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“I Am Not Average ” Chapter 41


I want to start this post with an apology for missing the past two weeks, the simple fact is this shit is hard. It is getting difficult to type using my hands to type and it was a bit upsetting.


But, like the Eminem sang, “look who’s back, shady’s back “. I am back and FCK ALS.


When I first heard I had ALS I had no idea what it was so I thought I would give you a little information.


Once diagnosed with ALS PALS are put into one of two categories.


Sporadic ALS: Sporadic ALS is the most common form of the disease, accounting for approximately 90-95% of all cases. It occurs randomly without any clear genetic or familial association. The exact cause of sporadic ALS is still not fully understood , and Veterans are twice as likely to get it.


Familial ALS (FALS): Familial ALS refers to cases where there is a known family history of the disease. About 5-10% of ALS cases are familial, and it is usually inherited in an autosomal dominant pattern, which means that a person has a 50% chance of inheriting the disease if one of their parents carries the mutated gene.


While Sporadic diagnosis doesn’t garentee ALS won’t be passed on it is far less likely.


I fall under the sporadic category which was a blessing. I have read one family has over 20 PALS.


SOD1, or Superoxide Dismutase 1, is a gene that provides instructions for making an enzyme called copper-zinc superoxide dismutase. This enzyme is involved in the protection of cells from damage caused by reactive oxygen species (ROS), which are highly reactive molecules that can harm dcells and their components. When PALS are genetically tested they look specifically for SOD1. This test helps determine familiar or sporadic. Fortunately for me I do not have the mutation.


The other thing to determine is if you have limb onset or bulbar ALS.


I have bulbar, it started in my right eye and tongue.  This is said to be the more aggressive of the two. Most people experience limb onset ALS, in which symptoms begin in your arms or legs. They are the PALS you hear about living years longer than the average 2-5 years. But 25% of cases are bulbar onset ALS, in which symptoms start from affected neurons in the corticobulbar area of the brain stem.


Again I say FCK ALS! I am not average, and if I am, I’m not living an average life. I hope this gave you a little more insight on ALS.


Today I may be physically wheelchair bound but my mind still travels the world. I challenge you to do something everyday with or without limited abilities. Enjoy what you have now because only God knows our future.


Love and blessings

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Margaret Johnson
Margaret Johnson
Jul 26, 2023
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Thanks for sharing David. It's interesting to hear the different types and onset. I recently have been experiencing strange muscle weakness in my arm. I called to make an appointment to see my Dr stating I was concerned I might have some sort of degenerative condition going on? For me I have Poland Syndrome & Brain tumors so it's entirely possible may be related to that. Although, oddly i am experiencing similar pain/weekness in left hand finger and right arm. Recently i have also had imstances of tremors. Is there a specific test for ALS? How did you first get diagnosed? How long did a diagnosis take from your first symptom to the official diagnosis? You may have already mentioned…

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David DuBois
David DuBois
Jul 26, 2023
Replying to

Margaret

I am sorry to hear about your health issues. Unfortunately there is no definitive test to determine ALS. EMG and MRIs can help but what the doctors do is rule out what you don’t have before diagnosis of ALS.this process can take months. I’m sorry I don’t have a better answer for you. It took a year for me.

Love and blessings

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David DuBois
David DuBois
Jul 25, 2023

Victoria,

Thank you, I have to remember my new normal changes everyday. I used to type 35 words a minute to 5 words now with my eyes. So it’s an adjustment but , others before me did not have this so I am blessed. Thank you for being here for me. Love and blessings

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Victoria Borrelli Pawelczyk
Victoria Borrelli Pawelczyk
Jul 25, 2023
Replying to

❤️‍🩹 You are one of the strongest💪🏼🤩 and bravest💙 people I know and your perseverance is amazing 🤩 especially with all the obstacles you are challenged with daily !

You truly are an inspiration 💙

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Victoria Borrelli Pawelczyk
Victoria Borrelli Pawelczyk
Jul 25, 2023

Dave I am so glad to see you back on your blog and sorry these last two weeks made it difficult for you to do what you are enjoying 😏…teaching, sharing , your humor ,bringing light and attention to the blessings we may not be as aware of as we should sooner than later and so much more … Thanks for the scientific education on the different categories of ALS

Please know that you, Laura and your beautiful family are ALWAYS in my thoughts and prayers and not just on Monday’s as I read and reflect off your blog!

🙏🏼💙🙏🏼💙 PLEASE CONTINUE TO FIGHT THE GOOD FIGHT as well as take in all the love and support around you …ne…

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Hi, thanks for stopping by!

Follow along and I promise lots of laughs and good cries while we all learn about ALS from an educational, informative, and personal perspective - my own Journey with ALS. 

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