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IgelB, I agree with almost everything you are saying and that is why I personally am switching to LTMV. LTMV is in my opinion the best method to manage any problems with secretions, and ensures the most direct route to the airway. I currently do not have bulbar problems, 4.5 years after torso onset diagnosis, but I just prefer the reliability of invasive ventilation. Furthermore, I have some ability to breathe on my own, thus I can still probably come off of the ventilator for some time during the day. The drawback of course is preventing infections, and pneumonia. However, if one is very careful cleaning the stoma, sanitary, etc. theoretically one can live a lifetime via LTMV. It all comes down to a bit of luck but making sure one has excellent care. Aspiration can be avoided via a peg tube and optimally it should be done when FVC is around 50%. I do agree that there are many variables such as using volume support during the day via either non invasive means, or sip and puff ventilator, and possibly fixed or variable Ipap and Epap spans throughout the night usually with a span of less than 10 from Ipap to Epap on Bipap. LTMV is the only real method for a moderate to severe bulbar patient to avoid secretion problems, and making sure the airway is clear.
 
Hey AL, don't mind your suggestion at all, I've had my details up before, years ago. At this point people can take what I say based on it's value rather than based on my location, education and degrees. Or my trust fund balance for that matter. But since you asked so nicely. MND/PBP mid 2011.

FA, honestly you hard to deal with. I am not the one who said "gross mucous". You are ranting at the wrong person but I doubt you care. Check your facts. While at it get the terms right, still! Since you are so fixated on mucus... Everyone blows their nose on a tissue. Some people use a specific brand called Kleenex. Work it out.
 
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kiwisally, thank you. I'm currently in the diagnosis spin cycle. A neurosurgeon feels confident I have a Motor Neuron Disorder, a well known neurologist said, "I don't think you have ALS", my pulmonary doctor has diagnosed my breathing difficulties as neuromuscular related, I have Babinski Toe (4 tests), I had a swallowing test at a hospital (difficulty with liquids) and that Doc said something in my throat is not getting a message from the brain
(couldn't spell the words if my life depended on it), had a "dirty" EMG (as some call it), Carpal Tunnel Syndrome (with no symptoms) and the last Doc noted atrophy of my hands and forearms and finally my neurologist is suspicious of PLS. No confirmed diagnosis as of yet. SO... as I read posts I look for some credibility. I apologize, I understand your position. The peace I have found in this spin cycle is... "Whatever it is... it is. I'll get an update every two months from my neurologist."
 
Guess this discussion is over, as he is now banned.
 
I wasn't sure where to post my upcoming comments as there are so many threads running about which I'd like to speak, but this seems like the safest place at the moment!

I joined this Forum in 2011, shortly after my husband was diagnosed with ALS. He has since passed. What a great place this was to freely ask and receive (and later offer) help, based on experience and a wide range of knowledge, in addition to what we learned at our local ALS Clinic, which also boasts some leading neurologists and researchers in the field of ALS. I might add that on our first visit to the University of Alberta Clinic, we met with a range of specialists and were told, at the outset, what our options were as far as sustaining not only life (invasive ventilation, PEG, etc.,) but also quality of life (BiPAP, communication technology available, equipment, etc.). We were informed about the various stages of ALS that we might or might not encounter. We were advised to get our legal documents in order - Power of Attorney, Personal Directive, etc. Our Personal Directive was specifically designed for ALS patients and offered various treatment options, with the knowledge that at any time, my husband could change his mind. My husband did not opt for the invasive vent. He did choose to have a PEG as well as use a BiPAP. We respected all the decisions he made. In the end, my husband passed just before he lost the use of the remaining functioning fingers on his right hand. Because my husband had experienced symptoms of ALS for about 2.5 years prior to diagnosis, he did not qualify for any trials being offered at the time.

I continue to check in from time to time and it saddens me to see what's happening here at the moment. I have to say that being a member of these Forums is NOT a right. It is a privilege and a blessing. The moderators work hard both visibly and behind the scenes. Some have ALS themselves and are giving of themselves here, as a service to us, the Forum users, NOT the other way around. Attacks and harsh words were not part of what this "safe" place was about. And yes, we did and still do have threads that were used to "socialize". Some to listen to music, some for prayer, poetry, etc., mostly to "escape" from the devastation this awful disease called ALS causes. Some members have made and remained friends on and offline. Nothing wrong with that.

Although being diagnosed may invoke anger in some, it certainly doesn't warrant venting that anger amongst people who are all struggling in one way or many ways, with the affects of ALS - PALS, CALS, FALS, and those with other forms of MND, all of us. We all should be able to share our opinions and not strongly oppose or attack those whose opinions vary or even those, that just happen to be a part of this community! This is a place for open discussion and voicing ideas. Just as we are free to participate, we are just as free to move on.

Because Elaine's integrity has been attacked, I will offer these words about her: She is one of the most level-headed people I know. She is kind, decent, giving, caring, generous, intelligent, fair and a dear, dear soul. She advocates tirelessly for those with ALS. She is giving so much of herself (I hope not too much, Elaine), to help with the arduous task of being a moderator here. Instead of attacking her and all that she stands for, we should show gratitude and thank her, and the other moderators, for all they do. One definition of moderate is: make or become less extreme, intense, rigorous, or violent. Not a simple task in any aspect of life, let alone these Forums!

Unfortunately, we have all found reason to be here. Let's remember to respect and honour each other. Life is short!

Yasmin
 
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Why would my wife or I be interested ?

So she could live another.........25-30 years.......... years totally paralyzed like she is now ?

What in the hell kind of " life " would that be ?
 
The difference between my wife and I compared to the OP is neither one of us are so afraid of dying that we will cling to any hope that gives us 25-30 years of complete paralyses.

There are some with ALS who believed life in total paralyses was worth it and then changed their mind .

They guy with ALS who did a DJ show by using his eyes even said " it's over" once he accomplished that feat.

To each his own.
 
Why would my wife or I be interested ?

So she could live another.........25-30 years.......... years totally paralyzed like she is now ?

What in the hell kind of " life " would that be ?

i agree. i guess one of the differences might be what kind of life you had before. i have always been very active so "being alive" while paralyzed would be a living death (not the word i'd usually use). just having to spend part of each day in a wheel chair is bad enough
 
Yasmin--well put! Bower, I agree!

I hate to see people join who are terribly angry-whether they think they are or not. I admired FA for his single-minded determination and will to live, but he is sure what he thinks is right he can not see the other side to any argument.

people have had spats here on this forum for as long as I have been a member...but to come in with guns blazing, calling names and making accusations...very insulting. This is a public forum and it serves it's purpose well and it's members well. I think it has saved my sanity! If someone doesn't like the tone of this forum they are welcome to debate and open threads about different topics and go else where if they don't like it here. But as in all things, politeness and respect is key.

I agreed with some of the things FA said, and disagreed with others, and would have been interested in reading his opinions if he was not so busy trying to shove them down my throat!
 
I'm glad he has been banned, I never personally responded to anything he said as I battle enough with an angry PALS of my own at times and could see this person was not capable of reasoned discussion.

I feel he was given so much opportunity to apologise and begin discussing instead of blindly shooting, and I was surprised he was banned sooner, but feel that it only shows how much compassion the moderators have in giving him so many chances to settle down.

The attacks on Elaine particularly upset me as I'm sure it did pretty much everyone.

Thanks for this forum, it is what we make of it. If anyone wants anything different out of this place it's up to them to make it that way. I like that about it :)
 
Of course we all feel sorry for everyone with or dealing with MND/ALS. Of course FA should have been banned. And... of course MND/ALS doesn't give anyone carte blanche. What is unique is that the banning was done very quickly compared to historic cases. Bravo to Elaine, who I assume saw to it that it was sorted so well. Not letting his sort of posting continue for months on end is critical. She deserves a round of applause.

In situations like his I am a firm believer in giving people enough rope to hang themselves by providing opportunity for them to behave badly. He certainly rose to the occasion.

What would work much better is if everyone would speak up in the early stages of this sort of poster rather than wait until they are banned to express how we feel about them. That way, with a bevy of complaints and a good feel to the consensus of the vast majority any mod can confidently and quickly take appropriate action.
 
It may have been any moderator who banned him, Elaine was trying to have rational discussion with him Sally.

I didn't engage in anything directly with him as I raised 4 children and I don't inflame situations, if my PALS gets angry towards me I leave the room and let him settle and only talk to him when things are calm and can be sorted.

This person was not going to calm.
 
My take is that he is extremely frightened. When we are taught how to diffuse a highly charged situation in emergency, we are reminded that the opposite emotion to fright is fight. When our very livelihood is threatened our body goes into fight or flight, and it depends on each persons personality as to which one they will choose.
The other thing is that maybe he was getting flack from his family on the choice he was going to make, and he doesn't feel as free to give them his opinion so he lets it out in another outlet. I have a really annoying quaker parrot, and they and other parrots, do have a mental capacity of a 2-3 year old, where there is some thought process. Experienced parrot owners know that they go by the adage that "If you can't bite the person you want, you bite the person you can". Which is usually means the person who's shoulder they are sitting on.
I understand his fear, especially as a young man with a baby, but he has to learn how to communicate in a more constructive way. There are consequences to all of our behaviors, and some didn't learn that at an early age, so learn it the hard way with other adults.
It is unfortunate that his really good ideas, or advise will be overshadowed by his tantrum like behavior.
 
Wake up and smell the roses. FA and his band of girly-men are over on the site he recommends so highly laughing it up at the expense of people here. Naming names, plotting and egging each other on. Don't take my word for it, go look, anyone can.

Defense of him or any of his ilk is totally misplaced.
 
I saw that also Kiwi. Actually naming people here and ridiculing this forum. Under 'Living with AlS' someone has gone on asking advice, but all they can talk about is this forum. ?
 
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