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MS bladder issues, when it rains it pours

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I don’t like days filled with constant surprises and uncertainties but living with multiple sclerosis is going to have its share of unpredictability. One day things could be going great, the next it could turn out to be an awful day. And sometimes it doesn’t even happen by days but by moments. Like Forrest Gump says, you never know what you are going to get… with a life of MS.

There are different things people can do for their bladder issues. It’s important to determine the type of urinary issue you have. Some deal with physical therapy learning ways to strengthen the muscles the bladder uses, there are medications to support incontinence, there are support devices that help train the bladder to properly function, but if those treatments aren’t working there are several surgical procedures that can treat the problem.

Ten years ago I had surgery to place a suprapubic catheter in my bladder to help aid in the emptying of my bladder. I no longer had muscle control of my bladder so I was unable to properly manage its usage. It took time to get used to but I was thankful for having it done. My bladder was finally able to be drained to an external bag rather than me peeing all over myself and life was great once again. It was a learning curve but it made life easier for me.

Over time my bladder had created stones causing drainage troubles. I had surgery to remove them but was still having bladder issues. The nurse was having difficulties each month removing the Foley catheter to replace with a new one. My body just seemed to think the catheter was a part of my bladder and would try to seal the opening making the removal each month painful due to it trying to attach itself to my body.

My urologist had suggested I have my bladder removed to alleviate the problems. After taking time to think about it and reading about having it done, I approved the surgery February of this year. It’s been 6 months and I’m so glad I had it done.

I had to learn how to attach my newly needed bladder pouching system which wasn’t too difficult to deal with. A stoma was created to properly drain the urine my body creates I just no longer have an internal bladder for it to empty into. My bladder is now an external pouch / bag. I just have to make sure I wait until early morning to change it out because that’s when I have better usage of my hands.

It can get comical when I try to change my pouching system after having a lot of liquids in my system. My stoma which controls my urine will shoot urine out in a quick stream and without the pouch in place it’s equivalent to me peeing on myself. I usual change it out in the shower so I can have a clean belly to work with. But like most people learn with their pouching system, it’s suggested to replace it while standing up so you can properly place it. But for me, that’s not possible.

My routine is to take a shower to clean myself up, dry myself off, place a dry washcloth over my stoma so if I pee out the cloth will catch it, put my robe on and transfer to my powerchair, make my way to the bed, get comfortable lying down on the bed, prepare my pouch to place on the stoma. Normally by that time I’m thankful I placed the washcloth over my stoma because I will have peed a little in the process of getting ready for the new pouch.

When I get the new pouch on, I’m ready for a nap but also thankful that I got it all done by myself… no nurse needed. Then I get dressed and normally make my way to the living room and rest on my new powerlift recliner. I normally have to change the pouch once every 4 days. Sometimes I can even go as long as 5 days before changing it out. But of course there are also time I have to change it much earlier due to not placing it properly and the pouch pulling loose from my belly much too early.

I know it sounds complicated, but what part of MS isn’t. I’m thankful I don’t have UTI’s anymore or pain like before with a Foley catheter so the pouch change is nothing compared to my issues before. I’m thankful for bladder surgery to remove my bladder. It’s not something for everyone, but it’s doable. As long as I can keep doing things one handed, I will be able manage it for a long time by myself. I’m too stubborn and independent to do it any other way.

Don’t give up hope on ways to manage your bladder issues. There’s always a solution. Maybe not the one you want, but one that will make life easier for your already complicated life. Bladder issues aren’t the end of your life and neither is MS. Talk with your urologist about things that may help you out. You got this.

MS symptoms are more faithful than friends

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People thought my life was amazing. That I had it all: talent, creativity, love, a great job, a sense of humor, everything I could wish for, but you know, I realized early on that the fairy tale life wasn’t what I was looking for. I knew it wasn’t what it was cracked up to be and it wasn’t my dream… and that was okay with me.

But then multiple sclerosis showed up to try and put a kink in it all, it tried its best to steal my life, my joy, and any hope I had for my future. At first I have to say it did a pretty good job at it. It sent me into a tailspin and overwhelmed me at every turn I made.

I found out fairly quickly that it’s okay to be scared. It’s okay to cry, to be sad, to fall apart, and to break down. You’re only human. You’re real and facing something realer than real. MS is not something we can just ignore or wish away. We have to face it and look at all our options. Some may be unreachable or too expensive but through a lot of research and reaching out to different people, organizations and foundations, there’s a way to get help if you stay persistent. You just can’t give up hope.

Doctors scared me with all the unknown that was happening in my body and how much was still unclear about a disease that has been around for hundreds of years. Not until recently has any actual new info been discovered and realized about MS. For years many people have suffered and still deal from symptoms that newly diagnosed patients  are able to manage with a simple treatment or supplement. Still no cure… but there’s hope.

You never know when a symptom will show up and decide to hang out with you. Sometimes they are more faithful than your friends. Many people stop coming around when the going gets tough. Friends come and go. It happens all the time. It’s not because of you, you didn’t do anything to warrant that kind of treatment. You deserve so much better, so much more.

You don’t have to try to be strong when you have no strength to hold onto. It may take some time to make sense of all the confusing thoughts you have and all that you have experienced, but don’t ever stop fighting.

Statistics show my life will be shorter because of MS, but there is no knowing what tomorrow may bring or what my life expectancy will actually be. MS hasn’t put a period at the end of anything in my life. I’m believing for a comma. A comma means there’s a pause ahead with more to come, more to tell, and so on, and on, and on.

Enjoy the life you have. There is still beauty in the world. Look really close and you will see it in the most unlikely of places. Wipe away those tears and hold your head high today. You have a future filled with amazing possibilities.

Cracks in the concrete

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Hopscotch was a favorite game of mine as a kid. We would draw the board with chalk on the sidewalk and play for hours. There was one area of the sidewalk, though, where we didn’t play the game. A tree had been growing next to the concrete slab in the sidewalk, and as the tree grew bigger and bigger so did the roots which caused cracks and lumps in the sidewalk.

We would skateboard across the cracks and ride our bikes over them, but you had to be careful not to hit them in just the right spot or you would fall to the ground with a thud. I had my fair share of bruises from those kinds of falls.

Cracks in the concrete are reminders to me that you can fall apart no matter how strong you think you are. When I look back at my life, I had great expectations. My career was flourishing and my future plans were laid out. I was strong, achieving great things, moving forward, and then BAM… a crack showed up in my life called multiple sclerosis and changed everything. It knocked me to the ground and left me in a daze wondering “what just happened.”

MS changed everything. At first, I couldn’t believe what was happening. It was a hard thing to come to terms with. Then as the months went by and the progression continued to worsen, I realized that MS wasn’t simply going away. No amount of denial would force my life back to the way it used to be.

Change is hard. We all hate change, but life is constantly changing and it’s important that we learn to shift with those changes. It’s different when we have to shift our meal preference for the day or shift the places we go for vacation, but to shift your entire life due to a chronic illness…that just doesn’t seem fair. But I don’t look at life as fair and unfair. I see it as an opportunity to grow and become a better person or to sit stewing in anger and become bitter.

Am I going to let MS defeat me or am I going to allow something beautiful to grow from my life? Cracks in sidewalks can grow weeds or flowers and I want mine to grow flowers. It’s a choice we all have to make.

Don’t let that crack in the concrete change you to the point that you focus on the wrong things. Now is the time to change with the changes, but in a good way. MS will affect how you do things, but never let it change you into a negatively focused person.

There’s enough negativity in the world already. Find a little ray of sunshine and step into it. You may be cracked, but beauty can still come out of you if you let it. I believe in you. You are not a quitter. You are not defeated.

__________

Did you hear about the rose that grew from a crack in the concrete? Proving nature’s laws wrong, it learned to walk without having feet. Funny, it seems to by keeping it’s dreams; it learned to breathe fresh air. Long live the rose that grew from concrete when no one else even cared.
― Tupac Shakur

20 things I love about multiple sclerosis

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  1. Vertigo – I get to pretend that I am on a Trans-Atlantic sea cruise every day… plus I like wearing Hawaiian shirts.
  2. Disabling Fatigue – I get to take naps and snuggle with my pillow.
  3. Insomnia – I get to catch up on all the reruns of the shows I missed while taking my naps… life can stick me with a crippling disease but I won’t miss a thing.
  4. Heat Intolerance – I get to drink all the Chocolate Ice Cream Shakes I want.
  5. Nausea and Vomiting – I can drink all the Chocolate Ice Cream Shakes I want with no weight gain.
  6. Delayed Verbal Processing – Nothing stops me from putting my foot in my mouth faster than being unable to think of what I was just about to say… several times in a row.
  7. Cognitive Dysfunction – When I put my cell phone in the refrigerator, my car keys in the microwave, and the milk in the dishwasher I am always pleasantly surprised when I find them.
  8. Short-term Memory Loss – I get to walk into the same room over and over several times until I remember why I went in there to begin with… it is a great excuse to just go make another Chocolate Ice Cream Shake.
  9. Speech Ataxia – I never know what funky new words I may create when I talk. I believe this is how “jive talk” started.
  10. Paraesthesia – It reminds me of when I was 10 years old at summer camp when I stuffed my socks full of Pop Rocks on a dare.
  11. Footdrop – It makes it really easy to plant even rows of seeds in my garden.
  12. Diplopia – Getting to see my Chocolate Ice Cream Shake twice at the same time is awesome.
  13. Optic Neuritis – The ugly people on my High Def TV are finally blurry! Woo Hoo!!!!
  14. Dysmetria – I get to figure out brand new innovative ways to do simple things like cutting vegetables or frying bacon… or putting on pants while frying bacon.
  15. Muscle Paresis – I will no longer feel obligated to help friends if they ever need to move a couch up a flight of stairs or bury a body in the backyard.
  16. Muscle Spasticity – Gym membership? Ha! Look at these quads!
  17. Bladder Spasticity – I will always know where all the rest rooms are located.
  18. Dystonia – I was never a fan of typing words correctly anyway… just ask Siri on my iPhone.
  19. Clumsiness – I used to just be good to look at but now I am much more fun to watch.
  20. I am stuck in a motorized wheel chair – I have another reason to keep working on designing the first ever “low-rider” turbo charged Rascal Scooter for street racing with death ray for use for the idiots who park in handicapped spots.

All aboard the multiple sclerosis express

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Ladies and gentlemen, this is the non-stop flight to a life with multiple sclerosis. On behalf of the Captain and the entire crew, welcome aboard.

In preparation for takeoff, please ensure all negative attitudes are properly stowed in an overhead bin. Please take your seat and fasten your seat belt.

At this time, we request that all stress, fear and worry be turned off for the duration of the flight, as these items might interfere with the central nervous system and communication processes of this aircraft. We request that all canes, braces, walkers and wheelchairs be secured until we have reached a stable altitude free from turbulence, wobbles and unsteady movements. We will notify you when it is safe to use such devices.

We remind you that this is a non-sleeping flight. Sleeping is prohibited, but we do have endless TV shows, movies and documentaries available for your viewing pleasure.

There are several emergency bathrooms on this aircraft. Please take a few moments now to locate your nearest bathroom. In some cases, your nearest bathroom might not be close enough. If you need to go immediately, I suggest you move quickly to ensure no accidents happen.

Blood tests and lesions are always being monitored. In the event of a relapse, an MRI machine will automatically appear in front of you. To start the scans, your head will be secured to a table and you will be inserted into a tight, claustrophobic tube. Although the machine is loud, you will be allowed music of your choosing to help drown out the sounds. Keep perfectly still without sneezing, scratching your nose or coughing until a uniformed attendant advises you it is all over.

In the event of an emergency, IV steroids are available and will be administered as needed. Be cautious of the metallic taste that will occur during this process. Sucking on hard candy helps so be sure to have a few in your baggage.

Meals will be supplied based on your needs. Dietary restrictions are adhered to. If you require texture friendly food we have a selection of soft foods that makes challenging meals easier to manage. Getting pre-portioned meals that you can pick out allows you to tailor your selection as needed.

We will hit turbulence along the way, but rest assured it won’t last. We will eventually pull above the storms and enter sunny skies. I expect good attitudes for our trip.

If you have any questions about our flight today, please don’t hesitate to ask one of our specialists. Thank you for flying the Multiple Sclerosis Express.

I seem to be allergic to multiple sclerosis

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The immune system is made up of a complex and vital network of cells and organs that are created to protect the body from infection. Their entire purpose is to defend the body and keep bacteria, viruses and fungi out, and to destroy any infectious microorganisms that try to invade the body.

Growing up I never had an allergic reaction to anything. Food, bug bites, hot or cold weather, animals, dust mites, pollen, or drugs. The only thing I was allergic to was poison oak. It always seemed to spread by me just looking at it. I didn’t have to actually touch it… or in my childs mind I didn’t. Once I had gotten such a bad case that spread all over my face even causing my eyes to swell shut for a few days. After a visit to the doctor, some meds and lots of calamine lotion, all was well.

Since multiple sclerosis has taken up residence in my body, I have discovered that certain foods cause me to have increased symptoms like expanded weakness, spreading of numbness beyond the normal residual symptom from my initial MS troubles years ago, visual disturbances that have a tendency to keep me from being able to properly read emails without double vision, dizziness that meclizine doesn’t seem to help with. For me, over time, I have discovered those foods and know which ones to avoid. Each person has to find their own foods to avoid. It will always be different person to person.

I have also discovered my difficulties in balancing. I fall over trying to sit up. I can no longer do as my mom always said… ‘sit up straight and keep your elbows off the table.’ I simply can’t seem to do it unaided. I have cognitive problems too unlike anything I had before. I used to be able to read an in depth computer manual and be able to code computer programs based on what I had read without difficulty. Now I can’t put a line of code down without constantly looking at every cheatsheet available.

It just seems like every new symptom shows up out of nowhere and has a tendency to hang around for a long, long time… sometimes forever. I have also discovered certain drugs now give me an allergic reaction and I have to be watchful of them. My body just doesn’t seem to want to cooperate with my own body.

One thing I told the doctor is that I found I was allergic to ice packs. They always turn my skin red…(grin). I can’t get through a summer without them. They help me survive the heat. I’m also allergic to a lack of humor. There’s not enough smiles, giggles and laughter in the world of the chronically ill. You do know that it’s okay to laugh, don’t you?!

Over the years I have found that I need to take things slow and listen more closely to my body. It always seems to talk louder than I wish it would but thankfully it speaks up. Sometimes it’s the only reason I feel as good as I do. My body isn’t perfect. I fall down too much, pain visits way too often, confusion happens and brain fog seems to have taken up permanent residency. And although I wish life was different, it’s still mine and I refuse to give up.

You can’t give up on your life either. MS makes things complicated but not impossible. Impossible says it all… I’m possible.

Just like you. You’re possible too.

To those not living with a chronic illness

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Whoever you are, I fear you will never learn the injustices people living with a chronic illness endure all because they are facing the unknown and the unseen as their body is destroying itself from the inside out.

I fear the gifts and strengths a disabled person  carries within them will be dulled before they are able to share them with those who need them the most.

I fear you will cease to help a disabled patient in need because your own life is more important than the needed medical equipment, meds and even vitamins or supplements that would greatly benefit their lives.

I fear you will never know what it’s like to be disabled, abandoned, homebound, and not believed when sharing their troubles with those closest to them who should be their support…but aren’t.

I fear you may fail to see the worth of the disabled because it’s not a popular thing to do and it disrupts your day too much.

There’s nothing I can do to wake people up. Many won’t read this and others will simply discount it as nonsense, but one thing I know is that regardless of what troubles happen in my own life, whatever disabling symptoms arise and consume my day, I won’t quit. I refuse.

Me, MS, or why I can’t just get over it

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Multiple sclerosis depression… it’s a real thing and it happens. Not even the happiest, peppiest, most positive person in the world is exempt from it’s effects. It can sneak up on anyone. It’s not known exactly why multiple sclerosis has a higher rate of depression than other chronic illnesses, but it’s believed to be caused by changes in the brain’s functionality along with the emotional stresses of unexpected progression, loss of mobility, pain, social isolation, and financial struggles.

Those of us living with MS are fighting our bodies every second of every day. At times, we feel as if we have slipped into a raging river and the current is pulling us under as we fight the rapids in order to pull our head up far enough to get a breath of air only to sink yet again. We find ourselves lying in our bed with tears flowing, completely worn out, weary, and with  awful thoughts spinning out of control.

All those “what if” thoughts, doubts, fears, and questions flood our minds. They have a way of overtaking even the smallest amount of hope we have left and leaving us with only a tiny strand of hope to pull us up to safety.

That has happened to me more than once. During those times, I find myself feeling alone and worthless in a world that doesn’t seem to understand me, MS, or why I can’t just get over it. It always catches me off guard almost as if I got sucked into a vortex filled with every mixed up emotion imaginable and it pulls me deeper into the abyss of depression. It’s not easy pulling yourself out of such turmoil and confusion. This kind of thing it invisible to the rest of the world, so they just don’t get it.

What I have learned most during those awful, vulnerable times in my life is that I need someone there with me to help me process those crazy random thoughts that I find bouncing around in my brain…not with advice, opinions, or judgements, but with a hand to hold, an ear to listen and a box of tissues near by. Oh, and maybe some ice cream or chocolate.That somehow always helps.

Don’t beat yourself up just because you are having a bad day, week, month or even year. Depression is real and sometimes it’s really, REALLY hard to overcome. It takes guts to talk with your doctor, friend, counselor, spouse, or family member about what’s going on inside your head and heart.

Don’t allow guilt to creep in and cause you to think that you can’t open up about what’s going on. Sometimes we need help to weed through everything that’s going on in our life in order to find hope once again. And just so you know, seeking help is not a sign of weakness. It takes great courage to admit you have a need.

Don’t ever be afraid to ask for help. Sometimes that’s the hardest step you will ever take…but you can do it. I know you can!

I will never sugar coat my life with MS

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Have you ever had one of those days when you wished you could just curl up into a ball and hide away under the covers in bed because life was simply too much, too crazy and too overwhelming to bear? That was me yesterday. I woke up in tears… literally. That happens to me from time to time, only yesterday it hit me really hard. Harder than usual.

I hate when that happens. Sometimes no matter how hard I try to remain upbeat, positive and steadfast, I fail. It just goes to show that even people like me who strive to find the good in everything around them actually have times when they wish their out of control life could be put on hold and the pain had a pause button.

I’m human and I’m real. I will never sugar coat the difficulties of living with multiple sclerosis and I never want people to think that MS is a breeze to manage. Too many people out in the public don’t hear of the struggles we go through because too many MSers don’t talk enough about the truth of living with a chronic disease.

I am thankful for those living with minimal symptoms and that can handle the pain with ease at any given moment whether it be physical or emotional. But I know for a fact that’s not me. I talk about the struggles I face because I believe the more the public is made aware of what we experience, the more they will come to understand the reasons we have our unpredictable mood swings, cancel seemingly simple plans and spend so much of our time at home.

It’s not always easy for me to voice my needs. That’s because many times I don’t even know what I need in the first place. So when someone calls or stops by and asks how they can help out, I don’t always have an answer. It’s not because I’m being rude, antisocial or don’t want their help. Most of the time it’s because I simply can’t see past the pain in the moment to know what I truly need. That kind of thing requires too much thought and most of the time my brain just blanks out.

But I can tell you this, what ALWAYS helps is genuine care, concern, support and love. Those things help at any given moment and can be expressed through a simple “thinking of you” text, help around the house, offering to pick up some groceries, or just stopping by for a chat.

My greatest fear is to be forgotten in this fast paced, on-the-go world. It’s easy for that to happen too because many of us get to a place where socializing becomes  extremely stressful and is filled with too many uncertainties and obstacles.

Getting out of the house requires great planning and considerations that many people don’t really think about. Will the place I’m going to be accessible for my needs? Will I have quick access to a bathroom when needed? Will I be in a place where I can remain cool? If a meal is involved, will someone be there to help me cut my food? If I get too tired (which is normally a given in my case), can I leave early? Does it cost because I live on a limited budget and even small expenditures are impossible to afford?

Any number of questions have to be considered in order to leave the house. Some days those questions are easy to answer, other times they are simply too much to face.

I woke up yesterday with my laugh-box broken because the questions in life smacked me in the face as soon as I woke up. If that ever happens to you, give yourself a break and allow yourself the needed time to grieve. Grieving is a real part of living with MS, and it’s okay to have those moments. Just try not to stay there.

I had my good cry already yesterday. The world may never see my tears, but they will always hear my pain. I refuse to be silent in the struggle.

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