Freedom! (well, nearly)

 

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It’s been a while since I’ve posted here, and it’s not because I haven’t had anything to talk about because actually I’ve been quite productive – just not in the way that I would like to have been. In the 16 or 17 months since the BYM338 drug trial was cancelled, my IBM seems to have gathered momentum and I find myself struggling with so many new things every day. These are not the things that you want or need to hear about, and I don’t want this to become a pity party so I will try to concentrate on the positives…..

 
Spent the winter months trying to get myself as healthy as possible, took vitamins and a myostatin inhibitor capsule (Epicat) I found online much beloved of body builders and athletes, neither of which I am. I did a very gentle yoga-in-the-chair routine every other day which I really enjoyed and every day I tell myself I’m going to start again but for some reason I don’t. I’m sure these things were very good for me physically, but mentally I just seemed to drift down and down, until I had no interest in anything at all and that’s not really like me. Then a friend found something called Ocean’s Alive Marine Phytoplankton and he told us all how well he was feeling since he started taking it and I thought it was definitely worth a go.

 
And it was! My arthritic shoulder and knee stopped hurting so badly, my sinuses cleared and the fog of exhaustion lifted to the extent that I could give up my beloved afternoon nap. Now this wasn’t quite the sacrifice that it sounds, because I’d been struggling to get off the stair lift at the top of the stairs for some time, and I’d often thought that the effort it took to lift my legs into bed far outweighed any benefit I was getting from an hour or so of sleep, but anyway I didn’t feel I needed it any more so that was that. Somehow everything seemed much more bearable and I decided to tackle the wheelchair problem, having been quite disheartened by The Wheelchair Man and the Wheelchair Clinic’s tendency to go round in circles (figuratively speaking, although perhaps quite literally for all I know) as they couldn’t bring me a wheelchair to test drive because they don’t have any with riser seats, but couldn’t approve me for a wheelchair until I’d successfully completed a test drive. To cut a very long and stupid story short, I suggested to them that the best way for them to get rid of my file off their desks was to give me some money towards a wheelchair that I would find myself, and they agreed quite enthusiastically. Took a while to get the contribution of course, and it turned out to be the princely sum of £1800.00, but every little helps, as they say. I found a lovely friendly Wheelchair Advisor from Easy Mobility in Ashford, Surrey, who brought me an Invacare TDX SP2 demo model, complete with rising seat and several other useful features, to try out. I loved it and they offered me a great deal on it, so I bought it.

 
I hoped it would give me more freedom but what I hadn’t taken into account was that I actually need someone to help me with the footrests when I get on and off the chair, and to open/close doors if I want to go outside, so I haven’t used it as much as I’d hoped, but it’s there when I need it. Now, we live in quite a weird sort of place, it’s technically a village but we are on a main road away from the village centre and there’s not really anywhere within pootling distance and there’s no way I’m crossing this busy road in my wheelchair, so the next logical step was to get a vehicle that I can drive my wheelchair into. This sounds like an easy mission. It’s not. I didn’t want one that I would have to sit in the back of, I wanted one where I could sit in the normal passenger seat position, and this limited our options enormously but we found some lovely people in The Wirral (Lewis Reed) who specialise in these conversions and they sorted out exactly what I needed. It’s worth saying at this point that my Invacare wheelchair sits a bit higher than most, so headroom was an additional complication but a VW Caravelle with a ramp and drop-down suspension fitted the spec perfectly plus it came with a free teddy bear so how could I resist? Again, it’s not something I can use without help so I’ve only been out in it once so far, but it was great, and it’s there when I need it.

 
The final development is that I have had to start the ball rolling to get a carer to come in at lunch time to help me make myself decent again after going to the loo. I could pull my own pants up until quite recently but it’s quite a tricky manoeuvre when you need to hold on to something with one hand and the other hand won’t reach behind you anymore and eventually I had to admit defeat. I’ve cut down my coffee consumption quite dramatically but I still have to ask Colin to pop home at lunchtime to help me and he finds this an unwelcome restriction on his busy retired lifestyle. Anyway, the advantage to being in the Care System is that you get access to emergency care if you need it, so if Colin was poorly or needed to go away it should be possible to get someone in to cover the things he does for me, although I’m not sure how they would go about lifting me off the blooming stair lift.

 
On the subject of the stair lift, you may understand this – our local installers don’t, and neither do the manufacturers, but I need the rail on the landing to be modified in some way so that the seat goes up to a height that I can get up from. I envisaged extending the rail and sloping it upwards – we have plenty of room for at least an additional metre of rail, and I could get off at the end where it would be higher, and roll it back to the existing lower bit to get on it. Well of course you can’t do that! The manufacturers want to make an entire new rail (of course they do, at £2.5K+) which incorporates the extra height I’ve asked for right from the bottom of the stairs and maintains that extra height all the way up the stairs, around the bend at the top onto the landing and then stops in the same place as it does now, albeit about 12 inches higher. (I’m old, I work in inches). And yes, without a doubt it would be high enough for me to get off. But how on earth would I get on it? Ladder? Trampoline? Mounting block? They can’t grasp that I need two different levels, one for getting on and one for getting off, because they say I manage alright at the bottom. That’s because it rises up vertically before spinning around the newel post, and when I come down I can stop it before it gets right to the bottom and get off, but of course I get onto it when it’s at its lowest point. Am I making sense? Or does it sound like the ramblings of a mad woman? I know what I mean. I wish they did, it would save Colin having to lift me. The OT said she would look into it and see what could be done… Let’s not hold our breath.

Author: stephhicks

The ups and downs of life with a rare muscle wasting disease, Inclusion Body Myositis, after the BYM338 (Bimagrumab) drug trial

34 thoughts on “Freedom! (well, nearly)”

  1. Steph, thanks for your update. Wish you could have said everything is great and my IBM is in my remission, but we all know that’s not how it is. I wish I could say that as well, but my quads keep getting weaker. It is getting more difficult to get up from a toilet seat, chairs and off chair lift. I am having more problems with pain in shoulders and arms from trying to push myself up. I do exercises, but still it is a downward battle. I will try the Phytoplankton you mentioned. What I am wondering is if you take it in addition to other supplements or instead of. I already take Omega 3 liquid and CoQ10 capsules.
    You do manage to spin humour in what you say and that always makes me laugh. I find it difficult to smile these days with this disease, so thanks. Wishing you nothing but the best.
    Bonnie

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  2. Bonnie how lovely to hear from you! I stopped all other supplements when I started Phytoplankton .because I wanted a ‘clean’ result, but I’ve added vit D, E and C back in. I tried CoQ10 for a while but it made me very tired and I didn’t see any benefits. Word of warning – phytoplankton tastes VILE, there’s no other word for it. But I’m convinced it helps my balance. Keep smiling.
    Steph x

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    1. Thanks Steph. I will do it your way. I don’t find the C0Q10 does anything either. Not sure why I even bother with it.

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  3. Hi Steph. It was really interesting reading about your daily life and your struggles. You have kept your humour and you are truly an inspiration. Stay well

    Soraya x

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  4. Steph good to hear from you again after such a long break. Glad you have managed to keep your sense of Humour well done. I’m afraid i am like Bonnie and find it difficult to smile now with this damm disease slowly eating away at me.I still manage to workout 4 x 1hr sessions at my gym with my Personal Trainer. I have also had a set of wooden bars fitted down the side of my House, they are 10 metres long so i can walk up and down holding on to both sides and no danger of falling.
    Talking of falling i have fallen 4 times in the last 12 months ,but not recently, touch wood. I have had an Ambulance out on all 4 occasions (one of the times outside my local Wetherspoons ) To cut a long story short my OT got me a Mangar Elk Cushion that will raise me up from the floor(sounds like a song title)I have had this about 6 months now and yes you have guessed it i haven’t fallen since, sods Law.
    On a more serious note, a friend of mine who posts on the message board Les Tate, had a fall about 4 weeks ago which unfortunately brought on a Heart attack and he passed away r.i.p.
    I also correspond with a man in Oz who is also trying to fight IBM but his Medical Profession seem a lot more pro-active than ours and he has been taking Oxandrolone, also known as Anavar. This is an Anobolic Steriod banned in the UK but a trial was done with it in 2002 at Harvard but it proved inconclusive. I have bought it on the internet and am into my fourth month of taking it. I haven’t noticed any effects whatsoever.I am having my bloods done on monday to check for side effects.I will use up the rest of the 50 mg tablets and then try something else. The man in Oz is having success with it but is also taking other things as well so who knows.
    I have an Autochair Hoist in my car so can lift my electric wheelchair in and out, it works well. To get up off the seat i have a 2 inch cushion on the seat with an upeasy seat which pushes me up as i start to rise. It also works well and i also have one on my Armchair which helps me up.
    Like i said Steph good to hear from you take care,
    Kind regards David Tucker

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    1. Hi David,

      Great to hear that you’re keeping up the exercise regime, I definitely believe it helps if you can keep moving. I’m so sorry to hear about Les Tate. I remember him from the old MUK forum, always very well informed an supportive. Interesting about the use of anabolic steroids in Oz, I don’t blame you for trying them. Since they’re not openly available, are you sure you’re getting hold of the genuine article? I honestly would have thought they would make some difference.

      It seems every day we have to adapt our environment to keep us safe and functional. Stay upright

      Steph

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      1. Steph yes its a problem not knowing if I am getting the right Steriods or not, they could be Sweets for all I know ! With regards to whether or not they are helping I haven’t got many Muscles now so that’s probably why they are not improving my condition. Yes you are spot on about adapting our environment ,I will keep up the exercises as long as it is physically possible to do so. Best regards David T

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  5. THANKS FOR THE UPDATE. BEEN MISSING YOU. MY sIBM IS ON A PATH VERY SIMILAR TO YOURS. I HAVE ADDED A RAMP EQUIPPED VAN, A POWER CHAIR (HOVEROUND) THAT LIFTS AND HAS A SEAT THAT SWIVELS (SO I DON’T HAVE TO DEAL WITH LIFTING THE FOOT REST TO GET UP), A TOILET POWER LIFT FROM “STAND AID OF IOWA” THAT RAISES 14 INCHES AND A “CATNAPPER” POWER RECLINER THAT HAS BECOME MY BED. A “TRANSFER BOARD” THAT ALLOWS ME TO TRANSFER FROM MY POWER CHAIR TO THE RECLINER OR TO A MODIFIED BENCH IN OUR MODIFIED SHOWER . THE LOSSES COME SLOW ENOUGH TO ALLOW ME TO FIGURE OUT WAYS TO ADAPT TO THEM. AT LEAST OUR MINDS ARE CLEAR (I THINK) AND WE ARE KEEPING A POSITIVE ATTITUDE. NOT A JOURNEY WE WOULD HAVE PUT ON OUR “BUCKET LIST”. KEEP THE POSTS COMING. GARY

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  6. Hi Steph, me again. I got my Ocean’s Alive. Took one drop today, no taste. lol Did you start off with 15 drops or build up to it? My husband is taking it, too. Hope you are keeping well. Getting colder here by the minute. Thanks for sharing.

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    1. Good luck with the Ocean’s Alive. I built up gradually – whenever I tried more than 11 drops it upset my stomach so it’s best to take it slowly and see what suits you best

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  7. Hey David, hope you are doing well and the steroids are kicking in. Anything is worth trying! Not sure if I mentioned my swollen tongue. Seeing a neurologist. So far, nothing. He did say on my last visit they found a trace of amyloid in the tongue biopsy. Sent me for some blood and urine tests. Haven’t heard back so am assuming they are negative.

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    1. Bonnie after 3 and a half months nothing is happening so i have ditched the steroids. Now going to try Ursolic Acid tablets, wish me well.
      Take care David

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  8. Hi Steph, thanks for a great update – your experience & description of the chairlift issues hit the nail on the head. It’s the things you just don’t expect, Evelyn went out earlier today and of course a delivery arrived, after managing to communicate by shouting through the window the driver came in and dropped the package then left doors open on way out? It’s this kind of stuff that makes you want to scream! You describe things so well and you make it humorous. Keep writing. Thanks for everything, Wighton

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  9. Nice to hear how you are coping again. Is the phytoplankton still doing the job or was it a false new dawn? It is pretty expensive stuff but I will give it a go if you think it really does things. I can tolerate vile. Crunching paracetamols that I cant swallow whole has hardened me!
    Roy White

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  10. Ugh! It’s not as vile as paracetamol, but definitely not pleasant. I don’t know whether it does anything or not, to be honest. If I miss a day I always feel more wobbly, but that could easily be psychological. Some people like taking it, some don’t. It’s about £30 from Amazon, just a small bottle will last a while. Build up slowly if you decide to try it.
    Steph

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  11. I started taking it and I feel it has helped the pain in my shoulders and back. Like Steph, if I miss a day, I don’t feel as well and the pain is worse. Weather does play a part, but I think it’s the Phytoplankton. I am going to give it a good trial run. Started off with five drops, now taking six. I had never heard of it before Steph posted.

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  12. We all learned in Kindergarten that life is not fair. But we also learned to recognize injustice when we see it and I feel it is necessary to reveal an injustice about which very few in this country will ever know.

    This injustice will affect thousands like me. You see, I am a victim of the disease called Inclusion Body Myositis, (IBM), a serious muscle wasting disease. IBM is similar to ALS (Lou Gehrig’s Disease). While ALS attacks the central nervous system, IBM attacks the skeletal muscles. IBM usually runs its course in 15 to 20 years while ALS is terminal in 3 to 5 years. I, like thousands of ALS and IBM patients, am now wheelchair-bound for the rest of my life. Both conditions are terminal but we all must come to terms with that fact. But a recent development in corporate America has added an intolerable insult to our lot in life.

    Several American biotech companies benefited from federal grants and donated money generated through donations, including the Ice Bucket Challenge. One of those biotech companies is CytRx Corporation based in Los Angeles, CA. With those donated funds and federal grants, CytRx developed a drug called Arimoclomol. That drug is currently the only known potential treatment for IBM and ALS. Early investigations of Arimoclomol showed it was safe and demonstrated clinical improvement in Phase I and Phase II trials for both IBM and ALS patients.

    With the promise of success, Arimoclomol was sold for millions to a Danish biotech company called Orphazyme based in Copenhagen, Denmark. To those of us with IBM and ALS, the only known treatment for our condition being sold to a company in a foreign country after it was developed using US taxpayers’ funds goes beyond unjust. It seems criminal. For a foreign company to complete Phase III trials and acquire FDA approval for use in the US could be another five years. Many of us with ALS and IBM wonder if we have that long. If this drug was still in the hands of a US company, victims have the opportunity to apply for compassionate use of the experimental drug. That option was lost when CytRx cashed out. Many of us have tried to reach out to Orphazyme Biotech about the possibility of compassionate applications or to simply find out about progress on FDA approval. I do not know of a single call or email that has been returned or answered.

    American taxpayers and donors expect a modicum of accountability. We all hope people and corporations will do the right thing for the greater good. But this is one injustice that can have quality of life ramifications or even become a matter of life or death for thousands. But that hope for greater good and accountability in this case was sold overseas.

    To whom can we turn for help?

    On a brighter note Orphazyme web site now states Arimoclomol may be released to market late 2020.

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    1. Thanks Greg. That is certainly enlightening! Are you going to post this on the U.S. site?

      Steph’s blog is great. She did a terrific job keeping us informed during her time on the BYM 338 trial. There were a lot of funny moments as well. I so enjoyed her posts. I am not sure, however, how many people are aware of this site. What you have told us should be shared, as we are all affected.

      I do appreciate what people like Steph and you do to keep us informed. You both have a way with the words!

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      1. Bonnie/Greg good to hear from you both. The London trials now look like starting in June, it seems to take for ever to get anything done ! Do we have any idea of how the trial is going in the States ?
        Keep the faith David Tucker

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  13. Hi David, never hear anything about how they are going in Kansas. My name is on a list in Kansas and they said they will send it to a site closer to me when a new site gets started. Hope I don’t get lost in the shuffle.
    Thought I would be in Florida by now, but I am freezing in Canada. Too cold to poke my nose outside the door. We had planned to leave on January 6th and stay until March 23rd. Our daughter was coming from Switzerland for two weeks in February. However, my hubby had a heart attack on Dec 22nd and the rest is history. He got a stent and came home on Christmas Day. He is now recovering.
    Hope you are surviving the winter. Keep well. We all need to avoid this flu. Best, Bonnie

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  14. Random comment. I stop by your blog from time to time. Keep on writing. People are listening and learning. 🙂 Did you read that article about Ketamine infusions and ibm? Worth a read and inquiring about with a doctor.

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    1. That’s good to know, always lovely to have visitors here. I did see a video of Dr Ashraf Hanna and his miraculously cured IBM patient, who for some strange reason didn’t know how to pronounce ‘myositis’. I was less than impressed. This was first publicised in 2016 but I haven’t heard anything about this since. It’s interesting, but I’m very sceptical.

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  15. Hi all, I hope you are surviving the winter. It has been really cold in Canada. Can’t get out walking at all (with my rollator). I am using my recumbent bike and that keeps me moving. I did manage to get to Florida for 12 days this month, so warm. I am steadily getting weaker. While in Florida, some friends took me out on their pontoon. All went well until we got back on the dock. There were three steps up and no railing. The man stood behind me, but alas, when I put my right foot up on first step to meet my left, my legs collapsed. My daughter said I did it very gracefully. lol He managed to get me up, but it was a new one for him. Then, he and my daughter got me up the steps. As they say, the only thing hurt was my pride.
    Luckily, no colds or flu so far. Flu has been bad here.
    I hope you are all keeping well. Still only one trial started for arimoclomol in Kansas. Keeping my fingers crossed for one closer to home.
    Best,
    Bonnie

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  16. Hi Bonnie, lovely to hear from you. Florida sounds like a very good idea to me but sorry about your fall. Graceful or not, it always shakes you up. Glad you weren’t hurt. The winter hasn’t been too bad here in England, but we’re just heading into a blast of cold air from the Arctic which is going to bring us a lot of snow and sub-zero temperatures. Thank heavens for central heating 🙂 I’m working on a new blog at the moment, that will keep me occupied while we’re snowed in. Take care x

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  17. Bonnie hope you are ok now after the fall. I am just back from a 2 week Cruise to see the Northern Lights in the Artic. Now that place is seriously cold. -21.5deg on the sensor in the adapted mini bus we used. On a separate note i did a 3 day fast just before the cruise.I mentioned it to my Neurologist at Salford and surprise surprise he said give it a go so i did. I had a bowl of broth each day 200 cals. I got through it but nothing has come of it yet. I will try it again in a months time. The idea is that the fast regenerates your immune system by producing new white cells to replace the old one’s.Have a look on the net it is all there.
    Take care David

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    1. David I’m really interested in the effects of nutrition on IBM and other auto immune diseases and have done a fair amount of research on resetting the immune system. As I understand it, it is a long process that involves healing the gut as the first step. Fasting is a great tool during that process. I am recommending Dr Stephen Gundry’s Plant Paradox book to anyone who is interested in this line of research and I’m sure you would find it interesting. If the broth you consumed was bone broth, you might want to look into this quite carefully.
      All the best,

      Steph

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      1. Steph no the broth was a vegetable broth.My Trainer did me a recipe for 200 cals day carrots celery barley swede onions and mushrooms. I was reading an article in the Telegraph “fasting for 3 days can regenerate entire immune system” it’s a good article and I thought go for it nothing to lose. I am not sure yet how often I need to fast,perhaps every month for 6 months..I will look at the book you recommend and see what it offers
        Kind regards David

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      2. Steph, I am wondering if you are still taking the Ocean’s Marine Phytoplankton? I am, but not sure if it is doing anything. I take a small dosage and maybe I need to increase it. Think it might be causing me to lose weight. Usually, that is a good thing, but for me, it isn’t. Just ordered Warrior Blend Protein powder. I don’t think I am getting enough protein.

        Happy Easter to you!

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    2. David, that sounds like a terrific trip you did. I have always heard the Northern lights are beautiful. Yes, that was cold. Even colder than here this year. (smile) I don’t think it is ever going to warm up.
      Interesting you should mention the broth fast. My daughter did it for awhile. She made her own bone broth, and followed the diet very closely. She said she felt great and lost weight. Alas, she has fallen off the wagon and is no longer doing it. But, still has great intentions of doing it again. I am not sure if I could do it as I have lost weight this winter and have to watch it. Have never gained back what I lost when I had pneumonia in 2012. Still out walking with my rollator. Being cautious not to fall. Got a Fitbit and makes walking more fun. Take care. Always good to hear how you are doing. Best, Bonnie

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    1. Bonnie thanks for the good wishes. A miserable rainy cold day here in the North Midlands. Are you still in Florida or back home now ? I will try my monthly 200 cals a day 3 day fast starting tomorrow and let you know if there are any improvements. Take care
      David

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      1. David, I am back home now. I was only in Florida from Feb. 9 until Feb. 21. The weather was beautiful. It was hard staying here for the winter and not going to Florida. But from now on, will be difficult to make plans. My daughter and her family will be leaving Switzerland to move to San Francisco in July. They were there before for five years. They have had a total of ten years in Switzerland. Five years is the limit each time. They did enjoy their years there and saw a lot. My oldest grandson will be going to UBC or UVic in British Columbia next year. He hasn’t decided which one yet. So, they will be a closer to him. I am hoping they will get a bungalow in San Francisco. The last time they had a two-story house on a hill. Not so good for me! My room was upstairs, but I could do stairs five years ago.
        I am struggling with my weight and have ordered natural organic protein powder. I took that when I couldn’t eat in 2013. After throat stretching, was able to gain weight back. I used to belong to weight watchers years ago and was always trying to lose. Things change! I do hope the fasting helps you David. I know you are willing to try anything. We just miss the life we used to have!
        The nice weather will soon be here. I get out the odd day with my rollator and do my recumbent bike to try to keep what I have. I am wondering if my weight loss could have something to do with my muscle loss.
        Best, Bonnie

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