Showing posts with label Pd and happiness. Show all posts
Showing posts with label Pd and happiness. Show all posts

Saturday, December 29, 2012

Low Speed Chase: Pursuing Happiness with Parkinson's Disease

Twice in my life, I thought I could never be happy again. The first time as a boy, when I lost my mother to breast cancer. The second was as a man, when I was diagnosed with Parkinson's disease. I was wrong both times. I started thinking about this after running across this James Fallows interview of Gretchen Rubin about happiness.

Happiness seems in some ways like a lightweight virtue, any idiot can be happy. In fact one could argue that you'd have to be an idiot to be happy in such a broken world, a world that contains Parkinson's and many worse things.

But don't sell happiness short. In no less a document than the Declaration of Independence, the "pursuit of happiness" is listed right behind life and liberty as among the primary rights of all people, conferred on them by their maker. (I know, it lists them as the rights of all "men" not "people" but who among us is backward enough to stick to this limited idea of humanity? OK, who besides Jefferson Davis and Justice Scalia?). So happiness, or at least its pursuit, is our God-given right as humans.

Which brings us to the problem. If you are not able to walk, to talk, to even rise from a chair and remain standing how are you supposed to pursue happiness? It's difficult enough to be happy without the attendant woes of PD. Has our God-given right been invalidated? Should we be eligible for a refund for the unused portion of our lives?

Maybe, but don't hold your breath. As Rick says to Ilsa in the classic "Casablanca", "The problems of three people don't amount to a hill of beans in this crazy world". We are small and helpless creatures. In a way, that's comforting. As individuals we are capable only of limited impact, for better or worse. If the world is screwed up, we hold little direct responsibility.

But if our lives are screwed up, there is hope that we can do something about that. Even with PD, this is not the sort of thing that others can do for you. And it's perhaps impossible for some to do it for themselves. But the idea that we all must go through life miserable can't be right. Who can disagree when Tzeitel tells Motel, the nebbish tailor in "Fiddler on the Roof" that "Even a poor tailor deserves some happiness."

How does a person with PD go about being happy? Strangely, social scientists have found that humans seem to have a happiness bias built into our nature. People have been found to be flexible in what constitutes their idea of quality of life. When their circumstances change, they adjust their expectations and think of themselves as happy in previously unacceptable circumstances. Is this delusion? Perhaps. But if it is successful delusion, how can it be argued that these people are unhappy?

Beyond our natural bent to adjust the thermostat of happiness, what can we do? Begin with the realization that while having Parkinson's Disease is bad, there are certainly worse things. (While I have heard the advice to sufferers that it is helpful to realize that there is someone worse-off than you, this seems like a selfish way to find comfort. Basing your happiness on some other poor bastard's unhappiness seems trollish and uncharitable. It's better to think of ways you could be worse off, and probably more compelling to boot.) Mortality can give us focus. Think of your final hours and what you would regret not having done more of. Then start doing more of that.

If you are like me, the primary thing that will emerge as important from the death-bed perspective is building and maintaining social networks. This can be hard to do with PD, but consider this: there is more satisfaction in doing what is difficult. A great deal of your happiness may lie in how successful you have been in the past at doing this as your network of family, friends, and colleagues helps break your fall. But it is never too late to join a support group, and the amount of comfort derived from knowing you are not alone is substantial.

Next, do not let Parkinson's Disease fool you into giving up what you do for fun. I quit riding my bike for a time because I was convinced that my sense of balance was probably impaired by PD. Well guess what. It probably is impaired, but I can still ride just fine. The feeling of freedom it gives me is a liberating joy. And there are ways to adapt your abilities to do the things you love. When my guitar playing began to suffer from my difficulty in coordinating my left hand, I pursued slide guitar, which in some ways simplifies the role of the left hand and allows the PD-afflicted guitarist some satisfaction when playing in the traditional way no longer can. These types of work-arounds, in addition to to the rewards that they bring in and of themselves, afford the additional satisfaction of feeling that you have outmaneuvered Parkinson's in its relentless quest to take everything you value away.

Third, find some way of helping others. This is a formidable way of connecting with other people. Among the obvious ways of helping for those of us who have PD is to contribute to a support group or participate in medical trials. This is one way your illness, instead of disqualifying you, makes you uniquely suited to lending a hand. Unless you are a psychopath this will contribute powerfully to your sense of self-worth. It will also fortify your social network. Two birds, one stone, dude.

Exercise. There are as many reasons to  exercise with pd as there are cells in your body. Exercise can be done as part of a group, which helps us cope with loneliness and feelings of alienation. Exercise enhances positive body chemistry vis-a-vis depression, and may promote the brain's ability to repair itself.

One common destroyer of happiness is clinical depression. Discuss depression with your neurologist if you notice common depression symptoms in yourself. There are established treatments that are effective for most people. It is not necessary for a majority of us to suffer from this "Noonday Demon".

Please remember that nobody is happy all the time. But the fact that you presently may be  unhappy does not mean you will always be sad. And avoid judging yourself or others too harshly if they seem unable to be cheerful and bright. We have a right to pursue happiness, but no guarantee we will actually find it. Still, if even a poor tailor deserves some happiness, surely a Parkinson's sufferer deserves some as well. Don't give up the chase, even in slow motion.  

Monday, January 26, 2009

Shivering Penguins! This blog is a year old!



"Troubles Overcome are Good to Tell" -

Italian Proverb, from the writing of Primo Levi


Yikes, this blog is now just over a year old! The first post went up January 19, 2008. In the following time we've looked at everything from the Greatest Parkinson's Love Story Ever Told, to some of the dumbest things doctors say, when delivering a diagnosis of Parkinson's Disease.

Since I installed a hit counter about two weeks into the project, "Off and On" had a total of 2,695 visits (only half of which were me checking for comments) from 66 countries and territories all around the World. There have been visits from every continent but Antarctica, where the penguins are all in denial "Tremor? Nah, I'm just shivering, you idiot."

Here is a sample of visits from unexpected locales tallied for the year by my hit counter: Israel (8 visits), Malaysia (7 visits), Singapore (7 visits), Turkey (6 visits), China (4 visits), and let's not forget Iran, Bangladesh, Belarus and Jamaica, with one visit each.

Wow. Parkinson's Disease: Bringing the world together.

I hope, dear reader, that this has been valuable to you. It has certainly helped me to cope. Writing is a sort of deliberate thinking. It is a focused exploration which simultaneously creates ideas and reveals them. When I try to explain my thoughts and feelings to you, I come to understand them better myself. Or at least, it feels that way.

Just as important, your comments and even your silent visits, (which are currently running between 5-15 a day) tell me that there is solidarity and understanding out there that reaches around the Globe. That is heartening. I'm sorry that you who read this were dragged into the struggle, but it is good to know we do not struggle alone

What does the future hold? Dangerous question, but I can go at least this far: More trouble and more telling. Because not only are troubles overcome good to tell, telling is part of the overcoming.

Friday, June 13, 2008

I Only Pass Out in the Best Places


I am under strict orders from my son never to do this again. We were dining with family, and I was enjoying a beer and a well-prepared meal in a sunlit restaurant in exotic Kirkland. As conversation wafted around I became distracted by an odd sensation in my stomach, a feeling akin to what you might experience if you swallowed a live and angry badger.

My initial Badger Pacification Strategy (BPS) was denial. Skip this tack should this happen to you. It's useless. As the situation rapidly deteriorated, I adopted BPS #2: Lowering my head to the table in an attempt to control the mounting nausea. You might want to skip BPS #2 as well. No help.

It became clear that I was down to two choices. Release the "badger" in our cozy booth, (BPS #3) or make for the restroom and return the little guy to the wild via the porcelain porthole (BPS #4). Clearly there is no scenario under which #3 could be defined as successful, which left only a desperate attempt at #4.

Thinking quickly I enlisted Pam as my handler, the better to spread the inevitable blame when the doomed mission went grandly awry. I rose decisively to my feet, and then (I'm told) crumpled decisively to the floor (BPS #5)

Miraculously, BPS #5 worked great. At least on the badger. But one doesn't crumple to the floor in the middle of a restaurant discreetly. A hullabaloo followed. People were summoning help via their cell phones before I hit the carpet. When I came to, I looked up into a circle of unfamiliar and concerned faces. They assured me that the paramedics would arrive soon, and hovered close until they arrived.

I was still gathering my wits when the team showed. They lost no time in festooning me with wires connected to machines that read vital signs. I was feeling much better and after explaining about the hazards of rising too quickly when on Parkinson's medications, which can lower blood pressure and cause fainting, I managed to talk them out of taking me to the hospital.

This moment of helplessness paradoxically granted a measure of hope. We are bound to one another by our frailty. Confronted by my small catastrophe, strangers responded with swift compassion.

I wobbled out of the restaurant under my own power but with my family arrayed in close formation around me. As we wound our way to the door, I carried a new intimacy with the anonymous throng returning to their dinners.

The barriers had been breached, and as we left, it was possible to sense a common thought that clearly ran through the minds of many: "Damn, I hope I didn't order whatever HE had!"

Wednesday, May 21, 2008

Encounter with the supreme identity thief


Remember the "Me Decade"? That's what writer Tom Wolfe christened the 1970's . It was fashionable at that time to attempt to "find yourself". This was a common pursuit of the day, and a weird one. It conjures the idea of some tragic mix-up in the maternity ward in which your true self went home with the wrong family and then moved across the country without leaving a forwarding address.

Eventually it would fall to the strong and the brave to go out and track their fugitive self down, like an escaped con. As with any great quest, this one was fraught with difficulties. It's a given that your real self would be found somewhere more exciting and exotic than wherever you were at the time, but where? And how would you know when you found your true self? What if you found somebody else's true self and mistook it for your own? You might live the rest of your life as someone else, and never know. Which for some might not be a bad idea.

Most people gave up or got over it by the mid eighties. And it was never much of a problem for me. I always defined myself as an Alaskan, and a cartoonist, and later expanded into husband and father. For the most part, what I did was who I was.

Then came Parkinson's Disease, the identity thief supreme. I was a guitar player who didn't play the guitar, a cartoonist who was struggling to draw, a father who was too tired to cook or to even stay up and share a movie, a husband who was cranky and listless. (See my pal, the ogre here)

"Finding yourself" seems like a foolish game. Losing yourself is terrifying.

Eventually diagnosis and medication restored much of my original drive and personality. But Parkinson's is a moving target, and medication only approximates what my friend Dr. David Heydrick calls "The exquisite precision" of the dopamine controls of the human brain. And as we know too well, the medication eventually becomes as problematic as the disease.

But, for now, the person I think of as the real me, does glint out occasionally and briefly, from between the manic, nattering chatterbox I am at the crest of my dose and the semi-paralyzed zombie I become at the ebb. Like a canny performer, he always disappears before wearing out his welcome, leaving Chatterbox and Zombie Man in a state of anticipation about the next appearance .

The question isn't "Who am I?" or "Where am I?" It's "When am I?"

Thursday, March 27, 2008

R.I.P: The Ogre Who Says "No."


Who was the Ogre Who Says "No."? Well, for quite a while, he posed as me. This ogre alter ego crept into my character with patient stealth. The Ogre Who Says "No" set up shop in my head masquerading as the voice of reason. When someone had to play the heavy, the adult voice of delayed gratification, the Ogre was resigned but resolute, and stepped in.

He could be counted on to point out why we should stay home instead of going out, why we didn't need pets, or why we weren't saving enough. The Ogre phrasebook was full of lines like "Sure, but..." and "Do we really..." The Ogre was fluent in several languages because he only had to master one word. Nein, nyet, non, no.

The ogre was no dummy, and often had a point. The truth is that there are always good reasons to say no to just about anything. And that definitely includes saying "no" to the Ogre, who was a pain in the ass to live with. The Ogre had no joie de vivre, and without joie, vivre is thin gruel.

Can I blame Parkinson's for the coming of the Ogre? Probably not entirely. But the Ogre was not me. My Dad even noticed and was disturbed enough to contact my sibs asking if they had noticed that I had lost my "Ebullience." And given that the Ogre keeled over and died around the same time I got up to snuff on my Parkinson's medications, it's hard not to associate the two.

We buried the Ogre in a simple pine box. We never leave flowers. He wouldn't approve. But we do visit his grave now and again to honor him, and to reflect on his last words, carved on the cold granite of his headstone: "Carpe Diem".

Tuesday, February 26, 2008

You can do more than you think you can



ABOVE: Homage to Sylvain Chomet

Alzheimer's is the forgetting disease, but there is something that Parkinson's keeps making me lose track of: The fact that I don't have to quit doing what I enjoy because of PD. It's true that lots of my old skills don't measure up to their former levels, But as G.K Chesterton said, "Anything worth doing is worth doing badly." This was a defense of amateurism, but by all that is shaky, it also applies to living with PD.

I love riding my bike, I used to do a regular 22 mile round trip commute on our wonderful network of Anchorage bike trails. When I was diagnosed with Parkinson's,I was especially glum about the prospect of losing my ability to balance. No balance, no bike. I kept at it for awhile, then had to sit out most of a rainy season. When the next season rolled around I talked myself into the idea that I couldn't ride anymore.

I was working at home one day a little while after I reached this dispiriting conclusion. My son had driven to school and Pam had taken the Jeep to work. The phone rang, and when I picked up, I was told by the head of security at my son's high school that we had "A Situation" with his car. She explained that a roving security guard had peered into our Subaru and spotted a weapon. Said guard had the car staked out and could not leave until I dealt with the situation.

Calling me to let the guard return to "roving" mode was actually plan "B". The original idea was to jerk my son out of the middle of his AP economics test and have him retrieve the forbidden implement of destruction. Sanity prevailed, in the form of an alert assistant principal who knew that this kid would not be a threat to the school if he had a bazooka in the car. (Come to think of it, the car itself was a bigger threat, but he can explain that to you himself here)

Which was how I ended up telling an extremely unhappy head of security that, having no car, I would walk right up and take care of things, but since I had Parkinson's Disease, it would be about 45 minutes. This naturally left her delirious with happiness. At least I think it was happiness.

I trudged into the gloom of the garage to put on my shoes and the dull gleam of the gold paint on a friend's road bike caught my eye. It seemed worth a shot. It was.

I rode uphill all the way to the school and confiscated the weapon. I know you've been wondering just what it was. Machete? Switchblade? Gravity knife? Nope. It was a tiny folding saw with a 6-inch blade and a bright yellow handle that my dad had given us in case we broke down in the middle of a forest and had to hack it down to get back to civilization, or, if we were feeling truly ambitious, use it to start a whole new civilization. Which seems like a better idea all the time.

My job done, I signed a few autographs kissed a few babies, rescued a treed cat and rode home, delirious with happiness. I was back on a bike.