Category Archives: Patients Like Me

For All the Tomorrows For Which We Live

I deny thee for the lie you pretend to be. 

It’s often easy to think we have time. It’s so tempting to say “I can’t wait till tomorrow when I will be able to…” There’s always tomorrow…right up until there isn’t.

These sayings sound trite, so petty. They seem childish once one is confronted with a progressive disease like MS. Even with relapsing remitting MS, I can’t be sure tomorrow will see an easing of symptoms. With every relapse, there is a new, usually worse baseline. Even without a flare, the baseline isn’t level. We all age, and MS ages me faster. Still, I think MS has made me more aware than ever of the good days, even the good hours, minutes and moments. Tomorrow is an illusion whose only real value is contained in all the nows which bring it to exist.

This past week, I was lucky enough to be pointed towards another blogger with MS. Unfortunately, I was pointed to his blog after he passed. He had an amazing way of putting things bluntly with eloquence. My favorite quote came from my favorite of his posts, one on slaying dragons, and it goes right to the heart of making the best of what you can do today.

“Even the healthiest of us have battles throughout the day. We all have our own stories, and as insidious as it may appear to the world, nobody seems to go unscathed. Humor can truly ease the situation. Learn to laugh at yourself a little. I need you all to do me this favor. The next time “running” to the store, “jumping” in to the shower, “grabbing” lunch for the kids, or even “preparing” for the day becomes in anyway a pain in your ass, it is necessary to perform one of two options. Either thank God profusely for the ability and fact you can actually perform and accomplish these tasks without trepidation or consciousness, or take my approach, get your head on straight, make a few jokes, and SLAY YOUR DRAGON! There are no other options.”

(My favorite moments of this week on the next page)

My favorite nows of this week were playing “Go Fish” and Tic Tac Toe with A and watching O concentrate at Tae Kwon Do. To know them is to know how far they each have come to enjoy those simple day to day things. For A, the simple games of logic weren’t easy. To get her to concentrate on winning and not just avoiding losses is a huge change of perspective. She was moving beyond just getting by preferring a tie to a win because then both people are not sad (note, neither being excited for winning either).  This was no small change even though it sounds small.  For O, concentration is not his long suit, and watching him stand in line without goofing off or running headlong into the mirror wall.  With K, I loved watching her run up the sidewalks and down the sidewalks of our block stopping to inspect the plant with colored leaves.  How can a little girl who can see only 2 feet move with such confidence where everything is unknown?  Awe inspiring is the only explanation I have. Progress rarely seemed so rewarding as this week. These moments make all the pain and tiredness seem but trifles.   Live now. 

As my kids grow, I think of the quote from Samuel Johnson, “What we hope ever to do with ease we must learn first to do with diligence.”

Follow up on Seasonality of MS:

I got an email response to my request for data from PatientsLikeMe.com. I had written them asking for access to their data on MS symptoms to look for a seasonal effect using programs I used for work to look for seasonal adjustment factors. Their research department wrote me back saying they had looked for a seasonality of flares and found no significance to the results. Note the “significance” is a reference to statistical significance not a denial of meaning. They also confirmed pharmaceutical companies already use suspected seasonality to make their drug tests look better, and said they thought the idea of looking for a seasonality of symptom reporting could be an interesting research idea. I wrote them back offering to run data through my work’s SAS programs using ARIMA modeling. I’m happy to hear they have looked at seasonality in the past, and if symptoms prove to be better reported than “flares” it will tell other users of data from patients like me which types of data are better reported. The knowledge of how data is self reported is potentially far more useful than even the results of this one idea. The implications could give more value to the results of other studies of self reported symptoms across other medical conditions.

Now after all the talk of disbelief in tomorrow, I must retire.  Today has been packed, and tomorrow will I hope be even more so.

From following morning, the story of the divine donuts:

On the way to work, I was exhausted.  Something about flying 2 days in a row and spending a day giving presentations left my get up and go states away.  So I decided to stop for coffee on the way to work, something I rarely do.  While getting coffee, I saw Crispy Creme donuts and thought they looked too good to pass up.  Since I was splurging anyway, I got a donut too.  Sadly, as I was opening the car door, I dropped the donut with my stupid, clumsy tired MS hands.  I chuckled to myself, “OK God, I can take a hint.  I’m not meant to eat a donut.” 

When I got to work, this is what had been put out for the office to share:

I ate my donut giving many thanks to the lady who brought them and a separate silent thanks mixed with a good laugh…Okay, I ate 2.

  Laughter is good for the soul, even if the inspiring donuts may not be as good for the body. 

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If We Don’t Aspire to Normalcy, Why Do We Wish It for Our Kids

As individuals, many of us with chronic illnesses are prepared to live different lives from the main stream whether it means accepting physical limitations in the way we do things or odd, sometimes questioning looks because of our appearance.  Still, I don’t know of anyone who wishes their kids to live outside of Wellville, where all of the healthy spend their lives.  Why do we try so hard to make the case for our lives being as good, as full and then wish for other types of lives for our kids?
I was forced to ask myself this question as A relished getting an American Girl doll as a Christmas present from my mom this weekend.  In the past, she has refused to play with dolls saying only they scared her.  Meanwhile, she was playing with all of her stuffed animals like most girls play with their dolls.  I used to wonder if there was something comforting in having them be so unlike her.  It’s easy to say I want her to feel comfortable with herself, and I worry the creepiness she felt with the dolls reflected a discomfort with herself.  However, I wanted her to like dolls also because they represent another way for her to bond with kids her age.  If given a choice, I would put her as firmly in the Land of Normal Life.  Why, I don’t know other than to say the bit about self image and bonding with her peers feels incomplete when I try to explain the why I felt happy to see her playing with Rosy (her name for her doll).

On the MS front, I was reading the Medical Letter published by The Medical Letter Inc., and they quoted a randomized double blind study from Europe showing BG-12 reduced relapse rates between 53 and 48% versus placebo.  The range is because some patients were given 2 doses a day and others 3.  Noteworthy is the part about it significantly reduced the rate of disability progression which is the first potential front line MS drug to do so.

It also wrote up Campath(Lemtrada) which had a 49% reduction in relapses.  During the 2 year study, 20% of patients treated with rebiff sustained accumulation of disability compared with 13% who were treated with Campath (Lemtrada).

The article was actually about Teriflunomide, but with only looking at success inhibiting MS progression, I didn’t see a lot to recommend it over the existing front line drugs other than it is another oral medication.  BG-12 actually looks like a mid road between the existing front line meds and Tysabriwithout as much known risk.  

I would link the article, but it requires a subscription.  I was given a copy of it by my sister-in-law.

(To continue reading proceed to the next page))

On the cool to me side, two things happened this week.  I finally submitted my data request to patientslikeme.com in an attempt to get data for a study on the seasonality of MSsymptoms.  I mentioned the study I would like to run in an email later revised back in April  http://thelifewelllived.blogspot.com/2012/04/meaningful-success-or-failure-both-only.html.  I only just now had time and energy to revisit the study proposal.  I changed the original to define the 5 symptom categories and specify I would only look at the 100 most frequently reported MS symptoms.
Secondly, I was interviewed by a reporter for the Financial Times of London on how social media like Patients like me (linked in my useful sites list above) influences my choice of MS treatments.  We talked about it as a source of data for studies patients, and how it is a useful tool for patients tracking their medications and conditions.  The issue of privacy came up as patients are willingly giving up personal information, but I still maintain the public good is well worth the risks.  Of course this is easy for me to say as I work in an environment where I don’t have to hide my MS.  As a side note, I find it a little funny after 15 years working producing and analyzing economic data to have my first interview with the Financial Times be about my postings and use of a web site I use to learn about my MS.    

Note in response to a few requests, I have added the follow by email to the bottom of this blog.

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