Regaining Independence: How Occupational Therapy Transformed a Postal Worker's Recovery

For nearly 30 years, Samuel Fowlkes of Roseville, has dedicated himself to serving the residents of Metro Detroit as a postal worker. Outside of work, the devoted husband and father of two enjoys video games, bowling, and playing basketball with his youngest son. However, his active lifestyle came to an abrupt halt in April 2024 when he began experiencing severe swelling in his legs.

“I had swelling in my legs and was told I had fluid accumulation,” he recalls. Doctors soon diagnosed him with heart failure, a condition where the heart struggles to pump blood effectively, leading to fluid buildup in the body.

A life-threatening turn

Despite ongoing medical care, Samuel’s condition deteriorated significantly in August 2024. He underwent surgery to implant a left ventricular assist device (LVAD), a mechanical pump that supports heart function in patients with end-stage heart failure. Following surgery, Samuel lost consciousness and remained in the hospital for several months.

“I had multiple organ failure and ended up in the hospital for six months,” he shares.

During this time, he faced numerous life-threatening complications, including heart, kidney, and respiratory failure, requiring seven surgical procedures and care from more than 20 specialists.

The road to recovery to restore daily function

Once Samuel’s condition stabilized, he was transferred to Henry Ford Macomb Hospital to begin inpatient rehabilitation. His care team designed an intensive program that included both physical and occupational therapy to help him regain lost strength and mobility.

Ashley explains Samuel’s hard work while undergoing occupational therapy at Henry Ford Macomb Hospital paid off with marked improvements in getting back to activities in daily living.

“One thing about Samuel, he never gave up no matter how long it took to get each task done,” she says. “He made great strides in overall upper body strength to improve independence with activities like sit to stand, transfers, toileting, dressing, and simple meal prep and navigating throughout the kitchen. He would always say ‘No I have to do it, just give me a minute’. He is one hardworking man, and I’m glad I was able to work with him and assist with improving his independence,” Ashley adds.

Moving Forward with Strength and Determination

Samuel’s journey from being bedridden to regaining independence is a testament to the power of rehabilitation.

“I’m still using a walker but making great progress and hope to walk on my own soon,” he shares. “I’m just grateful—grateful to God, to my therapists, doctors, and nurses at Henry Ford who never gave up on me. They pushed me to work hard, and thanks to rehabilitation, I’m even getting closer to cooking again.”