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Frontotemporal Me

11/22/2016

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The smile has mostly gone. Well, while walking. Would like to be a bigger person/character, and continually work on it (but with no success, as my mates would say), yet my brain seems able to focus on only one task at a time….bend the knee, push with your toes, lift, up and over, heel down fractionally first, push through, keep a wide stance, bend the knee….

Being a little unfair on myself, upon reflection. TWO things at once (
Hurray!). While instructing my pins, I’m also scanning the next metre or two of ground ahead, as 5 millimetres difference in (say) cobblestones could easily/sometimes does cause a fall.

Even just standing, it feels like I’m one of those giant air-inflated stickmen you see occasionally outside tyre-repair businesses, buckling this way, then suddenly flexing the other, in perpetual motion….

I should be more grateful, it’s a good challenge. And at the same time, hugely frustrating. Which is another good challenge. I’m sure though that putting your mind in sloooow motion mode to do any action – sometimes at night, even just to breath calmly - can’t be healthy.

Apparently cognitive (and behavioural) impairment occurs in around half of ALS MNDers, and 10% have frontotemporal dementia (FTD). Here’s my defence…!

Because you are forced to concentrate so utterly/much to complete every what-was-minor-or-non-conscious-pre-MND-task like walking, brushing your teeth (hang on to that brush!), doing up a button, swallowing, etc, etc, is it any surprise when someone from the past suddenly appears in front of you, on (say) the sidewalk, and you can’t instantly remember their name?

Then add in fatigue. I believe around (also) half of MNDers suffer from it. An ugly beast, in part because most people haven’t ever had fatigue, therefore their empathy for it is poor. Plus, it’s invisible.

Personally, fatigue is like being enveloped in a heavy glue or thick-as fog. Doing the smallest thing is a chore. A big
mental effort. Similar to doing the Coast to Coast, from say about the 7 hour mark onwards, you are totally in the zone of concentrating on one step, then the next. Except this event, MND, is 24/7/365/??.

So, is it possible temporary memory loss is more so just a hesitation, a result of first needing to dig oneself out of the deep funk caused by utter concentration-blended-with-fatigue?

And that if you somehow could put aside the vicious circle of utter concentration-feeling knackered, requiring even MORE utter concentration-feeling even MORE knackered, etc, then the numbers of MNDers judged to have cognitive impairment and/or FTD would drop to ‘normal’ levels? 
​
Or does it more simply show we can wear out our brain?

​PS; Outside of while walking, the smile is still hauled out often. I need it, the world needs it.
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Concentrate, concentrate....

3/31/2015

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I’m sitting in the back of the bus, mouth clamped tight, hoping not to spew. I can see the silhouette of the bus driver, it looks like me/mine; he’s calm, doing his best to keep the trip smooth.

I love life so, so much. I need to keep concentrating, keep my purpose – even if for now it’s simply not to spew inside the bus – and keep faith in the driver.

We’ll be sweet.

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Out Of The Glue?

1/29/2015

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First, two apologies. One, the last post had a header that is unrelated to my scribblings beneath it - I can't suss what I was getting at, but vaguely remember writing the title sometime - can I get away with blaming Weebly (the website tool I use) for perhaps a bit of cross-pollination...? Anyway, sorry.

And Apology Two....the 17th September blog-entry....I didn't do the Auckland half-marathon (that I said I was going to do). I had joined the Make-A-Wish team thinking naively they would create the publicity necessary to successfully raise money. However instead they were relying on each volunteer to solicit donations from their own circle of friends - which, after completing the Rotorua Half Marathon, I had no interest in doing a second time to my mates and family.

I'm aware this is a going-nowhere post. Today is one of the harder ones, which I won't bore you with. Think of floundering mentally and physically in heavy, thick glue, blended with self-depreciation at not being able to shrug it off. Moving on. I had just challenged myself to see if I could (be bothered to) get to Weebly, and then write something. Sounds an extremely small task, I know. Pathetic, yup, big-time. But I'm pleased. Doing anything - including writing poorly to a self-audience(!) - is a victory. 

Chow.
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The UN, and the meaning of f***

1/5/2015

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Told myself to get a life/harden up yesterday, and went for a swim. Got almost knee-deep before the water's slight chop tipped me over. Tried to re-plant my feet on the lake-bed, but the resistance of the water kept me falling over. In that weird MND-way, I ran out of breath, and ended up swaying on knees and hands in oh, about a foot of water, heaving loudly for some oxygen.

There were people all around me - a lovely Taupo summer-beachside day - and a couple of older guys asked if I wanted some help. Having a bellyful of water, feeling like a big puke was imminent, initially I couldn't get a word out. I think they were wondering if I was (excuse my language) simply pissed. 

Eventually I managed "Mooor nrrowne....", and one of guys was immediately on to it. "Motor neurone disease - grab his other arm....", and they hauled me to my feet and onto the beach.  

In the past I would've said very embarrassing, but I'm well past that. Still, humbling. I couldn't say enough thanks, pronounced as clearly as possible, Out of respect and gratitude...and to put to bed any lingering suspicions of drunkenness. 
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September 17th, 2014

9/17/2014

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Finally I'm back, trying to do some good. For all of 2014 I've been attempting to lead a 'normal' working life - 40 hours doing real estate (I'm a licensed agent), HIPPY, and Birthright. Takes me 7 days and realistically my output is probably the equivalent of a normal person's 20 hours....

Oh well. It's good trying.

This time I'm aiming at doing the half-marathon in Auckland on November 2nd. The Baclofen never made a difference to my peg-leg (but helped my sleep for a while), nor has my 'brain-training' - walking on the gym treadmill (gripping the front bar tightly!), "Lift foot, bend knee, kick foot out ahead, bring it down with meaning, heel first, push off with toes....".

So at about 15 minutes per km, I'm not sure I'll remain standing for the 5 hours required, but I'm keen to give it a go. This time trying to raise funds for Make A Wish, who help sick children, see http://www.fundraiseonline.co.nz/TonyTreloar/

I won't 'train' for event, as all the training for last year's Rotorua event coincided with acquiring a permanent peg-leg, but I'll up my sessions at the gym. It makes it more of a true challenge/interesting on the day.

********

I came across the following MND video recently, showing a very brave lady. Have a gander, it will sadden-yet-also-inspire you.... http://youtu.be/byNDxiz38Z0

And I will post more regular blogs.




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The Weatherman

6/14/2013

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A grey, cold (to)day.

After seeing my specialist, I started taking my first-ever MND-related pills 11 days ago, Baclofen. My excuse - they would act as a muscle relaxant, and rid me of my peg-leg. Then I could run again, and raise more money for MND/neurological research.


OK, OK....and resume being in my little mind Mr Action Man.

A side-effect though is that Baclofen is a sedative. So what will I blame for today's post - the weather or the pills?

Over the last 3 years, I've often felt like a warmed-up poo. A happy poo that slowly learned to say "Bugger the fatigue, just get on and do it". Right now though, I feel like one very, very tired warmed-up poo. And a worn-out poo with a peg-leg that is to date no better. Barely able to speak, moving like a drunken snail, comfortable in my mute-mode/snooze-stupor providing no-one comes near.

Yep, currently lacking in will to bother coming out the other end of the haze.

The specialist said I had done well to hang around longer than his initial prediction, and that I might now do another 3 years. I should've been wrapped, perhaps - specialists are like the weatherman, rain predicted for tomorrow means it'll be sunny - yet my first thought was "Do I really want to drag this process out?"

Don't get me wrong. I love every second of life, I can see that even through these drooping eyelids. I also enjoy challenges, and love travel (for sure, MND is just another journey - minus the expensive airfare!). But....my first-set goal upon diagnosis was to not drag down my family courtesy of My Mate. Three years of drawn-out deterioration, for the same end-result...?

I need to up my mental game again.

Or take less pills!

FOOTNOTE; Apologies, I had wanted to make this post about some new fundraising venture. I was mentally steeled-up, even planning, for the specialist to say a wheelchair was just around the corner - I had looked online at racing models - and was instead totally unprepared for (the side-effects of) muscle-relaxant medicine. I have plenty of fundraising ideas, let me sort these pills and/or leg first. Better to (sleep)walk - or limp - the talk, aye?
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On Feet or On Bum - Either Way, Hippy!

5/25/2013

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This will sound like a(nother?) moan. But it's meant as an update. The peg-leg has overall got worse/stiffer, and while standing still my balance is more precarious - head and shoulders sway, if I close my eyes (e.g. to wash shampoo out of my hair in the shower) for longer than a couple of seconds, I'm almost over. I say 'overall' because this morning the knee is bending a fraction, on it's own/naturally, making moving about the house a comparative pleasure.

1% of me is still clinging to the notion that the peg-leg is not my mate MND, but instead subconscious - cowardly, yep - protectionism. Maybe brought on by too much running back in March/April?

I walked a km on Thursday, 19 minutes. Not painful, just uncomfortable. And frigging frustrating!

Anyway, end of moan. Over the last month, while waking each morning with fingers crossed Peg has gone, I've been thinking on the variable pathways (i.e. will I still be on my feet in two months to stumble/walk 10kms in an event, or on my bum)
from here-on in to fund-raise. Finally yesterday a couple of loose ideas started kicking-in.

However, before I 'spill' on these, I'll do a little homework. In the meantime, can I briefly tell you about something else I've been working on, almost full-time for the last month?

It's called HIPPY....

ABOUT HIPPY....

The name stands for Home Interaction Programme for Parents and Youngsters. Too much of a gobful, but in other words parents doing one-on-one educational tutoring of their 3 or 4 year old, so they're not 'left behind' from Day One at primary school. Originating in Israel in 1971, the programme is now in 34 NZ communities, where it targets low-decile families.

Being blunt, and generalizing, these are families where school was a bad/boring experience for the parent(s), and as a consequence their employment skill levels are low. The multiple benefits of (say) reading your young child a bedtime story are not seen/realized. HIPPY attempts to break this poverty-cycle.

Parents are taught how to how to deliver education (reading, sounds, numbers, association, logic, etc) via a 15 minute daily session, one-on-one with their pre-school child, over a 2 year period.


The aim is to ensure not only that the child is not left behind from Day One at school, but that they also have developed a thirst for knowledge/learning, AND they have a stronger relationship with their parent(s). .

HIPPY is 85% funded by the Ministry of Social Development, and with my son I set up a trust in late 2012 to find the balance 15% shortfall (around $15,000) to bring the programme to Taupo. We now have 35 families enlisted, employ a full-time professional co-ordinator, and have trained 3 of the parents as para-professional tutors (who do one-on-one hour-long training sessions at each parent's home once a week). We're now up to Week/Workbook Three.


To learn more, please see www,HippyTaupo.org.nz or the national organization, www.GreatPotentials.org.nz
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Accepting Peg-leg; My Kryptonite?

5/10/2013

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Sorry for the delay in writing. Met with my MND Association fieldworker last Sunday - Helen, a wonderful lady, very good for me (and thus, at her job) - and she confirmed my peg-leg was highly likely to be progression of my mate (MND).

I had kind of reached that conclusion, given it's been 2 months of stiffness (leg locked from hip to foot, no bend at the knee), and getting worse rather than better - somehow also further lessening my balance. But sobering to have it confirmed.

Still, my stairs are now more fun to negotiate!


My feet don't seem to land flat or in the exact place I've aimed, so I can feel a 'bum-rush' coming on, if you get my 'drift'.(Witty me, not). I thought hard for a day or two about quickly finding/buying a ground-level abode....but this place has been a true home for me, and while I desperately want to eke out every last second of this (to me, only) full-colour, high-def life, I would also be happy/satisfied exiting while extending myself a bit (too much).

It's no secret, life is a balancing act. I'm no 'thrill seeker', but like/need to push back against those natural, human, daily feelings of/desire for (or is it only moi?) comfort and taking short-cuts. 


Those stairs are a positive. For now, at least.
What next then? That's why I haven't hit the keyboard for a while, pondering but not reaching a decision - what the rate of progression will be, when will I (may)be in a wheelchair, can I (even) 'walk' 10 kms or a half-marathon now, what events could I do in a chair, are there other ways I can raise funds for the Neurological Foundation, etc.

My mind, the jumble. Truly M(i)ND games!

I do paint on canvas, in acrylics. Badly of course. But perhaps I could sell a few. Very 'limited' editions!

Helen mentioned that MND'ers who 'show' first (symptoms) in speech difficulty pass away quicker than those that show first in limb impairment. That was interesting, in the context most of us MND'ers wonder what Stephen Hawkings secret to longevity is. 

Brains, I guess. Ahhh, bugger, I have no show! Yet there is increasing knowledge amongst experts about MND, albeit moving at a glacial rate.

So, I need to play my tiny part in helping push things/knowledge along, and come up with a fundraising idea/project quick, one that challenges my new boundaries. It can't be too far ahead, seems the sand's moving daily.

Watch this space!
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Getting Crabs in Orewa

4/22/2013

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Good Morning! Sunday was eventful - 3 hours to nail the 21kms, followed immediately by an ambulance interior inspection, and then later 2 quick trips to the shower-floor.

I confess, I walked (in accumulated bits) between 1 to 2 kms of the 21 - a few small downhills that I frustratingly(!) no longer can run without nose-diving over, plus while eating my jellybeans just after halfway (swallowing being a MND symptom/wee problem), and in the last 3 or 4 kms when things became more short walk-long run, short walk-slightly lesser long run, etc.In fact, my vanity - needing to run the last km to 'look the part' as I crossed the finishline instead of walking - led to the ambulance interior inspection.

A few sideway steps once over the line, and my circular 'dance', attracted the attention of the St John's guys. Not being able to get a clear word out only intensified their interest. What couldn't they understand about "Nnnnn, aahhh'mm oooohhhh-ayyyyy, thhh ormaaa"? Every MND'er would've picked up on the "No, I'm OK, this is normal" (after a run).

Life is a never-ending learning curve. Next time I'll carry a typed note for immediate post-race use, headed "Dear Concerned". 15 or 20 minutes after a run, most of the dizzies and wobbles are usually gone. Oxygen in, crappy carbon out. Speaking my nasally-normal takes longer though, so having a note would save both my embarrassment and the good folk of St John some work.


30 minutes after carrying me (despite repeated "Nnnn, aahhh'mm oooohhhh-ay"s) to the ambulance, and testing my blood pressure, etc, Max and Robert of the St John's Silverdale branch decided I wasn't a heart attack victim after all (I think they were fractionally disappointed!), and let me wander off. Sincere thanks guys (both volunteers), I've organized for some goodies to head your way.

Robert promised he'd Google Motor Neuron Disease once he got home.

An hour later, trying to balance on one leg while washing my other foot under a lovely hot shower at the Takapuna Beach Motor Camp, I cannoned over, hitting my head on the toilet (it was an 'all-in-one' cubicle) while en route to the floor. Landing on my back, trying to turn over on a wet tile floor was amusing - images of a hairy old crab on it's back came to mind. The (lack of) balance and co-ordination MND-thing combined to turn a simple two-second exercise into two or three minutes of centimetre-by-centimetre careful planning and progression. Finally I momentarily achieved upright status, only to cease concentrating, and immediately cannon over again. This time I saw it all in advance-slow motion before each connection - toilet seat, lower door edge, tile floor. The headache was intense for 10 minutes or so, then went away.

All good fun though. MND is not something anyone would want in their life - yet it brings constant challenges, and happenings that you would/could never imagine when healthy. Simple, simple chores are now all major stuff. 'Retreat' I'm often tempted by - but then, by pushing my new/MND boundaries, I feel more like I'm living, and have a few proud new aches and abrasions to show for it.

To any MND'er reading this who is physically worse-off than current-me, I hope that last sentiment reads OK. I realize my truly hard yards are yet to come. I'm trying to live in the now, and just hope I can carry that through to whatever conclusion I choose. If I have it wrong, tell me, imagine_tony@hotmail.com

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Family Genes

4/19/2013

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Adventure/challenge day tomorrow. Cool. Woke up this morning feeling typically trashed (my fault, I could use a breathing-assistance machine, called a 'bi-pap' I think, just trying to resist/not concede for as long as possible), but walking around - and that vital first cup of coffee - regularly gets me out of zombie-mode into at least the slow-lane.

Checked the weather forecast for Auckland. Rain and more rain. But also warm, so that is good - in the cold, everything seizes-up, my movement becomes doubly jerky. Will take my thermals though, and nylon outers - sexy, not! Loaded up on pasta last night, will take a container-full with me.

Hmmm, the words are a little hard to find this morning. Think I'm (underneath) a tad nervous, and therefore trying to keep my mind blank until race-start. A condition my parents would say I've suffered from since birth.... I tell them it's a family gene.

Enjoy your day!

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    Tony, age 54, of Taupo. 
    Very happy to converse with anyone, on any subject, by email or text, or over a coffee if you are ever in Taupo.

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