Nick's summer vacation 2016

Nicolas comes back to Washington on 12 June 2016. Flying in to Seattle from Denver, on Frontier flight 137, arriving at 11:09.

I have missed him so much.

Nicolas' grand adventure...

Nicolas decided to move to Nebraska and live with his father for 17 months. What drew him most was the thought of snow in the winter. There was still snow when he got there, but was all gone the next day.

The deal was that he would move there around 26 February 2016 and move back to Washington in 2017 if he didn't like it, with visits in between. He'll be back in WA from 20 June 2016 to 15 August 2015 for summer vacation, then a week of winter vacation.

I talked to him on 21 March 2016 and he isn't liking it.

... to be continued

In home caregivers

I had my assessment for getting an in-home caregiver on Wednesday March 9th, only to get a call letting me know that they thought I was too adaptable, or something like that, as if I didn't need help around my home. I might be somewhat adaptable, but that doesn't help me change the sheets on my bed after I had night sweats the previous night.

Sure I live in a one level apartment, but that doesn't mean I don't need help with housework. Vacuuming tires me out, even when I don't move the furniture to get the dog hair that is hiding under it, that tires me out even faster. That dog hair is still under the furniture, probably organising a takeover, after the carpet adopts a personality of its own.

Standing in one spot for 10 minutes or more can render my legs unusable, the muscles lock up and act like I don't remember how to walk anymore, they don't want to move properly. This makes it harder for me to actually cook meals. I'm too poor to order food delivered.

When I get over heated or stressed, I can end up with ataxia, my legs make it look like someone put the wrong sized legs on me, or like they were out on the wrong way. One time I had ataxia and my Mom said it looked like I was trying to walk with someone else's legs.

I see my significant other on the weekends, the days when he's not working at his job. The rest of the time, I'm home alone and have to rely on the bus if I needed to go anywhere. This is difficult for me in bad weather or when I need to go to one of the cities that are 15 miles away from where I live.

Coordinating the time I must leave my house so I can catch the buses for the connecting routes. What used to take me less than an hour back when I still drove could take me better than 3 hours either direction. It's exhausting.

I trip when walking in my apartment, especially when I'm tired. I lose coordination when I'm too warm, tired, or sitting for too long. My feet don't always go where I want them to, sometimes they want to sightsee as I walk down the hall. Not good when I pass the back wheel of my rollator and my foot gives it a kiss as I pass. Down I'd go.

Once, I was crossing the street on my way to the nearest bus stop and my foot or walker hit a rock and all forward motion stopped. I fell in the middle of the street, in front of oncoming traffic. I was mortified!

Does this, sound like someone who doesn't need any help?

I also need help with folding laundry. I'm a little shorter than 5' 1", I have a king size bed. Folding the sheets is a nightmare for me. The edges are longer than I am tall. Remember me mentioning night sweats?  My body doesn't care that Tom was here a day or two ago and won't be back for 4-5 more days. I'm not a Princess, but I'm not a fan of sleeping on stinky, crunchy sheets either.

I can take the dirty sheets off the bed, but putting clean ones on are more than I can do by myself. Sleeping on the naked mattress pad isn't my idea of a good time.

Did you forget that I'm living alone, with my dog 4 to 5 days a week? Taelor isn't much help in the houskeeping department, he just helps with getting things dirty/messy.

I have a load of laundry in the washing machine, I'd better get it started before it starts to stink (wet towels).

~ Jendie

MS Fatigue

 https://msandmentalhealth.wordpress.com/fatigue-and-ms-2013/MS Fatigue

Fatigue and MS — 2013

by J. Lamar Freed, Psy.D.
The experience of Multiple Sclerosis (MS) is marked by fatigue more than any other symptom. Health care professionals usually are informed about this effect of the disease and, of course, those of us with the disease are all to well acquainted with it’s effects. Yet despite this recognition, fatigue has not been taken as seriously nor viewed as profoundly as it merits. Fatigue is a symptom of MS. But it is much more than that. Fatigue underlies and influences many of the other symptoms experienced by people with MS and profoundly influences our quality of life.

In the last 20 years the reason for why people with MS (PWMS) get fatigue has been blamed on demyelination, the same reason for why limbs might be paralyzed or why we get the funny sensations or neuralgias in places anywhere in our body. This explanation says that the brain’s myelin-covered nerve cells are impeded or blocked when the myelin sheath is destroyed. The brain’s information superhighway turns into a quagmire of back roads and detours. Using them is exhausting. More recent research has brought this explanation into question, suggesting that fatigue may be a symptom of MS that comes from the same underlying source that causes the myelin to be attacked by our immune system. Fatigue may be a symptom of MS separate from the level of demylenation. Regardless of the reasons, fatigue is still the most frequent reason for MS disability and something that most PWMS experience in a variety of ways.
Fatigue is a complicated experience. It can be mental, producing difficulty in efficiently using our brains: managing information; retrieving information; concentrating or more selective difficulties.

Examples range very far. PWMS may have difficulty following directions or might have trouble multitasking at the end of a long day or long week. We can have trouble with emotional regulation at times as well, laughing out of proportion to a joke or alternately unable to pull themselves together after a nasty jolt. We can become snappy, or irritable or grouchy at sometimes unpredictable times. But usually it is predictable. We are fatigued. We have dipped too deeply into the well of our limited energy.

Fatigue can also be experienced as lassitude, which is a sense of disengagement from the world. This might look like a loss of a sense of time, a loss of appropriate urgency about tasks, or difficulty holding multiple pieces of information in the brain at once and many other things.
Fatigue can be experienced physically, with reduced strength in our limbs, reduced speed in our reaction time, increased neuralgias: the numbness, pain, and other discomforts that come from malfunctioning neurological systems. It can show itself immediately or, at times, it can be delayed for days. Like everything else about MS, it is highly variable from one person to the next. And while there are many options to help with fatigue, the primary treatment for fatigue is rest.

Physical fatigue often is experienced as a bone-numbing tiredness. It is a tiredness that belies description. It can make movement seem impossible and the requirement for movement overwhelming. Fatigue is to blame when someone with MS can walk without visible difficulty in the morning and by evening need a wheelchair or may be unable to get around at all. It is also fatigue that can make one’s ability on one day differ dramatically from ones ability on another. But it is also responsible for the times when picking up a child is easy in the morning, but a huge task by afternoon.

Attempts to uniformly classify types of MS fatigue have been developed by researchers, but there is no single method that has been used by all. The popular spoons article (search “Spoons and MS) appears to have summed up our experience in ways that resonates with many of us, though it is not a classification system, but rather a highly effective analogy.

Nevertheless, there is universal support that the fatigue experienced by people with MS goes beyond that of people without the disease. While it may be seductive to think that the fatigue of someone with MS is merely an exaggeration of normal fatigue, MS fatigue is qualitatively different. It is an oversimplification to say that a shopping trip for someone with MS is like running a marathon, or that a day at the beach resembles climbing Mt. Everest. The experience of neurological fatigue is unique, influencing many aspects of our abilities and our subjective experience.

This fatigue is also highly variable, reflecting the experience of the highly variable people who get this disease.. There are some with MS who do not subjectively experience fatigue as a primary symptom. Someone can have profound gait disturbances and no fatigue, or paralysis or complete numbness of a limb without experiencing unusual tiredness. Nevertheless, these folks do experience the objective consequences of fatigue. As the day goes on, their gait is likely to worsen. Mentally, they may become less focused and fuzzier as they press themselves to their tasks. Yet they don’t experience the subjective sense of exhaustion that many of the rest of us do.

How does this happen? In part it is because the location of MS lesions vary significantly. The accident of a small, strategically placed section of myelin loss can cause the complete isolation of a section of the body from the brain. The rest of the nervous system may have little or no damage and require no more energy than usual. For people who have this experience, the fatigue is focused only on the small area that is malfunctioning and they may not experience the overall sense of exhaustion that is more common.

For many other PWMS, the random lesions do not initially hit such critical places and the diagnosis of the disease comes after numerous lesions occur throughout the brain and spinal chord. This accumulation of lesions — the multiple potholes and cracks in the superhighway system — leads to the more general physical and mental fatigue experienced by so many with MS.

Mental fatigue is less well understood. There have been studies of cognitive and memory difficulties of those with advanced MS. These studies show that thinking can be disturbed and that fatigue clearly has a disruptive effect. What is known experimentally has confirmed what people with MS have known for a long time: lesions in the communication pathways interfere with thinking as well as movement.

For someone with MS, the quality and speed of thinking can be as variable as his or her walking habits. Someone who can do complicated mathematical permutations on Monday morning may be unable to calculate the tip after dinner out on Friday. Following directions with multiple steps and decision points can seem simple when a person is rested, but it can be an impossible task, requiring many repetitions or copious notes, during a period of fatigue. While MS can disturb memory or thinking directly and permanently, losses that temporarily occur within a single day or week and that improve with rest are the result of fatigue.
Mental exertion for someone with MS can carry consequences far beyond what would be expected under normal conditions. Balancing a checkbook may result in fatigue more appropriate to that of a days worth of accounting. Though less studied than physical fatigue, the quality of mental fatigue is likely to go beyond what is typically experienced by people without the disease.

As with other aspects of MS fatigue, mental fatigue is highly variable. Depending on the placement of the lesions in myelin, thinking can be completely unchanged or, alternately, a disturbance of thinking can be the only symptom experienced. Our experience of fatigue depends on many variables: the location of lesions, the number of lesions, the degree of effort exerted by normal tasks, the original intellectual capacity, the degree of physical exertion and resulting fatigue that accompany mental chores, and the many other unique factors that influence the attributes and the course of the disease for each person with MS.

Another odd attribute about the fatigue that many people with MS experience is that it sometimes does not go away with just one night’s rest. Early in my personal experience with MS I found that when I reached states of deep fatigue, it is after a second day of rest that I truly begin to feel rested. This has been echoed by others with MS. While we can press ourselves to a degree, the recovery time for extreme fatigue is longer than just one night’s sleep. A period of days may be required to recover from a particularly fatiguing or demanding experience or series of experiences. Similarly, fatigue can be cumulative. While someone with MS may be able to handle a busy day without much difficulty at times, two or three busy days in a row can lead to very difficult fatigue.

There are some people with MS who believe that they have triggered relapses or discrete new episodes in the disease by overdoing or inducing extreme fatigue in some way. There is some research and experience to support this, although it is not conclusive. What is conclusive is that chronic symptoms get worse during periods of fatigue. There is more numbness, more clumsiness, more forgetting or difficulty concentrating. People with MS can get increased muscle pain or even increased muscle spasms as fatigue increases. Whatever the chronic symptoms of an individual’s MS may be, they worsen with fatigue. The good news is that if it is caused by fatigue, it can often be cured by rest.

The influence of fatigue goes a step further. It is true to say that when people are tired they don’t want to do anything and they may be unable to perform up to standard. People with MS don’t just get tired more frequently and more quickly and more profoundly than others. They also have to live with being tired a far greater percentage of the time. This cannot be emphasized enough because it has an effect on all aspects of our quality and pace of life.
Living with fatigue means having to cope constantly with its unpleasant effects. Consider a tired child. How would you describe him or her? Grouchy, sullen, distractible, easily hurt, snippy, pessimistic, immature, picky, needy, demoralized, testy, easily pushed to anger or tears, remote, more prone to worry. These and many other things are often accurate. A tired child has more trouble concentrating. A tired child has no ambition. A tired child is a far different animal than what he or she was, sometimes just hours earlier. Then the child was cheerful, full of pep, precocious, smart, focused, impervious to criticism, immune to damage.

Adults with MS do not carry their moods transparently, like children. But the underlying effect is very similar, even as it varies according to ones particular personality. When someone is operating while fatigued, even when that someone is an adult, his or her experience changes dramatically. Moods can be low. Demoralization can set in. Negative thoughts may seem more realistic. Requests from others might seem more intrusive. Small worries can become major anxieties. Kind suggestions can feel like hostile criticism. What seemed like a simple task just hours ago appears now to be a burden or an imposition.

During times of fatigue everyone is less themselves. People can be snappier. They may be more prone to tears or tirades, and they are often more easily hurt and less hesitant to hurt others. When tired, people are less in control of both thoughts and emotions. When fatigue states become extreme, moods can look labile or highly fluctuating and out of control.
Not only are the bodies and minds of people with MS prone to fatigue, but that fatigue compounds itself to test normal human resiliency and make it less accessible, leaving the person with MS struggling to meet the challenges of the disease with lowered spirits and undermined resolve.

This experience is not depression and it is not anxiety. It is fatigue. This is not to say the people with MS don’t get depressed or anxious. The opposite is certainly true. Nor does it mean they can’t learn to increase their ability to cope with the effect of fatigue. People with MS often get psychological symptoms and they can learn to deal with both the depression and with the anxiety that often accompanies the experience of being sick with a exhausting and unpredictable disease. But fatigue is different from these emotional issues and is less likely to respond to treatments for psychological disorders.

Fatigue has been treated with medication. A variety of stimulants were tested and demonstrated to improve the energy levels of some people suffering MS fatigue. These medications, along with their side effects, can be discussed with your neurologist. Not everyone benefits from these medications. For some they provide only a partial improvement in the level of energy or may offer unpleasant side effects.

More effective is the treatment one can get without a doctor’s prescription: rest.
The need for rest and ones ability to discipline ourselves to rest enough is as highly variable as every other attribute and symptom shared by people with MS. For many with MS in its early stages or during periods of remission a general increase in the restfulness of ones environment may be sufficient to allow for an approximation of normal activity: taking a quiet lunch instead of running errands or exercising; reading or watching movies on days off; or moderating our social calendars, as examples.

The environment also can be changed or modified slightly. Better seating at home or at work might be provided. Within a family, chores can be re-divided to give more sedentary tasks to the one with MS. At work, job descriptions can be altered to provide for a reduced demand for physical energy. Work can be organized to leave the less demanding tasks for the end of the day and week.

Many times such slight changes are effective at decreasing the severe fatigue suffered in MS. Frequently, more dramatic changes are needed. Fatigue may be reduced much more significantly if more aggressive changes are made. Taking a two-hour lunch or taking a nap in the afternoon are some examples. Parents with children may need to send them to day care just so they can get enough rest. Jobs that require regular physical exertion may have to be replaced with jobs that allow sitting most of the day. More painfully, some people don’t find that they can manage the most profound fatigue until they retire or semi-retire from their full time jobs. Fatigue can be disabling.

Often, no amount of environmental change is sufficient to relieve the fatigue experienced by those with MS. Yet, there are things to do to make the effect of fatigue less painful or damaging. People with MS benefit substantially by building a repertoire of sedentary activities that can be enjoyed regardless of any level of fatigue. This means more than watching TV. This can include reading, writing, puzzle solving, computer games, meditation, listening to music or books on tape, talking to friends on the phone, surfing the Internet, learning to speak another language, memorizing the birds of the Amazon — the list is endless. This is more difficult for some than for others. Those who most enjoy active invigorating physical recreation may have more difficulty adjusting to a regimen that includes rest than those who were initially more sedate. 

Speculatively, a long history of undiagnosed MS may have already influenced individuals to be more sedentary by the time symptoms have worsened enough to get a diagnosis.
The people who surround a person with MS can also be trained to serve as a buffer against exhaustion. In addition to taking on more physically demanding chores (or all of the chores, at times), loved ones can become sensitive to timing and important signals. Discussions of important decisions can be delayed to those times of maximum cognitive energy. The requirement of last minute cancellations of strenuous events can be treated with respect and understanding. For many people with MS it is the significant other that notices the first signs of an impending time of fatigue and may take steps to get to back to home and hearth. It may be your spouse who sends you in from the garden, after noticing an increased tremor or wobble.
Ways of communicating about fatigue may have to be developed within a family. As with anxiety and pain, fatigue can be rated. Rate the worse experience of fatigue as a ten and the complete absence of fatigue as a zero, then compare your current fatigue state to other times. 

Use this to communicate with your family. Other ways of rating fatigue — color-coding, for example — may be developed.
People close to those with MS can become very sensitive to the signs of fatigue. There is good reason for this. The benefits of controlling fatigue are many. Not only does monitored and minimized fatigue make the person with MS more like himself or herself for more of the time, but it also reduces the experience of many of the chronic symptoms of MS, symptoms that are unpleasant for the person with MS and his or her family alike.

But not even the most sensitive and supportive family is as effective as the practiced, aware and disciplined person with MS. To do as much as we like, to be as rested as possible, we must become expert in our own disease. This involves taking care to avoid known fatiguing experiences, watching out for the warning signs of fatigue, planning the day or week to provide for needed rest, keeping commitments to a level that avoids the buildup of fatigue, and leaving a buffer to allow for recuperation if fatigue goes beyond expected levels. All these things, and more, depending on the form taken by ones own MS, can be monitored and controlled.
Fatigue is a central factor in MS and its control can have a profound modulating influence on the experience of the disease.

Much is still unknown about fatigue. The experience of many people with MS and some studies have given support to the idea that the avoidance of fatigue can influence the progression of MS or reduce exacerbations. This, however, is still speculative. What is known is that fatigue is more than just an unpleasant part of this disease. As a person with MS gets more fatigued, all other symptoms of the disease are made worse. For this reason and many others, it is well worth any effort to reduce and control fatigue.

Contact Dr. Freed now for a personal consultation regarding how to manage your MS fatigue. His website is lamarfreed.com

Squatty Potty

Must remember to ask Tom if he has seen the "Squatty Potty" commercial.

I found it amusing, though somewhat disgusting. There is a link to the You Tube post showing it posted in the BT MS forum.

MS Fatigue

MS Fatigue

Fatigue & MS: It’s Different

By Laura Kolaczkowski—June 16, 2013

People living with MS understand the following statements all too well:
“If you just try harder.”
“You’re just depressed- once you get that under control you’ll feel better.”
“If you lose some weight that would help.”
“If you gain some weight, that might help.”
“Of course you are – I have days like that, too – but I push through and you can, too.”
These are just a few examples of usually well-meaning people encouraging us to cure our own MS fatigue and get back to the activities of daily life. If only it were that simple.  About 80% of people with Multiple Sclerosis list fatigue as one of their worst symptoms, yet it seems to be among the least understood.  Because we ‘look so good,’ it is difficult for others to comprehend the continuous assault going on inside our central nervous system. Fatigue can’t be measured or touched and it takes a good deal of energy to explain it to those who don’t have MS.
Many people with MS refer those who don’t understand our particular fatigue to the Spoon Theory, written about living with a chronic disease, by Christine Miserandino.
The spoon theory proposes that we begin the day with so many spoons and once we use them up, they are gone for the day- we have to choose what we do each day and pace ourselves so that we have something in reserve at the end of the day.
Recently I saw a reference to a different yet similar explanation of fatigue  –  if healthy people begin the day with a tank full of gas in their vehicle, people with MS get perhaps only a gallon or two to get where they need to go on any given day. Our tank hits empty long before others’ fuel supply.
My fatigue comes with physical activity – I can be mentally engaged all day long, just don’t require me to get up and move because this is when the exhaustion hits hard and fast. My central nervous system isn’t wired like a healthy person, and the signals are constantly corrupted and move slower.  Due to balance issues, my body is always fighting to keep me up right, but in exchange my energy reserve is used much more than a healthy person.   My body is in a constant battle almost all the time when I move and that is the main source of my fatigue.  It is different for each and every one else as to what brings on their fatigue.
What seems to be the same for all of us, though, is the inability of those close to us to really understand why we have to stop.  MS blogger Trevis Gleason calls this the ‘lay down or fall down’ option, and rightly so.  If needed, our body will stop us if we aren’t smart enough to do it ourself. As we learn to live with our MS, we also have to learn to be smarter about pushing through when we should be hitting the brakes, but getting those around us to understand can be hard or even feel impossible. It is a tough lesson to learn and it took me a while, but I am no longer cajoled or prodded into pushing when I just don’t have it to give.  I hope you have learned to slow down when necessary and not push until your MS becomes the boss and stops you in your tracks.
Wishing you well,
Laura



That wasn't written by me, but it really explains what I have to deal with as a person with MS. The "Lay down or fall down" analogy is very similar to when I say that I got to a "Sit down or fall down" point when I've been walking for too long.

I dealt with this in 2003 (after my youngest son turned 2) which was 5 years after I was diagnosed with MS. I couldn't walk more than a quarter mile before I got to that point. I actually DID fall down when I didn't listen to my body.  I got referred to a MS specialist and she suggested I try Novantrone (mitoxantrone), a chemotherapy that helped some people with progressing MS get back to their old normal.

Novantrone has a negative cumulative effect, it's heart toxic after 12 infusions. I've had 9 infusions and I decided I didn't want to do the last 3. My sister died from a heart attack that was caused by her having type 1 (insulin dependent) diabetes. It's not the same, but my parents had already lost one adult child and I didn't want to potentially add to the pain.

My sister passed away in 2006 and that was the same year of my final Novantrone infusion.

11/22/2015. 5 days after total hysterectomy

I I realized something yesterday, no more knee pain.

Life with MS can throw one some strange curveballs. I didn't totally realize that the knee pain was related to menses.

As I sailed through peri-menopause I was experiencing strange aches and pains. Now that I'm in full menopause with my ovaries out, I'm enjoying the lack of knee pain.

Why didn't I do this sooner? Mostly because the doctors didn't want to do this on the off chance it might help?

Why don't male doctors listen to female patients? Women generally know their bodies best. I'm guessing a lot of men don't want to accept that little factoid.

New project idea

I'm sitting in my living room, thinking of all the knit dish cloths I've made, then an idea popped into my head - make an afghan out of a bunch of dishcloths sewn together. I've made a bunch, I love making them, they are so quick and easy. I can make one 8" dish cloth in a day.

Life with a teenager in the house

I'm sitting here, with a project sitting next to me on the couch, but I'm also reading posts on Facebook. Jann's post

Mmmm, cupcakes with "scary" strawberries on top.

Then I think that if I made something like that Nicolas would find a way to eat them before we go to the Halloween party we were invited to on Saturday (Halloween 2015).

I only need to knit a few more rows of this dishcloth, then I'll be finished.

Back to work!

Ugh... tired

I almost feel like I'm hungover, but I haven't had anything alcoholic to drink since Saturday, when Tom and I went to the Halloween party at the House of T&T. I was totally sober by the time we left.

I'm tired and nauseated... I think I'll go back to bed.

The true reason I feel like this is probably because my menstrual cycle started today. BLEH!!!

Taelor's red spot

On 24 October 2015, Brandon and I took Taelor to the vet to have a a small mass on his left leg checked out. They took a biopsy and prescribed abx. I should hear back within 2 weeks.

 I hope it's something benign.

Make Your Own Flea Shampoo

Make Your Own Flea Shampoo Simply combine one cup Dawn, one cup vinegar and one quart water.

Hmmm.. I just found this online... one of the Life Hacks. I'm looking forward to trying this recipe.

Almond Flour Banana Bread...

I'm currently baking Banana Bread that is made with almond flour instead of wheat flour. It will be ready in about 45 minutes and I'll post a review in my cooking blog: Jendy's Cooking.

I used coconut oil for the oil, honey for the sweetener and I've already mentioned the flour swap. There is also some some chopped walnuts and mini chocolate chips in this batch.

Wheelchair Kamikaze: Experimental MS Drug Ocrelizumab Deemed A Success ...

Wheelchair Kamikaze: Experimental MS Drug Ocrelizumab Deemed A Success ...: Last week, the drug company Genentech (a subsidiary of Swiss drugmaker Roche Pharmaceuticals) announced that its Phase III trials for trea...

MITOQ

This is what I found in an ad online...

Hysterectomy...

I have a pre-op appt regarding me getting an oophorectomy(total hysterectomy). On 4 November 2015. Entire baby factory will be removed in hopes that it will help me with my MS. I've been having flare-ups of old MS symptoms during my menstrual cycle... bleh.

Today I feel like the old sx from when they thought I had carpal tunnel syndrome. Pain in my right hand and fingers.

I also had a biopsy of my uterine lining. I thought the bleeding from that had stopped, but a few hours later it seems heavier. So it's either post biopsy bleeding, or I've started my period, which I thought might be starting this weekend... time will tell.

I'll be getting a call soon to let me know when I'll be scheduled for surgery... I'm guessing sometime in November.

If I menses didn't start just after the biopsy (25Sept2015), I started on Sunday, 27 Sept.

MS appt on 28 July 2015

I have an appointment with the MS specialist from Swedish medical tomorrow. We will discuss potential meds for me to go on now that I've stopped taking Aubagio. They don't like it when I'm not on a med.... I can't go back onto Methotrexate since I'll be having surgery within the next 2 months.

They keep suggesting meds for people who have the relapsing/remitting type of MS, but I've been secondary progressive for at least 5 years. I have no active MS lesions in my brain. They (the regular MS doctor and specialist from Swedish) frustrate me beyond belief.

Once again, I've lost faith in the medical profession.

Homemade Ice packs

Found this on Facebook... It was nice to get a refresher of what my PT had told me years ago.

Games to Train Your Dog

Games to train your dog

There are many reasons to play games with your dog. For one most important reason, it will strengthen your relationship. People who regularly play with their dog develop understanding, respect and communication with their dog. Games are activities you do with your dog that require the two of you to communicate and work together in some way. Dogs are social creatures, playing games is an important element in developing social relationships. Playing games is a fundamental way of ‘modeling’ a real life. You can teach a dog to obey by playing games that make following your instructions fun.

Besides that, it will keep the dog from getting bored, which will keep him from things you don’t want him doing, and make him healthier.

Games to play:

• Hide and Seek: Put your dog on a sit or down position to wait. Then you go and hide in another room or behind a door. Call him when you are ready. Act very excited and give him a treat when he successfully found you. Start with an easy place and slowly move to more difficult to find places. This is fun and will also teach your dog to wait until called.

• Fetch: Some dogs are natural fetchers, others are not. But it can be trained and have fun. Start be throwing a toy/ball or stick to shorter distances for a start, and command “fetch”. When he manages to fetch it, praise and reward him a lot, eventually he will know the game. Also, practice “drop it” in this “fetch” game. If your dog refuses to return the ball, which is quite common, or drops it too far away, end the game in disgust.

• Drop it: One way to train “drop it” is to give the dog large items to hold, then offer a very desirable treat for exchange. Wait patiently until the dog notices the attractive treat, and drop the thing and exchange for the treat. If the dog picks it up again, try another exchange and practice again. When the dog is dropping the toy regularly, start giving the cute “drop it” before each treat.

• Clean up your toys: Get a box to collect a number of toys, Scatter a few toys on the floor. Through shaping and teasing, get the dog to pick up the items one at a time, and place them in your hand. Once the dog is lifting the items high enough to get your hand underneath to receive, you are well started. Reward each “gift” with a treat. This is a “return for refund” game. Try different shapes of items which are safe for your dog to pick up. Each item retrieved is dumped into the bucket. You will be surprised; your dog will end up helping you to clean the house!

• Find it!: Put your dog in a down-stay position, show him the treat or his favorite toy, then let him watch you put it behind a door, a chair or under a towel. Then tell him to “Find it!” When he does, give him lots of praise. And of course, he gets to eat a treat. You can repeat this by varying the places and treats. Over time, hide the treat where the dog can’t see it, like in another room. Release her, and let her get the treat. You can increase the distance and difficulty level. This is especially good for dogs that have learnt “stay” but are nervous about having their people go out of sight.

• Simon says: If you have the right attitude, you can make obedience training a game. Let your dog prove how clever he or she is by sitting when you say “sit”, lying down when you say “down” etc. Try it when your eyes are closed, your back is to the dog, or you are in a different position like lying down or even standing on your head! For advanced learners you can try to mix up “drop it”, “take it”, “get it”, “hold it” and “leave it”. You’ll be surprised with the results if trained properly and with patience.

• Give him a problem to solve: :Bored dog? Put a treat inside a cardboard box and let your dog work to get it out. Make it easy at first – start with a box without a lid and let the dog see you put the treat in it. Work up to more difficult ones. Depending on your dog’s skill, you may end up with pieces of box all over the floor but you’ll have a very happy and busy dog throughout the process.

• Playing soccer: Need exercise? Did you know you can teach your dog to play soccer too? Start the game by gently kicking the ball along the ground toward your dog. Encourage him to get it. The ball is too big to pick up with his teeth, so it will take him a few minutes to figure out that he must push it with his nose or bat it with his paws. Give him lots of praise as he begins to catch on. As he gets better at it, you can include more people in the game. For breeds too small to handle a soccer ball, soft rubber balls can be used.

Aubagio

17 June 2015T

Today I started the oral MS drug , Aubagio. It's for people with RRMS. I hope it will work for me


I developed a rash a couple weeks after I started and subsequently stopped taking it on 3 July 2015.