I have thought long and hard ( 5 minutes) about posting this tale; particularly as it is one of the stated aims of this blog that it should not become a dull repository of all things Parkinson. But there are lessons to be learned – especially for me and maybe others as well.
Above all, it shows us how fleeting everything is, and how our lives can be changed completely within seconds for no rhyme or reason.
It is what it is.
Before I begin, a brief look at some of the terms used, which are pretty essential in understanding how People with Parkinsons (PWP) lead their lives (Apologies I if you already know this. It is tiresome, but not very long)
The substance produed by the brain which acts as chemical messenger and allows movement to take place. By the time of diagnosis PWP will have lost about 60% of these Dopamine-producing cells .
A synthetic form of the chemical which will cross the blood/brain barrier. Dopamine itself will not do this. Great at restoring movement, but at a price; as the body gets used to the Leva –Dopa, the more it needs , and as doses are increased very unwelcome side effects kick in.
Deep Brain Stimulation (DBS)
This is when an electrical current is passed from a battery implanted in the chest via cables into the skull into two electrodes, implanted into the brain. The current is adusted to give therapeutic results. I had this done in 2011. It is not cure but in many patients it is seen to ameliorate the symptoms.
When the leva-Dopa medication or not working. Example. Protein inhibits its absorption. So it may not work after a protein-rich meal.
When PWP have relatively good movement, either because of drug therapy , DBS or a mixture of the two.
Here we go. Monday morning I was getting ready for my 9:30 am weekly Yoga class. It is a five minute walk from my front door. I was alone, everyone had gone to work and I was sitting on the bottom stair, leaning forward tying up the laces on my trainers when I heard an electronic ‘beep’ sound.
I recognised it as the on/off switch of my DBS handset. The handset is about the size of a small mobile phone and allows me to make fine alterations to the amplitude of the DBS settings . I knew immediately what I had done. In the leaning forward motion I had inadvertantly caused the handset, which I always carry in my tracksuit pocket, to swich off.
So now I am getting no deep brain stimulation. Immediately my hands start shaking uncontrollably I am very ‘Off.’ I try and remain calm, noting as I do so that my mobile is in sight but not reach and my medication is in my yoga bag; again within sight and reach, but as good as on the other side of the world to my shaking hands.
It is so difficult to describe the helplessness and frustration. A simple task like putting your hand into your pocket becomes impossible. Nevertheless, after about ten minutes, I manage to get the handset out. I just need to lift it up so I can see. I am trying to keep my hands steady. It is no good, I drop the handset onto the floor somewhere beneath me. My strength is failing. My last Leva-Dopa tablet was at 0:90am. I wonder when it kicks in if it will be enough to propel me to sit up and get the handset. I wait for the familiar sensation of the drug doing its work. Eventually, I can feel it but my condition is so advanced that the tablet barely scratches the surface. It is about 11:00am Time to plan. The chances of my getting help rely on my getting the attention of the postman (who usually comes about 12:30) Of course he doesn’t show his face today. Typical. The amount of shit we get through our door…
It looks like I’m in for the long haul. It will be 5:30/6:00 before my wife gets home. Will I last? I’ve got no option! I spend the afternoon trying to keep wake ( I don’t want to miss someone calling at the door) and periodically shifting my legs to keep my circulation going. My body has slumped, so that I am now lying wedged on the bottom step, the step edge itself under the back of my neck. I am still wearing my jacket and one foot trainer on; the other foot, trainer half off.
My hands in particular are aching due to the constant shaking. My head is arching back at the neck, and feels like it is taking all the pressure from my legs. My fingers are starting to twist. My mouth is dry and I have no swallow.
I listen hopefully for the sound of a vehicle reversing into the drive.
5:45 she arrives. I have planned what to say the moment she gets in the door. My voice is weak, but I have enough of it left to explain what has happened and direct her to the DBS handset.
She switches it on. Bliss! I drop down to the floor and lay on my front.The relief is unbeliveable. I top up with medication. It takes about 15 minutes for this to work and I completely switch ‘on’.
I spend half an hour shaking and rubbing out the cramps (it takes about a week for the aches and pains to ease off)
Over eight hours stuck on the stairs. Nothing I could have done about it. But there was. You see I had got complacent, I had turned off The ‘Panic Alarm’ which is linked to a twenty four hour care centre. It had which had been false-alarming recently. Had that been swtched on I would have been out of my predicament in minutes rather than hours.
A perfect storm.
A perfect shit storm.
© Andy Daly 2016