Thursday, March 29, 2007
Wednesday, March 28, 2007
Monday, March 26, 2007
Friday, March 23, 2007
Wednesday, March 21, 2007
Monday, March 19, 2007
Tuesday, March 13, 2007
Monday, March 12, 2007
Thursday, March 08, 2007
Tuesday, March 06, 2007
Oh, and for those who are interested in how Botox works, here is an excerpt from webmd.com:
Botulinum toxin, called botox for short, is a muscle-relaxing medication used to decrease spasticity related to multiple sclerosis and other neurological conditions.
Botulinum toxin is derived from the bacterium Clostridium Botulinum and is in a class of drugs called neurotoxins. There are two types of botulinum toxin available for therapeutic use:
Botulinum toxin type A (Botox®)
Botulinum toxin type B (Myobloc®)
Your doctor will decide which type of botulinum toxin is more appropriate for you.
The FDA, despite the drug's effectiveness, has not yet approved the use of botox to treat MS-related spasticity.
Spasticity refers to a wide range of involuntary muscle contractions that result in muscle spasms or stiffness. Spasticity interferes with voluntary muscle movement and usually involves the muscles of the legs and/or arms.
Spasticity may vary, based on many factors, including infections, stress, pain, temperature, position and time of the day. Over time, severe spasticity may cause decreased range of motion in the affected limbs.
Spasticity is the result of an imbalance in the central nervous system, caused by a trauma or disease in the brain and/or spinal cord. This imbalance causes hyperactive muscle stretch reflexes, which result in involuntary contractions and increased muscle tone.
Some doctors believe that an increased sensitivity in the parts of the muscles that are responsible for contracting (tightening), relaxing and stretching the muscles contribute to spasticity.
Normally, the brain sends electrical messages to the muscles so that they can contract and move. This message is transmitted to the muscle by a substance called acetylcholine. Botulinum toxin works to block the release of acetylcholine; therefore the muscle doesn't receive the message to contract.
Botulinum toxin is given as an intramuscular injection (in the muscle). Your doctor will determine the muscle(s) in need of treatment.
If the muscles to be injected are small or difficult to reach, it may be necessary to send short electric impulses, or to record electric signals from the muscles, to ensure that the appropriate muscles are receiving the injected medication.
A very fine needle is used for the injection. Some people report minor and temporary discomfort from the injection. The medication does not sting or cause irritation after it has been injected.
You can expect the appointment to last from 1 to 2 hours.
The effects of the medication begin to appear from one to two weeks after the injection. The muscles injected should then relax.
The advantages of botulinum toxin include.
Improvement of discomfort related to spasticity symptoms.
In some cases, improved ability to use the affected part of the body.
The medication is effective for two to six months, depending on the individual.
The disadvantages of botulinum toxin include:
The benefit of botulinum toxin is limited to the injected muscles. Therefore, botulinum toxin may not be a good choice of treatment when many muscles are involved or when the spastic muscles are large.
The effect of the injections is temporary. Therefore, injections must be repeated over time to maintain the beneficial effects. Injections are not repeated more often than every 3 months to minimize the risk of developing antibodies to the botulinum toxin (see below).
Thursday, March 01, 2007
My dearest Shawn,
It's been three and a half years since you left us. In some ways it seems just like yesterday, and in other ways it seems like a lifetime ago. And in spite of myself, I still mourn my loss. I miss you. I miss having you in my life. I miss seeing my twins grow up together. I keep telling myself to move on--it's time to get over it. But I don't know if I'll ever be able to completely let go. My heart will never be able to say goodbye. I love you. I love you so much.
Forever your mommy.
Journaling on the side: I want to hold you. I want to be your mother--to fuss over you and worry about. I can't wait to see you in Heaven.