Suzin has had two lower leg amputations, but says ‘you don’t feel disabled’ on a horse

When you watch Suzin Wells ride her horse, you would never think she’s had two lower leg amputations.

“[Horse riding] has really helped me get back into life and not sit there and let that negativity take over,” she says.

In 2018, Suzin suffered an infection in the bone of her foot, and despite 12 surgeries over three years, the lower part of her right leg was amputated.

“I was in hospital, and my coach Sharon [Jarvis], who had just got back from the Tokyo Paralympics … she’s like, ‘Right, when are you getting back on your horse?'” she says.

“I’m like, ‘This is the person I need around me, this is the person that’s going to give me that positive push forward’.”

Riding has been part of Suzin Wells’s life since she bought her first horse as a teenager.(ABC South West WA: Amelia Searson)

Sharon was Suzin’s riding coach prior the amputation, and her support afterwards proved invaluable.

It only took Suzin eight weeks to get back on her horse, Odie.

“My husband and another mate helped me get on and [said], ‘We’re walking around the arena with you’ and I’m like, ‘Alright, if you can keep up’,” she laughs.

“It really does help with your mindset … there are things that will bring you down and that’s normal life, but you just don’t unpack your bags and stay there.”

But less than two years after her right leg was amputated, Suzin’s resilience was tested again.

Suzin Wells, with her dog Gypsy at Donnybrook.(ABC South West WA: Amelia Searson)

Another challenge

Earlier this year, an infection spread in the bottom of her left foot and turned into septicaemia — a life-threatening bloodstream infection.

“I had some of my foot amputated and then was on IV antibiotics for six weeks,” she says.

“Which sort of makes you really crook as well and then it just wasn’t getting any better.”

A woman who's missing her lower leg rides a horse.

Suzin Wells says her horse Odie is “amazing”.(ABC South West WA: Amelia Searson)

The doctors gave her a choice — either spend five years having bits of her foot removed, or have it completely amputated.

Faced with the unimaginable, Suzin settled on immediate amputation.

She was back on her horse four weeks later.

Getting back in the saddle

Suzin’s horse Odie lives on coach Sharon Jarvis’s fruit farm in Donnybrook, 200 kilometres south of Perth.

When it’s time to go for a ride, Suzin travels to Odie’s paddock on a scooter and leads him to the stables.

A woman on a four-wheeled scooter leads a horse along a dirt road, with a small dog trailing behind.

Suzin Wells uses a scooter to travel to and from Odie’s paddock, with Gypsy in tow.(ABC South West WA: Amelia Searson)

Her husband Clint, Sharon or a friend will help her put Odie’s saddle and bridle on.

“We’ve got a bit of an unorthodox way of getting on at the moment,” she says.

“At the end of the arena, there’s a large wall and I just bring the wheelchair up to that and then I stand on my prosthetic leg.

“My horse is so amazing that he just stands there, he doesn’t move a millimetre … and lets me get on and then off we go.”

A dozen cows graze on a green field.

Donnybrook is a small town in WA’s south, renowned for its apple farming.(ABC South West WA: Amelia Searson)

Although it didn’t take Suzin as long to start riding after her second amputation, she says the process was more difficult as she no longer had a “proper leg” for support.

“At first, you’re like, ‘Oh my god, how am I going to do this?’ because it’s like standing on the edge of a jetty and you’re just about to launch onto a boat,” she says.

“You’ve got that gap of water in-between you and you’re like, ‘Am I going to fall in that gap?’

“But you just have to hold your breath and take a leap of faith.”

A woman in a wheelchair looks off into the distance, next to her husband.

Suzin Wells and her husband Clint watch on, as Sharon Jarvis warms Odie up.(ABC South West WA: Amelia Searson)

Before her amputations, Suzin was an avid rider. As a teenager, she worked a job washing dishes to pay for her first horse, which she kept a secret from her parents for months.

So being able to ride is important to her.

Suzin’s bond with Odie is clear.

“He’s really comfortable to ride, I’m really lucky … and he’s just adapted to what I require,” she says.

“Riding a horse, you don’t feel disabled, you feel like you’re just like everyone else.”

A Paralympian coach

Suzin’s coach Sharon is a para-equestrian who has represented Australia at three Summer Paralympics.

When she was a child, she suffered bone cancer and was told she couldn’t ride for six years.

The chemotherapy, radiation therapy and limb salvage surgery that saved Sharon’s life and leg, left her with limited movement and strength from the waist down.

Collage of paralympian Sharon Jarvis smiling, some horses and pararider Suzin Wells riding.

Paralympian Sharon Jarvis trains riders at her farm in WA’s south.(ABC South West WA: Amelia Searson)

But nothing could stop her from riding and that determination has been instrumental in helping riders like Suzin do the same.

“I know what it takes to get back on the horse … and work through the nerves … and understanding the absolute inner strength that it takes,” she says.

Sharon says building mental strength is just as important as physical strength when horse riding after trauma.

“[We work on] putting things into place and creating a process that happens the same every day … [and] then [Suzin] has the confidence to get on the horse and do what she does,” she says.

A drone shot of a horse riding arena on a farm.

Sharon Jarvis’s property in Donnybrook, WA.(ABC South West WA: Amelia Searson)

Sharon says she loves helping riders with a disability reach their goals.

“You might be missing a limb, but there’s so much more to your body that you can use,” she says.

“And really, the best thing is that the horses don’t know, so you just train the horse to do what you need,” she says.

Sky is the limit

Suzin and Sharon had been planning to compete in the National Dressage Championships — considered to be one of the most artistic equestrian sports — in October of this year.

After her second amputation, Suzin was nervous about the competition.

But Sharon helped her through it.

The pair travelled to rural Victoria earlier this months to compete, where Suzin became the National Reserve Champion.

A collage of a para-horse rider at a dressage competition.

Suzin Wells won National Reserve Champion at the Dressage Championships in October.(Supplied: Suzin Wells)

Looking to the future, Suzin says “the sky is the limit” and she will keep entering national competitions with Odie.

“The mindset is to have the passion for the horses and they keep you going, you’ve got to have goals with them,” she says.

“I just live for riding … I don’t want to do anything else.”

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Teens Heal Differently Than Adults After Concussion

March 22, 2023 — Layla Blitzer, a 17-year-old high school junior in New York City, was playing field hockey for her school last October and was hit hard by the ball, right above her eye.

She sustained a serious concussion. She’s also had neck issues and headaches for the last 4 months. “They’re so severe I still need physical therapy for them,” she said.

At first, the staff at the opposing high school where she was playing didn’t realize she had a concussion. “Even the referee said, ‘You’re not throwing up, so you’re fine,’” Allison Blitzer, Layla’s mother, said. 

It was soon clear that Layla wasn’t “fine.” She consulted with a school-referred neurologist who diagnosed the concussion. 

Similar Symptoms, Different Severity

David Wang, MD, head team doctor at Quinnipiac University in Hamden, CT, said concussion symptoms — such as headaches, dizziness, visual disturbances, light and sound sensitivity, mood and cognitive problems, fatigue, and nausea — are similar between adolescents and adults. 

“But the symptom scores and severity are higher in adolescents, compared to younger kids and adults,” he said.

Moreover, the recovery time is longer. 

“The effects of an adult concussion, especially in men, may be around 7 days, but 3 to 4 weeks isn’t unusual in teenagers, and it can be even longer in female teens,” Wang, who is the director of Comprehensive Sports Medicine in Connecticut, said. 

The severity of symptoms, and how long they last, in teens “has to do with their stage of life because adolescents are going through puberty and in a rapid evolution phase, biologically, and are not neurologically mature,” he said. “The changes going on in their bodies may make them more vulnerable to the impact of a concussion, compared to younger children and adults.”

Similar to patterns found in adult women compared to men, girls tend to have more severe symptoms and a longer recovery, compared to boys — something Allison Blitzer was surprised to learn. Her older son has had sustained two concussions playing sports in high school, but after a couple of weeks, “he was fine and back at it.” Layla’s symptoms were more severe and long-lasting.

One of several possible reasons for the sex differences in concussion is that females generally have less neck strength, Wang said. Weaker neck muscles allow for more head acceleration following a blow, which results in greater forces to the brain. 

Working With a Teen’s Recovery Time

Layla attempted to go to school 3 days after the concussion, but “it didn’t go well,” she said. The bright classroom lights disturbed her eyes. And most of the instruction was digital, on a computer or a projector, and too much screen time causes eye strain and headaches following a concussion. 

“I couldn’t look up and I couldn’t do any of the work my class was doing,” Layla said. The noise stimulation in the lobbies, cafeteria, and elsewhere was overwhelming, too, so after 2 weeks, she stopped going to school.

Because Layla has several siblings, her home wasn’t consistently quiet either, so she isolated in her room.

“I fell behind in work,” Layla said, despite help from a concussion specialist who arranged with the school so Layla could have a reduction in workload, breaks, and extra time to complete assignments and exams.

Even after a few months, Layla was unable to keep up with her schoolwork. The school was “super supportive,” she said, but still didn’t understand how extensive her recovery time would be.

“It seemed like I was expected to be fully better much quicker. And although I’ve been improving, it’s almost 5 months since the injury and we’re in the middle of midterms, but I can’t take them because I’m still behind on my work,” Layla said.

In addition to headaches and memory issues, Layla experienced prolonged fatigue, which was worsened because of insomnia. The neurologist gave her medication for sleep, which helped the fatigue, but the headaches continued.

Finally, Layla consulted another specialist who was able to localize exactly where the headaches were coming from. He prescribed highly targeted physical therapy, which Layla attends twice a week.

“PT has been the most helpful for me and I’m finally beginning to catch up on my work, even though I’m still behind,” she says.

A recent analysis of eight studies (including almost 200 participants) looked at the effectiveness of physical therpay for post-concussion symptoms (such as headaches) in adolescents. 

The researchers found evidence that physical therapy is effective in treating adolescents and young adults following a concussion, and that it may lead to a quicker recovery compared to complete physical and cognitive rest, which are traditionally prescribed. 

Return to sports cannot be rushed, Wang said, not only because the person is still recovering and might not be “on top of their game” but because a second injury can be more harmful during recovery time.

“We call this “overlapping concussion syndrome,” he said. “The concussion is partially resolved, and the adolescent is functional enough to return to some playing, but then they get hit again. This complicates the situation and prolongs the recovery even more.”

‘Academic Quicksand’

Adolescence is a “challenging time,” Wang said. Teens are learning about themselves in the world, in school, and in their social group. An interruption in this process can disrupt the flow and make this process even more challenging.

“What we’ve seen with 2 years of teens who have missed school due to COVID is that they’re often not well adapted and not yet ready for the college environment,” Wang said. “These are critical maturation years. Similarly, when a teenager misses school or social activities due to a concussion, it increases the stress.”

Wang likens this to “academic quicksand,” and said, “it feels like the more the teenager struggles, the deeper they sink because the struggle itself can be so stressful.”

Layla can attest to this. 

“The stress of being behind, especially in a highly competitive academic environment, has definitely caused me a lot of anxiety,” she said. “I see everyone in my grade moving up and I’m still catching up on old math units, doing one old unit that the class had finished a long time ago, as well as the one everyone is working on now.”

Her mother said it’s hard for Layla to watch her friends go out on weekends and knowing that wherever they hang out is likely to be too loud and too bright for her while she’s still recovering. 

“This is an invisible injury and it’s hard to quantify or show someone else how much a person is suffering, so it’s very isolating,” she said.

Advocacy Efforts 

Layla is an intern at PINK Concussions, a nonprofit organization focused on concussions in women, where she advocates for other teenagers who have sustained concussions.

When she was playing field hockey, “we weren’t wearing goggles or helmets because the hockey league felt there wasn’t enough evidence to support wearing protective gear for girls,” Layla said.

Now she’s working with her school’s athletic director and with the director of other private schools to change her league’s rules so that protective gear will be required in field hockey games. 

“I think my concussion could have been prevented if I’d been better protected,” she said.

She’s also advocating for a more realistic back-to-school protocol. 

“Some teachers might worry that students with concussions might delay returning to school,” Katherine Snedaker, a licensed clinical social worker and founder of PINK Concussions, said. “But our research found that students want to be back in school so badly, they were minimizing their symptoms to get back to school/sport before they were ready. Students were not using their concussion as an excuse to stay out longer.” 

Layla said teachers “should be educated to expect that kids who have had a concussion may not be up to speed in work for some time. Some teachers may not be aware that recovery in girls and boys can be different. And they should know how to help a student successfully handle schoolwork again.”

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