MAINE PARKINSON’S SOCIETY (MEPS) “PASSING THE TORCH”

The Maine Parkinson Society (MEPS) has elected new leadership and MEPS President Gary Cole passed the torch to Karen Marsters of Bangor and a new Society Board of Directors, effective immediately. The newly-elected board members are Karen Marsters, President, Paul Soucy, Vice President, Steph Young, Treasurer/Secretary, Irv Marsters, and Joe Ferris, Esq. The Board is representative of Parkinson patients, caregivers and community leaders.

Click here to learn more, including information about an upcoming PD conference:  Passing the Torch Press Release

PD Programs in Boothbay Harbor and Damariscotta

By Lisa Leighton

I love my work with our community members with PD.  When I work with these folks, I see power, resourcefulness, and resilience.  Thus far, I have had the pleasure of working with patients with varied backgrounds including artists, business men and women, homemakers, social workers, fire fighters, ministers, ship builders, and more.  With each experience I take away something new that I can share with others, be it an alternate technique for putting on a pair of pants or a novel strategy to help gain control over episodes of freezing.  It is their resourcefulness that helps me to stay fresh in continuing to support others in their pursuit of a better quality of life.

I frequently see their power, individually and as a whole, as I watch them take steps to gain control of their health, fight to maintain motivation, and support each other in their quest to find answers and achieve their greatest potential.

I also love the programs and treatments that we can offer to our community members with PD.  This area feels like no other that I have worked in, where there is such great established and emerging research to demonstrate the effectiveness of what we can provide.  I’m glad that we can show people clear numbers to validate their hard work and what it has accomplished in such a short period of time.  Simply, it feels good to be able to provide feedback that reveals to my patients that they do, in fact, have control over their own bodies.

Below, you will find a list of the services that we have for patients with PD on both the Boothbay Harbor and Damariscotta campuses.

Boxing for Parkinson’s [Class is currently 1x/week on Monday at 9 am, but we are looking into adapting to make the time more accessible for more of our community members] – Instructed by Jenifer Wolfe, our Rock Steady Boxing certified PT.

LSVT LOUD – provided by Kristen Dolce, one of our Speech Language Pathologists, at both the St. Andrews and Miles campuses.

LSVT BIG – provided by myself and now with back up from two newly certified clinicians, Courtney Stover and Diane Brown. We are all OTs, and the program is offered at both the St. Andrews and Miles locations.

We have a Theracycle  at the St. Andrews campus

*We are working with the CLC YMCA in Damariscotta to have a Boxing for Parkinson’s Class and a Theracycle available at their site, hopefully starting this Spring –again, it’s a work in progress, so more to come!

We have a year-round Parkinson’s Support Group, held at Chase Point on the Miles Campus in Damariscotta on the 1st Thursday of the month at 2pm- I facilitate this group.

We also host a Parkinson’s Support Group at the St. Andrews Campus during the summer months (June-August)- Kristen Dolce facilitates this group.

Lastly, I am currently working on starting a BIG FOR LIFE- LSVT BIG graduate class which I hope to roll out by or before January.  The class will start out on the St. Andrews Campus, but depending on community interest, I will work to provide it on the Miles campus as well.

Lisa Leighton OTR/L works with Lincoln Health: St. Andrews Campus, Office: 207-633-1894

Boxing is a Big Hit

In the Summer 2016 issue of MPDN we included an article titled Balance in Parkinson Disease (1) which noted that among various interventions, boxing training may be useful in PD.  The article summarized a boxing trial published in the journal NeuroRehabilitation (2) which described patients working with certified trainers at the University of Indiana who focused the participants on a circuit of stretching, punching bags, resistance exercises, and aerobic exercise training.   Before and after completion at many weeks, those involved demonstrated significant improvements in gait velocity, endurance, balance, mobility, and quality of life.  The investigators were building upon an earlier boxing intervention trial published in the journal Physical Therapy (3).  Boxing and exercise at large are part of an ongoing effort over the last few decades to identify physical approaches that will not only improve mobility and dexterity, but decrease fall risk, and possibly slow down disease.  More on various exercise approaches may be found in the Fall 2016 article by Dr. Kleinman (4).

Building in this direction, in 2016 Cate Parker, MS, RN, CEP, Director of Mid Coast Center for Community Health & Wellness, formed a team of specialists and began a series of ongoing exercise programs at the Landing YMCA in Brunswick (5).  There are three classes: a general exercise class for people with PD, a class for graduates of the LSVT program, and Rock Steady Boxing (RSB).  I can say anecdotally that feedback from those taking RSB has been very positive.

Cate Parker is happy these programs are taking off, and would stress that physical activity has many potential benefits in PD, including improved strength, mobility, flexibility and balance.  “To obtain the greatest benefits, patients must commit to daily exercise for life, just like medicine.  Many of our support group participants commented on how difficult it was to exercise on their own or how they were challenged to maintain any improvements they achieved during the LSVT program.  The group asked for help.  As a result we investigated the best exercise options and decided to collaborate with the YMCA to develop a multi-option approach.  Exercise is only helpful if you ‘do it,’ so we decided to provide different options for different people. Our programs include LSVT, dance, yoga and boxing.  Almost any exercise is good medicine for someone with Parkinson’s disease.”

Boxing coaches from right to left are Zach Hartman, Kristy Rose Follmar, and Jennifer Anderson.

RSB trainers Zachary Hartman, EP, and Jennifer Anderson, PT, MPT, flew to Indianapolis to learn the technique and become certified instructors.  In a written response to questions about the programs, they note that “Parkinson’s specific programs at the YMCA Brunswick Landing offer a range of activities for those of all ability levels.  The staff emphasizes safety of each of the participants, while pushing each individual to their intensity threshold in order to help them reach their full potential.  After the Rock Steady Boxing class, participating athletes have reported immediate improvements in symptoms such as bradykinesia, posture, and fine motor skills. One boxer reported that he was able to type for the first time in a few years.  Other boxers have been able to learn to transfer off the floor independently.  A few participants have been quick to report that the high intensity exercise has improved their ability to sleep at night.  Participants not only report improvements in physical strength, balance, and range of motion; but they also appreciate improvements in mental and emotional health. The exercise programs allow for great comradery, and they truly feel like they are members of a team working together in order to improve quality of life. The group members are quick to encourage one another.  Staff members have heard them commenting to each other on the improvements they can see from one week to the next.  Individuals may have good or bad days but as a whole the group is always improving and having fun while doing it.  These exercise groups are intentionally not focused on what the athletes cannot do, but instead on what they can do.  That positive atmosphere is therapeutic in itself.”  Boxing classes for PD take place from 1:30 to 3:30pm, Tuesdays and Thursdays (6).

To learn more about boxing in Brunswick, see the online articles and videos that have been produced lately (7,8,9,10).

footnote:  None of the participants were punched in the making of this article.

REFERENCES (URLs accessed 3/25/17)

  1. https://mainepdnews.org/2016/06/07/balance-in-parkinson-disease/
  2. Combs et al., Community-based group exercise for persons with Parkinson disease: a randomized controlled trial. NeuroRehabilitation. 2013;32(1):117-24.
  3. Combs, et al, Boxing Training for Patients WithParkinson Disease: A Case Series Physical Therapy. 2011;91(1):132-142.
  4. https://mainepdnews.org/2016/09/24/exercise-and-parkinsons-disease/
  5. http://www.midcoasthealth.com/wellness/parkinsons-disease/
  6. https://docs.google.com/viewerng/viewer?url=http://bathymca.org/wordpress/wp-content/uploads/2014/12/Class-schedule-Spring-2017-2.pdf&hl=en_US
  7. http://www.timesrecord.com/news/2016-12-21/Front_Page/Hitting_back_at_Parkinsons.html
  8. http://bangordailynews.com/2017/03/24/next/parkinsons-patients-are-fighting-back-against-the-disease-literally/?goal=0_715eed3192-69816d43f8-82460469 BDN article with video
  9. https://youtu.be/XR5spbBbwao Maine Public video
  10. http://www.sunjournal.com/news/lewiston-auburn/2017/01/14/new-way-battle-parkinsons-boxing/2050682#.WHvsfypcXcU.email  (by subscription)

Portland Area Atypical Parkinson’s Support Group

by Janet Edmunson

Occasionally, someone originally diagnosed with Parkinson’s may later have the diagnosis changed to one of the atypical Parkinsonian disorders.  These include progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), multiple system atrophy (MSA) and Lewy Body Dementia (LBD).  While each of these have some movement and non-movement symptoms similar to Parkinson’s disease (PD), they also have other distinctive symptoms that are difficult to manage and deal with for the person affected and the caregiver.  In addition, PSP, CBD and MSA progress much more quickly than PD and LBD. 

Since their needs are unique, Barby Johnson and I started an atypical Parkinson’s support group here in Maine over 10 years ago.  Barby’s husband died of PSP and mine of CBD. 

Our group meets four times a year in Falmouth on Sundays from 1 p.m. to 3 p.m.  During the meeting we usually go around the room and allow every family to discuss what’s been happening since the last meeting and bring up any issues and concerns they are facing.  The group has a positive attitude and addresses issues in a supportive, uplifting way. 

If you are dealing with one of these diseases, we’d love to have you join us.  You can email or call us to get information on the dates of our upcoming meetings as well as directions to our meeting location in the MaineHealth Learning Center at 5 Bucknam Road in Falmouth. 

–Janet Edmunson (207) 799-4963 or janet@janetedmunson.com

–Barby Johnson (207) 633-0881

Camp Lejeune

In January the Public Health website of the U.S. Veterans Affairs (1) reported that “From the 1950s through the 1980s, people living or working at the U.S. Marine Corps Base Camp Lejeune, North Carolina, were potentially exposed to drinking water contaminated with industrial solvents, benzene, and other chemicals.”  The VA has established a presumptive service connection for disability claims of Veterans, Reservists, and National Guard members exposed to contaminants in the water supply at Camp Lejeune from August 1, 1953 through December 31, 1987, if they later developed PD or one of seven malignancies.  The new rule will be in effect March 14, 2017, and is funded by an allocation from the final days of the Obama administration.

This is part of an ongoing story.  Contamination was tragically not detected for decades.  Since the base opened in 1942, up to 30 supply wells were used on the 236 square mile base.  Water from the supply wells was mixed at treatment plants before being used by residents of the base.  Reportedly, tests of sampled Camp Lejeune water from 1980-1985 detected toxic solvents.  Contamination points were identified as a landfill on the base used for chemical dumping, leaks from underground storage tanks, and “waste disposal practices” (2).  The main contaminant in the system was trichloroethylene (TCE) with a maximum detected level of 1,400 µg/L, followed by tetrachloroethylene (PCE) at 100 µg/L, benzene, and breakdown products of TCE: trans-1,2-dichloroethylene (DCE) and vinyl chloride.  U.S. maximum contaminant levels (MCL) for TCE, PCE, and benzene are 5 µg/L. TCE, vinyl chloride and benzene are all classified as a human carcinogens (3,4,5).  PCE is a “likely” or “probable” human carcinogen.  TCE exposure has been identified by multiple authors as a risk factor for PD (6).

The Environmental Protection Agency (EPA) placed the site on the Superfund program’s National Priorities List (NPL) in 1989 because of contaminated groundwater, sediment, soil and surface water.  Next, the EPA, the North Carolina Department of Environment and Natural Resources (NCDENR), and the US Navy investigated the site and “took steps” to clean the base.  For some time since, the wells have been closed.  The problem is not over, and is not small.  Multiple sources cite a Department of Veterans Affairs estimate that up to 900,000 service members might have been exposed to the contaminated water.  It is not clear what number of family members or civilian workers were exposed.  And, diseases such as those reported may be many years in the making before one is even aware they are sick.  However, following discovery of clusters of cancers and other illnesses among those who lived, served, and worked on the base, increasing calls came for investigation.  Grassroots efforts to acknowledge the problem began, multiple legal actions were taken, and political attention was given.  In spite of these efforts, the issue was not as widely known until 2008 when Congress ordered the VA to notify exposed veterans of the problem.  There were, of course, calls to treat those with conditions related to these exposures.

In 2012 the Camp Lejeune Health Care Bill, signed into law by President Obama, covered 15 conditions related to contaminated water exposure, most of them cancers.  The law states “VA provides cost-free health care for certain conditions to Veterans who served at least 30 days of active duty at Camp Lejeune between January 1, 1957 and December 31, 1987.”  Eligible veterans were allowed to enroll in VA health care and receive medical services for covered health conditions at no cost.  Families of vets who lived on the base were included.

This 2017 decision taking effect 3/14/17 is an amendment to the 2012 law and has come after intense scrutiny by several government agencies.

Data collected on those who lived or worked at Camp Lejeune by the Agency for Toxic Substances and Disease Registry (ATSDR) (7) noted that civilian workers would likely have had the highest exposure to toxins in the the water.  A study compared 4,647 Camp Lejeune workers with a similar number from the same time period at Camp Pendleton in California.  These full time civilian employees started working at either base between April 1973 and December 1985.  Researchers carefully screened workers and asked about water consumption and bathing (some showered on the base).  In order to give enough time to detect the slow development of some diseases, they evaluated the health these large cohorts from 1979-2008, noting among multiple other serious health issues, higher rates of PD among the Camp Lejeune civilian workers with higher cumulative exposures to the contaminants.

Federal Register (8) published an online article in January stating this final rule establishes a presumption that Parkinson’s disease, which had originally not been included in the Camp Lejeune Act, is a condition for which there is “strong evidence of a causal relationship and evidence that the condition may be caused by exposure to the contaminants.”  Parkinson’s disease was included as a presumptive cause of disability due to a recommendation made by the Institute of Medicine (IOM), part of the National Academies of Science, in a 2015 report (9).

In Maine there are over 127,000 veterans (10).  At the time of writing this article, I have been unable to determine by online sources or by inquiry to the Department of Veterans Affairs the number of Mainers who served, lived, or worked at Camp Lejeune.

 

REFERENCES

1. http://www.publichealth.va.gov/exposures/camp-lejeune/
2. Bove, et al., Mortality study of civilian employees exposed to contaminated drinking water at USMC Base Camp Lejeune: a retrospective cohort study. 2014;13:68.
3. Environmental Protection Agency (EPA): Final health assessment for TCE. 2011.
4. Guha, et al., Carcinogenicity of trichloroethylene, tetrachloroethylene, some other chlorinated solvents, and their metabolites. Lancet Oncol 2012, 13:1192–1193.
5. Chiu, et al., Human health effects of trichloroethylene: key findings and scientific issues. Environ Health Perspect 2013, 121:303–311.
6. Locke, et al., Solvents and Parkinson disease: a systematic review of toxicological and epidemiological evidence.Toxicol Appl Pharmacol. 2013 Feb 1;266(3):345-55.
7. https://www.atsdr.cdc.gov/sites/lejeune/qa_healthstudyactivities.html
8. https://www.federalregister.gov/documents/2017/01/13/2017-00499/diseases-associated-with-exposure-to-contaminants-in-the-water-supply-at-camp-lejeune
9. https://www.nap.edu/catalog/18991/review-of-va-clinical-guidance-for-the-health-conditions-identified-by-the-camp-lejeune-legislation
10. http://www.maine.gov/veterans/about/media-kit/demographics.html

Stride. Walk. Jog. Run.

by Hunter de Garmo

I am an Husband, Son & soon to be Father (April 4th is coming soon!!!) living in Wiscasset, Maine and I will be running a 50K  (31 miles) on the indoor track at the Boothbay Region YMCA in support of the Maine Parkinson Society.  100% of the proceeds will go to this organization which helps not only my Mom Barbara, but hundreds of Mainers with PD pay for exercise classes, medication and exercise therapy through the Maine Parkinson Society (MEPS) Respite Care program.

STRIDE will take place on Tuesday May 2nd, 2017 and I will be running my ultra distance of 50K from 8am – 4pm while throughout the day participants can make a $10 donation and walk, jog or run ANY distance the choose.  People from all over the State of Maine will be coming back to support and experience this event while enjoying the Food, Music, Vendors & Activities in the Coastal Club Room from 9am – 12 Noon.

The Journey.

Running has been my passion ever since 2009 after over a decade of battling drug & alcohol addiction. Somehow I survived and now I ‘Run For Recovery’ and use the gift of the endurance athlete to inspire ALL to be of service to themselves, their family & their community.  During training for my first marathon I helped to create a 5k Power Run & Walkathon in Stowe, Vermont when I was on the board for the American Parkinson’s Disease Association.  This event is now in it’s 8th year and has GROWN raising over $25,000 for Vermont families statewide. My running journey has lead me to run two 50 Mile Ultramarathons, a 50K for STRIDE and 3 Marathons fundraising for Team Fox & The Micheal J. Fox Foundation.  I was featured in 2013 on their Blog ‘Fox Focus’ as being one of a handful of runners EVER to run an Ultramarathon for the organization.

My long term mission for STRIDE is to give everyone that is involved with Parkinson’s Disease a chance to connect with individuals, businesses and community programs to inspire a healthy lifestyle.   With the growing population of Mainers being diagnosed each year – events like this are going to be pivotal in educating entire generations and inspiring caregivers to reach out and understand there are opportunities and people who care.

Please spend some time on my Instagram @runlivethrive and learn more about my story on the Facebook Event Page and let me know if your organization would be interested in supporting my mission for 2017.

One of my greatest inspirations, Ultra Runner – Dean Karnazes, once said… “Run when you can, walk if you have to, crawl if you must; just never give up.” …this echoes true in both my adventure as an Ultra Endurance Athlete and my Mom’s grace while living with Parkinson’s Disease.


WATCH the BRCTV Channel 7 Documentary on STRIDE 2016 >>> https://vimeo.com/165595939

LEARN more about Hunter de Garmo & STRIDE 2017 >>> Facebook Event Page : https://www.facebook.com/events/181875098965201

Instagram : @runlivethrive

MAKE a Donation to Parkinson’s Disease Research, Awareness & Support in Maine >>> www.maineparkinsonsociety.org

Sponsorship Donations can be made out to ‘Maine Parkinson Society’ and mailed to : Maine Parkinson Society ATTN: Morgan Knox 359 Perry Road Bangor, Maine 04401

In Sickness and In Health

In my exam room there is a piece of writing hanging on the wall which I often find people reading as I enter.  Many feel moved by the words.  Some knew Ken Nye, who put these feelings down for us to read.  In those cases, I am treated to a story about Ken.  They tell me how he helped them, how he was there when needed, how he taught them, how he was just a great guy, or a great friend.  “He cared … he turned my life around … he listened … he was a mentor.”  I have heard so many good things standing there.  These days the stories and comments are always in the past tense, because Ken himself passed in October 2012.

Ken was someone worth knowing.

I met Ken and his wife Ann in 2007 when I first moved to Maine.  They came to my old office in Westbrook for a consultation regarding a diagnosis he had carried since ten years earlier, when he was 55.   I remember that Ken told me he had enjoyed singing with the church choir, and had been having difficulty with his voice.  The falsetto, in particular, was breaking up, and this was not normal for him.  He thought it might be related to aging.  Over the next year, however, his left arm did not swing while walking.   There was a gradually worsening stiffness in his muscles.  When he would extend the arm to reach for something, he felt a ratcheting sensation in the elbow.  He learned he had Parkinson disease and began medications, which did help symptoms, but did not slow the progression.

Ken had been a very active person all of his life and did not want this disease to slow him down.  He was educated, and an educator.  He taught high school in Evanston, Illinois; was department chair of one of their four schools (combined studies department – English and social studies); and became principal of Rumford High School, before taking the same post Yarmouth High School.  During that stint, he was diagnosed with PD.

One of his first concerns with PD was what this would mean for others.  He worried about his wife, Ann, his family, his students.  However, he quickly decided to be open about PD.  He would still go on to become an assistant professor in the graduate program at USM, where he taught teachers who wanted to be principals and athletic directors.  Ken started the advisor/advisee program, independent study, and community service, which many other high schools picked up and still use.  He was a Renaissance man.  For about five years in Yarmouth, he co-taught a senior English class while he was principal.  While he was at USM and after he retired, he gave lectures on poetry at middle and high schools, and gave area schools class sets of some of his books for poetry units.  Student poetry and writing awards at Yarmouth and Freeport High Schools are known as the Ken Nye Awards.

Ken and Ann were very involved in Maine PD community.  They were members of the Young Onset PD Support Group, and initially attended meetings at the Curtis Library in Brunswick.  The group moved to the Nye residence in Freeport for a time, before heading on to South Portland.

Ken’s disease progressed, and he became less able to do some of the things he enjoyed.  He had always been the kind of guy who would climb up on the roof and fix something himself.  Ann and Ken had raised their family on a 20-acre farm in Rumford Center with Black Angus cattle, bees, and gardens.  During the last 30 years of his life, living in Freeport, Ken was just as ambitious.  With PD, he eventually had to find interests that conformed to some of his limitations with balance, and the newest devil to find him, insomnia.  In the sleeplessness of night, he found poetry.  I remember him telling me he attended a weekend meeting and took a chance by sharing his writing with others.  He found that he was able to express himself.  Ann looks back now and tells me that his four books of poetry probably happened because of Parkinson disease.  It was an outlet he could use, and it meant a lot him.  I would say it meant a lot to others too.

Ken also enjoyed casting and painting small figures of soldiers, primarily of the British Empire, but also of the U.S. Civil War.  He had collected similar figures as a boy, and took up creating his own in the mid-1980s after learning the craft from a friend and former professor.  As time went on, he produced these for family, always trying faithfully to define the uniform, the character, the era.  I saw some of the tiny soldiers and was impressed by the skill and patience each had taken.  I was more impressed by the body of knowledge needed to create them.  He loved history, and enjoyed not just the factual side, but reading historical fiction, twice through the 20 novel set of the Aubrey-Maturin series of nautical novels by Patrick O’Brian.   I would often find him in an exam room with book in hand, Ann at his side, her own book open.  The two were a perfect pair.

Ken inspired others.  He was a peer mentor, was active with PD support groups, attended fundraisers, and was involved with planning and coordinating events.  He attended PD exercise classes at Ocean View and supported exercise as an intervention.  Even after he had disease for many years, he built a shed at his home, was the president at his church, and head of the Steeple Committee.  Ken enjoyed sailing and when it became too unsafe, regretted that loss in a rare moment of sadness with his condition.

I think the disease was particularly hard in the last few years, but there were complications from other very serious health concerns.  Falls, spills, injuries, and concurrent illnesses took their toll, and at times Ken was hospitalized or met acutely with the medical profession.  Still, Ken was an inspiration to me.  He took most of this in stride and with dignity.  He laughed once recounting an ER experience for a painful fracture, and truly appreciated those who had cared for him.  This was a recurrent theme.   Many times I have thought about this, and hope I have learned from him something about how to face illness.

I have to give a small confessional as well.  I fumbled about on the day he told he was close to dying.  There were tough decisions, and rather than briefly extend his life with difficult treatments for an illness outside of PD, he had decided to stop and take only comfort measures.  I thought he was feeling desperate, and said so.  I thought he was giving up.  I had it wrong.  With Ann and their daughter Amy at his side, he told me “No, I am not desperate.  I am taking control.”  And he was.

At Ken’s celebration of life a few months later, I was moved again, to hear about the life of Ken Nye from his closest friends and family.  He touched so many, and we all better for it.


In Sickness and In Health

by Ken Nye

– included with permission from Ann Nye

Eleven years ago, when the doctor looked me in the eye and said, “Mr. Nye, you have Parkinson’s disease,” it never occurred to me that the “you” to whom he was speaking included another person who wasn’t even in the room.

But as the years have passed, and this chronic, progressive disease has become more of a nuisance, I have come to understand that “you” meant not me alone, but Ann, too.

There are buttons I cannot button, zippers I can’t get started.  There are organizational tasks I used to do routinely that have now been passed to Ann.  There is medication to be sorted into little square cups of a daily pillbox, ready to be imbibed every three hours through the day so I can function almost normally.  There is a joint pocket calendar maintained by Ann to be sure I get where I am supposed to be, when I am supposed to be there – and she is the driver.   There are foods that I shouldn’t eat, but sometimes do; things I shouldn’t do, but threaten to.  So she watches over me, like a nurse working a 24 hour shift that never ends.

But she never complains.   And when I get angry or frustrated that we have to deal with all of this pain-in-the-neck crap, she brushes it off, cools me down, never offering pity or even sympathy, just acting as if this is all part of life and the promise we made to each other a long time ago.

She meant every word of that “in sickness and in health” stuff 45 years ago.

“Mr. Nye, you and your wife have Parkinson’s disease.”

She never blinked an eyelash.

Am I a lucky man or what?

 

High school senior helps the Maine Parkinson Society

We recently ran a notice in the Upcoming Events section of Maine PD News about a fundraiser to support the Maine Parkinson Society (MEPS).  The event raised money by sale of movie tickets at Smitty’s Cinema in Topsham on the 27th of October.

Cameron Loeschner, a senior at Mount Ararat High School, organized the event.  He tells me this was a part of his capstone project.   Thinking of his grandfather, Cameron noted, “I wanted to do something that would benefit Parkinson’s disease.”  Seniors work with a mentor on the capstone, and Cameron reports his mentor was Amy Berube, LMSW  at Mid Coast-Parkview Health.  “We worked together, looked up different ideas, and came up with a movie night.”  They raised over $620 and donated it MEPS.  “I didn’t know much about Maine Parkinson’s at first, but I wanted to have more of a direct impact on my community.  Amy helped me with selecting them, and I contacted Morgan Knox.  Morgan was a big part of it.”

The event apparently went well, and Cameron says, “I’m, glad I did it.  To be the one that set that up was really cool.  It made me see what I want to do in life, and it felt really good to do something that may help my grandfather.

James Pope, Cameron’s grandfather, tells me “I am very proud of Cameron for spotlighting something this close to home.  It means a lot that he thought of me, and that he kept the money right here in Maine.  There are all kinds of programs around the country, but very few right here in our state.”

Cameron has been accepted to Thomas College, in Waterville, Maine, and plans to major in communications with a concentration in public relations and marketing.   He’s off to a good start.   Thank you, Cameron!

 

The New England Parkinson’s Ride

Chris Woods was 41 years old when he was diagnosed with PD.    His sister, Cindy Woods Theberge, tells me Chris was one of the people who felt a call to action when Hurricane Katrina struck New Orleans in 2005.  He left his business and his family, and wound up living in a tent city, where as a volunteer with the Red Cross, he tried to help people find housing, fill out paperwork, and do the things they needed to do to get going.  “At the time he was standing around for 14 hours a day on cement or in mud, and his sneakers were always wet.”

Chris, whom I talked with later, notes “I can pinpoint the very first symptom.  I remember the ball of my right foot cramping and my right arm not swinging when I walked.  I thought it was from just being on concrete all the time, living in tents. I was down there almost a month.  That would have been late October ’05.  After I came home, I noticed some other things.  My right hand wasn’t moving as much as my left when I washed my hair, for example.” Cindy did not know at first, because Chris told no one, not his sister, his mother, or even his wife. But, he knew something was wrong, and in January 2006, started looking to doctors for an answer.

Early PD can sometimes be difficult to diagnose, and Cindy tells me that now she knows “at first they thought it was a stroke, or maybe a brain tumor.  He was checked for Lou Gehrig’s and MS. Then, they called it dystonia.”  In June 2006, Chris met Dr. Marie Saint-Hilaire, a movement disorders neurologist at Boston University. “She made the diagnosis in 20 minutes.”

Only then did he let family know there was a problem.  Cindy recalls, “He called me and said, ‘Are you sitting down?  They said I have Parkinson’s.’  We didn’t know anything about it back then, nothing.” They found out as much as they could, and being the fighters they are, the Woods family pulled together to help Chris, and ultimately, to find a cure.

At the time, Chris had been riding in fundraisers for diabetes and multiple sclerosis, diseases which touched other family members.  They wanted to participate in a cycling fundraiser for PD. “We looked around and couldn’t find anything.  I contacted both directors from the MS and diabetes rides and they told me ‘don’t even think about starting a ride, there is no way in this economy.’  There was a guy doing a bike ride from Boston to Maine, and we got together and joined him.  That first year there were 37 cyclists.  It went one way from Boston to Old Orchard Beach, and there was no way to get back.   A family member would have to come get you.  Still, we did it again the second year, and we had about 85 riders.  The next year the ride didn’t happen.   We ended up starting all over in 2008, and instead of a one-way we made it a loop around Old Orchard Beach, so riders can get back to their own car or whatever they want.”  That was how the New England Parkinson’s Ride began.

The family all wanted to be a part of this.  “Here’s the problem, the rest of us don’t ride,” Cindy said.  To this, Chris replied, “well, find a bike.”   At the time, they were based in New Hampshire, but according to Cindy, “we already loved Old Orchard Beach, and it is much more bike friendly.”  So they began the process.  The first year, 2008, their mother Edna, who was 73, went door-to-door asking Mainers if it would be okay to put in a rest stop at their home, and “no one could say ‘no,’ how could you?”

From the beginning, the ride was linked to the Michael J. Fox Foundation.  Thirty-five riders in 2008 raised over $27,000.   Cindy notes they have grown by about 30% each year, and in 2015, 800 riders raised $546,000, the biggest single-day fundraising event for the MJFF to date.  Since starting the ride, the group reports over $1,750,000 in cumulative donations to MJFF.

Per the New England Parkinson’s Ride website, “all routes begin and end at The Ballpark in Old Orchard Beach, Maine and travel through the countryside and shoreline.”  Riders can choose to cover distances of 10, 30, 50, or 100 miles and each section starts at a different time, longer distance riders starting at 7:30am, and the shortest distance riders at noon.

Cindy stresses, it is hard work to ride that far, but it is a really fun event.

Chris and Terry Woods
Chris and Terry Woods

“Everybody has a great time.  And, last year we had 42 riders with Parkinson’s.” Chris is still riding. “I will do the 100 mile ride as long as I possibly can.”

Randall Curtis, a 59 year-old resident of Belfast, Maine has PD, and has ridden for each of the last five years.  Last year his group of friends and family totaled 11 riders.   He notes, “they stagger the starts so everybody gets done at roughly the same time for food and music.    It’s a fun, fun, day.”  Randall did the 30 mile ride last year and tells me it is also about fighting PD. “I just think that people need to move it or lose it. You have to exercise, and I can tell it helps me.”

There is a dinner on the Friday night prior to the race, but space is limited, and early registration is key for that.  Based on projections, they think they will hit 1,000 riders this year.   There is a lot that goes into preparing for this, and typically about 300 people sign up during the last two weeks before the deadline – not much notice for the organizers.

There is also the issue of taking enough time for riders to raise funds.  Riders are committed to raise (or contribute) at least $100 each to the Michael J. Fox Foundation.   The registration fee of $45 covers the cost of food, rest stops, a modest meal after the ride, T-shirt, porta-potties, and even a band after the ride.   There is more overhead involved in running an organization like this, and that is why they have become a 501(c) (3).   Aside from Cindy, who gave up her career to become the full time director, the staff is all-volunteer. Some funding comes from sponsors.

The New England Parkinson’s Ride will be Saturday, September 10, 2016, starting at The Ball Park, 7 Ball Park Way, Old Orchard Beach, Maine.  The schedule is:

100-Mile – 7:30am
50-Mile – 9:00am
30-Mile – 10:30am
10-Mile – 12:00pm

To register or learn a little more, go to http://neparkinsonsride.com/

A brief history of the PD non profit groups in Maine

In the summer issue we ran a story about the New England Parkinson’s Ride, an annual event which donates proceeds to the Michael J. Fox Foundation.  This issue I will focus on two other groups which have raised funding for either national or local PD efforts.

The Maine Parkinson Society (MEPS) is currently headquartered in Bangor and is a 501(c)(3) charitable organization with a mission “to improve the quality of life for an estimated 7,000 Maine people affected by Parkinson’s disease (PD). This is achieved through educational programs, by providing respite care services to health care workers and caregivers who work with people with PD, and by funding other programs that work to find the cure.”

MEPS has worked to spread information since its beginning.  The Secretary of State accepted the group’s articles of incorporation in July 1998.  Per the Lewiston Sun Journal, at the time, PD was known as the “disease of the invisible,” and interviewees noted that funding for PD research ranked 32nd, “just ahead of sleep disorders.”  They stated that amount of money was equivalent to only six percent of the total directed to AIDS research.  The article reported, “The Maine Parkinson Society is intended to provide greater visibility and to improve service to victims of the disease.”

At that time, MEPS was based in Portland and the original president of the group was Gregory Leeman, a human resource director of Blue Rock Industries, who was quoted as saying there were then no movement disorder neurologists in Maine.   He despaired as a PD sufferer, “the variety of drugs used for treatment adds to the confusion   It is difficult, even when you keep daily charts as most of us do, to find a smooth drug regimen.  It all adds up to a roller coaster ride that leaves patients in an emotionally drained state.”

Vice president of that first board was Karen Bardo of Alna, who worked as an administrative secretary in special education.  She had been diagnosed just two years prior and was reported to be the glue that had kept the effort to form MEPS going.  Ms. Bardo kept up that enthusiasm for several years, and would later serve as MEPS president.  Other initial members included treasurer Leonard Kaminow, M.D. (then and now in the practice of neurology in Scarborough), and secretary Harold Jones of Augusta.  Of note, Mr. Jones, the father of Karen Bardo, would also go on to become president of MEPS for a time, and passed away due to complications of heart disease in December 2008.   A touching portrait of his life was published in the Kennebec Journal, and in the winter 2009 edition of the Maine Parkinson’s Pages.

MEPS hosted many activities over the years to raise both awareness of PD and funds for the mission of the group.  Often, MEPS worked in collaboration with the already-established Maine Chapter of the American Parkinson Disease Association (APDA), which had been a long-time fundraiser and helped to organize support groups throughout the state.

At first, however, it was not clear the two groups would work together.  The Maine APDA president for 25 years was Carl Barker, who retired from that role in 2009.   Barker, interviewed by phone, looks back on those days and notes, “at first I didn’t see the need for the two programs, and I thought that they ought to join us.  But, when it became clear that they wanted their money to remain in the state, to help people with respite and other projects here, we worked together.”   Barker notes “people who wanted to give money for research were encouraged to give to the APDA as MEPS had no channel for that.”

That they did work together seems evident.  Each organization hosted a variety of their own fundraisers such as bowl-a-thons, walk-a-thons, auctions, and the like.  For several years, they also collaborated on events such as the seminar for Parkinson Disease Awareness Day each April.   In 2000, for example, the Bangor Daily News reported on the seminar, which was held in Augusta.   Speakers included general neurologist Dr. Bernie Vigna of Bath (who passed away last year), and Dartmouth-Hitchcock neurosurgeon, Dr. David Robert, who covered surgical options including deep brain stimulation.  Quotes by Parkinson disease sufferer Viola Macomber were moving.  She had expressed uneasiness about attending but apparently found the meeting very helpful when she stated, “This is incredible!  He’s describing me right down to my fingers locking, that I’ve blamed on arthritis.”

That Spring, the Lewiston Sun Journal reported another collaboration: the APDA and MEPS were “working together to bring a full time PD specialist to Maine so that patients will no longer have to drive to Boston for treatment.”  To attract a movement disorders doctor, the groups applied for grant money to set up an information and referral center.  In July 2001, the Bangor Daily News announced the opening of the American Parkinson Disease Association Information and Referral Center (IRC) at Maine Health’s Maine Medical Center facility in Scarborough.  Lillian Scenna, LSW, would become program manager that first year, and the IRC would eventually move to Bucknam Road in Falmouth for the duration of its existence.  The office, primarily through the efforts of Lillian Scenna, would provide information about PD to the general public; coordinate educational classes; cultivate support groups; publish the Parkinson’s Pages newsletter; maintain a lending library of books; provide assistance using the internet to research health-related questions; maintain a specialized list of community resources for people with PD; manage the administration of the Respite Care Reimbursement Program; and many other outreach efforts to increase awareness and proper care for Maine people with PD. The IRC also fielded a lot of phone calls.  Lillian Scenna estimated she took over a thousand calls per year from PD patients, and the top three questions were related to provider referrals, support group referrals, and medication side effects.  She was a member of the boards of MEPS and APDA, and was active in the planning and execution of most PD related events in Maine.

MEPS and APDA also found success in 2002, when Ed Drasby, D.O., brought the specialty of movement disorders to Maine   His practice evolved over time to include wellness in PD and participation in multiple clinical trials as a Parkinson Study Group site.  Studies included, for example, a trial of the drug pimavanserin, which would go on to become FDA-approved for psychosis in PD April 2016.  Dr. Drasby has been on the MEPS board of directors since coming to Maine, and was a board member of the Maine chapter of APDA.  He was instrumental in building a PD community in Maine and, as an aside, very welcoming and helpful in getting me here.  From the beginning, he asked me to be a part of these organizations.  His help and introductions were much appreciated.  Dr. Drasby retired from practice in October 2014, and though there are other movement disorders doctors in the State, I frequently hear from patients that he is missed. I suppose patients worry that I will feel diminished after such praises, as they are usually followed by something sheepish along the lines of, “no offense.”  Rest assured, none taken.

Regrettably, due to cessation of funding in December 2013, the Maine APDA chapter ended and the IRC in Falmouth closed, taking with it the role of Lillian Scenna.  These days, she is working with people with disabilities, helping them find jobs in her role as social worker at the Pine Tree Society.   Though she is not directly involved in Parkinson disease, she notes her services might be helpful for people with young onset PD.  “I still remember those calls,” she says.

MEPS is still going, with a full board presided over by long-time member Gary Cole.   This April a fundraiser was an event was called STRIDE – WALK – JOG – RUN for Parkinson Disease, which took place at the indoor track of the Boothbay Harbor Region YMCA.   Participants exercised any distance they chose, and endurance athlete Hunter De Garmo completed a 50K run.  According to the Boothbay Register, Hunter’s mother has PD.

For more information about how to help MEPS, please visit their website at http://www.maineparkinsonsociety.org/.  You can also find them on Facebook.