A Tribute to Howard

Linda and I were at our local recreation center working out this morning.  While I was on the elliptical, I watched a feature on ESPN about a young man named Owen (I think).  He is manager for a 7th grade boys basketball team.  He is 15 and loves basketball.  He was born with Downs Syndrome.

The story was extraordinarily moving.  Owen's dad asked the coach of the team at the beginning of the season if his son could be the team's manager.  The coach agreed to let him try.  Owen worked hard keeping the gym floor clean, putting away the basketballs, and cheering for his team.  He also practiced shooting every chance he got.

There were interviews with Owen's mom, dad, and sister.  When Owen's parents learned that he would be born with this disability that would limit his mental and physical abilities, they were understandably heartbroken.  They feared that their son would not be able to enjoy all the experiences they dreamed of for him.  His sister lived with the constant fear that her brother would be teased and made fun of, which, in fact, happened.  Kids can be cruel.

Everyone on Owen's team liked him.  Towards the end of the season, they came up with a plan that would allow Owen to play in a game!  The coach agreed enthusiastically.  Owen particularly enjoyed practicing 3-point shots, so the plan was to set him up for a chance to shoot from outside the 3-point arc.  The day of the game came and Owen was beaming as he entered the game, in uniform.  His dad was recording the action.  His teammates passed the ball to Owen and he threw up a high-arching 3 point and..........it went in!  Everyone in the gym went wild (maybe not the other team as it was a close game).  If he could do it once, maybe he could do it again!  And he did!  He made 6 points and helped his team win by a narrow margin.  Owen's dad's recording of the game became a hit on the internet and, thanks to a twitter campaign, ended up on Sports Center!  The next game was the last of the season.  Owen played again and scored 4 points as his team won again!

I had tears in my eyes as I watched this program.  It reminded me of my Uncle Howard, who also had Down's Syndrome.  Howard was the younger brother (by quite a few years) of my mom and Uncle Don.  I learned that my grandparents (Nonny & Bapa) were advised to place him in a facility for "retarded children".  He wasn't expected to live to be a teenager.  I can only imagine their anguish when they actually took him to this place, but decided they could not leave him there.  They took him home.  I don't recall too many stories from my mom about growing up with Howard.  It had to be challenging for her and Don.  Kids can be cruel.

Howard was a gentle, loving spirit in the body of a child who was strong as a bear.  He loved baseball and polka music in particular.  He always wanted to dance to the polka music with whoever was available.  I would compare dancing with Howard to dancing with a bear (not that I've ever done that).  It could be awkward and even painful due to his uninhibited enthusiasm and strength, so my sisters and I would try to make ourselves scarce when the polka shows were on TV.  That said, we all knew he never intended to do anything that would bring harm to us.  He never intended to anything that would bring harm to ANYONE!   He was friendly and loving to everyone he met.

He also liked to do jobs, like sweeping the garage for my mom.  He would refer to himself as "sissy's helper".  He worked tirelessly with Bapa at whatever he was doing.  When Bapa was still working for the New York Central railroad as a brakeman, Howard loved to go with him and ride in the caboose.  He was a huge Cleveland Indians fan and could recite historical information about the team with no problem.

After they retired, my grandparents moved to Tucson.  I am sure this was because they thought it would be easier on Bapa's arthritis.  They traveled a lot in those days, and we enjoyed watching their home movies of their trips to Muir Woods, Grand Canyon, and the one where the trees have turned into rocks.  We were all happy when they decided to move back to Ohio and bought a house a short ride from ours. 

If my sisters or I were in any kind of performance at school, Nonny, Bapa, and Howard were always there.  There was nothing they would rather do (interestingly, Linda and I were the same when it came to our kids and now, our grandkids).  I can still recall other kids pointing out Howard in the audience and making fun of him.  Kids can be cruel.  I don't think I had the courage to say that he was my uncle and not to make fun of him.  Maybe I did, I don't remember any more.  If I didn't, I wish I had.

Howard started having "spells" and heart problems as he got older.  My grandparents had moved to a condominium complex close to Uncle Don and not far from my parents.  My sisters and I were in college at Ohio State.  Howard passed away in his 40's, I think.  I would like to think that he knew he was blessed to have such loving, devoted parents.  They gave up a lot for him.  But they got a lot in return, too!  We all did.  I miss you Howard.

Notes From The Twilight Zone: Dementia--A difficult but important subject

The following is an article from EverydayHealth.com:

http://www.everydayhealth.com/columns/my-health-story/early-onset-alzheimers-disease-michaels-story/?xid=aol_eh-news_11_20131028_&aolcat=HLT&icid=maing-grid7%7Chtmlws-main-bb%7Cdl3%7Csec1_lnk3%26pLid%3D399666

 
This is a subject that relates to a very real problem for people with Parkinson's (PWP).  I will explain further after the story.

________________________________________________________

By Michael Ellenbogen as told to Emma Steel, Special to Everyday Health

Imagine, if you will, waking up one morning and going about your daily business: you have had breakfast and are about to leave for work, but you can’t remember where you left your keys. Common enough, you say; we have all done that at some time or other. Your wife hands you your keys and off you go.

Life carries on as normal for a few weeks, then one day, while at work you have to call a colleague, but you have inexplicably forgotten his extension number; an extension number you have called numerous times a day for the past 10 years. You feel silly but put it down to being tired. You work hard and hold a high profile position in a financial institution so it is understandable that you will have memory lapses now and again. As with the key incident, you laugh it off.

Over the next few months things start to get worse. You are forgetting people’s names even though you have worked with them for many years, you are making stupid mistakes at work, you are forgetting to go to meetings, you are finding it really difficult to do the simplest of tasks, you continually forget where you parked the car. Again, you are told by friends and colleagues and doctors that it is due to stress; that you need to slow down, maybe take time off, etc. But you know there is something wrong, you know that it is more than stress.

So you start keeping a record as best you can, and you pester your doctor for answers. One day you get the answer. An answer no one expected.

An answer that will change your life and your family’s life forever.

You have Young Onset Alzheimer’s Disease.

Alzheimer’s is an incurable, progressive loss of brain cells. In the beginning, it targets memory and speech, and as time goes on the symptoms become wider ranging and debilitating and include disorientation, difficulty judging distances, poor vision, poor speech and writing abilities, repetitive behaviour, mood swings, and depression. Then, in the final stages of the disease, it is not just the mind that is affected; the body is rapidly declining also. In the late stages of Alzheimer’s, there will be difficulty swallowing, a needed for assistance when changing position or moving from place to place, increased vulnerability to infection and a complete loss of short-term and long-term memory. Death is slow, painful, undignified, and inevitable.

My name is Michael Ellenbogen and this is my diagnosis.

What People Don’t Know About Alzheimer’s

For the last decade I have campaigned on behalf of myself and all those suffering from this devastating disease. Why do I have to campaign? I do it because over five million Americans have Alzheimer’s and other forms of dementia. What is more shocking is the lack of knowledge out there about this illness.

I have become extremely surprised by the lack of public commitment to my pleas for support of Alzheimer’s disease. While some may be sympathetic in the moment, there appears to be little follow-through.

People look at me and think there is nothing wrong; I am not in a wheelchair, I have full use of all my limbs, I can see, hear, speak and listen…but not for much longer.

I am dying; day by day, hour by hour my life is ending.

So much of my life has changed with this disease; household chores that were once second-nature, like cutting the grass, have become frustrating and difficult for me to perform. I leave things lying around the house – not to be difficult, but because I have forgotten where they go, and I am also afraid that if they do get put away I will not remember where they were put.

I was once a very sociable person, but now I go to a happy affair only to be tortured by the noise and surrounding conversations because I am overwhelmed by the stimulus of sight and sound. I don’t understand what people are saying; the words run together and they may as well be speaking a foreign language.

I can no longer write or speak like I used to. What you are reading now has been written by a friend of mine who helps me put my words onto paper. My friends have become distant, and even when in their presence they will address my wife. Even when enquiring after me they rarely direct their questions to me. This is heart-breaking for me, the fact that they feel they can no longer talk to me really saddens me.

Grocery shopping with my wife is time-consuming and frustrating as I find it difficult to make decisions and plan ahead for meals. Eating out was something I used to enjoy but now I am unable to read the menu and assimilate the information into a decision. At home my wife has to assemble my meals in a series of individual decisions.

The Loss of My Independence

There was a time when I could follow a map and easily get from point A to B. Now I rely on my wife for navigation. I know that it won’t be long before I can no longer drive and that really upsets me because I love going out for long drives in my car; it is the last vestige of independence I have left.

I used to be smart, I worked hard, and I accomplished a lot. Seeing all my failures today is giving me a new appreciation for the things I was once capable of doing. I was a very different person, but that intelligence still shines through occasionally as I am challenged to invent new coping strategies to respond to these changes.

This disease is costing me money in so many ways because of the problems and issues I create; I have broken gardening tools because I have forgotten how to use them properly.

Personal grooming is a problem as well,  as I can never remember the last time I washed my hair or changed my clothes.

In meetings I will lose track of the subject matter if the information is shared in long sentences. If I am speaking at events or meetings I must have my speech printed in a large font size with clearly marked punctuation.

Mind-Body Disconnection

Sometimes my mind does not communicate with the rest of my body; I had to turn the grate on my fireplace but instead of tentatively feeling if it was hot or not I just picked it up and badly burned my hand.

I can no longer use my video recorder. I had trouble remembering which way to turn off the water in the garage for the hose

I lost my job because I could no longer function in the environment, so now I spend my days advocating for Alzheimer’s. It gives me a reason to get out of bed in the morning, it stimulates what is left of my mind.

My Wife’s Burden

Do you know what the worst part of this is? I have to watch my wife struggling to do the things that I once was capable of doing, and know I cannot do anything thing to help. I see my wife becoming stressed, depressed and overwhelmed, and know it will only continue to get worse.

My wife is on the road to hell; I have not even reached the worst stage. That scares the hell out of me.

I am losing my mind and I can see it happening, but I cannot do anything to change the course. I am slowly becoming a child again, and will soon be a body with no mind.

At what point should I give up? At what point would I give up?

What do I have to look forward to?

Why should I put my wife through any more pain and sadness. Do I really want her to watch me slowly die in front her eyes?

Any chance I had at a good life and a happy retirement has gone; my life is pretty much over. If you were in my shoes would you want to carry on, knowing what is in store for you?

I want to die on my own terms, I want to die with dignity, I want to die while I can still make the decision to die, and that is a very small window because I know in the not too distant future even that choice is going to be taken from me.

The laws we have in place today do not take into account the needs of people suffering from dementia; we need to rethink not only how we regard people with this disease, but also how we look after them. We need to have things in place not only to help those suffering live vital and productive lives, but also provide the means necessary for them to die with dignity and at a time of their choosing. We need to take our heads out of the sand; we can no longer turn a blind, this is a very real problem, this is happening now to millions of people across America.

We need your help!

Michael Ellenbogen is an Alzheimer’s patient advocate and author of From the Corner Office to Alzheimer’s.

_________________________________________________________
 

As you can see, the writer doesn't hold anything back in this article.  He is helping the public to understand the challenges associated with Alzheimer's (AZ) including why "death with dignity" becomes so interesting to someone in his position.

In the case of Parkinson's the concerns are very similar for roughly 40% of patients with PD who have a related affliction: Lewy body dementia.  I have mentioned in a previous post that I was working on a book titled Window of Opportunity: Living with the reality of Parkinson's and the threat of dementia. 
I completed it recently (I thought I had completed it in August, but decided there was more to be done) with the help on an independent editor in Colorado Springs named Brooke Graves.  I am happy that I was able to write it and that she was able to help me "smooth out the rough spots".  I hope to have it ready for publication in the near future.  As a preview, here is the Table of Contents:

CONTENTS

Foreword by Dr. Benzi Kluger

Acknowledgments

Introduction

Chapter 1:      Crossroads

Chapter 2:      Life before Parkinson’s

Chapter 3:      The Elephant in the Room

Chapter 4:      Learning Curve

Chapter 5:      What’s Up, Doc?

Chapter 6:      Deep Brain Stimulation

Chapter 7:      Bad News/Good News

Chapter 8:      Parkinson’s and Dementia

Chapter 9:      Stress

Chapter 10:    Living with PD and Cognitive Impairment

Chapter 11:    Choices

Chapter 12:    Impact on Families

Chapter 13:    Palliative Care and Neurology: Striving for Justice

Chapter 14:    Faith

Chapter 15:    Recommendations

Epilogue

Appendix A: Technical Information
Appendix B: The Seven Stages of Dementia
Resources
Recommended Reading
About the Author
Endnotes

There will be more updates on the book in the future.

 

Parkinson's Resource List Update

Here is my latest resource list: 

 

PARKINSON’S / CARE PARTNER RESOURCES

 

1. Michael J. Fox Foundation (www.michaeljfox.org)

2. Parkinson Disease Foundation (http://www.pdf.org/)

3. National Parkinson Foundation (www.parkinson.org)

4. Deep Brain Stimulation Information: (http://www.medtronic.com/patients/parkinsons-disease/therapy/index.htm) and DBS-STN.org (http://www.dbs4pd.org/)

5. Care partner information and resources: (http://www.pdf.org/en/caregiving_fam_issues?gclid=CJaj6ZSpmLYCFYpDMgod3j0ALA)

6. Muhammad Ali Parkinson Center Movement Disorder Clinic (http://www.thebarrow.org/Neurological_Services/Muhammad_Ali_Parkinson_Center/index.htm)

7. Davis Phinney Foundation (www.davisphinneyfoundation.org)

8. Parkinson Association of the Rockies (www.parkinsonrockies.org)

9. European Parkinson’s Disease Association (http://www.epda.eu.com/en/)

10. Parkinson Society Canada (http://www.parkinson.ca/site/c.kgLNIWODKpF/b.5842619/k.C7EB/Welcome/apps/s/custom.asp)

11. Parkinson’s UK (http://www.parkinsons.org.uk/)

12. Parkinson’s Australia (http://www.parkinsons.org.au/)

13. Parkinson’s New Zealand (http://www.parkinsons.org.nz/)

14. Northwest Parkinson’s Foundation (http://www.nwpf.org/)

15. Young-Onset Parkinson’s (http://www.parkinson.org/Parkinson-s-Disease/Young-Onset-Parkinsons)

16. Parkinson’s organizations and support groups in your area: (http://www.pdf.org/en/support_list)

17. Parkinson’s movement disorder specialist referral: (http://www.pdf.org/en/yy_doctor)

"Living in the Moment" reprint

It seems appropriate to reprint a post I wrote during December 2011, which remains one of my most widely read articles, as a Christmas message:

The theme my church is using for the holiday season this year is "Christmas Present: Living In The Moment".  I have been thinking about this and how it applies to my life (which I am sure is what my church would have hoped for with all its' members).


The obvious double entendre here is that we all enjoy giving and receiving Christmas presents.  In this case, we all have the opportunity to both give and receive a wonderful gift  by making a conscious effort to "be present" for our families this Christmas and "live in the moment".  But first, we have to understand what this really means.


Living in the moment involves blocking out concerns, hopes, or fears related to events which have already occurred or that may happen in the future.  We can't change what has already happened, so why not (as Pumba so aptly suggests in The Lion King) "put our behind in the past".  We don't have to buy into the Hakuna Matata philosophy to do this.  It is unlikely that we will have "no worries for the rest of our days".  However, we have the option to not let real or imagined concerns about the future take the joy out of living today.


At the risk of sounding like I am "talking out of both sides of my mouth", for me this doesn't mean not taking steps to mitigate future problems.  In this respect, if we don't spend some time with our eyes on the horizon, we may miss opportunities to change the future in positive ways.  For me, the distinction is not letting these thoughts and activities OWN me.  I am not saying this is easy, but I am convinced that I owe it to my family and myself to make this a priority.  In fact, I will admit that right now I am not very good at it. 


In hindsight, I have not been good at this for a long time.  It is a skill that I (like many of us) think I lost somewhere between the innocence of childhood and the (in many cases) self-imposed challenges of adulthood.  Today, with the uncertainty of a future clouded by Parkinson's, the stakes have become higher.  I know if I spend too much time worrying about what could or might happen as the disease progresses, I run the risk of making my health worse today.


Which brings me back to the "Christmas Present" theme.  What better time could there be to commit to living in the moment?  With the magic of Christmas is in the air, why not focus on Christmas trees, decorating our homes inside and out, gatherings with friends, and memorable moments with family rather than concerns for the future?  I believe that I have the opportunity to make this holiday season, as well as the time that lies beyond, more pleasant and memorable for my family and me.  


This is starting to sound like "A Christmas Carol", and why not?  I find myself too often short-tempered and irritable with those who matter most to me.  I am told that this is a symptom of the disease for many, but I have to believe that I can change (or at least improve) if I put my mind to it and "keep Christmas in my heart".


For me, living in the moment is made much easier when I am focused on my faith.  I would not be writing this if I didn't have a tendency to revert to "self-reliance" and worrying about the future.  However, at the end of the day, I am secure and content in the belief that God will watch over my family and me and help us to deal with whatever life throws at us.   I hope that each of you will enjoy a wonderful holiday season that brings joy, hope, and renewal to you and your families.

Carson And His Shaky Paws Grampa book review

                                                                                                                                                                                                                            http://www.innovopublishing.com/innovo-store/digital-titles/product/190-carson-and-his-shaky-paws-grampa-by-kirk-hall-paperback-edition.html

Article published in On The Move, a quarterly magazine by the Parkinson's Movement (Issue 6, Autumn 2013-3rd World Parkinson Congress edition):

Carson and his Shaky Paws Grampa
Kirk Hall, illustrated by Alison Paolini


One thing for certain is there are not enough books about Parkinson's disease for children or young adults. In thinking about that, it became clear why there are not more books.

Parkinson's is very difficult to understand , even if you are the person who has been diagnosed with it . You only see the motor deficiencies manifested sporadically : poor balance, shuffling feet, or shaking hands. Imagine what children must think and how difficult it would be to explain. But that is exactly what Kirk Hall has done in Shaky Paws Grampa, leaving the medical explanation to another time and place.

This oversized book is brilliant for reading aloud to one or several youngsters. The colorful illustrations, as well as the stories and experiences Carson recalls of woodsy areas complete with wildlife, help frame the opening setting of a log cabin in the state of Colorado.

The book is written in first person by seven-year-old Carson, who has a rather large family (his two parents, three siblings, and a dog). However, the story confines the storyline's characters to just Carson and his Grampa Hall . We see into Carson 's mind's eye as he remembers Grampa telling about when he was just a baby, and other times Carson recalls several experiences on his own.

Carson does not become aware of Grampa's motor symptoms until he and Granma move closer to his family, indicating the Parkinson's was advancing. Carson's worry is eased when Grampa uses humor to reassure him.
We also read hints of Grampa's symptoms advancing when he stops driving and his shaking worsens. But Grampa freely discusses his therapy of taking his medication on time. The story has a happy ending, however, when Grampa gets a special procedure done at the hospital that apparently rids him of his "shaky paws."

Hall has done an excellent job of convincing the reader that anyone, even an outdoorsman like Grampa Hall, can get Parkinson's. Hall also shows how the disease can be managed successfully, without getting into the medical details. This is a delightful, "must have" for children and grandchildren of those diagnosed with Parkinson's.

Reviewed by Peggy Willocks
Member, Editorial Board
Jon Stamford, Editor


Peggy is a former educator from Tennessee. In 1994 she was diagnosed with Young Onset PD aged 44. In 1997 she was named Tennessee Elementary Principal of the Year; one year later she had to retire early on disability.

Today she is an active advocate for the Parkinson’s community, affiliated with the Parkinson’s Action Network (PAN) for over a decade, in 2005, receiving PAN’s Milly Kondracke Outstanding Advocacy Award.

Peggy is also a charter member of the Parkinson Pipeline Project, a grassroots group to accelerate the development and approval of more effective treatments through patient education and trial participation. The group was awarded the Murray Charters Award for advocacy in 2010. She has been a leader in her local support group for a number of years. Peggy also serves as a member of PDF’s People with Parkinson’s Advisory Council (PPAC).

Along with a cohort of 10 people with Parkinson’s, Peggy and this group (the Parkinson’s Creative Collective) have completed a unique book, The Neurowriter’s Guide to the Peripatetic Pursuit of Parkinson’s, available now and reviewed in this issue of OTM.

National Family Caregivers Month Interview

                                                        








Linda, Cheryl Siefert (Executive Director, Parkinson Association of the Rockies), were invited to do a 25-minute interview yesterday with Wilk Broadcasting at their studio yesterday.  The focus was to talk about National Family Caregivers Month, Parkinson's disease, what services PAR offers for care partners, my experience with PD, deep brain stimulation, advocacy, and writing, and Linda's experience as a care partner and advice to others in that position.  We talked about how my current book about care partners (Carina And Her Care Partner Gramma) was developed and how it is designed to be a communication tool for adults to use with children or grandchildren.

The interview will air this Sunday, November 17th.  The schedule is 6 am on Mix 100, 7am and 11pm on Kool 105 and 11:30 pm on 92.5 the Wolf.  You can listen to the interview at this link:  
http://www.kool105.com/pages/14343757.php.

A Tribute to Care Partners

                          

 

 

 

 

 

 

                                                                                

 

This post includes information from the Caregiver Action Network* site, to which all those who benefit from the support of caregivers are indebted.  This important information is included on their website:

• There are as many as 90 million family caregivers in the U.S. today.
• Two out of every 5 adults are family caregivers: 39% of all adult Americans are caring for a loved one who is sick or disabled – up from 30% in 2010.
• And it’s not just women doing the caregiving: Men are now almost as likely to say they are family caregivers as women are (37% of men; 40% of women). And 36% of younger Americans between ages 18 and 29 are family caregivers as well.
• Family caregiving is serious work: Almost half of family caregivers perform complex medical/nursing tasks for their loved ones – such as managing multiple medications, providing wound care, and operating specialized medical equipment. 
• Family caregivers are the backbone of the Nation’s long-term care system: Family caregivers provide $450 billion worth of unpaid care each year. That’s more than total Medicaid funding, and twice as much as homecare and nursing home services combined. 

We in the Parkinson's world refer to caregivers as care partners in order to emphasize the joint involvement of patient and care partner.  We recognize that care partners come in a variety of "shapes and sizes", including women, men, family members, or friends  We also need to pay tribute to the important roles played by paid homecare, assisted living, or nursing home staff, many of whom are driven primarily by their desire to care for others.

 

I have written recommendations for PWPs and care partners in previous blog posts that include thoughts priorities for each group as well as how they can support each other.   Mutual support, communication, patience, teamwork, and love are hallmarks of a desirable PWP/care partner relationship.  I would emphasize the desirable part of that statement while recognizing that we are all human and that there are forces at work that can make this difficult on any given day.  The important thing, I think, is that when we "stray off course" to recognize the importance to both parties of returning to that mindset as soon as possible.  If we have times when that is difficult, it is important to be willing to reach out to resources like support groups, "umbrella" organizations (like Parkinson Association of the Rockies in our area), clergy, family, or friends.  We are not in this alone!

In my case, I am extraordinarily fortunate to have the best caregiver I could ever hope for, my wife of 44 years, Linda.  As a former social worker, it is her nature to care for others and put their needs ahead of her own.  While we have our ups and downs (see the previous paragraph) like anyone else, we are blessed by mutual love, devotion, support of family and friends, and shared faith that serves as our "true north".  Importantly, we are also both involved in and committed to supporting our local support group in Highlands Ranch, Bionic Brigade (the Denver area DBS support group), Parkinson Association of the Rockies (PAR), a new care partner support group, and the Parkinson Disease Foundation (PDF) patient research advocacy program, as well as remaining involved in community support programs through our church.

One of the ways Linda displays her patience is by allowing me to spend hours at my computer working on my writing, which currently includes this blog and finishing a new book titled Window of Opportunity: Living with the reality of Parkinson's and the threat of dementia**.  She did the same as I wrote my PD-related children's books***in 2011 and earlier this year (the new one focuses on the role of care partners as well as other PD issues).  We travelled together to the recent World Parkinson Congress in Montreal.

 



She demonstrates her commitment to my well-being by encouraging me to join her for walks, bike rides, or to work out at our local recreation center.  She is my golf partner, camping buddy, and travel companion (we have a trip to Shanghai planned to visit our son and family next March).  Since I only drive very short distances infrequently, she is also my chauffeur. 

I would invite all my PWP friends to go out of their way in November (and in the months that follow) to find ways both subtle and overt to express our love and appreciation to those who are devoting their lives to us, often at the expense of their own interests.  Finally, we need to recognize that PWPs have a caregiver role to play by ensuring that our partner's wellness is not overlooked.  After all, where would we be without them? 
 

 

* The Caregiver Action Network is the nation’s leading family caregiver organization working to improve the quality of life for the more than 65 million Americans who care for loved ones with chronic conditions, disabilities, disease, or the frailties of old age. CAN serves a broad spectrum of family caregivers ranging from the parents of children with special needs, to the families and friends of wounded soldiers; from a young couple dealing with a diagnosis of MS, to adult children caring for parents with Alzheimer’s disease. CAN (formerly the National Family Caregivers Association) is a non-profit organization providing education, peer support, and resources to family caregivers across the country free of charge.
**Not yet released
***Kirk's children's books are books one and two in his "Shaky Paws Grampa" series titled Carson And His Shaky Paws Grampa (http://www.innovopublishing.com/innovo-store/digital-titles/product/190-carson-and-his-shaky-paws-grampa-by-kirk-hall-paperback-edition.html) and Carina And Her Care Partner Gramma (http://www.innovopublishing.com/innovo-store/digital-titles/product/343-carina-and-her-care-partner-gramma-by-kirk-hall-hardback.html).





World Parkinson Congress Highlights

 

 

Linda and I went to the World Parkinson Congress in Montreal recently.  It was our first time attending this amazing event attended by PWPs, care partners, PD organizations, doctors and researchers from all over the world.  The last one was held in 2010 in Glasgow, Scotland.

We arrived on Saturday before the Congress started in order to participate in the Parkinson Disease Foundation (PDF) Parkinson Study Group (PSG) meetings.  There are seven different research groups that address a variety of different PD categories.  This year for the first time, we were invited to participate along with other PAIR (Parkinson Advocates In Research) members to provide "patient input".  We sat in on the Neurosurgical group and Cognitive/Psychiatric group meetings and appreciated the opportunity to interact with doctors and researchers from all over the U.S.

This new development is part of movement toward more patient engagement in the PD world.  It is encouraging for PWPs like me that there is a recognition of the value of including patients in the research process as well as placing an emphasis on patient-centered approaches to medical services.

We attended pre-congress presentations on Tuesday and the opening ceremony on Tuesday night where we heard a variety of very inspirational speeches from organizers and PWPs.  On Wednesday, Thursday, and Friday we attended large group sessions in the morning and then selected two workshops each afternoon on topics of interest.  Between sessions, we spent time on the "floor" of the convention where the PD organizations had booths and hundreds of posters were on display that covered a wide range of subject matter.  There was also a "research village" where I participated on a panel Friday morning.

One of the big topics being discussed was the role of alpha-synuclein in progression of PD and cognitive diseases.  These are proteins that develop into clumps forming lewy bodies.  Part of the discussion involves evidence that these problems may start in the gut and then migrate through the spinal canal to the brain.  Research is also being devoted to slow down or stop the migration of alpha-synuclein from one cell to another causing formation of lewy bodies.

In addition to what we were able to learn, a huge benefit we experienced by attending the WPC was the energy and strong sense of community we experienced there.  It was great to spend time with people we already know and see infrequently, and especially invigorating to meet so many new people that will become part of our network.  At the end of the day, we are one big family all reaching out to support and care for each other in different ways. 


If you were unable to go, you can still visit the WPC website and hear many webinars at http://www.worldpdcongress.org/ that include the opening ceremony, keynote speeches, and cutting edge presentations on a variety of important subjects form world-class presenters.

The next World Parkinson Congress will be held in 2016 in Portland, Oregon.  It is definitely a worthwhile trip!

CARINA AND HER CARE PARTNER GRAMMA: Note to Readers

The first book in the Shaky Paws Series, Carson and His Shaky Paws Grampa, was designed to be a “conversation starter” for adults to use with children for discussion regarding serious illness. There were general references to Parkinson’s (PD) symptoms and the deep-brain stimulation therapy that I had to “fix” my tremor. The nonspecific dialog was intentional so that the book might be helpful relative to a variety of different illnesses. Additional Shaky Paws books are planned.

Carina and Her Care Partner Gramma was written to address PD specifically and to provide a communication tool for People With Parkinson’s (PWP) to use with their children or grandchildren. This book provides much more detail specific to PD symptoms and mentions important issues in the “PD world,” including deep-brain stimulation therapy, the importance of exercise, and the need for patient participation in clinical research studies.

This book also emphasizes the importance of care partners. Care partners are most often women (since the majority of PWPs are men), but there are also men, family members, or friends in this difficult and demanding role. We tend to focus on the challenges faced by PWPs, which is understandable. However, PWPs owe a huge debt of gratitude to these dedicated individuals who do so much with, in many cases, far too little recognition or expression of appreciation. Further, it is important that resources be devoted not only to education of care partners but also to counseling and other support strategies to protect their wellness.

Carina, whose middle name is Marie (the same as Linda’s mother, Ruth), and my wife have had a special relationship from the start. Shortly after she was born, we both noticed how much she seemed to resemble Ruth. We also realized that Carina’s parents were with us when we visited Ruth in the hospital shortly before she died nine months before Carina was born. As she grew older, it was clear that Carina and Ruth share some common characteristics. It is comforting to think that Ruth’s spirit lives on, somehow, through Carina.

The events and communication described in this book are depicted, for the most part, the way they actually occurred. I am sure Carina has not retained all the detail described (she is only six years old), which raises the point I made in the first book. As parents and grandparents, you know your children and grandchildren best, and are best equipped to decide what to tell them in these situations. Linda and my strategies for communicating with our grandchildren continues to be adjusted based on our perception of each child’s level of maturity and readiness to have this kind of information shared with them.

I have, once again, included a page that addresses our faith, which continues to be a great source of support, hope, and comfort for us.

Carina and Her Care Partner Gramma Press Release

FOR IMMEDIATE RELEASE

Innovo Publishing LLC Releases Carina and Her Care Partner Gramma by Kirk Hall.

Summary / Description: Innovo Publishing LLC released Carina and Her Care Partner Gramma, an engaging children’s book meant to open up communication about Parkinson’s. This book is available now in the U.S. and internationally in paperback, hardback, Amazon Kindle, Barnes and Noble Nook, Apple iPad/iPhone, Google Android, and other smartphone/PC editions.

Memphis, TN – September 18, 2013 – Innovo Publishing LLC released a new Christian title, Carina and Her Care Partner Gramma, written by Kirk Hall and illustrated by Alison Paolini. Seeing a loved one with Parkinson’s disease can be scary and confusing for children. Carina and Her Care Partner Gramma, the second book in the Shaky Paws Grampa series, was written to address Parkinson’s disease (PD) specifically and to provide a communication tool for people with Parkinson’s to use with their children or grandchildren.

Carina and Her Care Partner Gramma provides details specific to PD symptoms and mentions important issues in the “PD world,” including deep brain stimulation therapy, PD advocacy, the importance of exercise, the need for patient participation in clinical research studies, and the importance of care partners.

Carina and Her Care Partner Gramma was conceived and written by Kirk Hall and illustrated by Alison Paolini, PD patients who also are parents and grandparents.

A portion of the proceeds from the sale of this book will be donated to support Parkinson’s research and awareness.

“A profound, yet delightfully innocent exploration of the complex facets of living with the day-to-day challenges of caring for people with Parkinson’s.”

—Peter Davison, international PD speaker and father of two preschool children

“This book may be written for children, but Kirk’s loving style is incredibly appropriate for people of all ages. He sends a beautiful and very powerful message—a must read for everyone.”

—Carol Walton, CEO, Parkinson Alliance

“Much like Kirk’s earlier work, this book provides an opportunity to talk with children and other members of the family about the disease in a direct but nonthreatening way. I recommend it!”

—John Dean, international PD speaker

“I loved the ‘voice’ of your grandchildren and the personal illustrations. I am glad you included the surgery, as it gave my kids an opening to ask questions.”

—Kate Strittmatter, early onset PWP mother of two young children

“It really brings home the wonderful relationships of grandchildren to grandparents and how they too are affected by PD. Definitely a wonderfully positive and honest perspective.”

—Cheryl A. Siefert, Parkinson Association of the Rockies

“Kirk’s heart-warming story reinforces the special relationship children and grandparents have, whilst skillfully weaving in the importance of carers and family. This lovely book subtly opens the door to exploring with young children the impact of Parkinson’s on daily life as well as the importance of participating in clinical trials. A super read for all ages.”

--European Parkinson Disease Association, London, UK

Carina and Her Care Partner Gramma is available now in the U.S. and internationally in paperback (ISBN: 978-1-61314-171-7), hardback (ISBN: 978-1-61314-158-8), Amazon Kindle, Barnes and Noble Nook, Apple iPad/iPhone, Google Android, and other smartphone/PC editions.

About the Author: Kirk Hall is a husband, father, and grandfather of six living in the Denver area. He has been an author and patient perspective Parkinson’s advocate since 2011. His personal experience as a person with Parkinson’s includes participation in three area support groups, clinical research studies including two visits to the National Institutes of Health’s (NIH) National Institute of Neurological Disorders and Stroke (NINDS), and joint presentations with movement disorder specialists to support groups sponsored by the Parkinson Association of the Rockies (PAR) and University of Colorado Hospital. Kirk has been a guest speaker at the Muhammad Ali Parkinson Center in Phoenix and has been the subject of television, radio, and newspaper interviews. He and his wife of 43 years, Linda, are Parkinson Disease Foundation (PDF) clinical research advocates. Kirk’s Shaky Paws Grampa blog, which includes articles about his writing, advocacy activities, PD-related subjects, and personal journey can be found at http://shakypawsgrampa.blogspot.com/.

About the Illustrator: Alison Paolini lives in Northern California where she enjoys a multitude of creative activities. She studied acting, set design, fine art, and commercial illustration at California State University at Northridge where she received her BA in Art. Alison is a published illustrator and poet. She is an active member of the Parkinson’s Association of Northern California. She and her husband have two children and three grandchildren. They have enjoyed living in and visiting many parts of the world.

About Innovo Publishing LLC: Innovo Publishing is a full-service Christian publisher serving the Christian and wholesome markets. Innovo creates, distributes, and markets quality hardback and paperback books, eBooks (Kindle, Nook, iPhone, iPad, ePub, Android), audiobooks (CD & MP3), music, and film through traditional publishing, cooperative publishing, and independent publishing models. Innovo provides distribution, marketing, and automated order fulfillment through a network of thousands of physical and online wholesalers, retailers, bookstores, music stores, schools, and libraries worldwide including Amazon, Audible, iTunes, Rhapsody, Barnes & Noble, Borders and many more. Innovo publishes Christian fiction and non-fiction books and wholesome books for all publishing genres. Visit Innovo at www.innovopublishing.com.

Contact Information:

Contact:           Dr. Bart Dahmer

Innovo Publishing LLC

Phone:              1-888-546-2111

Web Site:         www.innovopublishing.com
Email:               info@innovopublishing.com

PARKINSON EXERCISE ESSENTIALS: A New Program from the Davis Phinney Foundation

The Davis Phinney Foundation is pleased to announce their newest initiative, an instructional DVD on exercising with Parkinson’s disease. Parkinson’s Exercise Essentials: Getting Started, Staying Motivated and Seeing Results was developed in collaboration with Dr. Matthew Ford of The University of Alabama at Birmingham and provides the background information and tools needed to embark on a lifelong personal exercise program.

The DVD includes workouts that can be performed at home, in a fitness center or in the community. The workouts include guidance and adaptations for a range of ages and stages of Parkinson’s, from diagnosis through advanced stages of the disease. Thirteen people with Parkinson’s (ages 35 to 74) demonstrate that neither age nor disease progression need be barriers to fitness.  Their offical launch for this program will take place September 17.

Please visit www.davisphinneyfoundation.org/dvd to view a short preview of the DVD and learn more.  You can also view a movie trailer at http://vimeo.com/73142626.  The DVD is free and can be requested online or by calling 855-346-7564.