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Optimism > Jimmy V 'n Me
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Posted: Dec.10.2005 @ 12:50 pm | Lasted edited: Mar.14.2006 @ 8:36 pm
To bring everyone to the same playing floor in regards to Jimmy V., I am including a little history. James Thomas Anthony Valvano (March 10, 1946 - April 28, 1993), nicknamed Jimmy V, was an American college basketball coach. While the head coach at North Carolina State University, he won the 1983 NCAA National Championship. He accepted the Arthur Ashe Courage Award at the ESPY award dinner on March 4, 1993 shortly before he succumbed after a 10-month courageous battle with an aggressive bone cancer on April 28, 1993. He was only 47 years old. He knew he was very ill when he accepted the award and made his historic speech in which he set up, with the help of ESPN, the Jimmy V Foundation for Cancer Research. He said the motto of the foundation was to be, "Don't give up! Never give up!" He lived true to his words. He was so weak, he had to be carried from the wheelchair in his room tothe stage where he gave his speech. Dick Vitale, his good friend, helped him stand at the podium. He is so strong throughout his speech, one would never know how near death he truly was. He mentioned his body was full of tumors and he didn't know how much time he had left, but that night he was going to take as much time as it took because he had a few things he had to say! To heck with the timer! He planned on coming back the following year to award the Arthur Ashe Award himself. That was not to happen, but he fought his dread disease until the very end. He didn't give up. He never gave up! To read his speech in its entirety, go to: http://www.americanrhetoric.com/speeches/jimvalvanoespyaward.htm I watched my young but beloved Jayhawk basketball team lose another very close game at the Jimmy V Tournament in New York City. Afterwards, instead of changing the channel, I got caught up in watching the between game chit chat about this coach, Jimmy V. "I know about him," I thought to myself. They aired his speech and I was struck by the profundity of it. Later, I Googled his name on my computer's browser and found out more about this amazing man, so near death, who gave a coache's speech of a lifetime. Don't give up. Never give up! That was so ME. Some might call that stubbornness, but that is what makes up my spirit, my strength! Jimmy V 'n Me. I was diagnosed with cancer just about a year ago. It was caught early with routine mammography and through surgery and treatment, which I completed in April of 2005, I have an 80% chance of no recurrence. My other disease, Parkinson's disease (PD), IS catastrophic, and after 23 years of living with it, I can acknowledge that I have it; that it is incurable and degenerative. But I'm fighting it, too. Just because I have it doesn't mean it will dominate MY life. I have told others with PD there is always hope for a cure as long as you don't give up. Never give up. Yeah, Jimmy V 'n me. There were several quotes he said throughout his lifetime that struck my fancy because they reflect my beliefs. I have discovered another kindred spirit who, though already done with his mission in this life, I know I will meet again on the other side?, or in Heaven. It is the place to which we all return. I like to call it HOME. Quote #1: To me there are three things everyone should do every day. Number one is laugh. Number two--spend some time in thought. Number three, you should have your emotions move you to tears. If you laugh, think, and cry, that's a heck of a day." Now I feel I'm okay, I'm normal! I seem to have no problems shedding a tear, and it's usually something on TV or a song verse, but Jimmy V would say that was a good thing. I laugh at a lot of things, too, having a family full of wise-crackers. I have my prayer time in the morning when I thank our Creators for granting me that day. I can talk over my latest reading or surrender a burden unto them. I seem to wake up at sunrise or just before. They are telling us good morning with the lovely colors at sunrise. I can breathe a sigh of relief. It's okay to be an emotive person. Jimmy V would say it's a requirement for having a heck of a day! Yep, I agree! Jimmy V 'n me. Our souls chose to come back here for the experience and so we should experience life to the fullest, every single day. He was described as being an emotional, passionate person. Jimmy's way is a very emotive formula. It's ME! It is so me, that's for sure. Yeah, Jimmy V 'n and me! Quote #2: Cancer can take away all my physical ability. It cannot touch my mind, it cannot touch my heart, and it cannot touch my soul. And those three things are going to carry on forever. I feel the same way about Parkinson's. It may make my voice disappear, my body too weak and imbalanced to stand, and I may get to the point when I am fed through a tube in my stomach because the muscles in my throat can't swallow any more. But I will not give up. I will never give up. The spirit of my hope for a cure will remain long after I am gone. My fighting spirit! No matter what happens, that will remain here! Jimmy V 'n me! It was reported during the broadcast that the middle daughter, Jamie, has had her own cancer to battle at age 33. She has had breast cancer. It had not spread, so I would imagine they caught hers in time, similar to my experience. Quote #3: How do you go from where you are to where you want to be? I think you have to have an enthusiasm for life. You have to have a dream, a goal and you have to be willing to work for it. The state of Missouri is having a referendum vote ayear from now to allow federally allowed stem cell research in their state. The pro-side of this issue is making a valiant effort to educate the public of the benefits of supporting this citizen-based referendum that would prohibit any anti-stem cell research state legislation from being passed. There already is a multi-billion dollar lab in Kansas City involved in stem cell research. It employs many intelligent scientists. I want them to keep their jobs in next-door Missouri, Too many of America's brightest and best have jumped ship and are doing research for foreign companies. A Kansas City youth recently returned from China after receiving embryonic stem cell implants in his spine. He is already having tingling in his legs and expects to be walking in a year's time, with a lot of physical therapy and work. Know that I have a dream of being healed, completely cured. I believe in saving lives “my life!" I believe the cure will be found in embryonic stem cells, while they are young, malleable cells and not identifiable yet as skin stem cells or toenail stem cells. They can extract stem cells from 20 cells in a Petri dish. The brand new stem cells can learn from the remaining old cells in the Substantia Nigra, deep in the brain, how to produce lots of new, fresh dopamine, the neurotransmitter that my body needs so desperately. My first neurologist from the University of Kansas Medical Center believed there would be a cure found for Parkinson's in his lifetime. Unfortunately, his life was cut short in October by a heart attack. I've been told I have a LUST for life, and I've read that about Jimmy V over and over. There you go again -- Jimmy V 'n me! Quote #4: I asked a ref if he could give me a technical foul for thinking bad things about him. He said, of course not. I said, well, I think you stink. And he gave me a technical. You can't trust em. This is where I have a laugh the day! This is so funny!! What more can be said about a couple of smarts-a****. Jimmy V 'n me! Quote #5: My father gave me the greatest gift anyone could give another person, he believed in me. I recently had a friend who thanked me for believing in him. He thought my memory of how he used to be as a young man in college was rememberedthrough my rose colored glasses. It wasn't until he listened to some audio tapes he had made in college which were like journal entries that he heard a young man who was pretty happy-go lucky, much like the one I had been insisting I remembered. I kept reassuring him I remembered the good side as well as the grumpy side he called the warts but that over all, he'd been a sweet person. After a few months, he started to believe what I remembered of him was true. He was an all right guy. I believed in him then and I believe in him today. It helped him figure out he was a nice guy after all. Now he know just who he is. Jimmy V 'n me -- we've got that part down. Quote #6: No matter what business you're in, you can't run in place or someonewill pass you by. It doesn't matter how many games you've won. Isn't this the truth! My husband and I earn our living by owning our own photography studio. My husband struggles with this concept of putting on his business running shoes? every day. Jimmy V 'n me would agree that you can't rely on the statusquo. There IS no such thing. If you're not moving ahead, you're falling behind. 6 quotes that I find very inspirational and so ME. One way I identified with them was how I used to coach Cheerleaders and Pompon girls. It meant choreography, technique, team work and demonstrating what it was you wanted from them. During the summer, we used to have practice every morning, M-F, at 5:00 a.m. to accommodate everyone's work schedules. Thegirls got there on time. All of us loved what we weredoing. We watched the sun rise together every day that summer. I have a feeling Jimmy V and me told the young people we coached a lot of the same things to motivate and support them. We believed in what we did, heart and soul. We worked with high-strung athletes, hand chosen and culled from the crowd. They responded to positive, firm, and high expectations. It worked! Our Pompon Squad beat out over 50 other squads to win the Best of the Best trophy one year at camp. I know it was not the NCAA Championship, but for us, it was. We had that as our goal and we won it. No, we earned it. It took a lot of work and early-bird mornings. Our motto had been, "Don't quit. Don't ever quit."
Parkinson's Disease > A Tribute to Dr. Koller
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Posted: Oct.19.2005 @ 1:06 am | Lasted edited: Mar.14.2006 @ 11:21 pm
Dr. William C. Koller, MD PhD, the world-renowned neurologist specializing in Parkinson's disease, recently suffered a fatal heart attack at age 60 while in his home at Chapel Hill, North Carolina. It comes as a shock and great loss to the medical community. For the record, these are some of my favorite memories of Dr. Koller, who treated me for Parkinson's disease at the University of Kansas Medical Center from 1987-1999. I was always amazed that he would remember little things about my last visit, such as who drove me to the clinic the time before and where was my husband? He hadn't seen him for a while. He asked me to sing something for him one visit. I was in the community musical then, Fiddler on the Roof. I sang my one-line solo, which was oddly dissonant taken out of context. But he remembered that I sang! He had 1100 patients and could recall the small personal things about me that I had shared as we visited and I tapped my fingers for him. I found that feat of his quite remarkable. Another time I recall was when I was working and my husband, Jay, was asking about combining my medications with alcohol. We sometimes had a glass of wine with dinner or a beer on Friday's pizza day. He wondered if it was safe? Dr. Koller very nicely said that he rather enjoyed coming home after a long day, lying on the couch, putting his feet up, and sipping a cold beer. He laughed and said he was from Racine, Wisconsin, which is just north of Milwaukee. He saw nothing wrong with that and said not to change a thing, with a twinkle in his eye.  I will remember his wry sense of humor. The year before he left KUMC, he had a resident doctor, Dr. "W." They worked for months to regulate Tasmar with my Sinemet. I had blood drawn every two weeks, and sometimes my liver counts went whacko and I would get an urgent call to come back to the hospital to repeat the blood work. I finally had a brief period of success. I saw Dr. Koller in October and he declared that I looked the best he'd ever seen me. Three months later, I was in the exam room, but this time into med failure. I was having severe dyskinesia in the evenings and/or tremors like a jack hammer. Suddenly, after just three months, I was the worst he'd ever seen me. I had been on Social Security Disability for 2 years and had just started Medicare in November. In January, Jay and I sat in the exam room, ready to ask about the experimental deep brain surgery, DBS/STN, and how much would it cost, when Dr. Koller brought it up first! He said they'd just received a grant to do 15 or so of those surgeries. Unfortunately for me, I would have to be on Medicare. I was only 46. "I'm ON Medicare, for two months now!!" I chimed in excitedly. Dr. Koller saw no reason to wait, because at my rate of decline, I'd be confined to a wheelchair soon enough. I was eager to have holes drilled into my head. That surgery was supposed to happen! I don't believe in coincidence! Dr. Koller left for his next job as Director of Research for NPF at the University of Miami the same week of my surgery. My new neurologist, Dr. Pahwa came in on Monday, took one look at me and at the time, I wasn't displaying any symptoms. He asked, 'You're having bilateral STN surgery this Thursday? You don't LOOK that bad. After going over the test data I had just performed that day, he agreed that yes, I qualified for the bilateral procedure. I was very good at hiding my symptoms. During the surgery, they were listening to the misfiring in my brain. Placing the wires, Dr. Oberman said, "You're a lot worse than you look." Vindication! I knew it, but after years of hiding it, not giving into it, I knew how bad it really was. No one saw my worst times, except once when Jay found me hiding out? in front of our computer, all scrunched up like the Notre Dame Quasimodo, and tremoring like a jack hammer, hardly able to turn my head to look at him. Dr. Koller knew how bad I was. He had said to us, "Why wait? The meds have done as much good as they are going to do." I am sure he was right. I was turned off on one side for two weeks last year awaiting a battery change. I felt as if I'd had a stroke. The disease has progressed but the DBS has kept it under control. I did happen to see Dr. Koller one more time when he came back to KUMC for a visit. It had been a month since my DBS back in 1999. I was at the hospital for a programming session. I proudly demonstrated my recently rediscovered 'finger taps.' He reacted as if to say, "Yes, I expected you would be that good!!" It was my last time to see him but I felt he was the one responsible for my getting my life was back. My head was a burr of quarter inch long hair but it sure beat sitting in my Quasimodo condition 6 months prior to that. It has been more than 6 years since my surgery and I still shock people when I tell them I've had Parkinson's for 22 years. This has been a miracle surgery. I hope my next 5 years are as good as the first five. I'm waiting/searching for stem cells. I want to dance at my next 25th anniversary, standing on my own two feet, moving gracefully -- cured!
Parkinson's Disease > Parkinson's: A Life Sentence
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Posted: Jul.14.2005 @ 1:02 am | Lasted edited: Mar.14.2006 @ 10:59 pm
My first symptom started at age 30. It took six more years to find out that I had a disease with a name: Early-Onset Parkinson's Disease. Soon after my diagnosis, I read an article in which the author stated that PDpatients usually had 15 good years of living with the disease until the medicines quit working. I was young. I had two children to raise! What did that mean, 15 good years? Did Parkinson's Disease mean a limited life sentence? I was scheduled to see my neurologist, Dr. Koller, one of the world top authorities on Parkinson's Disease at the University of Kansas Medical Center. I had recently begun treatment at the Movement Disorder Clinic? for the management of my disease. I waited in a little room with my husband, when Dr. Koller arrived with an entourage of student doctors in his wake. He had 1100 patients. Despite this large caseload, he was able to recall chit chat from our appointment three months prior. I found this quite remarkable. He was a quiet man with a dry sense of humor. It was obvious, by the behavior of the younger doctors, that he also carried an aura of respect. He started the session by asking me how I had been doing. My eyes welled up and I felt my bottom lip start to quiver as I handed himthe article.  I asked in a shaky little voice if I was going to live to be 50? Dr. Koller observed my obvious distress and after a quick perusal of the article he scoffed at it and other such articles for making statements of such broad generalities. He smiled then and kindly explained that with today's drug therapies and other treatment plans on the horizon, that I should live the life expectancy I was meant to before my diagnosis. He further stated that Parkinson's usually progressed more slowly with early-onset people. The older you were at onset, the faster it usually progressed. He reasoned, if you were 60 years old, the average age of onset, another 15 good years was not such a bad prospect, was it? He figured that was where the article was coming from, not early-onset, which was less understood at that time. At my young age, Dr. Koller said my biggest challenge would be the need to be on several medications for the rest of my life. I would be in a constant state of adjustment. Probably something else would at first, such as pneumonia, cancer, or heart disease. Years later, I recalled his words, thinking that the something else likely to get me was probably going to be a bankruptcy! The high cost of prescription drugs, added to the cost of health insurance to help pay for the drugs, makes me wonder why Parkinson's shouldn't qualify as a catastrophic illness, especially for those of us stricken at such an early age? Today I am 53 years old, still alive and kicking 23 years after my first symptoms. The article actually wasn't too far off. I got about 11 good years out of my medications before they quit working. I was fortunate in that there was a new brain surgery for which I qualified. That's a story in and of itself that I will write about soon. Parkinson's is with me for the rest of my life, thus making it a life sentence, but not a sentence of limited life. None of us know how many days we have left. Whether I live to be 85 or 55, as long as each day is filled with the joy of Heaven, and the beauty God has created, and as long as I have love in my heart, it will have been worth every minute.
Parkinson's Disease > The Rewards of Parkinson's
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Posted: Jul.08.2005 @ 8:32 pm | Lasted edited: Aug.01.2007 @ 2:32 pm
       I live in Leavenworth, Kansas, a river-bluffed, historic old river town in the northeast corner of the state.  The most beautiful time of the year is autumn, when this part of the Mid-West grows into a New England, autumnal splendor about mid-October.  It is not flat, as one would imagine Kansas to be.  We have rolling hills, dotted with maple trees galore with plenty of oaks, sycamore, cottonwood, hackberry, all of which abound in glorious color every fall. 
       Autumn also has another important meaning to me because it always marked the beginning of school.  First as a child going to school, then as a high school and a college student, and then as a teacher for 21 years, autumn meant the ending of the joys of summer and the beginning of another year of reading, writing and arithmetic.  As a teacher, it usually meant time after school for paid extra-curricular activities such as running the chains for the junior high football games or coaching the High School Pompon Squad every day after school.      
      
      That changed for me nine years ago when I retired from teaching to take care of myself and my worsening Parkinson's Disease.  In the fall of 1996, instead of putting on a dress and make-up, I pulled a heavy sweater over my pajamas, and sat on my deck with a fresh, hot cup of coffee.  Instead of feeling sorrow and wistfulness, it actually felt good not to hurry off to work.  I had always imagined these moments when I was at school teaching, shut inside a classroom while the weather outside called to me.  The crisp days of autumn with their warm sun always felt so inviting.
      
       As a student, I was always able to get outside to enjoy some of those days, but starting at age 22, I became a teacher with classes to teach, lessons to plan, papers to grade, and after-school activities to supervise.  Those outside days were few and far between.  My high school students didn't have recess, so I couldn't even step outside for playground duty.  There were mornings I almost called in sick, just so I could sit on my deck and watch everyone else go to school!  My conscience kept me from doing it, but the thought DID cross my mind.
      
When my illness interfered with my ability to do my job, I had to retire. I was only 45.  I could have been resentful of this disease, and all that I have lost because of it.  Instead, I began to look at it as a means to an end; a way to have earned some rewards in life. What a treat it was to be able to sit on my deck in the autumn, at last, with my steaming mug of coffee, enjoying the crisp beginnings of a colorful fall day.  
      
Freed from the requirement of rushing to school, I could now use this quiet time to talk with God.  I could talk to Him about all the wonderful things He's made possible and thank Him for the gift of that day, of that moment in time.  I could talk over my concerns for myself as well as others in my life. At the end of our talks, I would often ask Him for help in areas of my life I couldn't face alone.  These times always left me with a sense of peace and well-being when I touched base with my creator.  He is my source of strength, energy and joy.   
      
     On a typical day, I watched as the morning ground fog, hovering above the wet grass, it slowly disappeared.  The sun continued to heat the air.  Soon it was a splendid Indian Summer day. I could remove my sweater as the temperature rose.  The bird sounds were different, too.  It's quieter as more and more birds migrate south for the winter.  The sounds of the cicadas weren't as shrill and it's the crickets you became aware of, their rubbing sounds becoming my own backyard orchestra.  Slowing down let me appreciate small things like this that I wouldn't have taken notice of before.

       When I taught at the high school, my room was under the band room.  During football season, most of their rehearsals were outside.  My daughter played clarinet and marched in the band.  Even with soundproofing, I could enjoy their music as they rehearsed above my head.  We went to the games just to see our daughter participate in the half-time show. 

       After retirement, I was also able to listen to the high school band practice their halftime routine from over the hill, which is about eight blocks from our house.  The sounds of the horns and drums drifted in and out of my hearing.  In my mind's eye, I could see the band as they suddenly pivoted as one and switched the direction of their playing.   The drum major's whistle could be heard, loud and clear, blowing out the counts 1-2-3-4.  It's shrill beeping chirrups cut right through the beautiful gold, orange, and red leaves of autumn foliage, arriving at my deck completely in-tact.  I was far away from the hustle-bustle of the school day but I could still enjoy parts of it that were familiar and comforting.

        A new phenomenon entered my life at the same time as I was savoring my newly found freedom.  It was a thing called the Internet.  In 1996, it was just getting started.  I found out that there were other people from all over the world who were just like me!  They were from all walks of life and every age.   We all had Parkinson's Disease. We were a community.  I could share stories with them or give support when they were going though a rough patch.  There were even a few care-givers I got to know very well.  Since I have a tendency to seek the best out of any situation, even something as awful as Parkinson's, I felt I might do some good in the Parkinson's community by spreading some rays of hope and how I try to make the best of a less than desirable situation.

     Parkinson's Disease made me retire from my job, but it really was much more than that. It meant I retired from many of my old ways of doing things. 

       I no longer needed to multi-task as I learned to say "no" for the first time in my life.  It meant finally having freedom to do some of the activities I had always missed such as traveling to Paris for my 50th birthday -- or the freedom to visit my elderly mother who lives with my sister in Boston. I get back there almost every other month.

       I became a stay-at-home Mom at last.  My kids were in their teens by this time and this actually turned out to be when they needed my time and attention the most.  I thought I could stay home and avoid the stress of teaching.  Two teenagers in the same house, I would discover, can bring plenty of stress of their own to replace what you thought you were escaping. At least I wasn't dealing with 152 teens!

      There ARE benefits to slowing down.  It's quite rewarding to take care of yourself for a while.  As women, we have a tendency to look after everyone else first.  We don't allow ourselves to ever get sick.  We're the nurturers, the nurses.  But then, I have a pretty big illness, one that won't go away in 24 hours or a week of bed rest.  It's with me for the rest of my life. And I won't get better unless they find a cure in time for me.  I allowed myself to be sick and then retired to take care of ME!  Pretty cool.

       My two children are grown now and starting to make lives of their own, learning through their own struggles.  I've realized, over the years, an important thing to remember is not that they grew up knowing their mother as only Parkinson's would allow them to see me.  I have tried to live my life as an example of how to be strong, how to fight for what is just and right, and how to stand up for oneself.  And standing up after 22 years of Parkinson's is no small feat!

       Parkinson's has proven a mighty foe, but it hasn't won, not yet.  I am still striving to conquer it by finding a cure.   My children have told me that they admire the fight I have put up to battle this disease, fighting one day at a time, every single day.  They have seen me soldier on without ever donning a uniform, but wearing armor, nonetheless.  Brain surgery left me with some battle scars, but they know even the bravest knight can be cut and scarred in battle.  The key is to survive, to fight yet another day, and win yet another battle.  My hope is that they have viewed their mother as a tough, female warrior. 

        The 22 years since my brother first saw my tapping finger, the first sign that I had Parkinson's at age 30, have gone by surprisingly fast.  I've learned that life goes on.  It is relentless.  It's how you live each and every day that matters.  No task is too small or too insignificant.  Be thankful for each and every day. Count your blessings; Parkinson's just might be one.  I, for one, have only four months to go until it's mid-October again, and I can sit on my deck in the cool brisk mornings, with my steaming cup of coffee, and enjoy my freedom, one of my favorite rewards, thanks to Parkinson's.                              

Mission Statement > My Mission
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Posted: Jun.30.2005 @ 7:40 am
As a person living with Parkinson's Disease, I am dedicated to shining a light on the most promising research areas, to champion the allocation of money and talent to find a cure within my lifetime, to make treatment of people with chronic illness more affordable to the average person, and to give a voice to those who suffer daily with the disease, the courage to hang on until a cure is found.The reason I am writing this blog is stated in the opening paragraph.  I am a patient who has had this disease for 22 years and counting!  Whether you are a patient or a caregiver, a doctor, researcher, professor, or a caring friend, I hope to write about topics of interest to all and which are timely to this disease.  I hope to cover my views along with the prevailing thoughts regarding the following:  cost of prescription drugs, health insurance, long-term care, Medicare vs. Medicaid, applying for disability, sexual desire, progression issues, what to expect with PD, Deep Brain Stimulation surgery, stem cell research, alternative medicine, supplements, other health issues that impact PD such as cancer or heart disease, and in general, day to day living with Parkinson’s, and how a positive attitude, physical exercise, love and support can go a long way in improving your quality of life.
         If you have Parkinson's, you might as well get used to it. You've been handed a lifetime sentence and the walls of your prison are bare to begin with.  It's up to you to decorate them any way you wish.  You can let depression settle in and take over your world, leaving your walls drab and colorless.  With depression, you may have to color them every single morning, deliberately, relentlessly, if you are to survive with any happiness at all.  I am one of the lucky ones whose walls stay whatever color I want them and the pictures I add to them keep growing in number.  My walls are cluttered with loved ones and friends, people I admire but have never met (my American Idol, Clay Aiken), and of animals and pets, pieces of art and paintings, ancestors, places I've been or have yet to travel to.  My walls are abundant in scenes of living and life here on this planet. 
        I have much hope for finding a future cure, in my lifetime;  of living without this progressing, debilitating disease, which has robbed me of so much.  I have learned how to plug the holes it leaves with alternative pieces of beauty.   I used to sing beautifully I am told, so now I sing along in my head with the likes of Cecilia Bartoli and Eva Cassidy.  I will never be that budding concert pianist I was in high school, but I keep my piano to play when no one is listening.  I may not be able to have a career in the public eye, but I can keep up my appearance. I get my hair and nails done every month.  It's the one indulgence I still allow myself.  I can't run a marathon but I can walk a mile or two; recently 10 miles, although I couldn't do that every day!      
     Every hole left in my life by this disease is "plugged" with a thing of beauty.  I recently reached out to discover what had happened to some favorite past friends I had lost track of.  The results have been mind-boggling and beauteous. 
           More than anything, I want this Blog to prove that life can go on within the walls of Parkinson’s, if only you make that choice.  I choose to fight this relentless monster that strives to manage my life.
             Someday, when I am old and have used up every corpuscle in my body to the betterment of tomorrow, then like the Pope, I will give up this mortal life and return to live with God and all the beautiful souls on the other side, Home. Until that time, when I am called Home, I will live each day with love and with beauty and most of all, with Hope.


Optimism > Stop and Smell the Roses
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Posted: Jun.27.2005 @ 11:07 pm
 There is a song that has always spoken to me and the way I used to live.

“Stop and Smell the Roses”

You got to stop and smell the roses
You’ve got to count your many blessings every day
You’re gonna find your way to heaven is a rough and rocky road
If you don’t stop and smell the roses along the way.

I’ve met a lot of people who have been diagnosed with Parkinson’s Disease.  Many of them have said, rather vociferously, “Why ME?”  I answer that question every time with, “Why NOT me?”
 
It’s turned out to be a blessing in disguise.  It forced me off the fast track I was on and made me slow down to enjoy life.  The choices I had on down the road had just been limited by what was real -- Parkinson’s.  There is no cure and it only gets worse.  How do you manage that:  exercise, medications, knowledge of what the enemy is and how to fight it, and most of all, a positive mental attitude.

I am the eternal optimist and tend to look at the world through rose-colored glasses.  My biggest problem used to be seeing the real roses go by as a blur because I was living life in that fast lane.  My real roses were my children and husband, my career and push to better my education, and my time spent in prayer and meditation.

I began using my left hand to hold my right hand still because of the tremors. But I was too busy to do any more about it.  I had two small children to raise, a full-time teaching career, a master’s thesis to complete and a husband to keep happy.

I was serving as president of the teachers’ union.  I was on the church’s worship committee, singing in a gospel quartet as well as our church choir and directing the children’s church choir while singing solos. I played piano for the school’s choir and yearly musical.  I sewed my daughter’s red velvet dress she wore at Christmas.   I cross-stitched a nativity scene and framed it as a small ornament which the children hung on the church’s fellowship Christmas tree.  Where did I fit in aerobics class, nurturing my husband and our children, feeding the dogs and the cat? I'm not sure, but I DID get it done.  I even lost all the baby weight I’d gained (when did I EAT?) and got down to my college dress size again.  I seemed to be doing it all.  It was the days of the Super-Mom.  I think I was president of that club, too.  Did I mention that my husband and I were building an Amway business as well?  The ladies around the block wanted to know how I got my little boy’s socks so white!  I bought an album one night from a Christian singing group at an Amway Rally.  My favorite song of the night was, “You’ve Got to Stop and Smell the Roses.” The words in that song really spoke to me.   “Hey, you, that’s right, you, the Super Mom.” It made me ask myself , “how was I to do it all AND stop and smell the roses, too?”

What was I missing out on?

The next line in the song says, “You’ve got to count your many blessings every day.”  I started taking time out of my busy day to do just that.  The nicest thing that happened was that I had more blessings than I could get through during my prayer time.  As my list of God’s good graces grew, I started taking more time out of each day to pray.  

It was also at this time I got some other news.  I was diagnosed definitively as having Parkinson’s Disease, that old-person’s-slows-you-down-disease.   I must have been flaunting my capacity for "doing it all."  God was using this as a bigger message to me.  I needed to s-l-o-w way down before I wore myself out.

The song continues with, “You’re gonna find your way to heaven is a rough and rocky road.”   So why NOT me?  If I had to have a neurological disorder as the gravel on my road to heaven, I was lucky enough to get one that research was gaining on finding a cure.   

There’s so much research going on to find medicines and surgery to better treat the symptoms, that having Parkinson’s could be viewed as a blessing.  It could have been a much worse disease!

When you have Parkinson’s, you DO slow down.  You move, talk, eat, and react slower than you used to.  It takes longer to get from point A to point Z.  You may be forced to slow down because of balance issues.  Parkinson’s Disease makes you stop and smell the roses.  Hopefully you won’t topple over into the rose bush and you still have some sense of smell!   

God loved me so much he knew what it would take to make me slow down, and wipe some of the film off my rose colored lenses.  Parkinson’s Disease did make me take time to stop, and smell life’s beautiful roses, counting my many blessings every day.

It was a lesson I had to learn.  Maybe others, even without the help of Parkinson's, will stop now and smell their own beautiful roses and give thanks for their many blessings received today.  


Parkinson's Disease > My Young Life With Parkinson's
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Posted: Jun.25.2005 @ 3:00 pm

Many of you who read this blog know about Parkinson’s but many of you do not. Because this disease is central to the purpose of my blog, I want to tell you what I have learned about Parkinson's from a medical and scientific point of view and my experiences with it first hand. If you would like to look up more on this disease, go to the National Parkinson’s Disease Foundation: http://www.parkinson.org/site/pp.asp?c=9dJFJLPwB&b=71354I was in denial that I had anything unusually wrong with me. So what ---  my fingers tapped by themselves once in a while. I still carried on with my life.  Parkinson’s had not affected how I was living yet. I didn't know what Parkinson's was or that I had it!  My first symptom occurred when I was just 30.  My baby son was being baptized, and my tapping finger was driving my little brother nuts!  He asked me why it did that?  I just said it's something that just happened from time to time.  This was years before Michael J. Fox's announcement that he had Parkinson's.  His first clue was also a tapping finger. He was 29.  He knew something wasn't right and sought out help.  He was diagnosed right away. 

I ignored it.  I was half the age of the average age of onset, which is 60.  I had babies to raise, students to teach, and a booming little video business on the side.  But I knew better.  I was choosing to live in denial in spite of the fact that my little inner voice was saying I had something wrong with me. Seriously wrong.  

It wasn’t until years later after it had been confirmed that I had Parkinson’s that I recognized some things that had been definite symptoms.  Looking backwards can provide such perfect 20/20 hindsight. 

One example is when my husband complained that while we
took our walks in the morning, I wouldn’t swing one arm. He said I held my arm rigidly to one side, my hand resembling a claw. One day, I saw it being cast as a shadow and then understood why he felt self-conscious walking with me. It appeared to be more of a
claw-stiff-appendage than an arm!  This is a symptom of Parkinson’s.

Another example was that I used to stub my right toe when hurrying up a flight of stairs.  I sometimes would fall headlong on the stairs, papers or food flying.  I wasn’t picking up the right foot as high as I should have when I walked up the stairs.  Years later I would almost drag that foot when I walked. Step-slide, step-slide, step-slide went the rhythm of my feet.   Dragging one foot is also a sign of Parkinson’s.

When I got in front of anyone to sing, whether it be the pianist for practice or hundreds of people, my right hand would tremor so violently, I hid it behind my back or I held it tightly with my left hand.  It wasn’t stage fright; my voice had no quiver, but with Parkinson’s, any stress will exacerbate a tremor. You may say you’re not stressed, but your body will belie what you say every time.  Tremor is a sign of Parkinson’s, although not all people with Parkinson’s have a tremor.  Tremor occurs in a majority of the young-onset patients, however.

My singing range was starting to diminish as well.  Over the years, my high soprano notes began to vanish. By today, I can barely hum two notes.  I finally understand people who say they can’t sing a note. Dog gone it, neither can I!  A softening voice, a monotonic speaking voice, is a sign you have Parkinson’s.

Parkinson’s attacks all muscles, including muscles that operate your lips and tongue, which in turn help you to enunciate your words.  Muscles in your diaphram, lungs, and your throat begin to fail. In advanced stages of PD, you become unable to swallow food or water. You can choose to starve to death in hospice care or have a peg tube surgically inserted in which they pour liquid directly into you stomach.  

I sought out a doctor’s opinion when whatever was wrong with me got to the next point.  I was dressed up in a ghoulish Halloween costume and the students knew not whom I was. I overheard one girl whisper to her friend, “It’s got to be Mrs. Carey…. See,” she said, pointing, “ her fake hands are shaking.”  

That one observation finally got to me.  The students could see this?  I called my family doctor and told her nurse what had happened.  She thought that it sounded pretty bad and she could work me in ASAP.   The doctor mentioned that I might have Parkinson’s; her grandfather had it as well.  She ordered a catscan to check out the inside of my head.  She didn’t find what she thought she should if I were to have Parkinson’s.  What she was looking for was a grape sized little nodule located in the Substantia nigra portion of the brain.  This is where the neurotransmitter dopamine is produced.  By the time you begin to show symptoms of Parkinson’s disease, 80% of this part of your brain is already damaged.  She thought it would show up on the CatScan as a darkly colored, little raison shaped thing.  She even showed me a picture.  That would mean I had Parkinson’s.  It wasn't there so she decided I must not have that disease.  More tests were ordered.

  Years later I figured out where she got that notion.  After a person dies, and they use dye on that part of the Substantia nigra.  The dying structure shows up darker than a normal one does.  The dye reflects the holes left where that part of the brain deteriorated.

Today they can use a PETscan to determine if you have Parkinson‘s, but it’s rarely done because Movement Disorder Doctors are so good at what they do.  They can specialize in Parkinson’s and run a battery of tests in the clinic to determine if that is what’s wrong with you.  Medicare does not cover PETscan technology for any reason and most insurance companies follow suit.  The average cost of a PETscan is $2800.  

I was also given a glucose test for Hypoglycemia that left me weak and nauseous.  After having my blood drawn every half hour or so all morning and afternoon, on an empty stomach except for that thick, orange glucose drink they make you drink, my levels indicated I was right on the borderline of Hypoglycemia which would explain my sudden lack of energy and shaking hand.  I went on a diet specified by a dietician for hypoglycemia.  The tremor worsened.  It would still take two more years before I got the definitive diagnosis of Parkinson’s. I had three doctors scoff at me and say it was out of the question.  I was too young!

Parkinson's is characteristically a slow-developing, debilitating disease.  The symptoms become a part of your personna, very insideously.  You don't notice you are the only one around you with some peculiarity.  It's just the way you are, and indeed, it is.  It took my mother-in-law and some close friends at church to urge me into action; to see a neurologist.  I was getting worse and everyone else could see that. 

After seeing a neurologist for over a year, I was given a new medication to try out. The neurologist handed me a sample pack of pills and said, “Here, try these.  My Parkinson’s patients have good luck with these.”  There was that word again, Parkinson’s.  My family practice doctor had ruled it out three years before, so why was it coming up again, I wondered.  The medication was Sinemet CR (time released leva-dopa).

If you have Parkinson's, it is THE main medication used to control the tremors and other symptoms associated with the disease.   My disability had progressed to the state of my being unable to sign my name to student's library passes, and I was no longer able to wave at people from my car. Also, I started favoring my left hand over my right hand when I directed my children’s choir at church.

The Sinemet restored all functions within hours. I called my doctor to give her a report. I loved this new pill! I felt normal for the first time in years!  It was then that the neurologist said, “So you DO have Parkinson’s. I was riding the fence on whether you did or not. I was curious if the Sinemet would work.”

Simple as that.  I found out that my shaking hand had a name.  I had Parkinson’s Disease.  I didn’t know much about it, but at least I knew that what I was dealing with.  It had a name.  THAT I could deal with.  It was such a relief compared to not knowing.  

Years later I was to learn that Sinemet is often used as a test in diagnosis.  Not all PD patients tolerate it, so it cannot be used to eliminate PD as a possibility.  But it can confirm the diagnosis if the patient is responsive.  It was the confirming piece of evidence in my case.  I had my honeymoon with Sinemet for about the next four to five years.  During the 5th year, I was to find out what “off” and “on” periods were and find out what progression of the disease meant to my quality of life.

For more information on Early onset or Young Parkinson’s, click on this link:
http://www.parkinsonswellness.org/young.html

Optimism > I Will Buy You Butterflies
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Posted: Jun.24.2005 @ 11:01 am
Smiling is something I’ve always felt is God’s radiant light spilling out of each of us. It blazes out from our eyes, seeps through our teeth and mouth like the sunlight shining through an old barn door with big spaces between its aged wooden planks. It softly filters out the very pores of our skin. Is this the aura, God’s light, that perceptive people can see surrounding we other beings?
Author of the blog, Carole CareySome people are too angry at the world to give God’s radiance any space in their head. They are convinced He is nothing but a fairy tale. What a loss! We dreamers who see things in a positive light, can’t keep it contained. His light is too bright to be bottled up by one human being, so by smiling, you release it -- His awesome power -- to others. I am often accused of being the eternal optimist; of looking at the world through rose-colored glasses. An incident at Wal-Mart the other day that supports my view of the world: that people are basically good and decent.

I had to go to the pharmacy to pick up the expensive drugs I have to take for Parkinson’s Disease. I had stopped by the bank to withdraw the amount of cash needed to purchase my medications plus a little more to cover a few needed household items. While shopping, I thought of how we could finally give my nephew a birthday gift I had been lugging around in the car for 6 months.

We were going out of town in a little while to visit family that included my sister-in-law, niece and her two little kids from Texas. It suddenly occurred to me that I couldn’t very well show up with just one birthday gift. I picked out some nice gifts for my other two little angels. I had also picked up a get-well card for my only uncle and a couple of sheets of butterfly stickers. A few extra items not on the shopping list, but I honestly thought I had enough cash to cover everything.

When I got to the checkout line and the bill was totaled, I was short by $2.00. I’d left my checkbook in the car so I started hunting for spare change. My change purse contained only 4 quarters. So I had the checker deduct one of the packs of butterfly stickers. Even with that, I was scrambling for the last forty cents.

I could sense the line was growing behind me as I dug deeply into my billfold for the last few cents. I heard a voice behind me ask the checker, ”How much does she need?” I murmured that I was going to have it, and I did, down to the penny! I picked my things up to hurry out of the way and the voice said, “How much were those butterflies? I’ll buy those butterflies for you.” I finally stopped hurrying, turned around, and there was the kindly face of an older man that reminded me of a short version of Buddy Ebsen, the actor who played the Beverly Hillbillies millionaire, Jed Clampett. I got a big grin on my face, and just thanked him for the ever so kind offer, but that I still had one packet of butterflies left, which was fine enough, and then I just stood there smiling at him for a moment. He smiled back, a crooked little grin, just like Buddy’s! I had felt God’s awesome power at that very moment, in a smile exchanged between two strangers.

In today’s world, there are still reminders that people are basically good and worthy of being smiled upon by all of us. Just open your eyes and take them off yourself for a minute. Look around. This is how I saw that man. He wasn’t just some impatient customer, trying to get this lady on her way: he was genuinely going to help me out. Maybe he was an angel, sent here to test how I would respond to a random act of kindness from a stranger. Or maybe he was just an angel here to help me out of a jam. A nice older gentleman, a generous person, is what he really was.
He had said to me, “I will buy you butterflies.”

What he gave me instead was a smile.

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