Monthly Archives: June 2008

Getting Back Out with MS

Enjoying the Library, Microsoft.comOkay, I’ve been taking it easy and recuperating now for almost 2 months. Stopped working (again) the beginning of May, and now tomorrow is already July 1st. Did the steroid treatment the very beginning of June for almost 2 weeks (3 days of solumedrol IV, then 10 days of prednisone taper-down.) I am going stir-crazy! I’ve been out of the house, of course, but I miss the part-time schedule I had at the library. The hours were perfect for me: 1-5pm, 4 days a week (including Saturdays, but I was so happy to be working outside of the home I hardly cared.) Problem was, the work was completely inappropriate for someone with multiple sclerosis.

When I get into remission, and it’s going very well, I tend to overestimate my energy reserves. I am someone who used to run track in high school, and walk long distances in my twenties with my girlfriends to keep in shape. So when I am feeling up, up, up, I have a tendency to overdo it. Like at the library. I was reshelving books, mostly in the children’s section. Bending, stretching, kneeling, pushing carts. And did I mention the heat? The library, being a government building, doesn’t have the best air conditioning system. Not to mention that almost 3 entire sides of the building are made up of glass windows, for aesthetical puposes. “Green house.” Ugh. So even thought the intention was good, I was in the right field, wrong position.

I am happy to say that I’m getting back out to the library system in July. The volunteer coordinator for all of the 20+ county branches will have me help her, voluntarily, enter the “mountain of data” she has into the computer system to maintain the volunteer programs. I will be volunteering 2 hours on Fridays, just to get my bearings. I need to see what level of physical abilities I have for the outside world. My plan is to maybe up this schedule gradually when the summer is over, and maintain this for a year so I can truly know what sort of part-time work I can physically handle. It may be that this volunteer work will be my “outside” career, but if it’s meaningful, that’s fine. I have a few irons in the fire with my freelance writing, a women’s health website that I’ve built up in the past 2 years, and I can literally write in my sleep (really—– the beginning of this blog was written at the tail end of complete steroid insomnia/delirium.)

Anyway, I’m content to go with the flow and see what happens with this volunteer opportunity. And ever so grateful that someone found a need to be filled and took a chance on me, again.

PS: Look for a new post about going to the MS specialists before my actual diagnosis (flashback to 2001-2004.) What a roller coaster ride that was….

Exercise Classes for People with Multiple Sclerosis

I’m pretty excited about a local work-out place that has yoga classes for people with MS. I found out about it from my monthly Nat’l MS Society magazine (local chapter.) If you belong to the society, your local chapter might have such listings in their monthly magazine. Also listed are aquatics sessions (assisted and open swims) at local YMCAs, and some exercise programs for those with less mobility. I’m not 100% sold on going to this yoga group, though, because there is a closer program 5 minutes down the road, and they have a seniors’ group…Now don’t laugh, because I joined a free senior tai chi class at the library in the winter, and it was a lot of fun. There was little pressure to be “talented”, and a lot of encouragement from everyone.

My target date is July, since I am coming out of my recent relapse (thanks again to my love/hate relationship with steroids), and I need to get “back out there.”

Getting Proper Medical Attention for an MS Attack

The Brain, Morguefile.comIn the summer of 2001, I was working full-time as an ultrasound technologist. I was also doing a “stat” call at a physical rehab hospital afterhours, to check seniors for blood clots in their legs (one of the side-effects of being laid-up with a new hip or knee replacement.)

The work was very tiring, even for people without multiple sclerosis. A lot of the techs would vent in the break area about how patients were always getting “squeezed” in. I absolutely hated that too, and found myself liking the health field more in theory than in practice. Patients were constantly being sent over “stat” because the business was new and of course, the doctors/owners wanted the money! About 25% of the cases that were added on needed immediate attention. I was so weary leaving there sometimes, and then every third week I might have to bolt over to the rehab hospital to do those cases. The money was very good, but for me, it was not worth my energy, which was dwindling fast.

In July of that summer I had another attack, this time affecting my right hand. It felt tingly, numb, and weak, just like my left leg had been the summer before. I had trouble combing my hair, brushing my teeth, and writing. I could barely freaking write! The left leg problems came back at the same time.

Now that I was working in a medical office, I told one of the techs and one of the radiologists. The tech said maybe I had a pinched nerve from scanning the patients. The radiologist immediately said, “Maybe you have multiple sclerosis.” She wanted to do an MRI pronto, but I promised I would get to a neurologist.

And I did. And he, being a general neurologist, wanted to do every test under the sun to figure out what was going on. I told him about the Lyme disease and treatment, so that made the situation a bit confusing. Basically he sent me for bloodwork to check for chronic Lyme disease, lupus, thyroid problems (yes, they can cause tingling in the limbs), blood sugar levels, and other things. The bloodwork came back negative for everything he checked for.

Next came the MRIs. Brain and C-spine (the top part of the spinal cord that attaches to the brain.) These came back with several (not a ton) of “lesions or scars” along the spinal cord indicative of multiple sclerosis. So it seemed a positive case for MS, given the symptoms and the MRIs, but to be more certain, the neurologist sent me for a lumbar puncture, or spinal tap. Yuck. But the hospital staff was kind and I have to say that in my experience, the most compassionate nurses have been male. Anyway, this blog entry is becoming a book, so…..the spinal tap came back positive for oligoclonal bands, something that is present in up to 90% of MS patients’ spinal fluid, but uncommon in anyone else’s. Strike three.

So this neurologist told me I had “probable MS”, and said the next step was to send me to an MS specialist. That is another story…….

Walk or Bike for Multiple Sclerosis

Walk or Bike, StockXchng.comIt’s not too late to raise money for the National Multiple Sclerosis Society (U.S.) by participating in one of their walking and/or biking events. MS walks start up again in September and October in different regions of the country. You can walk as an individual or as part of a team, and you can also volunteer at the events. Check out this link to see if any are in your area: Walk MS itinerary.

Bike MS, another fundraiser, is for bicyclists who are complete novices as well as Lance Armstrong types, and everyone in between. There are easy, moderately difficult, and challenging courses. Again, you can bike as part of a team (many companies do this) or individually. You can also volunteer and encourage/provide snacks for the bicyclists at different stop points.

For both fundraisers, you can have people sponsor you, or just donate individually the day of the event. The choice is up to you. I’ve volunteered at both outings and they are very upbeat and inspiring. It’s great to see so many people out raising money for multiple sclerosis.

An MS Attack on the Same Leg

In the year 2000, I suffered a definite new attack in the summer as I was finishing ultrasound school and starting my clinical experience. My left leg again became tingly, somewhat numb, and weak, but this time it extended from my toes all the way up to my hip. At times I felt like I had a lead leg! This went on intermittently for about a month, and I didn’t reveal this information to anyone but my close family members, who also thought it had to do with having had Lyme disease. I had no specific primary doctor at the time, since I believed myself to be relatively well, and my mind went back to the last general practitioner I saw who did no further investigation after the negative EMG (nerve) test. I went on with my ultrasound clinical experience as my left leg eventually returned to “normal.”

Join the Multiple Sclerosis “Movement”

Tai Chi, Google ImagesToday I had a great time at a family member’s dance recital. I have to admit that I love going each year because I enjoy the pretty costumes, the toddler ballerinas, and the talented older dancers. I also love the fluid dance movements and the stories that are expressed through the dancers.

Staying on this subject, I think it’s vital for people with multiple sclerosis to participate in some kind of physical activity, whether it be walking (aided or unaided) down the street to take in the scenery, doing some kind of organized or individual exercise program, or working with a physical and/or occupational therapist to maintain mobility and flexibility. Water exercise is another great way for folks with MS to work on physical abilities, because what seems daunting on land (walking, moving limbs, and so on), becomes easier in the water because of buoyancy. Neurologists and physical therapists highly recommend water exercise for those with impaired mobility.

A great source for modified exercise programs—- yoga, aquatics, tai chi, and so on—- is your local YMCA. Another option is to contact your local hospital, because they often sponsor programs for people with MS and other conditions. Plus they have a network of social workers with access to community services.

I am working on my MS mobility by taking walks with my husband, buddies, and parents; bicycling around our neighborhood; and on not-so-good days, just being glad to get some of the housework done. It’s all movement.

P.S. I caught a baby striped bass this weekend in the river, so that brings the season’s fish count up to seven (I’m still a beginner, so I like to keep track!)

Another Strange Attack

Back to 1999. So I went for a year without any problems after the numb lower back incident. I was working as a physical rehab aide while going to school for diagnostic ultrasound. The rehab field is fun and it’s meaningful because you can see people progress and get better. On the flip side, it can be very physically demanding and the shortage of healthcare workers, particularly nurses, is not helping the situation. So I was running around by day, physically wearing myself down, then going to classes at night, 4 times a week. The ultrasound program was one that was quick and intense, to get technologists out and working after a year of training and then a short clinical experience.

I have noticed a pattern for myself in that I tend to relapse sometime between April and July. Might be the onset of the warm weather. So as the heat was rising in June of that year, my left leg began to feel weak and tingly, from foot to knee. The leg also felt cold, like I had bad circulation. I plugged on, but I went to my dad’s primary doctor, who sent me for an EMG, a test that supposedly checks for nerve conduction. The exam was a bit uncomfortable, because it involved levels of electrical shocks and multiple needles stuck into my leg. When the results came back, they were negative. The primary doctor never scheduled me for anything else, and I again chalked it up to some weird side-effect from having had Lyme disease. The leg weakness/numbness went away in a month’s time.

At that point I wasn’t my biggest health advocate because I didn’t know any better.

Some Fishing News

White Perch, StockXchng.comOkay, I want to digress from time to time, just to keep this MS site colorful. My husband and I have recently taken to fishing in our nearby river— it’s about 3 houses down from us at the end of our street (we have a fantastic view from our covered porch.) Bill and I go around the guard fence and walk down to our tiny little shore, sometimes bringing our chairs and some beer.

This is the first season I have persistently fished with him, because I got lucky and snagged a white perch one night purely by chance. Now I’m HOOKED. Ha… So we go down to our favorite spot a few nights a week and I have caught 4 fish in the last month. It takes my mind off of being sleepy from stress and each time I catch another fish, I am that more determined to catch more. I have also caught 2 baby large mouth bass in a local pond.

Fishing is great for concentration, patience, balance, upper arm strength, and the soul. It’s also FUN.

The First MS Attack

Today I vividly remember my first MS attack, although at the time I didn’t think much about it. It seemed pretty subtle. It was a little over ten years ago, and I was living outside of the Philadelphia area, in my mid-twenties, and trying to figure out what Google Imagessort of career I wanted. Being an English major can be a blessing and a curse because it keeps your options open, but it doesn’t give you very specific career skills, unless you become a journalist or some other type of writer. So at the moment I was investigating health/human service ideas, because I enjoy helping people.

I was living in a studio apartment and I remember waking up one morning and feeling like I had slept funny on my lower back. One small area on my left side was tingling with pins and needles like it was still asleep. About the size of my palm. Except this area didn’t “wake up” and it continued to feel like this for about a week.

Now I didn’t have good health insurance at the time, and about a year earlier I had contracted Lyme disease because I was working outdoors in a region that has a population of deer ticks only second to that of Lyme, Connecticut (where Lyme disease is thought to have begun.) I had been quickly treated with a strong course of antibiotics, and I believed I had made a full recovery. But in the back of my mind, when this pins and needles event happened in my lower back, I began to tell myself that it could have been a minor side-effect from having had Lyme disease, because this infection can cause tingling and numbness as well. So I chalked the whole tingling episode up as a small inconvenience. Plus the whole thing went away within a week like it never even happened. No harm.

At this point I knew absolutely nothing about multiple sclerosis.

Welcome

As a person living with multiple sclerosis for about 10 years, I still find it frustrating and sometimes isolating trying to explain it to my loved ones. The symptoms can be so bizarre and people often can’t tell My Path, StockXchng.comwhen they’re happening to me. I’m sure you’ve heard from others that “you still look okay.” That’s the irony! Living with this hidden disability can make you feel like you’re buzzing, tingling, going weak, and having vision problems, and yet the outside world cannot see this. Not everyone with MS is using a cane or a wheelchair. And yet there are times when maybe a cane would help with the tiredness, but how do you explain this to someone? Multiple sclerosis is so unpredictable and living with it involves a constant renegotiation of your life path.

My name is Jen, I’m 37 years old, and I’m currently in the middle of a relapse. I’m a freelance writer who worked in the health and human service fields for over a decade, particularly as a registered ultrasound technologist. I have an English degree and I enjoy children’s fiction and adult nonfiction, biographies, and mysteries. I volunteer at my local library, and I plan to continue taking library science classes online, if only to make me a better library patron and to provide me with optimal sources for my writings. I am a member of the National Multiple Sclerosis Society, and have volunteered at their walking and bicycling fundraising events.

Welcome to my MS story. I also welcome you to tell your story.