My PN? What do you mean it's "progressive"?

Posted by Ray Kemble @ray666, Jun 19, 2023

Hello, fellow PNers!

We've all had toothaches at one time or another. Do you remember what that's like? When you have a toothache, that's all you can think about, that toothache! I've started to wonder if that's what's happening with my PN and being told it's likely "progressive." Every little thing that I feel––or don't feel––fumble, spill, stumble over, or get backward, I think, "Uh oh, is this a sign of my PN progressing?"

In August of last year, I, at an otherwise healthy 78, was diagnosed with idiopathic peripheral neuropathy. Since then, we've refined that diagnosis to sensory-dominant, large fiber, idiopathic polyneuropathy. (I know, that's quite a mouthful.) I'm one of the lucky ones in that I have no pain. My balance is terrible, and walking, even the shortest distances, is no fun. It took an EMG to tell me that I'd lost sensation in my feet; at the time, it didn't appear to have traveled up my legs––not yet, anyway. The neurologist told me that my PN was "likely progressive," but that wasn't a sure thing or, if it did progress, was it possible to predict how soon and it what way.

That was ten months ago. Since then, like that aching tooth you can't NOT think about, I'm noting every little thing I do wrong. For example, the other morning, I dropped my coffee mug. Right away, I thought, "Ah, my PN! It's happening!" But I've been known to drop things before, all my life, not a lot, maybe, and I'm still not dropping things "a lot," but could it be my PN? Another example? My handwriting (and I still handwrite letters) can be pretty tough to read (even for me!), but I've never had the most legible handwriting (think: a doctor writing a prescription while sitting on top of a cement mixer). Recently, I've been paying more attention to my inferior handwriting, wondering if it's actually getting worse ("Uh oh, another sign of my progressing PN!")

Can you see where I'm going with this? I'm driving myself ditsy trying to separate actual signs of my PN getting worse from ho-hum happenings of Typical Ray going about his business: dropping a coffee mug, scribbling a note to himself that even he can't read; other things, too, like tripping over a garden hose (not falling, at least), more and more saying "no" to doing things because the walking to get there is no longer fun––on and on.

Not everything can be a sign of my PN getting worse. But some maybe are. How do I tell which from which? That's my problem. Have you experienced this, too? Did you ever manage to get things sorted out? How did you do it? I'd like to know.

Cheers!
Ray (@ray666)

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@ray666

Thanks for telling me, Susan. Ever since getting my PN diagnosis, I've been dazzled by the variety of PNs and related conditions. I believe the more you learn––from reliable sources––the better off you are. Again, thank you!

Ray

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Hi Ray, SusanEllen66, paktoledo, bkfoster, harley22, and whoever is joining the conversation - WOW - there are lots of great words of wisdom, ideas, resources, and encouragements packed into this space. If I could just tell you all, you make my day. One of the facets of human wisdom is to acknowledge when (you) don't have all (or even most) of the answers, and be willing to admit it. At the same time, to share the truths of your own situations and even offer possible resources is compassion in action. Thank you one and all.

I, too, am dazzled by the array of variants of PN. Mine is Distal Symmetric Axonal-demylinating Sensorimotor PN. Pain is mostly under control through a variety of medications and PT/ myokinesthetic approaches. My balance is horrible - I walk with a cane, or walker, or rollator, depending on the situation, and have to concentrate on every step. It isn't always easy to feel positive but I am beyond grateful for all the interventions, mobility aids, great physicians and staffs, and of course to all of you. Most of all I am thankful to God, as His grace in provision of all good things, material or otherwise, is without limits. He is with me 24/7 and He hears my prayer.

I'm a retired educator (Jr Hi, HS, college) and I have a wonderful family: 3 grown kids with families of their own, and my little dog - part Bichon Frise, part Poodle.

Blessings to you all ~
Barb in Iowa

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@ray666

Hi, Barb (@bkfoster)

You've asked the $1,000.000 question: How do you stay positive? (Applying COLA, I suppose that's now a $20,000,000,000 question.) I wouldn't pretend to know the answer for everyone. I suspect each of us has their own answer, or for many of us (me included), we're still working on finding the answer. I can only answer fairly for myself. And remember, my diagnosis is relatively recent, only last August, compared to most others here. I'm still speaking as a neophyte.

You didn't say if your doctor told you what sort of neuropathy you have. That wouldn't be surprising. He may not know, not yet, not until he's consulted with you more. That's the case with me and my diagnosis, even after ten months. "Officially" (from my doctor), I have "idiopathic axonal peripheral neuropathy." That was all he felt he could reasonably say at the end of my EMG. Since then, I've added other words, the result of lots of reading and listening (online) to a dozen or so webinars (available on the Foundation for Peripheral Neuropathy's YouTube site). I avoid "junk" websites (and there is a gazillion) like the plague. I now say, "unofficially," I have a "sensory-dominant, large fiber, axonal idiopathic peripheral neuropathy."

I believe knowing what sort of neuropathy a person has can help immensely when it comes to knowing what therapeutic path to follow. I will meet with my doctor in a couple of weeks to ask if my attempt to refine (add to) my diagnosis makes any sense. If he says yes, I'll follow up and ask the less costly question (not $20,000,000,000 anyway): What do I do? (besides the home exercises I have been doing).

I could talk for hours on this (Oh, no! LOL), but my workday starts soon and I want to give this a sort of "finish." I'm not a courageous guy. If I come across as "positive," I'll admit I don't know how, I can only guess. I guess I'm doing some "re-framing," reordering my priorities, allowing for what up to this point is terrible, terrible balance. For years (decades before my recent diagnosis), I followed a three-part pattern to my days (without being too strict with myself, changing the pattern when needed): Mornings for creative work, afternoons for what I call "physical" stuff (everything from shopping to fixing a leaky faucet), and evening for restorative activities; e.g., reading, watching TV, being with friends. Now that I have my idiopathic whatchamacallit, I still follow the same pattern, but with adjustments: Mornings for creative work (no change there), afternoons for those physical tasks (but only things I can do safely without falling), and evenings for restorative pastimes (more urgent than ever! a little quieter, maybe, but still fun). (There's a history to this three-part pattern. If anyone is curious, let me know.)

I have a feeling you'll get plenty of good tips from others on staying positive. That's the magic of being in a group like this.

Cheers! (and I mean that more than ever)
Ray

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I'm curious about your three-part pattern!

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@bjk3

I'm curious about your three-part pattern!

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Hi, Barb

I borrowed my three-part pattern (a clumsy way of saying it) from something I read once about the Bloomsbury artists and how they spent their days: creative pursuits in the morning, outdoor activities (gardening, walking, etc.) in the afternoon, and restorative (leisurely) pastimes in the evenings. Friends who've heard me (suffered through hearing me? LOL) extol the virtues of my approach to the day know that I speak of t as my Bloomsbury Triad, or simply my Triad. It so many ways, it's kept me sane, and these days more than ever.

Ray

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@ray666

Hi, Barb

I borrowed my three-part pattern (a clumsy way of saying it) from something I read once about the Bloomsbury artists and how they spent their days: creative pursuits in the morning, outdoor activities (gardening, walking, etc.) in the afternoon, and restorative (leisurely) pastimes in the evenings. Friends who've heard me (suffered through hearing me? LOL) extol the virtues of my approach to the day know that I speak of t as my Bloomsbury Triad, or simply my Triad. It so many ways, it's kept me sane, and these days more than ever.

Ray

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Hi, Ray -
Sure seems like a logical and natural rhythm to follow. I wonder if I could redefine "creative" as "collage of apppointments", for starters. Definitely have the "restorative pastimes" down, though! Thanks for the answer. It's a really great approach, especially for mental well-being!
Barb

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@bjk3

Hi, Ray -
Sure seems like a logical and natural rhythm to follow. I wonder if I could redefine "creative" as "collage of apppointments", for starters. Definitely have the "restorative pastimes" down, though! Thanks for the answer. It's a really great approach, especially for mental well-being!
Barb

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Good morning, Barb

You've got a free hand when it comes to redefining any of the lobes of the triad. I do it all of the time. If you want to change "creative" to "collage of appointments," be my guest! LOL

Someone who's OCD would be disappointed with me, the way I play wild & free with my triad. I have no choice. (Wilder & freer now that I have PN.) If I've shackled myself too strictly to a "system," I get irritable. I've always hated "shoulds," "musts," and "oughts." (Every sentence my mother uttered was loaded with "shoulds" and "oughts." LOL) My triad is only a friendly suggestion made by me to me, that's all, a loosely marked path through the woods that's there if I need a little direction. (I use my triad a lot to do my PN-related exercise. That's how we got on this subject in the first place, isn't it? Our PN: how we deal with it.)

So, if "collage of appointments" works for you, go for it! Happy triading!

Cheers!
Ray

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