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Showing posts with label Livedo Reticularis. Show all posts
Showing posts with label Livedo Reticularis. Show all posts

Friday, April 19, 2019

Parkinson's Day with My Doctor and Health Union



Yesterday was Parkinson’s day for me. Well, every day is Parkinson’s Day, and while this is Parkinson’s Month, an entire month where I get feted, but not given presents, ice cream cake, or ceremonial ear pulls, this was a different kind of Parkinson’s day since it began with going to the doctor’s office for a 10AM 4-month checkup.

My doctor is a good guy. He gets it, and I’ve been seeing him since September 27, 2016, which was the day that got this whole ball of neurological wax going. The point of going is to find out where I am on the UPDRS (Universal Parkinson’s Diagnostic Rating Scale). This allows the doc to adjust medications and other treatments.

At my worst, I was mid-30s (just a Parkie baby, though experienced with enough symptoms to know Parkinson's sucks). At my best, I didn’t have Parkinson’s, which was up until 2011, though it seemed to always be lurking beneath the surface, ready to explode long before the first tremors and urinary changes happened (always feeling the need to go and not having a “strong” stream).

Now, now I have Parkinson's and it's the new normal.

The last time I went to the doctor's office, it was the beginning of winter. I was at a 16. Wednesday, I was at a 20. After the winter, the doctor felt this was good. I had more of a tremor in my right hand than left hand, which was odd since I began on the left (left hand > left foot > through the head > right hand > right foot). Shaking is just what Parkinson’s does. I guess you could say, “I shake; therefore, I am Parkinson's.”



I guess that makes my wife my Princess Leia!

I’ve reached a point where, though I can still use utensils and shave, my hands pretty much shake constantly. I let them. I can stop my tremors by tightening up my arms, but since my arms from fingertips to fingertips, across the shoulder, is in permanent action figure pose of rigidity, I choose to leave my body relaxed while I can.


The biggest happiness for my doctor was being this far into the game without levodopa. Granted, I have a super spider web pattern on my legs (livedo reticularis - that's my catwalk friendly legs) from the Amantadine (a “harmless,” but “U-G-L-Y” side effect of said medication), but I’ll wear that with the pride of a lack of humility (or being too old to care about what people think if it keeps me going).

From there, I drove to Philadelphia to meet the good folks at Health Union, who were interviewing me for a podcast. A few weeks ago, I had been suggested as a candidate, and I immediately jumped at the chance. I had never met them, so I was super jazzed. It was a moment where my words of educating and advocating were going to be given a 30-minute platform to speak to people, so why not?!



Upon arrival, I met Emily Downward (pictured at the top right), who is handling the project of interviewing many of their advocates, who write and speak out on behalf of 22 different conditions. The office is on Chestnut Street (smack dab in the middle of Center City and surrounded by banners of Phillies players), and the area is bustling with traffic, both foot and driven. 

The office, too, is a hive of energy. Multiple floors house computer cubes, offices, and sofa areas, where a youthful staff write and post content, create art, manage a website, and meet to improve said Internet communications and causes. I’m not sure I knew what to think that it was, but let’s just say that running a website is kind of a big deal, and it's definitely staffed for such.

Emily escorted me to a room, and we discussed life with Parkinson’s, which should be out in June. I’ll just leave you in suspense to the details, but I’m excited about it. How can I not be? Emily runs a great interview, and she’s a great editor, so I’m sure she’ll make sense of my rambling flows. I’m sure she’ll take out the huge lost train of thought in the middle of one question, too, but alas… we all have our moments.

For those who aren’t aware, Parkinson’s train of thought takes your normal train of thought and switches it up kind of like shaking the brain and leaving the person in a pause, now and again. That’s why my doctor always asks me about my memory, which is generally pretty good, I think, though in long running trains of dialogue, it can get tripped up sometimes. Essentially, it’s like the London Underground, where there are 17 lines going at once, so it's inevitable something is going to go amiss.


These lines run all over the city. As with London’s underground. I have the Central Line, which is my main focus. I also have the Northern Line, which is my “Squirrel!” line. It can get diverted up or down by just about anything. I’ve got the music line, which is equivalent to the Piccadilly Line. I've got the Heather Line (AKA the Jubilee Line) and the family line. I’ve got 2 lines of random information that I’d like to know at any single time as well, not to mention the movie and literary quotes line and the random Jeopardy style facts line. I have 2 lines of random memories (good and bad) coming in at one time as well. They don’t all run continuously, but they’re there in much the same way as my places I have to go to line. Then, there’s the line of things that I should be noting down. There’s the voice of reason lines which belong to family, work, and society, and finally, there is the Circle Line, which is a centrally located line that runs around my brain and seems to go nowhere good since it’s my impetus to do something stupid line. Generally, I can avoid it by taking another line, but it’s there waiting just in case I choose to use it.

And yes, it does get some travel.

Adding Parkinson’s to the mix means that sometimes, someone is asleep on the train tracks, so we have to go a different way. Other times, we have work crews in progress since things are being done to make a section better. Sometimes, there’s nobody there to open up a necessary track. Finally, sometimes there’s just stuff getting at my brain, which makes it temporarily unavailable due to actions beyond its control. When things happen, as Parkinson's causes them to, the thoughts inside my head turn to confusion, irritation, anxiety, or simply being rerouted through an unlit tunnel. That’s what it feels like when you can’t get back to point C or point A from where you are around point B.
Let’s just say Emily is good at being patient while rerouting the tracks.


After the interview, I got to meet Kate Leonard (pictured left) and talk about Health Union, Parkinson's, writing, and her newborn son. It was great to meet her, too, and see some of the people who  have brought me on to make the PD DOT NET stuff happen.

We have quite a talented team of advocates that you should check out. They come from all different backgrounds. Many are younger, which for the Young / Early Onset PD crowd is an important thing (since we're rarer), though they write for everyone based on their experiences.

That said, I encourage you to check them out.

I know I'm looking forward to going to Connexion to meet up with them in October (21+22) to experience the power of group advocacy!

Thanks for continuing to support my writing. If you like this, please subscribe to my blog or follow me at my Parkinson's Facebook page  Please feel free to share, too.

Have a great weekend!


Monday, August 28, 2017

When Your Medication Doesn't Work: Not Being Willing to Deal with the Side Effects


            For all too many people, when they contemplate medicine, they seem to think that if it works for one person, it will work for every person, and frankly, that just isn’t true. The reality is that there are side effects and the “just doesn’t quite do it for me” effects of some medicines, and when this happens, people get bummed because they think that medicine and medical treatments help everything.
            "It must be the doctor’s fault. He or she has no clue what he or she is doing."
            Frustration and anger set in, and it becomes time to take to the Internet to complain or go to the lawyer’s office to sue for malpractice! 
“You wasted my precious time, and since I’m not getting better, it’s time to take it out on someone.”
After all, this is America, Land of the Lawsuit, so just remember, we’re only one frivolous lawsuit away from retiring. Besides, Powerball odds are too great (1 in 292 million) to cash in on that $750 million grand prize someone else won. We need an easier solution.
            Nevertheless, for those of us with ethics, this solution isn’t a solution. Besides, when we work in the helping people with issues / concerns or medical professions world, the training program demands that we help people understand this. At least I saw this a few years ago when I worked in the autism environment. As caregivers, we have to help our patients and their families understand this. Thus, it becomes time to face the truth that getting well for long-term concerns or even some health issues is a learning game.
Often, we faced this same thing with our diagnosis. We went through the Choose Your Own Adventure world of ruling incorrect things out to get to the right things. What is the most likely thing that we are likely to be diagnosed with? What is the actual thing we are enduring in this sickness / condition?
For many people, this process goes like some variation of this:
Get our vital signs taken. That’s easy. Go get bloodwork drawn. That’s a little invasive, but it’s nothing we haven’t faced before. Go face down the big metal hoop a joop (should we need a doctor to prod us after we have a lab tech poke us). That smarts. Go get things inserted here or there. Tell me you love me before doing that. Really! Go to the hospital for additional strange testing. Quit that stuff! You’re hurting me. Spend time getting more tests. This cost is really adding up! Get to the frickin’ point! I’m sick of waiting for an answer. I need to send you to a specialist! I know we’ve been having you go to various labs and offices, but I’m going to need you to go to Dr. X for Y in the hopes that they find Z because we seem to be at the end of what my general training can logically deduce. You know; I really never liked / used to like Algebra, but now I really hate this crap! Can we get this stuff figured out? I only have so much sick leave / patience / sanity left. Welcome to Dr. X’s office. We’ll need your co-pay of A dollars. Does my insurance cover this? Yes for some / yes for most / yes for all since you’ve second mortgaged your house to pay the deductible of the mega bucks we’ve already asked for / no because it doesn’t feel like it / no because your local legislators decided to let the state have the right not to / you don’t have insurance, you poor fool.
Right now, I’m in the phase of work and figure this out, so I’d like to say that I know a little about this and the sane way to react to it. Thus, I essentially waited from Friday to today to call back the doctor’s office to say, “The meds aren’t working. Can I get some new ones (without scheduling an appointment to pay $40 to just get one that might)?”
Fortunately, the doctor said yes, so I am now on Artane instead of Amantadine. For the better part of the last 4-5 months, I had been actively taking Amantadine twice a day to treat my tremors. I could have gone 3, but I already wasn’t sleeping much (up past midnight most nights, and only sleeping 6-8 hours when I did), so 2 a day was enough. I also had managed to concoct a rash called livedo reticularis, which was kind of a raised skin thing that was part of the experience. However, it started to itch, so that was annoying. Also, it got purplish and started to look like spider webs, so that really sucked. While it wasn’t as bad as this picture (which is NOT ME), it was getting there. In the cold, it would get more spiderwebby (I know I’m just making up words, but like Bobby Brown, that’s my prerogative). In the warmth, it would go away. Anyway, I was none too impressed, so I made the call.


Now, I’ll be heading to the pharmacy on the way home for my 3 a day, 1 milligram medicine, which I hope works better.
Drugs Dot Com lists the following:
If you experience any of the following serious side effects, stop taking trihexyphenidyl and seek emergency medical attention or contact your doctor immediately:
·         an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
·         fever;
·         fast or irregular heartbeats;
·         anxiety, hallucinations, confusion, agitation, hyperactivity, or loss of consciousness;
·         seizures;
·         eye pain; or
·         a rash.
Other, less serious side effects may be more likely to occur. Continue to take trihexyphenidyl and talk to your doctor if you experience
·         dryness of the mouth;
·         large pupils or blurred vision;
·         drowsiness or dizziness;
·         difficulty urinating or constipation;
·         nervousness or anxiety;
·         upset stomach; or
·         decreased sweating.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

            So yeah, here’s to a new experience with a new med. Hope this one is a little better than the last or at the very least that my hallucinations are at least set to the tune of Jimi Hendrix’s “Axis Bold as Love” CD. I know I'll at least enjoy them if they are.