The “dis” And “dys” Of dystonia And The Definitions Of

Some random thoughts in regards to the definition of dystonia and the mispelling of the phonetic spelling in relation to the first three letters (distonia & dystonia).

The definition of dystonia according to a recent publication in the 2012 Annual Report, Turning Promises Into Progress:

dystonia is a neurological movement disorder that causes involuntary contractions and spasms. These involuntary contractions force areas of the body into abnormal movements and awkward postures. dystonia may affect a single body area or be generalized throughout multiple muscle groups. dystonia affects men, women, and children of all ages and backgrounds. Estimates suggest no fewer that 300,000 people in the US and Canada are affected. dystonia causes varying degrees of disability and pain, from mild to severe. Although treatments exist, dystonia remains a chronic disorder for which there is presently no cure.

Dyskinesi- impairment of voluntary movements resulting in fragmented or jerky motions (as in Parkinson’s disease) — compare tardive dyskinesia – Websters Dictionary

Disease – what was once called a brain disease, and once thought to “psyhological disorder” – “stress related brain problem” – “brain disorder” – “brain symdrome” and many others has since evolved into the namesake of “neurological movement disorder”.

Disturbing – The obvious but what a non-dystonic doesn’t realize how difficult it is to travel, especially flying and driving. Flying is one of the most powerful accelerators of symptoms because there is no stability for your body when in flight. Your body is a human yo-yo with rubber band strings just aimlessly bouncing about. The challenging times come after the landing when your body responds by attacking the muscles that were in shock waiting to engage and/or disengage. Driving is an adventure especially when turning and approaching intersections, your eyes are going in one direction and your brain is directing your body all over the place. I found it useful to bite down on the seat belt to keep my head from twisting but the disturbing challenge is when your fingers and toes curl inside causing cramping and uncomfortable postures – must resort to banging the steering wheel and/or the floor to stop the spasticity.

Distance – I have found the distance in separating myself from family, friends and social situations when dystonia is at it’s peak or “An almost good day”. This distance is needed both selfishly and selflessly.

Disguised – Trying to live with dystonia and coexist sometimes takes a disguise. By disguise I mean learning how to disguise your symptoms not for fear of being stared at or made fun of but avoiding the pain, spasms, and uncomfortable postures that exist in everyday activities. A simple task such as going to the store takes planning and a pre-meditated psyche up because the life-stressors which attack dystonia are everywhere and can instantly set off a nightmaric episode. A prepared dystonic dsisguise is a bag of tricks (Wearing a hat to adjust and touch to slow down tremors in neck, carrying a tennis ball to squeeze and hold when fingers start to cramp up, stomping of the foot to alleviate the lead foot or toes curling under, the constant shrugging of shoulders and elongating the posture of your spine and gait to stop the abdomen from contorting one’s body, carrying a cell phone as if talking to someone only to slow down the tricep/shoulder/neck/face/back tremors/spasms etc. and pressing the phone on affected parts of the body to divert dystonia’s attention) are just a few of the many tricks to disguise a dystonic attack.

Dysthari – “difficulty in articulating words due to the disease of the central nervous system” This I just discovered when scanning the dictionary and can relate partly due to dysphonia (form of dystonia that affects the vocal chords) and deep brain stimulation programming which significantly affected my speech causing a stutter and low volume but needed to control other parts of my body = catch 22?

Discomfort – Finding comfort is one of the 24/7 daily challenges and it changes just as often. Some find it lying flat, sitting in a comfortable lazy-boy chair, yoga, etc… Mine is swimming – but it takes at least 15-20 minutes to get the rhythmn of comfort and finding the zen of buoyancy/exercise/breathing and continuing this trifecta in harmorny is a savior in surviving.

Discovery – My Favorite: This is where you discover how to live/cope/survive despite any dystonia setbacks/challenges/obstacles. Swimming with one neurostimulator (brain pacemaker/battery) on and one off and only using your legs is my salvation. Running while bouncing a tennis ball in stride – discovered while playing fetch with my previous Dog, Cali (Living At The Rainbow Bridge). Using left hand for most if not all fine motor skills (Right Handed) due to dystonia and/or deep brain stimulation. “I type because I cannot write” from the pamphlet of the 2009 Children’s Symposium in Chicago = Holds true for me.

Disillusionment: The art of being thin because of dystonia or the disillusion of both?: This is one of the positive side bars of having dystonia because with the constant twitching/firing of muscles, contractions/spasms, etc… and the constant fasiculations in my leg muscles (Great conversation piece if someone is staring at my calves – which never happens but thought I would throw it out for just saying purposes, the aforementioned statement at the beginning of this run-on sentence holds true. What is a fasciculation? definition below.
Fasciculation: Involuntary contractions or twitchings of groups of muscle fibers.
Fasciculations can occur in normal individuals without an associated disease or condition, or as a result of illness, such as muscle cramps, nerve diseases, and metabolic imbalances.

So with that being said, dystonia is alive and well and thriving in it’s namesakes and daily discoveries!
Enjoy Life!

Advocate And There’s Always A Silver Lining

Prior to attending the dystonia Advocacy Day in Washington DC for the 6th time this past week I was a little skeptical if it’s worth the time and effort and if there really was a Silver Lining with Advocacy. Then after watching the movie, Silver Linings Playbook it all started to make sense to me. If you are part of something bigger than you (Sports Team, Cause, Volunteer Program, Advocate Group, etc…) and you firmly believe in positive thinking, win-win scenarios, karma and Silver Linings = There will always be a Great Outcome.

The Silver Lining was the awareness and knowledge that the congressional and senatorial staffers had about dystonia. The good was they know more now than my first Advocacy Day in 2005 – the almost good (avoiding bad because it could always be worse) is that dystonia is affecting more and more people, especially soldiers returning from wars overseas, due to severe head trauma.

The Silver Lining was seeing all my dystonia friends who return year after year from all over the country to advocate for their children, friends, siblings, and themselves. The power of this group is infectiously contagious due to so many factors: Every person has a story and a mission to find a cure and continue the advancements in research. Within each story is a personal struggle to survive, make a difference and continue to be resilient despite all the obstacles dystonia brings. This is so humbling to me because seeing some friends wheelchair bound, others in constant pain and some unable to attend only to hear of their struggles from family members who Advocate on their behalf is tearfully painful for me but a constant motivator to Fight On  to continue to raise awareness and monies for research to Help Find A Cure.  The new friends, fellow dystonia bloggers and authors who I was fortunate enough to interact with makes me so proud and fortunate to be part of this group of amazing people.

The Silver Lining is meeting people who touch your life in a positive way and continuing to discover Silver Linings in everything and everyday because Advocating for something bigger than you is making a difference, brings karma and pays it forward.

Recommendation: Please watch Silver Linings Playbook = It is Powerful and Great Music!

One Person Can Make A Difference

Several events over the past two weeks have made me reflect on how powerful one person can be and how one person can really make a difference.

After watching The movie Lincoln, I was extremely moved at the decisions that Abraham Lincoln(One Person) was faced with while being the driving force behind ending the Civil War and more importantly abolishing slavery. Thaddeus Stevens(One Person) along with his political prowess and subertfugal public statements whilst his personal life reflected his true motives was amazing. All Men (should read All People) are created equal is still a controversial topic in my hometown. Legal, illegal, English-speaking, Spanish-speaking, White, Black, Asian, Irish, Catholic, Heterosexual, Gay, Lesbian, Russian, Italian, or whatever & “Whatever”, there are good people and there are almost good people but (Soap Box) I believe All People are created equal and if you treat people like you would want to be treated – solve lots of problems and The World is a Better Place!

The firing of Rutgers Coach is sad because of the embarrassment to his family and the support staff (Assistant Coaches, Trainers, Secretaries, and Rutgers Community). In major Division I basketball, when the head coach is fired, there are lots of other people who are affected with families and children that have worked years to reach that level. I do not know the head coach but to reach that level, He must have been successful, hard-working and passionate, otherwise, He never would have been given the opportunity. With that being said, the videotape is very disturbing and never have I seen that type of language or physicality towards players. The silver lining in this is that Eric Murdock(One Person), the former assistant, turned in the videotape(s) of the coaches behavior for reasons (I hope to expose this abhorrent behavior and to in some way, and maybe I’m reaching but to help redirect this misguided passion, language and actions to a more productive state while saving the players from this destructive teaching/coaching method.)

Kevin Ware(One Person), the Louisville player who suffered one of the most gruesome injuries I’ve ever seen in a NCAA Regional Final vs. Duke on Easter Sunday had the courage to tell his team, “I’m okay, just win the game”. Whether he was in shock and most likely was because he repeated that statement 12 times, it shows unbelievable strength and character to redirect the teams focus to the game. It was such a horrific injury that when Rick Pitino, Head Coach Louisville, went over to help Kevin up and then saw the bone sticking out of his leg, had to compose himself because he was going to get physically sick. The players were on the floor crying in disbelief at what they saw. Thank goodness the trainer(One Person) had enough sense to cover the injured leg with a towel. Understanding that Louisville was the better team and with or without Kevin Ware, they were going to win the game. However, if Kevin had not repeatedly told his teammates that “I’m okay, just win the game” the outcome may have been very different.

Cindy Treon(One Person) who I met 2007 at a dystonia benefit and who suffers from dystonia is graduating this Spring as Valedictorian from The McCann School Of Business. When I first met Cindy (Read http://patbrogan13.wordpress.com/wp-admin/post.php?post=245&action=edit),  she was twisted, had trouble walking and was in extreme pain.  We quickly bonded over our dystonic stories and after referring her to a great Neurologist in NYC, she was immediately diagnosed with dystonia and over the next several months became a candidate for Deep Brain Stimulation.   Her recovery and improvement are nothing short of miraculous but even more inspiring is her passion to succeed in life.  Working several jobs, going to school and dealing with dystonia, She managed to finish tops in her class.  I am so proud of what she’s accomplished and overcome and so looking forward to her future successes.  Cindy, my battery-powered dystonic friend, will continue to make a difference and prove that One Person Can Make A Difference.

The Positives Of Having dystonia

This has been long overdue, so without regard for offending my sense of humility, humor, and self-esteem it gives me great pleasure to have dystonia. Seriously, I have to  rewrite that to make myself perfectly clear – It is my pleasure to have dystonia. Why? Why Not? (My favorite response in the fabled philosophy final exam question)

To start, you have no choice but to reinvent yourself everyday – for the non-dystonic, that simply means, each day you have to wait to see how your body is going to control you since you do not in most cases control your body. However, in some cases (days) (people) you can control your body but don’t  fight it because there’s no winner when fighting yourself. This is an enlightening feature not alluring but engaging to the point of simple discoveries.  The byproduct of this pugilistic activity is staying thin because your muscles are constantly firing.  (In the future endeavor list a dystonic diet/workout book)

*Lists are fun to read

A.Travel:
1. Chicago – DMRF headquarters and children & family symposium
2. Cleveland – Cleveland Clinic, my second home for close to a decade (favorite Neuro Dr. Vitek, and great programmers Sierra & Kathy) St. Paddy’s day in Cleveland is Awesome!
3. New York – Beth Israel Hospital, my current programmer & arguably the Best, Joan; + neuro & famed Dr. Bressman + Bachmann Strauss headquarters
4. Santa Fe – World premier of Twisted
5. Philadelphia – Jefferson Hospital, original diagnosis
6. Boston – Meeting the Blind Dog Film Crew, a showing and panel discussion of Twisted, and great Red Sox tix with my boy Peter Cohen
7. Atlanta – Emory Clinic, famed neuro Dr. DeLong, GA Tech volunteer & Final Four Team
8. Dewey Beach, DE would never have figured it out
9. The Animal Shelter – finding my Best Friend, Hutch
10. Detroit – Twisted showing and panel discussion
11. Villanova – Twisted showing and panel discussion
*Probably forgot a ton of places – future blog security
 

B. No Fear
1. Starting a company which failed
2. Starting another company that failed
3. Buying a house, fixing it up to live in then moving to Atlanta (see #7 Travel)
4. Enrolling in acting school – finished then dropped out
5. Auditions for plays, commercials, modeling, television – fail, fail, fail, fail
6. Tried Joining Live Improvisational Club – I think I failed there too but that was an Amazing Adrenaline Rush!
7. Bought another house (visionary investor??? at least that’s what I put as my title LinkedN)
8. Tried Head Coaching HS (4 days after brain surgery) Failed – resigned 5 months later
9. Bought Storage Sheds & Land (see #3, #7 above)
10. Bought another house (visionary??)
11. Trained my boy to be my Service Dog (see #9 travel) and also a Therapy Dog
12. Passed PA real estate License Test then quit after 1 year, trying again (Still the worst realtor)
13. Bought another house (see #8 Travel)
14. Had a camera follow my Life for 2 years while my body, life, career and health were crumbling
15. Starred in PBS documentary (see above)
16. Started writing a one person docudrama play/book – quit but haven’t given up
17. Wrote a book about poetry but not really poetry – printed 200 copies – sold 0
18. Tried bartending (several times & several failures)
19. Tried substitute teaching – failed
20. Enrolled and accepted to graduate school for counseling – decided not to pursue?
* Can’t list all the positives – got to keep the readers guessing

* Volunteering at the DMRF and helping to raise over $165,000 for dystonia research over the past 9 years
* Meeting all the amazing children at the symposiums who motivated me to start the annual Help Find A Cure 4 dystonia benefit and also giving me reason to continue training and completing triathlons proving to them that anything is possible.

So as you can see, read and understand some of the many positives of having dystonia!  Hopefully, this gives you a good laugh, a smile or the gratuitous golf clap – At least it makes me laugh at myself!

*Tuesday March 5th Embarking on a new potential career path: Motivational Speaking:  Currie Salons, Kennet Square, PA, I know what you’re thinking – A bald guy speaking to a group of hair stylists (? or !)

Must Love Dogs!

2012 008In recognition of the unofficial National Adopt a pet day and nothing against cats or other animals but Dogs are The Best (in my humble and overly biased opinion).  If you are searching for a great companion with unconditional love, complete acceptance of you regardless of your crazy behaviors, doesn’t judge you, will greet you like you’re the most important person on the planet, and only needs are to eat, drink, exercise, please you and be there for you whenever you need someone to listen to, then Adopt A Dog!

I swore after our last Dog went to Heaven that never again could I go through that hurt again.  After 11 months of soul searching on whether to get another Dog, decided to go to the Hazleton Animal Shelter and found my new soulmate, Hutch. (Today – 5 3/4 yrs. young). The first shelter Dog and believe me when I tell you, the Dog knows you saved his life!

http://patbrogan13.wordpress.com/2012/09/28/why-dogs-shouldnt-play-baseball/

Not to get all religious or share my beliefs (if any) on life after but I must share this story. Our previous Dog, Cali was originally Cathy’s Dog then officially became mine post brain surgery. She knew I needed her (Dogs just know) then sadly, as I started getting better, Cali got cancer. She lived comfortably for 11 years then went to Heaven because her life was complete. Complete in the sense that Dogs give so much Unconditional Love to whomever needs it with no regrets or remorse – just giving until their time is up. Sadly, most Dogs only live on the average 10 years. Unless, Dogs come back as in reincarnated (Another plug to read “The Art Of Racing In The Rain”). This may explain why Dogs are so cool, loveable, and pleasing because they know this will impact how/where/why and with whom they come back to?

Story : Cali absolutely, with no reservations, loved bananas and whip cream so much so that she could be 3 rooms away in a full rem sleep and hear and/or smell when I would peel open a banana and the same when I would (Only on special occasions) put whip cream in my coffee (A louder & more obvious sound) but, nonetheless, upon this trigger sound/smell – Cali would pounce into the kitchen, look up with the saddest eyes hoping to partake in this pleasure with me. Of course, She got some and usually the banana was split in half. Fast forward, one week after adopting Hutch, I was up at 5AM getting ready to pour a cup of coffee, spotted a can of whip cream in the back of the fridge, so I indulged. The moment I pressed the nozzle (that air release some type of nitrogen stuff) Hutch comes pouncing in to the kitchen from 3 rooms away with the same sad eyes and expecting to get a taste. At that moment, I said, “Just like my girl, Cali”. Later that week, after being out for a couple hours, came home, no Hutch greeting me as he usually does. I started calling for him but he didn’t come. Found Hutch lying on the bed, cowering with this guilty look. Then upon further discovery found him laying on 5 banana’s peeled and eaten. How this happened, no clue. Later that week, and to this day, whenever a banana is peeled open, Hutch like Cali comes pouncing in with that same look expecting to share this treat.

Enzo and all Dogs have the right plan: Live, Love, Play, Eat, Drink, Listen and Please Others!

True Recommendations – A Must Read

If you are a swimmer, triathlete, and/or looking for a Great Company to search for gear, please check out Desoto Triathlon Company http://www.desotosport.com. Equally as impressive as the Desoto Co. is The Water Blogged Triathlete (ultraswimfast) – This blog is amazing and has literally helped me beyond words with my technique and encouraging words.

I have been searching for several months for a pants only wet-suit to train in and stumbled across this amazing product. Being overly cautious but a truly vulnerable prospective buyer makes me the easy target so I searched with great skepticism. And having been burned on several occasions by products, people and snake oil salesmen, one can imagine my trepidations. However, I’ve found that unless you’re willing to take a risk to better yourself and put yourself out there, you’ll never really find out what’s real and what works. I can tell you first hand this product works: T1 Speedtube Wetsuit ST2 http://www.desotosport.com/products/wetsuits/index.php

Using the Speedtube the past 2 days is like getting my legs back and my swimming stroke has improved immensely – Major Kudos to ultraswimfast “The Water Blogged Triathlete” their blog is so helpful with tips, videos, articles, and drills that I am so happy to have found them.  Even if you are not a swimmer/triathlete please take a moment to read their blog and their amazing accomplishments, words of encouragement, and adventures they share – Thank You Ladies!!

Why do I use a pants only wetsuit? Prior to dystonia and open brain surgery, I could swim 2-3 miles with little to no effort and was on the road to being a very good swimmer. After brain surgery I couldn’t swim 5 feet and believe me when I tell you – It was as frustrating as ever because swimming was my salvation since I was pain free in the water and having several knee surgeries curtailed my running and basketball. So I truly fell in love with swimming – It was my daily drug! I tried for months and nothing worked, so I stopped swimming for almost 2 years. Brainstorm – I tried turning my batteries off (neurostimulators – aka brain pacemakers) and discovered I could swim again. However, it was short lived because after 5-7 minutes, my dystonia symptoms became so bad and my body became so twisted up in the water that I had to stop and turn my batteries back on. Frustrated and dejected I stopped trying for a couple weeks until another brainstorm – tried turning off only my right battery. This was a minor help but was unable to use my legs. I used flippers which helped and tried doing exercises with the kickboard to build up leg strength thinking this would help but still no luck. I made a decision that if I was going to complete a triathlon, I had to train my body to swim without using my legs. It was like learning to swim all over again. Day 1 – Swim 1 length, repeat, repeat again,  building up to 2 lengths after 5 days.  Two years later I was strong enough to swim one mile. I can still remember the day, after completing lap 71 and just about to complete a 1 mile swim and a 10 year journey of failure, heartache, disappointment, pain, frustration, and small daily accomplishments but everyday visualizing some day completing a triathlon and keeping that picture lazer-focused in my head got me through and beyond. To date I have completed 4 sprint triathlons over the past 2 years and this year I will conquer an Olympic Distance Triathlon!

The speedtube allows my legs and hips to become more buoyant and prevents my legs from sinking. It’s similar to a full wetsuit but for my needs since I use my upper body for 100% power, it’s absolutely perfect and I endorse it with no reservations. Maybe Desoto or GreenGoma (Limestone Rubber Technology) can become sponsors or get involved with the dystonia community and create a Win-Win Situation!

Thank You Desoto Triathlon Company for not letting me down and providing me with an honest product that doesn’t mask itself as something it’s not. I am forever a fan!