Skip to main content

Huntington's Neuro Note

In my Neuro class we have been learning about Huntington's Disease. It is a terrible disease that attacks the mind and body, rendering the individual powerless. HD is an autosomal dominant disorder, which means that an individual only needs one copy of the gene to have the disease. This also means that there is a 50/50 chance of a person getting the gene, assuming that only one parent has the gene. If you have the gene, then there is a 100% chance that you will become symptomatic at some point during your life. After being diagnosed, individuals typically live 10-15 years.

Since we started learning about HD in class I wondered if there were any TED talks about the subject. So I googled TED talks about Huntington's Disease and was given a couple of options. One of the talks I watched is titled Facing Death Full of Life. Danielle Valenti is talking about the story of her mother, who had HD. Danielle's Mom had been hiding the fact that she had HD from her to protect her from knowing, seeing, and experiencing the trauma of having a loved one with HD. Danielle's Mom ended up in a nursing home designed for those with HD. Her mother did not want to spend her final years in a nursing home, so she decided to end her own life by refusing food. Danielle says that allowing her Mom to make that final choice and ending her life on her own terms, was one of the hardest things she had to do, but she knew why her Mom did it. Danielle is an only child and her Mom did not want her spending her time driving up to visit her and "wasting" her healthy years visiting her. Danielle's Mom was afraid that she had passed the gene on to her daughter. Danielle then goes on to talk about genetic testing and how she chose to have the test done. Danielle learned that she is positive for the Huntington's gene, meaning she will, at some point, become symptomatic. She goes on to say that she went through periods of depression, wondering if every movement she made was the first sign. She eventually realized that that was no way to live. She decided to live life to the fullest, because the next day is not promised and the next day she could wake up with symptoms.

During her talk, Danielle said that most people who are "at risk" for developing HD, 90%, never get the test. I found that number to be incredibly high. Everyone has their own reason for being tested or not being tested. Some couldn't live with the thought that they will die from a disease that currently has no cure. Some prefer the ignorance is bliss point of view. While I personally am not in the situation of having to decide to be genetically tested for HD, I have a slightly different point of view. Say one of my parents was HD positive and I decided to take the test right this minute. If I am HD negative, then I have nothing to worry about. If I am HD positive, then yes, I have to live knowing that I will become symptomatic and might die of that disease, but there is hope. Hope for a cure. Hope for my potential future children. Even though I am not currently in a relationship where thinking about children is on the table, if I was and we decided that we wanted children there are in vitro ways of ensuring that my children would not get the disease. How awesome is that?!? I could tell my children that while I may not live to be 103, I ensured that HD stopped with me so they would never have to worry about becoming symptomatic. Personally, I think that it would be a great legacy to leave.


Here is the link to the TED talk, Facing Death Full of Life
https://www.youtube.com/watch?v=6JRwCdmewl0



Comments

Popular posts from this blog

OT's and Driving

Today in class we had a guest lecturer who is a driving rehabilitation specialist. He talked to us about the various diagnoses he sees, interventions and adaptations. It was a really cool class! We broke down just a few of the many components of driving and talked about how each diagnosis can alter/impair a persons driving capability. After the lecture we tried various assessments like the MoCA and SIMARD-MD on each other and went to look at the adaptive van he brought. Listening to this guest speaker today made me realize that OT's can be very beneficial when helping to determine if someone is safe to drive. One intervention you could do would be getting a larger rear view mirror to help someone who had limited range of motion in their neck to be able to see in their blind spots. Another intervention could be going to a muscular dystrophy clinic or primary care office and offering an inservice so the staff could be more informed and know who to refer to. Overall today was a ve

O'Brien Occupational Profile/Review

Occupational Profile Client demographics: Joe O’Brien, 44 years old, 04/21/2018 Client Report Reason the client is seeking OT services and concerns related to engagement in occupations (may include the client’s general health status) Joe is seeking OT services because he was recently diagnosed with Huntington’s Disease and he would like to slow the progression of his symptoms. Joe has issues with his temper, being still, holding objects, and drinking from a normal glass. Occupations in which the client is successful and barriers or potential barriers to his/her success in those occupations (p. S5) Joe enjoys: Working as a police officer, spending time with his family, drinking with friends, and watching baseball. The main barrier to the activities he enjoys is the chorea. It causes him to move almost constantly and it also causes him some embarrassment. Personal interests and values (

OT School Glyph

During one of the first weeks of OT school we did a glyph key drawings. This meant that if we felt one way about something then we made our head square, if we felt another way then we made our head a circle. We did this for various features until the drawing was completed. Recently we did the glyph drawing again with a year and a half of OT school experience under our belts. It was so interesting to see how our drawings changed. It was so cool to see how much I had grown though my OT school experience based on my two drawings. Most of my drawing stayed the same, but what changed was how I saw myself as a leader. Through this year and a half journey I have been pushed to be more of a leader than I thought I could be. One of the prompts was add a hat if the way you think about or approach to leadership has changed as a result of what you have learned since the beginning of OT school. For my most recent drawing I drew a hat. Since OT school my perspective of leadership has really change