[QUAD-L] Motion Sickness. Specialists in the West San Fernando Valley

[Trish Conway]

My friend, a victim of ADEM and/or MS finally has an evaluation 
appointment at the Rancho Los Amigos rehab center in Downey, CA.40 miles 
from his nursing home.We were told Medi-Cal will not pay for 
transportation so his mother is getting an Access (Los Angeles 
transportation for the disabled) van.Now, despite my anticipation at his 
finally having a chance to see doctors that can really help him, I’m 
having nightmares.The furthest trips he’s made in 12 years is to his 
mom’s home which is only 8 miles distant and, in those cases, he is 
seated vertically.What if he gets motion sickness or gets nauseous from 
anxiety?Do we need a respiratory therapist with us?Would Medicare or 
Medi-Cal reimburse us for that?Should he have anti-nausea meds before 
the trip or is there some we could add through his PEG tube, if need 
be.Is there a chance the anti-nausea meds might weaken him so he 
couldn’t get a good evaluation at Rancho or. . . ?It goes on and on.Does 
anyone have any experience with this?Or can you recommend a doctor in 
the West San Fernando Valley who is really qualified to help 
quadriplegics (including referring them to specialists who have 
experience with quads (for example not just an ENT, but an ENT that is 
experienced with trachs and speaking valves) or to an orthopedic doctor 
or a doctor of physical medicine who can recommend the right head 
support (including anterior and lateral) so a person with no head 
control can see objects on his wheelchair tray?

Thank you for your help.
Trish