Friday, May 11, 2018

CIDP And Me - Yearly Update



Hello everyone! It's been a while since I've provided an update and it's also CIDP awareness month, so here we go...

You may recall that last year I provided some basic information about CIDP as a kind of public service and recognition of CIDP awareness month. I'm not going to do that again this year but I am going to provide links for the post from last year and for another post that I did a while ago that explains what CIDP is all about:



What I am going to do in this post is give a little bit of a yearly checkup as to how I am doing. That's right, I've updated my trusty line graph!

Of course, I'm more of a wordy person than a picture person so I'm going to babble on for a little while before you can see the graph. I've come a long way since last May, which is pretty exciting. At least with my lower half. My hands are not such a rosy story but I can't complain too much. A year ago I was still relying on the wheelchair any time I went outside. I could use a walker inside and at physio and was starting to get brave enough to take it out. Now my wheelchair serves mostly as a clothing rack. And my walker, well it lives in the car most of the time and is only used when I go out. In the house I stumble around with nothing but my AFOs on (well, I also wear clothes). I use my cane to get to the car and I'm starting to take it with me for short ventures to restaurants, etc. It's all very exciting.

It's interesting though when I think about it because a year ago I figured as long as I was walking without aids that I would be at 85% of my normal. I'm still using this as a benchmark but it's a little misleading. What I forgot about in my drive to get out of the chair is a wee little thing called stamina. Stamina is what enables you to say walk the length of the mall without even thinking about it. I do not have this stamina. I'm pretty much always exhausted. And while I am trying to work on my stamina in physio and through my home exercises, by trying to eat right and sleeping lots, it's pretty hard to come by.

Then there's my hands… My hands are a funny beast. I've regained much of the basic strength that I lost and my range of motion is fine, the problem is with fine motor skills. What are fine motor skills you ask? Well insignificant things like writing, typing, chopping vegetables, using a broom, etc. While I can do these a little, it doesn't take much to cross the line into a horrible spasm/seize-up. I'm trying to find workarounds like my fancy talk to text software but it's tricky. I'm still optimistic that the small muscle groups will come back and I'm hoping my neurologist will have some brilliant advice on how to speed this up when I see him next month.

And now... the graph in all its line-y goodness! I’m using the same rubric as last year - a completely arbitrary assignment of mobility and function out of 100. I have set benchmarks for my legs (walking with AFOs alone is 85, walking with a cane and AFOs is 75, walking exclusively with a walker is 70, being able to stand without assistance is 50). I don’t really have benchmarks for my hands, but I’m not going above 80 until I can write a few pages with a pen and chop veggies for dinner all in the same day. If I can knit or crochet again, that might warrant an 85.

Note: The little dip in leg mobility in January 2018 was a result of my bout of sepsis, and not directly caused by CIDP.



That's where I'm at in a nutshell. Overall I'm feeling pretty good about things. I'm no longer reacting to my IVIG treatments, which makes me happier than you can possibly understand. I'm also (dare I say it) fairly stable at the moment. I'm confident that I will be able to spend a good amount of time outside this summer and have plans for a sprawling deck garden.

So there you have it, my annual update. It's been a roller coaster year with new unanticipated challenges but I've met them head-on and I'm still here plugging away. I guess I didn't really mention all of the challenges in this post but you can read through the archives if you're interested. I leave you with this lovely picture of me standing next to the Bibliomatic, a weird and eccentric random book vending machine that I visited on a recent short trip to Toronto.




Ciao for now!

2 comments :

  1. Great update - as usual, full of positive energy. When I saw you recently I could see how much more mobile you were. Hopefully the hands will play ball. Keep kicking ass xoxo

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  2. Toronto????? I am 2 hours away....next time you should let me know and I could pop down for tea!!! Very impressed with your years accomplishments. But not surprised. A ballsy broad like you. Cheers and see you this fall at Celtic colours time.

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