Courage in every step

Setting his mind and body in motion every morning, with the help of Recreational Therapy, is how James Kimball sets his daily course as he recovers from cancer.
Kimball, a 78-year-old Air Force Veteran and resident at the Community Living Center in the George H. O’Brien Jr. VA Medical Center, finds that walking helps manage pain and maintain his mental health.
For Kimball, his daily walks aren’t just a way to stretch his legs — they’re a lifeline, a key component in managing his chronic intractable pain and sustaining his mental health.
Years ago, Kimball underwent a complex skin graft surgery that saved his life from cancer but left him with chronic pain and the inability to speak naturally. He now communicates through gestures, written notes, and a dry erase board, which he uses to convey his thoughts and feelings. Despite these challenges, he has found a personal approach that provides comfort: regular walks with his recreation therapist, Marie Serra. This routine has become essential to his well-being, offering a sense of control and resilience as he navigates life after surgery.
Kimball takes a break between laps, writing a message on his dry erase board. “I like to be active,” his message reads. “Moving my feet and being here outside with Marie is how I keep my body healthy, and how I manage my pain.”
The walking track around the VA Medical Center has become a familiar path for Kimball and Serra. Their shared routine is more than just a form of therapy; it’s a bond of mutual respect and commitment. Kimball’s dedication is evident, and Serra’s encouragement has helped keep him on track toward his fitness goals.
"Mister Kimball is incredibly driven," Serra said. "His motivation to stay fit is inspiring. We both look forward to these walks every day, and he’s even got me wearing a matching hat for our walks. He makes it easy to come to work excited about what we do."
The benefits of regular physical activity for those with chronic pain are well-documented. Movement increases blood flow, which can reduce stiffness and, in some cases, alleviate pain. The social interaction and sense of purpose provided by scheduled activities also improve mental health — a critical factor for anyone managing chronic pain. For Kimball, this routine brings both relief and a sense of normalcy.
"These walks clear my mind,” Kimball writes on his board. “After my last surgery, I had to find a way to stay active that wouldn’t wear me down. Getting outside, even for a bit, shifts my whole mindset. It’s something I’d recommend to anyone dealing with pain or health issues."
Kimball’s health journey hasn’t been easy. Since his surgery in 2020, he has had to prioritize his physical and mental well-being, relying on the VA’s resources to support him. His time outdoors has become as critical to his care as any medication or therapy. The support Kimball receives at the VA underscores the significance of Veteran centric care provided by the VA.
"People like Kimball are one of the reasons why I decided to become a recreation therapist," Serra said. "It’s about finding small ways to make a big difference, and for him. These walks do just that."
Through every lap, Kimball shows that his journey is not defined by his pain but by his will to push through it. For him, these daily walks aren’t just steps forward—they’re steps toward reclaiming his life on his terms.
“When I do activities that take me outdoors, it’s like going back in time before surgery,” he writes. “Recreation therapy is great and I’m thankful for all of the VA being there to help me in my time of need to take care of my health.”