jhkim ([info]jhkim) wrote,
@ 2007-12-12 16:45:00
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My time at home these days
So I've been at home now the last few weeks, since the EarthLink SJ office closed at the end of October -- though I'm not officially laid off until December 21. I haven't been talking about [info]badgerbag's health situation, I guess since it seems kind of personal to her, but I realize I can't really talk about what's going on with me without covering that.

Liz has owned a wheelchair since I've known her, but it has been for uncommon times when she wasn't feeling well. Her problems walking had been attributed to fibromyalgia, combined with some old hip and knee problems. However, she took a turn for the worse in March. She would often need a cane, and had to use the wheelchair for any long walks. It was slowly getting better, until at the end of October when she got nerve conduction electric shock tests to help diagnose. Then things suddenly got much worse. She had to use the wheelchair all the time, and suddenly there have been a lot of doctor visits including a new neurologist, three MRIs of different parts, and some rehab and physical therapy.

There's no diagnosis yet, but candidates include Hereditary Spastic Paraplegia (HSP), Primary Lateral Sclerosis (PLS), or an uncommon type of Multiple Sclerosis (MS). PLS and MS don't have known causes -- they're really just names for collections of symptoms shown. It doesn't seem to be sharply degenerative, but it's also not something that's going to be cured. At best, it will be very slow in progress and the symptoms can be lessened with treatment.

So I'm adjusting to this. We made a bunch of changes around the house -- including a new deck outside our door with a ramp, and new french doors that go out onto our patio with the hot tub (with mini-ramp). The big thing to deal with is that it's a lot harder to go out to places.

Liz wonders how I'm going to process this, which I find hard to answer. I have supportive friends, but mostly processing changes is very personal for me. I don't like therapy or support groups, and to some degree the explicit psychological talk that goes with them.

It's not like my choices are all that hard. I'm starting my new job in January, and working to improve our house to adapt. Until my new job, I'm going to spend a lot of time with Liz and Milo, and take some time for myself as well. I am making an effort to relax more. I've been watching a lot more movies and reading books. I'm not writing all that much, partly because I don't have a good workspace. My laptop kind of sucks at this point, and the wireless on it is terrible, and I don't have a nice desk, though I have set up a stand with keyboard and mouse on the kitchen table.

Once upon a time, I had thought that my time off before the new job would be a good time for my projects. However, reflecting on this, I think relaxing and hanging out for once would be just fine. I've basically never really had time off since college. I went straight from college to grad school, from grad school to my post-doc, from post-doc to Excite@Home, and from Excite@Home to EarthLink. So I figure it should be fine for me to have no big plans.



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[info]ladytiamat
2007-12-13 02:29 am UTC (link)
I'm so sorry to hear that Liz is unwell. It sounds like you're coping fairly well. I hope Liz and Milo are doing okay.

Rest and relaxation are definitely in order for you. You've got to take care of yourself, too, so that you can help take care of Liz and Milo.

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[info]micheledear
2007-12-13 05:23 am UTC (link)
I'm sorry to hear about all her difficulties. This next may sound completely whack, but I had really good results from the folks I found, with my "uncurable" and "medically stable" back injury that prevented me lifting, walking, even standing to do dishes, let alone pick up my cats. I found a good acupuncturist, and then ended up with a practioner who does myofascial release therapy. I had tried medical doctors as well as physical therapy. The acupuncture got me through most of the unbearable pain, and then the myofascial release actually helped my body realign and gain back full functionality. He has wonderful stories of other great results he's seen, with everything from old injuries to chronic back pain, to fibrolmyalgia and other "undiagnosable ailments".

Simone put me onto the myofascial guy because she liked him so well. I cannot recommend a good acupuncturist and myofascial release therapist highly enough.

I hope this ends up being helpful to you - it certainly made the pain (that the doctors said I would just have to live with) totally unnecessary. It really worked for me!

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[info]creidylad
2007-12-13 05:57 pm UTC (link)
I think you're right; it's great to have no big plans for a bit. Milo's such a great kid; I'm sure he's coping as well as anyone possibly could with what's been happening with his mom, but it must be great for him to have a lot of daddy-focus for a while.

And I second the person who mentioned acupuncture and myofascial release therapy; I didn't think to mention it at Liz's journal, but I know a lot of people have had great success with those things. They've certainly never made anyone worse that I've heard of.

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[info]badgerbag
2007-12-13 08:13 pm UTC (link)
Yes - I do find myofascial release to be helpful, but usually pretty short term. By the time they're done massaging me and I move again, bang I'm spastic again.

I also have physical therapy and moving around in a 90+ degree swimming pool and will soon start PT in the pool.

I have a wheelchair (soon a nicer, lighter one!) and some spiffy forearm crutches.

I am getting a spring-release ankle-foot orthotic brace to help with drop foot, which I have on the right side. It is only a matter of time apparently before the other foot is that way as well. But, working steadily on the spasticity will maybe get it to calm down a bit and be in remission or plateau out a bit (as it was before this year.) At the least, working on it will lessen the spasticity, and will delay its worse effects.

I am also on oral baclofen for spasticity and it's helping.

In short, thanks for the advice, but I don't think acupuncture is going to affect any miracle cures on my upper motor neurons or pyramidal cells in my brainstem. I'm afraid it's a bit beyond that....

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[info]creidylad
2007-12-13 09:38 pm UTC (link)
Oy. I hadn't realized the extent of any of this.

I've periodically had low-level muscle spasms -- by low-level meaning that I couldn't move a limb at all and was in abject pain if I moved it at all -- but the longest one was 13 hours (it was relieved with an industrial-strength muscle relaxant) -- and generally they've been much, much shorter. It's not really comparable but it's the only clue I have into what this must be like. I hadn't really realized the ins and outs of it until this post.

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[info]badgerbag
2007-12-13 08:07 pm UTC (link)
Actually, there is a diagnosis, of PLS. It is just the way the diagnosis is for this, that for the first 3 years it is "Probable PLS" or "Probable Spastic Paraparesis (Apparently Sporadic)". It's a clinical diagnosis only and so they have to observe for several years to meet the criteria. But, it still counts as a diagnosis.

I still think it is more likely to be Spastic Paraparesis (also called, inaccurately, Spastic Paraplegia). Let's hope so.

Thanks for posting about it John - It was feeling kind of weird to me to have it left out.

For me the worst part is not the inconvenience of unpredictable mobility level but is the pain from spasticity. That affects my ability to focus, concentrate, work, and just plain to be a nice person. You've seen me go through various pain levels over the years but in the last 8 months it's been way over the top with enduring pain and trying to function and stay reasonably cheerful through it.



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[info]badgerbag
2007-12-13 08:34 pm UTC (link)
Overcommenting. Sorry. One more thing.

The other actual hard part other than pain, is not the inconvenience of needing wheelchairs and things. It is keeping my independence, and the emotional impact of progressive disability. It is that I have a neurological disorder that is progressive in which I will gradually lose voluntary motor control.

If it is spastic parapareisis, then it will be progressive mostly with just my legs.

If it is PLS as they think it is, then I will lose control of my arms, hands, speech, and swallowing as well as my legs.

Obviously, I hope the neurologist is wrong and that it is spastic parapareisis.

In both cases it is not total paralysis. And most people with PLS and SP can walk a step or two; that is significantly helpful especially with bathrooms and retaining independence.

So, that is the actual difficulty I am facing and that John is facing. Just to make that part of things clear.

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