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FIGHTING ON
Former
champion boxer Gene Chugg has battled a severe form of Guillain-Barre
Syndrome for the past 12 months. Today he is back from the brink
and celebrating life.
Gene Chugg was so weak his eyelids had to be taped back to their
sockets.
The former Australian champion boxer didn't even have the strength
to push his bedside hospital buzzer if he needed a nurse.
As a boxer he was nimble-footed by nature but for the past 12 months
he'd been tripping over his own feet and stumbling about.
A few times, when he got home after dark, his wife, Judy, quietly
thought her hubby had been to the pub and was a little under the
weather so she didn't say anything.
He wasn't - Gene Chugg was in fact suffering from ascending paralysis,
or in proper medical parlance, Chronic Inflammatory Demyelinating
Polyradiculoneuropathy - a more severe version of Guillain-Barre
disorder.
He says now he was glad he didn't know what was about to happen
to him because he would have totally freaked out.
CIDP is a very rare disease of the peripheral nervous system involving
gradual development of weakness and loss of sensation, predominantly
in the arms and legs.
Gene, of Devonport, had always been exceptionally well, and at
54 being physically active, he admits, still defined him as a man.
Physicality was a huge part of his existence - he used to joke
with the blokes who belonged to the footy club when he chopped the
raffle wood they would not keep up with him and should not get jealous
about it.
It was this extreme physical fitness which he believes went a long
way to helping him recover.
"At about October last year I know there was something wrong
but I kept ignoring it," Gene said.
"In November I starting waking at night feeling freezing cold
and vomiting a little, then I would come right.
"I finally went to a doctor in December and he sent me to
the hospital to get a blood test. It showed I had a high white blood
count which means your immune system is trying to attack something
and he put me on antibiotics.
"Throughout the year 2000 I had been for a couple of physicals
but they always said I was fit and healthy."
Despite being prescribed antibiotics, Gene was still flippant about
being sick because he had always managed to shrug things off and
did not complete the treatment of drugs.
On January 3 when he went to Adelaide to his son's wedding, Gene
finally succumbed. Feeling terribly ill in the stomach he was given
a pain-killer. That night he had shocking spasms in his shoulder
and could not sleep.
The next day he went to the doctor and she told him he had colic
but could not explain the shoulder pains.
"I came home the next day and had awful pains in the calves
of my legs and I went for a run around the block. Being a sportsperson
I thought something had made me stiff but that I'd be right
I
couldn't run," Gene said.
"The next morning I woke up tingling in the toes - it is just
as well I didn't know what was going to happen next because I would
have freaked out.
"The tingling progressed up my legs pretty fast and I went
to the hospital (Judy was still in Adelaide). They did some tests
and told me I had symptoms of peripheral neuropathy, which is ascending
paralysis.
"They told me to come back in a week but I reckon I would
have been dead if I'd done that.
"I had difficulty walking out of the hospital so I rang Judy
and told her to come home
by the time she got here I could
barely walk at all.
"At this stage I wasn't worried but I was confused.
"Judy went to the chemist to ask him if there were any side
effects from the antibiotics and he told her to get me immediately
back to hospital.
"Judy had to virtually carry me in. They performed a lumbar
puncture and the doctor said 'you have Guillain-Barre'.
"I told him to fix it so I could go home," Gene said
perfunctorily.
Instead, the doctor shot him to Hobart the next morning and placed
him on life support in the high dependency unit.
If the ascending paralysis had made it to his respiratory system
he was as good as dead.
Gene was treated and levelled out, but it is an acute illness and
he crashed twice again.
It wasn't till they performed a nerve biopsy that he finally found
out he had CEDP, which can reoccur.
That's when Hobart neurologist Bruce Taylor and two other surgeons,
Scott Chamberlain and Andrew Hughes, set about fighting to bring
him back from the brink, and it was quite a journey.
For more than a month Judy Chugg was given no guarantees about
her husband's life as he floated in and out of ICU during January-February
this year.
On February 24 Gene was transferred to Launceston for rehabilitation
and there were still no guarantees about his survival or even whether
he would walk again.
For 139 consecutive days Judy drove to the hospital in Launceston
from their Devonport home.
"I had my eyelids taped back, my voice went, there was nothing
that worked. I got Bells Palsy and I lost 20kg (he went down to
49kg).
"I looked like I had just been released from a POW camp,"
Gene said.
His diminutive wife could pick him up.
"Gene is gutsy and positive with his own thinking so I was
positive, except the last time he went into intensive care when
they asked me to stay at the hospital overnight," Judy said.
The doctors wanted to ventilate him but Judy refused to allow it
- she knew while Gene was still in charge of his own destiny he
had the best chance.
"I knew he was in a bad way to look at him but thank God the
stubborn little s
pulled through
it was a make or break
night and he was alive; weak, thin and skinny; but alive.
"Gene's brain was the only thing that worked, which could
have made things worse in a way, but I knew if he had any say in
it he could do it," Judy said.
Gene said he was concerned when he saw the stainless steel box
come up the hallway.
"I had been to a funeral prior to Christmas and it must have
affected me more than I thought because when I came out of ICU,
the last time they wheeled me past the chapel and I saw the pine
seats and I thought hell I've topped it; is this what you see? Do
you see everything when you are dead?"
Judy used to wheel him to the canteen - he had lost his sense of
taste, but he liked a can of soft drink because the bubbles felt
funny in his mouth. Just joking one day she asked him if he wanted
her to wheel him into church and Gene totally lost the plot.
"I didn't give up hope but I did drop my bundle a bit a few
times."
He thought about his will and how his wife would survive financially.
"I dropped my bundle because I would sooner go altogether
than not be able to walk. I had to be treated for depression.
"When I was at my worst Bruce Taylor (surgeon) tapped me on
the shoulder and told me I would walk again - 'you might not run
like you used to but you will walk', he told his floundering patient.
Gene goes back to Hobart for nerve tests this month and has offered
to race his mentor around the block.
He stood on his own for the first time in June and it was a joyous
time but he describes his rehabilitation as cruel.
"I became terribly emotionally sensitive - I'd been put on
a commode to go to the toilet and having to have someone help you
knocked me about something awful. I said to a nurse 'I'll be able
to do that on my own soon' and she said to me 'life won't bee too
bad in a wheelchair' which devastated me."
Even worse was a physiotherapist who Gene felt like decking when
he told him his goal was to get him to use a slide board that fits
between a bed and a wheelchair.
He was a real mess till June and then he started to get better
in leaps and bounds and came home on July 13 in a wheelchair he
swore never to look at again.
Judy threw it in the shed.
Gene crawled about on the floor to get around.
"My depression had gone by then and I'm a cheeky person and
I had started to get that back again," Gene said.
They didn't know at the hospital that such was his determination
to get on his own feet Gene would commandeer the crutches of a fellow
patient named Dennis at night and practice alone between the two
beds.
His son, Duane, received daily phone updates from South Australia
where he was in the air force and agonised whether coming home would
send a negative message to his Dad. Daughter Naomi packed up her
life in Melbourne and returned to Devonport.
Judy was with Gene every day - shaving him and feeding him and
caring for him and every day she would tell him "today is going
to be a better day".
She kept telling herself he was getting better, but at that stage
he really wasn't.
"People would ask me and I would say he was really, really
good because that was what I had to tell myself," Judy said.
His condition is now easing but he is running like a duck and is
looking to get a running coach to teach him how to improve that.
He still goes to hospital at Latrobe one day a week for treatment
and that will be ongoing for a long time yet.
He says his wife got him through it.
"Fear is a great motivator isn't it and I was terrified of
the chair," Gene said.
"It made me aware that good health is not just luck, you have
to look after yourself. I didn't really appreciate how well I was
for my age and I took it for granted.
"There is a saying in my sport (boxing) that in life we are
only one punch away from disaster and that sums it up."
Judy
said he never once complained as a patient, but she knew he was
getting back to normal when he did lose his cool one day.
"Inside (me) I was thrilled, I said 'YES' he's getting better
- you didn't know it, but I was quite happy when you swore and ranted
and raved," Judy said.
"I was really quite concerned he had turned into this passive
quiet little old man who was really grateful when you brought his
pyjamas to him."
This is the wife who pressed his toes back every day so he could
feel the pain that told him his legs would work again.
"My hands had turned into little hooks and she would spend
hours bending my fingers and toes because she said when she got
me better she didn't want me walking like Donald Duck - I still
run like a duck," Gene said.
A sense of humour was very important to both of them surviving
the ordeal.
"I have him a kiss one day in intensive care and he didn't
kiss me back because he couldn't - I told him 'you had better do
better than that Gene Chugg or I will stray'," Judy said.
"I am a lucky man - I was in ICU long enough to see a lot
of people having a rougher time than I was," Gene said.
Now Gene Chugg wants to coach boxing again, walk with his hounds
and maybe go on a hunt on horseback.
He's already fishing with his mates.
His rehabilitation continues as he innovatively discovers new and
interesting ways to get stronger.
"I started working out on a step ladder and now I walk along
the Don Railway sleepers on my toes which are perfect for the job."
Gene was forced to leave behind a job he loved, as the carer for
an autistic teenager, when he fell ill.
Judy took time off from running an after-school care program at
Nixon St Primary School, but somehow managed to study in the early
hours of the mornings to graduate with a diploma in children's services
and is now back at work.
That pair look and sound like teenagers in love, but you can see
they know exactly how lucky they are.
"I'm better now
almost
I can't feel
all of me, but I'm getting there," Gene says shadow punching
the air and dancing on his toes.
GBSTasmania would like to thank The Advocate newspaper for giving
us permission to reproduce this story.
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