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Pro Basketball Players Can be Disabled Too…

April 13, 2013 by Ashley 1 Comment

basketballI hope that the title really pulled you in because that was what I was trying to do.  This story is pretty old, but that doesn’t make it any less important.  Back in 2003 the Philadelphia 76’ers had a Canadian Basketball player get injured which lead to his diagnosis of Charcot Marie Tooth Disease.  I want you to see that even though in my family where we knew we had it and were diagnosed at a young age that isn’t necessarily how it works.  Todd MacCulloch was diagnosed with it and he never knew he even had it.

The crazy thing about this disease is how much it really varies between individuals.  One person could be “normal” until they hit their 50’s and it all goes down hill for them from there and then there is the opposite side of things where a baby is diagnosed and that child has to struggle their whole life.  The reality of it is that no one knows what it is going to be like for you. You can’t know what it will bring and doctor’s can only speculate and watch as things progress and tell you what they think might happen in the next year or five years based on how things have been for you specifically so far.

I don’t want to scare people into thinking that they have a disability, but there are some things to watch for to see if you have it:

  1. Poor balance which could include flat feet or really high arches.
  2. Weak/shaky hands
  3. Numbness, tingling, burning pain in the hands and feet (if you have these symptoms I suggest you see a neurologist.)

I know that many of these symptoms are ones that also fit for other diseases, but I also want to include two images below.  These are what doctors call the typical CMT hands and feet.  If your hands and feet look like this it is very likely that you have CMT.

English: The foot of a person with Charcot-Mar...

basketball

Related articles
  • What is Charcot Marie Tooth Disease….
  • You know you have cmt when………….
  • Spreading Awareness One Person at a Time
  • O’Keeffe’s Healthy Feet and Working Hands Review

Filed Under: Featured Tagged With: Charcot–Marie–Tooth disease, CMT, Conditions and Diseases, Country Music Television, Facebook, Health, Pes cavus

CMT Creates Music: Tim John Phillips Interview

September 5, 2012 by Ashley 8 Comments

cmt creates music

I read that you have Charcot-Marie-Tooth Disease, as do I. When were you diagnosed and have you been diagnosed with a specific type?

I have CMT1a, it’s the most common type of Charcot Marie Tooth Disease and for that I’m lucky as the most is known about it, but I’m the first case in my family, so no-one knew what to look out for and a lot of the symptoms seem like clumsiness in a child as I was growing up.

I was diagnosed haphazardly around the age of 18. I graduated from high school in England and immediately headed off on a coastal camping trip to celebrate, which was a lot more beach and beer than tranquil backpacking. I never did well on sand and sure enough i hurt my foot and it swelled up. It didn’t hurt though, so I carried on for a week before going back to my parents house. It was still swollen on my return, so my folks sent me to the doctor, who sent me to the hospital. After x-raying my foot the doctor was confused to inform me that not only was my foot broken (although it didn’t hurt), but there were 14 other fractures that had healed without me ever knowing and another 16 in my other foot. A long, drawn out process followed which narrowed it down to CMT and confirmed it with blood tests. Looking back, my parents knew there was something funny, but no-one could place it because I was missing the biggest clue; I didn’t realize I couldn’t feel my feet. Just like no-one would expect to feel something like their bones, I didn’t expect to feel my feet. It’s really hard to notice something you can’t feel.

 

cmt creates musicHow has CMT impacted your life? Has there been both positive and negative ways that it has affected you?

Ha! Yes, both I guess, but it depends when you ask me.

CMT is a really draining and annoying disease that varies from being inconvenient to painful quite unpredictably. Balance, fatigue and dexterity are my biggest issues, I’d certainly rather I didn’t have it. That being said it has quite definitely helped define who I am, and I happy with who I’ve become. CMT strongly influences what I can and can’t do in life, and when you can’t do something, there’s always another option. My restrictions are pretty much physical which has always pushed me to creativity as a solution or an alternative. An example, I love being outdoors but its hard moving around sometimes so I always rest. When I do I look around, talk, draw, sit, think – I do a lot of thinking. By not being physically able to do something makes me constantly question what I’m doing and pushes me into exploring new ideas in artistic ways. Another example is this fundraising project I’m working on, ‘CMT creates: music’. A lot of people would do something like get sponsored to run a marathon to raise money for charity, that doesn’t work for me so I decided to get sponsored to invent musical instruments.

cmt creates musicWhat made you want to start ‘CMT creates: music’?

It was a coming together of ideas. I had moved to California and begun attending a CMT support group where not only did my knowledge and confidence around CMT grow, but I also learnt about the CMTA’s research program towards finding treatments and a cure. This was shocking to me because at this group I was both meeting other people with CMT for the first time, AND they were talking about finding a (previously impossible) cure. At the same time I was feeling a yearning to get an art project going, one that was bigger than me and involved the excitement of unknown collaboration.

So I dreamt up this plan to get sponsored to invent new musical instruments. $500 = a new instrument. Each one would be invented by a different person and we’d post the whole process online, alongside personal stories of living with CMT. It’s this intersection where the project has been most interesting, allowing the two separate worlds to mingle and meet one another, even if only being read in the same blog post.

 

What is your goal with CMT Creates Music?

There are lots of goals and they’ve all been surpassed except one.

1. Spread awareness.

Thousands have viewed the website from 60 different countries. Most people around me, or connected to me can now tell you roughly what CMT is and many of their friends and their friends friends too. The project has worked well at bringing the topic of CMT, in an interesting and engaging way, to an audience that has little or no connection to the disease.

cmt creates music
They look like a crazy, fun bunch!

2. Raise money for the research – $5000 goal

This one we’re just short on, we’re at $4752… If anyone has $48 we’ll make our goal and I’ll make one more instrument! (Just follow the link… http://www.firstgiving.com/timjohnphillips)

Although we’re still looking for that last bit, I really had no idea we could raise this much money, people’s generosity has astounded me. I thought this might last a month or two, but with such enthusiasm and support we’re now 2.5 years in.

During that time the research has been going incredibly well. They’ve found the cause of CMT1a and the science behind how to treat it and are now working through all the rounds of testing. (You can read more about the CMTA StarTransformation Project.)

3. Create a collaborative art project

So many ideas and people have come together that it has far exceeded this goal.

  • Many CMTers have found a voice in their blog writing: opening up a new dialogue, one has gone on to have an award-winning blog following her very first post on our site: Nattering Nic
  • Many new friendships and connections are already spinning off into different projects.
  • The quality and ingenuity of the instruments created was unforeseeable, with such variation due to the breadth of the makers.

cmt creates music

 

-We’ve used the instruments as a vehicle to discussion in many locations, but a huge highlight was being selected to perform the instruments at the renowned music festival, Thingamajigs. It was such an amazing moment to see where this project had led, from nowhere to center stage with 9 musicians and these incredible contraptions, all while carrying forward the voice of CMT. Here’s a video of the show, I hope there’s even more excitment to come:

 

 

 

Please have a look at our website and blog if interested:

www.timjohnphillips.com

CMT Creates Music Blog

Filed Under: Featured Tagged With: Charcot–Marie–Tooth disease, CMT, CMTA, Foot

One Step at a Time… My AFOs

August 11, 2012 by Ashley 5 Comments

Charcot Marie Tooth FootMoving one step at a time and here is part two.  I spoke about my orthotics just the other day and now I want to share with you a little about my AFOs.  Well, here is another picture of my foot to start off with.  I showed you the side view and how much of an arch I have on my feet.  With CMT it is common to have really high arches or completely flat.  My toes are the other issue with my feet.  I have the start of hammer toes.  My little toes have almost no toe nail and it’s really hard to cut because my toe wrap up around it.  My middle toes have been curling a lot more.  My feet are about a size 9 US woman’s shoe and I suspect if I were to have surgery They would be a 10 at least just from lowering my arch. If you can’t tell I really need to cut my toenails. Lol. I always wait until they are pretty long because I find it easier to cut them.  My boyfriend is amazing though and cuts them for me because he is such a sweety!

AFONow on to my AFOs.  I have had a variety of AFOs (ankle foot orthoses) over the years.  My first pair were in high school and there the hard white plastic that covered the whole back of my leg, ankle, and bottom of my foot.  These did not work for me.  They made my achilles tendons hurt really bad because my foot was fighting the AFO since I am still pretty strong.  The second set of AFOs that I had lasted me two years and were Carbonfiber Blue Rockers which are prefabricated and given to me off the shelf and had orhotics that sat on top of them.  My current AFOs pictured here are called Noodle AFOs and these ones are fit specifically to me.  I love these new ones.  The cuffs at the top have foam padding on them against my leg and the rest is just made of carbonfiber.  My second favorite feature is the straps.  These straps have foam padding on them to go against the back of my leg instead of just velcro like I had before.

AFOs

 

Overall I really love these AFOs because they help me to be more stable when I walk and they help to prevent me from dragging my toes while I walk.  They also help to prevent me from slapping my feet down hard when I walk. The only downfall to wearing them is that I always have to readjust when it comes to driving because pushing the pedal feels completely different without them than with them.

I am curious what do you all think?  Would you like to see videos of me walking with and without the braces as well as see what sort of movement I have left in my feet?

Filed Under: Featured Tagged With: Charcot Marie Tooth, Charcot–Marie–Tooth disease, CMT, Foot, Health, orthotics, Toe

Medication Dont’s with CMT!

May 11, 2012 by Ashley 2 Comments

I know I have talked about my disability a little bit and about what it does to affect me in my daily life by weakening my muscles in my arms, hands, legs, and feet.  It also affects my peripheral nerves which causes numbness, tingling, pain, and loss of feeling in my extremities.

On top of all of that the Charcot Marie Tooth Association (CMTA) has put out a list of medications that can interact with the disability and make it progress at a faster rate.  It is insane how many drugs are on there!  Check out the list:

Definite High Risk (including asymptomatic CMT)

  • Vinca alkaloids (Vincristine)

Moderate to Significant Risk

  • Amiodarone (Cordarone)
  • Bortezomib (Velcade)
  • Cisplatin & Oxaliplatin
  • Colchicine (extended use)
  • Dapsone
  • Didanosine (ddI, Videx)
  • Dichloroacetate
  • Disulfiram (Antabuse)
  • Eribulin Mesylate (Halaven)
  • Gold salts
  • Ixabepilone (Ixempra)
  • Leflunomide (Arava)
  • Metronidazole/Misonidazole (extended use)
  • Nitrofurantoin (Macrodantin, Furadantin, Macrobid)
  • Nitrous oxide (inhalation abuse or Vitamin B12 deficiency)
  • Perhexiline (not used in U.S.)
  • Pyridoxine (mega dose of Vitamin B6) NIH Fact Sheet
  • Stavudine (d4T, Zerit)
  • Suramin
  • Taxols (paclitaxel, docetaxel)
  • Thalidomide
  • Zalcitabine (ddC, Hivid)

Uncertain or Minor Risk

  • 5-Fluoracil
  • Adriamycin
  • Almitrine (not in U.S.)
  • Chloroquine
  • Ciprofloxacin (Cipro)
  • Cytarabine (high dose)
  • Ethambutol
  • Etoposide (VP-16)
  • Fluoroquinolones
  • Gemcitabine
  • Griseofulvin
  • Hexamethylmelamine
  • Hydralazine
  • Ifosphamide
  • Infliximab
  • Isoniazid (INH)
  • Lansoprazole (Prevacid)
  • Mefloquine
  • Omeprazole (Prilosec)
  • Penicillamine
  • Phenytoin (Dilantin)
  • Podophyllin resin
  • Sertraline (Zoloft)
  • Statins
  • Tacrolimus (FK506, ProGraf)
  • Zimeldine (not in U.S.)
  • a-Interferon

Negligible or Doubtful Risk

  • Allopurinol
  • Amitriptyline
  • Chloramphenicol
  • Chlorprothixene
  • Cimetidine
  • Clioquinil
  • Clofibrate
  • Cyclosporin A
  • Enalapril
  • Gluthethimide
  • Lithium
  • Phenelzine
  • Propafenone
  • Sulfonamides
  • Sulphasalzine
  • Drug Interaction Warning: Antidepressants

The November/December 1995 NAMI Advocate warned of a potentially fatal drug interaction. It involves selective serotonin reuptake inhibitor antidepressants such as Prozac, Zoloft, Paxil and Luvox.

Apparently, a drug interaction between these antidepressants and dextromethorphan and/or pseudoephedrine, found in over-the-counter cold remedies, can cause excessive serotonergic activity. Signs of this “serotonin syndrome” include changes in mental status, hypertension, restlessness, myoclonus (sudden muscle contraction), hyperreflexia (accentuated reflexes), diaphoresis (profuse perspiration), shivering and tremor.

A Note about Alcohol

Alcohol was removed from the neurotoxic drug list in July 2004.  While people with CMT generally suffer no ill effects from the moderate consumption of alcohol, they should be particularly mindful of the fact that alcohol affects balance and coordination, and that overconsumption of alcohol is generally not recommend under any circumstances.  If you have questions about alcohol and your health, consult your physician.

Neurotoxic Medications and Worsening of Neuropathy:

The Charcot-Marie-Tooth Association has long maintained this “Medical Alert” list of potentially neurotoxic medications. It is published on this webpage, in the organization’s bimonthly national newsletter, in The CMTA Report, and in a brochure that is distributed along with a “Dear Medical Professional” letter advising physicians treating CMT patients that they should consider the potential risk of prescribing drugs known to have neurotoxic properties. The list is also freely copied and republished.

Do you have any medications or allergies that can be really annoying  when going to the doctor?  I always have to bring this list with me and I tell the hospital anytime I am at a new one and don’t have the paperwork on me.

Filed Under: Featured Tagged With: Charcot–Marie–Tooth disease, CMT, CMTA

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