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Old 12-16-2013, 11:21 PM #1
Susanne C. Susanne C. is offline
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Originally Posted by en bloc View Post
Interesting thoughts on walking sticks and canes. I use a cane (have for numerous years). After reading comments here, I may try a walking stick instead.

I have fallen even with the cane, but it's almost always due to lack of proprioception and not knowing where my feet. So I don't know if it would make a difference in falls, but it sounds like it might just be more comfortable and easy to use...particularly to help with general balance issues.

However, with my dysautonomia (particularly orthostatic hypotension) I am unable to maintain an upright position for a length of time...especially if standing still in a checkout line, etc. So I will be getting a scooter for use in public places where scooters are either not offered or just not available (being used by others or the oh, so common 'out of order' sign on them).

It's a difficult adjustment, but one that needs to be made and accepted.
It is a difficult adjustment. I delagate as much shopping as I can but when I have to do it wipes me out for the day. I feel stupid getting takeout when I have just filled the house with food because I am exhausted.
I am very unsure of my ability to drive one of those scooters. I am terrified of driving into someone.
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Old 12-16-2013, 11:56 PM #2
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Your comment about the best walker in the world(the shopping cart) brought the best smile I have had in a month....The only time I don't fear shopping is behind a cart...I just hope I have your strength to fight this thing as you have GBU
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Old 12-17-2013, 10:33 AM #3
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A shopping cart is good and works great. One of those electric scooters at the store is very easy to handle. However, it is quite difficult when you go to reach for something. If it is real high or real low; especially high you have to get off of the scooter and reach it. Or ask someone if they would get the item for you. So you are constantly stretching and reaching. This not great for my back. The scooters are not as handy as they look. At least for me but not due to just running around the store with them. That is great. But if you can't walk at all then they are for you.

As far as a cane or a walking stick, the cane I have is far more comfortable as far as the handle goes. The problem with either the walking stick (and I've tried it and used to be able to handle it as well same with the cane) is due to my balance problem. Shall we say ordinary people who need a cane or a walking stick have all of their muscles to rely on good or not so good. A lot of CMTers have some muscles in their legs which are atrophied (diseased and dead). And you cannot build up dead muscles. A CMTer knows that. So there lies a big problem. If I had all of those muscles good or not so good as ordinary people have it would certainly help with using a cane or a walking stick or two. Otherwise, the two are about worthless and so an arm is pretty well needed when going out.

In the house furniture, doorways, walls, counters, and the like are a great help as just a touch will do the trick at this point. However, CMT progresses as it does and so things will change.
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Old 12-17-2013, 02:47 PM #4
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Hi Kitt, Steph, Susanne, en bloc, Janeverts, Aussi 99 and all who have posted!

Such a relief to know that others understand what we are experiencing.

I use all the furniture, walls, doors, etc. in the house to keep me going. Even at night, I can do pretty well, as long as I KNOW there is nothing on the floor, to trip me up.

Today I kept getting a cramp on the inside of my thigh when I was sitting in a meeting. I finally just had to stand up and keep stretching it.

When you do have a diagnosis of what is causing your PN, do you then have some idea of whether or not it will progress? How far it will go? I was afraid that mine was related to autoimmune conditions and might spread all over my body (once brain tumors and spine damage and MS were ruled out).

But since it hasn't really 'spread' in 4 years, I guess whatever it was just happened and that was it. Most likely an antibiotic I took for an extended time.

I've actually taken the same antibiotic since the PN was diagnosed, but only briefly. All the antibiotics for Urinary Tract Infections can cause PN (up to and including death) but I'm deathly afraid of UTIs since I once had a kidney infection with e-coli that was in my blood before it was found and stopped.

I have very poor immunity (almost none) and so fear infections of all kinds.

I start on IVIG on Thursday. I tried the subcutaneous infusions of IgG, but my weekly reactions to the IgG were too much to bear. So now we're switching to monthly IVIG. Being really miserable once a month may be more bearable than every week.

I also have a copper deficiency, which 'can cause neurological problems' and is so rare as to be almost unaddressed in research or in the literature. Even my neurologist was hard pressed to know how to address it once he found it.

Again, I don't see why a copper deficiency would cause profound PN and then stop progressing since the deficiency still exists and was just found two weeks ago.

I'm tired of having weird stuff that no one understands.

If my PN isn't going to progress, I can probably manage. But I would certainly live in an assisted living environment if I didn't have my husband to take care of the house and help me with big things.

I have severe arthritis in my hands and can't manage heavy items, or picking up things very well. And of course, I can't walk anywhere carrying anything much.

I'm finding I accept this a bit better. But today, when I drove to the meeting, as I got out of the car and stood up, I realized AGAIN that I have to move very very slowly from sitting to standing, and then wait to see if I'm going to be dizzy (sometimes I am).

Once I started walking and then realized that I was going to faint. I fainted just inside the door of a restaurant, shocking myself, my friend next to me, and my husband who came rushing in behind us.

I don't have the dizziness when standing up all of the time, like so many do, however.

Susanne, you should try a scooter at one of the supermarkets or stores, just to see if you CAN drive one. Most people do notice the scooters, and steer clear, and they beep when you back them up, I think.

When I watch people with scooters shopping, most of the time they have someone with them, to reach for things, etc. I think the idea is just to be able to go out and see things and make some choices.

I am so used to shopping on line now, I'd be happy to do my grocery shopping that way, as long as I could get some 'good buys'!

I have hearing loss, and that adds to my instability, especially in the shower. If I close my eyes to rinse my hair, I no longer have my eyes, ears, or legs to give me a sense of position. I fell backwards out of the shower at the gym TWICE (before I knew I had PN) until I learned to stand with my back to the wall in the shower!

Janeverts, I'm so sorry to hear that you have vision problems! It doesn't seem fair that some of us get 'one of each' at the 'problem buffet' of life! Have you tried Cymbalta for the pain of your sensory neuropathy?

I take Cymbalta which helps a great deal. And Aleve (Naproxen Sodium). I cannot take any codeine type products as I have an immune response that is very unpleasant: frantic itching, pain, fatigue and depression.

My neurologist at Duke is Dr. Peterson (Paul), Immunologist is Dr. Lugar (Patricia) and Rheumatologist is Dr. Mitchell (Kate). My HUSBAND is a retired research Immunologist who did organ transplantation research and taught at a medical school in Boston for 25 years. He is as puzzled by my Primary Immune Deficiency Disorder, Neuropathy, and everything else, as I am.

But he does understand how complex our systems are, and how little doctors and medical science really know about how things work.

we are very very far from being able to cure or stop many of the conditions that make our lives miserable.

Well, life has no guarantees, for sure. And I've had many wonderful experiences. My heart breaks for the very young who have to spend their entire lives with serious disabilities. And yet I know that we can find joy and solace in the simplest things, that so much depends on letting go of expectations and accepting what is.

Today the sun is shining. And my house is reasonably clean and tidy! What more could I ask?

Hugs, elaine
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Old 12-17-2013, 06:09 PM #5
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Hi Elaine,
I can understand because I have been in denial for 8 yrs. I have to let in the reality a little bit at a time. I was working at a large hosp/ital in the neurosciences dept as a RN. First it was just numness and tingling-then progressed to me walking like a drunk. I knew then I needed a walker-and still do. I'm curious if you can tell the name of your doc at Duke. I was worked up there-and the.y basically didn't know why or had no offer of any treatment. Then went to UNC and again very nice but nO answers. Did r/o Sjogren's.
Went to Emory. By this time no reflexes and no response on the EMG. I had low thyroid, stressful jOb (gave it up 6 months ofter this started.) poor diet and had been given Avelox 3 months before my first symptom. I finally saw another doc at EmOry-Jonathan Glass, top 10% in nation (according to USNews)in his speciality of neuropathy. He has seen this b4 and sai/d it was autoimmune all over my body and sai/d /it was /in th.e ganglions-no treatment. I've tried diets, supplements, lyrica(bad side effects) and have had small improvements, scary flare ups, but mainly am stable. It h.as only affected my sensory-no motor involvement. My loss of coordination and loss of position sense have been the worst part. And the pain. I use my eyes to ttell my feet where to go and my hands too. The doc just told me I have fast onset of glaucoma and macular degeneration!So you can make it. I don't need as much rest as I did at first. I keep trying to do things before I let someone else help me to keep up my strength. I hope I've helped a bit-I'll be
thinking of you and this site is wonderful support.
how did the doctor at emery determine that your pn was in the autonomic ganglia? is there specific testing for this? was it based on symptoms?
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Old 12-18-2013, 09:00 AM #6
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Online shopping is a huge blessing. Our Christmases are large, extravagant, and expensive and I never had to leave the house. Thank you Amazon! (And Lego, Williams Sonoma, Macy's, and even Petco!)
I would also be unable to live by myself, Elaine, especially since CMT is progressive. My husband simply has to outlive me, although I could possibly live with one of the children, or have them live here. If some girls don't appear to take my sons off my hands I am sure one or more will still be home. I wish I could order a daughter-in-law online!
I have had to get up and pace in the back of church when the tension in my legs just got to be too much. At Latin Mass you kneel though most of it and it is somewhat humiliating to have to sit back when much older people are kneeling but I learned my lesson about that. My legs can go so numb I can't walk at all afterwards.
I try not to think about the future more than I need to for practical purposes. We did have the floors leveled, the porch door changed to easier opening and wheelchair width, and the washer and dryer brought up from the basement. For now I can make it up the stairs to bed, but it is difficult.

I hope you see some improvements from the treatments, Elaine.
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Old 12-18-2013, 06:21 PM #7
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When we bought this house three years ago, we chose it because it has 1) a first floor master, 2) the washer and dryer next to that bedroom.

It does have a few steps up into the house from the garage or front door.

And I don't think the doors/halls/bathrooms are wheel chair accessible.

But we can modify that if we have to. I'm SO GLAD I don't have to go up and down stairs for my bedroom or the washer and dryer.

Hugs, Elaine.
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Old 12-23-2013, 07:15 PM #8
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Default Linda, lots of HUGS

Hi Elaine, Lots of Hugs

I've had neuropathy for almost two years, but I know I had it much longer than that. I suffered for a long time before I went to the Doctor. I was actually relieved when I found out IT had a name.. I have always been strong, haveing an active lifestyle and that all came to an end. eventually I had to quit work. It was an emotional time for me, now I do what I can and adjust, my life is changed, my medications slow me down,and yes, I trip over things too,I have explained my situation to my family and friends because I want their support and love, and most just dont get it, and thats ok they will eventually. its been a humbling experience and Im ok with that. Dont let the unknown get you too upset, accepting is hard, but you will find the inner strenght to move forward and live the best life possible. Keep up a good natural diet to help your body to adjust and cope, you can do it
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