Some good reads for Parkies

 I won’t sit back and allow Parkinson’s to destroy my world. I’ll learn the language, understand the context of my new reality, and then encourage others to thrive with me in this battle.   Tim Hague

Over the years, I have read a number of books about Parkinson’s Disease. Some written by the “experts”, some by people with Parkinson’s telling their stories and even a few written by people trying to sell a “cure” to unsuspecting people who are desperately looking for an easy way to “get well.”

There are many books written by People with Parkinson’s, many of whom also write PD blogs.  Some are good, some are dreadful. There is a saying about PD bloggers, that if you write a blog, you will write a book. I don’t necessarily agree with this because in today’s world of sound bites and short attention spans, many of us write about whatever interests us at the time we are writing a blog post. There is no narrative, just a collection of short essays (do they even qualify as essays anymore?) that don’t always fit together.

For those of you who were diagnosed a while ago, there may be nothing new here, but I would love to hear any suggestions for books that I have missed. For those of you who are newly diagnosed, I hope that this will be give you a good place to start learning about how you can live well with PD.

I have listened to a number of these books on Audible, especially when they have been narrated by the author. Hearing it in their own voice often lends subtleties to the narrative that you don’t get just by reading the book. I also like to listen while I am out walking. Sometimes you have to keep going just to finish listening to a good chapter, so it can help you get closer to your exercise goal at the same time!

By the way, these make great gifts for People with Parkinson’s and/or their Care Partners.

New in 2018

Perseverance: The Seven Skills You Need to Survive, Thrive, and Accomplish More Than You Ever Imagined by Tim Hague –  Hague was diagnosed with  YOPD at age 46 and wonPerseverance: The Seven Skills You Need to Survive, Thrive, and Accomplish More Than You Ever Imagined Canada’s Amazing Race race with his son, Tim Jr., 3 years later.  The highlight of the book is his blow by blow account of the Race, which he (and his opponents) never expected to win.  Hague is truly inspirational in talking about how he lives his life to the fullest with PD. Listen to it if you can.  Whether or not you have Parkinson’s,  you will be inspired to live your best.

Parkinson’s? You’re kidding me, right?: One woman’s unshakeable belief in overcoming a shaky diagnosis!

Parkinson’s? You’re kidding me, right?: One woman’s unshakeable belief in overcoming a shaky diagnosis!  by Sheryl Jedlinski.  Jedlinski was one of the firstbloggers that I followed.  Always informative, humorous and a good read.  A great book for the newly diagnosed.

The Best from Previous Years:

Brain Storms: The Race to Unlock the Mysteries of Parkinson’s Disease by Jon Palfreman.

Brain Storms: The Race to Unlock the Mysteries of Parkinson's DiseaseStill my all time favorite.  After his own diagnosis with PD, Palfreman, an awardscience journalist, wrote this insightful book about the doctors, researchers, and patients  who continue to hunt for a cure for Parkinson’s Disease.  A must read for anyone with PD and their families.

Always Looking Up: The Adventures of an Incurable Optimist         Always Looking Up: The Adventures of an Incurable Optimist by [Fox, Michael J.]        by Michael J Fox.  I recommend listening to this book if you can.  Fox is always inspirational and you can almost see the twinkle in his eye as he narrates the book.

 

Parkinson’s Diva by Dr. Maria de Leon.  Fun, informative book for womenParkinson's Diva with PD by Dr. Maria who was a Movement Disorders Specialist before she was diagnosed with YOPD.  We met three years ago at the Women & PD Initiative conference sponsored by the Parkinson’s Foundation and have become good friends.  Maria tells it like it is, with lots of humor along the way.  I challenge you to not laugh when you read about her experience after a massage.

Parkinson’s Treatment: 10 Secrets to a Happier Life: English Edition and  10 Breakthrough Therapies for Parkinson’s Disease: English Edition by Dr. Michael S. Okun.  Two very good informative books written by the National Medical Director of the Parkinson’s Foundation.

I am looking forward to meeting more Parkinson’s authors at the World Parkinson’s Congress in June.  I hope to find some new favorites to add to my list.  The 7 books listed here should keep you busy reading until then. There are more listed under the heading  My Books and Things I Like   If you have a favorite that is not on my list, please let me know (preferably in the Comments so that others can see it).

 

How to beat the “Meh’s”

I received an email a few days ago from a woman with Parkinson’s who is concerned about a decline in wanting to socialize.  She feels that her personality has changed and she is finding it difficult to explain how she feels to family and friends.  She points out that she is doing well, having had DBS in 2011 and exercising 3-5 times a week. But there is still that nagging feeling….

Probably all of us can identify with this woman.  At one time or another, to one extent or another, we have felt the need to withdraw from social situations, have lacked the energy to get out and get moving or have just found we are  . . . . apathetic, which is one of the hallmarks of PD.  If these experiences have been fleeting and short term, that is one thing (everybody has them to some extent).  But if they are persistent or long term, it is important that you reach out for professional help.

Some of this is understandably due to the symptoms we experience.  Some Parkies withdraw because they get easily overwhelmed by social situations. Others say that they just need some time alone — because they just do.  For others, speech problems, diskinesias or other physical manifestations of PD can make it difficult to socialize.

On the question of causation, Bev Ribaudo (Yuma Bev) just contributed a blog post on Apathy to the Michael J Fox website that is very informative.

She defines Apathy as:
1. Lack of passion, emotion, excitement
2. Lack of interest, a state of indifference
3. Lack of motivation

She goes on to explain how the changes in the brain of a person with PD can cause apathy.  It is a short article and I recommend that you check it out if apathy is one of your symptoms.

On the question of what to do to combat the the “Mehs”, there are some experiential lessons that have helped me and others I have talked to:  ZEDHX6k

  1.  Learn something new.  Learn a new language, take music lessons, find a new hobby that requires learning something different.   In the process, you may increase your dopamine levels and feel better.
  2. If large social gatherings are intimidating, spend more time interacting with people in small groups.  Having lunch or dinner out with just a couple of family members or friends may just be the boost you need.
  3. Create realistic goals for yourself, with rewards for achieving those goals.  Learn a new piano piece or read a book on a new subject,and get yourself a new pair of shoes, a hot fudge sundae or whatever else may motivate you.
  4. Join an exercise class with other people with Parkinson’s.  The camaraderie that ensues will give you a boost.  And you don’t need to explain how you are feeling because everyone else in the class understands.
  5. Volunteer.  They say that people who volunteer feel better and live longer.  Even if you have limited mobility, there is always something you can do.
  6. Get dressed in the morning and get moving, even if it is difficult.  You will feel better if you look better.  Lying around in your pj’s all day just encourages you to do nothing and reinforces the blah’s.
  7. Don’t write off your friends and family because you think they won’t understand.  Most of them do and are more than happy to help you whenever necessary.  As one doctor said to me when I mentioned my friends would not let me quit playing tennis no matter how frustrated I was with how I was playing,  “keep those friends!”
  8. Finally:  Look in the mirror and SMILE  You will be amazed at how much better it makes you feel.

None of these suggestions is a “cure” for apathy, but you might find some helpful for you.

We all have our down times, and we will have more in the future.  It’s ok and maybe even unavoidable to to give in to the “mehs” for a short time every once in a while.  Just don’t let it last too long.  We all have too much to do to let apathy get in the way.

100 and counting

Wow, it has been an interesting journey!  I started writing this blog in March, 2015, as a way to share my experience with Parkinson’s Disease with others.  I never imagined that I would still be writing almost 2 years later, with this my 100th post!  15 people read that first post when it was published.  Now my subscribed readers number several hundred, with many more just checking in, coming from 76 different countries.   I want to thank all of you for your support over the last 2 years.

Looking back on the past year, there have been many exciting findings in Parkinson’s research.  The most important is the change in thinking about how Parkinson’s gets started.  Research now points to changes in the microbes in the gut as the trigger for setting off Parkinson’s symptoms.*  What this means for us:  a possibility for earlier detection with a screening test, and new treatment options that begin before damage to the brain occurs.  To learn more about it, register for Michael J Fox Foundation’s next webinar  on January 19, titled  Gut (Bacteria) Check on Parkinson’s: Role of the Microbiome.   Maybe this will be the year………

There has also been a world-wide effort to change the image of Parkinson’s from the stooped over, shuffling person to someone who is actively enjoying life with PD. Photographer Anders Leines‘ photo exhibit at the World Parkinson’s Congress was highly successful.  There is also a Facebook page, Many Faces of Parkinson’s that is working to change that image.  The World Parkinson Coalition has just published a book Faces of Parkinson’s: Global Reflections of PD which can be ordered through their website.

Exercise has also been a positive force this year for PwP.  Many studies have shown that exercise can be more beneficial in relieving Parkinson’s symptoms that anything else. See Exercise May Be Real Medicine for Parkinson’s Disease.  Yoga, boxing and tennis keep me going.  If you are not exercising, 2017 is the year to get moving.  There are so many options, either in group exercise classes, online videos or just walking.  Just check with your doctor before beginning any exercise program.

I was fortunate to attend the World Parkinson Congress in Portland in September.  This amazing conference brought together over 4300 people from around the world, People with Parkinson’s and their caregivers, doctors, scientists, and many others in related fields for 4 fabulous days. I am so glad that I met many of you there.  I hope that we can all meet in Kyoto in 2019 at the next WPC!

My Parkinson’s resolutions for 2017:

  1. Keep on moving:  exercise every day.
  2. Keep a positive attitude.  Look in a mirror and smile – it will brighten your day.
  3. Participate in PD research.  PwP’s are an important part of finding the cure,
  4. Get more sleep.
  5. Hug my grandchildren as much as possible for they are the best medicine! (Thank you Linda B for saying that).

Have a wonderful and healthy 2017!

Some photos from 2016

 

 

 

Ups and Downs

You suffer the blow, but you capitalize on the opportunity left in its wake.

I try to stay upbeat about having Parkinson’s, but some days things just don’t go right.  Actually, it is some weeks.  As I wrote a few weeks ago, I kept losing things.  And then, I ran out of Requip.  I thought I had another bottle, but I couldn’t find it.  An email to the mail order pharmacy to renew the prescription followed.  But the prescription had no refills left and took a few precious days to get approval. The meds were shipped out, but then disappeared!  There was no tracking info, so I called them back to get approval for an emergency refill, which  was approved.

When I went to the pharmacy the next morning, I was told that no, the mail order pharmacy did NOT approve the emergency refill.  So I spent the next 45 minutes arguing with the bureaucracy that insisted that the medication would come that day, so they would not approve it.   Yes, the refill came in my mail, very late in the day.  By then I had been off of it for about 4 days and was feeling the effects of withdrawal from it.   To make a long story short, it took about 10 days from the time I ran out of Requip until I started feeling halfway normal.

This all happened because I lost track of my prescription.  It was my mistake that was exacerbated by the insurance company policies.  As Michael J Fox says, you have to capitalize on the opportunities that your mistakes have created.

I think I am done with mail order prescriptions.  My life is too stressful as it is, and I certainly don’t want to add to it.  My local little pharmacy takes care of me just fine and I would rather give them the business.  As someone who takes multiple medications, as I am sure most people with Parkinson’s do, it is important to have some control.  When the insurance companies take that away from you, there is little you can do.  I can’t imagine how people who don’t know how to advocate for themselves and work the system manage to get the care and meds they need in a timely manner.

Today we are leaving for a 3 week trip to Spain and Portugal and the most important thing on my checklist is “where are my meds?”  Everything is in my carry-on bag which will stay with me the entire time.  In the original bottles with the prescription number and name of the medication.   I can’t risk any more down days while on vacation.  Now I am in control.

 

 

Responses to Getting Past Denial

[animated-france-flag-image-0019This was written before the awful news from Paris today.  Our hearts go out to the families of all those affected by this senseless hatred.]

Today is a big day.  Thanks to all of you, Twitchy Woman has passed 1000 viewers.  What started last March with a posting called In the Beginning that had just 15 views in the first month, Twitchy Woman now has at least 60 followers from many different countries.  If you have not officially signed up to follow please do so by clicking on the Follow button to the right so that you won’t miss out on future postings.  The most viewed post was Things I Never Thought I Would Do, a short post about signing up for Boxing classes, followed by Seeking Self-Efficacy and Livin’ La Levadopa.

Since my goal was to create a forum for readers to share their experiences about living with Parkinson’s Disease, I would like to share a couple of responses from the last post “Getting Past Denial”

Myrna writes:

“When I was first diagnosed three and a half years ago, I fell into a pit of self-pity and depression that I couldn’t remember ever feeling before. I began to read everything about the illness that I could get my hands on, and I stumbled into a support group for Parkinson’s that I attended the very first week after I was diagnosed and it was a lifesaver.  Strangers gave me information, invited me to conferences on Parkinson’s, and befriended me in telephone conversations about the illness that helped me ever so much.   I read Michael J. Fox’s three books along with other authors too, and they were immeasurably helpful.   But denial is powerful and seductive and pops up in my heart and mind from time to time, despite the clarity of the illness to myself and others. Because so far the illness is progressing slowly, I find myself thinking, ‘I couldn’t really have Parkinson’s.’  Yet I know I have it without a doubt.”

From PD in Arizona:

“My Diagnosis…The New Me

It was early 2014 and we celebrated surviving the stress and sleepless nights of an extensive condo remodel in Scottsdale. Because we love the area and the wonderful condo enhancement, it prompted us to return home to WI, sell our home and relocate to AZ. In March ‘14 we noticed a strange ‘twitch’ in my left hand. My husband Brad and I both just instinctively knew it was a red flag. We never said the words, but unbeknownst to one another, we secretly Googled and read the symptoms: Oh NO…the ‘P’ word (Parkinson’s)!!??

I was diagnosed in June ’14 and it was the diagnosis I dreaded, but expected due to the classic tremors. My initial fear was that I’ll become an awful burden to my husband and apologized to him for my disease and ‘ruining’ our lives. We shed some tears and shared our honest feelings. I was numb and scared. How did this happen…to me??” My husband encouraged me to inform my siblings, but because both live in different states it was via “that phone call.” We then shared with other family members and our close friends. I heard nothing but positive, supportive feedback from all.

Although PD is more than daunting, very early on I let go and accepted my disease. It’s always been my nature to remain positive. Brad told me, ‘It’s the new you!’ I’ve embraced it by remaining educated and have infused quite the sense of humor. I often crack jokes about my twitches (both hands and a leg). I can’t hide it, so what other choice to I have? After all, everybody has something! And as I look at others around me I am so grateful I don’t have a brain tumor (like the one that took my dear friend) or losing my eyesight like another close friend. But don’t get me wrong. I’ve had a few bad days too like the time my husband found me closet crying, “I’ll never be normal again.” After conversation and hugs I pick myself up and move on.

Truly, I have so much to be thankful for: a loving supportive husband, an outpouring of caring family and friends who keep me in their prayers. I love that my best Rx is exercise; I’ve become involved with several clinical studies; and adore my network at the Muhammad Ali Parkinson Center. I walked my first PD 5K last year with my team and raised $2600 for the MAPC outreach programs, (which I – like Twitchy Women, also accidently posted on FB…one of the best things I’ve done.) I’m sure you guessed by now – my circle is quite aware that I have PD and I wear it like a badge of courage. They know that I’m a fighter and doing great. But, every single day…I still optimistically pray for that life-changing medical discovery or cure! We are getting close and it WILL happen!”

I would love to hear from more of you. 

Please don’t hesitate to get in touch with me at twitchywoman18@gmail.com to suggest other topics, or submit something to be posted.  As we say in Boxing for PD, we are all Fighters together in the fight against Parkinson’s.

Other interesting news from the web:

In case you missed it, here is a link to the terrific piece about Rock Steady Boxing that aired on CBS Sunday Morning:  Fighting back against Parkinson’s in the Ring

Using wearables to tackle Parkinson’s

Baseball Legend Kirk Gibson Has Parkinson’s Disease, Says It is Not a Death Sentence

And finally, an article sent to me about a breakthrough in crossing the blood-brain-barrier that has implications for future treatments for PD.  Canadian doctor first to break blood-brain-barrier.  And a related article:  Canadian Doctors Perform Breakthrough Blood-Brain Barrier Surgery Using Focused Ultrasound.