Tuesday, October 31, 2006

je suis le mental case, part 2

Essentially, I Tremor

I have a neurological disorder called Essential Tremor. Personally, I think that is one of the stupidest names ever, but since I'm not able to change that anytime soon, I should just get over that. It's a tremor, to be sure, I have no problem with that part of it - it's the whole "Essential" bit that I just can't wrap my head around. There's really nothing "essential" about it. But I digress.

While the onset of Essential Tremor can result in a trembling or twitching impacting many different areas of the body, it is most commonly found in the hands or the face of those afflicted. The tremor is sometimes, but not always, noticeable in a resting position and is frequently seen in moving gestures, particularly those with a more precise or finely tuned sense of movement. Love espresso though I may, those demi-tasse cups are killer. Chopsticks are also difficult for me to maneuver, but I still insist on using them. And it's safe to say that I could never aspire to become a brain surgeon.

For some time, I simply thought that I drank too much coffee and left it at that. I later was able to rule out this theory when I asked my doctor about my shaky hands.

Essential Tremor is surprisingly common (more so than Parkinson's Disease), yet I had never heard of it prior to my diagnosis some ten years ago. And while many are under the impression that she had Parkinson's, Essential Tremor is actually what Katherine Hepburn was afflicted with and that caused her to tremble.

To settle the tremor, I take beta blockers (specifically Inderal) and that seems to work most of the time. Alcohol works, too, but isn't always advisable. Unfortunately, the condition seems to worsen with age and I'm pretty much maxed out on the dosage of beta blockers that I'm permitted to swallow. You see, beta blockers lower one's heart rate and blood pressure and since, in both cases, mine are already on the low side, the consumption of the beta blockers plummets my blood pressure into the alarming region.

And, still, I shake.

Not such a big deal if I were a go-go dancer or a dog washer.

The worst part of it is not so much the shaking itself - it's not as though it is painful to tremble, although it is a little bit agitating. Worse, though, is how some folks respond to me when they notice my hands trembling.

I kid you not. Peeps are downright MEAN. I have had people ask me if I am an alcoholic or a junkie or if I am jonesin' for a fix; I have had folks exaggeratingly mimic my tremble (often with an affected crazy-person expression on their face); I've had customers at work tip me less because I shake and have been the recipient of cruel career advice (i.e. "maybe you should get a job where you don't have to carry things"); I've had people nervously grab things out of my hands and I've encountered people who have just said rude and obnoxious things (in addition to those previously mentioned).

I wish it didn't bother me so much when folks say rude things or when they mimic me, but it does. I don't know why. Years ago, before I knew that I had a neurological disorder, I would cower in shame at the rude comments and mimicry. Now, I just look people directly in the eyes and tell them that I have a neurological disorder and can't help it and that I'm sorry if it makes them uncomfortable. Usually, when this happens, people will shut up already. Unless, of course, I am at work and am serving them a martini and accidentally spill it. But then I just make them a little extra to (over)compensate for what I spilled and that usually shuts them up.

The moral of this story: be nice to shaky people please!

11 comments:

Anonymous said...

Hey! I think that I have a low grade case of essential tremor in my hands. Wow, never knew what that was. When I am conscious of it, it is worse. Under stress - worse, too. Does that happen to you?

Anonymous said...

I've had it for over 15 years also. I find that (herbs) kava kava and valerian definitely make the mhz of the tremor go down, although it never entirely stops. The 3 things that amplify it are cold, stress and tired. Try to avoid those things; although in today's world, that's damn hard.

Just to let ya know...been there done that, still living it...gave up on the drugs that the neurologist put me on and only take the kava and valerian as needed.

B.

bad kitty said...

Hi Maryam and B.!

Yes, it does worsen under stress and fatigue, although I'm not sure that temperature has an impact (with winter rapidly approaching, I'll be able to check that out). As a graduate student who works 3/4 time, I don't foresee eliminating stress or fatigue anytime soon!

I've never used kava kava, but I have used Valerian to ease menstrual cramps (it works, too!). I wonder if I could supplement my beta blockers with Valerian? I have a Naturopath friend I'll ask. At this point, I am not willing to go off of the beta blockers simply because they do help and it's soooo much worse without them. Perhaps when I have a job in which my hands are not in the public eye so much, I can give this a try.

Thanks for the comments and feedback!

Anonymous said...

Hi, Ive had ET since I was 29, Im now 45. It has severely affected my life. I couldnt get through a job interview without shaking, and I believe it cost me many a job. I also have epilepsy, so the two together have wiped out my ability to work. Add to that migraine, and my life as gotten very hard. I try to stay happy, but with the pain, and shaking its getting harder. Ive become an introvert, being stared at or asked if Im ok got to be too much to deal with. Thankfully at this point I mainly have head tremors, and hand tremors only occasionally.
I have found that explaining that I have what Kate had has gone a long way, as most people are familar with her shaking.

I wish you the best,
Cathy

bad kitty said...

Thanks for your comment and kind wishes, Cathy. I'm so sorry that you were so adversely impacted by ET, although I certainly understand how that feels and why the pain would drive you to seclusion. People just don't know about it and so they arrive at their own conclusions, which can be especially problematic in the job interview scenario.

You didn't mention whether or not you've tried taking anything for it...I've been very happy with the results on Inderal, even though my condition has worsened as I've aged. I first noticed a tremor when I was in my late teens/early 20s, but didn't start taking anything for it until my late 20s. I'm now 40. Also, another reader upthread suggested kava kava and valerian to alleviate the tremor.

I wish the very best right back at you and hope that you take good care of yourself!

Anonymous said...

Hey again,
Ive tried topamax, actully taken for the migraine, but it did make the tremors stop, but unfortunatly i had to stop taking it because it made me have seizures, which i thought was totally weird since its an anitseizure med. But it was amazing, they were gone. Ive asked migraine doc about inderal, but he didnt want me to take it, perhaps because I take phenobarb, he never gave me a reason, and i didnt push. perhaps its time to explore more options since its impacted my social life. I find myself apologizing for scaring people, Doctors/teachers etc because some days it can be very distracting, once they know what it is they arent afrid anymore, but then they pitty me, which i also dont care for. :)
You know if I only had the ET to deal with, I might not feel so discouraged, but to have 3 neurological problems, all of which have a social impact sometimes overwelms me.

Thank you for the encouragement. :)
Cathy

Anonymous said...

I know exactly how you feel, Ive had ET as long as I can remember, had it handed down to me through the family.

I take inderal for it, but im finding its not as effective as it was when i first went on it.

It sucks, and im always concious of it. But hey, theres people alot worse off then us.

Anyway, just thought I'd drop another comment to let you know your not alone.

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Unknown said...

I have had ET for about 15 years. It was only diagnosed 1 1/2 years ago. I was an artist as the disease progressed I altered my art thinking that I was losing my talent. Today, I cannot write in longhand anymore. Balance is gone, if you have ET you know the drill. I also have other medical issues. I use 7 different prescriptions along with insulin. I started using Medical Marijuana in pill form for my Peripheral Neurapathy as I could not use the traditional medicines. As of late I started adding Kava and Valerian to the cannabis pills I make. It seems to make a difference in the tremors but not balance issues. I am concerned about long term use of these herbs. I use less than is normally suggested

Anonymous said...

I too have had Essential tremors for about fifteen years. It was only diagnosed last year. For me it first showed up as a loss of balance. I though it was Parkinson's, which seems to run in the family, even though the doctors say it is not hereditary. I am partially deaf in one ear. Due to other medical issues I can not use the beta blockers or other medicines. Cold is the worst culprit. I like cool temps and at a function a couple of weeks ago; I sat near an open door. While I was not uncomfortable my whole body started to tremble and not just my hands but chest muscles and legs. I am trying Valerian root along with Medical Cannabis. Hopefully it might help.

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