29. | :28:34. |