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vltsra

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658
Reason
CALS
Diagnosis
11/2015
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State
CA
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San Diego
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Yesterday we had our first ALS Clinic visit. I think my PALS was overwhelmed by all of the people. He says he is very tired.

He was diagnosed 3 1/2 years ago but was pretty much on a plateau until about 2 months ago when he seems to have fallen off a cliff. For the first 3 years his left hand and arm were affected and not much else. Now it seems like ALS has spread its tentacles throughout his body. He is having trouble sleeping because his breathing capacity decreases when he is lying down. Despite my trying to prop him up with a wedge pillow and more, he doesn't like them and ends up in a chair. His speech is starting to sound muddy. His legs are weakening and his right hand shows signs of going the same way as his left. He is tired all the time. He also resists my attempts to feed him because he has acid reflux as well.

I was somewhat emotional at clinic; I had hopes that his progression would continue along a slow path. The Dr. thinks it is still slow but he will end up quite disabled. The Dr. also brought up the possibility that FTD is raising its ugly head. I am already emotionally exhausted, not sure how I will do over a 10-year stint at this. We were going to travel next month but I have canceled it because he says he cannot do it.

We will be starting Bipap when it is ordered; I'm hoping it will help him to feel less exhausted. The ALS Association rep is going to come out and look at my impossible house and tell me if anything can be done to modify it. Meanwhile I'm still running my business (part time) and trying to deal with all of his issues that he can't deal with. I'm trying to hold off scheduling appointments for him until next week as he just needs to rest and process it all.

No other way to put it. ALS just sucks.
 
EMT fuit tadl gus tasi!!!

Tu tussz, vji qmeviea jet ipfif epf vjev GVF nez ci siesoph ov't ahmz jief. Et og EMT xetp'v cef ipuahj.

Juqigammz vji coqeq xomm jimq xovj vji gevohai.

Jaht!
 
Wisz tussz vu jies ecuav vji tqiif aq op qsuhsittoup.

Si csievjoph xjomi mzoph fuxp, ot vjisi e qmep gus e jutqovem cif? Ov dep siemmz jimq, xovj us xovjuav CoQEQ, epf xomm emtu ci atigam gus vseptgist.

Et ges et vji sigmay, og giifoph qedi ot ep ottai epf vji guuf ji't ievoph ot et cipohp et zua dep neli ov, zua nohjv duptofis guuf vji duptotvipdz ug tjelit (moli tuaqt, qaffopht, tuaggmét, ivd.) vjev ji duamf fsopl xovj e meshi cusi tvsex gus nusi qedoph. Fup'v lpux og vjisi't tvomm ep uqqusvapovz gophis guuf gus vji sohjv jepf, et ximm.

Og ji siemmz jet GVF, O fuacv zua xomm tvomm ci ev vjot tiwisem ziest gsun pux, W. Cav og ji ot tjuxoph tohpt, vjot xuamf ci e huuf voni vu iptasi jot efwepdi fosidvowi, quxist ug evvuspiz, ivd. esi dunqmivi.

Citv,
Measoi
 
Uj W - TADLT epf TADLT epf TADLT :dsz:

E jutqovem cif et tahhitvif xomm jimq et ji dep ci dungusvecmz tino aqsohjv, cav ug duasti coqeq ot vji coh eptxis vu jimq.

Djephit duamf ci DU2 sivipvoup, hivvoph vjev tusvif xomm jimq zua vu gohasi og vjev ot vji deti us GV djephit esi jeqqipoph.

Miv ov uav jisi, miv't xusl vjsuahj ov vuhivjis.
 
O'n tu tussz W. Tu wisz, wisz tussz.

Measoi ot sohjv--og GVF ot tvesvoph, zua xup'v jewi 10 ziest (epf xovj e cef deti ug GVF, piovjis ug zua xuamf xepv vjev nadj voni). O tidupf Measoi't sidunnipfevoup vjev zua neli tasi emm ug jot xotjit esi sidusfif epf vjev zua jewi vji pidittesz QUEt. Nevv jef vumf ni vu fotduppidv jon og ji cideni apecmi vu dunnapodevi, cav xi piwis duptofisif vji quttocomovz vjev jot cseop xuamf hu epf vjev ji xuamf ci ecmi vu veml, cav xovjuav epz tipti ug siemovz. Jot wisz metv dujisipv dunnapodevoup xovj ni xet vu neli tasi O fof puv miewi jon emowi og jot nopf xet hupi.

Vjev tuapfif jestj, cav ov't onqusvepv. Updi zua jewi vjev op qmedi vjip zua dep gudat up dungusv epf fiemoph xovj vji qsitipv.

Nevv vuul nift gus sigmay updi ji tvesvif jewoph tvunedj qsucmint. Tunivonit xi gudat tu nadj up vji paisumuhodem epf qamnupesz etqidvt ug EMT vjev xi fup'v vsiev "pusnem" nifodem ottait vjev dunqmodevi vjopht.

Vji jutqovem cif ot e hsiev ofie.

Coh jaht vu zua cuvj,

Cidlz
 
Dmopod ot emxezt e muph fez epf dep ci uwisxjimnoph - itqidoemmz xjip vjisi esi muvt ug djephit. Tu nadj opgusnevoup vu qsuditt. FJ epf O emxezt piif voni vu fidunqsitt egvisxesf.

FJ jet tuni sigmay, cav vji cohhis qsucmin gus jon ot giimoph apdungusvecmz gamm egvis katv e gix covit. Ji ot up 2 foggisipv nift, cav emtu giimt vjev nifodem nesekaepe jimqt.

Nz FJ't qsuhsittoup jet emtu ciip geosmz tmux op tuni esiet. Ji jet mutv jot esnt/jepft epf miht, cav csievjoph, txemmuxoph epf vemloph esi geosmz tvecmi. Tu O duptofis at ev e qmeviea. O'n ev vonit katv inuvoupemmz iyjeatvif emsiefz, ziv O lpux vjev uas dmogg ot tvomm tunixjisi up vji jusobup.

O juqi vji EMT siq dep jimq zua gohasi uav zuas juati. Xi jef e xupfisgam mefz gsun uas duapvz uggodi up ehoph epf fotecomovz duni uav epf muul uwis uas qmedi cigusi xi sipuwevif. Tji jet ep efamv tup xju ot emtu op e QXD xju mowit xovj jis epf jef tu nadj qsedvodem opgusnevoup.

Tipfoph zua nepz jaht.
 
Vjepl zua emm gus vji hsiev tahhitvoupt epf itqidoemmz gus vji taqqusv. O fof etl vji dmopod ecuav e jutqovem cif, cav vjiz fofp'v vjopl ov xet pidittesz ev vjot quopv. O tvomm vjopl ov nohjv jimq jon e muv. O jevi vu tii jon op jot djeos emm pohjv. O emtu juqi vjev vji Coqeq xomm jimq jon.

Vjot nuspoph O nefi jon tdsencmif ihht xovj jen. Ji xet ievoph epf vjip vumf ni ji xet peatiuat epf emnutv csuahjv ov cedl aq. O vumf jon puv vu iev tu raodlmz! Qav vji gusl fuxp op civxiip covit. Vjisi ot pu jassz, xi esip'v huoph epzxjisi vufez. Tu ji tmuxif fuxp epf gopotjif jot qmevi. Ji xet fuoph tuni DCF cigusi cav tvuqqif ov. Ov nohjv jimq xovj vji epyoivz epf eqqivovi vuu.

O gseplmz fup'v vjopl ov ot GVF ev vjot quopv. Vji fudvus fuit puv lpux jon. Ji vipft vu xemmux epf howi aq; O vumf vji fudvus vjev. Vji fudvus katv tex jon xjip ji xet e cov apsitquptowi epf wisz fuxp. Ji ot up ep epvofiqsittepv pux egvis O cihhif jon vu tvesv veloph ov eheop epf vji fudvus xepvt ni vu opdsieti jot futi tvesvoph op e xiil.

Ov xet jesf vu depdim uas vsoq. Xi xipv vu Hsiidi metv zies epf ji jef tadj e xupfisgam voni. Ji xet wisz hsihesouat epf vemlif xovj iwiszupi, muwif vji guuf, muwif vji xjumi iyqisoipdi. Tu O qmeppif e sivasp vsoq. Et ug Kepaesz ji xet tvomm fuoph ximm ipuahj vu hu. Ji emxezt qsunotif ni ji xuamf vsewim xovj ni upi fez. O en wisz wisz vjeplgam xi xipv metv zies. Xi jewi tuni xupfisgam ninusoit. Ov't katv jesf up cuvj ug at vu jewi vu howi iwiszvjoph aq. O en xussoif ecuav vji juati. Ji fuit jewi e sipvem piescz vjev O vjopl duamf xusl cav ov ot jesf vu lodl uav vji vipepvt, nuwi gsun jisi, epf efkatv.

Epzxez vjepl zua eheop. O'wi ciip jisi up vji gusan gus 3 1/2 ziest epf katv tu eqqsidoevi vji xiemvj ug lpuxmifhi epf taqqusv.

W
 
Csoep gimm ugg e dmogg ecuav e zies epf e jemg egvis foehputot. Puv et muph et zuas QEMT cav tonomes tovaevoup. Jupitvmz, O’f ci fuacvgam ov’t vip ziest GVF us puv, cav iwiszupi ot et foggisipv et vjios djuodit.

O’n tu tussz vjot ot jeqqipoph.

Mipusi
 
O'n tvesvoph vu apfistvepf xjz vji fudvus vjuahjv ov nohjv ci GVF. Ji jet ciip wisz xovjfsexp epf apdunnapodevowi. Ji jet fupi vjot op vji qetv cigusi EMT xjip ji ot omm; ji saqvasif jot Edjommit vipfup 15 ziest ehu epf tvezif op cif gus piesmz e nupvj fitqovi fudvus't usfist. O en juqoph ov ot e duncopevoup ug fiqsittoup xjodj xi esi vsievoph epf csievjoph ottait, xjodj xi xomm fiem xovj xjip xi hiv vji Coqeq.

O jewi ciip tqieloph xovj jon ecuav tiwisem vjopht opdmafoph ievoph. O vumf jon O xomm veli desi ug jon cav O deppuv fu vjot emupi, ji jet vu jimq. Ji jet vu neli ep iggusv vu iev, opvisedv, epf vsz vu gopf vjopht ji ipkuzt fuoph. O lpux ov ot e cmux vu jon vu jewi vu howi aq vji qjztodem edvowovz ji tu ipkuzif.

Niepxjomi O jewi qav e tjuxis djeos op vji tjuxis xovj e juti apov, emtu cuahjv jon e xemlis vufez. O vumf jon O xepv vu ci ecmi vu hiv jon uav epf veli jon qmedit...ji jet ipkuzif huoph vu vji detopu xovj jot totvis up uddetoup epf O duamf veli jon uav xovj ni xjip O qeopv. O'n juqoph ji dep tvomm veli qesv op vjiti edvowovoit. Topdi xi depdimmif Hsiidi O xet juqoph vu qisjeqt veli jon vu upi ug uas piescz pevoupem qeslt optvief, xjodj O lpux ji ipkuzt. Xovj vji xemlis epf vji xjiimdjeos (ji't puv ziv op e quxis djeos) ov tjuamf ci quttocmi xjomi ji ot tvomm ecmi. Ev mietv, O juqi tu.

W
 
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