Tuesday, April 17, 2018

MS Symptoms


In my 27 years of Multiple Sclerosis I've had these symptoms and others at one time or another but I'm proud to say that I'm still here and grunting out life!  
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                              At the convenience store sitting on my scooter

Numbness and Tingling - Numbness of the face, body or extremities (arms and legs) is often the first symptom experienced by those eventually diagnosed with the disease  Multiple Sclerosis. Personally, I've had alot of numb feelings. Some part of my body would start tingling or be numb once every 12-18 months. Sometimes it would just be a 3 x 4 square inch on one of my thighs. It usually meant an exacerbation (worsening of symptoms) was on the way. My first exacerbation after my diagnosis I experienced complete numbness in my left arm from the shoulder to my fingertips. I didn't have a neurologist yet that I liked so I had a numb arm and hand for about three months. Steroids would have ended it in three days. After the numbness went away normal feeling came back to my arm however I only got half of the feeling back in my left hand. That was 25 years ago and I still don't have all the feeling in that hand as of 2018.  

Spasticity - Refers to feelings of stiffness and a wide range of involuntary muscle spasms; can occur in any limb, but it is much more common in the legs. My legs currently shake like crazy if I put my feet in the wrong positions. My legs would shake all day long if I let them and didn't change the position of my feet.  

Weakness - Weakness in MS, which results from de-conditioning of unused muscles or damage to nerves that stimulate muscles can be managed with rehabilitation strategies and the use of mobility aids and other assistive devices. Since I stopped working out my body is weak as all get out. 

Vision Problems - The first symptom of MS for many people. Onset of blurred vision, poor contrast, color vision and pain on eye movement can be frightening. That symptom should be evaluated promptly. I remember during my exacerbations I would have blurry vision in one eye or the other. However, I do remember one exacerbation when  both of my eyes were blurry. That's kind of scary because I had read before that blindness was a possibility with MS. The other problem is I used to get headaches because of an eye being blurry. 

Here's another eye story. It was the spring of 1991 when I was at practice for slow pitch softball. I was in the outfield catching fly balls. A fly ball was hit my way and I ran to catch it. My eyes were looking up into a cloudy sky and without warning I lost the flight of the ball. It seemed to disappear. I remember attempting to take a couple more fly balls and the same thing happened. I thought to myself how strange and that I should make an appointment and have my eyes checked. I went to a Benson Optical that same week and had my vision checked and all was OK! Now, I really didn't have an answer for losing sight of those fly balls. 

The next week we had another practice and I was playing catch with a teammate. We were about 10 feet from each other. The first few catches were no problem but then my teammate threw a ball. I saw the ball leave his hand and then it disappeared! I stuck out my glove where I thought the ball was going and suddenly I saw the ball when it was about a foot away. I caught the ball, threw it back and then my teammate threw another one to me. Same thing happened. Now remember, we are only 10 feet apart. I thought I must have blinked or something and lost sight of the ball. It was crazy! I tried it one more time, lost the ball again in mid flight and decided to stop before I got hit in the mouth! After practice I decided to go to a Pearl Vision Optical the next day to see if the Benson Optician knew what he was doing. Again, I had my eyes checked by Pearl and nothing was wrong. The Pearl optician had listened to my symptoms and story and he suggested I see a ophthalmologist. (That's really how to spell the word, I looked it up).

I scheduled an appointment two weeks later at my local ophthalmologist. For the third time my eyes checked out perfectly. After hearing my symptoms though he thought I should see a neurologist. It was then that my multiple sclerosis journey began.         

Dizziness and Vertigo - People with MS may feel off balance or lightheaded, or — much less often — have the sensation that they or their surroundings are spinning (vertigo). If I bend over to pick something up or if I look up to the ceiling I will have vertigo. I simply close my eyes for 20 seconds and it goes away.  

Bladder Problems - Bladder dysfunction, which occurs in at least 80% of people with MS, can usually be managed quite successfully with medications, fluid management, and intermittent self-catheterization. I quit urinating in January of 2000.  I then started self cathing. If you use a lubricant on the end of the catheter it doesn't hurt at all or at least mine don't

Sexual Problems - Very common in the general population including people with MS. Sexual responses can be affected by damage in the central nervous system as well by symptoms such as fatigue and spasticity, and by psychological factors. I stopped getting erections on or about 1996. Viagra works well for me.

Bowel problems - Constipation is a particular concern among people with MS, as is loss of control of the bowels. Bowel issues can typically be managed through diet, adequate fluid intake, physical activity and medication.

In July of 2016 I started losing control of my bowels. I know when I'm going to have a bowel movement but I have to be on my toilet in about 50 seconds. With transfers it's kinda tight. Nine accidents in 2017! Because I don't like accidents I usually spend 2-3 hours per day on my toilet. That's not a one time visit but maybe 3-5 visits. 

Pain - Pain syndromes are common in MS. In one study, 55% of people with MS had "clinically significant pain" at some time, and almost half had chronic pain. I can say personally that I don't have any particular pains anywhere in my body. However, my toes and the bottom of my feet have been tingling and numb for about the last 15 years.

Cognitive Change - Refers to a range of high-level brain functions affected in more than 50% of people with MS, including the ability to process incoming information, learn and remember new information, organize and problem-solve, focus attention and accurately perceive the environment. Nowadays, I tell people I have the attention span of a 3rd grader. I try to follow videos on how to make money online and I usually don't make it past 5 minutes. I also tell my wife I have an eight second delay on absorbing information. If someone tells me a joke I usually don't get it if it's long joke.

Emotional Changes - Can be a reaction to the stresses of living with MS as well as the result of neurological and immune changes. Significant depression, mood swings, irritability, and episodes of uncontrollable laughing and crying pose significant challenges for people with MS and their families. I find myself tearing up when I hear certain stories in the paper or on TV. 

Depression - Studies have suggested that clinical depression — the severest form of depression — is among the most common symptoms of MS. It is more common among people with MS than it is in the general population. I have been having depression for the past 2 years and maybe longer. I don't take care of my personal hygiene. There are alot of showers, brushing my teeth etc. that I should improve on. However, I'm home alone except for my wife so I don't always find it necessary. I don't exercise nowadays as much as I should and I'm gaining weight again. I watch alot of old-time shows and sports on TV.  My interest in sex is waning. It seems like alot of work! I usually lay down on my couch by 6pm and go in and out of sleep until 10pm when I go to bed.


Fatigue - Occurs in about 80% of people and can significantly interfere with the ability to function at work.  It may be the most prominent symptom in a person who otherwise has minimal activity limitations. I'm always tired! I wake up in mornings tired.  Once or twice a day I have to lay down because of an exhaustive feeling people get with MS.

Walking difficulties - Related to several factors including weakness, spasticity, loss of balance, sensory deficit and fatigue and can be helped with physical therapy, assisted therapy and medications. I now ride scooters full-time. The last thing I see at night and the first thing in the morning is my scooter. I started with a cane, then a walker and finally my scooters.

Cognitive thinking - I've noticed in the last 5 years I have the attention span of a 3rd grader.  For a guy who is college educated with degrees it can be frustrating.  I'm tired now and need to take a nap!  lolol  MS can take any body part that it wants to but personally it will never take my attitude, my personality or my laughter!  


Scooterjon

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** Please excuse any typos in my blog.  Blogspot.com designs doesn't seem to listen to my directions very well.  lol        




Sunday, March 26, 2017

Jottings

      I feel I can talk about my MS with confidence because my body has experienced just about everything that MS can dish out.   The last thing was losing control of my bowels and that really started affecting me in July of 2016.   It's now March 2017 and I'm still fighting that symptom.  

     I ride my electric scooters (Max & Ginger) 100% of the time.  I use to say as long as I have my scooters who need legs!   I used to joke with people that walking was overrated anyway!   I was just talking cocky because now that I can’t walk or stand some days I think it would be nice to be able to stand up to get to my refrigerator or bathroom.   Max & Ginger will be my legs for the next 30 years and it’s slowly sinking in.   My walking and standing stopped back in November of 2011.  My spinal cord had developed or is still developing more MS lesions which are blocking the functions of everything below my waist.  I'm continually amazed at what the human body can do or not do to itself!  It's kind of weird to experience losing your legs firsthand.  I didn't get blown up in a war, I didn't have a bad diving accident and I didn't have a bad car accident.  Multiple sclerosis just happened to me!  


     MS is a debilitating disease of the central nervous system.  It can affect every part of your body because there are nerves throughout your body.   For some reason and doctors don't know why but the body of a person with MS is literally attacking itself.   If you looked at the MRI of my brain and spinal cord you'd see little white spots which are called plaque.  Myelin is the protective sheath over the nerves like the rubber around an electrical wire.   Your brain sends a signal to do something and the myelin keeps the signal going to where it has to go.  When scarring or plaque occurs on the myelin it interrupts the signal from the brain and sends the signal somewhere else.

     An example of how the plaque affects me is this.   Since January 2000 when I have to urinate I catheter myself.   The signal from my brain to my bladder to release my urine gets short-circuited.  I could stand in front of a urinal until hell freezes over and I would never urinate.   Not even a drop.  I'm not sure where the signal goes but the cathing works great for me!   I’ve now catheterized roughly 37,770 times give or take a couple hundred.   It doesn’t hurt when you use a lubricant.  

Scooterjon
















Monday, March 6, 2017

Lonely Disease

I think MS can be a very lonely disease.  When you have blurry eyes, tingling feelings or bowel troubles you're the only one who knows about it unless you tell someone.  When you're first diagnosed there are counseling clinics where you can talk to counselors and other people newly diagnosed with the disease.  Now after 25 years I really don't want to talk with anyone about my disease except my neurologist.  I just want to live the rest of my life as simply as I can.  I'll probably die in the town that I now call home.  One reason I wrote this article is because many people don't know anything about MS.  I don't know how many times I've told somebody that I have MS and they've said, "is that the disease Jerry Lewis is trying to cure"?  So many people don't know a thing about it and I'm going to try to explain some of the disease as it pertains to me.

I want to emphasize that MS is not a death sentence.  I now know though that I’m going to be disabled for a long time.  When you think about that it's kind of depressing but a person must go on as best as they can!  Unless a person has complications with their MS or has a heart attack or something like that multiple sclerosis won't kill you!  It will make your life challenging and difficult at times but it won’t kill you.  I consider my MS just a speed bump to what I want to accomplish in my life.  It’s taken me 25 years but now I accept my disease and all that goes with it.  I live in a great little city where I can ride my scooter everywhere and people will help me if it's needed.  

We all have to have dreams.  Let me explain something to you so I don't sound too greedy.  I don't take vacations, I don't buy fancy sports cars (vans only for me - I have to haul my scooter), I don't wear fancy jewelry or clothes and I wouldn't buy a big mansion if I could.  What I would do if I had money is live in comfort knowing that I had a lot of money in the bank.  I want to feel secure.  MS can make a person feel insecure at times because you don't know what's going to happen to you next.   I just want to feel monetarily secure!  Looking back on my 25 years with MS the disease has been a great teacher and I’ve learned a lot about myself, the disease and my inner strength.


Scooterjon







How Do You Determine Quality of Life?

The title of my article today is really a good question.  Have you figured out your quality of life yet?  I have done a lot of soul searching in the past 10 years.  Some people might say the quality of my life is not so good anymore.  I beg to differ.  I have friends, family, my son and my wife which make me happy!  Sure, I'm not out partying and going to ball games like I used to but there is always a silver lining.  Not doing those things saves me money and what's left of the rest of my health.

Those two little letters (MS) always catch my eye even when they're not related to Multiple Sclerosis.  I've had some fun times in the past 10 years but not a lot that I can recall right off the top of my head.  I realize that there's always someone worse off than you.  I have a friend in town that became blind from diabetes in the past 3 years.  He's 63 and not married.  He can't go anywhere unless someone picks him up and takes him where he has to go.  His 83 year old mother drives 40 miles one way every week to make my friend Jim some sandwiches.  She also takes him to his favorite bar so he cans BS with his friends.  Because of his diabetes Jim can't walk very well, either.  In my opinion Jim is worse off than me because of his blindness/diabetes.  
   
I've always said that I’ll lose the use any body part to MS but I never want to lose my eyesight.  An exacerbation is a worsening of my MS symptoms.  I've had a couple of exacerbations where one of my eyes was so blurry that I couldn't see anything out of it.  Luckily, when it’s happened it's only been in one eye so I still could see with the other one but it can be very scary.  I also have a tendency to get headaches when my eyes are blurry.  The crazy thing about MS is that you don’t know what is going to happen next.  This uncertainty has led me to a decade of anxiety and panic attacks which I’ll talk about in another article and which I still suffer from.

Now for the first time in 10 years I can truly say that I accept my disease.  I feel like all the bad stuff has already happened to me and if I can stay at this level I'll be just fine.  Life is still GOOD!  It sure beats being dead but I've never been dead so I don't know.  lol  I feel there are no surprises left for me.  My eyes have been blurry to the extent of blindness, I can't walk anymore, I've lost control of my bladder and bowels, my cognitive thinking is a little screwed up, I hate heat, I don't sleep well at night and my MS fatigue is as bad as ever.

The good news is that I still have a good attitude.  I think I’m more humble and I think I'm nicer to people.  Not that I was ever mean to people but I'm more polite, kind, sympathetic, etc.  I’ve always had a burning desire to become wealthy but since I became sicker I now think that differently, too.  I just want to earn some money.  I'm learning to live life as a disabled man.  I've always had a great sense of humor but I always thought it was my beer drinking that made me funny.  I don't drink anymore and I realize that I'm still pretty funny!  To sum it up I'd have to say the quality of my life is still pretty good!


Scooterjon

Saturday, March 4, 2017

Surgery Success!

In the spring of 2015 I went to see a urologist for a checkup of all the parts connected to urinating.  The doctor ordered a cat scan of my abdomen and areas related to urinating. When the cat scan came back it showed a small growth in my right kidney.  It was only two centimeters long.  We decided to keep an eye on it to see if it would grow any.  We checked it 6 months later in the fall 2015 and there was no change in the size of it. However, when I went back in January of 2016 for catheter problems I had another cat scan of my kidney.  The small growth had grown a little and the urologist said it would probably keep growing at a slow rate.  Since it could be cancerous my wife and I decided not to wait and to have a surgery called Cryoplasty.  We had never heard of Cryoplasty so we searched on the internet and found out.  Cryoplasty is therapy that uses pressure and cold to freeze growths in the body.  

On February 16, 2016 I went in to have surgery on the small growth.  I'd never had surgery of any kind so all this was going to be new for me.  When the time came I transferred to a gurney and they wheeled me into surgery.  An anesthetist is a person who administers anesthetics, usually a specially trained doctor or nurse.  He leaned over me, put a gas mask over my mouth and nose and said I should take 2 or 3 breaths.  I had never been put to sleep before and all I remember is taking two breaths and I was gone. When I woke up I was taken to my hospital room where I stayed overnight and was released the next day.  The surgery didn't hurt at all and the only signs of a surgery were four little marks by my right shoulder blade.  The doctors also did a biopsy on the growth and it did turn out to be pre-cancerous so it was good I'd had the surgery!    


Two weeks ago on February 23, 2017 I went in to have another cat scan to see what was happening to my growth.  This cat scan showed the growth still in my kidney but smaller.  As I understand it the growth will continue to get smaller.  A year from now I have to go in again for a cat scan and hopefully the growth will be smaller or completely gone!  If all looks good I won't have to have another cat scan for 5 years.  All in all I have to say my surgery was a success and I was treated very well by the hospital staff.  


Scooterjon











Less Common Symptoms With MS 

Speech Problems - Speech problems, including slurring (dysarthria) and loss of volume (dysphonia) occur in approximately 25-40% of people with MS, particularly later in the disease course and during periods of extreme fatigue. Stuttering is occasionally reported as well.

Swallowing Problems - Swallowing problems - referred to as dysphagia - result from damage to the nerves controlling the many small muscles in the mouth and throat

Tremors - Tremors, or uncontrollable shaking, can occur in various parts of the body because of damaged areas along the complex nerve pathways that are responsible for coordination of movements 


Seizures - Seizures - which are the result of abnormal electrical discharges in an injured or scarred area of the brain — have been estimated to occur in 2-5% people with MS, compared to the estimated 3% of the general population.


Breathing Problems - Respiration problems occur in people whose chest muscles have been severely weakened by damage to the nerves that control those muscles.


Itching - Pruritis (itching) is one of the family of abnormal sensations - such as "pins and needles" and burning, stabbing or tearing pains - which may be experienced by people with MS.


Headache - Although headache is not a common symptom of MS, some reports suggest that people with MS have an increased incidence of certain types of headache.


Hearing Loss - About 6% of people who have MS complain of impaired hearing. In very rare cases, hearing loss has been reported as the first symptom of the disease.


Scooterjon








Wednesday, February 22, 2017

Less Common Symptoms

There are many symptoms with Multiple Sclerosis (MS).  I've never met another MS patient with the same symptoms as me.  It all depends where the MS lesions are located in the brain and spinal cord.  This makes diagnosing the disease difficult for doctors and difficult for patients to believe.  I often wonder how I got this crap which has changed my life forever.  In my next few posts I'm going to describe various symptoms and how they relate to me.  My info is taken from the National Multiple Sclerosis website and my own personal stories with each symptom.  I'll be writing posts about the most common symptoms and then I'll be going over some less common symptoms.  I've had a majority of them at some time or another!


- Fatigue 
- Walking difficulties (gait) 
- Numbness or tingling
- Spasticity 
- Weakness 
- Vision problems 
- Dizziness & Vertigo
- Bladder problems 
- Sexual problems 
- Bowel troubles 
- Pain
- Cognitive changes 
- Emotional changes 
- Depression 
- Heat intolerance
- Psuedobulbar Affect


Scooterjon

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