Monday, May 3, 2010

A FEW DAYS IN PARADISE...

Cabo San Lucas
Club Casadas de Baja


View from the pool


Sunrise - Day Two


Moon - First night in Cabo


Beachside Pool


Kabo Kenny Wayne


Jewel of Cabo


Our Villa at Club Casadas de Baja

Que pasa!?!

Good afternoon! Kenny Wayne here… and I’m flyin’high right now. Literally. I’m 30,000 feet in the air over Baha, California on my way to Cabo San Lucas for the first time in my life.

Beckie and I are the grateful recipients of an expense paid week of relaxation at a unique resort with our good friends and neighbors - Judy Jacoby and David McKean. They have invited us for five years running to join them on their annual trek south, but this was the first year it worked out… We are definitely ready for some ‘get away’ and are fired up to chill out. (how’s that for a convoluted mental picture?)

I’ll post some pictures later…this place is amazing!

Okay, now for the update I promised a few weeks ago. This post is going to be Way Clinical – so if you aren’t analytical, skip this one. Believe me: there is just too much information, it will bore you to tears and you’ll never want to read anything from this blog again. So if that’s you, stop reading and wait for the next post. (I promise it won’t be months from now.) Here we go:

Today is Thursday, April 29th 2010. Life is improving since my last programming session with Dr. Bronte-Stewart and Wendy Cole at Stanford. I can’t say enough about those two ladies. They are experts in their field. Frankly, I can’t imagine anyone in the country who is more competent in DBS programming than Helen and Wendy. I trust them explicitly.

Here’s the info according to Kenny Wayne:

DBS Surgery and programming were a great success. (see the + signs below)

1) + The tremor is gone (alone with the associated aches and significant discomfort that accompanied it). I’m no longer on a roller coaster of debilitating physical irritations every two hours.
2) + The DBS Surgery works like medication with NO side effects or down side. It keeps me at about a 90% level with minimal fluctuations of ON and OFF times.
The balance of the once bumpy ride is smoothed out with Sinemet (synthetic dopamine) every 3and ½ hours with a dose of 25/100 Carb/Levo. Which is a 75% reduction from my pre-surgery meds. Yeah!
3) + Most days I wake up and can get out of bed relatively easy. Before surgery, I dreaded trying to get out of bed in the morning. (Come to think of it, I dreaded the night time, too. I would wake up every 3 hours – for a number of PD related reasons.) My shuffling to the bathroom is now minimal. All in all, the main motor symptoms have been optimized: Tremor, Slowness, Rigid muscles.



I’m slowly beginning to be able to separate PD symptoms from medication side effects.
My experience, personally, is that Parkinson’s is the cause of:

1) My resting right hand tremor – (has been 95% corrected by DBS)
2) Slowness of movement (bradykinesia) – (has been 85% corrected by DBS)
3) Muscle rigidity and stiffness - (has been 90% corrected by DBS)
4) Small handwriting – (50% better after DBS)
Immediately after my first program, I was quite manic in my personality.
At that time, and for a few weeks, my handwriting was the opposite – big and wild
5) Soft speech – (actually became consistently worse after DBS- continues to be a problem)
6) Stooped posture – (about the same after DBS)
7) Shuffling steps – especially first thing in the morning – (80 % improvement after my 4th programming session – not a big issue now. It’s interesting that after each programming session, it improves.)
8) Diminished facial expression – (50% improvement – this changes and adjusts relative to my supplemental med schedule)
9) Heavy eyelids. Many times when my eyelids are closed, I either don’t want to or can’t easily open my eyes without significant effort.
10) Constipation and early satiety. (forgive this next couple of sections. I don’t normally share this – however, I believe that a number of people with PD are reading this blog and they are going through this, too. They want to know, like I did, that they are not alone in their struggle. So, at the risk of being vulnerable and embarrassed, I will address everything.)
11) Urinary urgency and some incontinence.
12) Sexual dysfunction. (I call it “Mr. ED”) Okay, Okay, TMI !
13) Swallowing – Currently, my swallowing has become more of a challenge… not actually swallowing, but preparing to swallow. Once the actual action begins, things go down fine. It’s getting my brain to engage my throat
14) Drooling. It’s not gross yet, nobody notices when it happens - except me.
15) Restless leg. – This bothers me a lot. If I don’t take certain medication, this is a major problem… During my DBS operation, my left leg spasm/cramp occurred almost ever 30 seconds for three hours. It was a major distraction to my excitement over the miracle of getting rid of my tremor in the O.R.
61) Loss of smell. This actually happened years ago.

My personal experience with the medication side effects:

Sinemet 25/100 Now, after DBS, I take generic Sinemet (Carb/Levo) every 3 ½ hours– which causes some ‘heartburn’ and a bit of reflux occasionally. Also, it keeps my blood pressure down around 120 over 80. (I’m not certain that is a byproduct of the meds…. but hey. I’ll take it.
I’m experiencing some Dyskinesia. (Moving like Michael J. Fox does) in my right arm and leg. I did NOT experience this prior to DBS programming. I’ve noticed more in the past few weeks than before.

In addition, Sinemet makes me a bit sleepy and my balance is off (like I’ve had a couple glasses of wine without the grogginess. (NOTE: I can usually cover that up pretty well, but you should have seen me in the surf on the Cabo San Lucas beach yesterday. The undertow undertowed me. My friends thought it was hilarious) {It’s now Monday, May 3rd – I’ve been working on this post 4 days now.}

For the record, I was taking Carb/Levo 50/250 five and six times a day before surgery with Comtan each time.

Comtan 200mg – for the past few years I’ve taken Comtan with every dose of Sinemet – It discolored my urine to an orange color. Initially, my legs swelled like water retention and my ankle area turned a rust color. That is no longer the case.

However, I think the Comtan tends to increase the drowsiness to the point that it impairs my ability to work. As a result, I’ve recently decreased my dosage to only 1 or 2 a day, depending on my workload. It seems better. I seem to have more energy and I’m less sleepy

In the beginning, years ago, I took Mirapex for restless leg syndrome. But when I added the Sinemet and Comtan, all I wanted to do was sleep all the time.

We changed to Requip 3mg – and it wasn’t so bad. I was taking that 3 times every 24 hours. My doctor wants me to back off on Requip and I’m down to 1 pill morning and evening. Occasionally, my legs act up as a result.

I have a bit of compulsive behavior, risk taking and other urges that create some challenges, but it’s not a major deal at this time. That’s MY opinion. Ask Beckie, she may have a different story.

All in all, in summary – the big problems right now are Speech (softess and articulation) and mental processing. i.e., when I try to hurry, I actually go slower. If I attempt multiple tasks simultaneously, I become frustrated and overwhelmed. Any increase in emotion – good or bad – will set me off.
I have an appointment with a speech therapist soon. I hope that helps.

I must say though, before DBS programming, my frustration and mental processing was extremely bad… And just before I was ‘activated’ there were a few days when I couldn’t work at all. Things were NOT good.

These days, even though I pretend that everything is great, I deal with work related anxiety, obsessive-compulsive behavior and social avoidance. (Those are the proper terms for ‘wigging out’, pain in the butt obsessions with little things that really don’t matter, and sitting in a corner playing with the computer at a party)

As far as the ‘thinking’ thing goes, I’m experiencing some cognitive impairment:

1) Speed of mental processing at times when I’m ‘OFF’ or under the gun to perform.
2) Losing my train of thought in conversation. (Some call it CRS disease ;-) )
3) Multitasking, decision making and planning (All of which I’ve excelled with before PD) are a challenge when I’m pressured – even to the smallest extent.
4) Language production is complicated with my speech challenge. The ‘hurrier I go, the behinder I get’ if you know what I mean.

Case in point. Right now I’m overwhelmed with the volume of info in this post… I’m sure you feel the same. So I’m going publish this draft, proof it later, and go have a Corona on the beach. See the photo later.

Love ‘ya. Thanks for listening.
KW

Monday, April 5, 2010

The Battle vs. the War

Howdy.
You're probably wondering, "Where is he? It's been almost 90 days since his last post. Is that good news or bad???

Okay, okay. What do you want to hear first - the good news or the bad news? Right. The good news is: the tremor is totally gone from my right hand and with it went the terrible ache that never let me relax my right arm for more that 30 seconds at a time... NO MORE TREMOR, NO MORE NAGGING ACHE. That's the good (great) news. The bad news is that the war still rages... a major battle has been won, but that monster is just below the surface, looking for a chance to break through.

That's actually why you haven't heard from me for a while. I didn't want to be negative.

There are two groups of people reading this blog: People who have PD and those who don't. For those of you with PD, it was very important for me to NOT disuade you from having DBS. This surgery was the best thing I could have ever done - and I'd do it again in a heartbeat, if I had to do it all over again. If you have PD and your movement disorder specialist thinks it will address your symptoms, then GO FOR IT! Don't be afraid and don't look back. Years ago people were in awe of heart bypass surgery. Now it's routine. Ten years from now... who knows - brain surgery might be routine, too.

Others of you are care givers, or maybe you know Beckie and I and just want to keep in touch with our progress. In any case, I didn't want to post a report with a negative bent.

ACTUALLY, I'M NOT GOING TO BE NEGATIVE, JUST OBJECTIVE.

It all comes down to what my expectations were vs. reality.

The first month of my battery operated brain was incredibly good. I haven't gone back to read what I said at that time, but I remember how I felt and thought. It was similar to the first dose of Sinemet (dopamine) five years ago. I felt NORMAL. I could think clearly, talk freely, type quickly, walk normally, with energy and a smile on my previously sagging face. I was ecstatic and I expected that freedom to continue.

Today, the honeymoon is over and like my doctor said to me a couple of weeks ago, "Ken, you have Parkinsons." That's not what I wanted to hear. (I just corrected my typing of the last sentence... and should have left it the way it was: 'That's not whaaaaaaaaaaaaaaat i wanted to hear." maybe thaaaaaaaaaaaaaa (there it goes again) will paint you a picture of what is going on.

DBS gave me a new life... but it didn't cure me. I really wanted to believe it would make everything excellent. Today, it's good - not excellent. More later...

Sunday, January 17, 2010

Well, Well, Well.... that's a deep subject!

Good Evening. (spoken with a Count Dracula inflection like: "Gooood EEvvvvvnink"
Well, well, well. It's been a while since my last post. I've been busy - smelling roses, coffee and barbequed ribs on the grill. (Actually I lost most of my sense of smell years ago (another gift from the Parkinson's demon - BUT I can dream, can't I? If the coffee is really strong, I CAN pick up the scent - a little bit)

Anyway, I've been enjoying my new found freedom. Beckie's not so sure, though: I never talked much when I had the PD symptoms (it was way too difficult to verbalize, so I just didn't unless it was essential). Now, she can't shut me up. Unfortunately, most of it is not productive, just goofy nonsense -- like I've been storing it up since high school and I think I've almost driven her crazy. (I'll try harder to contain my enthusiasm, dear.)

For the sake of time, here's an summary of the past two weeks:

On January 11, we went back to Stanford for a programming session. It was a great success. Wendy Cole and Dr. Bronte-Stewart were very efficient and helpful. They fixed a continuing tremor in my right leg that wasn't fully addressed in the first session and some other minor issues.

We also had quite a long conversation with Dr. Helen (Bronte-Stewart) that clarified a number of issues for us. (too much to list here).

She asked if I would consider putting together a training video for the Stanford Hospital from the stuff we (Andrew) shot in the O.R. along with the other support footage we have... I'm excited about that possibility.

My physical situation is good. In fact, I'm going to see if I can actually get off ALL medication soon. (some of them have to be ramped down or I will experience major withdrawals)

I have some dyskenisia on my right side that is annoying (Michael J Fox-type movements in my right leg and arm). and my restless leg syndrome is still a problem at night. Other that that, I'm working all day, each day.

Today, I actually soldered some audio connectors onto a cable. (Haven't been able to do that for 2 years because of the tremor and not being able to handle the intensity of trying to control my fine motor skills. I would be exhausted in 10 minutes time)



Guess What? I'm way out of shape! My muscles have weakend and my cardiovascular health is not good. Sooooo..... Here we go, Here we go. The Doc said I need to reset my physical control center. Especially since my body isn't feeling heavy and rigid anymore. ( I actually throw things across the room when I'm trying to move them a little bit.) Beckie calls it "Manic" ... maybe it's more like "Maniac".

Buy Hey! I'm able to be "Me" again. I can stand and carry on a conversation for more than a minute or two with someone and really enjoy it.

Needless to say, we haven't fully adjusted to the reality of this scientific 'miracle' yet, but we will - in time.

What would you change in YOUR life if you had a chance to do it over again???
We ask ourselves that many times a day.

We are still impacted by the Parkinson's problem, but believe me, DBS was the best thing we could have done.

PTL.

Tuesday, January 5, 2010

The Twilight Years

Hi Kids! Does anyone know what time it is? That's right: It's Howdy Doody time! (music plays circus music with kids singing along with Uncle Bob and Howdy) "It's How - dy Doo - dy time, it's howdy doody time... (fading away... waking up).... back in Yuba City.

Some people have hallucinations from the PD medication. I just dream about old black and white television shows from the 1950s.,, The Howdy Doody Show, Romper Room, The Lone Ranger and Captain Kangaroo. Sick, huh? Hey, can you imagine in another 45 years when you young people will dream about Power Rangers, Sabrina the Teenage Witch, Wizards of Waverly Park and South Park (Whoa - they killed Kenny in that one. Imagine being terminated by a bunch of cartoon idiots. Talk about a nightmare?!?)

Sorry about that outburst. My mind is like a little boy who just got a puppy. I'll have to learn to control it. (Beckie would really like me to do that. The changes are almost scary to her sometimes - especially when I get a bit silly.)

Actually, I have to be careful. The past 3 weeks have been quite revealing. Parkinsons has taken it's toll on my body and I've been pushing it to the limit because I think I feel okay... and the past couple of days I've paid the price... even this evening at 6 o'clock - physical exhaustion: Virtually passed out on my bed for 2 hours... sore muscles, etc. Not to worry, though. I'm back at the computer typing this blog.

Anyway, to the point I wanted to make... about Beckie. In all of the nonsense that went on this past 4 years, as usual, I was the star of the show. (If we can be so brash to call it that).

The truth is: My wife and partner in life for 37 years is really the unsung hero.

When I was weak, she was strong.
When I needed help, she was there for me.
When the sky was falling, she kept the stars from landing on my head.
When my legs ached, she rubbed them.
When I cried, she cried with me.
When I didn't cry, she cried anyway.
She prayed. She Interceded. She is my Angel.

Beckie, over the years has been a care-giver for other people...
people with Alzheimers, Dementia, etc. But she will be the first to tell you ---- it's different with someone you love. You can walk away from your hired or voluntary service - back into your safe place. But when it's your spouse or child, you have no place to hide. No place to recover. No place to heal from the sympathetic pain that has been translated to YOU.

Beckie has been there and done that. My pain is hers. It's interesting that in my times of need, I can DO something about my disease. Mentally, emotionally, physically - my 'survival' mode kicks in and I'm no longer helpless. I'm fighting a battle.

She can't do that (directly). She can't 'Fight' for me. She cries for me and takes the pain on herself. Her battle is in the spiritual and emotional realm... and that is a MUCH bigger struggle than the physical. It can destroy a person.

There were a couple of times when I witnessed the devastation first hand. Her battle was greater than mine.... the loss of any sense of security, financial ruin on the horizon, the probability of 'end of life' moments we'd rather not think about, loss of intimacy, loss of romance (most women that I know long for those candlelight dinners near the beach with the person they have traveled this life with) and loss of joy.

Parkinsons really screws up that happy ending in the twilight years... and sometimes we don't deal with that very well. Next time you think of us, please say a prayer for Beckie. I love her very much... and she has suffered very much. We're not out of the woods yet, especially in the emotional department.

Thank you.

Monday, January 4, 2010

Reality Check

Good Morning. It's Monday morning, January 4th... 6:49AM.
Kenny here.

Today is a bit of Reality coming your way. I need to be honest, while at the same time optomistic, and must admit this is a little hard for me because I don't want to be a discouragement to anyone reading this... especially for anyone who may have PD and is considering DBS.

I've heard it said, over and over, that DBS is not a cure. They're correct-it's not. However, when comparing 'before and after', it comes pretty close.

This morning I woke with a bit of a shuffle, and heaviness, and a bit of muscle ache in my legs. Right now my typing is not impacted, except to say that I'm having a hard time keepin' my eyes open. I'm a bit tired today.

I'm sleeping with a new CPAP (don't worry, that's not a code name for a girlfriend or something - it's a breathing apparatus for Sleep Apnea, with a mask that covers my nose.) I used to have a full face mask, but apparently don't need that since my nose was fixed last June to open up the air passage. Last night was the first night I slept with it on all night. My PD symptoms have interferred with the CPAP usage since I started using it a couple of years ago. Using it all night is a good thing, but for some reason, I'm quite tired right now.

Please understand, I'm not complaining... it's just a reality check. What I don't want to happen is for me to be SO optomistic that I give you the wrong impression that everything is PERFECT. By doing that, I'd be living a lie, and that's not where I want to be. I don't want to walk around town, putting on a great show of strength and vitality that is misleading. I just want to be real.

The fact is, I still have Parkinsons Disease..... and will have it until a cure is found. The DBS surgery has profoundly improved my condition, but occasionally, symptoms peek though, especially in response to stress or strong emotion. Maybe that's why I'm struggling a little this morning: Beckie and I went to the theatre last night to see AVATAR in 3D.

Now, you have to realize --- I have not been inside a movie theatre for 3 years. Why? Because when the plot gets exciting, I shake. The more emotion, the more tremor. So, for the sake of everyone in our row, and everyone behind us, I have just avoided the movie houses until now. Last night was a test - and I passed. I think.

AVATAR is amazing - it's the future of cinematic presentations. That technology, and the future of holograms will blur the line of Reality for our grandchildren ten or fifteen years from now. That's a bit scary considering that the subconscious mind can't tell the difference between reality and imagination at times.

AVATAR is intense. A couple of times, my tremor broke through when the action got heated up. We got home at 10pm and I wasn't able to fall asleep until 1:30am. Woke up at 6:30. That's probably why I'm tired right now. Duh!

At any rate, I'm realizing that I must be careful. My body is out of shape from inactivity for the last couple of years. I've been pushing the envelope since programming and need to find some sort of balance, physically. I will, in time...

In addition, Beckie and I had a significant conversation last night about our present and future situations, confronting some giants in our lives, calling them by names and agreeing together where and how the battle should be fought. Thank God we can do that. Otherwise, I think we would have self-destructed long ago. That whole process also was emotionally stressful. Actually, adding that to the movie, I'm doing pretty good today. Before programming, I would have been paralyzed for a whole day as a result.

All in All, things are good.

The good news, is that I've been sitting here for an hour, early in the morning, and have been typing freely and relatively quickly.

I'm waking up now... it's 8 o'clock.

Saturday, January 2, 2010

Videos are Embedded in this Post

This post has a list of videos that are on Youtube.com

By clicking on them here, you won't be re-directed to Youtube
and out of the blog. This first piece is an introduction setup:




October 12, 2009



October 14, 2009



November 10, 2009 Three days before DBS surgery BELOW



November 11, 2009 Leaving for Stanford tonight BELOW



November 13, 2009 Morning of Surgery BELOW



December 31. 2009 After Programming BELOW



Soon I'll post some picture and Video of the actual operation...
No wimps allowed!