Herb Werner knows exactly when his first life ended
It was 2007. He was on his garage roof in Bay Village, ready to climb down after unclogging a downspout. Herb, then in his mid-50s, stepped on the ladder. It slipped from under him.
“I fell maybe 10 or 12 feet, not a big fall,” he remembers, “but I landed wrong.”
Herb also knows exactly when his second life began.
It wasn’t then, as he lay on the ground, unable to move his legs, paralyzed from the waist down. It wasn’t in the days that followed, as he embarked on a long journey of healing and rehabilitation.
His second life began more than a year later, when he realized a calling.
“The ‘ah-ha’ moment came when I said, ‘I’m ready to give back. I want to help someone else get through this. I want to share my story and my experience.’"
“That’s when I knew my rehab was a success.”
“The ‘ah-ha’ moment came when I said, ‘I’m ready to give back. I want to help someone else get through this. I want to share my story and my experience.’ That’s when I knew my rehab was a success.”
Herb doesn’t want to leave the impression that his rehab is finished, even 11-plus years after his accident.
“What I am doing now,” he says, “is a continuation of my rehab.”
Herb steers his motorized chair toward a group of people in the middle of the therapy gym in Old Brooklyn.
In the center is a patient who looks to be in his mid-50s. His unshaven face grimaces as he pulls down on a weight-machine cable, his body rising slightly out of his wheelchair. A therapist urges him on. A young man and woman – the man’s son and niece, we later find out – sit a few feet away.
Only the therapist is smiling as the whir of Herb’s chair announces his arrival.
“Hello, I’m Herb.”
The man stops pulling and looks over. “Hi,” he says softly.
“Is it OK if I say hello?” Herb asks.
The patient motions for Herb to come closer and asks, “Do you have enough space?”
Herb inches his 350-pound chair forward and smiles devilishly. “If it’s in my way,” he jokes, “I just crush it.”
Suddenly everyone is smiling.
Herb can do that, in just seconds. He is one of MetroHealth’s most recognized and admired volunteers. The hats he wears could fill a lost-and-found: Twice-a-week, four-hour volunteer shifts in the therapy gym; patient and family advisor; member of the system’s Privacy Board; adviser to the Transformation design team and leader of a group working to construct a new therapy garden at Old Brooklyn.
In the parlance of the kids today, he is, indeed, crushing it.
“You’re the same person you were the day before your illness or injury.You’re just going to do things differently. When you run into ‘disabled,’ you find an adaptation to make it ‘enabled.’”
For more than five years, he’s been returning to MetroHealth’s inpatient rehab center, where he received treatment in the weeks and months after his accident. Every Thursday and Friday at 11 a.m., he stops up on the sixth floor in Old Brooklyn, picks up a list of the spinal-cord patients getting rehab that day and then heads down to the therapy gym.
“A resident told me that when she was going through medical school, she thought the surgeons, with their stainless steel, were the ones who saved the lives,” Herb says as he motors into the gym on a recent Thursday. “Then she said she came here to rehab and realized that this is where the lives are saved.”
This isn’t your typical gym, where the goal is to get in shape or max out on the bench press. The goal here is to max out on returning to everyday life. The equipment includes kitchen and laundry appliances that patients re-learn how to use, steps and ramps to practice on, computer keyboards to re-master, a mock car to get in and out of and much, much more.
While the therapists and the equipment work patients’ muscles and bodies, Herb works on their mindset.
He knows his paralysis and his wheelchair give him credibility with patients facing a daunting new life without the use of parts of their body. He knows that when they look at him, they see themselves.
Herb wants to make sure they see optimism and potential.
His strategy when rolling up on a spinal-cord-injury patient for the first time is simple: start a conversation – the weather, hospital food, anything – and then quickly start talking about returning to life and the better days that lie ahead.
“I talk about driving. I talk about flying. About going to Progressive Field or to a Cavs game – normal activities,” Herb says. “At the end of the day, there’s not much you’ll be missing out on. You’re going to have to plan and allow extra time. But the emphasis is that a very good quality of life is to be had."
“You’re the same person you were the day before your illness or injury,” he adds. “You’re just going to do things differently. When you run into ‘disabled,’ you find an adaptation to make it ‘enabled.’”
A sense of humor is crucial.
“If you can’t laugh about it, you’re going to be doing a lot of crying,” he says.
Asked for an example, Herb recalls family members bringing his 1-year-old grandson for a visit during his inpatient rehab.
“I told him, ‘Tim, it looks like we’re going to have a race to see which one of us is going to be the first one out of diapers.’”
The positive outlook is no act.
Herb likes to cite a study from the 1970s that surveyed people one year after winning the lottery and one year have suffering paralysis from injury or illness. The lottery winners were less happy.
“Paralysis really gives you a perspective,” he says. “It gives you the opportunity to prioritize and realize what’s not worth worrying about."
“Compared to being successful at business or anything else, this is the greatest thing I’ve ever done in my life,” he says. “I tell some of the people I talk to, who are in the funk, ‘This is going to sound crazy but listen to me now and remember me later: This half of my life has been more enriching, more rewarding than the first portion of my life.”
“It’s a scary thing. This is not for the weak. You just take it a day at a time. Everybody cries. That’s part of it. Hopefully you can smile and laugh along the way."
Before other patients can join him in a fulfilling – even better – new life, Herb says, they need to realize that their “new normal” offers the same joys as their lives before their injuries – the joys of family, friends, laughter.
During an inpatient rehab stay, patients are often cut off from the basic joys that come with breathing fresh air, soaking in the warmth of the sun, feeling a breeze, hearing birds sing and inhaling the aroma of flowers.
Herb is out to change that.
As a Patient and Family Advisor serving on the TeamSTEPPS Action Council, he is part a group of doctors, nurses and other caregivers working to transform the old fountain area near the front door at Old Brooklyn into a fully accessible outdoor therapy garden.
Herb gave an emotional presentation during a MetroHealth’s Fast Pitch event in 2018.
He told the judges that the garden will offer “an important reminder of all the simple joys in life, a reminder of things that have not been taken away by disability."
“It offers warmth and power similar to the visits by loved ones, laughter with friends or a container of homemade chicken soup. It is another source of strength in coping through the rehabilitation journey.”
The judges awarded the project $5,000 of funding.
Herb expects the total cost to be much more, perhaps as much as $40,000. He’s optimistic (of course) that the group will get the support and break ground sometime in early 2019.
“If we are going to call ourselves a rehabilitation facility, we should really make sure we have all the attributes and then some,” he says. “Dr. Boutros has a vision of a ‘hospital in the park.’ We should have our own park at this facility.”
Back in the therapy gym, the man has paused his exercises and is grilling Herb with questions about how he takes commercial flights, how he drives his van and where he got the vehicle modified.
Herb happily answers, adding that he recently took a road trip to Florida and drove the entire way.
The man pauses for a moment.
Again, Herb doesn’t hesitate.
“It’s a scary thing. This is not for the weak,” he says. “You just take it a day at a time. Everybody cries. That’s part of it. Hopefully you can smile and laugh along the way."
“You still have family who loves you. And people who care. It’s amazing how many people want to help you,” he adds. “But I agree with you. It’s scary.”
The man thinks for a moment, pauses, and then asks Herb how he transfers himself into a car.
He’s a little less scared.
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it.
The system’s more than 600 doctors, 1,700 nurses and 7,800 employees go to work each day with a mission of service, to their patients and to the community. As Cuyahoga County’s safety-net health system, MetroHealth plays an essential role in the region, caring for anyone and everyone, regardless of an ability to pay.
Founded in 1837, MetroHealth operates four hospitals, four emergency departments and more than 20 health centers and 40 additional sites throughout Cuyahoga County. The system serves more than 300,000 patients, two-thirds of whom are uninsured or covered by Medicare or Medicaid.
MetroHealth is home to Cuyahoga County’s most experienced Level I Adult Trauma Center, verified since 1992, and Ohio’s only adult and pediatric trauma and burn center.
As an academic medical center, MetroHealth is committed to research and to teaching and training tomorrow’s caregivers. Each active staff physician holds a faculty appointment at Case Western Reserve University School of Medicine. Its main campus hospital houses the Cleveland Metropolitan School District’s Lincoln-West School of Science & Health, the only high school in America located inside a hospital.
Knowing that good health is about much more than good medical care, MetroHealth has launched the Institute for H.O.P.E.™ (Health, Opportunity, Partnership, Empowerment), which uses a coordinated, collaborative and strategic approach to help patients with non-medical needs such as healthy food, stable housing and job training.
The MetroHealth Glick Center, a new 11-floor hospital, is under construction on the system’s main campus in Cleveland and is scheduled to welcome its first patients in October 2022. The billion-dollar project is the cornerstone of a wider neighborhood revitalization effort led by the system and its partners in the community.
For more information, visit metrohealth.org.