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59 pages 1 hour read

Peg Kehret

Small Steps: The Year I Got Polio

Nonfiction | Autobiography / Memoir | Middle Grade | Published in 1996

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Themes

The Value of Connection in Recovery

Social connection also plays a pivotal role in Peg’s recovery, providing her with the support and motivation she needs to fight the effects of polio and regain her independence. Social connection provides patients with an empathic community that validates their pain and celebrates their victories. The resulting relationships encourage social, physical, mental, and emotional healing through reducing negative or self-deprecating thoughts that often occur in isolation. Such social connections also challenge limiting beliefs and curb destructive habits.

The immediate isolation at the onset of her diagnosis—when Peg is unable to say goodbye to her grandpa or dog—is the first of many occasions in which her situation facilitates feelings of loneliness and abandonment. Unfortunately, in the case of highly infectious, debilitating, and deadly diseases such as polio, isolation is necessary. Peg’s time in isolation at the Sheltering Arms and at University Hospital causes feelings of dejection, as she desperately wants this traumatic experience to end. Peg’s most consistent desire throughout her treatment and recovery is to see her parents. When they are finally allowed into Peg’s room despite her isolation, Peg sees “fear in their eyes” (31), but even so, her dejection transforms into joy despite her bleak prognosis, and she draws strength from her parents’ presence because she feels “safer knowing they [are] in the room” (31). The dedication of Peg’s parents fuels them to break a strict “no milk” rule and sneak Peg’s requested milkshake into the hospital. Although milk products increase the risk of choking in polio patients, this transgression on the part of Peg’s parents turns out to be life-saving, for Peg is motivated to eat more than before and her temperature drops within the hour. The milkshake that might have saved Peg’s life is a symbol of the impact that continued support, trust, and love can have throughout recovery.

Just as positive connections prove beneficial to a patient’s recovery, negative or antagonistic experiences can have a devastating effect. For example, the initial doctor who treats Peg after her polio diagnosis is detrimental in his communication, causing her to wonder “if he was describing [her] or a horse” (24). The doctor’s objectivity makes her feel more like an object than the unique, individual human being she is. Similarly, when her nurse refuses to turn her over in bed and instead scolds Peg for inconveniencing her by calling out in pain, Peg’s despair grows. The situation once again triggers Peg’s self-pitying desire to go home, but “along with the rover of homesickness that flowed through [her] veins came a trickle of indignation” (36). Rather than succumb to the disease and the will of the nurse as many patients might have done, Peg’s anger fuels her desire to recover. Peg’s choices following the detrimental treatment from the nurse evidence the stubborn, rebellious, and dedicated characteristics central to her personality. Peg’s motivation and positivity are tested most by Mrs. Crab whose physical therapy methods are harsh and unsympathetic. Peg often screams and begs to no avail, and eventually Mrs. Crab’s lack of compassion or support leads to Peg’s aversion to therapy. It is through the positive encouragement of Dr. Bevis that Peg finds the connection she needs, for his compassion changes “[her] behavior far more effectively than the therapist’s constant scolding” (62). Miss Ballard’s compassion and support provide a beneficial contrast to Mrs. Crab’s harmful disposition, and Miss Ballard’s kind approach further strengthens the new trust that Peg feels toward her caretakers; this gives Peg the comfort and confidence she needs to push herself further each time.

Peg’s rocky adjustment to the “normal” world after graduating from rehabilitation, moving home, and returning to school illustrates that recovery doesn’t end when a person is released from the hospital, but rather can go on for months or years. Likewise, that same need for connection and support extends well beyond physical recovery. Visits from Peg’s school friends are strained because they stare at her walking sticks and want to gossip about her experiences with polio, instead of having normal conversations. Rather than feeling at home and at peace with her old friends, their heightened interest in her polio over her personal life only succeeds at alienating and isolating her further. Likewise, when Peg returns to the Sheltering Arms for her weekly checkup and visits her old roommates, she realizes that she doesn’t quite belong with them either, and her decreased communication and daily interaction with her roommates separates her from the internal support system that was vital to her rehabilitation. Despite her struggles to readjust to her new lifestyle, however, Peg maintains lifelong contact with her Sheltering Arms roommates and is also warmly welcomed back into her original community with love and care.

Emotional Turmoil Throughout Recovery

Throughout Kehret’s memoir, she repeatedly demonstrates that the journey toward recovery is not a linear, upward trajectory, but rather a mix of highs and lows. For example, Peg experiences her first moment of emotional turbulence after her first success. When Peg’s fever breaks and she’s released from isolation, the teddy bear gifted to her by her brother Art is confiscated and burned. Her joy at her small victory instantly transforms into despair, illustrating just how volatile a recovering patient’s emotions can be, for every development, no matter how small, has a significant impact upon their moment-to-moment well-being. Given Peg’s extreme isolation during the early days of her illness, giving up her teddy bear feels like “murdering [her] only friend” (46). Likewise, Peg’s next accomplishment (when her fever breaks and she is released from isolation) initiates the first stage of Sister Kenny treatments, which prove to be painful and even traumatizing sessions given the harsh and callous approach of her first physical therapist. Thus, even this sign of progress is tempered by the new difficulties and emotional challenges that it brings.

Even as Peg finds success in recovery, she is constantly surrounded by polio patients who remain in paralysis despite therapy efforts, and facing this possibility in her own recovery terrifies her. However, Peg eventually regains her ability to move in small increments and thrives in the independence of being able to sit up in bed, feed herself, and hold a book to read. Yet despite these signs of progress, her not being able to stand on her own a week later plunges her back into disappointment and further emotional turmoil. When some stages of recovery happen quickly and with much success, it’s natural for patients to expect the same for following improvements. Peg’s moments of quick victories and temporary failures result in an emotional rollercoaster with many effects. Peg’s motivation wavers, her moral ebbs and flows, and guilt comes in unexpected ways because “although [she is] delighted with every small accomplishment, [she] wondered why [she] got better and some of the other patients did not […] It didn’t seem fair” (67).  

Peg’s release from Sheltering Arms is the ultimate victory in her recovery, yet “[her] emotions [are] a roller coaster, rocketing to elation that [she will] soon be home to stay and then plunging to sadness at the thought of leaving [her] friends” (168-69). While her physical health continues to improve, Peg’s emotions continue to spiral. When she returns to the Sheltering Arms for her checkup and visits her friends, she leaves “feeling disappointed and slightly resentful that life at the Sheltering Arms was rolling smoothly along without [her]” (174-75). While returning home is the best Peg could have hoped for, she also mourns the loss of her life at the Sheltering Arms—her community, her friendships, and the feeling of being wholly understood. This emotional turmoil is displayed by Dorothy as well, when she writes to admit to the same struggles. The emotional turbulence of recovery continues for the rest of Peg’s life, as her diagnosis of post-polio syndrome decades later brings forth frustration and disappointment.

The Impact of Adversity on Perspective

Kehret firmly believes that her year of battling polio, “molded [her] personality” (12). Through losing her ability to swallow without conscious effort and only barely keeping her ability to breathe on her own, Peg’s perspective on life, and her values as a result, shift irrevocably. Rather than worry about homecoming, Peg worries about how her school will be able to accommodate her wheelchair. When she opens letters from classmates, she finds it impossible to relate to her old friends’ complaints about new dress code details:

[These aspects of her old life] seem unimportant when compared to her ongoing struggle to regain the most basic of abilities. Because of her experience with polio, she has gained a new perspective on life. Having faced alienation, loneliness, and the possibility of losing her future and her life entirely, Peg’s values shift significantly, and things like “bad haircuts and lost ball games [will] never bother [her] again (70).

Further, just as Peg loses a sense of connection to her old friends, she gains deep friendships and lasting relationships with her roommates at the Sheltering Arms, who “[understand] what it [is] like to have polio” in a way her old friends never can (71).

Peg’s values do initially change, but not nearly enough. Only by educating herself on the experiences of her roommates and other people with polio does Peg begin to recognize all the ways in which she is still privileged. By learning about the experiences of others, she “realize[s] there [could be] something worse than having polio” (79): for example, lacking the ability to breathe on her own or lacking a loving family to visit her and support her. This realization prompts Peg’s values and perception to further develop, for she learns to focus on what she still has instead of what she has lost. She begins to view herself as lucky for having a family who loves her unconditionally and goes out of their way to make her and her roommates comfortable and happy.

Thus, Peg’s peers teach her compassion and understanding, and when their families aren’t able to visit them, “[she is] glad to share [her] visiting family with [them]” (88). Giving her belongings to those in need, losing her possessions during quarantine, and having her bedroom remodeled without Peg’s consent, in a way, free her from the pressure to conform to her old life. This final moment of acceptance in which Peg returns to choir after beating polio, knowing “that in many ways, [she is] stronger than when [she] left” (178), signifies the final change in her values and perspective in this stage of Peg’s journey, for she has learned to celebrate the physical abilities that she has regained.

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