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Macon, Georgia: Take One

The pickup trucks, everywhere.

Chromed. Uplifted. Ginormous wheels and tires. Throaty exhaust. Aggressive vehicles… and drivers to match.

Why so many? And SO gussied up?

“It’s not real exciting around here,” explained ace saleswoman at the splendid Ace Hardware on Forsyth Road. “Our trucks are an adrenaline rush.” (Not to mention, she said, a perfect, broadside target for the ubiquitous deer.)

The Macon community is human-scaled, rarely in a hurry. Not slow; just measured.

Polite is good here, most encounters at least so far. Nice community fabric to build a future on.

Some say the town is “cliquish.” That seems to connote long-timers versus not-so long-timers, as in 40-50 years. Go figure.

My wife has thrown the warm and welcoming members of our new seniors sub-community, stately Carlyle Place, for a bit of a loop.

The most senior remember her as Cynthia Jane Struby, daughter of the late and distinguished, long-time leader (president and publisher) of The Macon Telegraph. Daughter also of the late Jane Spearman Struby, every ounce a gracious, Macon mainstay of long lineage.

That smart Cynthia Jane went off to her own solid newspaper career in Columbia, S.C., Alexandria, Va. (managing editor before age 30), Charlotte and finally Myrtle Beach, S.C. She retired to raise her two boys, now men.

First with her closest high school friends, then at Furman, then later in newspapers, people called her Struby, not Cynthia. She liked it. (“I don’t see myself looking like a Cynthia.”)

She was “Struby” when I met and married her while we were both editors at The Charlotte Observer. (That was 38 years ago, for the curious.)

So here we are at Carlyle, our first week in town, arriving from Tampa. Struby is a clique “cross-dresser,” Old Maconite returning from 45-plus years in the Wilderness of other places..

Heads are spinning at wonderful Carlyle Place.

But residents will come to remember it’s “Struby,” not Cynthia.

 

 

 

 

 

 

 

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KASH, The Thelens’ Mover

Weird time it is at Chez Thelen/Tampa, Saturday, Nov. 4.

Packers have reduced our life to a series of 2-to-4-foot-tall, boxes– rows of centurions at alert. Movers come Sunday, led by 18-wheeling chap named Kash. KASH!!! (He gotta be packing heat inside his leather.)

Wheels up to Macon Monday, probably, maybe. All depends on the loading speed of KASH and his team.

New Carlyle Place home, 2700 sq. ft., awaits–half the size of Tampa home. Struby has blown up the kitchen, rejiggered the rest of house to fit her very clear vision. Getting great new blue, king bed, “Quincy” (by Ethan Allen, of course.) Quincy as in John Q. Adams. I spotted it. Love it.

My other treats are an under-construction Cigar porch (man cave) and a boffo audio system. (That’s you AV master, Jeff Smith.) Wolfgang and Grateful Dead will never have sounded better.

I make my first public appearance in Macon area Nov. 14. Forsyth Kiwanis club mini-speech on PD. Will dial down my “relentlessness” (re PD patient advocacy). Macon VERY conservative and quite polite.

Picking up new set of brain “mufflers” Monday from Midas shop. Mufflers to be grafted between my wicked cortex and too-often ribald tongue.

Mufflers are a survival necessity in a community whose headliner these days is Eric Ericson, Alt Right guru. (His home was picketed by two Trumpites because he would not endorse Donald’s candidacy. Yes, that sound you heard was my throat clearing.)

My PD is behaving well. First order of business next week, at Carlyle’s superb exercise facility, is finding a personal trainer. Must fill void left by end of 3-a -week Rock Steady Boxing and 2-a-week spinning in Tampa. (Only RSB program in ALL of Georgia is a bazillion miles north in Atlanta.) Exercise is my killer App against the Parkinson’s Beast.

To understate things, a tad, my Davis Phinney Foundation, patient-advocacy work in Georgia looms large.

Davis Phinney Foundation, Must Read, National Parkinson's Foundation, Parkinson Disease Foundation, Parkinson's Disease, Uncategorized

Rock Steady Fighting to Survive in Tampa

Rock Steady Boxing (RSB) is thriving nationwide. Except in Tampa.

This proven, highly effective exercise program for People With Parkinson’s (Parkies, in my vernacular) is short of enrollees in Tampa. The monthly average is 10. The same class in nearby St. Petersburg (Pinellas County, to be exact) averages 34 boxers.

Program director Jordan Brannon can’t explain the difference. “Same metro area. Same people. I am puzzled.”

She told Tampa boxers their program will end December 31 unless 20 steadfast participants are aboard. That’s her breakeven financial number. She is redoubling her recruitment efforts in Tampa.

I am in the Tampa program. See below for the letter I wrote Oct. 18 to University of South Florida Health (Neurology). USF Neurology responded Oct. 24 (below).

The Rock Steady difficulties are the second setback for PD patient-care initiatives in Tampa Bay.

USF Health (Neurology) was chosen as one of nine national 2016-17 test sites for the PD SELF information-and-action training program for Parkies. Seven of the nine sites were renewed for 2017-18. Tampa was not. (I was a “co-facilitator” of the Tampa program for part of its run.)

Diane Cook, PD SELF program director, has written that results of the 2016-17 rollout “were very positive and showed significant improvement in self-efficacy leading to improved anxiety, depression, stress and perceived support.”

University of South Florida Parkinson’s Disease and Movement Disorders Center is a Parkinson’s Foundation National Center of Excellence.

My letter to Dr. Clifton Gooch, Neurology Director at USF Health follows:

Dear Dr. Gooch,

I write representing the urgent concerns of the 10 regular adherents of Rock Steady Boxing/Tampa.

We need the help of your physicians and staff to ensure the future of the Tampa RSB program. Program Director Jordan Brannon (a USF grad) told us Monday that the program is financially not viable. Unless there are 20 active participants by year’s end, the program will close.

Brannon said she will redouble her recruitment efforts.

Evidence is overwhelming and unassailable of RSB’s restorative power for PWP. RSB is expanding rapidly nationwide and worldwide. We will be an outlier should we lose the Tampa program.

USF Neurology, through the Parkinson’s Foundation (Miami office), has financially supported Brannon in creating and expanding her Largo and Tampa RSB programs.

We request USF neurologists redouble their efforts to bring RSB to patients’ attention. A physician’s push is vital in motivating PWP to commit to a rigorous and regular exercise program.

The Byrd Center is justly proud of its sponsorship of the growing Jewish Community Center programing for PWP.

We in RSB/Tampa request equal footing.

Urgently.

Sincerely,

Gil Thelen (on behalf of RSB/Tampa adherents)

Dr. Gooch replied Oct. 24 as follows:

Mr. Thelen:

The USF Parkinson’s center has always been a strong supporter of Rock Steady Boxing, so I am confused by your email. I am copying Dr. Hauser for his reply.
Clifton Gooch MD
Dr. Gooch’s response, in its entirety:
“Mr. Thelen:

“The USF Parkinson’s center has always been a strong supporter of Rock Steady Boxing, so I am confused by your email. I am copying Dr. Hauser for his reply.
“Clifton Gooch MD”

 

 

 

 

 

 

 

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PD Ups and Downs

 

In reporting “Counter Punch” I uncovered nuggets of invaluable information about managing my PD. The book, by the way, is in my body shop for rewrite. Basic information is the same. It demands more personalized storytelling.

In Fall 2016 my PD dealt me a wicked blow. My autonomic (involuntary) nervous system collapsed. Drinking water constantly (polydipsia), peeing incessantly (polyuria), hot flashes, spacial disorientation, equilibrium and balance kaput, further loss of touch and feel in hands. A nightmare.

It took nine months of hard work to recover. Personal trainer Jordan Brannon and Physical Therapist (Mad) Matt Lazinski pulled me through. By September 2017 I was better than new.

In the midst of my ANS horrors, I sold my precious Taylor Made golf clubs. I had wrongly assumed I would never recover my lost equilibrium and balance.

Wrong call.

I can again swing a club without falling over. Fortunately I have an earlier set I can use for fiddling around on a three-hole course at our new home in Macon GA.

My reading had not prepared me for this sharp, upward turn of events. After all, what about that chart of symptom severity that strongly suggested the disease course would be lockstep down?

Dr. Jim Davison, my Tampa medical Sherpa And drinking buddy set me straight over a beer-or-three.

“A chronic disease of almost any kind never moves in a straight line,” he counseled. “There are inevitable peaks and valleys. You crashed in 2016. You more than fully recovered in 2017. Expect those variations to continue.”

Aargh! Flash of light! Mystery explained!

Same thing happened to my Parkie Buddy Jerry Iwerks. Through a diligent exercise program he moved from so-called Stage 3 Symptoms to Stage 1.

Remember these wise words:

“When people describe Parkinson’s disease, they often define it as a disease that is incurable and without treatment to slow its progression,” says Dr. Peter Schmidt, chief research and clinical officer of the Parkinson’s Foundation. “You can change how Parkinson’s affects you, but it takes hard work and dedication.”

 

 

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The Tampa Humidor Trumps My Parkinson’s

It’s a 5,000 square-foot storefront hard by railroad tracks in a challenged part of North Tampa. Busch Gardens is two miles east along Busch Boulevard. I-275 is a short mile west.

 

A Cigar Store Indian silently greets you at the front door. You walk in to the rich aroma of cigars.

The staff is welcoming and endlessly accommodating. Coffee perhaps? A cigar recommendation within your budget?  Guidance on accessories from humidors, travel cases to butane lighters and cigar cutters?

Done.

The semi-circular bar faces two 45-inch TVs, always on to sports or  news. An oddly misspelled cigar maker’s yellow electric sign beckons. “Oliva Serie (cq) V bar.”

The bar comfortably seats nine. The Humidor’s gracious baristas are busy behind the counter, offering soft drinks, coffee, water, beer and wine—but no liquor.

The feel is comfortable and welcoming. Quiet readers occupy the 18 stuffed leather chairs and sofa.

The rectangular, 4×10 foot work table seats 8 laptop computer users.  They work mostly quietly, sometimes not. (That’s chatty me, sometimes.)

One of the six roundtables, with high chairs, is often the “Cribbage Place.” Cribbage is the Humidor’s signature card game, sometimes raucous, always spirited.

The Humidor opens at 9:30 AM for the coffee regulars (that’s you Golf and Cigar Connoisseur Robert) having their initial cigar of the day.

Activity grows around noon.  Lunch breakers enjoy a “stick” after their sandwich, (Pre-made Cubans are always available from the back fridge.)

Cribbage players are a backbone of the afternoon crowd. The evening gang is quite different, many of them young professionals.

The Humidor is a male hangout in tone and culture during the day. The occasional female visitor can expect full attention, respectfully. Pepsi Ron, often there, with wife Lorraine says, couples are comfortable because regulars sanitize profane language to fit the mixed-gender setting.

The never-ending parade of buyers, some staying, some not, run the gamut from blue collar to white, and everything in between. Think firefighters, chefs, nurses, day traders, painting-and-roofing contractors, moving-company honchos. The lawyers and doctors buy, but rarely stay. There is even a retired protestant bishop, who’s a Parkie like me.

Cigar smoking is backdrop to the Humidor’s main but mostly unspoken purpose. It’s a “Cheers Bar” place.

Regulars who still have hair, let it down. The conversation mix at the bar is mostly personal: estrangements, divorces, children, retirement, news of the weird, Bucs doings, the Rays playoff chances.

Politics talk is muted, especially since the divisive election of 2016. The very racially diverse regulars steer away from conversational flash points. Respect is a Humidor shared value.

Humidor camaraderie is medicine for the soul, and sometimes even more.

“I can no longer afford my anti-depressant medication,” says Mikey, the Humidor’s unofficial social chairman. “I treat my depression by being here.”

A Mikey specialty is baseball outings—beer, food, cigars at George Steinbrenner Field.

Conversation is easy. “You never meet a stranger here,” says deputy sheriff Robert.

“We’re family,” says Grandpa Ron.

The Humidor family has tended to me since my Parkinson’s diagnosis in 2014. Dropped pills. Man bag left atop my SUV. Misplaced lighters. They police my forgetfulness and inattention.

That’s you Mike and Mikey, Brian, Shel, Dennis, Harry, Pepsi Ron, Chuck, Coach, Dave and Dave, Todd, Steve, “Bish,” Reggie, Curtis and so many more.

I wrote this to the guys on the occasion of my departure from Tampa to Macon in November.

“You have been there for me, ups and downs, lost gear, withdrawn, exuberant.

“Please select a special cigar as a small measure of my gratitudefor your compassion and fellowship over years together at the Humidor Clubhouse for boys (mostly) of all ages.

“Present this card at the cash register as payment in full.

“With deepest regard,

“Gil”

I love Tampa Humidor and all it represents

For me, the Humidor is a place to write, read, quip. It’s a second home filled with delightful friends.

As my PD has ebbed and flowed, my mates have recovered things I dropped (most famously my wedding ring into a stuffed chair), helped me recover rolling pills and see it to that I leave nothing behind.

As we prepare to leave for our new home in Macon, GA, I know there will never be another Tampa Humidor in my future.

I love it for what it stands for and the many friends who make it so very special.

Adios, guys

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The Compassionate Barista

My indispensable Starbucks travel mug disappeared in transit between the Marriot Wardman Hotel in Woodley Park Washington and the Southwest gate at Reagan National.

Probably left in the rear hatch of the taxi when the driver took out my backpack with mug attached. Improbably when the TSA gang scrutinized the backpack for what seemed hours.

Anyway, the great looking white mug with handle made for this Parkie –who has little feel left in his hands– had seemingly vaporized.

Compared to the urgency of joining my wife in Tampa as Hurricane Irma approached Florida, the missing mug was a footnote to a very anxious travel day. (Last plane to Tampa that Friday.)

After Irma passed with no damage to our home, I began he Web search for a replacement mug. No luck.

Plenty of handsome Starbucks mugs, but none exactly like mine with a handle.

Plan B was to visit local Starbucks stores in Tampa seeking the mug. My wife and I split the list.

My first stop was the Starbucks on Bruce B Downs Boulevard across from the University of South Florida campus in northeast Tampa.

Bingo!

There it was on the shelf with other mugs. In black, not white.

No matter. I was soon to be back in the mug business.

I asked the barista in charge whether she might have it in white. No luck.

I told her my woeful story.

I went to my CX-9 to get my wallet. I handed my MasterCard to the barista for payment on the black mug.

No, she said. “It’s on us. You lost yours.”

Presumably, mine was an Irma story for her.

She disappeared into the back of the store before I could properly thank her (Her name I do not know.)

I left a Jackson in the tip jar and walked out with a Grande Pike’s Place.

Never had Starbucks coffee tasted better. Nor my loyalty to Starbucks been stronger.

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Two Extraordinary Parkinson’s Warriors

The Parkinson’s world has an inordinate number of compassionate and purpose-driven people. They  modestly embody — every day– the Rotary International touchstone of “Service Above Self.”

I consider four extraordinary: one in Florida and three in Denver, CO. The Floridian is Dr. Michael Okun, the whirlwind University of Florida neurologist, organizational leader and best-selling author.

One Coloradan is Diane Cook, visionary creator of the PD SELF training program for Parkies. She is joined in my PD Hall of Fame by Denverites Benzi Kluger and Kirk Hall.

Benzi and Kirk are joined at the hip–Benzi the doc and Kirk his patient and collaborator. I was happy to enlist in the Benzi/Kirk mission to reframe Palliative Care as a life-enhancing approach to PD patient care.

Benzi and Kirk are artfully profiled in a recent University of Colorado publication. Please read:

https://www.uchealth.org/today/2017/07/31/palliative-care-for-patients-with-neurodegenerative-disease/

You will be astonished at the depth and importance of their work together. I am privileged to call  them friends.

 

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More Tampa Bay Fitness and Education Options


USF Health and the Jewish Community Center are expanding the reach—but lowering the cost—of their PD exercise programs. Classes include Tai Chi, Stretch/Strengthen, Nia, Water and Movement, and Caregivers Support group. (Nia combines dance, martial arts and mindfulness.)
Classes are offered at both JCC campuses: Citrus Park, 13009 Community Campus Drive, and South Tampa, 522 N. Howard Ave. The cost to participate in all the classes is $20 a month or $100 for six months. Further, registration provides a PD Wellness membership at the JCC. The USF/JCC program is aided by the Edmond J. Safra National Parkinson’s Wellness Initiative. To learn more or register for classes, call Crista Ellis at 813-396–0765 or email PDwellnessinitiative@gmail.com.
 
An intriguing educational event is at the JCC Howard Avenue location June 11 from 2:00 to 4:30. The subject is “Taboo Topics of Parkinson’s Disease: Physical Intimacy & The Green Alternative.” Loosely translated that’s, marijuana and sex. Speakers are Dr. Sherry Leib and Dr. Selim Benbadis. Call Crista Ellis at 813-396-0765 to RSVP.
 
My PDF SELF buddies sing the praises of a recent speaker at their program: USF’s Dr. Angela Hill. She’s speaking June 28 at the Byrd Institute, 4001E. Fowler Ave. Atrium room. The topic is “Facts and Fiction About Traditional and Contemporary Treatment Approaches for Parkinson’s Disease.” Prescription, Herbal & Vitamin Approaches. Contact again is Crista Ellis, 813-396-0765.
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Fed-up Parkies Take Action

The following post appears on http://www.parkinsonalliance.org/weblog/
Our guest blog post is by Gil Thelen, who is a Parkie, class of 2014. He is Executive Director, Florida Society of News Editors; a retired newspaper editor and publisher; and past founder of the PD SELF training program in Tampa. He is completing a book about his journey of discovery with PD titled “Counter Punch: Sparring With Parkinson’s. His website is https://shufflingeditor.com.
We “Parkies” never forget the date that we heard the words.
“You have Parkinson’s disease.  Progressive and incurable. But it is treatable.”
Too often, the words that follow diagnosis are merely to fill a prescription and return in three months.
No counseling about managing the condition. No mention of what to tell, or not tell loved ones, friends or employer. No pamphlets explaining Parkinson’s. No advice about trustworthy information, online and off. No mention of support groups to join.
Lesson learned:
There is no system of care to enter if you have Parkinson’s. That’s the case unless your treatment is from an extremely small handful of highly specialized and patient-centered institutions.
It’s all on you. You live by your ingenuity and perseverance.
Good luck.
That grim lesson won’t stand for some fed-up Parkies. They are creating patient-centered approaches to management of their condition.
University of Colorado Neurologist Benzi Kluger is field-testing an umbrella organization that provides education, counseling and assistance to Parkies who want to write their own care plans. Test sites are Denver, San Francisco and Alberta.
PDF consultant Diane Cook is field-testing a different model. It lacks an umbrella organization but trains Parkies to become captains of their own health-care teams. Her program is PD SELF (Self-Efficacy Learning Forum). Reports are encouraging from the nine test sites finishing year one.
Here in Tampa Bay, committed members of PD SELF want to spread key lessons they’ve learned: You can counter punch PD and retake some lost ground of competence.  You can live well despite PD.
Living well entails aggressive self-management, rigorous exercise, changed diet, mental conditioning and deep understanding of your condition.
I call the PD SELF veterans the “Special Ops” group. We are ready to share our experiences with newly diagnosed Parkies.
Our challenge is to find newly diagnosed Parkies and connect.
We are committed. We will find our way. We have so far.
– Thank for Gil, for your Parkinson’s voice.  For more information, see PD SELF (Self-Efficacy Learning Forum). Another resource for the newly diagnosed is the 1-800-4PD-INFO helpline from the National Parkinson Foundation and their Newly Diagnosed resources. Also see A Practical Guide on Talking about Parkinson’s at Work from the Michael J. Fox Foundation.