2011 August | Lamberts Homecare Advocate Blog

Archive for August, 2011

August 29th, 2011 by Ashley Plauche

Wheels for the World: Part II

Remember the story of the starfish? The person walking along the beach, picking up each starfish and tossing it back into the sea? It may be true that we cannot do everything, but we have an ability to make a difference, one by one. As I wrote in an earlier post Wheels for the World, Lambert’s rehab specialist, Rusty Beal, traveled to Guatemala to help with Wheels for the World by Joni & Friends. Nearly 40 of us gathered yesterday evening in West Knoxville to hear Rusty recount this life-changing experience along with some of his traveling companions (Laura, Rhoni, & Grant from the Knoxville chapter of Joni & Friends) as well as Chris Yerger from Knoxville.

Rusty agreed to share his story with Homecare Advocate readers. He writes:

Once I decided to go to Guatemala on the Wheels for the World mission trip, I was blessed with support and encouragement from my family (especially my wife), my friends, church family and co-workers. As I prepared for the unknown ahead of me, I feel that prayer was the single most helpful thing for me. I had many worries and concerns that I wasn’t sure if I could have overcome them and be able to be “worry free” while I was working in Guatemala. I prayed myself, of course, but many co-workers and friends were right there by my side praying as well as my entire church family.

I went as a wheelchair mechanic on the trip because of my ATP (Assistive Technology Professional) certification. To receive this certification, I went through in depth study course on-line (approx. 40 hours), sat for an exam that took almost two hours and each year, I must maintain the certification by continuing my education in wheelchair technology. Everyone in our group brought different skills to the mix. We had two physical therapists, an engineer, a special education teacher, a translator and several more people on the trip.

Our group consisted of 10 people and we met with a group from Bethel Ministries. The group from Bethel Ministries live in Guatemala and they take care of getting the distributions set up there as well as work towards providing chairs for people in need at other times as well.

All of the people in Guatemala that I interacted with were very grateful and happy to have us there. They received us with smiles and left us in tears, many times because they were so happy to finally have the mobility that they have never had.

The largest barriers we faced, in my opinion, was the fact that we had lots of travel time and simply being out of our normal comfort zones. Our travel time was approximately 2 1/2 hours for 3 days and 4 1/2 hours the other two days. During our time there, we traveled a lot so that we could get to the villages where the distribution would take place. Our day started around 6:30 a.m. and ended around 3:00 p.m. or until the last person was fitted with a wheelchair and had someone to pray with them.

Trying to tell what was my favorite thing from the trip is difficult. There are so many things that I enjoyed and was blessed by. However, the one that stands out the most to me is the expression on a young boy’s face after he received his wheelchair.

This young man had Spina Bifida and has little to no use of his legs. In order to go anywhere, he had to drag himself with his arms or have his mother carry him. As I spent two hours working on the wheelchair that we were going to give him, he watched me closely to see what I was doing. Once he received it, the expression on his face was priceless and I had a mother, with tears in her eyes, as she watched her child become more independent. I knew that I had done something for this young man that would benefit him in so many ways and that would change his life. He now has a sporty wheelchair that he can use all over town and no longer has to rely on someone to help him get from place to place.

My experience in Guatemala was wonderful and I am so thankful that I was given this opportunity and for all of the support that I received.

–Rusty Beal, ATP at Lambert’s Health Care

Wow, what an incredible experience. Last night he described the high occurrence of Cerebral Palsy in many Guatemalans and how the biggest cause of physical and developmental disabilities for many is a lack of an education. In America, he explains, our problems occur with obstacles like the umbilical cord wrapping around the baby’s neck. There, there are preventable educational barriers that pose risk to the children. One long-practiced custom they believe is that when a baby gets a temperature, one can burn the sickness out of them. To do so, the parent(s) wrap their baby tightly in layers of clothing and rags and put their baby out in the extreme heat of the Central American sun. This exposure to long periods of severe heat cause brain damage, resulting in many children having lifelong physical and developmental disabilities. Their group worked through Bethel Ministries International where missionaries teach Guatemalans about these types of issues and minister to them spiritually.

In seeing the photos and hearing Rusty speak about this trip, it becomes painfully obvious how much we have in America and how grateful we should truly be. Rusty described the beautiful ways that families care for one another in Guatemala, parents carrying their children everywhere because they don’t have a wheelchair, people dragging their loved ones to the wheelchair distribution site on cardboard, in old wheelbarrows, and any way one could imagine to get the medical equipment that was so desperately needed. I am reminded of our own caregivers in the United States and the selfless hours spent caring for a parent, partner, or friend. What an example they set for us all.

453 wheelchairs were given to Guatemalans during Rusty’s 6-day trip. That is 453 lives, 453 families forever changed because of this worthy organization and its mission to spread God’s message as they care for people’s physical and spiritual needs. You can help change a life through donations of your wheelchairs, walkers, and canes. Other medical items, like prescription glasses and readers, are also distributed through Joni & Friends, giving the gift of sight.

Lambert’s co-owner, Elizabeth, purchased 100 readers and handmade 100 lovely felt cases that were given out on Rusty’s trip. These glasses provide Guatemalans the opportunity to read the Spanish Bibles they are given by Joni & Friends. What a gift.

Laura Payne, who works in the Knoxville Joni & Friends office and accompanied Rusty on this trip, was thrilled to see the work God did through Rusty in Guatemala. “We are so thankful for Rusty’s ministry to children and adults with disabilities as he customized wheelchairs specifically for them,” she said. “He used his big heart and his amazing abilities to make a difference in people’s lives. The support of the Wolfes and the Lambert’s Health Care family, which made it possible for him to be part of the Wheels for the World outreach team in Guatemala, was a gift to all whom Rusty served and the ministry team!”

We each have the potential for greatness. We each have the ability to reach out and touch someone’s heart, to change someone’s life, to make this world a better place. To learn more about how you can make a positive impact, visit your local Joni & Friends chapter organization or call 1.818.707.5664. We can always use another Rusty, transforming lives one by one.

::AWP::

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August 22nd, 2011 by Ashley Plauche

Changes in Medicare HME Benefit

The Centers for Medicare & Medicaid Services (CMS) is implementing a program nationwide that will severely impact your Home Medical Equipment (HME) benefit in serious ways. We all would like to see smarter government spending, but this program, ironically titled “Competitive Bidding”, deviated significantly from what Congress sought to achieve (market-driven prices and healthy competition from a vast network of HME companies). Instead, this program achieves none of those things due it its serious design flaws that artificially lower prices to unsustainable rates, arbitrarily pick “winners” and “losers” without transparency, increase expenditures in Part A of Medicare, and jeopardize seniors’ access to quality care from their chosen home medical equipment company.

With this program, a small number of suppliers with the cheapest bids (and little regard to quality, service, experience, financial health, or presence in the community) win the exclusive ability to sell durable medical equipment to Medicare beneficiaries. Closer inspection to this program reveals a poor design with significant detrimental consequences; therefore patient advocacy groups, economists, auction experts, and homecare equipment companies have challenged CMS and Congress to repeal this particular program before irreversible harm occurs.

The current program is fraught with serious and consequential problems that will wreak havoc on elderly and disabled Americans and small businesses like Lambert’s throughout our great country. The controversy over this program is growing, and on Friday, CMS announced that all 4 of Tennessee’s major cities and surrounding towns will be on the chopping block in early 2013. This will affect all of Lambert’s patients living in Knoxville, Lenoir City, Maryville/Alcoa, Oak Ridge, Powell, Clinton, Loudon, Townsend, Corryton, and 17 other cities close by.

Key issues with this program design include: lack of long-term sustainability, lack of transparency, a flawed pricing rule with non-binding bids, endangerment of seniors, and creation of mass genocide in the Home Medical Equipment Industry by eliminating 90% of companies like Lambert’s nationwide. A failed program of this magnitude will destroy the home medical equipment supplier network for years to come, with an estimated 200+ companies closing and direct job losses of over 2,100 in Tennessee alone.

Want more information? Read these Myths of Medicare’s Competitive Bid Program.

HOW DOES THIS IMPACT YOU?
A study conducted by Dobson & DaVanzo revealed:

Diminished freedom of choice in your provider,
Limited options in types of equipment and brands available,
Access issues to quality equipment and services,
Delayed response time in receiving goods/services,
Increase in emergency room visits and delays with discharge,
Stifled technological innovation for equipment,
Disruption in long-term relationships with your provider & continuity of care issues

**Many private insurance companies follow Medicare guidelines, so it is important that you learn about this and how it could impact you even if you do not have Medicare.**

WHO IS AGAINST THIS?
Patient advocacy groups stand united with economists and auction researchers against this ill-conceived program. It hurts people, it hurts small (and even large) business, and it will negatively affect the economy, with predictions of reduced investment of 12-15% annually ($3.1 billion between 2011 & 2020) in the homecare equipment industry.

244 of our country’s most prestigious economists from Princeton, Harvard, Yale, UCLA, Stanford, and more have joined together in 2011 in protest of this program, citing that it is plagued with “bureaucratic inertia” and that CMS’ failure to resolve the serious and consequential problems with this program are “especially distressing and unreasonable”. In 2010, 167 of these individuals wrote the Chairman of the Subcommittee on Health about the four main design problems of this program, stating “implementation of the current design will result in a failed government program…The current auction program has flaws that need to be fixed before it can achieve the objectives of low cost and high quality“. The Chairman promptly took this letter to CMS, asking how they would resolve it. CMS blindly dismissed these serious concerns and assert that CMS as a bureaucratic department knows more than these esteemed experts in auctions and economic impact. The New York Times Freakonomics Blog by Ian Ayers and Peter Cramton criticized CMS, stating, “Any expert would be able to quickly identify the fatal flaws in the Medicare competitive bidding program. We suspect the problem is that CMS initially did not realize that auction expertise was required, and once they spent millions of dollars developing a failed approach, they stuck with it rather than admit mistakes were made“.

Patient advocacy groups against this bid program include:
The ALS Association
American Association for People with Disabilities
Cerebral Palsy Association of Ohio
Muscular Dystrophy Association
National Association for Home Care & Hospice
National Council on Independent Living
National Emphysema/COPD Association
National Spinal Cord Injury Association
United Spinal Association
…and more…

WHAT CAN I DO?
Contact your elected representatives and tell them how:

You do not want Competitive Bidding for HME in your town,
You want freedom to choose your home medical equipment company, not bureaucratic employees in Washington,
A radical reduction in HME companies through the Competitive Bidding Program hurts the economy and will cause massive job loss,
Continued cuts to homecare benefits could force suppliers not to carry the same quality brands of equipment that you need to maintain your activities of daily living,
You do not want to be forced to use different companies for each different product you need

I’ll leave you with a quote from Jerald Winakur, MD, FACP, CMD:

“CMS has developed a hodge-podge response to the needs of our citizenry… By its actions, Medicare stifles innovation, discourages physician participation in the program, and–most egregiously–restricts the autonomy of elderly and disabled citizens, the very ones it is the mission of CMS to help. And, paradoxically, CMS ends up spending more money, not less, in the long run. This is shameful behavior that deserves the transparent light of day shone brightly upon it.”

::AWP::

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August 16th, 2011 by Ashley Plauche

Wheelchairs for the World

Imagine having to rely on friends and family to carry you everywhere you go. Spending virtually all of your time in isolation, without the ability to engage in the world. Unfortunately, this is what happens to many throughout developing countries as their mobility impairment prevents them from connecting with the outside world. The World Health Organization estimates that 18 million people are currently in need of a wheelchair, which can cost a year’s wages in some areas. Meet one organization committed to providing wheelchairs and sharing the love of Christ through their mission work. “It’s about changing the hearts, minds, and lives of people. It’s about transforming societies, village by village, person by person.”

Wheels for the World is a program by Joni & Friends that collects, refurbishes, and distributes wheelchairs to needy individuals in developing nations as part of their ministry. What I particularly love about this Wheels for the World is that they set up permanent missions in these countries and tailor the wheelchairs to suit the terrain. Their ongoing presence in these communities is essential to making a lasting difference and making a real impact. Since 1994, over 63,000 wheelchairs have been distributed worldwide through their outreach efforts.

credit: Joni & Friends Press Kit

Our company owner, Randy, felt God calling for Lambert’s to get involved with this worthy program earlier this summer, so Randy got in touch with the local Joni & Friends chapter. Through much prayer and preparation, our company sponsored our ATP (Assistive Technology Professional) rehab specialist, Rusty, to participate in the Wheels for the World trip to Guatemala. Rusty’s professional expertise and spiritual desire to help others made him a perfect candidate, and he will oversee the process of fitting each person in an appropriate wheelchair.

Rusty flew out of Knoxville yesterday morning to begin what will be a great adventure. During the next 7 days, Rusty and 9 others in his group will travel to Guatemala City, Retalhuleu, Quetzaltenango, San Marcos, and Soloa as they touch the lives of over 200 adults and children by providing them wheelchairs and Bibles. Our company prayer group has been lifting Rusty’s group up each day, and Rusty’s wife says that so far he’s having a great time.

We’ll post an update on his travels once he returns to Tennessee, but in the meantime I hope you enjoy this video from a 2009 trip to Guatemala by Joni & Friends and Bethel Ministries International.

’09 JAF Trip

You can help by donating old wheelchairs and mobility equipment to your local Joni & Friends chapter. To learn more about ways you can get involved, visit the Wheels for the World site.

Gospel of Luke 14, “invite the poor, the crippled, the lame, the blind and you will be blessed…make them come in so my house will be full.”

::AWP::

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August 13th, 2011 by Ashley Plauche

An Afternoon with Sen. Alexander’s Aide

On Thursday, I drove out to middle Tennessee (Hendersonville and Goodlettsville) to meet with Senator Alexander‘s Health Legislative Aide, Nick. We have taken trips each year to Washington DC to meet with Nick and other offices of our elected officials from Tennessee to talk about homecare and home medical equipment (HME), but this was Nick’s first experience coming to tour a HME company and get first-hand experience on the daily operations.

We started at Ed Medical, a full-service HME company (similar product range of HME to Lambert’s) where Nick was able to meet the staff, learn about the functions of each department, and gain a better understanding about oxygen therapy (modalities, service plans, disaster preparedness/response, maintenance, etc). We were even able to meet with an oxygen patient who was able to share the importance of receiving oxygen therapy from his trusted provider and what it has meant for his quality of life.

Senator Alexander's Health Legislative Aide with HME Group at Ed Medical

Our group meeting with Nick from Senator Alexander's office at Ed Medical

We then went to Medical Mobility, a company that specializes in complex rehabilitation with custom seating and mobility (high-end, customized power wheelchairs). We had the distinct honor of having Darren Jernigan meet us there and give his perspective as a person who uses these custom wheelchairs. Darren was in an auto accident in college, leaving him paralyzed from the neck down. His power wheelchair enabled him to go from being a Social Security recipient following the accident to a Social Security contributor as he was able to enter the workforce and gain his life back. Darren was just re-elected as City Councilman of the 11th District in Nashville and is a patient-advocate, working as the Director of Government Relations at Permobil (a wheelchair manufacturer based out of Lebannon, TN).

Meeting with Senator Alexander's office at Medical Mobility

Our group meeting at Medical Mobility with Sen. Alexander's Aide

Having facility tours like these are important to help our elected officials gain a better understanding of the companies, products, and services they read about in Washington. I’m sure that Nick appreciated getting to meet the employees and customers these companies work with, as they are all constituents of Senator Alexander’s.

As a homecare beneficiary, you can help educate your legislators about the importance of homecare by volunteering to share your story with your elected official. Your HME company would probably love to have you help put a face to this valuable segment of health care as they meet with their representative.

In this picture, we’re hearing from the oxygen patient who was using portable liquid oxygen to do the facility tour.

You have a unique opportunity to share your perspective with the people who are there to represent you and pass legislation that will protect and empower you. Homecare is a small part of health care, and it is important that we take advantage of these opportunities to bring homecare into the limelight. We have a great story to tell, and it needs to be told!

If you would like to help tell the homecare story, contact your local homecare equipment provider and let them know that you would be willing to participate in a facility tour to speak from the patient’s perspective. You don’t have to know the in’s and out’s of the business, you only need to know what this equipment and/or service has meant to your quality of life or the life of a loved one.

::AWP::

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August 6th, 2011 by Ashley Plauche

The Debt Debate

I doubt many, if any, were spared the widespread coverage of the debt debate that cumulated in legislation passed with just hours to spare before the United States defaulted. At the core of this discussion is the knowledge that our country is on an unsustainable fiscal path and the question about how to fix it.

As part of the legislation that passed earlier this week, a super-committee of 12 members of Congress have been appointed the daunting task of divvying up $1.5 trillion of cuts over 10 years to many federal programs, and unless their proposal passes the House and Senate and is accepted by the White House by year end, sweeping cuts will automatically take place with an automatic 2% cut to Medicare provider payments. Though the White House intends to keep these cuts from affecting the 100 million Medicare and Medicaid beneficiaries, many believe that such cuts would trickle down to the patients as well.

What could these cuts come in the form of? Though it is just speculation at this point, we could see cuts in Medigap insurance, high-earning seniors paying higher premiums for Medicare, vouchers to purchase a private plan, or even Medicaid being turned into a block grant program. It will undoubtedly also cut provider reimbursement for health care services. Many, like physicians and home medical equipment providers, worry that any additional cuts will create undue financial hardships on their ability to take care of our nation’s most sick and vulnerable. Home medical equipment, for example, has already had reimbursement cuts of 50% in oxygen alone over the past 12 years. It seems incredibly short-sighted for the government to attack the homecare industry whose utilization prevents higher costs in hospitalization, institutionalization, and readmissions.

Check out this Medicare spending chart on spending over the past several years done by the Centers for Medicare & Medicaid Services (CMS):

Do you see that little green line at the bottom? The flat-lined one with very little growth if any at all? That’s home medical equipment, the industry responsible for preventing expensive increases in Part A Medicare through increased hospital stays and living in nursing homes. To continue cutting be it through the debt discussion (or the ill-conceived anti-competitive auction program) just doesn’t make sense.
Government officials look to Medicare and Medicaid spending and see significant costs. In fact, today it accounts for approximately 23% of federal spending. The increase in Medicaid can be contributed to the downturn in the economy and the rise in unemployed who do not have private health insurance plans. For Medicare, this is partially due to our country’ s aging population and also due to a medical model that doesn’t fully utilize the cost-effective option of homecare.

It’s apparent that the surge is partially due to the increase in utilization. Older, sicker, poorer. And we need to be doing something to address the needs of our changing demographics of our nation instead assuming that we can expect more for less from providers. We need a solvent way to keep options for Medicare and Medicaid beneficiaries long-term. Running the needed providers out of business is not one of them. It is the concern of many in the health care provider community that a decrease in reimbursement will only lead to a decrease in services being able to be offered, which detrimentally affects you as their patient.

“Although there may be room for broader reform in Medicare, we’ve gotten so focused on rhetoric about entitlement reform, what’s often lost is that the problem is overall health care spending.”

–Judy Feder, Senior Fellow at The Urban Institute

::AWP::

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August 1st, 2011 by Ashley Plauche

The Language of Love

What happens when words are no longer words? When language bears no meaning, and everything is lost in translation? Henry Walker wrote a collection of poems spanning 12 years as he deals with his mother’s dementia and sees the toil that Alzheimer’s takes on even the most beautiful of spirits.

He shares the struggles, confusion, and glimmers of hope as he learns how to speak a silent language with the mother he loves so dearly. The Duke Family Support Program shared his work in their 2009 Fall newsletter, and Henry offers it as a free download here.

Jean: “Let me tell you, we love you all, and we’re gonna keep on loving you as long as we can. . .
What’s good about you all is you catch on,
you catch on, you catch on,
and you know it’s not going to be perfect.”

A Little Help

by Henry Walker, November 17, 2001

if we’re lucky

we share our journey through this life

with guides who help us find our way

with partners who help us carry our burdens

with those we can help up with a hand

with those who will help us up,

parents,

friends,

spouse,

and,

if we can keep going long enough,

caregivers

through whom love can well up

so that their

hearts

and hands

and the fullness of their selves

hold us in their care

so that through the last days of our journey

we’re not alone and lost,

those who care for Mother these last days

are humble servants of the divine,

though Mother can feel lost she’s not alone

and those caregivers endure the storms of her frustration

so that the glowing sun of her self

can still break through,

through her bright eyes and laughing heart,

flowing from the love

with which she still embraces the world.

Down to the Core

by Henry Walker, March 17, 2000

I go into her room

and gaze at her sleeping peacefully,

a moment of doubt–whether to wake her?

a moment of worry of how much of her will wake up

and how I will react, and then I move on

and sing a verse of “Down in the Valley”

and then another and she softly wakes into a cough,

I speak to her, her eyes open, and she says

“Well, hello, Henry.”

We talk for awhile

but since so many words have lost their moorings to her thoughts

it’s hard to tell what we’re talking about,

after a few minutes I start to leave

so I say something and hit my leg– shouting out “By Crackey!”

a big grin fills her face and she hits her own leg, laughing “By Crackey!”,

a back and forth joke we did together months ago.

Singing and joking still work

music and humor mooring the words into meaning, fulfilling them,

using more of the soul to feel their meaning

than the airy world of language usually uses,

as we build fairy castles within our reason–

and when it flies away from us, burned like Icarus,

maybe we drop down to what we still have left,

so much burned away , but it’s still the core of Mother there,

burning with love, smiling with music and good humor,

what a tribute to her life

for her to drop down to such a wonderful foundation

she’s built with the spirit of her life.

Mother In Spring

by Henry Walker, April 7, 2001

The winding path I follow pulls me round again into Mother’s room,

first I’m out in the yard and spy her, sitting up, through the window,

we wave, I blow her a kiss

and she returns one,

I visit with her for a little while and she’s in a fuss

about that man who wouldn’t listen, who disturbed her,

getting from bed to chair

more effort than she wants to deal with

her fussing more than I want to deal with

so I excuse myself for a dip in the creek,

half an hour later I return to visit with her,

after she waves me in from outside

we exchange exclamations of how pretty it all is,

then I venture a comment about the corncob squirrel feeder

and her eyes narrow in confusion at what connection to meaning

my words might have,

I rephrase, go just for talking about squirrels, a favorite of hers,

and she responds with words that I think are about squirrels,

it’s like the ideas are still there, the images,

but the words her mind calls up fly off on tangents to the random

so we lose words as tools that each of us can use

to pry apart the walls between us

and let us in to understand the other,

for now we still have the tools of a twinkle in the eye, of a hug and a kiss,

for five minutes I stand by Mother while her eyes are outside

and her mind is full of story

which she tells me

which she tells me,

just like that,

full of repetition,

of repetition,

of kids she tries to help, of limits to her help

to her help

to her help,

words of love, of God, of dying but not knowing the hour,

and the story is real and powerful and clear to her while I only get glimpses,

I don’t say anything till she’s finished, because if I were to,

I would interrupt,

now at this stage in her life, it is not our place to interrupt, to disagree,

she has enough frustrations keeping the train on the track

and moving along to where she wants to go without us derailing,

she finishes and is quiet for awhile,

we look together at her favorite picture, twin babies,

and she tells me of their life

there, on the desk,

for 12 or 13 years she thinks, details don’t matter,

she’s hard at work building meaning with her life,

it’s like the stories of Faerie

and she’s stepping away into a different realm

and just because we can’t see it

doesn’t mean it isn’t real

to her,

I think a song for her would be great

a song with a lot of repetition,

so Joan and I sing of “coming ‘round the mountain,”

she enjoys it.

Like in a Dream

by Henry Walker, December 30, 2000

she talks to the pictures on the desk,

they live just like we do,

so I guess we’re real in some two-dimensional way

like a movie or dream,

her words tumble out

like she’s just woken up

and the dream’s still real,

so much now she doesn’t understand

so much now she can’t control,

and when she’s at her best now

she lets go and quits straining

to put back together what can’t be

so she’ll laugh and shrug away the problem

and she can let herself be happy in the moment

with teaching the pictures

talking at visitors

enjoying a meal, birds, snow,

she hates to be cleaned

and she can work to hold on to the fussing

till soon she forgets

and she’s back in the present,

the moment.

Alzheimer’s if often said to be a family disease since it touches us all. Though over 5.4 million Americans are living with Alzheimer’s, many family members feel alone and isolated in their struggle. Homecare Advocate gives a special thanks to Henry for sharing his work and intimate family situation with others so that they would not be isolated in their struggles with this mind-robbing disease. For more information on this disease, warning signs, and ways you can help, visit the Alzheimer’s Association.

::AWP::

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Categories

Archive for August, 2011

Wheels for the World: Part II

Changes in Medicare HME Benefit

Wheelchairs for the World

An Afternoon with Sen. Alexander’s Aide

The Debt Debate

The Language of Love

A Little Help

by Henry Walker, November 17, 2001

Down to the Core

by Henry Walker, March 17, 2000

Mother In Spring

by Henry Walker, April 7, 2001

Like in a Dream

by Henry Walker, December 30, 2000

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Archive for August, 2011

A Little Help

by Henry Walker, November 17, 2001

Down to the Core

by Henry Walker, March 17, 2000

Mother In Spring

by Henry Walker, April 7, 2001

Like in a Dream

by Henry Walker, December 30, 2000

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