Quick Facts From 1957: |
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Mom and Dad with Aunt Juanita and Uncle Johnny June 29, 1957 |
This is about Tina's journey with ALS. I hope you see who my sister is through my words.
Quick Facts From 1957: |
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Mom and Dad with Aunt Juanita and Uncle Johnny June 29, 1957 |
I'm amazed to see the stats on this blog. There are usually over 100 views on each post. Most of these views are from Canada but there are a few from the States and a spattering from around the world. I think most of us have a bit of a shock reaction to the reading because this is happening to Tina. Others, may be interested in this disease that seems rare and yet has affected so many of us by knowing someone that has it or had it. We currently have 19 actual followers to the blog (hi there, Nora, the most recent person to connect) but many others click on the link through facebook and leave encouraging comments to Tina and the family.
ALS is a disease that moves too quickly; robbing people of their mobility, speech, ability to swallow and eventually breath. Let's just say, that we hate the disease! It's cruel. And then, there is Tina! We chat in the mornings and she tells us what doctors, nurses, occupational and physio therapists have said. We may gasp, sigh and even cry... and yet, she has a smile. She throws a joke on facebook about tripping upstairs or tells us that she has not quit her job yet because if she gets healed she doesn't want to lose her seniority. She's one tough girl!
So...what has been shaking in Tina's world this week....lots!
On Tuesday, Judy came for the morning and then Tina went to Providence Care in Kingston for her check up with 3 doctors. It was 4 months ago that they had been there. When they were there last time, Tina was able to walk into the clinic and this time she was in the wheelchair. Her left arm has always been the stronger one and now she has lost use of that too. Four months ago, Tina could lift her knees to the counter top and now she can only lift her foot 3 or 4 inches off the ground. Her ankles have gotten weaker. She is now fully dependent on people feeding her and needs to be careful of things that might choke her. As I type this, it doesn't seem real that I am referring to my younger sister.
The doctor is looking into the new drug that I mentioned in my last post that could slow down the process, if effective. At this point, the medication would not be covered under any plan and they aren't even sure how much it would cost since it just got approved last week. Hopefully, the administering of the medication doesn't take as long as approvals do. Tina won't even know if she is a candidate for this drug until the doctor calls with a plan.
They mentioned again about Tina needing the resting hand splint to try and keep her fingers and hand from curling more. That's about $40 that isn't covered.
Freda (a church friend and work connection) brought a macaroni salad for the family. Tina said that it was really good and she got a little excited telling us that it even had grapes in it.
On Wednesday, mom was on duty. I was with my son and his wife when I chatted with mom and Tina. We were working on getting their house ready to list for their big move next month. The Respiratory Therapist came to give direction on the lung volume recruitment kit or cough assist. This is used to increase lung volume and help to clear the chest. She needs to use it in the morning and night and do 3 rotations with it. This costs approximately $70 and was not covered by any plan.
She also needs a BiPAP machine that is also not covered and costs between $200 to $300. When she gets this machine, it will be for sleeping. She will wear a mask or nasal plugs that are connected to a ventilator. The machine supplies air into her airways. It almost lets her have a break from working to breathe through the night and this machine does it for her.
Nancy H. stopped in to pick up her dishes from the meal that she brought last week. Tina was excited when Nancy said that next time she would bring a meal and Ralph and they would have dinner with Tina. What a blessing.
Today, Jenn came after homecare. The nurse came to do her regular Thursday check in.
Tina and Jenn were sitting out on the deck enjoying the warm Ontario weather during our video chat. Carol was enjoying her sunshine too and keeping an eye on a little pup that likes to run and hide. I stayed in out of the strong wind.
Jenn giving a demonstration of the Cough Assist |
Yesterday was Father's Day and I missed putting up a post about dad. Our dad is the youngest of 8 siblings. The STEELE family only have two left standing, dad and Aunt June. He even lost a brother, Uncle Pete to ALS. Unfortunately ALS is not new to our family.
Dad and mom married in 1957. Three years later, Carol was born. I came along 3 years after that and Tina, four years after me. Dad was always the one to keep the fun going. He liked to get a baseball game going in the back yard, a quick drive to the quarry for a swim or a bike ride trip around town. In the winter, we often had a backyard rink with sometimes an igloo that dad would build. When the snow was right we would go to the golf course to go tobogganing. He enjoyed taking us on all kinds of adventures.
Dad retired when he turned 60 after many years of working at Dupont. Dad has always loved to visit with anyone that comes along. His legs aren't great anymore but today he went strawberry picking. His favourite place to be right now is in their sunroom and keep an eye on the neighbourhood.
One of the funny things that we used to do with dad and still try sometimes is mention something to get dad to sing a song that goes with it. For example, if we saw a yellow ribbon we would say, "Is that a yellow ribbon?" Dad would usually start to sing, "Tie a yellow ribbon around the old oak tree." Carol, Tina and I will have to try and think of some other things to throw out there when we get to the cottage to see if we can still get Dad singing.
Happy Father's Day to our STEELE Patriarch!
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This week Tina has lots of different people staying with her. Today, she had her homecare worker, the nurse and Respite. Mom and Dad stopped in and brought strawberries and chocolate.
Tomorrow, Judy will be there and then she will have to go to her appointment at Providence Care where she will see "all" the doctors again.
Wednesday, mom will be there. Jenn will be there on Thursday. Janie is coming on Friday and Saturday, Nancy D. will be there. Thank you to all who are giving their time and spending time with Tina.
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There is no one thing that causes ALS. Rather, ALS is recognized as having multiple interacting causes that are likely based on changes in people’s genes, and possibly contribution of environmental factors. A number of genes have been identified as playing a role in the development of ALS. Through research, we are learning more about ALS and the multiple factors that may trigger its development.
Copied from ALS Society of Canada
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Counting down the days....one month from today Carol and I (along with Ron and Sarah) will be flying to Ontario. Cottage time will start two days after that!
Looking forward to that Sister Three time! We so appreciate all of you STEELE Standing with us!
Hi Baby! |
On Wednesday, the physiotherapist came and liked the new stretches that Judy had found. Way to go Judy! While Tina was doing her stretches, Carol and I were exploring Waterton.
On Thursday, Mom and Dad took Tina to Kingston and met Jenn there. Jenn took Tina into her pulmonary function test. They then had an appointment with Dr. Fitzpatrick to go over the results of the test.
There was very little difference from her last breathing test. The doctor said that there was a slight decrease but they were not concerned about it at all.
The doctor did suggest a "cough assist." This is a machine that blows air into the lungs and pulls it out quickly to clear mucus. A Respiratory Therapist from Home Care will come and set the machine up and explain it all to Tina and whoever might be there that day.
She is scheduled for a follow up appointment in 6 weeks. They were a little concerned about her bruising around her eyes after her fall.
They all made a trip to Costco before they made their way home. It was a full day.
Meanwhile in Alberta, Carol and I called Hart n Hart to order our STEELE Standing sweaters and shirts. We need to make sure that they are ready for our cottage time.
On Friday, Carol left for home. It was so nice to have her here. She got my gardens looking better than they have ever been. We did chat for a bit while she was driving and said hi to cousin George who was visiting Tina.
I need to make a correction from my last post. I thought that Tina had fallen later on Saturday but it was actually in the morning. So after Tina smashes her face, she went on a road trip with cousin, Tammy. Now that's one tough girl.
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I got filled in on some more meals that had been delivered. Thank you to:
The most common form of ALS is called sporadic ALS, meaning the disease can affect anyone regardless of gender, ethnicity or age—although it most often affects people between the ages of 40 and 60.
The other type of ALS is called familial ALS, which means it is capable of being passed from a parent to his or her child. Approximately 5 to 10% of ALS cases are familial.
Regardless of whether someone has sporadic or familial ALS, 30% of all people with the disease have a form referred to as Bulbar ALS. In the early stages of Bulbar ALS, the motor neurons in the corticobulbar area of the brainstem are the first to be affected. This means that the muscles of the head, face and neck become paralyzed before muscles in other parts of the body.
Well, it's back to day zero again....if we are counting how many days without incidences for Tina.
On Saturday, Tina made her way to the washroom. She is "usually" able to get there on her own. On that day, something went wrong. She fell and banged up her face pretty bad. The result was a huge goose egg and two black eyes. 😥Our brain is connected to our muscles through millions of specialized nerve cells, called motor neurons, which serve as our bodies’ internal wiring and enable us to move our bodies as we choose. Motor neurons work in pairs: an upper motor neuron in the brain extends to the brainstem at the back of the neck or the spinal cord, and a lower motor neuron extends from the brainstem or spinal cord to the muscle. The brain sends a signal along these motor neurons telling a muscle to contract. This signal is an electrical impulse created by chemicals in our neurons.
In ALS, motor neurons gradually break down and die. This means that the brain can no longer communicate with the muscles of the body. As a result, the muscles become weak and eventually someone living with ALS will be unable to move them.
Jenn has updated the new meal train if you are interested in helping in this way. You can click this link to pick a date: Meal Train for Tina
What’s the response when you tell someone that your sister has ALS?
Most of the time it is, “I know someone that had/has that.”
Once in awhile, someone will say “what is that?” That is one of the reasons that Tina wanted this blog. She wanted people to walk beside her on her journey and see what ALS takes from you. ALS, also gives in Tina’s case, so many wonderful support people who have helped and continued to help in so many ways.
This month I am going to copy some facts from ALS Canada so that we all can better understand this disease and how research and trials need to be done. The facts are hard and cruel and much of it we would like to ignore but unfortunately it is happening to our sister.
About ALS
Amyotrophic Lateral Sclerosis (also known as ALS, Lou Gehrig’s disease, or motor neuron disease) is a disease that gradually paralyzes people because the brain is no longer able to communicate with the muscles of the body that we are typically able to move at will. Over time, as the muscles of the body break down, someone living with ALS will lose the ability to walk, talk, eat, swallow, and eventually breathe.
ALS is not contagious. There is no cure for ALS and few treatment options for the majority of people living with the disease. Approximately 80 per cent of people with ALS die within two to five years of being diagnosed.
Copied from https://als.ca/what-is-als/about-als/
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Tina and mom were sitting outside this morning enjoying the sunshine in Ontario. Tina has some concerns about our cottage time. Will we be able to handle everything that needs to be done? We are STEELE Standing, aren’t we? We can do this and we will have fun trying. Life isn’t always easy but as we support each other we can make good memories along the way.
Thank you for STEELE Standing with us!❤️
Tears still come when I think of Tina. It was two years ago today when her fight with ALS ended. At only 55, my baby sister took her last ...