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The story of Dr. Marny Eulberg, M.D. and polio survivor and her experience with post polio syndrome.

Dr. Marny Eulberg:

Polio patient and MD

Like many of the medical professionals who have studied the late effects of polio, Marny Eulberg is a polio survivor who began experiencing late effects of polio about 25 years after successful rehabilitation. Her commitment to helping other polio survivors led Dr. Eulberg to a career as a primary care physician, and she helped establish the Postpolio Clinic at Mercy Hospital in Denver, where she serves as director. In her own words, here is a brief account of her efforts to overcome polio and her continuing struggle against its late effects.

"One day when I was 4, I noticed that my leg just didn't work right. I had flu-like symptoms and, later, pain in my neck. My mother called the family doctor, who said it was probably the flu. The following Sunday, my mother kissed me and my 14-month-old sister, Vicky, good-bye and left for church. When she returned an hour later, Vicky was unable to walk. My mother decided that this was not an ordinary case of the flu.

Both Vicky and I were taken to the local hospital, where the diagnosis of polio was made. Some memories I have of the next six months include the pungent smell of hot, wet wool from the Kenny hot packs, the pleasant bubbles and comfort of the whirlpool, and seemingly endless hours of trying to walk within the parallel bars in the hospital rehab facility. I missed my family more than I could say.

I left the hospital six months later with two great challenges. The first was a long leg brace that locked at the knee and was used with crutches. The second was the beginning of a desire for a career in medicine.

My parents launched a decade-long campaign against my budding medical career; they pointed out the difficulties of standing for long hours each day, through medical residency and beyond, wearing a leg brace. That was a good point. But whenever I thought of the doctors who had cared for me--intelligent, yes, but very unapproachable, doing many procedures to me, with neither my permission nor any attempt to explain the reasoning behind them--I vowed that I would become a doctor who remembered and learned from my past.

I was accepted at the University of Arizona College of Medicine, where I was determined to be as good as or better than most of the other students. I asked for no favors and accepted no sympathy because of my "handicap." I worked nights, 11:00 p.m. to 7:00 a.m., as a medical technologist, 2-3 nights a week, to support myself through medical school. I performed all the tasks expected of medical students, interns and residents--including on one occasion standing in the OR for eight hours straight during an open heart surgery. Following a family practice residency at Mercy Medical Center in Denver, I returned to my hometown of Hot Springs, S.D., but I found myself missing the life of a larger city, and returned in August 1980 to begin my private practice there.

I had done well without any assistive devices for about 25 years. Then, in early spring of 1985, I stubbed my left toe and fell, bruising myself badly. It occurred to me that I might break a bone if I fell again. But when a colleague suggested I start using a short leg brace, my initial reaction was, "No,! I am not going to wear a brace ever again!"

Gentle nudging prompted me to design an experiment. I decided I would count how many times a day I caught my toe and stumbled when I wore the brace--proving to my colleague (and myself) that I did not need the brace. The results, however, did not support my theory. I was stumbling 5-10 times a day without the brace, and not at all with it. So I began using it more and more.

During this time, I became very interested in late effects of polio, such as I was experiencing, but found it very difficult to find physicians who knew anything about polio. It occurred to me that if I, a physician myself, was encountering so much difficulty, other polio survivors were facing a serious challenge in finding a physician to treat their symptoms. I began reading everything I could find about postpolio syndrome, gait analysis, the principles of bracing--mostly in the interests of my own care, but also to try and help other survivors with similar problems.

Thus began the Postpolio Clinic at Mercy Medical Center, where I work one day a week, and serve on the family practice staff the rest of the time. I continue to wear a short leg b race on my left leg at all times, and recently started using a forearm crutch on the right when walking long distances. The theme of this current chapter in my life is that of adapting to change, and I feel fortunate to be realizing the dream I had so many years ago--to use my experience to help others accept life as a polio survivor.



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