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	<title>2000 Archieven - Living with ALS</title>
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	<title>2000 Archieven - Living with ALS</title>
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		<title>Diary January 2000</title>
		<link>https://levenmetals.nl/en/diary-january-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Mon, 31 Jan 2000 18:07:54 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/ziw/dagboek-januari-2000/</guid>

					<description><![CDATA[<p>Hibernation Christmas break is like winter hibernation; we go to bed late, sleep a lot and wake up in the PM. Floor especially is a huge sleepyhead. The weather is fitting, too; the Netherlands is covered by a grey rainy blanket. It truly is December. We barely had any friends over, spending most of our &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-january-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary January 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-january-2000/">Diary January 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Hibernation</h2>
<p>Christmas break is like winter hibernation; we go to bed late, sleep a lot and wake up in the PM. Floor especially is a huge sleepyhead. The weather is fitting, too; the Netherlands is covered by a grey rainy blanket. It truly is December. We barely had any friends over, spending most of our time together as a family. We weren’t idle, either. We saw Oliver Twist in The Hague, Floor did A Christmas Carol which was beautifully executed, we celebrated Christmas with friends and family and spent our days playing games and lazing around. <span id="more-1271"></span><br />
My mother visited us on New Year’s Eve which was cozy, we played Burro and she kept losing. The game is absolutely mystifying to her. We counted down into the new year together: 10, 9, 8, 7… I got emotional, but just for a second, after which I managed to keep my composure. We threw on jackets and went outside to light some fireworks. Our neighbours came over to wish us a happy new year. Everything went swimmingly. Our street was filled with the sounds and the flashes of fireworks. It’s been years since we celebrated New Year’s at home and I think I like it this way. After one o’clock a few friends came over while we were still outside, admiring the fireworks show. We sat at the table, playing cards, eating spring rolls and croquettes. At 3:30 we finally called it a night. My mother had thrown in the towel already and had gone home. A good old fashioned New Year’s Eve.<br />
Breakfast was served at three the following afternoon. We spent the rest of the day watching old Dutch tv programmes and musicals together (some of them were even in black and white). Then we played Risk, but with our own rules. We played a lot of Risk over Christmas break.<br />
After that we took a midweek trip to the Veluwe with Sander and Carola. Swimming everyday, going to the zoo (which had just revealed their new ocean exposition), visiting Zutphen and celebrating Cato’s birthday. Our cabins were very close to one another, close enough to see each other through the window, meaning we knew exactly when it was time to wake up (late, more often than not) and when it was time to eat breakfast. On the last day we went to visit the “Hidden Village”, a settlement created by people who went in hiding during the Second World War. The end of our holiday was upon us. We didn’t waste it. Not like hibernation at all, actually.</p>
<h2>My car park</h2>
<p>In June of 1998, when I’d recently been diagnosed with ALS, I got my first set of wheels: a foldable wheelchair. We immediately put it in the attic, where it gathered dust. Stupid. It’s only later when I realised how much I impeded my own freedom by not using all the tools I was given. I desperately clung to my own independence. The scooter was a good compromise for me. I could decide where to go myself, even though my own timidity and pride were still hindering me. It took me six months to work up the courage to go to a supermarked on it. Now though, my arms are getting to weak and heavy to steer the thing. I’ve employed Ward, who sits on my lap and takes care of the steering. I think he takes corners too wide and ought to slow down when there are bumps in the road. I’m no stranger to screaming whenever Ward drives me around. Soon I’ll be giving up my scooter. Another chapter of my life comes to a close.<br />
In June of 1999 I got a senior chair: a height-adjustable desk chair on wheels. The idea is to let me shuffle my way around the room using my legs. I prefer to be carted around, but I’ll shuffle if I have to. The chair helps with standing up, the adjustable height is nothing to sneeze at.<br />
I’ve had an electric wheelchair since December. I didn’t need it quite yet, but we saw for how long some people have to wait for theirs, so we decided to act early. As it turns out, we overestimated the time it took for the chair go get here. It looked tiny in the showroom, but when mine arrived it turned out to be a mammoth. It’s been put in a corner near the front door, because I still prefer my senior chair when I’m in the house. There it’s been turned into a storage space for old newspapers and dirty laundry, which keep piling up. I can’t get used to it (yet). It’s a bit too much right now. Floor and Ward have taken to riding it around the living room, while at first they avoided the thing too. Maybe it’ll find more acceptance later on. Apparently, love/hate relationships aren’t exclusive to living beings. </p>
<h2>The first normal week of January</h2>
<p>Sometimes it’s just one of those weeks. Slow, uncomfortable, flu-ridden amd requiring some real determination to get things done. It’s not like I wasn’t expecting it. I always have to get used to not being surrounded by festivities and family after the holidays. Weirdly, the moment the festivities were over, lighting candles became a lot more rare. Luckily, Floor still found the time to spruce things up a bit after she returned from swimming practise.<br />
It wasn’t all bad; I received replies to my Christmas letter, we had game nights instead of playing bridge and the kids and I went to see a children’s show in the theatre. We hit the pub after that, despite the fact that people have trouble understanding me. At 10:30 a barman kindly asked us to call it a night. Guests were complaining about our teenage daughters, who were sitting at the bar without adult supervision.<br />
I don’t shy away from everyday activities as much as I used to. Things I couldn’t imagine myself doing in a million years half a year ago now feel almost routine; going to the pub, grocery shopping at supermarkets and visiting open houses at high schools with Floor. It looks like six months is the expiration date for shame. The sensation of shame is a ridiculous one, but everyone feels it all the same. For me, it was the shame of meeting people and not having the words to greet them. Being unable to do anything other than crack a vague smile. Recently though, I’ve just stopped caring. </p>
<h2>Down to earth</h2>
<p>I’ve always been down to earth and still am today. I know of many people who became much more spiritual during deep personal crises. I’ve looked for that same spirituality, but it just doesn’t seem to stick. I’ve started reading “A Course in Wonders”, a book about basic spirituality on which many other spiritual guides are based. It’s not much of pageturner. Sometimes I’ll read a line two or three times before I realize that it’s the same one. I have started doing the exercises the book outlines, which are doable. A small part of me is still hoping for a miracle. The following quote from a fellow ALS patient describes my feelings perfectly: </p>
<p>&#8220;My friends are very supportive, but they often ask &#8220;What about miracles?&#8221; &#8220;Why haven’t you gotten one yet?&#8221; My reply is: &#8220;Often the miracle is not a cure or healing, but the ability to deal with life and the experiences you are having in day-to-day life.&#8221;</p>
<p>I enjoy discussing and reading about spirituality, even if I don’t subscribe to it. I pursue more earthly delights. I feel almost childishly excited for fireworks, Christmas cheer, going to the pub, etc. Physical possessions are the only things I think I could do without. I barely buy anything anymore. Doug, my American role model, keeps diaries full of acceptance, retro- and introspection, forgiveness, apologies and thankfulness. He feels like he only found his purpose in life after he was diagnosed. But me? I’m still so… me. I’m content with that, but I have come to the realisation that I could be a bit of a cretin (and still am, sometimes). Oh well, it’s a part of who I am. To told me that, in Eastern philosophy, a person is seen as nothing more than a “mass of bubbles”, which puts everything in perspective. I’ve got a knack for that. Sometimes, one has to take a few steps back, look at themselves and say “really?” My mother is the perfect teacher in relativisation. After three attempts at deciphering what I’m saying, she’ll suddenly get it and say “why didn’t you say so earlier?” I’ll grumble when the pieces of bread she feeds me are too small. Whenever I get too self-absorbed, I’ll just take a step back, look at the situation and think: “there are worse things in the world”. My mother and Floor are the only people who talk to me that way. In fact, Floor once pushed my wheelchair to the front door and told me “if you want to go for a walk, then walk,” because she didn’t feel like walking herself.</p>
<h2>Choosing a high school</h2>
<p>It’s showtime. We’ve visited two schools already, where we attended information days. Both schools are doing their utmost to draw in children. For me it’s an emotional ordeal, a bit like when Floor went to daycare for the first time, or her first day in kindergarten. It feels like you’re abandoning your child in an unknown place, with the hopes that they’ll take good care of him/her. Oh well, it had to happen someday. Strange thing is, dropping off your second child is much easier somehow.<br />
I need to be carried around whenever we visit an information day, wheelchair included. My two assigned “carriers” are becoming more skillful by the day. We usually meet outside the school. One of them told me: “one more information day and I’ll be able to carry you by myself.” I was even lifted up to the second floor, with the help of a PE teacher. Some parents are unaware of my illness and try to chat with me. I just keep smiling, nod at Hein and make a gesture as if to say “ask him”. It’s not much of a problem. Yesterday we had a two hour long roundtable with other kids’ parents. I loved every second of it. Talking with other parents about our kids may just be the thing I’ve missed most. </p>
<h2>January</h2>
<p>January has almost passed. It’s been a breeze. The Veluwe took a good chunk of the month away. Last week our house was filled with guests and my schedule was full of high school visits. Floor got sick this week, so in short: I can’t complain about monotony. I’ve also been writing a family periodical for Lia’s 75th birthday. It makes me content. Everyday people pitch in with ideas and stories sent in by email. It does mean that I have a deadline to make, so luckily I don’t have to write all of it. Some of the contributions are really something. The most beautiful one is a poem inspired by the works of Martinus Nijhoff. I once recited Nijhoff’s poem “De appelboom” (the apple tree) at a wedding. Here it is:</p>
<p><strong>Herinnering</strong><br />
<em>Moeder weet je nog hoe vroeger;</em><br />
<em>Toen ik klein was, wij tesaam</em><br />
<em> Iedre nacht een liedje, moeder,</em><br />
<em> Zongen voor het raam?</em></p>
<p><strong>Translation:<br />
Memory</strong><br />
<em>Mother, remember back</em><br />
<em>when I was little, we</em><br />
<em>used to sing a little song, mother,</em><br />
<em>in front of the window?</em></p>
<h2>Medical intermission</h2>
<p>We talked to the doctor about resuscitation and all of the scenarios that could play out in case something goes wrong. I was wholly set of nocturnal artificial respiration, thinking it would be a fairly simple medical procedure. It turns out I’d have to stay in a clinic in Arnhem for a week. I hate being away from home and I certainly don’t like my body being tinkered with too much. I’ll have to think about it some more. Luckily, blood testing revealed that there’s no need for me to stay at the clinic just yet. Of course, the feeding tube was brought up. The doctor seemed a bit miffed that we hadn’t followed his instructions and made an appointment to have it installed right away. Still, it was a good talk. Hein and I evaluated the talk after we got home which always helps. The best part of our doctor’s appointment was when the GP said that he’d “like to see Jeanet stay with us for a while longer”. He also noticed that Hein talked about “our” medicine intake, with which he meant “my” medicine intake. Hein is getting quite apt at so-called “nurse jargon”. The next day he told Ward to hurry on the toilet because “we” needed to use it too. We laugh about it, which is the most important thing.</p>
<h2>Compassion</h2>
<p>Floor was ill and I would have loved to take care of her: make her some freshly squeezed orange juice, peeling an apple for her, etc. In reality it’s the other way around. Despite her being sick, she takes care of me: adjusting my seat, pouring me tea and helping me in the bathroom. Even with that last one I trust her completely, despite her slender build. Floor is not made just for caring for me, she takes care of her own needs too. When it really matters, though, she’s always there to ask if I need help. She really puts feeling into caring for me. I have a splendid daughter.</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-january-2000/">Diary January 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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			</item>
		<item>
		<title>Diary February 2000</title>
		<link>https://levenmetals.nl/en/diary-february-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Mon, 28 Feb 2000 18:13:30 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/ziw/dagboek-februari-2000/</guid>

					<description><![CDATA[<p>Translator Ward received a thank-you card from my ex-colleague Jan for acting as a translator whenever he couldn’t understand what I was saying. Ward had to constantly pause and resume his video game, for which Jan apologised. I sometimes forget that, despite all of the external help I get, I rely the most on my &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-february-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary February 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-february-2000/">Diary February 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Translator</h2>
<p>Ward received a thank-you card from my ex-colleague Jan for acting as a translator whenever he couldn’t understand what I was saying. Ward had to constantly pause and resume his video game, for which Jan apologised. I sometimes forget that, despite all of the external help I get, I rely the most on my family. Last Saturday Ward and I had the house to ourselves while Hein was out shopping. Ward wanted to play outside and asked me if he could. “Of course,” I told him. “But who’s going to turn the pages of your newspaper?” he asked me. “You know what? I’ll pop in every once in awhile to see if you need anything.” Detecting and solving a problem in a matter of seconds. 8 years old and already a problem solver. I have a splendid son!<span id="more-1517"></span></p>
<h2>Sleep</h2>
<p>Lately I’ve been going to bed late, way too late. I’ll notice the following day. Over the course of the afternoon I’ll crash. When I do, I usually take a nap by resting my head on a pillow on the dinner table. It doesn’t matter how noisy the room gets, I’ll sleep through anything. After about an hour, I’ll wake up, all rested up. As a result, I can’t sleep at night and thus, stay up late. Sleep is a fickle pleasure in itself. Every night since I got sick has been marred sudden awakenings. Stretching my stiff legs usually helps. Turning myself on my side in bed has become difficult since I can’t exert my arms anymore. For instance, I can’t adjust the covers when they slide off me. It wasn’t a big deal during the summer, but when it gets colder turning in bed turns into a real chore. I usually wake Hein up. The turning itself has become harder too. Sometimes, my head is too limp to turn the same way as my body, not to mention that my arms have gone from tools to obstacles. They’re always in the way. It doesn’t help that I often wake up because of my cramping legs. Put those together and you’ll have a recipe for an awful night’s rest. I have discovered that a small tablet of Valium helps with my muscle problems. It makes it so I have to shift less, meaning Hein can get some sleep too. It is, however, just a drug. Luckily, when we do wake up at night, we’re quick to fall asleep again. Never any nightly spats, for as long as I’ve had ALS.</p>
<h2>The page-turner</h2>
<p>I haven’t been able to read a book since the summer of 1999. I’d heard about a machine that could turn the pages for you, though, and I was very interested. I’d already had a demonstration in november. The sales representative proudly told me that this machine was the best one on the market at that time. Soon though, it turned out that the machine was only suited for hardcover books and only really worked with well-read library books. The demonstration was a fiasco. Pages were turned by the dozens or not at all. Magazines were a complete disaster. None of the ones we took were of the format that the machine was made for. Without an ounce of shame for his product, the sales rep told us the price: 8000 guilders. “Don’t worry though, your healthcare covers it.” What a fraud. No thanks.<br />
My occupational therapist found a different supplier and by the end of January another demonstration was scheduled (most appliances for disabled people are sold door to door and since most of the salesmen live in the easternmost part of the country, those salesmen have to drive quite a long way to get to me. So much for healthcare coverage). The salesman installed the machine and got to work. It was a large, solid-looking machine, mostly made of English mahogany, with a large suction cup attached. Every page was individually sucked up and turned with a small electrical arm (not too quietly either). Despite the noise, the machine worked perfectly. Price tag: 3000 guilders.<br />
Floor and Ward watched the demonstration attentively. As soon as the sales rep had departed, they bombarded me with questions. “Mum, are you really going to buy that behemoth?” “Where will we put it?”, all while Floor imitated the machine’s noises. Admittedly, the thing was quite noisy. I still have my doubts. It’d take up lots of space, which experience tells me I’m not going to use. Last night we came to a conclusion. The kids, who were against the purchase, promised to stay on as my trusty “page-turners”.</p>
<h2>Why?</h2>
<p>Every human has their own quirks. I, for instance, hate the sensation of sopping wet washcloths on my face, like to sleep with one arm above my covers and prefer to blow my nose in unfolded handkerchiefs, one nostril at a time. Nothing wrong with that. These things didn’t use to be a big deal. When you’re wholly dependent on someone else, though, communication is paramount. Of course, the inevitable question gets asked: “why?” That’s a good question. My answer is usually: “I don’t know, that’s why.”</p>
<h2>Amsterdam</h2>
<p>We visited Amsterdam on Sunday. I hadn’t been for about 2 and a half years. Back when I was a small-town girl I used to visit the big city about three times a year, on day trips. All of the memories of those well-spent days came flooding back on Sunday. What a wondrous worldly city, Amsterdam is. For the kids we had planned a visit to Madame Tussauds. I just wish we’d gone to Hotel Americain for a drink. Too bad I had a runny nose for the entire visit, it didn’t make me look particularly appetizing. I’d like to return to Amsterdam sometime during Spring, without the kids.</p>
<h2>Homepage</h2>
<p>This February my web page was visited more than everbefore. Today is the 17th of February and I’ve already had 700 hits and even more traffic. Complete strangers comment on my page and I love it. Maybe it has something to do with my explicit request to leave a reply in my last diary entry. A surprising number of replies is from Belgium. Most correspondence I get is from people who are close to ALS patients or work with patients. I haven’t had direct contact with a PALS (Person with ALS, good wordplay) yet. Apparently getting online is still a big step for most of us.</p>
<h2>Lucky Letters</h2>
<p>I had a group of ex-colleagues over this weekend; the CM (consumer market) ladies at KPN (my old telecom company). We used to be so heavily involved in Primafoon and the like, but nowadays only one of us is still employed at KPN. I really liked our little reunions because we were all so vastly different. The directions our lives took after KPN reflected how varied our group was. There hadn’t been a meeting after my diagnosis. I was pretty nervous, but then again, so were they. Being confronted with my degeneration can’t have been fun for them. They arrived at 8 o’clock sharp. I was sat at the dinner table, laptop at the ready so the guests could read along. It was like a party game. Everyone tried to predict what I was going to write next. They didn’t do half-bad. Sometimes I’d overzealously try to speak verbally, but the response I’d get were three confused looks and fervent guesswork about what I was saying. At the end of the meeting I got the biggest compliment of the night. One of my colleagues told me that, despite everything, she thought I was remarkably ordinary. Strangely, everyone expects you to turn into a sad wreck when you have a disease like ALS. Let me tell you once and for all: that’s all a load of projection. I had a delightful night. Hein, meanwhile, was desperately curious about my colleagues and their lives.</p>
<h2>The musical</h2>
<p>It’s finally in: the concept for Floor’s 6th grade school musical, written by her teachers. I immediately started working on it. I love being creative and contributing to projects. Right now I’m eagerly awaiting my script’s reception. I hope it’s positive. It’s supposed to be a Westside Story-type play. It kind of reflects reality, because 6th grade is divided in two very competitive factions. The only real problem I ran into was that the teachers wanted the humor to be absurdist, something I’m not at all good at. It’s not my kind of comedy, not to mention that is has to be executed very well to actually be absurdist. I hope it doesn’t show in my writing, because I’m really looking forward to seeing it on stage. I’m already visualising it. Luckily, the next day I got the go-ahead to write the rest of the script.</p>
<h2>The Sixth Sense</h2>
<p>I’ve been getting a lot more messages from people who want to come visit me. People I haven’t talked to or seen for a long time. Why? Is my webpage working its magic? Did people just need time to adjust to my illness like me? Is it because I’ve become more outgoing? Is it my recent surge in email activity? Or, a small unwelcome voice tells me, is it because people think to themselves “I’d better visit Jeanet soon, before it’s too late”? I reply to them nonetheless, but how jovial my response is depends on my mood.</p>
<h2>School visit</h2>
<p>I haven’t been to a school during school hours since my diagnosis. Last night, Ward’s school had an exposition of its students’ creations. This year’s theme was fairytales, sagas, legends and myths. I was most excited to see what Ward had made. Luckily, his classroom was relatively quiet. Floor was cast as Sleeping Beauty in a play, for which I was equally excited. We made our way to the school’s main building. It was absolutely crowded. At the entrance we ran into Tiddo, Floor’s teacher. He told us that Floor had aced her finals. It was a bit overwhelming. I burst into tears. Nonetheless, we took the stair lift and watched the play, but I felt suffocated in the crowd. I don’t know what to think of last night. It was a big personal victory, but the only thing I truly enjoyed was Ward’s exposition.</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-february-2000/">Diary February 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<item>
		<title>Diary March 2000</title>
		<link>https://levenmetals.nl/en/diary-march-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Fri, 31 Mar 2000 17:18:50 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-maart-2000/</guid>

					<description><![CDATA[<p>Spring break This year we went to Limburg on spring break. We rented an actual mansion in Gulpen. Nine bedrooms, a lounge area, a bay window with a stunning view of the hills, not to mention the tennis court. We felt like royalty. The house wasn’t very wheelchair accessible, sadly. We managed just fine, though. &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-march-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary March 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-march-2000/">Diary March 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Spring break</h2>
<p>This year we went to Limburg on spring break. We rented an actual mansion in Gulpen. Nine bedrooms, a lounge area, a bay window with a stunning view of the hills, not to mention the tennis court. We felt like royalty. The house wasn’t very wheelchair accessible, sadly. We managed just fine, though. I had a sink in my room and we’d brought our own raised toilet seat. The bathing facilities weren’t suited for me, so every morning I was hand-washed by Hein. Other than that, the location was perfect.<!--more→

We spent the entire weekend with the Kroft family. There wasn’t a cloud in sight. We drank coffee court-side and went hiking in the surrounding hills. Who would have thought that I’d ever go hiking again. I’m not saying it was smooth sailing all the way through. My wheelchair was put on a leash so my wheelchair could be pushed and pulled simultaneously. It’s a shame that Limburg is full of turnstiles. Not too wheelchair friendly, as you can imagine. What should have been a tranquil hiking trail had turned into an obstacle course, which meant that we had to walk along a highway for long stretches of time. Not fun.

During one of our hikes, we lost sight of Ward at a local watermill. We had walked for over a kilometer before I noticed that grandma was no longer accompanied by him. I felt immense foreboding. Hein and Paul immediately ran back to look for him, but in that moment my mind was conjuring up horrible scenarios. To Ward’s eternal credit, he had stayed calm. Hein and Paul found him playing at the playground next to the mill. He had told the mill’s attendants that he had lost his parents. Things got a bit emotional when Paul and Hein came to pick him up, but when he rejoined the group, Ward acted very cool. After this incident, however, Ward preferred to stay close to the group, usually holding hands with Tim or Floor. When grandma Corrie came to visit, Ward’s little misadventure was recounted with gusto. 

My family was eager to help me. My 19-year-old niece Sanne was particularly caring. Surprising, considering her age and the fact that we barely got to see each other. I think it’s wonderful that our children get to grow up surrounded by such a tight-knit family. They’re truly part of something greater than themselves. 

When the weekend was over, most of the family departed (barring the kids who didn’t have to go to school and their parents) and so did the gorgeous weather. Apart from a visit to a limestone cave, we didn’t do much adventuring after that. We went indoor climbing and swimming a lot, activities that are lost on me. I became more of an observer, my colleagues being the two grandmas who came with, which usually wasn’t too thrilling. On the last day of spring break we went to visit my colleague Jan and his wife Marion in their Limburg post-and-beam cottage. We were warmly greeted by Jan, who had made a ramp out of wood so I could get into his house. If the weather had been better, we would have gone walking through his breathtakingly gorgeous garden. 

My return home wasn’t as bad as I was expecting. I actually felt content easing back into my old routines and habits. It felt like lowering myself into a warm bath. I had lot of emails to get through, from both strangers and acquaintances. I’m so happy with my homepage. It brings me closer to other people. 



<h2>Off day</h2>


In the midst of spring break I had a total off day. One little thing went wrong and the whole day is wasted. I live through others too much. Because of my limited ability to undertake certain activities, I pressure people into doing the things I would do, especially Hein. Those activities include, but are not limited to: playing tennis with our son, preparing delicious treat for the kids, making sure pictures are well-framed… I’m a bit of a director. Hein doesn’t like being directed. On holiday I insisted that Hein plays tennis with Ward. On Thursday I suggested it to him again, to Hein’s annoyance. He grumbles about it, causing me to burst into tears. I couldn’t stop crying. I cried so much that my head hurt and my stomach turned. How I would love to play tennis with Ward myself. Luckily, days like this one rarely occur. 



<h2>The musical</h2>


After I got the teachers’ green light, I enthusiastically continued writing the 6th grade musical. After spring break ended, I sent the school my first draft. Floor told me that her teacher had read it to the class almost word-for-word. My motivation was doubled and I was unstoppable. Floor tried to censor my creation somewhat, in particular a joke about the school’s headmaster. Remove it, she told me, so of course I left it in. During her teacher’s live reading, she anxiously thought to herself: “please let her have taken that part out.” Not likely. The joke got some laughs, luckily. I imagine it’s a fairly awkward position, being a writer’s daughter. Anything and everything you say at home can be used against you. For instance, Floor had a big zit on her face, and I was already chuckling at the idea of putting zits in the musical. Floor made me promise twice to not include any zit jokes in the play, but last Sunday she had a change of heart. I think she just stopped caring. 

I love working on the musical. Give me something to do and I’ll put my heart and soul into it. The play hasn’t left my mind since its inception. I finished it in under three weeks. Floor keeps me posted about the reception of my work. Next week, she even has to audition to get the part she desires most. I hope she gets it.



<h2>Homepage</h2>


I’m getting more and more comments on my homepage everyday, including replies from PALS. They ask for information, just want to say hi or, most surprisingly, talk about how they believe in recovery. One of my correspondents is keeping me posted on one of their friends who is in therapy in Mexico. The programme is still in its early stages, but people are hopeful. Another person told me that she has had ALS for 12 years, but through homeopathy the disease was halted, which even allowed some recovery. When I asked for the homeopathy clinic’s address, she surprised me. She told me that many people had asked her for the address, but none of them had actually visited the clinic. In her experience, “people (healthy or not) prefer to do fun things first before even thinking about the more serious things in life (like living with ALS).” Interesting, firstly because of the fact that my fellow PALS isn’t willing to give the address unless she’s sure that I’ll actually do something with it. I wouldn’t have taken that stance. If I had found a great way of dealing with ALS, I would be screaming it from the rooftops. It’s someone’s own responsibility if they’re willing to act on my advice. Secondly, it’s interesting that so many people ask for the address to her homeopath despite not being willing to actually visit the clinic. Why? Do they fear becoming too hopeful? Do they just not believe in treatment/improvement? Are they afraid to live the rest of their lives vegetating? That last one is my greatest fear. It’s a touchy subject. Would the people around me be able to handle another decade of this? My mother must have wondered about this too, because she told me to ask for the address again, adding: “ask her about who’s caring for her, because I can’t see myself doing it for the next 12 years.” She has a point. To be continued.



<h2>A difficult weekend</h2>


Floor had a busy weekend, not unlike most weekends: sleepovers, parties, birthdays, acting practise, going to the movies. Ward was preoccupied too. He went to the zoo with Koen, a friend he’s had since birth. Otherwise he would have just been cooped up with his parents. Hein and I, on the other hand, had absolutely no plans. Surprising, considering we are real “weekend people”. Recently we’d gone to the harbour in Scheveningen, the beach and a forest known for good hiking trails. This weekend though, we had nothing planned. Bad timing, considering we could really do with some distraction. Hein was in a bad mood, which happens from time to time. Having nothing to do amplified his crankiness. By a stroke of luck we ran into Carola at the tea parlour. We really needed that, something social to do. Anything is better than arguing all day. I cry way too quickly for my liking, after which talking coherently is basically off the table. Not helpful. The arguments in general are useless anyway, they change nothing about our situation. Sadly, that stress has to be vented in some way. Most of the weight is on Hein’s shoulders. Always having to be ready to assist me in whatever, even at night, must be draining. Especially since I used to be so autonomous. 



<h2>Physical</h2>


We went to Utrecht again for a lung checkup. My lung capacity has shrunk to 1.5 litres and I think I really messed up the test. I was hyperventilating (using 20% more oxygen than usual). Nevertheless, I want to get the feeding tube installed in April. Eating is messy, my food usually being a pureed mush. It also requires a lot of concentration on my part. I notice it the most whenever I play bridge. Combining cards, eating, drinking and talking is a hassle. I asked if I could be hospitalized for one night (instead of two) when I get my PEG installed, which isn’t standard procedure. I was more in control of my emotions than during the last checkup. Our post-examination talk was very pragmatic. 

Walking has become a more difficult and stiff affair. I’m becoming more insecure about it. Using the bathroom has become a challenge indeed. Our house is maze-like, innumerable obstacles. At every corner my feet start pointing inward, causing my knees to buckle. Talk about bowleggedness. I have a tendency to shuffle, making me trip over my own feet. Sometimes, I’ll look at the electrical wheelchair and think: “is it time?” It’s summertime, so it would actually be more convenient to use it for in the garden. What’s keeping me from using it? Probably my unwillingness to adapt to and learn new procedures in everyday life. Not only for my sake, but for the sake of my carers, who would have to do the same. I’m afraid that my legs will deteriorate faster if I don’t use them as much. Still, the wheelchair is becoming more appealing everyday. 



<h2>A new drug?</h2>


We were watching the news on Wednesday night. I was listening with half an ear. That is, until I heard them talking about how a drug used to combat Parkinson’s could be the key to fighting ALS. Suddenly, everyone was on high alert. Ward asked me if I have ALS. Later, he told me he wondered when the medicine would arrive. On Thursday we searched the newspapers for an article on the development. It was mentioned in two of them. 

By now, the excitement for the cure has kind of died down again. It’ll probably be years before the drug is actually ready for use. Moreover, I heard that the lead developers of the drug were unwilling to start testing on patients who have ALS instead of Parkinson’s. Why hold a press conference about it then? All you’re doing is giving ALS patients false hope. I wrote the network a letter voicing my complaints about their flagrant use of misinformation.

</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-march-2000/">Diary March 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<title>Diary May 2000</title>
		<link>https://levenmetals.nl/en/diary-may-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Tue, 30 May 2000 17:26:07 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-mei-2000/</guid>

					<description><![CDATA[<p>When I wake each morning I decide&#8230; This can be a good day or a bad day &#8211; my choice. I can be happy or sad &#8211; my choice. I can complain or I can cope &#8211; my choice. Life can be a chore or a challenge &#8211; my choice. I can take from life &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-may-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary May 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-may-2000/">Diary May 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p style="text-align: center;"><em>When I wake each morning I decide&#8230;</em><br />
<em> This can be a good day or a bad day &#8211; my choice.</em><br />
<em> I can be happy or sad &#8211; my choice.</em><br />
<em> I can complain or I can cope &#8211; my choice.</em><br />
<em> Life can be a chore or a challenge &#8211; my choice.</em><br />
<em> I can take from life or give to life &#8211; my choice.</em><br />
<em> If all things are possible,</em><br />
<em> How I deal with those possibilities is &#8211; my choice.</em><br />
Steve Shackel April 2000<br />
&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<span id="more-1607"></span></p>
<h2>Renesse</h2>
<p>I spent my May holiday in Renesse, alongside some friends with kids of the same age as mine, so things went smoothly. Our number one activity was hiking, through both cities and nature. I even went for a ride on a Sand Rider, one of those beach wheelchairs. It looked ridiculous, but it’s the price you pay for functionality. We’d seen them used before, in Zeeland last year. It was a tall wheelchair on thick yellow tyres, a white plastic frame and had a bright blue seat. I remember thinking then: “I wouldn’t want to be caught dead on one of those.” Apparently, things change. I felt like a celebrity, being wheeled around on it while being photographed from all sides. Despite that, I still felt a bit debilitated sitting in it. I don’t know why, but I felt like a bit of a simpleton.<br />
The weather wasn’t on our side, it was cold all week. As if to spite us, the cold spell finally broke on the day we left. We took our last breakfast in the beach tent where we had drank coffee every afternoon that week. I had a good time. </p>
<h2>How are we going to tell the kids?</h2>
<p>The kids know about my illness and the fact that I’m deteriorating hasn’t eluded them either. We use the term ALS, too. The ultimate result of the disease, death, is never discussed. I think they know more than they let on. Especially since I cry whenever anything sad is on TV. Despite all that, we never explicitly discuss dying. After all, life is not just about making goodbyes. I’m essentially burying my head in the sand, all while having the gnawing notion that the kids are already distancing themselves from me. I’m not looking forward to talking about it in the slightest. Too much emotion to handle. </p>
<p>What we did talk about at length was my PEG operation. During dinner yesterday, one week before I’m supposed to go into the OR, we told them. Hein did the talking. He had barely started before I started bawling like the crybaby I am. Floor immediately tried to shut down the discussion, but we didn’t let her. Eventually, we got to talking about technical stuff, a lighter part of the topic. The kids were in disbelief. “Do we have to puree your apple slices before we feed them to you?” “Is the tube detachable?” It was high time for the kids to go outside and play, to let the news sink in. In bed, Ward wanted to know more about the PEG. It troubles him. He slept in the guest room, on the same floor as Hein and I. To be continued. </p>
<h2>Coughing</h2>
<p>Every single human lung contains mucus. One swallow and it’s gone. When your lung capacity is diminished, however, coughing it up is the only way to evacuate your airways, meaning I have to cough a lot. At first, most people would fall silent whenever I did, thinking I was going to speak. By now, most people are used to it. Nobody pays it any mind, unless it turns into a coughing fit. Even then, people aren’t as alarmed by it as they would have been last year. I went to the hairdresser today. Having to hock up phlegm in public is still embarrassing in public, mostly because of the sounds that accompany it. An American PAL once wrote: “I keep making those embarrassing funny noises.” I couldn’t have put it better. </p>
<h2>Squeaking (read: screaming)</h2>
<p>Whenever I panic, I shut down. Doing things that are routine prevents panic. Routines are fairly unattainable, sadly, because I have too many different caretakers for that. Using the bathroom is an especially stressful affair. Turning while using the rollator is a delicate process, as are standing up in the bathroom and using the toilet. If there’s even a remote chance that things might go awry, I start gesticulating. When people don’t understand the directions I’m giving them, I start squeaking. That’s usually when the routine breaks down completely. The caretaker doesn’t know what to do, meaning that the thing I was trying so hard to avoid is the only way forward, with me screaming all the way. Often, they’ll hold me tighter, thinking my distress is because I’m afraid I’ll fall, while all I really want is to find my own balance. When I don’t have foothold, I might as well be a sack of oats. Nobody does it with bad intentions and whenever I snap at people I feel like an ungrateful brat. I can’t help screaming when things go wrong. Sorry, carers.<br />
Whenever Hein and I are put in a new situation, the same happens. For the first few days of holidays it’s screaming galore. It’s the price we pay when creating new routines. Help, help!</p>
<h2>Self-amusement</h2>
<p>The ability to amuse oneself is one of the most important to ALS patients, even better if it doesn’t have too many moving parts. A quirk about ALS is that one doesn’t feel sick at all (at least, I don’t). Granted, my muscles don’t cooperate too well and comfort is few and far between, but I don’t feel nauseous, there’s no pain and my mind and senses are sharp as ever. It’s those senses and that mind that need stimulation. This is what one of my days might look like:</p>
<p>Around 8 o’clock, Hein gets me out of bed and puts me in the shower. After drying off, my shoes come on and I use my toiletries while standing in front of a mirror. Afterwards, I’m put in my chair while Hein brings Ward to school. After he returns I fully dress and we go downstairs. Around this time, our primary carer Inge arrives. Hein leaves for work. After breakfast with a newspaper, I turn on my PC.</p>
<p>Writing is my most important pastime: my diary, my homepage, answering email, compiling newsletters for the kids and some other things here and there. I often spend three hours of my morning on writing. Twice a week, writing is superseded by a morning stroll and a visit to the tea parlour. After that it’s time for lunch (which can take ages, because eating sandwiches is a Herculean task), followed by a brief period of tranquility before the kids get home. I spend most afternoons sitting in the garden, doing grocery shopping or doing other communal activities. Two afternoons a week are spent doing physical therapy. Overall, I spend the bulk of my time sitting in a chair. I don’t mind terribly; I make plans, I daydream or I fantasise stories in my head. I’ve been doing that since I was little. I like to think that I’ve become quite good at fantasising. It’s very relaxing. By the time dinner is ready, I’ll usually be on my PC, playing dumb games. At night I watch TV, write some more or play games of bridge on the computer (it’s good training). I’ve got to say, I’m rarely bored. I think I owe that to my family. I don’t want to be too much of a nuisance. The PC and the internet are the perfect tools for my plight. </p>
<h2>My biggest fear</h2>
<p>Before I was admitted to the hospital, I had one huge fear: if my heart gave out or I stopped breathing during the operation, I hadn’t said goodbye to my kids. The thought alone was crushing. The day before my surgery, I told Hein that I wanted to be resuscitated if anything went wrong. It was a huge conflict of my rationality and my emotions. My rationality told me: “wouldn’t it be fitting to go while I still have some of my faculties?” while my emotional side fiercely protested this sentiment. It’s irreconcilable. Still, saying goodbye is inevitable. </p>
<h2>Day one after the operation</h2>
<p>I’m home again, feeling weak. My stomach hurts and hocking up mucus is more painful than ever. I wasn’t put under during the operation because of my weak lungs, so I had the pleasure of being awake during the operation. It wasn’t fun. Having a tube inserted in my throat was accompanied by constant dry-heaving. My whole body was screaming in protest. I was given a mouthguard so I wouldn’t do any lasting damage to myself while trying to vent the full-body protests, but when I got home my bottom lip looked like it’d been hit by a boxer. The operation only took 10 minutes. I couldn’t eat or drink anything on the first day. The pain wasn’t as bad then. The following day, however, we decided to have cauliflower for dinner. Awful, my stomach completely cramped up. I immediately took a suppository. I’m far from a superhero when it comes to hospital business. The constant inspections and useless reflex checks, awful. I’m glad to be home. What a mess. Two days of hospital and my world has turned upside-down. I’ll probably keep eating normally for the time being, only using the PEG for emergency reasons, like when we’re on holiday. I’m still eating normally, if a bit messily. What’s next? Only time will tell. </p>
<h2>Hein</h2>
<p>Hein stayed with me the entire time I was in hospital. I felt completely safe, because I didn’t have to explain a thing to anyone. Hospital staff are glad he’s here too, because he is essentially doing their job for them. I admire his patience, something in which I’m lacking. He was a huge beacon of support. I’m glad he was there for me. </p>
<h2>I’m alright</h2>
<p>I’ve been home for three days now. I haven’t needed paracetamol since last night. I’m home alone, in front of my PC with my favourite CD on. Showering is a no-go for the coming week, my stomach is still bandaged. Thus, every morning Hein has to get a bucket and hand-wash me. The feeding tube has to be flushed once a day. I’m bad at this stuff, a wave of self-pity is rolling over me. </p>
<h2>What do the kids think?</h2>
<p>Floor is a bit standoffish, while Ward only voices his concerns to Hein. When I got back home, Ward gave me a framed drawing he’d made. When I was in hospital we called each other on the phone. They were happily surprised when I was already back home when they got back from school on Friday. Despite the fact that I feel lousy, I’ve settled back into my old ways quite nicely. Grandma Lia, who watched the kids while Hein and I were away, sewed a leather skirt for Floor’s musical. The kids are apprehensive to ask about the operation. Neither of them is very keen to see what’s under my bandage, let alone my feeding tube. I don’t have the urge to show it to anyone either. During dinner Floor was visibly relieved that I was still eating normally. She was under the impression that everything would go through a tube from now on. To her surprise, I’m still chewing. After dinner I watched TV with Ward. Home, sweet home. They still look at me out of concern whenever I cough or hock. On Sunday, the kids made 220 euros selling cookies for the tragedy in Enschede (<a href=https://en.wikipedia.org/wiki/Enschede_fireworks_disaster>a fireworks disaster that killed 23 and injured over a thousand</a>).</p>
<h2>Showering again</h2>
<p>Today, I used the shower for the first time in two weeks. Lovely. Hein and I did have to come up with a new routine; cleaning the tube and tucking it away in a specially made bra. As of now, it’s working perfectly. I still feel the tube when I’m lying in bed, but maybe I’ll stop noticing it eventually. A doctor removed my bandage yesterday, which Floor found idiotic. She offered to pry it off herself, but we decided against it. Life has become kind of normal again. With the new addition of a tube, of course. </p>
<h2>My book</h2>
<p>Somewhere in the Netherlands, someone is working on my book. I like that thought. Right before my hospitalization, two benefactors from Legacy Holland paid me a visit. I was afraid that there was already a book like mine. This week, I read a book from a fellow ALS patient. It shocked me how much she went through. The chapter about CPR was particularly harrowing. Even half of what she’s gone through is enough for a lifetime. Luckily, my booklet is vastly different. I’ve been looking for outlooks that ALS patients have on their illness and how to deal with the disease in everyday life. They’ll be featured in my book. I’m also emailing friends, asking them to write one for themselves. I’m excited to see what they come up with.</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-may-2000/">Diary May 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<title>Diary June 2000</title>
		<link>https://levenmetals.nl/en/diary-june-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Fri, 30 Jun 2000 17:33:05 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-juni-2000/</guid>

					<description><![CDATA[<p>A comparison A few days ago I received an email from one of my ALS correspondents. He is famously level-headed and has a pleasant yet aloof writing style. This time, he sent me an email he’d written to his niece in which he compared our disease processes. I’m worse off than he is, which he &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-june-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary June 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-june-2000/">Diary June 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>A comparison</h2>
<p>A few days ago I received an email from one of my ALS correspondents. He is famously level-headed and has a pleasant yet aloof writing style. This time, he sent me an email he’d written to his niece in which he compared our disease processes. I’m worse off than he is, which he illustrated with a number of comparative examples. <span id="more-1610"></span> </p>
<p>While reading it I got very defensive, in spite of myself. I don’t write with a laser, I still use my hands. I write by using a mouse, clicking letters on a virtual keyboard with my cursor (I can’t lift my arm, but I can slide it across a desk). Furthermore, I was 38, not 42 when I was diagnosed and I still eat regularly. Peanuts in the grand scheme, those little differences didn’t affect the points he made in his email in the slightest. The crux of my issue was the comparative aspect of it. Even worse; I was being used as a “worst case scenario”! I sometimes catch myself comparing my life to those of others. There’s always someone worse off than me, but I’ll admit that during National ALS Day (which I’d visited mainly to compare myself to others), I felt like the saddest one of the bunch. Being this young and having already lost the three primary functions (speech, arms and legs). Naturally, optimistic ALS patients compare themselves to people who have it worse, while pessimists do the opposite. I fancy myself an optimist. Don’t you dare use me as the worse example. It goes against everything I stand for. I’m the only person who gets to openly compare myself to others, useless as it may be. </p>
<h2>Reverse</h2>
<p>I’ve given up on walking, it got too nerve wracking. I’m surprised I walked for as long as I did. Whenever I need to walk short distances, Hein will support me by holding me by the arms while I take marionette-like steps. Supporting me has become more physically straining. Hein wondered what it would have been like if he had gotten sick instead of me. I’ve had that thought too. Because of Hein’s strength, we will probably be less dependent on professional carers. Our friends and family also help keep professional care to a minimum. I wonder how wives of ALS patients manage.</p>
<p>Yesterday, our request for a personal healthcare budget was approved. It looks like my age of professional care has commenced.</p>
<h2>Slump</h2>
<p>I’ve been a bit grumpy lately. Even my own family is finding it difficult to understand me. Usually, problems are resolvable through spelling, but it doesn’t take away from the frustration. It doesn’t help that Ward isn’t that great at spelling yet, so he tends to give up faster. “Nevermind,” he’ll say. I’m afraid of losing my connection with him. Being unintelligible, combined with my inability to walk and the tube sticking out of my stomach, isn’t doing me any favours, to put it lightly. Out of frustration, I bicker with Hein and the kids. You may be thinking: “how do you even manage to bicker?” Well, life finds a way. I’m easily agitated. Sometimes, I’ll wonder if this slump will ever subside, but then I remember all of the similar periods in my life, which all came and went. I have the inkling that this particular episode is going to be harsh. I hope I’m strong enough to get over my discomforts and enjoy the things I have. </p>
<h2>Lessons</h2>
<p>There are some who think that we live to learn. Sometimes, life confronts us with situations from which one can learn valuable lessons. I don’t if I subscribe to it. I have wondered what kind of lesson I’m supposed to learn from having ALS. Usually, my conclusion is that it’s a lesson in patience, something I struggle with. Everything would be so much easier if I could just be more patient. Be a bit more apathetic, Jeanet, and everything will be fine. </p>
<h2>Monday is Goulash Day</h2>
<p>My mother is always here from Monday till Tuesday. Subsequently, we created a new tradition: Monday is Goulash Day. The kids love it and it has been my favourite dish since I was little. My father used to make the goulash, as well as the soup. It’s the only dish I can eat as swiftly as the others, barring Hein, who is the unbeatable champion of rapid eating.</p>
<h2>Whitsun</h2>
<p>We took full advantage of Whitsun break. On Saturday evening, Floor, Marjolein and I went to see Angela’s Ashes, an Irish drama film. Inviting Floor was a last-minute decision, but I’m glad we did. Hein came to pick us up in the car at 23:30. Even from afar, there was no mistaking the pale little face beside Hein in the car. It looked like Ward hadn’t gone to bed yet, he was still wearing his dressing gown. It was the coziest of car rides. I sat in the regular back seat. We listened to music. The kids slept, snuggled up to me. I miss that physical contact. It’s a rare occurrence these days. On Whit Monday, we visited an art convention. It was too much of a good thing, both the art and the convention itself. When we got home, everyone was spent. </p>
<h2>Decorum</h2>
<p>It’s been one year since I stopped using my arms to eat. I have to be fed. Add to that my unresponsive lips and mouth muscles and it’s no surprise that spillage is commonplace. In June I suffered from hay fever, which only made things worse. My trusty assistants spend half their time wiping my mouth and chin and helping me blow my nose. I’ve burnt through countless boxes of Kleenex, whenever I eat a particularly crumbly biscuit my mother cleans me off with a dust buster (which I hate) and I never leave the house without a handkerchief. Preventing loss of decorum is an uphill battle. </p>
<h2>Heat</h2>
<p>The past two days were awful, the entire Netherlands is complaining about the heat. So am I. It feels like nothing can make the sweltering heat go away, especially when sitting in a chair with my sweaty hands resting on my lap. I want to wave my arms around, take off my shoes and walk in the grass, barefoot. No dice, it’s sitting for me. Sitting in an oven-like car for three hours ruined my day, bumping up and down on the way to my homeopath. Overheating, headache, nausea and vomiting. My mother and Floor tried to cool me down using ice cubes. It didn’t help much. The nausea may have had something to do with the 300 milliliters of water Hein put in my PEG, to prevent dehydration. The prospect of holidaying in France just became a lot more jarring.</p>
<h2>Open Gardens Day</h2>
<p>On Sunday, the moment had arrived: our garden would be opened to the public. Floor had swept the street in front of our house, Kees (in a suit) had removed rogue buds and Hein had turned the fountain on. We were ready. The weather was not. After an hour, our first visitor appeared. Our garden isn’t huge, sweeping it only takes a single glance. Conversation quickly turned to smalltalk about the neighbourhood, away from the garden. For good measure, grandpa Kees pointed out and elaborated on some of our plants. By 4 o’clock we’d only had three guests, so we called it quits and went to visit our neighbours’ gardens. Grand landscaping, lots of different plants. Ours paled in comparison, though I do prefer having a smaller more cosy garden. One of our guests, my GP’s wife, wholeheartedly agreed. </p>
<p>I found the degree of participation a bit disappointing. A new neighbourhood was brought into the fold this year, but only two families opened their gardens to guests. I wrote them an open letter to motivate them to enter next year. I also advised the organizers of the event to let more neighbourhoods participate. The more, the merrier.</p>
<h2>Parent-child tournament</h2>
<p>Hein and Ward participated in a parent-child tennis tournament. Floor didn’t want to go. Half the neighbourhood came to spectate. The boys did well; Hein and Ward came first in their poule and got fourth place in the competition. Ward got a shirt a few sizes too big, but he wore it with pride. Whenever Ward and Hein had to play, I was left alone on the sidelines. Granted, I was among friends and neighbours, but I was in constant fear of being spoken to by someone, knowing they won’t understand what I’ll reply with. I was addressed often. I admire the people who did, it takes courage to make conversation with me. On some level, it does feel nice to have a friendly chat.</p>
<h2>The musical</h2>
<p>Yesterday was it: the moment of truth, the thing we’ve all been waiting for, the musical’s premiere night. Months of work funneled into one single evening. So, was it worth it?<br />
Well, I enjoyed it a lot. I had my worries about it being ready in time for rehearsal, but the result was amazing. The kids really made it their own. I adored the little improvised bits that the kids had introduced to the script. The whole auditorium felt like a family and the kids’ goodbye to their old school felt personal and touching. I was put in the limelight and lauded, and went home feeling content, still riding the wave of enjoyment I felt at the show.</p>
<p>Floor came home crying today. Saying goodbye is tough and the next period of her life will be a turbulent one: high school! In the past few weeks, I reaped what I had sowed the months prior: open garden day, a long awaited tennis tourney and, of course, the musical. Every one was better than the last, both planning them and living them.</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-june-2000/">Diary June 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<title>Diary July 2000</title>
		<link>https://levenmetals.nl/en/diary-july-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Mon, 31 Jul 2000 17:41:57 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-juli-2000/</guid>

					<description><![CDATA[<p>Cote d’Azur Most people I talked to were skeptical of my planned trip to the French Riviera. “Honey, are you sure it’s a good idea to go there? Think of the heat!” my mother told me. Email correspondents told me I didn’t know what I was getting into, and even Marjolein suggested we spend our &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-july-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary July 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-july-2000/">Diary July 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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										<content:encoded><![CDATA[<h2>Cote d’Azur</h2>
<p>Most people I talked to were skeptical of my planned trip to the French Riviera. “Honey, are you sure it’s a good idea to go there? Think of the heat!” my mother told me. Email correspondents told me I didn’t know what I was getting into, and even Marjolein suggested we spend our holiday at home. The thing I dreaded was the journey itself, not the destination; a wooded little hamlet by the Mediterranean Sea. A convenient article published in the newspapers three days before departure alleviated some of my friends’ worries about my holiday. It said that the Riviera had plenty of Dutch speaking specialists who would be able to help me, would the need arise. I was able to leave with even fewer worries.<span id="more-1632"></span> </p>
<h2>The journey</h2>
<p>We left at 10:30, which was too late, even though we planned to stay at a hotel at the halfway point in Chalon-sur-Saône. We had booked an adapted room with a swimming pool. We were expecting &#8211; too optimistically &#8211; to arrive at our hotel in Chalon-sur-Saône around 8, but because of bad traffic, 8 became 11. Our second day of driving started as comfortably cloudy as the first day had been and ended with a sunny but cooling mistral. We brought a spray bottle of cool water with us in case of extreme heat. On our outward journey we treated it as a bit of a joke, but on the return journey we emptied the thing in just four hours, because it was boiling hot. Luckily, almost every French truck stop has a cooling station. Also: disableds toilets everywhere! All in all, the journey was a breeze. </p>
<h2>Eating and drinking</h2>
<p>Another point of worry on holiday was eating and drinking, specifically on the road. Thus, we made an appointment with a nutritionist from the Academic Medical Centre, who told us to start feeding me through my PEG immediately. We didn’t. Whatever, I’m still good at eating salads. So, packed with a mix of potato and tuna salad, we went on our way. It works very well. I brought my own food to restaurants. The feeding tube is good for drinking water though. When it’s sweltering, only large amounts of water can make me cool down. I regularly asked Hein to “water me”. It really is vegetable jargon, but it gets the point across. </p>
<h2>Assistance services</h2>
<p>Our final destination was a camping ground which had 8 wheelchair-accessible caravans among many others, plus the possibility of assistance services. We were allowed to use two large disableds’ bathrooms, packed to the brim with differently sized shower seats, a beach wheelchair and adjustable beds. My potential assistants were a former nurse and barman, who were ready to help me at all times. I enjoyed camping again, something we haven’t done in two years. We lived outside and saw a bit of everything roll by. We were roadside by a very busy highway so there was no shortage of different things to look at. The kids could swim in the sea whenever they pleased, while we could relax in the shade to our hearts’ content. We were joined by my mother-in-law Lia, sister-in-law Lieke and nephew Tim. They’re points of contention for me and a huge help for Hein. We were a stone’s throw away from Port Grimaud, a smaller Venice. We visited Monaco, gawping at te huge yachts moored at Saint Tropez. We lost ourselves in picturesque villages in the hinterland. It wasn’t even that hot. In summation: a great holiday. </p>
<h2>PC battles</h2>
<p>It’s still summer break and the kids are home. It means that every day is a battle over who can use the PC. Goodbye, morning tranquility and trusty hours on the computer. Hello, loud racing game noises and discussions about the adventures of The Sims (a family and house building game). I have to indicate when I want to use the computer way in advance. The kids have become my de facto computer time schedulers. We’re a family of master negotiators. For the next three weeks, at least. </p>
<h2>Neck</h2>
<p>My neck isn’t that sturdy. My head tends to roll backwards and sometimes it’s difficult to get it back upright again. When that happens, Ward and Floor step in and to it for me. That’s why I prefer chairs with higher backrests. The same thing happens in bed, where I roll over but my head gets stuck. It’s shocking how many photographs feature me with a drooping head. I saw these issues coming for months in advance. Time to make a change. We swapped the electric wheelchair for a normal one with a high backrest, which even has a mode that prevents my head from toppling. We also put in a request for a neck brace, for when lifting my head is too hard on my neck. </p>
<h2>Overzealous</h2>
<p>Eating has been easier lately. I was eating sandwiches with normal toppings like cheese. Thus, when my mother told me she had a bit of goulash and rice left over, I told her I’d love to have some, non-pureed. Bad move. My tongue was covered in grains of rice, which I couldn’t get off by myself. Drinking lots of water finally did the trick. It caused a bit of a panic, both for me and my dinner companions. I know my place again. </p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-july-2000/">Diary July 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<title>Diary August 2000</title>
		<link>https://levenmetals.nl/en/diary-august-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Thu, 31 Aug 2000 17:46:11 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-augustus-2000/</guid>

					<description><![CDATA[<p>Open questions An open question is a question that’s unanswerable by a simple “yes” or “no”. A real thought-out answer is required. Open questions are useful in conversation. All the questioner has to do is nod, summarize and think of follow-up questions, all while the interlocutor talks away. I learnt this in psychology. By now, &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-august-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary August 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-august-2000/">Diary August 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Open questions</h2>
<p>An open question is a question that’s unanswerable by a simple “yes” or “no”. A real thought-out answer is required. Open questions are useful in conversation. All the questioner has to do is nod, summarize and think of follow-up questions, all while the interlocutor talks away. I learnt this in psychology. By now, I’ve started hating open questions. Too much work. I prefer closed questions, yes-or-no questions. Often, people ask me a closed question, like “Would you like coffee?” but I’ll take too long answering, so they make it an open question by adding “&#8230;or tea?” It causes some confusion, so we start from the top. Confusion whilst not being able to speak is tiring. It can really piss me off. “What a bunch of jackasses”, I’ll think, before realizing that it’s me who’s screwed up, not them.<span id="more-1635"></span> </p>
<h2>Homeopath</h2>
<p>I’ve been going to a homeopath since April. He checks my blood for toxins and measures my energy lines. My blood was rather toxic and my energy wasn’t doing too well either. Because of supplements, acupuncture and a diet without sugar, soda, coffee or chocolate the toxicity has gone down. No more toxic blood and rising energy levels. On holiday, however, the temptation of sugary beverages and coffee proved too great. Last week we went back to homeopathy. I was curious. Well, I was caught red-handed. My blood was toxic again. I immediately asked the homeopath if I had badly messed up. We mumbled some excuses about our holiday, but consider me scared straight. </p>
<h2>Summer break 2000</h2>
<p>The rest of summer break went smoothly. Floor went to camp and we received a postcard from her on Wednesday, unusually early. She even sent some to her grandmas. Ward wasn’t bored, despite his sister’s absence. Floor was absolutely demolished when she came back from her primitive camping trip (only one water pump to supply 50 kids, hudos instead of bathrooms). My sister-in-law Lieke picked her up and brought her to the Achterhoek (region in the east of the Netherlands), where we had rented a bungalow for a week with some friends and family. The weather was nice and not too hot. We saw some interesting things, some old some new. We had been in the region before. Afterwards, I felt refreshed. </p>
<h2>PGB</h2>
<p>From the 1st of June on, we’ve had a personal reintegration budget, meaning we get to choose our carers and healthcare options ourselves. It looks like a lot of effort, reading through the paperwork, especially the first contract. Looks are deceiving, it was a breeze. For now, we decided to enlist a carer for three mornings a week. I’m especially grateful that Inge, our primary carer, was willing to stay with us. We have really developed a bond of trust over the last year. She usually understands what I say and know what to do in every situation I put her in. I know as well as anyone that caring for me is hard and she’s looking for greener pastures, but caring for me is easily combinable with her education. We’re still on the fence about further help. I’m not looking forward to letting a stranger take me out of bed and wash me. On the other hand, Hein can’t do it by himself. We should make a list of activities I need help with, how strenuous those are to Hein and how much I object to letting a stranger help me with them. We haven’t yet, but we should. For the time being, things are going fine. </p>
<h2>New beginning</h2>
<p>Today is Floor’s first day in high school. She was excited for it. Her bag weighed in at a whopping 7.5 kg. She went out to practise cycling with a heavy bag. The neighbour boy called her a “fresher”. The day before yesterday, she collected her book and spent the whole day putting covers on them. Going to a new school is exhilarating, both for her and for Hein and I. Last week Floor went into town with a lot of money to buy new school supplies, including a brand-name backpack (which is important). There’s already a parent-teacher meeting planned on September 4th. We’ll be informed about all of the goings-on at the school. It’s a new era for all of us. Ward has taken to going to school on his bike, accompanied by one of his friends, something he’d wanted to do for ages. It takes a chunk out of Hein’s daily schedule. We’ve suddenly got lots of time in the morning. Today, I was already seated at the breakfast table at 7:45, squeaky clean. I do think that Hein is going to miss bringing Ward to school. </p>
<h2>Afraid of going to bed</h2>
<p>I’m always reluctant to go to bed before Hein does. Lying in bed along is something I prefer to avoid. I don’t know why, but whenever I’m in bed alone I feel helpless and powerless. I’m scared of Hein not hearing me if I were to call out. That thought alone can send me into a fit of panic. I’ll suddenly feel really warm and panic even more. I start moving, making me more heated and more panicked. Trying to calm myself down, I tell myself comforting things, that nothing bad is going to happen and nothing is wrong with me. It usually helps. I never panic when Ward, Floor or Hein are next to me. It’s got nothing to do with breathing problems and I still sleep fine. It’s just the thoughts my brain conjures up that keep me awake at night. </p>
<h2>An evening without Hein</h2>
<p>Hein couldn’t be home on Friday and Saturday night. Resolving these kinds of scheduling gaps is always a pain. I stayed at home with the kids and one of Floor’s friends and we watched TV. Hein came back halfway through the night to help me use the bathroom. It may not seem practical, but it’s the easiest way to do it. We watched countless movies, until it was suddenly 1 o’clock. Crisps and cola galore. I had a good time. On Sunday we went to visit the renewed botanical garden in Leiden. The kids were all in. Maybe that’s because we promised to look at the <a href=https://en.wikipedia.org/wiki/Amorphophallus_titanum>”penis plant”</a>. Hilarious. In the end we didn’t end up spotting it, sadly. </p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-august-2000/">Diary August 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<title>Diary September 2000</title>
		<link>https://levenmetals.nl/en/diary-september-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Sat, 30 Sep 2000 17:50:14 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-september-2000/</guid>

					<description><![CDATA[<p>Creatine Every Dutch ALS patient recently received a request to participate in a nationwide study on the effects of creatine on muscle deterioration. Earlier studies abroad had failed because there weren’t enough ALS patients willing to participate. They have a point. Why would you risk the chance of getting a placebo when creatine is so &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-september-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary September 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-september-2000/">Diary September 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Creatine</h2>
<p>Every Dutch ALS patient recently received a request to participate in a nationwide study on the effects of creatine on muscle deterioration. Earlier studies abroad had failed because there weren’t enough ALS patients willing to participate. They have a point. Why would you risk the chance of getting a placebo when creatine is so readily available? In short, I’m getting the sense that this is a case of “what country’s patients are most willing to be medical guinea pigs?”<span id="more-1637"></span> It turns out that creatine is free in the Netherlands when you present a prescription at the chemist’s, even if you’re not partaking in the study. A correspondent of mine wrote one of the study’s researchers about where to get creatine from without enlisting for the study. The researcher wasn’t too happy with that, so he told my correspondent that creatine may be catastrophic for the kidneys (which is true, but only in high concentrations) and that it’s potentially lethal. It almost sounded like a threat, and for what? Just because his study was falling apart? That’s no way to behave. He’d do the exact same thing if he was in our position. </p>
<h2>Mental well-being</h2>
<p>Sometimes, people who haven’t seen me in a while email me, asking how I’m doing. Usually, I refer them to my homepage, which goes into detail about my physical deterioration. I hate writing about that. Like I’ve stated before, I’d rather stick my head in the sand. Recently, a good friend of mine asked me the same question. It was the first time I thought about the possibility of someone not wanting to know about my physical well-being, but my mental health. I have got to say, mentally I’m feeling completely fine. How did I get this resilient? A happy childhood? Inherent optimism? Always looking forward, never looking back?</p>
<h2>Confusion</h2>
<p>Since I’ve started going downstairs at 8 (it used to be 9), my tea consumption has increased hugely. Drinking is beneficial to your health and bowels. My new morning routine did have an unexpected side effect: the times I need to pee have become irregular. It wouldn’t be a disaster if it wasn’t for the tight schedule we set up for my bathroom visits. On Tuesdays, our neighbour helps me use the toilet at a set time. Currently though, this regularity is the source of my stress. I hope my bladder quickly recovers from its confusion and goes back to its regular schedule. </p>
<h2>Homeopath 2</h2>
<p>I visited the homeopath again yesterday. It was the first time that my score was above 40, although I’m not sure what that score means for my ALS. Still, higher scores feel more rewarding (what is it with me and performance based systems?). He had read an article about a Mexican homeopathic technique. He told me he uses it too, but the machine they use for it in Mexico is more advanced than his. My homeopathic appointments are once every five to six weeks. The therapist had seen an influx of ALS patients, largely because of Myocafe, an online forum for people with muscle diseases. When I got home I felt ill, which wasn’t the first time. I don’t know if it’s a good or a bad sign, but what I do know is that it’s not pleasant. </p>
<h2>Rilutek</h2>
<p>For as long as I’ve used Rilutek, I’ve had brief periods of time where I stop taking it because it makes me feel faint and drowsy. As soon as I did, those symptoms vanished. My doctor advised me to at least take half a pill, which remedied the drowsiness somewhat. However, I sometimes fall asleep at random intervals in the morning. It feels like sleep ambushes me. I’ll sleep for an hour and feel fine afterwards. My sleeping fits are happening earlier and earlier. Last week I fell asleep at 9, just a few hours after I woke up. Because of that, I’m off Rilutek again. I’m still waiting to see if the symptoms disappear as quickly as I hope, but it’s 11 o’clock right now and I feel fine. Complaints about the side effects of Rilutek are commonplace. </p>
<h2>The napkin, a controversial piece of cloth</h2>
<p>I’ve been opposed to using a napkin during dinner. It look ridiculous. At this point though, it’s become a matter of using a napkin as a bib or changing shirts after every meal. After a cost-benefit analysis of the situation, the napkin was the clear winner. I started using them on holiday and I didn’t mind much, despite how public it was. It was different back home. I hate it. People apparently see a napkin as an invitation to make a mess while feeding me. I hate nothing more than a dirty napkin. I think that I’m the only person who’s allowed to spill on my napkin. It’s horrific. Whenever people ring the doorbell during dinner I gesture at the thing, in a way that says “get this disgusting thing off me, don’t let anyone catch me wearing it!” Usually, people are quick to intervene. It’s always such a relief. The moment I’ve swallowed the last bite of my meal, the same procedure follows. I know the napkin is necessary, but that doesn’t make it any less shameful. </p>
<h2>Perspective</h2>
<p>I like to put things into perspective. Sometimes, one has to take a step back, look at their own situation and laugh about it. It’s like that <a href=https://www.youtube.com/watch?v=QB5BfT1_PYQ>sketch Bill Clinton made about his last days in the Oval Office</a>. One sleepy reporter in the press room, bringing Hillary the lunchbox she’d forgotten, biking through the white house out of boredom, etc. Amazing. I can’t imagine seeing our PM doing that. The other day I got an email from a fellow ALS patient and I couldn’t help but laugh about the stories he told, no matter how tragic they were. They were so relatable. While writing he distances himself from his own life, while still knowing when to leave in certain details and dramatic moments. It’s a great writing style. He also had some comments about the parts about ALS in my diary. He told me that, despite the many forms ALS takes, despite the different ages at which it manifests, there is a certain familiarity to every story. I hope my diary and book can perpetuate that familiarity. I hope it grants people the insight to laugh at their own situations. </p>
<h2>My booklet</h2>
<p>My booklet is almost done. It’s going to take a while to cross all the T&#8217;s and dot all the I’s, but it’s really coming together now. Distribution is our final hurdle. Should we distribute it widely or keep it limited? It’s a fun project. Working together with different people is very rewarding. It’s so much different than the narrow introspection I do in my diary. </p>
<h2>About myself</h2>
<p>I wrote a short text about myself using a set of questions provided by Stichting Valscherm, a Dutch organisation that organises activities for ALS patients:</p>
<p>Allow me to introduce myself. My name is Jeanet (1955-2007), married to Hein (1953) and mother to Floor (1988) and Ward (1986). We live in Leiden, the Netherlands, in a house built in the 1930s. I was raised in a household of psychologists, but I have primarily worked as a organisational advisor and project manager at a telecom company. My hobbies are/were: gardening, hiking, going on trips and cycling.<br />
Is that all there is to say about me? No, I don’t think so. Those are my defining characteristics to the outside world. When I got ALS ten years ago, many of these traits diminished. One has to redefine themselves. I am not defined by my possessions, or my actions. One falls back on a basic set of traits: the personal characteristics that make up the essence of you. I have, for instance, my willpower, which allows me to plan out every one of my days. My optimism, allowing me to concentrate on the present and not dwell on the past. On the other hand, there is my impatience, which often gets in the way while I continue to grow more dependent on others. My vanity and pride, which prevent me from going outside without feeling some kind of shame. Despite this, I would describe myself as a happy person. I’m able to handle living with ALS pretty well, largely because of the loving people that surround me.<br />
Another great help is this website and people’s reactions to my story. I never expected putting out anything as personal as a diary. I’m not much of a sharer. I’ve been apprehensive for a long time about making my diary public. Reading the diary of a fellow ALS patient from the US convinced me. A diary can be informative for fellow patients as well as friends; it offers insight into my disease and how I deal with it, but it also shows that life goes on despite ALS. As my ability to speak recedes, the monthly publication of my diary helps fill that void. For me it’s a way to show everyone that I’m still here, that I’m not just a helpless shell, but a person leading a “regular” life.<br />
Below you can see a poem written by Steve Shackel. I consider it my motto.</p>
<p><em>When I wake each morning I decide&#8230;</em></p>
<p><em>This can be a good day or a bad day &#8211; my choice.</em><br />
<em> I can be happy or sad &#8211; my choice.</em><br />
<em> I can complain or I can cope &#8211; my choice.</em><br />
<em> Life can be a chore or a challenge &#8211; my choice.</em><br />
<em> I can take from life or give to life &#8211; my choice.</em><br />
<em> If all things are possible,</em><br />
<em> How I deal with those possibilities is &#8211; my choice.</em><br />
<em> Steve Shackel April 2000</em></p>
<h2>Homepage anniversary</h2>
<p>I launched my homepage in August of 1999, making it one year old. It means that I’ve described all of my yearly rituals. Sometimes, I’m afraid that I’ll run out of things to write about. Other times I’ll have so many ideas I’m bursting at the seams. Whatever, I’ll keep writing as long as I can think of things to write about. At least it gives me something to do. </p>
<h2>Homework</h2>
<p>Floor was doing her homework in the garden yesterday. That doesn’t happen often, she usually does it with her friend Emma, which takes about an hour. Whenever she does work at home, she’s downstairs. The first time she was assigned homework she immediately took it to my desk, which lead so a small territorial dispute. Yesterday however, she was sitting at the dinner table. I joined her and together we made our way through her History homework. Floor read the chapter to me, after which we did some exercises. Floor is one of my best translators, so we chugged through her homework like a train. We even worked through part of the following chapter. Floor told me she had a good time and that she was certain that we had answered all of the answers correctly. I hope so. I loved it too, so I told her I would help her anytime she asked. She’s taken it into consideration. </p>
<h2>Artificial respiration</h2>
<p>I watched a documentary about artificial respiration on TV yesterday, but it wasn&#8217;t that informative. It didn’t really convey what it’s like to use an artificial breathing device and the alternatives for the standard oxygen masks weren’t even mentioned. The pros and cons for resuscitation weren’t addressed that well. It’s such an individual choice. The pros and cons are hugely subjective to a degree that it’s not really a discussion worth having societally. Most surprising of all: I didn’t find it emotional at all. I didn’t cry once. </p>
<h2>Sniveling</h2>
<p>We’re winning too many gold medals. I’ve seen most of them on live TV. I didn’t use to care about the Olympics, but today it couldn’t be more different. I read every newspaper article I can find about it, I know the exact dates and times that the Dutch team gets to compete and I watch as many of them as possible. I’m not the only person who has suddenly become chauvinist because of the Games. I do wonder if I’m the only one who gets this snively whenever the Dutch team wins a golden medal. </p>
<h2>Broken keyboard</h2>
<p>I write on my PC using a WiViK, a virtual keyboard I control using my mouse. Laser-guided typing is only optional. The great thing about WiViK is the inbuilt word prediction. I’m one simple click away from a complete word, which saves me loads of time. The keyboard also registers the user’s preferred words, making things even easier. It’s like a pocket version of your own writing style. The other day, I switched on my computer only to find that WiViK refused to start. I was devastated. Hein quickly called his brother Paul. Paul suggested reinstalling WiViK. I panicked. I didn’t want to lose the twelve months of personalized word predictions. Fortunately, Paul was willing to come by that night. He re-installed the program without deleting my personal vocabulary. The kids timidly asked me if the operation was successful, obviously knowing how important it is to me. Paul took the time to decontaminate my PC some more. I’m so glad I have a helpful brother-in-law who knows what he’s doing.</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-september-2000/">Diary September 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<title>Diary October 2000</title>
		<link>https://levenmetals.nl/en/diary-october-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Tue, 31 Oct 2000 19:00:16 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-oktober-2000/</guid>

					<description><![CDATA[<p>Ward Recently, I had gotten the idea in my head that Ward was distancing himself from me. Not anymore. He has gotten more eager to help and he has gotten better at understanding me. He loves talking to me about the goings-on at school and his friends. Ward and a friend had organised a football &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-october-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary October 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-october-2000/">Diary October 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Ward</h2>
<p>Recently, I had gotten the idea in my head that Ward was distancing himself from me. Not anymore. He has gotten more eager to help and he has gotten better at understanding me. He loves talking to me about the goings-on at school and his friends. Ward and a friend had organised a football tournament for neighbourhood kids. For one week, our front door was adorned with a registration paper where no less than 22 kids signed up for the tournament, ranging in age from 7 to 14. No adults allowed! At night, Ward pored over the team compositions, having already agreed upon a suitable refereeing schedule with his friend. Saturday was a day of great tension and excitement as Ward worked his way toward the tournament. At four o’clock, zero hour had come. The street was empty. We went to watch the tournament, but we weren’t allowed on the pitch. We could hear them having fun in the distance, though. At six, they came home with big grins on their faces; Floor and Ward’s team had won the tournament. Maybe the team compositions weren’t as balanced as advertised.<span id="more-1640"></span></p>
<h2>Self monitoring</h2>
<p>I am my own greatest watchman; am I getting worse or am I stable? It’s a question not easily answered. There’s always an element of wishful thinking. Wishes and dreams aside, I have noticed that my neck is getting worse, my arms are getting heavier and my legs are stiffer than ever. Swallowing, eating and talking are the only things that are staying level. What about my breathing? Does talking make me winded? Does using straws still work? How do I feel when I wake up? Every three months, my lung capacity is checked, which fluctuates tremendously. Last year my checkups came up: 1.8L, 2.0L, 1.45L and 1.6L. The latest check was in September. I wasn’t at peak performance. My heart was pounding when we got to the hospital. The nurse’s encouraging words didn’t help much. By the time I took the test I was hyperventilating and it shows: 1.3L. Bummer. My blood test came up alright, though.</p>
<h2>Perspective</h2>
<p>I’ve thought about it and came to the conclusion that my way of stepping back and looking at my situation is really a mechanism to keep myself from drowning in sorrow and keeping myself level. I’m distancing myself from my disease as a mode of self preservation. I’ve always had to make the a compromise between letting my emotions get the better of me and distancing myself from them completely. It’s a difficult combination, not easy to overcome.</p>
<h2>Into the woods</h2>
<p>The other day, we decided to visit a forest for the first time in a long time. At every bump in the road I slump in my chair. I often need help to sit upright again. To compensate I bowed down in my wheelchair, meaning I was completely stiff and cramped when we got back to the car. I really have to start using my new wheelchair. Granted, it’s huge, with large footrests and a headrest; obviously meant for seriously disabled people. The comfort it provides probably offsets its bulkiness. It’s adjustable, has an especially soft seat; it’s the Mercedes of wheelchairs. It’s becoming harder to convince myself that everything is fine. On October 3rd (<a href="https://en.wikipedia.org/wiki/Siege_of_Leiden">a holiday in Leiden that celebrates the end of a siege in 1574</a>) I went into town in my new wheelchair. It was a breath of fresh air. Hein didn’t need to hoist me up once and my head was comfortable. I wouldn’t mind doing it again. The weather was agreeable and the parade was wonderful. Going to the parade has been a yearly tradition for some time, but this year we decided to skip the fair.</p>
<h2>Jacket weather</h2>
<p>It’s getting colder, so my carers are once again struggling with the age-old question: how do we put a jacket on Jeanet? I have a fleece jacket that goes over my head, but my arms have to go through first. It’s a test of supreme spatial awareness. Women aren’t as good at it as men, but I’ll admit that my sample isn’t too varied; my brother and Hein are the only male jacket assistants. After my jacket is on, all there is left to do is removing the stair lift. It’s easy if you know the buttons, but one wrong button press can mess the whole thing up. I prefer to be present whenever anyone operates the lift, especially when I hear frustrated murmuring and worrying noises from the hall. When that’s done, however, there is nothing keeping me from a nice stroll.</p>
<h2>Doctor’s visit</h2>
<p>I don’t regularly go to a neurologist. I never have concrete questions to ask, so going to seen one only elevates my stress. I email the rehabilitation centre and if need be they visit me at home. I don’t mind. The fewer doctors, the better. I’ve got a good relationship with my GP, but I also see him on appointments only. I haven’t seen him in a while. The only medical professional I see regularly is the doctor who does my lung tests once every three months. At least they have a clear use: tracking the progress of my disease. I have the option to have a whole medical team at my disposal, but I decided against it. It would only sour my mood. I like most doctors I’ve visited, but from a young age I’ve hated visiting doctors. I do get biweekly visits from my physical therapist. I’ve known him for three years now (on October 28th I got the news that I didn’t have MS) and I trust him completely.</p>
<h2>Revision</h2>
<p>The most difficult thing about high school is how different revising for tests is. Floor reads all of the chapters before her test, but finding the bottom line is hard. I’ve started quizzing her after she received a few insufficient grades and forgot she had a test until the day beforehand. I’m glad she’s not the only freshman who is having a hard time adjusting to high school life. I quiz Floor occasionally, but Hein is the true quizmaster. Her curriculum isn’t too enormous, meaning we can quiz her by heart. I think Ward is becoming a bit envious of the attention Floor’s education is getting. We’ve taken to quizzing him before his topography tests, something I enjoy.</p>
<h2>Eagle eyes</h2>
<p>Despite my disability, I’m still the reigning queen of finding things. I’m the “finder of lost things”, be it homework, school newsletters, wallets or articles of clothing. Finding things in the living room comes most naturally to me. I have a certain image of the room in my head, all I have to do is spot the differences. The garden is another place where my eagle eyes are useful. There is no weed that can escape my sight. Yesterday, it turns out that I’m an excellent wildlife spotter too. While my company was completely oblivious, I spotted a deer hiding in the brush 20 meters away. It took the others a lot longer to spot it too. There were actually two deer, a rare sight so close to Amsterdam. It’s amazing how much I can still spot. Maybe my handicap has enhanced my other senses. Maybe I’m more alert because I worry less about talking. Either way, if you’ve lost something, you know who to call.</p>
<h2>Theatre card</h2>
<p>Theatre season has commenced again. Every year, our group of friends orders tickets for theatre shows before the season starts. Personally, I prefer kids’ shows, because they’re more fun than the typically pretentious adults’ shows. The biggest theatre in Leiden has two invalid seats. Not that many, but usually I’m the only one using them. Leiden has a beautiful atmospheric playhouse and the surrounding pubs aren’t bad either. We went to see Bernard, Sigrid Koetse’s final play. Opinions were divided on the quality of the play, but the afterparty at a local cafe was more warmly received.</p>
<h2>High school visit</h2>
<p>Floor has been in high school for two months now. In those two months I’ve visited her school more times than I’ve ever visited her old school. There was an information evening, a meeting with her mentor and a theatre night last Friday. Every freshman had worked on a sketch, dance or song. I loved theatre night; students working together, different colourful cultures, a great atmosphere and the acting wasn’t bad either. In a solo role, Floor played a posh mother in front of a room of 300 parents. We’ve been very content with her choice of high school so far.</p>
<h2>World Expo</h2>
<p>During autumn break we went to see the World Expo in Hannover. It had good reviews. My wheelchair wasn’t an obstacle as much as a blessing because we got to cut in line. It took some getting used to the huge convention halls and people whizzing by on scooters. The weather was not in our favour; windy and cold, though it could have been worse. At least it didn’t rain. I enjoyed the preferential treatment I got, but our company was technically too big. Usually it’s just the family who get to cut, so my two sisters-in-law were out of luck. Adding to the misery of having to wait for them at every turn, I had my period at the Expo, with all of the shakiness and headaches that come with it. Despite all of it, I found Hannover a terrific experience. I wasn’t too impressed by the cultural pavilions and expositions, but added up it was a very interesting unique experience. The kids were thrilled. They got passports which were stamped at every different national pavilion. By the end of our trip, they had been to a plethora of countries. We stayed in a cozy village called Bad Oeynhausen, an old-fashioned spa with a gorgeous spa house and a park adorned by breathtaking luminous fountains. My entourage only heightened my festive spirit. My room was perfectly wheelchair-accessible, I slept like a baby, I had my first ever pureed restaurant food and the two aunts who tagged along were great company. The kids even got to go for a swim. Could I ask for more?</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-october-2000/">Diary October 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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		<title>Diary November 2000</title>
		<link>https://levenmetals.nl/en/diary-november-2000/</link>
		
		<dc:creator><![CDATA[Jeanet van der Vlist]]></dc:creator>
		<pubDate>Thu, 30 Nov 2000 19:07:27 +0000</pubDate>
				<category><![CDATA[2000]]></category>
		<category><![CDATA[Diary]]></category>
		<category><![CDATA[headmouse]]></category>
		<category><![CDATA[PEG]]></category>
		<guid isPermaLink="false">http://levenmetals.nl/dagboek-november-2000/</guid>

					<description><![CDATA[<p>Sick carer Last week was relaxing. Bad weather, so most of it was spent inside. My mother is sick and because of her absence on Monday and Tuesday, we had to improvise with our carer schedule. It’s a delicate system and we really ought to have hired a new carer by now. My mother feels &#8230; </p>
<p class="link-more"><a href="https://levenmetals.nl/en/diary-november-2000/" class="more-link">Continue reading<span class="screen-reader-text"> "Diary November 2000"</span></a></p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-november-2000/">Diary November 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
]]></description>
										<content:encoded><![CDATA[<h2>Sick carer</h2>
<p>Last week was relaxing. Bad weather, so most of it was spent inside. My mother is sick and because of her absence on Monday and Tuesday, we had to improvise with our carer schedule. It’s a delicate system and we really ought to have hired a new carer by now. My mother feels like she’s doing me a disservice by falling ill, so she was glad to hear that we had found a replacement.<br />
After three weeks my mother got better. My primary carer Inge and my mother-in-law took her shifts. Hein has found a new carer for Tuesday morning who is also open to filling other gaps in the schedule.<span id="more-1643"></span> </p>
<h2>Female discomfort</h2>
<p>I asked my neurologist about the possibility of a pill that stops the menstrual cycle but he advised me not to use them. Hormonal shifts may negatively influence the development of ALS. There are women who deteriorate even faster after taking pills. I wouldn’t fancy that. I guess I’ll just struggle through this useless discomfort. </p>
<h2>Flu shot</h2>
<p>ALS patients are advised to get flu shots to reduce their chance of contracting pneumonia. It goes against every single alternative healing method. I decided to get one anyway. To my delight, a fellow ALS patient told me that his homeopath had actually recommended getting a flu shot. I wouldn’t be able to forgive myself if I died of the flu after refusing to get the vaccine. It was the first time I’d gotten a vaccine since I got diagnosed, but it didn’t have any side effects, luckily. </p>
<h2>Head mouse</h2>
<p>Typing using my mouse is becoming more difficult by the day. I will have to switch to typing using my head. It’s another big step and it saddens me to lose another trusted faculty. Handling a mouse is becoming impossible because of my tilting hand, my drooping head and the neck ache my posture gives me. I think typing with my head will be more relaxing. I’ll get to sit in a more comfortable chair, for one. I practised for the first time yesterday. It looks like a bindi, but I’m actually equipped with a silver dot between my head, which reflects infrared light to the screen, moving my cursor. It created a lot of curiosity from others. It does look peculiar. The strange thing is, I completely forget about the silver dot between my eyes. I guess others have to get used to it more than I do.<br />
Help! Help! The cursor is flying across the screen. Even when it’s stationary, it trembly. I accidentally click all over the place. Programs start up and shut down, scrolling is impossible and I can’t type a single word. Luckily my hand still works, so when things go awry I can fall back on the old method. It’s all so fiddly my head hurts.<br />
I would like some more explanation on head typing and some alternatives couldn’t hurt either. It’s urgent. I communicate by typing, after all. I’m getting a bit panicky. For now, I’ll just keep using my hand.</p>
<h2>Kids Ward and Floor’s age</h2>
<p>I’ve always been a bit envious of ALS patients with older kids. “At least they got to see their children grow up”, I’ll think, forgetting that Ward and Floor are my greatest sources of happiness. Afternoons are my favourite time of day. I eagerly await their return home. Like an old-fashioned stay-at-home mom I’ll wait for them (often joined by dad and grandma) with a cup of tea at the ready. Listening to their stories, singing songs, doing homework, going outside, sports, quizzing, having friends over, I’m involved in all of it. I’m in good hands. No reason for envy.<br />
I recently heard Floor say that being a good mother is staying at home for the kids. Before, I would have given her a stern emancipatory talking-to, but not this time. Both because of my lacking communication ability (and maybe because I enjoy being at home with the kids). </p>
<h2>One and a half-year-olds</h2>
<p>Some friends of ours and Hein’s brother have one and a half year old sons. We went on lots of trips with those friends. Little Thomas and I are both carted around. It gives us a certain bond, even though our developments are essentially opposite. While the boy is becoming more and more self-sufficient, I’m becoming more dependent on others. The little tyke knows that, too. Often he looks at me in wonder. “Why do you still have to be fed?” Even one-year-olds are aware of what is normal and what is not. </p>
<h2>Nodding off</h2>
<p>My head is getting heavier and heavier and sometimes just rolls to the side. A kiss that is too firm can do the trick. It usually happens when I’m in a chair with a straight headrest. If I can’t keep my head straight, it can droop forward. Ever since Hein adjusted my chair headrest to a backwards position, there has been less stress on my neck and my head tends to stay upright. We’ve been looking for a neck brace for some time. Most of the ones I’ve tried were too tall at the front, making my head tilt back a bit. That’s unfortunate, because I always keep my head slightly skewed forward to prevent aspiration. The braces were just stifling to me. Yesterday we visited a company that makes tailored neck braces. I wasn’t looking forward to having my neck moulded in plaster, but luckily one of the ones they had in storage was a perfect fit for my neck. Content with our purchase, we went home. </p>
<h2>6 months of PEG</h2>
<p>I got my PEG on May 18th. It’s six months later and I’m glad that using it hasn’t become a necessity yet. I only use it for water. That’s because having to bow forward to drink from a straw is strenuous for my neck. I ask people to hold my cup up to my face when I want to drink. It’s not a fun task for my carers. Hein doesn’t like it much, but Ward and Floor hate it the most. The PEG is a good way to circumvent that. </p>
<h2>Sitting in November</h2>
<p>I’ve been sitting a lot more lately. I only use the PC in the morning, after which my hand and head are tired out. Afternoons are spent in my comfy chair. I usually listen to music. I’m a huge fan of U2’s latest album. My range is getting smaller and smaller. I don’t think there has been a month in my post-diagnosis life in which I’ve been outside less. The weather has been foul. I’m seeing fewer people in daily life, too. I realize that it’s winter, of course. Fewer people about. Because of my limited daily energy reserves, writing Sinterklaas poems and keeping up with my diary have become my number one priorities. I have completely neglected my email inbox. Oh well, I’ll have time for that some other day.</p>
<p>Het bericht <a href="https://levenmetals.nl/en/diary-november-2000/">Diary November 2000</a> verscheen eerst op <a href="https://levenmetals.nl/en/">Living with ALS</a>.</p>
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