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Daily Journal with Mitochondrial Myopathy

Day by Day with a Movement Disorder

My Journey with a Mitochondrial Disease - "But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint." Isaiah 40:31 KJV

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Diagnosis in 2006 - Parkinson's Disease and Peripheral Neuropathy, then in 2007 - Essential Myoclonus. Finally in 2011, after a muscle biopsy, I was diagnosed with Mitochondrial Myopathy as well as Peripheral Neuropathy.

Share my journey - coping with the testing, the medicines, nutrition, digestion problems, exercise, the emotions, uncertain diagnoses and no telling what else!

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Neck Pain and Tremors Causing Problems

Day by Day with a Movement Disorder Posted on December 9, 2007 by DBDecember 9, 2007 2

I’m having two main problems from the Parkinson’s right now – my very stiff and painful neck, and the much increased tremors, particularly in my right foot.

I’m sleeping with a very soft neck pillow, the kind that look like a C, and I keep it behind my neck while I sit at the computer, too. That helps me get to sleep and cuts down on the pain of just holding my head up. As the day goes on, the pain is getting worse and worse.

I am waiting to hear from my Orthopedist now about a standing MRI appointment. Hubby has Jury Duty next week, so that means I will have to wait longer to get it done. Can’t be helped, but it’s frustrating. He had to ask for a deferral back when we were taking care of Daddy, so he can’t very well ask for another one because he is taking care of me. There is absolutely no way I could drive myself to the big city, as long as it’s been since I’ve driven at all, even though I am no longer having the sudden sleep attacks. Maybe, if he is lucky, he won’t have to serve for long, and I can get it done toward the end of this week. I sure hope so. The Methacarbamol and Mobic aren’t helping enough to warrant taking the pills, so I quit taking them.

I’ve tried to continue with as much exercise as possible, but DH hurt his back again several weeks ago, and his sciatic nerve is acting up. He hasn’t felt like going to the track, so I haven’t been getting enough exercise lately. I am still working out in the yard the best I can, but it makes my neck hurt worse.

I’m also having considerably more problems due to tremors. For the first year of PD I didn’t have any tremors at all. I was beginning to have small ones on Sundays mostly, while we were listening to the sermon. I finally decided that it was the uncomfortable pews, being too still too long, and being cold, all working together to stress my muscles. But that was a very mild nuisance tremor.

Since I had the steroid interaction that sent me to the ER, however, the tremor in my right leg and foot have been so strong that it makes walking and standing much more difficult. It still comes and goes, but when I get the least bit tired, as I do when I walk very much, that leg starts dancing a jig all on its own. I am having more problems with balance because of it, and I am beginning to experience what is called freezing. When I stand up, I have to kind of wait before I can get that pesky right foot to make up its mind to move where I want it to, it’s so busy moving where it wants to.

One thing’s for sure, I look like I have Parkinson’s now, where I didn’t until recently. Even my lips, tongue, and eyebrows are beginning to quiver. We had our portraits made the other day to give to our children for Christmas, and it was all I could do to hold the poses long enough to get a good picture. My face behaved, but not my leg. It took every bit of will power I had to make my leg be still. If I hold my breath and really concentrate, I can stop the tremors momentarily, thank goodness. I had to do that to get the X-rays on my neck done a couple of weeks ago, too.

So, things have been a little difficult lately, but I am still managing OK. I’ve been listing a lot on eBay, and we have had some good sales there. I’ve also been concentrating on trying to help as many people as I can on my Plush Memories blog. I’ve managed to find several lost lovies for people, and some of my blog readers there have found a few more. And, there have been a few times that we had the lovey they were looking for in stock, so I’ve made a few sales, and made some folks very happy all at the same time. That’s what makes selling the plush toys so much fun.

We are still going to Estate Sales, but this time of year there usually aren’t as many on a given Friday. That’s OK, because I really can’t manage more than a few anyway, as I tire out and hurt too much to go to very many. So, we have been doing a little bit of Estate Sale hunting and a little bit of Christmas shopping on Fridays. The only thing we absolutely have to go to stores for is all the Stocking Stuffer odds and ends that we give our children and grandchildren every year. And this year, we have been buying things for their stockings all year long, which is a blessing.

Thank goodness for Internet shopping! I’ve been buying most of our gifts online for years, but this year it has been a blessing. The black pair of Skechers came the other day, and I wore them to get our portraits made. They feel wonderful, and they do improve may stability much more than the Sunday shoes I have been wearing. Our daughters wear the same size shoes I do, so looks like they will be getting some hand me down shoes.

So, I keep going, making changes as I must.

Posted in Uncategorized | Tagged balance, cure for Parkinson's Disease, difficulty walking, drug interaction, exercise, freezing, gait, muscle spasms, Orthopedist, pain, Quality of Life, tremors, yard work | 2 Replies

I’ve Been Busy, Busy, Busy!!!

Day by Day with a Movement Disorder Posted on December 6, 2007 by DBDecember 6, 2007  

I’ve been so busy I hadn’t even realized how long it had been since I posted here. This is our busy time of year for selling on eBay, so I’ve been spending a lot of time taking pictures, writing descriptions, and packing items to ship. Hubby helps a lot with the packing, and he goes to the PO with them, but the photography and anything computer related is up to me.

I also have been very busy on the Plush Memories blog, because so many people have written wanting help finding their child’s lost lovey. It feels so good to actually help someone, and I have had some successes lately. But right now, I have something like 70 or so requests that I haven’t posted yet. Every time I open my email, there are a few more requests. It’s almost like being Santa, getting all the letters. But I’m not magic, and there are only so many hours in the day that I can give to it.

I am still sleeping a good 7 to 8 hours a night now. My alarm watch is waking me up at 5:00AM most mornings now. That’s made a huge difference in how much energy I have, and I’m not even dropping off to sleep in the car like I had been. I haven’t had the nerve to drive again, though. I have mentioned it to hubby, but he just doesn’t answer me. Not so sure he thinks it’s a good idea.

The elimination problems have improved slowly, and the Bentyl, prune juice, extra Metamucil, and the Glycolax are working. I bought a couple of books about IBS, and I’m trying to change some more of my eating habits, too. I had already made some huge changes over the last few years, thanks to the GERD. But now, my diet is even more restricted than ever. I eat the forbidden foods from time to time, like pizza, but I do it knowing that I can expect to have consequences. And I give in to the chocolate craving every once in awhile, as it’s the best cure for being upset that I have ever found. Yes, I am addicted to chocolate!!

Wearing the Skechers shoes helped last Sunday, and I was not anywhere near as unstable in them as I have been in my regular Sunday shoes. They’re not the kind of shoes anyone would normally wear with dress up clothes, but they are unobtrusive.

I’m to have a stand up MRI soon for my neck, as the pain and stiffness have not gone away at all. I’m waiting right now for my insurance to approve the test. The muscle relaxer and anti-inflammatory have not made a dent in my neck situation. The X-rays show the degenerated disks, and my Orthopedist knows about the problem I had with the Celestone. He said I may have to go off the Zelepar long enough to have the epidural in my cervical vertebrae. He said I would need to talk to the Anesthetist and work that out with him. Sounds fine to me!!!! If the epidural doesn’t work, the only thing left would be some form of surgery, and that I will avoid as long as possible.

Hubby’s sciatic nerve problem has flared up again, so he doesn’t feel like going to the track to walk. So I’ve been getting most of my exercise by working in the yard. The Lasagna Compost is still growing, one pile of wood chips, fertilizer, kitchen scraps, and dirt at a time. It sure is tempting to turn the pile to see if it’s working, but I have resisted the urge so far. I work in the yard several days a week for over an hour, so that’s good.

So, I think I have more positives going on than negatives, and that means today is a good day!!!!

Posted in Uncategorized | Tagged Bentyl, Degenerative Disk Disease, diet, difficulty walking, drug interaction, eBay, elimination difficulties, GERD, insomnia, muscle spasms, Orthopedist, pain, Quality of Life, walking shoes | Leave a reply

No Such Thing as Status Quo with Me

Day by Day with a Movement Disorder Posted on November 24, 2007 by DBMay 10, 2016 4

We had a wonderful Thanksgiving Day with our whole family. Our older daughter and her hubby both love to cook. So they went overboard with the food, but it was important to them, as their first big family meal in their new home. I could tell she was getting all stressed, which is not good for her at all, but I sure was glad I didn’t have to have them all at my house. Don’t get me wrong, I love being around all of them… but I get way too panicky at the thought of having that big a group all at once.

Plus now, my house is not clean enough for me to feel comfortable entertaining. I have started trying to unclutter some parts of the house, but it took it several years to get in this mess, and it’s not going to be clean overnight. Hubby says to just ignore it …. something he seems to be able to do quite well. It bothers me, though. Every time I try to tackle it, I get worn out before I’ve made a dent! LOL

Anyway, I did have an appointment with my Gastroenterologist this week. I am still having lots of belching and gas, although the elimination difficulties have improved considerably since he put me on the Bentyl. I had read some things on the Internet that made me ask about the Metamucil and Glycolax, as far as were they contributing to the gas problem. I gave him the printout showing the times I was taking my meds, thinking he might see something that I needed to change. He was flabberghasted. He said he had no idea I was taking the Metamucil and Glycolax in the morning – that I should be taking them at night!

He also said the loud belches were from swallowing air. I told him I knew I did that when I took my meds with a big gulp, because I had trouble swallowing them. He suggested I take them in applesauce, instead of water. And …. it works! I do have a little trouble getting the swallow to come, though, thanks to my uncooperative tongue.

My tongue has started some kind of tic. I’m lip licking, or lip sucking, or moving my tongue around, rubbing against my teeth almost constantly now. I mentioned this new quirk in the PLM forum, and one of the Parkies said she had been rubbing the back of her dentures with her tongue for 14 years! She’s actually worn a hole in the back side of two of her teeth!

Speaking of the TAP, I am continuing to get 7 1/2 to 8 hours of sleep each night. My alarm watch is waking me up now to start my meds at 5:00AM. If I could just stay awake later at night, I would change the time of the first meds. But it’s all I can do most nights to stay awake until 9. I’m toying with the idea of taking a short afternoon nap, but I will wait awhile longer before I try that, to be sure I have the sleep habit well established.

I am out of the muscle relaxer meds now, but they really didn’t help a whole lot to ease the soreness and stiffness in my neck. So I’ll be calling my Orthopedist this next week.

I’m still having a lot more tremors than I had before my trip to the ER. The tremor in my right hand is unpredictable, but strikes often and hard. If I stand still for even a few moments, my right leg starts a little dance all by itself, making my whole body bounce, and sometimes now it starts up even when I am sitting down. That was only happening at church before, where I was blaming it on being cold and the seat being uncomfortable. Now it’s pretty much a given that if I’m standing, I’m dancing, and if I’m the least bit tired or upset, I’m jiggling as I sit. And walking still feels like I’m on Jello. I’m using the cane all the time when we go somewhere now, except for church. I’m still stubbornly holding out on that, as it puts too much attention on me.

I am going to have to keep track of the times of the day that all these tremors start and stop, so I can tell if it has anything to do with my meds wearing off.

So today, I can give my sleep problems an A, elimination difficulties a B-, stiff and sore neck a D, and tremors a D.

Posted in Uncategorized | Tagged Bentyl, difficulty walking, elimination difficulties, family, gait, Gastroenterologist, house cleaning, Metamucil, Miralax, muscle spasms, Parkinson's, PatientsLikeMe, swallowing, TAP, tremors | 4 Replies

My Pharmacist wears an S under his lab coat!!

Day by Day with a Movement Disorder Posted on November 13, 2007 by DBNovember 13, 2007 4

Yep, as far as I’m concerned, he’s Superman, ready at any moment to rescue this damsel from danger. I went to my Orthopedist today to get some relief from the painful neck spasms I’ve had for the last two weeks. He prescribed the muscle relaxer, Flexeril, which I have taken before, long before I was diagnosed with PD.

We dropped the prescription off on our way home, and DH went back to get it about an hour later. He came home with Methocarbamol, not Flexeril. Sure enough, I would have had a serious drug interaction with Flexeril and my PD meds. My pharmacist called the doctor and they found a muscle relaxant I could take, all before hubby ever got there to pick it up.

I think that makes three times in the last few months that my fantastic pharmacist has caught medicine errors that my doctors have made.

We live in a very small rural town, and we went without a pharmacist for quite a few years. When this one opened up shop, I told him the first time I went in there that he could depend on us to patronize his shop, even though we realized that we could buy cheaper at Wal-Mart or the chain store pharmacies. He’s not open at night, or on Saturdays and Sundays, but I wouldn’t trade him for anything. He more than pays for his higher prices with his service and the fact that we are close enough to walk to his store if we had to. The franchise pharmacies would require an almost hour round trip, which is no fun if you are miserable. Sure, there have been times when we had no choice but to patronize the big boys on the weekend or at night, but we try our best to give our local fellow as much business as we can.

I’ve said it before, and I’ll probably say it again. Everyone should keep all their prescriptions medicines on file with one pharmacist, and make sure that pharmacist cares about you, and not just about making money!!

Posted in Uncategorized | Tagged drug interaction, muscle spasms, Orthopedist, Parkinson's, pharmacist, prescriptions | 4 Replies

Insurance Has APPROVED My Dental Appliance!!

Day by Day with a Movement Disorder Posted on November 10, 2007 by DBNovember 10, 2007 8

I knew I was having a good day yesterday! When we came home from our Date Day, I had a lovely letter waiting for me, stating that the TAP Dental Appliance has been approved by my insurance for the treatment of my Sleep Apnea. I immediately called them to find out how to get my money back, as I had to pay my dentist for it up front. They are sending me the forms to take care of this. Whooopiieeeee!! I had anticipated some trouble with them agreeing that it was eligible, so that’s something else I can cross off my list.

My neck is still very uncomfortable, but I made myself work on the compost heap this morning. I can’t afford to give in to it, or I’ll find myself able to do less and less.

I actually slept until my first medicine alarm went off this morning at 5:00AM! EIGHT HOURS OF SLEEP!!! That’s the first time that has happened. I’m still waking up quite a bit in the night, but unlike before, I am able to drift back to sleep, even after I’ve been up to use the bathroom.

We ate at on of our favorite Mexican restaurants yesterday for lunch, but I was a good girl and got the Huevos Rancheros, which is nothing but sunny side up eggs with sauce on top. I scrape the sauce over to the side, eat the Spanish rice and the eggs, and just taste the refried beans. I did get a side order of the guacamole, which I really enjoy and finished off a bunch of the tostados they bring. I did NOT have the woozy feeling after lunch. So I’m pretty sure it’s not protein that sets it off. It may be fat, though. I’ve basically been avoiding eating beef or pork for lunch. Most of the week we had the fake crab meat in a spinach and cabbage salad, and that does not cause the funny feeling, either.

I’m still having real problems with tremors and walking is not as easy, as I have this constant feeling of walking on Jello, because my legs are shaking the whole time I am walking. I’m using the cane just about any time we leave the house now, except for church. I’m trying to hold off using it there, because I get asked too many questions about how I’m doing. It makes me self conscious. I have started taking a lap robe to church, though, as I have come to realize that I have the hard tremors in church because I’m cold! I’ll be making an appointment with the Neurologist next week, now that I’ve been on the new meds for awhile and the apnea and tummy are well under control.

Our older daughter and her hubby are going to do the honors for Thanksgiving Dinner this year. They both love to cook, which I never did, and this is their first holiday in their new home. I’ve always been the one to have the Thanksgiving meal, but I’m very happy to pass this tradition along to her, and just help out with the expense. Hopefully our younger daughter and her family will be able to come, too. With me not having to do anything for dinner, I can really enjoy the day.

So, things continue to come to good conclusions, and I remain optimistic. May we all have a great day today!!

Posted in Uncategorized | Tagged balance, cane, Church family, dental appliance, diet, difficulty walking, exercise, gait, insomnia, insurance, muscle spasms, Orthopedist, Parkinson's, Quality of Life, Sleep Apnea, TAP, tremors | 8 Replies

First Impressions of Last Night’s Sleep Study

Day by Day with a Movement Disorder Posted on November 7, 2007 by DBNovember 7, 2007 2

I spent the night at the Sleep Study’s Research Center last night. The room was luxurious, and since I cannot sleep on a flat bed, I specifically requested the one room they have that has a Tempurpedic type mattress on an adjustable bed. I have been interested in this type of bed for several years, thinking I might be able to get back into the bedroom with hubby, if we had one of those King size adjustable beds with the split. That way I could set my side for a recliner like position, while hubby could sleep flat. It’s been years since we have slept together, and I would love to be able to have that closeness again.

Well, to say the least, I was disappointed with the bed. I tossed and turned all night, trying to find a position that would not make my back spasm. I ended up sleeping in this hole where my bottom was. I had just as much trouble with back spasms all night long as I do on a flat bed or the hospital bed I slept on for the first Sleep Study. I am glad I had the opportunity to try out this type of mattress and bed, as they cost up in the 3 to 5 thousand dollar range. It would have been terrible to have spent all that money and not be able to sleep comfortably.

As for the Sleep Study itself, I used the TAP dental appliance set to the easy setting I’ve been using ever since my neck muscles started spasms. I was hopeful that this smaller amount of forward movement of my jaw would be sufficient to stop the apnea. From his preliminary review of last night’s data, my Sleep Disorder Specialist was very encouraged that the TAP is working just fine for me. He also agreed with me that my daytime sleepiness is from the PD meds, not from any underlying medical issue. This is the best possible news for me. He also said he would be glad to help with the documentation to help me to get Blue Cross/Blue Shield to reimburse us for 80% of the $1000 we spent up front on the TAP.

So, with my sore back and scalp full of gooey glue, I am happy. I fought the good fight to get used to the CPAP masks, and failed. I kept adjusting the lower jaw advancement on the TAM, until I put my whole neck muscles into painful spasms. Then, because of the pain, I backed off by several turns of the key. And it paid off, as I have evidently been able to get the apnea controlled at a comfortable setting.

Today is a GOOD day!!

Posted in Uncategorized | Tagged C-PAP, dental appliance, hospital bed, insomnia, muscle spasms, Parkinson's, Quality of Life, Sleep Apnea, Sleep Disorder Specialist, Sleep Study | 2 Replies

Just When I Start Sleeping Later … THE TIME CHANGES!!

Day by Day with a Movement Disorder Posted on November 4, 2007 by DBNovember 4, 2007 4

I can’t win for losing! LOL!! I was finally putting together a string of days when I slept until close to 5:00AM, a real accomplishment for me, when the Daylight Savings Time changed on me this morning. So, I’ve been up since “3:30AM”, even though my brain thinks I slept until 4:30AM. I am very pleased that I slept over 7 hours, but I know that I always have a hard time adjusting to these time changes. My appetite gets off schedule, and it has always taken me quite a while to adjust to the different sleep times. Plus, I have my Sleep Study this week. Not the best timing in the world, but it will have to do.

My neck is much better this morning, with pain and stiffness only when I try to turn almost all the way to the sides. I have been very careful with this spasm episode, trying to be very cautious with any stretches, trying to move just to the point of pain, but no further. I have not tried to advance the TAP screw any, since this spasm hit, but I am sleeping with the dental appliance every night.

I have reached an amount of extension of my lower jaw that makes it harder to get the pieces in my mouth. Now, I have to connect the two pieces before they go in my mouth, and then jut my lower jaw forward to meet the mouthpiece. Before, I could put the two halves in separately, and jut my jaw forward to hook them together. I can’t unhook them in my mouth any more in the mornings, either. I have to break the seal with them still hooked together. That’s not an easy thing to do, as they really fit tight. Of course, it’s because they fit my teeth so perfectly that this contraption doesn’t hurt, so I’m not complaining.

I exercise my jaws with the chewing pieces every morning while I’m on the computer, and don’t even really have to think about it. It’s about like chewing gum, really. Then, I also do a series of facial grimacing and stretching exercises for my Parkinson’s, to delay the time when I will lose facial expression. The chewing strengthens my jaw, and should actually help delay the “Mask of Parkinson’s”.

I am in a better mood generally since I started taking the Bentyl, which is an antidepressant as well as an antispasmodic. I’m taking it to soothe my spastic colon, but I’ll take any mood improvement I can get! I’ve managed to get started on several projects that I was previously just overwhelmed by, so that’s a good thing. I even managed to put something new on eBay several days in a row, and posted some new requests for people searching for lost loveys on our Plush Memories blog. I’m still way behind on that, though. But I’m completely caught up on the BLOG VILLAGE membership screenings. The house is still chaotic, but that’s nothing new. I never was a very good housekeeper, sad to say. I do love it when it’s all uncluttered, but I never have been able to find the gumption to keep it that way. All in all, though, I can tell that I’m getting out of the doldrums I’ve been in for some time, and that’s a very good sign!!

Posted in Uncategorized | Tagged antidepressant, Daylight Savings Time, dental appliance, eBay, facial exercises, house cleaning, IBS, insomnia, muscle spasms, Parkinson's, Sleep Apnea, Sleep Study, stomach | 4 Replies

Still Having Problems, But I’m Sleeping Longer!

Day by Day with a Movement Disorder Posted on November 3, 2007 by DBNovember 3, 2007 2

I have managed to “stay in bed” for over 7 hours now 4 nights in a row. I wish I could say that means I was asleep the whole time, but that hasn’t happened yet. It is still a considerable improvement, however. The last pill I take at night is the Bentyl, which is supposed to calm my colon and prevent the spasms that have been plaguing me for so long. It is an antidepressant, so I suspect that may be at least part of the reason I’ve been able to delay getting up as well as I have been. I continue to wear the TAP each night, so maybe it’s a combination of both of them. Whatever it is, I’m thankful for it.

I’ve spent the last three days trying to overcome the stiffest neck I’ve ever had in my life. It started Wednesday evening, out of nowhere. I could feel the neck muscles all tensed up, and it was impossible for me to turn either way more than a couple of degrees. I tried the hot pad, plus took some Tylenol, and hoped I would sleep it off. I also did not wear the TAP that night, thinking that might make it worse. It was still extremely tight and painful all day Thursday, but I did go back to wearing the TAP. Nothing seemed to make it go away. It was considerably better by Friday, although I did take some Arthritis Strength Tylenol to get to sleep. Now, I am able to turn my head both ways maybe 45 degrees each way before the pain stops me.

I’m not really sure where this spasm came from. I did work out in the yard Wednesday more than I have been, and I could have over done it there. Or, it could be that I have turned the TAP screw past what my jaw can handle. Just in case it was the TAP, I backed up several turns on it to give my jaw muscles a rest.

I did get my flu shot this week, with no side effects at all. And I made sure the nurse put the information in my records about Celestone causing me to have such a horrible Parkinson’s episode. I have not yet returned to the state I was in before the steroid shot, so I guess I won’t be getting back to that point. It’s been too long now. If I were going to recover completely, I would have by now.

I am still having those weird spaced out episodes after lunch mostly. I’ve tried eating meat, not eating meat, staying away from any protein, eating normally, eating things I’m not supposed to eat, like pizza, and eating very carefully selected IBS foods. Nothing seems to be an obvious trigger, so I’m left to think it is the medicine itself doing it. That would be the noon dose of Levadopa/Carbidopa (Sinemet). I’m not sure why I have more trouble with the noon dose, as I take this med with all three meals. It remains a puzzle.

I’ve been working hard on several computer projects lately, so I’m behind on listing items on eBay. I have got to get that done today, though, as we are being squished by all the bags of plush toys packed into our two spare bedrooms. LOL We buy them faster than I can sell them!!

So, I guess it’s time to quit blogging, and start taking some photos!!

Posted in Uncategorized | Tagged antidepressant, balance, dental appliance, difficulty walking, drug interaction, IBS, insomnia, Levadopa, muscle spasms, Parkinson's, Sinemet, Sleep Apnea, steroids, stress, yard work | 2 Replies

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