Sunday, November 24, 2019

Damn It: Shingles, Postherpetic Neuralgia, Apathy and Grit

Shingles Then Postherpetic Neuralgia (PHN) Then Apathy Then Grit

Shingles and Postherpetic Neuralgia


Selfie Picture
On April 7, 2017,  shingles broke out on the upper left side of my face. In about 2 weeks, the shingles pox left, but I spent the next 6 months in bed from postherpetic neuralgia (PHN) pain on the V1 of the trigeminal nerve on the upper left side of my face. The pain from itching was so bad I could not walk.  After more than two years, and the itching persists, but it is not as debilitating. The first PHN drug treatment was gabapentin. It did not work. Ice packs helped. I am glad I am a veteran, and my VA neurologist is a serious doctor.  He switched gabapentin to the drug to Lyrica, and that provided more relief, at least I stopped screaming.




I started wearing Lidocaine patches on my forehead.  I made my own concoction of Lidocaine, CBD and THC lotions to replace the patches. I read about some experiments using Botox injections for the PHN treatment. I have Medicare and my IBM retiree insurance, and the VA Cheyenne is over an hour away, so I try to use community providers.  My community neurologist, Dr. Tamara Miller runs the Multiple Sclerosis Center of the Rockies.  She used to give me Botox for a perpetual MS spasm in my left calf. The FDA approves Botox for migraines but not for PHN.  My VA neurologist, Dr. Kanter found a way to make an exception. Every 90 days, the VA ophthalmologist trained in Botox injection can give me about 13 Botox injections on the trigeminal nerve. 


In the days before the Botox treatment, I laid in bed, hour after hour, day after day, month after month. For the first time in 68 years, I became apathetic. And my mood kept getting worse. The bad news was during those days, I did not know I was apathetic. All I could think about was the constant itching pain. One day, I got sick of being sick.  Treatments sparked me just enough that I knew my attitude and mood did not belong to me.  Eventually, I did diagnose myself as apathetic. Before I did, I remember looking in a mirror at my shabby self and telling myself, “You are pathetic. You look like you do not give a shit,” I suppose telling yourself bad news about yourself can be the first step to change.

It is now November 2019, the itch is always there, like a bunch of small mosquito bites that have just about lost the itch. There are flare-ups, and the treatment is back to ice packs, patches, and lotions, The flare-ups begin about two weeks before the next Botox injection. After the Botox shots, it takes about a week before the Botox is effective. Even with the Botox, stress and weather can provoke itching again.

 I do not know if the PHN will ever go away, but life with MS and knowing MS is a lifelong medical condition did prepare me for the PHN. The pain-treatment pattern is the same. Itching is like an MS relapse alerting me to the fact that something is wrong. Steroid treatments help to put MS into remission. Likewise, icepacks and patches help to put the PHN itch into remission. With MS we take disease-modifying treatments to help reduce relapses. And with PHN, the Botox treatment helps to reduce the itching pain. 

Both MS and PHN cause fatigue. Both drain vitality and can damage the will to thrive.

Apathy and Grit

I am not exactly sure how I diagnosed myself to have clinical apathy. Ordinary, everyday apathetic feelings are normal. We have an internal judgment referee that enables us to show or feel no interest, enthusiasm, or concern for something. 




Wednesday, November 20, 2019

Veteran: Veterans Day Speech at Loveland High

Veterans Day Speech at Loveland High

Corporal Joseph Flanigan
Marine Corps
January 1968-January 1971
San Diego, California

Veteran’s Day Speech, November 11, 2014.

In 1967, when I graduated high school, I wanted to be a nuclear physicist. I just thought it would be amazing to study the insides of atoms. Well, it was Vietnam time, and the draft enlisted youth to the military as soldiers. In college, I soon realized I needed more money for tuition, and I volunteered for the draft to get 3 years of college for 2 years of service using veteran’s benefits. While in boot camp, I learned the first of many Marine ideals, like, “Once a Marine, always a Marine.”

On November 10, 1775, the Second Continental Congress passed a resolution staring the Marine Corps. From that date, every Marine is trained in combat to defend our United States. As I was to learn, for every Marine on the front line, there are many jobs Marines do to support missions. 
Yesterday was our 239th birthday. 

While in boot camp, you hear the drill instructors shouting. “In my Marine Corps, we do 100 push-ups before chow!” “In my Marine Corps, we don’t walk, we run!” “In my Marine Corps, we crawl on our belly to rest!” And you think to yourself, this guy is insane, always saying “In my Marine Corps” before every challenge and command.

While in bootcamp, you take lots of tests that will determine your job in the service. My results came. “Private Flanigan, you have been selected for a new job. Something called computers. I didn’t know anything about it. You don’t have to take the job. If you don’t, you will be shipping out for Vietnam.” At 18, I just made of the smartest life decisions, “Sir, I accept.” That decision began my 45-year career in computer science.

Boot camp graduation, the drill instructor hand you the Maine Corps Eagle, Anchor, Globe emblem, shakes your hand and says “Welcome to my Marine Corps” And then you understand.

For the next year, I went to a special Marine Corps school, completing 4 years of college courses in 48 weeks. I still remember the first day of class, and the first words of the instructor, “How high can you count on your fingers?” By then, I already knew in the Marine Corps, the easy answer was always wrong. After instructed listened a few wrong answers, he announced: “In this class, you will learn to count.” I learned to count, many did not.

We were to training on Tactical Data Systems. This was the first generation of computer-assisted flight and ground weapons. From the ground system, officer flight controllers commanded combat missions on military targets using data from radar, missiles, aircraft, and other armaments. Even though I was trained at the highest level, I was a Marine and could be transferred with the systems into combat. The Marine Corps changed my dream of looking into the physics of atoms to using atoms of electricity.

My duty was in Garden Grove, California,  testing and preparing new systems for deployment. We worked long hours in 6 foot cubes chasing computer circuits. To change a programs in second generation computers, technicians rewired circuits. 

Occasionally we would be assigned special duty. Marines who died in Vietnam would return to the states at the El Toro Marine Airbase. Today, I can still see the coffins being unloaded from giant cargo planes. Standing in company formation, stone silent, we watched, and said silent prayers.

When a Marine leaves active duty, we honor each other, no longer officers or private, just Marine. In greeting other Marines, we say, our motto, “Semper Fi”, forever faithful.

Contonix: Fitness Model Primary Elements

Fitness Model Primary Elements


The Fitness Model shows the body's connection relationship of physical, neurological and cognitive. If are sitting in a chair and you want to walk out the door across the room, three activities must happen.
  •    Must have the physical prowess to move.
  •    Must have neurological coordination of movements
  •    Must have cognitive plans to direct movement.
Movement activity requires millions of body system's connections. Movement performance requires different systems to work in harmony with each other. Tone exists wherever the connections among the different movement elements perform in harmony. 

When connection tone 
  • does not exist - a new skill
  • or are weak - not used 
  • or broken - due to trauma like an accident, illness or diseases like multiple sclerosis
then connection toning (contonix) training uses the connection relationship to remodel the connections. Mind-It is the training technique means to remodel. The Mind-It goal is to create or restore vigor.

Tuesday, November 19, 2019

Sunday, November 17, 2019

Multiple Sclerosis: The Hero In Us

The Hero In Us and The Hero In Me

From August 2014

The Hero In Us

by Joseph Flanigan
Loveland, Colorado


As an Ambassador of the National Multiple Sclerosis Society, I have given many talks about MS to groups, organizations, and individuals.   My speech script is about the disease, its diagnoses, its symptoms, and the Society. During the talk, I will weave in personal anecdotes and experiences.  These off-script anecdotes seem to make the most connection to the audience.  I enjoy telling the stories because they reveal some of the real-life challenges and consequences of living with MS.

Living with MS is not a script nor is it a story.  In looking for a way to tell about living with multiple sclerosis, I discovered another way to explain the disease and uncovered new insight about how to live with MS.

A friend, Brandon Harrington, told me about the 10-step model of a hero's journey often found in the literature. The steps derive from Joseph Campbell's "The Hero with A Thousand Faces" which outlines the story pattern for a mythological hero.

Seeking the New-Normal

As soon as I read the 10 steps, it reminded me of everyone living with MS and the struggle we have overcoming its effects. Because MS attacks the central nervous system, it can disable normal cognitive and body actions. I think of living with MS as having two masters. When MS is the master, it is changing our biological self. When the MSer is the master, MSer fights the battles to defeat the MS master and reinforce the d├ętente meanwhile building a new-normal self, provoked by the MS master’s trauma. The MS hero journey is about overcoming the MS master’s adversities and returning with a new-normal life.

The physiological trauma of MS is often modeled as a grief experience: shock, anger, acceptance, and coping.  For MSers, the grief experience phase is called denial. Moving past denial means living with MS effects. The hero model is a template of strategies for returning to a new-normal life imposed by MS. Harrington, Campbell, and others caution that every hero’s journey may not have every step, nor the will steps be in exact order. It’s a model; not necessarily the full story, but it is a way to cast an adventure. Living with multiple sclerosis is a constant adventure.  The MS journey changes often because the disease constantly changes.  Every change is a new journey.

When I first wrote this, the title was the “The Heroes In Us”, however, the concept of a hero is about the individual.  The term “heroes in us” seems more like a collective experience rather than a person’s achievement. By renaming the title to “The Hero In Me”, it directs the hero concept withing t with each of us. Our fundamental human instinct for survival provides nature’s energy to propel us on the hero journey.  As individuals, we can choose to draw on that energy to construct the will for resolving the journey. 

The heroin me is a journey to thrive.

The Diagnoses

When someone is diagnosed with MS, it’s a black hole of fear, confusion, disbelief, grief, and loss. For those who can accept living with MS as their new-life, we begin a journey – the hero’s journey. For me, thinking about living with MS as being a hero’s journey is not about being a hero, it’s just living with MS. Being so, in the hero’s steps, I mentally replaced the word hero with MSer.

The literary model of a hero begins with the hero being lost, confused, lacking purpose. That situation changes, perhaps acting on a dream, reaction to an event, compelling forces or something else that triggers the hero into action. For MSers, the reality of an MS diagnosis drops us into a grief well. I remember those days so well. In a way, I fear those times more than living with MS. I was scared, worried, disbelieving, fearful of death, my career crashing and so many other emotions of denial that it affected just being able to cope with normal life challenges. For perhaps 3 years after my diagnosis, I was still living with denial. Then the hero adventure trigger came.

In 1992, while on a business trip, I stopped in Denver to visit my parents. Needing a new pair of shoes, my mother went to the store with me. While trying on the new shoes, the numbness in my left leg and the floppy drop foot stopped me from putting the stiff shoes on. My mother, in front of a store of customers, walked over to the clerks and announced for all to hear “My son has MS, he needs help trying on shoes. Please help him.” I was 44. At that very moment, I became a child again, embarrassed beyond belief – I thought to myself  “How could she tell everyone I had MS?” She was proud to help me buy those shoes. Not saying a word about the encounter, we drove home. But something changed. After four years, the MS was no longer in denial and I became a man again.

 The Journey

In the mythological hero journey, the hero leaves on the journey and returns in triumph, Because MS challenges cause diverse adversity, it is constantly changing our normal life. These changes mean we lost something in normal life and the MSer journey seeks to find a new-normal. Simply, the MSer journey begins when a disruption occurs to life-normal and returns with new-normal. As we adjust to everyday living, the new-normal becomes life-normal.

Going through the steps, the MS journey continues. MS continues to change us; each change is an opportunity to embark on the new hero’s quest. When MS has mastery, the steps for transformation and  the return cycle repeaover and over, challenging the MSer to continue seeking control. This happens in situations like fatigue and exacerbations. Slowly, the can-do character emerges again, stopping the cycle. In bad times, we may have to start the quest over, totally building a new can-do character.

10 Steps of the MS Hero

1. Call step is where the MSer is summoned to action and agrees to go on their quest.
n  Denial is over, truthful living with MS begins. We step forward with a vague vision of health as our quest.
2. Allies step is the part of the MSer’s  journey where meeting others assist them on their quest.
n  Support groups, health care, friends, and co-workers. Letting others in who know about MS challenges.
3. Crossing the Threshold step is where the MSer decides to make the step into the underworld, darkness, unknown.
n  MS trauma is a dark adventure. Moving out of this step is called acceptance. It is accepting the mystery of MS and the mastery it places on our life. The darkness becomes what it is - darkness. Our natural instinct for survival pushes us beyond the threshold becoming the guiding beacon.
4. Preparation step is where the MSer sharpens their tools mentally and physically, readying oneself for what faces them.
n  We get better mentally and physically. We adapt. Gain strength from self-discipline
and restraint, take the meds, follow fitness recommendations and stop harming our
immune system.
5. Road of Trials step is where the MSer experiences many obstacles and challenges along the journey.
n  Fatigue, exacerbations, cognitive challenges, relationship failures and many more.
6. Guardians of the Threshold step is where the MSer encounters others who stand in the way of what goals need to be accomplished.
n  There is no cure for MS, which is an obstacle. Drinking and smoking addictions compromise health habits. This is where the battles are fought. The sword of self-discipline and the shield of interlopers is the armor used to break through the threshold. From these struggles, a new can-do character emerges.
7. Saving Experience step is when the MSer is at their lowest point and a person or situation gives them the clarity and strength to surmount the odds.
n  This step repeats over and over. It comes in many flavors. One of my mentors said, “We will begin there.” And it does not have to be a low point; in fact, often it is not. Courage pushes come from all over and can be any time, any place. In meetings, in personal encounters, in gatherings, in quiet times. Letters like this.
8. Transformation step is where the MSer gains a new understanding and becomes changed for the better.
n  This step can be a mystery. Like MS everyone will have a personal transformation. It does not have to be grand. It is very personal. Every MS attack demands transformations.
9. Return step is where the MSers comes to his home and completes the journey cycle.
n  In an adventure story, the hero returns to home with banners and cheering. For a MSer, coming home means returning to oneself as a person. It also means being able to say to anyone, “I have MS.”
10. Sharing the Gift step is where the MSer is able to pass on their knowledge from their tough experiences.
n  Help others with MS. Explain to others the nature of MS. Be an ambassador of knowledge to help others accept MS. Become a support partner.

The Everyday Journey

The everyday version of the hero’s journey is a “big picture” view of the 10-step journey. This version highlights some insights about why the journey is necessary.

Everyday living creates a personal physical and emotional habitat in which we exist as our normal life’s environment. Our habitat is the sum of all the forces that shape our lives. These forces mold us by conditions that constrain both our physical self and our surroundings. Our journey of change begins with a disruption in the safe self then continues on a quest to find a new-normal for reintegration into our safe self.

Life with MS is both about dealing with the adversity of trauma and the quality-of-life improvement challenges. Economists use the terms needs and wants to explain motivation in social behavior. Likewise, we can use the same terms to identify the purpose of the journey. Adversity is a needs-modification journey. It means MS has broken the normal life habitat balance and something needs to be repaired and resolved correcting the trauma to the new-normal. Quality-of-life is a wants modification journey. At some point, a desire emerges prompting a challenge leading to a new-normal that creates benefits for transfer into normal living. Perhaps a challenge is to improve mobility by losing weight and improve cardio to manage fatigue by embarking in a personal training program.  Interestingly both journeys have opportunity to refine and adjust goals during the quest cycle.

The Quest Cycle

The quest cycle is the heart of the journey. This is a process where we discover the true depth of change and find the resolve to climb out of the deep and build the new-normal. As a process, successful change occurs incrementally. During a needs journey the increments can be well defined like living through another MRI or even a doctor’s office visit. Medication management is a common needs journey. The journey out of an exacerbation can have many quest cycles. Every MSer experiences different trauma. Like in the 10-step model, our guides become instrumental, understand the trauma and assist with building the new-normal.

The Everyday Journey 

      Challenge:  a demand triggers a change, something needs repair or reform.
      Quest: the discovery journey to meet the change,  define goals   Remodel:  the test time for the change, refining the change 
     Home:  the challenge is normal life   

A wants journey fuel comes from the personal desire to set a challenge and find the passion to change. Fitness is a very difficult wants journey because it involves both common fitness challenges and trauma deficient challenges. Here the sword of self-discipline and the shield of interlopers are defenses to be built and defined. MS fatigue is one of the physical obstacles these weapons help us combat. After years of work, I became a cyclist. My shield of interlopers are limitation awareness and tools to help protect myself from heat and cold to block external causes of fatigue. My sword of self-discipline for fatigue is a little motto, “If the muscle weakens with burn, ride on and be happy because I am getting stronger. If the muscle weakens with no burn, stop before falling off. Rest, then ride on.” 
Because the wants journey is personal, seeking guides like personal trainers can make the journey easier and more successful by drawing on their professional expertise. For me, the trauma from MS exacerbations left my left side muscle weak, areas of numbness and a drop foot gait. Because of the MS, my left side suffers from proprioception sense failure exhibited by not recognizing the correct movement. While physical therapy can identify the failure, my experience taught me that personal trainers are good guides to see the correction and suggest training techniques to correct proprioception failures. During my MS history, I learned the value of both professions. The physical therapist helped me understand the challenge of walking and it was the personal trainer who helped me during the long struggles in the quest to walk. Learning to walk without a cane required many-many quest cycles. The new-normal became walking slower, observant ground scanning and exercises strengthening leg muscle control. In time, these skills integrate and transform into being a normal way of walking.

Every MSer has their journey story. I believe the journey to find their MS normal life with MS is important to overcome the mystery and doubt of MS exacerbations. Knowing our MS normal helps the MSer find the time to raise the warning flag and seek medical help. When not reacting to needs demands, our survival drive, uses this time in the life-normal state to foster challenges by wanting better survival conditions.  

The Bell Tolls for the Hero

Why are we concerned with the hero’s journey? Why is it important to learn steps for following the journey? What is normal? The answer is found in the ringing of a bell. The normal state for a bell is silence. When struck with a hammer, the energy from the hammer causes metal trauma that sends out waves of sound as notification of the trauma. As the metal absorbs the hammer’s energy, the strength of the sound wave lessens and eventually the bell becomes silent – its normal state. This silence science calls quiescence. In disease, quiescent means not getting any worse. In engineering, quiescent means a steady-state, like the light emitted from a light bulb. In physics, it means inactive often referred to as a body at rest thens to stay at rest. In all cases, there are active forces maintaining the quiescent state from forces seeking to disturbed its state. Quiescence is a very powerful force of nature.  In essence, it means all the force conditions are balanced and action is controlled. A burning light bulb emits controlled energy. A beating heart pumping is the heart's natural normal the quiescent state.   

In humans, relating normal life as a quiescent state defines both qualitative and quantitative conditions of the current normality. When something disturbers these conditions, like MS, the hero’s journey is a road map to help restore those conditions becoming life normal.  Our body is designed for action, to burn brightly. That is our normal quiescent state. Like the ringing bell, the forces are shocked out of balance and other forces immediately go into action to silence the bell. When our body is shocked out of balance, we need tools to restore balance. The hero’s journey is way to gather those tools and put them to work becoming the can-do person.

Everyday Heroes

Some people have called me a hero. For me, my heroes are the people who help me. Those that contribute to finding a cure for MS, my support partners who live with MS too, my friends, my family, my sponsors, my mentors and other MSers, these are my heroes.

When I give talks about MS, part of the story is my own hero talk. H.E.R.O means Help Everyone Respect Others. People demonstrate respect by giving time, talent, treasure and tenacity. Of these, never giving up, tenacity is the most important. Heroes don’t quit. Sometimes we do get lost or miss an opportunity. 

 A hero’s journey does not have to be a long grand event. Deciding to write a check for a donation and sending it in is a hero’s journey.  When I see someone hold a door for someone in wheelchair, I see some of their hero poking through.  And for the person in the chair, not to feel insulted but rather responding with a gracious thank you shows another face of being a hero.

Living with MS is both personal and public. When an observer looks at a person with MS, most likely they will not see anything that would identify the person as having MS.  Even people with MS cannot identify other MSers. For a person with MS, associating with people without MS often is like standing on the edge of a deep invisible social chasm. The symptoms from MS trauma, like drop foot and memory gaps, created the chasm. Because MS often has invisible symptoms, The MSer can see the chasm, but others cannot. Humans have a wonderful gift of being able to adapt to physical challenges and to respond to obstacles.  When the MS hero returns to their life-normal, they will adapt their MS to bridge the chasm.

The difference between dreaming and imagination is that a dream is as transparent as a wish whereas imagination is plan for a call to action.  Every day I dream of a life free of MS. A thousand times a day, I imagine overcoming the next obstacle and when that is done overcoming the next and the next and then the next. Soon I dream again and then my imagination fuels the day.

Looking for Heroes

Reflecting on being a hero prompted me to frame an invitation. Say to someone, “I invite you to be a hero.”

Comments


What is the source of the 10 steps? Read: The Writers Heroes Journey by Christopher Vogler derived from Joseph Campbell’s work.

What is a common example of adapting?  Numbness in the feet causes balance and stride deficits. Using a simple expression like climbing stairs with a cane, “to heaven with the good, to hell with the bad” can be a the cognitive challenge to remember and coordinate, and a source of pride when successful.

What are the sword of self-discipline and the shield of interlopers? The sword of self-discipline refers to the new personal characteristics used to remove the internal resistance blocking the forward journey. The shield of interlopers refers to any outside influences that seek to breach the security of our journey.  Like knights of old, the sword and shield provide armor for MS combat.


What are the principle personal characteristics of the sword and the shield?  Self-honesty’s introspective nature is the sword that cuts to the truth in making choices. Self-awareness’s judgments shield outside influences by admitting or rejecting acceptable behavior changes.

MS is not mythological, why relate MS to fiction?  While the literary model for a hero’s journey is about characters found in stories and history, I found it is a great model for overcoming any adversity. MS presents so many challenges; just working through them can be confusing, compounding the adversity imposed by the challenge. The steps are just waypoints leading to a new normal.

Thursday, November 14, 2019

Psyc: Grief Adapt Matrix

Greif Adapt Matrix


PPT Slide: Grief Adapt Matrix

Psyc: Life Principles


Life Principles

PPT Slide First and last thrive principles

PPT Slide  When is thinking's black start

Psyc: Nervous System Communication Model


Nervous System Communication Model


PP Slide:7 Layer Communications
PPT Slide: Thoughts in Affinity Space

PPt slide: Structures of the Mind


Wednesday, November 13, 2019

Multiple Sclerosis: MS Attack Zones


MS Wound Attack Zones


Think about it. You get the feeling something is not right. You deny the possibility the feeling is MS. It has been 24 hours since the feeling stated. Anxiety drives desperation to make a neurologist appointment. Once in the examining room, the medical assistant prompts answers to a litany of questions.  The assistant finishes, stands, then exiting the door, turns and announces, "The doctor will be with you shortly". The door closes and you are alone. Hundred times the same visit scenario happens a the doctor's offices. This time I am sitting stressed about the possibility of an MS attack. My heart knows the truth, but I pray the neurologist will offer an absolution rather than blessing my fear is true. As much as you want it to be, the examining room is not a sanctuary from the fear. The emptiness fills with worry. Am I having an MS attack? Where is that doctor? I do not want to be here. Should I just walk out? Where is the doctor?  I know the doctor’s examination routine. I fear to hear the words. I have been here before. I know what I will do. Again, I will put my grit to work.

The MS Wound Attack Zones illustrates trauma's dual events triggered in both the conscious mind and the brain's neurology. The lesion triggers an alert in the mind that notifies us something is wrong. The picture shows both the neurological and neuro-psych paths emanating from the same MS attack. The conscience mind presents its diagnostic report long before the doctor’s report. The MD makes the determination if the symptoms are MS symptomatic or not.

For an MS attack, neuropsychological (NPL) is a broad term that refers to the behavioral changes caused by the lesion's neurological trauma. NPL therapy includes many treatment domains. The neuropsychologist helps to quantify the trauma. The psychologist's focuses is life quality helps adapt behavioral change.. The physical therapist helps restore the quantity of movement. The personal trainer aid with one to one quantity of life.training. Other therapy professionals focus on other quantity or quality strategies  To thrive, the MSer owns the quantity and quality strategy.

The clinical MS language focuses on the neurological terms lesion, inflammation, and sclerosis. The neuro-psych path is not in the MS language. The NPL path si parallel to the clinical path but with different events. The lesion is the same, but in the NPL path, the trauma triggers the conscious mind into irritation behaviors, like "Get to the neurologist." Just as the lesion’s inflammation leaves scars, irritation leaves mental stigmas. These stigmas are the lasting mind impressions originated by the lesion.

The current MS dialog does not directly speak about the neuro-psych path and how it is a precursor to medical treatment. The doctor's pre valuation requirement instructs the MS a change must last 24 hours or more. The instruction is an NPL irritation but irritation and stigma is not in the neurologist language. Our mind expresses irritation for 24 hours.

The table relates the trauma to symptom treatment.

This paragraph I borrowed and edited from msbrainheath.org: "Brain health A guide for people with multiple sclerosis" as an example clinical narrative and how neuro-psych and neurology present in many explanations of MS.



The capacity of the brain to adapt (remodel) is known as neurological reserve, and the more neurological reserve a brain has the healthier (self) the brain. When someone is feeling well (asymptomatic) , science proved that MS can be active. Research has shown that only about one in 10 lesions leads to a relapse (symptomatic) and that other, less noticeable, damage can be ongoing. If an MSer does not experience new or worse symptoms (irritation), the brain may compensate (remodel) for the damage by using neurological reserves (remodel). When damage uses all the brain's neurological reserve, the brain the MS symptoms may progress (symptomatic).


Tuesday, November 12, 2019

Psyc: Maslow's Needs Flanigan Wants

Maslow's Needs Flanigan Wants



PPT Slide

Psyc: The Damn It Cycle

The Damn It Cycle



Psyc: Keep your Grit

Keep Your Grit. Keep Your Ability to Thrive. 



 The mood change between apathy and grit is a journey of mood changes. 8 change states and 4 motivation states.

What not is apathy is grit. Each term represents a mood. To find the opposite ask "What not is _______ is __________. What not is confidence is doubt.

To describe a term ask "what is not _________ is________. What is not grit is uncentianly and no passion.

Mood change happens by trigger moods. 8 trigger moods prompt grit. 8 trigger moods prompt apathy.




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Biden sweeping new green initiatives

 Biden sweeping new green initiatives In 1984, GM started Saturn as an independent business to bring robotics into automobile manufacturing....

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