Sunday, May 26, 2013

Pump It Up


how I get "pumped" every day 
I an earlier post, I wrote about my current treatment but several people have mentioned they missed it because it was "buried" in a longer post. For those who missed it, I've re-posted it this week.For those who have already read it, take the week off :). Or, if you are a real blog junkie, permit me to suggest where you might get your weekly fix - visit http://lilblume.blogspot.ca/. Lil  Blume, a friend of mine from my old radio days, does a great job with this - inspirational and thought provoking.

I was diagnosed with Parkinson's Disease in September 2000 at the age of 43. I was advised by my original neurologist that I would be in a wheelchair in 5-10 years. While initially devastated by this news, as time went by, I became increasingly combative with this news. Each anniversary found me proud of my continued mobility and, as I approach the 13th anniversary, that wheelchair remains a part of some distant future. 
Still, in the past few years, PD has seeped into, and solidified a presence, in every aspect of every day life. With the exception of 4 hours at night when I am asleep, PD brings with it varying degrees of stiffness, slowness of movement, muscle pain and weakness, reduced dexterity, tremors, cramping, dystonia (curling of toes), cognitive dysfunction and weariness. My cocktail of meds have no doubt helped, though their effectiveness wains over time and doses require regular adjustment. Fortunately, I have had good care provided from a neurological team at Toronto Western, and, in September 2011, I was given the opportunity to participate in a clinical trial for a new drug-delivery system for PD wherein my main PD meds are delivered via slow release by a pump i have strapped to my body. This began with a week of nasal injection of the drug before surgically implanting a tube that henceforth is used for on-going infusion.  I am also able to periodically adjust the dosage throughout the day when I require higher levels. 

While I was pleased with many of the benefits I received from this new treatment, problems at the site where the tube entered my body became too much to bear and in July 2012 I had the tube removed and temporarily resumed my regular course of oral medications. In January 2013, the tube was again implanted and I returned to the clinical trial. To date, things have been going very well, thanks in part to early intervention and constant support from my neurological team and community in-home nursing provided through CCAC. 

In addition, I am fortunate to have a health support system that extends well beyond this clinical trial. From my family doctor, local pharmacist, physiotherapist, massage therapist, and of course my family and friends. It's hard to imagine going down this road without them.


the first few days of the clinical trial, 2011


what I'm wearing today, tomorrow and every day thereafter
the brown vest that holds my pump in place!


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