Chris and LizO: Kicking CMT to the Curb

Get to Know the Hosts of the Official CMTA Podcast – CMT 4 ME – with Chris and LizO

  • This episode is dedicated to Riley Ashe

Don’t want to read a transcript? Listen to the CMTA’s Official Podcast, CMT 4 ME, here: https://cmt4me.buzzsprout.com/1849476/10962021-get-to-know-the-hosts-of-cmt-4-me-chris-and-lizo

Chris and LizO: CMT 4 ME Podcast

Comin’ at you! What do you get when you mix chaotic creativity with organized comedy? You get the #1 CMT Podcast available today: CMT 4 Me. Despite being polar opposites, this brother-sister team brings it all together in an exciting and informative series focused on all aspects of CMT. Meet Chris and LizO (Chris and Elizabeth Ouellette), dedicated siblings on a mission to magnify the voices of individuals with CMT, share their challenges and success stories, and raise awareness of Charcot-Marie-Tooth disease.

Highlights

  • As kids, they learned homelessness was not someone else’s problem.
  • Giving back is so much more than pizza and donuts for Halloween.
  • The incredible reasons why they Cycle 4 CMT.
  • Out to kick CMT’s ass. No questions asked.
  • Where it’s at: cycle4cmt.com

Transcript Below:

Chris:                 One, two, three. Hello, everyone. This is Chris and Liz O.

LizO:                    We’re a brother/sister team.

Chris:                  And, on behalf of the Charcot-Marie-Tooth Association, AKA CMTA, we are coming at you.

LizO:                 Coming at you not from coast to coast, from the East Coast. We’re both in Vermont, and I’m here for a couple more days.

Chris:                Nice. We’re at our camp in beautiful Colchester, Vermont on the beach of Lake Champlain.

View From Camp on Lake Champlain

LizO:                    Yeah, it’s nice.

Chris:        So, Liz O, guess what?

LizO:                    What?

Chris:             This is another fantastic episode of our famous podcast named what?

LizO:        CMT, the number four, me, CMT4Me.

Chris:          That’s right. What is this podcast all about? It is a comprehensive podcast covering all aspects of CMT, the voice of individuals living with CMT, their challenges, and more importantly, their inspirational stories. We will also cover research updates, fundraising, and interviews with the CMTA community, such as board members, branch leaders, CMTA leaders, but overall, an opportunity to spread awareness through the eyes of those with CMT. So, Liz O, I’m pretty excited about today’s podcast. Totally different, right? This podcast is going to focus on what?

LizO:                   Me and you. Who are we? Why are we doing this? Why are we even doing the CMT4Me Podcast? What is our relationship? What are we all about?

Chris:            That is right, folks.

LizO:           Should we start?

Chris:            Yeah, that is right. There is a lot there, and we’ve been thinking about this for quite some time. We really wanted our listeners to understand a little bit more about Liz O and I and our past, our history, why we’re engaged in the CMTA, as Liz O said, why we do this podcast. What I’m hoping is if you folks have questions, you’re able to send those in, and we can answer them on future podcasts. So, where do we start, Liz O?

LizO:                Well, do you want to start by saying how I got involved in the CMTA?

Chris:             No, I don’t want to start there at all.

LizO:              Okay, well then why’d you just ask me?

Chris:     Just because I love to ask you a question and then totally, we don’t do it. So, I was thinking … Let’s start a little bit, right? So, I’d like to go back to kind of our upbringing. We were both born here in Vermont.

LizO:                Oh, way back.

Chris:               We’re going to go way back to the beginning. Just so our listeners know, I am currently … Actually, I’m going to be 56.

LizO:                   Oh, now we’re talking about you. What the hell? I just started, me, and then you’re like, “Well, I’m going to be.” It’s not about you. It’s about us.

Chris:               Right, so this is the Chris Podcast, and you won’t learn much about Liz O, but you’re going to learn a lot about me. So, it’s perfect. I’m right in my element, right in my spot.

LizO:                    I should have never agreed to this podcast.

Chris :                I know, I know.

LizO:         Okay, let’s get going. Come on.

Chris:              All right, let’s do it. Go ahead.

LizO:                    No, go ahead. You have this great idea.

Chris:              No, it just made me think, right? I’ll be 56 in July. We were born in beautiful Burlington, Vermont. In reflection, it really made me think, what’s the story? And, what’s the connection? One thing about our upbringing, and I think it really ties into the fact that we’re engaged with the CMTA. We’re engaged with the CMT community. And, we’ll touch base upon our fundraiser, Cycle4CMT, going into its ninth year. But, really there’s a pretty good background in terms of why we are engaged and I think why we give back and where that really came from, right? You see where I’m going with this, Liz O?

LizO:                 Yeah, I do. I do.

Chris:             And, what are some of your thoughts on why I think we have this foundation in terms of giving back to the community in a number of different ways over the years? Where’d that come from?

LizO:              Yeah, I think the spirit of volunteerism, it came from … I don’t even know if that’s a word, but-

Chris:                 I was just going to say, “Is that a word?”

LizO                    Cool. It’s volunteerism. Anyway, it is today. And, it goes back to our mom who has always been very generous, giving, and not just with her family, but with people she doesn’t even know. This is an example, and I know you have many, many more, but at Halloween, everybody loved our house at Halloween, because she just didn’t give a Reese’s Peanut Butter Cup or a quarter. She would order Domino’s pizza, and everybody would just come and chow down pizza, go out. It was just so much fun, and people remember that to this day.

Chris:                 I still have friends of mine that are in their 50s, that they go, “Oh, my gosh. How’s your mom doing? I remember those Halloween nights.” And, she also would take the popcorn machine from, at that time, the candy store that our folks owned down on Church Street and be giving out popcorn as well. But, people loved that. Then, I remember we used to have to go out and pick up all the Domino’s Pizza boxes all around the street, because we learned the entire Burlington area. But, it was pretty cool. But, that was her thought, right? Doing something different, right? And, what more could she do? Like you said, there’s so many stories. I think about if you and I ever went with our mom, Bev, to Church Street downtown, one thing is everybody would run up to her. Everybody knew her, right? And, she was always trying to help people, and I remember-

LizO:                  Not only people that we knew from school, but she knew a lot of the homeless. She knew a lot of the people that didn’t have a lot of money, because that was her focus. She wanted to help this community in Burlington, right?

Chris :    Yeah.

LizO:                 She was always out there.

Chris:               That was a full time job.

LizO:               Yeah, and she has a degree in psychology, and she would talk to these people. But, for us growing up, I hated it at first. Looking back, I didn’t like it. I didn’t hate it, but it was just, where do we have to have Thanksgiving, at St. Jude’s? This is a rooming house she had with people that didn’t have tons of money. It was Section 8 or whatever. And, we had Thanksgiving, but we learned to accept people of all kinds. It doesn’t matter about their financial background, right?

Chris: Yeah, yeah, and I think it was also her way of telling us, A, be fortunate you have a family, right? And, back to that Thanksgiving is about giving back. So, as a family, we will together give back to the community. And, I do. I remember that. I was like, “Oh, my God.” I remember this Thanksgiving, and she decided that, and we’re around all these 80, 90 year old people. What fun, though? She was so humorous. She dumped all these apples in this big container filled with water, and the elderly folks were bobbing for apples. She looks at me, she’s like, “Your turn.” I’m like, “There is no way I’m sticking my mouth in that water.”

LizO:               I remember that.

Chris:              But, it was great. It was adding fun, and the people loved it.

LizO:                Mom is a lot of fun.

Chris:             So, I agree with you. She is a lot of fun, but I remember it was that reflection of leaving and being like, “Though I didn’t want to go, that was a good day.”

LizO:                 It was.

LizO:                 Right, I am too, and I think life, honestly, and I know this was instilled in us early on, but I think life is about giving back. It’s about giving back to the community, and I take a lot of pride in giving back. Just to volunteer and to help a group of people is a gift in itself. It just makes you feel good, and you know that you can make a difference, right?

Chris :               Totally.

LizO:                 That’s where the CMTA comes in.

Chris: Yeah, and I think talking about that is the CMTA and just thinking about Yohan and his diagnosis and really how you personally have been involved with CMT and the CMTA for how many years now?

LizO So, it will be 20 years in December of 2022.

2012 – Joined Board of Directors, CMTA

Chris:               And, folks, keep that in mind. That is 20-plus years total volunteering. When I say volunteering with Liz O, this isn’t five hours a week. This is 40, 50 hours a week, weekends, never complains, totally engaged. And, this is what her life has become. I will speak on behalf of those with CMT and people in the CMTA, so fortunate to have someone like that driving to advance research, help find a cure, spread awareness. And, the stories go on and on of what she’s done, but that’s pretty in-cresible. In-cresible? You like that, I just made that word up, in-cresible.

LizO:                Just go with it.

Chris: I love it. Hey, instead of incredible, that’s in-cresible. Sweet, okay, I got that down. But, anyways, very impressive. That’s giving back.

LizO:               So, when Yohan was born, we had no idea. We don’t have CMT in our family, and so he started exhibiting signs early on just with light sensitivity and walking on his toes. At seven, he was diagnosed, and as parents, we didn’t know what Charcot-Marie-Tooth was. We had never heard of it, and there were very few, few, few resources at the time. They gave us the address of the Charcot-Marie-Tooth Association. At that time, we had just moved from France to California, and I decided to go back and get a degree in psychology.

LizO:               When I was done with that degree, we learned that Yohan has CMT. So, I’m like, “How can I use this degree?” It was sort of just meant to be. So, I just got involved, and there were two people working at the CMTA 20 years ago. We knew a little bit about 1A and other types, but nothing to the extent. We didn’t have the resources at all of what we have today. So, we started building the branch network that we have now and awareness month. It was so fun at that time, because we didn’t have much. With Jeana Sweeney, we just built out the whole organization to all these fantastic resources and met so many people. So, I do this for Yohan, but I just feel like the CMT community is my family.

Chris: Okay, that’s what it is. Yeah, no, it’s pretty impressive, pretty impressive when you think back. I come back to Yohan’s diagnosis and/or my first involvement with CMT, and I actually do recall. I think it was on a phone call where you said, “Hey, Yohan and CMT,” and my first comment was, “What do you mean? What’s CMT? What do you mean there’s no cure? You know where science is. There has to be a cure, and what does this mean for him?” And, it really took me, I think, quite a while to understand what CMT was and/or how that may affect Yohan. Obviously, you guys are in California, so I didn’t see you all the time. All I could hear are some stories about wearing braces and potential surgeries in the future.

Serial Casted -short-term success

Post Surgery – Foot reconstruction surgery

Chris: Then, you guys would come to Vermont, and he was very young. You really couldn’t notice very many symptoms being expressed, but also knowing that there was this underlying kind of diagnosis that you guys were trying to navigate through and also trying to explain to the family. So, it was really … Then, the fact, I think for me was every summer coming to Vermont, and he would just … Every year, he’s older and older. Then, I could start over a period of time seeing some of these subtle or slight changes from one year to the next. That brings up the components of, at a young age, hey, let’s go for this walk. Hey, let’s go for this hike. Oh, my God. You’ve really got to come in the winter and try skiing or snowboarding. That’ll be cool.

Skiing was a cherished moment in time.

Chris: And, he engaged in those items. Then, I could see over a period of time, it was like, well, I really don’t necessarily have an interest in doing that. Maybe that was his way to express some of the challenges, though I knew he would want to do it. I could just see that over a period of time, based on his symptoms, that got me a lot more closer to what CMT is and really grasping what this disorder is. I would think it’s probably challenging when you talk to someone who doesn’t know anyone with CMT or what that is. It might be hard for them to make that connection to really what it is.

LizO:                    It a little challenging, because I will say, “My son has this neuromuscular disorder,” and then they see him, and he looks fine. What are you talking about? You’re totally the making this up, but let’s just go through some of the symptoms that people with CMT have. Chronic pain, burning nerve pain, no feeling, because it affects the sensory nerve, so no feeling in your lower legs or your feet, in your hands. Your muscles start to atrophy, because the nerves don’t work anymore, so people get claw hands, claw toes. They have tremors. It can affect your back, scoliosis, kyphosis. Some people are affected with their vocal cords, their hearing. More people than I thought are affected by their breathing. People need surgeries and the feet don’t fit into the high …

Some of the many CMT symptoms

LizO They either have really high arch feet or totally flat feet, and the toes curl. It’s a challenge, and the biggest challenge when Yohan was first diagnosed, they thought he had cerebral palsy. So, I’m like, “Okay, it’s very mild. It’s not progressive.” Then, they came back with a CMT diagnosis, and it’s a progressive disease. So, it’s not going to get better. It’s not getting better. There are treatments like exercise or physical therapy or occupational therapy or surgery, but it’s going to keep getting worse until we find a cure. So, that’s what I’m all about, trying to find research and spread awareness and increase the resources we have. We’re doing a great job in that, but I’m still frustrated that we don’t have anything to stop the progression. But, we’ll get there.

Chris:                   I think what also hit me really hard in terms of what CMT is, is this was years ago, I think probably in 2014 or so. I think that’s when I joined the board of the CMTA, and I went to a conference in Boston. That was my first conference. So, I’d been kind of exposed to what CMT is with Yohan, not really engaged with anyone else that had CMT and would read stories, positive and negative, et cetera. But, I’ll tell you, going to this conference in Boston, and you were there, and I can totally remember walking out of there that I now have a much better appreciation and understanding of CMT. A lot of things, if you’re not engaged with CMT, I remember the first thing I did. I meet someone over at a table getting coffee, and I go to forcefully do the American awesome-

LizO:                  Handshake.

Chris:                Manly handshake, and I grabbed that individual’s wrist, and I’m serious, I felt like I broke their wrist. They just couldn’t really return that handshake that I was so accustomed to and brought up doing in terms of a standard greeting. Then, I looked around the room, and I could see mothers or daughters together in wheelchairs or people having difficulty walking, et cetera. It was really, really mind blowing. I think that was really the turning point for me, that not only through our family and Yohan, but really starting to think about what else can I do to give back to this community? And, that really prompted a lot of different actions, further involvement for me in the board, more engaged, I think, with Yohan, and as we’ll talk about is that leaning into which I’ll say, our ninth annual coming up in August Cycle4CMT fundraiser that I’m really proud of that’s raised over $1.7 million for research. That story in itself, which leads to a number of different topics, is between you and I, is how that fundraiser got started, right?

LizO Right, and before you go into that, I just want to say I’m looking at that picture in back of you, and I see you and Yohan. Yohan was here in Vermont, and I believe there’s always a silver lining in every situation, any situation that’s tough. The silver lining is that you and Yohan have forged such a strong relationship. He thinks the world of you, and I can’t thank you enough for getting involved, because we felt pretty alone in this disease. For you to come out and spend so much time and energy and get the word out and talk about it and understand it means the world to me. But, it also means the world to Yohan, and I can’t thank you enough. Really, he was here, and you guys went to breakfast. He goes, “I think I just want to be with Funcle Chris,” fun uncle. And, you guys just laughing in sync, it just means the world to me. So, thank you for being involved, and I wish more families would get involved in the lives of others with CMT.

Chris and Funcle Chris 2022

Chris: I do. I love him. He’s so awesome. We have such a great relationship, a lot of respect for him. I can’t imagine not doing some of these things. I think too that that relationship with Yohan and the connection to CMT has also prompted my dedication to CMT, not only for him, but as I’m more engaged in the community, with the three plus million people worldwide, and really trying to think of how we can reach those individuals, how we can spread awareness, and what more we can do any way possible. And, the key is funding research, finding a cure for this disorder at some point in time. I do agree with you, Liz O. I think at some point, we will get there. And, you and I were talking about it this morning. The CMTA is a relatively small association. I think we’ve committed well over $20 million in research to date, but it takes so much money, right? It takes so much money just to get to clinical trials, and then the failure rate of clinical trials is very high. But-

LizO:              I think the statistics were it takes between 400 million and one billion dollars to bring a drug to market. But, that doesn’t mean the CMTA has to put that much in. We have really attracted pharmaceutical companies and biotech companies. There are more people today working on CMT than ever before, and it will only keep increasing. So, there’s a lot of hope if we can get them to get more involved or we have something very promising. They can take that and bring it to market, because they have the big dollars, right?

Chris Exactly, and going back, Liz O, too, I do want to talk about the inception of the Cycle4CMT fundraising.

LizO:              Oh, yeah, let’s talk about that Bahamas trip.

Chris: Bahamas trip, and folks, listeners, we’ll touch base a little bit upon Liz O and I in terms of our relationship, but what we would do as a family I thought is very important is to travel at least once or twice a year, which I don’t say that lightly, very fortunate that we were able to do that. And, I definitely do not take that for granted.

LiizO Can I say something?

Chris Yeah.

LizO           I just want to say that your kids had to follow a strict schedule for school, but we would just take Yohan out of school, because early on, we decided that seeing the world is educational, and we would do as many trips as we could. Because, honestly at the time, and we still don’t know what his capabilities will be in the future. And, I’m really, really glad we did that. And, we did take him out of school. Sometimes, he had homework and everything on vacation, but what he learned and the experiences he had, it’s just incredible, and we’ll never get those back. So, I’m so fortunate to be able to have done that with him, really.

On an unofficial school vacation, Yohan got scuba certified!

Chris: Yeah, it’s cool. And, the fact is right when we would travel, Yohan, he’d do a lot of things. Then, as I stated earlier in this podcast, I would notice he would be able to do less items. He would still have a great time on vacation, but our focus turned a little bit to what was he capable of doing. And, it hit me, and it was 2014. We were in The Bahamas, me, you, Yohan, my wife, Mia, our son, Warren, and daughter, Lila. And, we are sitting there in a Starbucks having coffee, and I was just looking at Yohan, because his feet were all scraped as he was walking around the pool. His water shoes, he had-

LizO:                   Well, the day before, because I’m so scattered, I got there a day before you and left the day earlier, because I messed up the schedule and the days.

Chris:    I forgot that.

LizO:                   So, that first day we got there, I’m like, “Let’s go in the pool.” And, we had these water shoes. Since he has pinky toes up in claw, we put holes in the pinky toe, and he was out there. He was in the pool and the lazy river, walking all around, and he got out. Since he has no feeling in his feet initially, he looked down. His toes were raw. He had scraped all the skin off his toes, and then the pain set in. That set us up for a limited, limiting vacation, and it was awful.

Chris: Yeah, yeah, no, I remember that. So, we’re sitting there having coffee, and I remember I had just started cycling at that point. I started chatting with you and with everyone there, I said, “What more?” It was going in my mind actually, before I expressed that. I was thinking, what can we be doing, right? I don’t want to just sit on the sidelines. There has to be something we could do. Thank God, you were very knowledgeable because you were engaged with the CMTA and talking about research. I started to think, hey, maybe we put on a cycling fundraiser. And, I have never done any fundraising. I think maybe you were engaged in some fundraising.

LizO:               Oh, yeah, I did.

Chris:           Maybe it was through branches and things like that, but I was totally new, new to biking. And, I remember saying, “Well.” You asked me what my thought is. I was like, “I don’t know. I just want to tell maybe 10 of my friends, and we’ll try to raise some money, and I’ll go down [inaudible 00:25:59] Vermont and sit on the beach afterwards, and we’ll cook some hamburgers and have a beer or so. Maybe we’ll raise a couple hundred dollars, and I can start there. Then, with the sister/brother team, with your energy, and I think that translated to my energy where, well, that’s not enough, right? What can we do? And, behold, we launched the first Cycle4CMT event in October. It was October that first year in 2014 in Vermont. It was cold.

LizO:                   It was cold.

Chris:          But, it was cool, because we had probably 80 plus participants, and that event was more kind of family and friends oriented. I went out and I posted some cycling routes, and I had these little tiny signs on the side of the road that had arrows to go right or left. I didn’t realize, well, you’re probably at times going downhill, could be going 25, 30 miles an hour. Maybe you won’t. And, people didn’t even see the signs. Everybody went off course.

LizO: Remember, Kevin Thibodeau, he left, and we didn’t even know where he was. And, he came back miles later, not in shape or anything.

Chris:         Totally.

LizO: But, you know what’s great is everybody was laughing about it.

LizO:             Everybody understood. That’s great. There were two people with CMT, and fast forward, if you go to the eighth annual, we have a lot of people with CMT attending, walking, cycling. It’s really become quite big, and we have an event this year in Wisconsin. Then, we have, well, not an event. We have a ride in Wisconsin, and we have a ride in San Francisco and people doing their own thing. So, it’s really expanding, and it’s really exciting.

1st Annual Cycle 4 CMT

Chris: They were.

Cycle 4 CMT 1st Annual

.

Chris:            Yeah, and it’s cool to reflect back, thinking, sitting in the coffee shop, talking about a fundraiser, and where we are today. As I reference, that has just grown. The attendance, we usually at the signature event in Vermont, which is now always the Sunday prior, the week prior to Labor Day, we usually have about 200 plus participants. There are new faces every year. There are more people coming that have CMT. People go out for a ride. We have a great breakfast. We have a full catered meal. We have live music. We enjoy some local craft beer and cider. We always try to bring in researchers, our leading scientists to talk about where we are in the research front. The cool thing is then we just have a great silent auction. That’s very powerful here in Vermont, right? The community is so engaged. Probably, we’ve had at times 100 silent auction items, ranging from people donating skis, to hiking shoes, to biking jerseys, to gift certificates, to hotels, and you name it. That’s a fun, but not an easy feat to obtain those silent auction items.

Paul Kang gives a speech in Juliana’s honor

Juliana Snow lost her life to CMT at age 5

LizO:            No, the Cycle4CMT is really a lot of work, and every year after the event, we’re just like, “Should we do this next year? It’s taking so much time.” And, what I remember is you have people like Paul Kang and Stephen Lee coming from Washington and Connecticut and talking about little Juliana who died at five years old from CMT. It’s very rare to die from CMT, but it happens. Stephen flew all the way here, and then we had the interns, Emily and Erin.

Emmily and Erin

Chris: They’re awesome.

LizO:                They both have CMT, and they’re so, so motivational and inspirational and just great young women. Then, when we go, “Oh, my gosh, we’re so tired.” You want to tell the story of Riley, Riley who came up to you?

Chris:                Oh, boy, I’m serious, folks. I’m sure a number of you have done fundraising. It’s not an easy feat, and I’m not saying that to give Liz O and I credit at all. Like Liz O said, every year, we’re like, “Okay, that was the last event.”

LizO:                That’s the last one.

Chris:             “That was the last one. We’re totally exhausted.” I know when everyone leaves the event on Sunday, we’re laying on the grass, and now we still have to take everything down. No one can speak. We’re totally tired. But, to me, that’s part of it, right? You have to have some blood, sweat, and tears. These things shouldn’t be easy to begin with, but Riley, who’s so awesome, and-

Riley

LizO:                    He’s from Vermont, Essex.

Chris:                He’s from Vermont, and how old is he now, Liz O?

LizO:                     I don’t know. He must be 13, 14.

Chris:               Yeah, so Riley, and I don’t know how this got out there, but he at the time, maybe he was eight or nine. And, I’m talking to someone at the event, and Riley pulls on my shirt, and he says to me-

LizO:                    And, wait, wait, wait. So, Riley’s pretty affected by CMT.

Chris:                He is.

LizO:                    He’s a CMT type four, so that’s two genes causing CMT.

Chris:                Yeah, he’s in a wheelchair.

LizO:                    Now, he is is.

Chris:               Or, now. He was wearing braces, I think at the time, needed assistance with walking, and made it over to me, and pulled on my shirt. And, I looked down at this little, little boy with his glasses and big eyes. He said, I think he called me Chris, which was great, “Chris, someone said that this might be the last year that you” … Sorry, folks. This is my emotional point. He said, “I heard you might not do this event anymore.” And, I looked at him in the eyes, and I could see his condition. I just was like, “Riley, this will not be our last event.” It just showed me how important that event was to him and to others. I think that has been not only with Yohan, but the CMT community and folks like Riley, that has driven that kind of tiredness and not wanting to do the event into passion and dedication to continue to move forward, and even though we don’t have a cure today, to stay positive.

Riley Ashe and Yohan at Camp Footprint

Chris:              When you can see someone with CMT really have the opportunity to enjoy that event, and as I always say to Liz O, that event, as I reference, is not feedback for Liz O and I in terms of what we do. That event is for people with CMT, and that is why we do it. It’s their environment. It’s their voice. It’s giving them updates on research and doing whatever we can to spread awareness and help raise the necessary money so we can continue on this research path. So, that was inspirational, and it’s very interesting. It’s been probably five years, and every time that story comes up, I just start crying.

LizO:                    Well, and then Riley spoke at one of the events, and hopefully, he’ll be at the event this year. He probably will. His mom [inaudible 00:33:04] is a good friend. The other thing is he attend attends Camp Footprint, and that’s been life changing for him, but I just remember talking about … He didn’t want to lose the ability to walk, and he has. And, that’s the progressive nature of CMT, and we need to stop CMT. We Need to stop the progression.

Chris:                The other thing that hits me at these events as well is the positive energy.

LizO:     So fun.

Chris: CMT can have a major impact, however I just find such a positive environment with those that do have CMT. It gives you encouragement and strength to continue to try to fundraise and find a cure, because it’s just such an awesome community. You don’t find people that are sitting there, looking for sympathy. They are talking about what they have accomplished and what they can do. Some folks say, “Hey, if I had a chance” … I don’t know if I would say … It’s hard, right? Some folks would be like, “I don’t know if I’d say. Obviously, I wouldn’t want CMT, but CMT has really made me into this incredible person.” And, that is very heartfelt, warming, and touching to me, to hear those stories.

Chris: So, it’s a great environment. And, folks, this is definitely a pitch for the Cycle4CMT event as well. If you have a chance to get to that signature Vermont event, you’ll be blown away by it. It is beautiful. It’s a great environment. It is a lot of fun. It’s a great cause. On top of that, as Liz O said, there are rides going on throughout the country. You can go to the Cycle4CMT.com website, learn all about the event. But, again that event is for you, and if you can get out there and help fundraise and spread awareness, that’s our goal, and we’d love to have you.

LizO:                 And, this comes back to what I was thinking. You said people are so positive, and we have such a great group of people who Cycle4CMT. But, I think part of that is talking about giving back, instead of sitting there and waiting for somebody else to do it. Get involved in any way you can, so you’re part of progress. You’re going to be part of our solution. You, your money, even if it’s just a little bit, if everybody just gave a little bit, we’d probably have a cure by now. So, honestly, I just think I can’t sit by and watch Yohan progress or my friends, Bethany, progress, or Jeana, or people I’ve come to love, and Kenny B. I can’t do that. I have to be involved, and all these people are involved, and it feels good to give back. And, it feels good to see progress when we do.

Chris:               Yeah, yeah, totally. So, Liz O, you’re talking, and I’m just thinking about our relationship, right? We don’t see each other that frequently, maybe a couple weeks each year. Hopefully, that’ll continue to grow as we-

LizO:                 You’re too busy. You’re too busy. Every time I call, you’re like, “Yeah, okay.” And, I’m like, “Hey, so” … I’ve got to go. Bye. Got to go. Bye. Got to go. Bye.

Chris:                But, you’re busy as well, and it’s interesting. It is a good team. You and I are really two totally different people, but there are a lot of common characteristics as well. I’m going to just give a little bit of feedback, folks, to get you the details of Liz O. And, I would say number one, lot of fun, right? Always laughing, very, very intelligent, very well spoken. We’ve already talked about how she gives back, but on the side, she’s totally scattered, totally scattered. I am always like, “She makes it through the day. She does. I don’t know how she does.

Chris:            And, here’s a great example. What does she do yesterday? Comes down to camp. She’s like, “I am going swimming.” I’m like, “Perfect. Go swimming.” So, she puts her bathing suit on. I’m doing something on my iPad, and she comes back out of the lake, and she’s like, “I can’t see anything. I can’t see anything.” I’m like, “What?” She goes, “Did I just jump in the lake with my glasses on?” I’m like, “I don’t know. I don’t know.” So, I’m like, “Here we go.” So, I go out in the lake. I can see these footprints in the sand. I go way out there, and sure enough, there-

LizO:               I’m trying to help, and I can’t see anything.

Chris:              Yeah, she can’t see anything anyways.

LizO:                I’m stirring up all the sand.

Chris: Yeah, so there are glasses on the bottom of the lake, which I recover for her and continue to move on. But, that is not a surprise. There are probably five to 10 of those items that go on through the day. Can’t find her car keys. Can’t find her phone.

LizO:                 Never.

ChrisO:             She goes on a trip with Gilles, who is our chairman of the CMTA, and what does she do? She loses the car keys in the desert, and he’s out horseback riding. She’s going for a hike, and so thank God, she posted her walk on this app called Strava, and Gilles followed it on Strava and found the rental keys. But, my point is she makes it through in that type of environment, and she’s not scattered on other things. But, those type of things, which aren’t real important to her, you know what I mean? There’s other things, and she gets through it. And, I am a little bit different. I’m not saying I’m not scattered, but I’m a little bit different.

LizO:                 No, no, no. You’re very different. Listen to this. (singing). I can’t even remember the tune now. (singing).

Chris:               M.A.S.H.?

LizO:                 No, maybe it is. But, I meant The Odd Couple. We’re sort of like-

Chris:                Oh, that is The Odd Couple.

LizO:                 Oscar and Felix.

Chris is Felix – Lizo is Oscar

Chris:                Good point.

LizO:                   I’m Oscar. You’re Felix.

Chris:                Totally.

LizO:    So, you’re very organized. You’re very driven. And, you are very structured, and I am not. I am driven. That’s what we have in common, but you’ve always been like that, though. I just remember waking up in the morning, and you were nine. What nine year old looks outside of the window and goes, “Oh, my God, the grass needs to be mowed.” And, you get out there, maybe 10. You’re mowing the grass, and I’m like, “What grass? Who cares? Have it weeds.” It’s so interesting, and I remember I was kind of nervous about spending the night at camp here with you, because-

ChrisO:          Well, I was nervous as well.

LizO:               I know if I have any crumbs on the counter, he’s going to freak. I don’t know if I’m doing the dishes right. I’m just trying to respect your space. The other day, and I felt bad about this afterwards, but I don’t think of these things. I get a box. We’re over at your house. You have white furniture, which I think is stupid.

Chris: She gets the box out of the garage, folks, my garage that has been … It’s all dusty and things like that.

LizO: It’s not dirty.

Chris:              What does she do? She’s like, “Can I have use this box to ship items?” I’m like, “Sure.” So, then what proceeds to happen?

LizO:                Then, I take the box and put it on the white furniture and start packing the box. He goes, “Could you please take that box off the furniture?” I’m like, “Why?” I had no idea. It didn’t even dawn on me that the box was dirty or had dust on it. Then, a little aggressively, I kind of rubbed the box into the couch.

Chris:                Yeah, that was very nice.

LizO:                  No, that wasn’t. It was just like it annoyed me, but I apologized later. I should just taken it off, but I don’t think of these things. We grew up just having a blast and jumping in mud puddles. What did you tell me earlier about the bathtub?

Chris:             Oh, yeah. No, it was great. I think about growing up, right? And, this comes back to mom. Mom was very structured, very committed, high driving, tons of energy. Even today, the energy is off the charts compared to us. Education was really important to her, the whole aspect of giving back, realizing what you have, and just throwing that in there. Not to digress, but it just made me think, even at Christmas time, I remember as a little kid being in our station wagon, and mom would go buy a couple bikes or something and toys. And, we would drive through the old north end in Burlington, which was somewhat of a depressed area.

Chris:               She would see a child or a family and stop, and we’d get out and give them these gifts. But, yeah, very, very structured, but also flexible. It made me think, she rarely got mad. I remember with our brother, Anthony, when you’re younger, you’re taking baths together, and him and I are just always creative. The bathtub is filled, and we’re pretending we’re on a ship, and we’re sliding down the bath, and water is overflowing out of the tub and going on the floor. Mom’s downstairs, and water’s coming through the ceiling and just, oh, okay, great. They’re having fun. Can you guys stop that?

LizO:                    They’re having a good time.

Chris:               I grab blankets, and then I’d be sliding down the stairs and rip the carpet and whatever and smash into the wall. They’re just like, “Oh, the kids are having fun again.” So, that was pretty cool, right?

LizO:                   But, I think it was. It was, and we just had a lot of freedom. But, our personalities are very different and very alike. I think we’re very complementary. And, you make me laugh, too. You’re funny, so I like that.

Chris:            Oh, well, same. Listen, I guess, folks, it’s a great relationship. Liz O, love you very much.

Liz Ouellette:                 Same back to you.

Chris:             It’s cool, and it’s really cool to have the opportunity, these things, whether it’s the fundraiser, Yohan, the CMTA, has really, I think, also kept us connected.

LizO:                    Absolutely.

Chris:                And, at times I wonder, I think, boy, if we didn’t have that, will we still be connected? And, there’s part of me that says, “I know we would. I know we would.”

LizO:                   We would.

Chris:               Because, there’s that sense of family and appreciation for one another and Yohan and Gilles. You love our kids, et cetera, so that family aspect is big.

LizO:              It’s huge.

Chris :          And, I think you said it well. I’m proud of that. I do think we have a good example of how a family can come together and strive to overcome a number of hurdles, specifically as related to CMT, right? And, there’s a lot more power with more-

LizO:                    That’s right, it’s not just me and you. Our parents, our siblings, our community, our family, everybody is involved.

Chris:              Yeah, it’s cool.

LizO:                 They don’t even hesitate.

Chris:            That’s good. I hope mom’s listening, because we need her to make a big donation this year.

LizO:              Yeah, I know. This is the reason we’re mentioning her. No, I’m just kidding.

Chris:        Get out your checkbook, mumsy,

LizO:                     Mama.

Chris:               So, Liz O, let’s talk a little bit about this podcast.

LizO:                    So this is an idea you had six years ago.

Chris:                Years ago.

LizO:                     Yeah, and people were starting podcasts. We should do a podcast. At that time, I’m like, “How do you even do a podcast?”

Chris. I don’t know.

LizO:                    Now, everybody has a podcast, but you had this idea, and the board of directors actually supports us 100%, love the podcast. They love the podcast. And, thanks to Mark, it’s pretty easy. And, I love doing it with you. And, we have interviewed some people that are just amazing. Every single person, and so the CMT4Me podcast, and you came up with the name, which you’re very creative also.

Chris:                And, CMT4Me. And, again, it’s another … And, keep in mind, don’t just push yourself aside on this one. This is collaborative. That’s what’s cool, and you’re just making me think, whether it’s back in Bahamas. I’m like, “I’d like to do a fundraiser,” but working with you continues that creative. And, where do we go? Because, you don’t want to do anything small, right?

LizO:   No, I can’t.

Chris:                You’re like, “Okay.”

LizO:                   It’s either 100% or zero.

Chris:                Exactly.

LizO:                    That’s a problem, but that’s the way I am.

Chris: Exactly, so we work well together. That was really again thinking about, with my experience with CMT individuals is that, how do we give more individuals with CMT the platform and voice? As our intro says, it’s really their inspirational stories. How can we get more people with CMT connected to one another so they feel they have support? It goes to the same thing with the fundraiser. It’s a platform, and this podcast is a platform for individuals to express themselves, tell their stories.

Chris:              It’s been cool, because there’s been some people that have listened to the podcast that then have reached out to another individual who we interviewed. Or, they’re new to CMT, and now they have resources. So, I feel really good about that. One thing I think we work hard on too, and someone made me think about this, was you don’t always want to just focus on the negative, right? Oh, here’s all the negative things going on. No, we’re realistic, and we talk about the facts, but there are so many great stories about overcoming challenges and sharing information. On top of that, the big goal is spread awareness, right?

LizO:             That’s right.

Chris:               And, we’ve got to spread awareness. That, I think, ties into how we can raise more money for research, if we have more and more people engaged.

LizO:                So, I was just blown away yesterday, and I actually took a video of you soliciting merchandise or a gift certificate from a restaurant. You are such a natural. You just go in there, and I just watch you. Usually, this is our tactic. We walk in a store. I go shopping and buy something. Then, Chris starts talking to the owner about the cycle event, what CMT is, and tries to get a gift certificate while I’m checking out. Usually, the answer is yes, but you’re so talented at it. You just have no inhibition.

Chris and LizO at Cycle 4 CMT 2021

Chris:                Wow, that’s cool. Thanks for that feedback. But, you participate as well, and it is a strategy. I’m like, “Liz O, you go buy something, because if you buy something, then how can they turn us down?” So, it’s great.

LizO:        Then, if I don’t see anything, you’re like, “Well, I like this. I like that.

Chris:             Right, so I usually walk away after her visit, multiple pairs of pants, shorts-

LizO:                   Shoes.

Chris          Shirts, shoes, you name it. It’s awesome.

LizO:              It works.

Chris           But, it is, it’s fun, and it’s interesting. I always look at the faces of someone who we’re trying to solicit, and you go, “CMT,” and they’re like, “Okay.” And, then you keep going. This individual yesterday who finally came around, and you learn-

LizO                       I didn’t think he was going to.

Chris:                   I didn’t either, but then you learn-

LizO             He was clearly like, “Whatever, whatever.”

Chris :           You learn, things come up as you keep talking to people. What did he say? I said, “Do you bike?” And, he’s like, “Well, no, I have a motorcycle out there.” Then, that’s like, “Oh, well, I used to ride motorcycles. I had a Honda Shadow 500. Oh, that’s a great bike.”

LizO: So good at making those connections.

Chris:                So, you make these connections. Then, you talk about, which I think is important, it’s that statistic of … I always forget. What is it, one in 2,500 or 2,800 have CMT? And, relate that back to say Burlington, Vermont or Vermont, population of 647,000, right? So, when you say, “Hey, we were born in Burlington. We’re native Vermonters, and by the way, you may not know it, but there’s over 200 people in our community that have this incurable disorder at this point.” They start to think, and I find a lot of times, after those discussions, it’s hard for them to say no. And, I don’t feel that they feel the obligation, but I think they understand. And, it’s that passion. And, Vermont is a really community-driven state that is always looking at ways to give back. That also makes it a little bit easier, but then people feel connected, right? You’ve got to bring them in terms of how they can help us towards our mission.

LizO:                   And, what’s really unique here is the community is important. The community feel, and community comes together when you’re in need. Vermont and the surrounding areas are just great for that. I just miss that. I miss it a lot.

Chris: Yeah. Yeah. Well, it’s good. It’s good. We’re on a good path, folks. Liz O, are we coming to the close of this podcast? I think we kind of covered our topic.

LizO: Yeah, we’re probably just talking. I don’t even know how long we’ve been talking.

Chris: People are probably like, “Oh, my God, will these guys shut up?”

LizO:              Oh, my God, are they going to stop talking?

Chris: Right. But, folks, listen. For those of you listening to this podcast, this is our opportunity. We’re not going to do our standard close, but to really thank you. Thank you for listening. Back to Liz O’s comment about doing your part as well, if you can tell folks about this podcast, if you can direct them to the Cycle4CMT fundraiser or to the CMTAUSA.org website, we need all hands on deck here.

LizO:                 Back to the ship in the bathtub reference.

Chris:                I know, I know.

LizO:                  All hands on deck.

Chris:               And, Liz O, maybe some of our listeners can help us if we spread this right. What’s one of our goals that we’d love to do someday, is kind of-

LizO:                  Oh, my gosh, we would love to be-

Chris:               When you think of the news, and what would we love to do? It’d be sweet.

LizO:                    I’m so sick of hearing negative things. It’s all negative. So, I see this-

Chris:                The news? You mean in the news?

LizO:                   Yeah. Yeah, everything is just negative and worrying and worrisome. Let’s get a feel good story like us helping the CMT community to find a cure for this disease and talk about all the people that do such incredible things, despite the limitations that CMT imposes. Wouldn’t it be great, Good Morning America? Or, there’s so many, so, so many programs that we would love to be on.

Chris:              Right, CBS News. Maybe we could be interviewed by someone who has a podcast now.

LizO:            That’s right.

Chris:         That has a greater reach.

LizO:               Guys, we want to go national here. We want to go international, actually. We’d like to go international.

Chris:                That’d be cool.

LizO:               Get the word out about CMT. We work with people internationally, so let’s get this on. Let’s get going.

Chris:            Yeah, let’s do it.

LizO:                  Do it.

Chris:       Yeah. Liz O, have you heard of those Sprinter vans?

LizO:              No.

Chris:        No, okay. Well, they’re these cool vans you can put your bike in. People are buying these things now and throwing their skis in there and bikes and whatever. But, it made me think, wouldn’t it be kind of cool at some point where we could have as your background as the CMT4Me podcast logo on the side of this Sprinter van, and we tour the country and go to these areas and interview people with CMT. Wouldn’t that be sweet? That’d be fun.

LizO:          Yeah, it would be fun, and we’d meet so many people. Now, that’s a story. Now, you’re cooking.

Chris:         What’s it? Who’s the-

LizO:            Alan Jackson?

Chris:        No, no. Yeah, yeah, that’s Alan Jackson.

LizO:            CMT came out, and I’m like, “Chris and Gilles, you guys have to bike there. You have to bike there, and we can make a story.” Chris was like, “I’m not biking there.”

Chris: No, it made me think of Al Roker, right? He goes on the road sometimes and travels in this van and does the weather in all these different areas of the country. We could do the podcasts in all these different areas of the country.

LizO:                 Yeah, let’s do it. You have to just stop working.

Chris:             Yeah, okay, that sounds great. I hope people from-

LizO:   Hey, talking about the podcast-

Chris: I hope people from where I work are not listening to this. No, just kidding.

LizO:              So, about the podcast, if you want to leave a review, and we’d love to have your review, Apple Podcast has a place for that.

Chris:      Awesome.

LizO:                  Yeah, so I just wanted to throw that out there, and it’s available on Spotify, Apple, all the major podcast outlets. You can hear this podcast, CMT4Me.

Chris:         Awesome. All right, Liz O, time to go. That’s a wrap, sis.

LizO:              All right, thanks, everyone for listening.

Chris:   Yeah, thank you.

LizO:              Cycle4CMT.com or CMTAUSA.org. If you have an interesting story, let us know, info@CMTAUSA.org, info@CMTAUSA.org. And, watch us on YouTube. We’re live.

Chris:        There you go. All right, folks, take care.

LizO:                    All right, bye-bye.

Chris:                Thanks for listening. Bye.

LizO:                    Love you, bro.

LizO:                  Love you back.

DONATE to CYCLE 4 CMT 2022: www.cycle4cmt.com

       Reaching For the Stars………and Beyond                                                                                                                         

Thank you all for your unwavering support of a cause so dear to my heart – CMT. Yohan was diagnosed 22 years ago with this progressive neuromuscular disease (the nerves deteriorate and in turn. the muscles atrophy). Where has the time gone?

As we turn the page, Yohan, at 29, is starting a new chapter in his life. Despite a year of setbacks due to COVID, he never gave up his quest to find a satisfying job and he succeeded!

Gilles introduced Yohan to cycling several years ago.  Having never biked as a child, Yohan did not know what it was to ride around the neighborhood with his friends. Now, he is experiencing freedom on 2 wheels – an exhilarating activity. His e-bike has changed his world.

As Yohan moves forward with his life, his CMT moves right along with him, damaging his nerves and making his muscles weaker and weaker. As a parent, it is extremely hard to watch your own child lose the ability to walk, open cans, and lack the energy to fully participate in life. Yet, Yohan never complains. He embraces his reality with humor and acceptance. Yohan truly is an amazing human.  

It takes 10 years and a billion dollars to bring a drug to market. 90% of drug candidates in clinical trials fail. These numbers may sound discouraging, but because the genetic cause of CMT has been identified, we have been able to make remarkable progress recently. When one of our sponsored projects shows promise, our pharma and biotech partners step in to provide the additional funds to take them to clinical trials.

This year, my family (Me, Uncle Chris, Yohan and Gilles) is once again organizing Cycle 4 CMT events around the country. The signature VT event is on August 28, 2022. The San Fran Bay Area ride is on September 17, as is the ride in Wisconsin. Many around the country are doing their “OWN” ride, cycling anywhere, anytime before September 30, 2022.

After 20 years dedicated to CMTA, my time at this wonderful organization is winding down, but I refuse to disappear into the night. I’ll never be too far, and my heart will always be with my friends and family who deal with this cruel disease every single day. Whatever the future holds, let’s make this 9th annual Cycle 4 CMT the most memorable in CMTA history!

Yohan and his friend, Vincent

Here is my ask: Please sponsor me on behalf of Yohan. My goal is the sky, but I’m really aiming for the stars. My dream? To raise as much money as possible to change Yohan’s life and the lives of many living with CMT. To date, there is no cure for CMT. I have a big problem with that. Let’s change the course of this disease, together. Please give generously:  www.cmtausa.org/elizabethcycle Checks accepted! Send to CMTA, PO BOX 105, Glenolden, PA, 19036. Please write Cycle 4 CMT n the memo line.

If you’d like to join an organized ride or do your “OWN” ride/walk to raise funds for CMTA research, please visit – www.cycle4cmt.com. Everyone is welcome!

Sincerely,

Elizabeth Ouellette

elizabetho@outlook.com

Seeing From the Heart

I was flagged by Sister Helena in 5th grade; she sent me down the hallway to a dark room, where I sat until a woman instructed me, “Read the eye chart.” I started at the top row and slowly made my way down to the third row, “E, F, P, no, Ummm B, F? no, no E?” The lady told me to stop squinting, making the next letters even harder. “L, uh, T or, wait… E?” “That’s good enough,” she said. “Bring this letter home to your parents. I cringed. What had I done now? I was scared, but did not really know what I’d done wrong. I just want to hug that semi-blind 10-year-old with crow’s feet who’d been stumbling around in an unfocused, blurry world all her short life. Sad face. 🙁

I will never forget the day I put on my first pair of glasses. I was not particularly fond of the frames my dad picked out. Old people have horrible taste. Seriously! I really wanted cool wired-framed “hippy glasses” just like John Lennon’s, but he picked out geeky blue plastic spectacles; I hated them. The lenses were so wide they hung over the thick plastic frame. “This sucks,” I thought. “I’m never going to wear these stupid glasses.” As ordered, I put them on, went outside, and was astonished. OMG! I could see the leaves high in a tree, the eyes and individual feathers of a bird, and people’s faces from across the street. It was a miracle!! Sister Helena… a miracle!

John Lennon Glasses

This childhood memory came waltzing along after a particularly illuminating personal coaching session with my executive life coach, Arda Ozdemir. With my thick-lensed spectacles, I still see pretty well, and the crow’s feet…..well, I still squint so they are even a bigger problem today. But it’s not about the glasses or the crow’s feet anymore.

Through Arda’s teachings, I realize I have been going about my day, blind to choice, possibility, and insight. My mind wears the pants in my psyche, leaving little room for emotion or self-reflection. I had become an automat living day to day without intent, feeling, or direction.

At first, I wondered what I had gotten myself into with these coaching sessions. The first couple of months were tough. I resisted. We talked about sandbags, anxiety, past events. We talked and talked and talked. Arda encouraged me to feel, but I told him I couldn’t. He asked me to close my eyes. I didn’t want to.

I started to trust. His method made sense. One day, I decided I was ready. I finally took that leap of faith and glimpsed within; I found my heart, bound by layer upon layer of imposed belief systems and rules, which were squeezing the life right out of me. I wanted to break free, but shedding my heart bandages was much too scary; I thought they protected me from past wounds. They did not. Personal growth begs openness, careful introspection, and exploration of deep-rooted fears and vulnerabilities.

Through my work with Arda, I’ve learned that change is not always easy or fast-moving, but it is possible and there is hope! Today, I’m more in tune, trusting my gut and paying careful attention to emotional triggers like anger, anxiety, sadness, and guilt. Before reacting, I try to remember to pause, breathe, work through the emotionally-charged situation, and explore the root cause of my reaction.

I have a secret! Did you know we all have the power to see reality in a multitude of different ways? Life is multi-dimensional. When you look at situations from diverse perspectives, it’s like looking through a prism…….every angle offers a unique view, some more appealing than others. I get more curious than angry and look for limiting life patterns when I’m triggered. Once identified, it’s possible to step out of the old ways and into the new by creating alternative pathways.

Looking through a prism

 My heart is healing. With Arda’s guidance, I’ve been able to peel off the strips of gauze constricting my life pulse. Today, I see not only with my eyes (and glasses), but also with my heart, which is fluttering with joy. Seeing with the heart opens new horizons, illuminating a path to a happier, more authentic life.

 Join me. Come along for the journey. Empower yourself with Arda’s teachings and lead a more fulfilling, meaningful life.  It works.

For more information on Rise 2 Realize, please visit: https://www.rise2realize.com/

Read Arda’s book: The Art of Becoming Unstuck – Available on Amazon

Take a workshop! Emotional Mastery
When: 5 Wednesdays in June; 6/1, 6/8, 6/15, 6/22, 6/29
6 – 7:30 pm Pacific
Where: Zoom, please register to receive the link
Program Fee: $375 ($75 per session)

Now Open for Sign-Ups:

Register now: https://www.rise2realize.com/emotional-mastery?utm_source=mailchimp&utm_medium=newsletter

5 transformative sessions to master your emotions and shift every aspect of your life

WEEK 1: Letting go of Conditioned Reactions
WEEK 2: Connecting with True Inner Power
WEEK 3: Creating Healthy Self-Boundaries
WEEK 4: Honoring Essential Heart Values
WEEK 5: Activating New Rewarding Dynamics

Life With Purpose – Redefine Time

Flipping through my expired French passport, Gilles made a loud gasping noise, “You haven’t been back to France in 18 years!” “C’mon. It can’t be that long,” I countered. Squinting to see the faded passport stamp, I made out 15/06/2003. “Yikes! Where have I been? What have I done? Where’d the time go?” I wondered. Those years were a blur.

The sands of time had slipped through my fingers in a blink of an eye. I was mortified. Going forward, I was intent on figuring out a way of decelerating time. And I think I’m on to something. But first, the backstory.

The Backstory

In 1989, Gilles and I met in Grenoble, France. I was on a Fulbright scholarship in Grenoble. As an aside, when I told my family and friends I was going to spend a year in Grenoble, many heard Chernobyl (site of the 1986 nuclear accident) and completely freaked out. A year abroad in Grenoble was much easier to swallow.

Gilles was returning from the US, where he’d been employed by IBM in California. We met through my brother, Ray, who essentially set us up on a blind date (a story for another time)! Two years later, we were married in Biviers, France. 2 years after that, our son, Yohan, was born, and 2 years following that celebratory day, I threatened divorce!

We had a very disturbing conversation which went something like this:

G: Elizabeth, want to move to California?

E: Are you high?

G: Seriously, I’ve been talking to colleagues at HP in Palo Alto, and they’ve offered me a once-in-a-lifetime opportunity (this is a phrase I hear more and more with time).

E: You’re a funny guy!! Fat chance. I love my life here.

G: We can buy a nice house, be close to the ocean, and travel the country! 

How Baywatch Once Again Became One Of The Most Widely Distributed Series
Baywatch Babes

E: Are you freakin’ kidding me? Nope. No way. Negatory. I am not moving. We’ve been here for 7 years and I’m loving my life. Why would I want to go to a place where blond hair, big boobs, short skirts, and facelifts were a thing? (In my defense, as a Vermonter, my only real experience with Californians was the TV show, Baywatch. That’s not me. Although I’d never really spent any time on a farm or in the backwoods, I considered myself a VT country girl!!)

This same dialogue went on for weeks, took different twists and turns, and created a lot of tension:

G: But……..

E. NO!!

G: And……

E: You can’t make me.

G: Why don’t you talk to my friends Jo and Neil.

E: Why don’t you take a flying leap off a cliff?

After 4 to 5 pressure-filled months, Gilles convinced me. I totally caved. Begrudgingly, I moved to the Bay Area with Gilles and Yohan in 1995, and though I rarely admit Gilles is right, he hit it out of the ballpark on this decision. I’m glad we moved.

During our first preview trip, I sheepishly realized the Bay Area is nothing like Bay Watch…dodged that bullet! In fact, people were friendly, the weather was ideal and life seemed bearable.

Blanche

This past November, I went back to France after an 18-year sabbatical. I cannot pinpoint why I avoided France like COVID; it just sort of happened that way. Gilles’ mom, Blanche, has not been in the best of health, so I wanted to spend time with her. Life is super fragile.

Leading up to our European adventure, Gilles encouraged me to reach out to good friends with whom we’d lost contact. Remember, in 1995, PCs were beginning to make their way into the homes of the general public. Up until then, the only way to stay in touch was through costly long-distance phone calls or letter writing. Cell phones were a luxury item, texting came much later and internet searches were done through Yahoo.

Except for an infrequent “Like” on Facebook, notification of a Linked-In anniversary or a kudos for a Strava accomplishment, I’d little to no communication with my French friends. In all honesty, I was afraid to look up certain people in the white pages for fear that they had died. What if my email landed in the hands of the grieving family members or was simply launched into deep chambers of cyberspace, never to be found?  I would never know if it was outright rejection, death, or incorrect contact information.

With a little luck and a lot of research, I found my friends; they were all living and breathing! We made breakfast, lunch,4pm tea, appetizer, and dinner plans (sounds caloric, right? I just decided I no longer cared about calories and chose to eat when I was hungry, not obey random habits or schedules). More difficult still was the 20 years later, 20 years older (not necessarily wiser) problem. How many wrinkles, liver spots, and white hairs can you count? Ugh.

Lastly, we don’t speak a lot of French at home, so my language skills were rusty. I worried I would not be able to hold an in-depth conversation which would have literally killed me. Take away my ability to talk, I flatline.

Flatline - Stigma Free Society
Cause of Death? Silence.

This trip was about diving in headfirst, living with doubt and being spontaneous.

Grenoble (not Chernobyl)

Snow-Covered Alps

Driving into Grenoble, I recognized the snow-covered Alps, the Italian pizzerias next to the frigid Isère, the supermarket, Carrefour, and the eggs of the télépheric slowly gliding their way up and down the hill of the Bastille Fortress. If those reference points had disappeared, I would have had to make an appointment with a memory doctor for creeping dementia.   

I used to walk everywhere, hour after hour, mile after mile, and I knew the name of the streets, the shortcuts through farmers’ fields, and every neighborhood store. I was shocked to realize the local bakeries, butchers, fishmongers were few and far between, and the restaurants had changed hands at least ten times, with new buildings everywhere. I guess that sort of thing is to be expected over a 20-year period.

In addition to my disorientation, I was surprised to see so many food/drink machines in France. When did France become automated?

Want some wine? Just bring your bottle and fill ‘er up!

How about a baguette? After some thought, I cannot figure out how the long baguettes make their way out of that machine?  Maybe it’s a new thing – flexible baguettes!

Feel like eating a pizza? Put your Euros in the slot and they come out piping hot!!

Machine-made pizza!

Reflections

In retrospect, I don’t think I ever really felt French. Being French is much more than language or a French passport. Being French is a way of dressing and thinking. It’s commitment to good food, pleasure, endless nonsensical arguments and a teasing sense of humor. And, as toxically positive Americans can be, the French weigh the scales in the opposite direction.

For example, if you like a meal, you’d say, “That was not bad. Maybe just a little more pepper next time.” Or, if you think someone is nice looking, you’d say, “He/she is not ugly!” Just a cultural thing that was really hard to get used to for a glass half full girl.

Annoyingly, my traitorous American accent was considered, “cute.” Okay, I’ll take the compliment. But, at the time I just did not want to be different. I yearned to fit in.

As for my size 11 athletic shoes, yoga pants and 5’9″inch height (skyscraper tall in France), my being screamed, “American Tourist! Right HERE. Come and see the American Tourist!!”

As we visited friends and family, many of those same fears and inadequacies came roaring back with vengeance. But, I was able to move beyond the discomfort, because those details were no longer important to me. If I was seen as too loud, too tall, too hard to understand, that’s okay. It just did not matter anymore. It’s taken 59 years, but I am more and more comfortable with who I am. Love me for me, or not at all.

As I look back on the 2 weeks we spent in France, I am grateful to have had quality time with Gilles’ mom.

Blanche is the definition of tenacity!

We also reconnected with many good friends, who welcomed us with open arms. The icing on the cake was the time I spent with my good friend Bethany, catching up, visiting Monaco and celebrating her 30th birthday together at the fancy Negresco hotel.

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In Monaco

So, what’s the secret to slowing the perception of time?

First, as I age, I realize that time slows down when my attention is on the now and I prioritize mindfulness.

Secondly, boring daily routine is a time-eating monster, so seeking out novelty, as would a child, is a must. Long-lasting memories are built on deep emotional experiences.

Next, I am starting to limit my time checking email and scrolling through social media channels…..literal time wastes.

By seeking quality over quantity, and focusing on the present moment, I am making a conscious decision on how I spend the seconds, minutes, hours of my life. I know. It sounds good on paper, and no, I don’t have this all down to a perfect science; I am a work in progress, but aren’t we all?  

Life with CMT: When he left, I yelled, “Break a Leg!” So he did. 🤦‍♀️

We’re back! Yohan yelled, sliding the door to the garage open. I noticed he was walking funny, not CMT funny, but like he had a stiff leg, a heavy foot, an injured limb? My perplexed look begged the question… What now?

He brushed off my concern, acting if I were being overly paranoid and concerned (like usual). “We had a great ride and of course, on the last mile, I was tired and I took a spill. I just sprained my ankle… and…well my elbow is banged up. Oh…. and sharp stick pierced the palm of my hand when I hit the ground, but overall, I’m fine. It’ll be better in a couple of days, he said, limping down the hallway.”

After a hot shower and short rest, I took a look at the damage. “My ankle is hardly swollen,” he insisted. I pointed out that the last time I had looked at his ankle, I could see a prominent ankle bone. Now it looked puffy and bloated, as if a small jelly fish had snuck in there and took up residence. So, the crutches came out of the closet, along with the sickening memories of past orthopedic surgeries, months and months of plaster casts, pain, boots, stinky feet, scars, blood and sores.

Our bald kitties ran across the hardwood floor to greet him, but one look at the clanking crutch made them hit the brakes and off they went sliding uncontrollably, face planting into the wall. Thank God the cats make us laugh!

Recognizing the all too familiar clunk, thud, clunk, thud of Yohan’s footsteps as he made his way across the room, I too wanted to hit my head against the wall, cursing CMT to eternity and back.

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Curious Cats

Yohan’s had so many trips, falls, ankle sprains and surgeries, he knew the drill. No, not RICE. We changed that acronym to RICED. Rest. Ice. Compression. Elevation. Drugs…can’t forget the Tylenol, Aleve, etc.

There wasn’t a lot of pain, but by Monday, Yohan intuitively knew he’d better get it checked out by his doctor. This was the foot on which he has had 2 reconstructive surgeries, with mediocre results.

When the films were placed on the viewing pane, there were a lot of aahs and oohs. His x-rays lit up the room like lights on Christmas tree. The techs were amazed at the hardware holding his foot together. But who was the jokester who took a pen and drew a fine line across the outer leg bone?

What’s in your toolbox?

Fractured Fibula

Diagnosis? A hairline fracture of the fibula requiring 2 months in a walking boot, 24/7, except to bathe. Ugh. Well, it could have been worse, but it still sucks.

Home we went, trying to wrap our heads around the news. The first order of business was to purchase an even-up foot riser to avoid throwing his opposing hip out of joint. He learned pretty quickly that the even-up foot risers are treacherous as they get caught on everything…..even air. The utmost caution is warranted. And if you don’t catch the edge of the foot riser on something, the cats will make sure you fall…..hard.

Walking on 2 CMT feet is tough. Put one of those in a boot and now balance on one very high-arched foot, whose toes curl in and up, and sprinkle in some ankle supination (outward turning ankle). Not for the faint of heart!

Supination

Typical CMT Foot

Next, he looked for additional boot liners. Seriously, they send you home with 1 boot with liner. The “hand wash only” liner smells like death after the foot is enclosed within its sweaty fabric for only 24 hours. Yohan ordered a second boot (the lux version of the same brand) so he could wash the liner every other day. Luckily, when a piece of the plastic from the first boot started digging into his heel, he had a cushy alternative.

The pain from the fracture was bearable, but he started to get a painful pressure sore on the bottom of his foot which thankfully abated when slipping his orthotic into the boot. The first several nights sleeping with the boot were tough, but gradually his body got used to the inconvenience.

This morning, he woke up with a smile!! He was celebrating his 2 weeks down, six weeks to go in a boot! He’s a glass half full kind of guy.

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Taking a step back, here are my reflections:

Yohan’s new electric mountain bike offered a rainbow of opportunity, where, for the first time in quite a long while, Yohan could just be one with his friends, his dad, and his people. He did some pretty amazing rides, going places and seeing things not seen before. And these days are not gone, just suspended for a short period of time. Not the end of the world, but a bummer all the same.

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What was and what will soon be.

I guess we all have ups and downs. Personally, I prefer the ups, but don’t we all? I believe the ups build experience and self-esteem and the downs build strength of character. And then there are all the in-betweens. Every emotional state –happiness, sadness, anxiety, fear, anger – is transient, so accepting the peaks and valleys with calm and acceptance makes each situation a little easier to handle.

Life’s highs and lows are an inevitable part of being alive, so I try to enjoy the highs, learn from the lows and experience everything else in between with an open heart. I know….easier said than done.

Yohan will get through this small setback. It will become a faint but unforgettable memory that will be part of his ongoing arsenal when dealing with upcoming challenges, setbacks and successes. He’ll get back on that bike…of this I’m sure. Why? Yohan is no stranger to adversity.

He’s not giving up or giving in. He’s found an activity he thoroughly enjoys, an activity which is exhilarating and fun, creating long-lasting memories of freedom and adventure. Also, he’s determined to cycle in the Cycle 4 CMT event with his Uncle Chris, his dad and maybe even me! The Cycle 4 CMT (in person or virtual) is so much more than a cycling event……It’s a celebration of strength, resilience and community.

Vincent and Yohan

Want to know more about the Cycle (and Walk!) 4 CMT? www.cycle4cmt.com

Join us in the spirit of uniting with like-minded people, to fund research to put a stop to CMT. There is no cure for CMT… yet. But there will be because we, our CMT warriors, friends, family, loved ones, are going to make it happen. Grateful, so grateful for our community. Xo

UK’s Peter NEVILLE: CMT Warrior

 

By Peter Neville

How should I start? The beginning’s always a good place! Join me on my journey!

 Childhood Struggles

As a child, all the tell-tale signs were there; you know, the not being able to run fast, tripping over your own feet or hanging onto the old rope swing across the river. Yes, I got wet EVERYTIME!

I was also diagnosed with Perthes disease (a condition where the top of the thigh bone in the hip joint loses its blood supply, damaging the bone.) and treated accordingly, with 2 weeks in traction. My leg was set in a cast and weights were added daily in the hospital to pull the joint apart.

At about 17/18 years of age, I spoke with a GP (general practitioner) with regards to my hammered toes. The response was, “We wouldn’t do anything about them unless you couldn’t walk.” It occurred neither to him, nor to me anything more was wrong. 

Apprentice Chef

 I left the field of education at 19 after 3 years working as an apprentice chef in Jesus College, Cambridge University. I evolved within my time here from boy into man and was worked hard by my mentor (sous-chef), but he saw the potential I had. In my 3rd year, the college turned 500 years old and on my shift, we celebrated the new £1billion library; HRH Queen Elizabeth & Prince Philip visited for lunch….. The very lunch I had to cook!! Apparently, I was the youngest ever apprentice in 500 years and was being presented to the Royals in the afternoon.

Early Career

From here, I progressed in different establishments, one that Jamie Oliver’s dad, Trevor, owns. At 29, I was running my own catering business and had 3 different kitchens to run. Several years later, I was diagnosed with carpal tunnel syndrome I had surgery, which made little difference. The odd pot of soup or sauce would hit the floor or occasionally I’d trip. only to dump yet another plate in the bin.

Garden Center

I went back to work for another company and closed mine down. It was an easy little job in a busy garden center. It didn’t change me though and physically, nothing changed either. But gradually, it became apparent I had lost partial hearing. We worked around it for a few months. I got hearing aids….Great! At least I could hear the birds again. Then came the wrist pain again, so back to the GP I went. “I’m sending you to see a neurologist,” he said, somewhat puzzled.

Charcot-Marie-What?????

I walk into the neurologist’s office and offered to shake hands. The next line from her totally threw me: “Can you remove your socks and shoes for me please?” A rather strange request for someone with wrist issues! Looking at my high arches, she pointed out my pes cavus feet. With this, she announced, “Mr. Neville, I’m sending you for a genetic blood test and I’ll see you in 3 months time. I believe you may have Charcot Marie Tooth disease (CMT).” At this point in time, I was 38 years old.

 In the UK, we’re fortunate to have our NHS or National Health Service for which we pay in a national insurance scheme on all earnings. If we have treatments, certain medicines or appointments, it’s all covered.

De Novo or New Mutation

Anyway, the results were in and verified. I’m a CMT 1A mutant, meaning I have the first known case of CMT in my family. I knew nothing about it, knew no one with CMT and was directed to speak with someone at Muscular Dystrophy, UK. Muscular Dystrophy UK has a fantastic advocacy service which is free and many CMTers who have trouble with grants, equipment, etc. MDAUK helps these people in a number of ways. They even helped me with a grant for my mobility scooter! 

Surgeries

Surgery wise, I’ve been quite lucky in that I’ve had toes 2,3 & 4 fused on the right foot. Both big toes have had Jones procedures ( fixing and screwing the big toe so it no longer bends and the tendon is removed to keep it from moving.) I’ve had both Achilles tendons lengthened and one ruptured Achilles tendon I still need to deal with. I’m awaiting surgery where a tendon from my shin will be moved to support my left Achilles.

Peer Support

The Charcot-Marie-Tooth Association (CMTA) was the first Facebook group I joined and decided the UK would benefit from a similar group, so I created the Facebook group – CMT Friends UK – England. We are now 5 years old, with over 1600+ members. I’ve had specialist training in peer support and I’m also about to take a course in adult safe guarding (a framework which safeguards employees from exploitation).

Today, I’m dedicated to helping others as they get diagnosed with Charcot-Marie-Tooth disease. I am able to empathize with their struggles in daily life with simple tasks. I believe we have to push ourselves daily because if we just sit back, CMT wins.  Over the last five years, cmtfriendsuk has made a difference in people’s lives.

I’ve had several people telling me that they no longer feel lost or lonely and have a safe place to rant, ask silly questions (they turn out to be vital) and most importantly of all, be understood. The first thing we say is, “Welcome aboard the CMT crazy train!” We have 1500+ members who have walked in your shoes and sung from the same song sheet.

I have a very close friend who I came across in CMTA Faebook pages around 5 years ago. Sophie was diagnosed with CMT 1A at a similar time as me and now we’re like brother & sister. We both reached out and found each other. Adam Miller is a good friend and admin on cmtfriendsuk. Adam often tells me that I saved him from the pit of destruction. We’re like brothers. 

In fact, I keep myself positive by engaging with many people across the UK with CMT and strengthen bonds with those who are in the shoes I wore 5 years ago. Peer support work is a fantastic opportunity to work with people who are in need of help, a shoulder or a virtual hug. I’ve found that by helping others, it then in turn helps me as I stay focused. 

For newcomers to the group, the most vital information is: “You are not alone anymore!” There are others out there. The best thing to come from CMT? The CMT Warriors! 

Test Subject

On occasion, I’ll be contacted by the local hospitals to be a live model for training purposes of new neurological doctors in training. Each appointment I attend, I’m armed with CMT literature for both patients and medical staff.

About Me

I’ll be 44 in August. I’ve had 7 operations and more to come. I try to live as normal a life as I can with CMT. I go fishing in my spare time and love the great outdoors and fishing (I caught the biggest known fish from the nearby lake, (27lb 4oz) . Last year, my stepson Danny jumped out of an airplane from 10,000ft and raised £520 doing so.   

I also love birds and taking different pictures or videos. 

I live with my partner Tracie and we share our anniversary on April 26, 2021 ( 8 years together). Tracie is my rock, soul mate and love of my life. I have 3 children: a 21-year-old son with mild CMT1A, my princess daughter, 17, who also has CMT 1A and my youngest is 9 with no signs yet. Although they live on the opposite side of England, we often facetime with them. 

My moto in life is a simple one. If I can make one person smile each day or feel better about themselves, then I’m winning in life. 

If anyone wishes to follow me on Instagram please feel free to do so:

            #the_cmt_warrior

I chose the name the_cmt_warrior as felt it fitting for myself as I battle in many ways against CMT and often refer to it as a realm within which we live. We all battle for the long run and a cure for the future to come but until then, we must fight.

One thing that stands out that I did achieve was turning the town purple for purple Tuesday. Attached is a video of me on UK TV about this. Enjoy!

CMT – What are your thoughts? Got a story, suggestions, wisdom to share? I’d love to get to know you and possibly share your story. Write to me at:

elizabetho@outlook.com

Old Man’s Journey with CMT

By Jeff Dols

My name is Jeff Dols. I am 71 years old and I have Charcot-Marie-Tooth disease. I don’t mean for that to sound like an AA meeting, but it’s just a few basic facts. While it’s not my intent to preach at anyone, a little preaching may be involved.

Some background:

I was diagnosed in 1964 at age 14. The clumsiness, sprained ankles, strange walking gait, hunched shoulders, and spinal curvature were all there but not connected. It was a broken hip from a fall to finally lead my parents to try to find out what was going on. That evolved into a day at Stanford University Hospital Clinics where I sat in an exam/conference room for 5 hours in a thin cotton gown as 5 teams of doctors poked, pricked, measured, prodded, tuning forked, zapped and generally explored. At the end of the day, I was excused and my parents were told I had Charcot-Marie-Tooth disease. I was told a few weeks later, but there were no details except that the disease was inherited, degenerative and had no treatment.

My mother was diagnosed too, but only after a lifetime of being treated as a Polio patient.

At age 16, I looked CMT up in a Medical Dictionary. It said, “a progressive, neuromuscular disorder, occasionally fatal.” So far, the fatal part has proven to be wrong, like so many things about CMT in the early years.

I have been lucky in that my disease is fairly mild. I had a mostly normal childhood and did the things most kids did, just not very well or as fast. There were things I could not physically do and things I was not allowed to do. I was just “a bit off”.

My diagnosis in 1964 gave me the starting point for answers to the question of what was going on with me. I learned I was never going to make a living with my body, so the NFL was out. I figured I better get an education to make a living. My mind is the one part of me CMT has never touched.  While some may  disagree, this is my letter, my life and so my reality.

This letter is not a complaint about my life or CMT. I went on to college, had a 40 plus year career in Sales and Marketing that took me all over the county and around the world. I met all types of people and experienced many different cultures. I would not change any of it. I worked hard, had a good time (mostly), and learned a great deal about myself along the way. CMT taught me how to deal with people and made my career choice ideal.

Now to the point, this letter is about the lessons I learned in 55 years of dealing with CMT.

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Jeff in his workshop.

Lessons like,

  • I don’t use CMT as an excuse to get out of things. It’s dishonest and an abuse of those around you.
  • I learned to work around CMT issues because it was the only way I could live my life. Early on, when no one had answers, you had to be creative and make it up as you went along. That ability is key in dealing with CMT.
  • I am not hesitant to ask for help when I need it, but I don’t let people volunteer to help when they think I need it.
  • If I can do something, I will do it, no matter how long it takes. Eventually, CMT may tell you to go find a different way but CMT has probably been telling us that for years.
  • When people stare at the way I walk or at my leg braces or how my hands cramp up at the worst times, I make a joke about it or ask if they are having a bad day too. Not in a confrontational way, but with a smile and a genuine desire to help put both of us at ease and to remove the barrier CMT can be, especially with kids.
  • Treat your doctors with respect, the same respect you show your plumber. You hire either one because they have an expertise you don’t. Treat both with respect until a time comes when respect is not mutually viewed as required. Then tell them how you see things and realize it may be time to find a new plumber.

I am 71 years old now and I still manage an independent life. It’s a more limited life than 20 or 30 years ago but whose isn’t. I make it a point to always look for tools and tricks that make life just a bit easier.

Julie and Jeff in the kitchen!

By tools and tricks I mean:

  • A button hook to buttoning my shirts and pants.
  • A small hook I keep on my key chain for those time when I can’t manage to pull my zipper up. It’s embarrassing to walk into a public restroom with your shirt tucked in and come out with it untucked. Can be a bit drafty too.
  • A sock puller aid to get my socks on and off.
  • My AFO’s allow me walk in a mostly straight line. And I do walk, three to four times week, with my special walking stick to help keep me going in one direction at a time.
  • My AFO’s are great shoehorns too.
  • My Velcro strap shoes save me time, frustration and limits the use of bad words that come out with trying to tie shoelaces.
  • I drop things all the time and to pick them up, I keep BBQ tongs handy. My wife calls them my “Geezer Tweezers”. I have 4 pairs scattered around the house and garage.
  • Soft handled knives and utensils make it possible to safely grip a knife so I can still cook. Yes, I can cook. Soft handled flatware is in the future though.
  • My Kindle means I can read most any book I want without the struggle of turning actual pages. When you spend so much time trying to turn a page, you tend to forget what you just read. Reminder, I’m 71.
  • I love my glass of wine and I found a cork puller I can use. Because of balance issues, I limit it to just one glass and only with dinner. I really miss that second glass though.
  • I still drive. Thank God for all the safety features cars have now. They keep innocent people safe.
  • I type 22 words a minute with 7 errors. Voice to text software is in the very near future.
  • An often-used tool of mine is a large master closet with no exterior walls. On bad days, when things really get to me, it’s where I go to shut myself in and rail at the gods and yell at the top of my lungs. Never mind what words I may use; the neighbors can’t hear me and why would I care anyway.
Jeff and Julie (His secret weapon).

But even with all the helps and the aids, the secret weapon that makes my life work is my wife, Julie. We have been married for 30 years. She has seen the best and the worst of me and she is still here. She knows what may be coming and she is still here.

When I am being an ass, she points out that I am being an ass, not always in the most tactful manner but she has rights and I tend to be “insensitive” on occasion. Remember the closet.

She laughs at me on a regular basis, even when I can’t see the humor. Example, in a furniture store, I got my AFO caught under a piece of furniture and no matter how hard I tried, I could not get it free. Julie laughed so hard I though she going to pass out.

When I do something especially stupid, she will yell, “Jesus Jeff”. She has yelled it so often and so loudly I think the neighbors wonder if I am some sort of demented deity.

Julie always has my back and will help when asked, even when she doesn’t think I deserve it.

Everyone needs a Julie in their life. If you have CMT, the need is greater.

So, the advice I would give kids and families dealing with CMT based on my 71 years of dealing with it:

  • CMT is going to win most battles. The trick is to make sure you lose on your terms. Don’t just accept, fight back and look for workarounds.
  • CMT affects many aspects of our lives, but it will not define who you are unless you let it.
  • As much as possible, don’t let CMT limit or constrain your life.
  • Don’t be afraid to ask for help, but always look to yourself first.
  • I keep physically active and exercise regularly. CMT will rob your physical abilities so do all you can to keep the strength and muscle tone you have.
  • Ask questions of your doctors and care givers. If you don’t understand the answers, ask again. Remember, you’re the one paying the bills and, in the end, they’re all just better educated plumbers.
  • Nurture friendships and make sure they feel free to call you an ass when you need it. If nothing else, it starts a conversation.
  • On bad days, don’t be an idiot and bring everyone around you down. You may have CMT, but the world does not revolve around you. Remember the closet.
  • On the good days, share it with the people who make the days good. They should share the good too.

A life with CMT is a life with lots of twists and turns, roadblocks and cliffs. Deal with them as best you can but always remember, each new issue is a shift to your new reality. Use the tools you have, adapt, and keep moving.

A life well lived is an adventure. If you have CMT, it can be a bit more adventurous but that just means the rewards are greater and the memories more impactful. And when you get older (and you will) and look back on your life, don’t just look back, but turn around, look forward and go see what’s next. The adventure ends only when you allow it to.

Here’s to cures and treatments to come so today’s CMT kids will be the last generation to be challenged by CMT.

Thanks so much to Jeff for his CMT story. It’s full of life experience, humor and common sense strategies. I feel grateful to have been given the opportunity to share his story with the CMT community. There is something for everyone, so enjoy!!

Do you have a CMT story? Would you like to share it? If so, write me: elizabetho@outlook.com I’d love to hear from you!

My Uncle Chris is Phenomenal

My son Yohan was diagnosed with CMT at 7 years old. We have no prior history of CMT in our families. Yohan has CMT due to a new spontaneous genetic mutation. He’s the first in our family to have CMT. Though Yohan’s CMT has thrown roadblocks and presented challenges in his life, it’s also made Yohan resilient, empathic, loving and kind.

A huge thank you to all our friends and family who have supported Yohan throughout the years. My husband, Gilles has always been so good at finding ways to spend quality time with Yohan, engaging him in so many activities: camping, horse riding, kayaking, and now, mountain biking. Yohan’s Uncle Chris has also had a profound influence on Yohan throughout his lifetime. Here is a chapter in their story.

Chris flew in to Claremont, CA to attend my Grad School Graduation. It was a total surprise!!!

Yohan’s CMT Story – Uncle Chris

By Yohan Bouchard

VT summers: me and Uncle Chris

Since I was 4 months old, every summer (and a few below-zero Christmas holidays) were spent visiting my mother’s side of the family on the east coast. Vacations in Vermont were a blast – often the highlight of my year. I have such fond childhood memories of our adventures, which included spending time with my grandparents, aunts, uncles, cousins and longtime friends.

Yohan, cousin Warren, my mom, Kevin, James, my grandmother, Uncle Chris, Aunt Mia and cousin Lila.

In particular, I spent a lot of time with my Uncle Chris; we’d go fishing, hiking, and swimming. In winter, he’d also take me skiing and snowboarding. But, as my CMT progressed, it was more and more difficult for me to keep up. I realized I was participating less and less in those outdoors activities, which we both enjoyed so much.

Snowboarding in VT with my dad and Uncle Chris.

Throughout the years, Chris and I had grown very close; he was always there for me regardless of my limitations. He knew my muscles were getting progressively weaker and noticed I was becoming more limited in my physical capacities. It was hard for both of us to embrace the effects of CMT, but we always managed to find alternative activities, like fishing, swimming and just some plain ol’ goofing around.

Goofin’ around with Uncle Chris and Warren

When Chris first brought up the idea of organizing a CMT fundraising event centered on cycling, I was impressed by his drive to actively raise money for a CMT cure. Witnessing his passion first hand, I too got excited by his vision which was to launch both an in-person and virtual Cycle event to fund treatment-driven research.  I was convinced it would be a phenomenal successful, and I was not wrong. .

Over the last eight years, the Cycle 4 CMT has shown me just how far my uncle, and all my family and friends everywhere are willing to go to support me and so many others struggling with my CMT.

A surprise visit to the 1st Annual Cycle 4 CMT event

After the second or third annual event, I decided to face my fears and try to ride a bike again. My childhood adventures of being scared and unbalanced came back to haunt me, but I persevered. I wanted to show my Uncle Chris how much his effort, time and love meant to me. I biked around my college campus a bit, but that was the extent of my efforts.

Last year, with my dad’s encouragement and help, I gained confidence while I peddled on streets and swerved around people; I got back in the saddle. I was determined to actually ride alongside Chris and my friends on one of the Cycle 4 CMT routes. Of course, COVID had other plans, but it did not stop me. I did cycle in the Virtual Cycle (and Walk!) 4 CMT event with my dad and a group of friends over the Golden Gate Bridge in San Francisco. It was extremely fulfilling to do the actual ride with my dad and peers instead of sitting on the sidelines. My new electric bike was a game-changer!

Me and my dad, Gilles. We don’t go around obstacles, we face them straight on!!

I’m so pumped to go to Vermont this year and finally ride with my Uncle Chris in the 8th Annual Cycle 4 CMT. I will realize this dream as I want to show Uncle Chris how all his work has inspired me to face my fears and overcome them. I am extremely fortunate to have a supportive, loving family and an Uncle who is willing to go the extra mile.

Want to join us? Go to: www.cycle4cmt.com

Registration opens March 15, 2021. We are having both an in-person event in Charlotte, VT, on Sunday, August 29 and a virtual even from March 15-August 31, 2021, an anyone, anytime, anywhere can participate!!

CMT AND LOSING WEIGHT

By Sara Kevern*

Q: I have gained a lot of weight since March after the start of the shelter in place, and continued to gain throughout the year due to COVID restrictions, stress, etc. Is CMT making this worse? What can I do about it?

A:  First of all, you’re not alone! This is one of the most common things I’ve heard from patients and clients in recent months. Weight gain during the last 9 months or so is very common. For most people it has been a combination of stress, uncertainty, depression, lack of routine, inability to fit in traditional physical activity, and lots of free time to eat.

If it took you 9 months (March to December) to gain the weight, you can count on it taking at least 9 months to lose again. That said, it is most likely going to take even longer because weight loss is inherently more difficult than weight gain. The bottom line is to adjust your expectations and try to exercise patience during the process. The most important thing is to just keep going, stay consistent, and try not to let the slow progress derail you. If you have a tough day, making small progress and steps forward is always better than staying off track.

CMT itself is likely not slowing your weight loss, although you may be limited in physical activity which can make weight loss more difficult. When we discuss losing weight what we’re really talking about is creating a calorie deficit. Calories in must be less than calories out in order to lose weight. Exercise alone is unlikely to be enough to promote weight loss without dietary adjustments. Exercise helps create a larger calorie deficit and has more benefits including muscle health, cardiovascular health, mental health, etc. so it is important to exercise regularly on this path to weight loss. Diet, however, is going to have the highest impact on weight loss. Eating less, but still above the basal metabolic rate, is the target to hit. For most women BMR is 1200-1500 calories per day; men are 1500-1800 calories per day. Eating significantly less than your BMR may actually stunt your weight loss efforts.

It may help to really examine your eating habits during the shelter in place and identify the parts that significantly changed from what you were doing before. Those are the parts of the diet to target and try to work on. There is not one general recommendation for everyone to help lose weight, it’s a matter of looking at your individual habits and making adjustments for the most success.

Don’t give up! Working on your diet and exercise on a daily basis will yield results over time, but it will likely take longer than you hoped.

*Sara Kevern, RD, CNSC
Clinical Dietitian III

Sara Kevern, RD, CNSC

Sara Kevern is a Registered Dietitian and Nutrition Support Specialist at Stanford Health Care and Stanford Children’s Health. She joined the Neuromuscular team in 2019 to inaugurate and build nutrition services. She works as part of the multi-disciplinary clinic where she provides Medical Nutrition Therapy to those patients diagnosed with neuromuscular disorders. Sara completed her training at Ohio University and has been practicing as a clinical Registered Dietitian for 8 years.

Dr. Glenn Pfeffer Answers All Your Questions About CMT foot surgery

dR pFEFFER WITH BONSAI
Dr. Glenn Pfeffer: Orthopedic Surgeon at Cedars-Sinai

The CMTA hosted a very informative talk on Zoom in September, 2020 to the CMT community featuring well-known orthopedic surgeon, Dr. Glenn Pfeffer. I’ve transcribed this talk for you! Enjoy!

Elizabeth Ouellette: Welcome Dr. Glenn Pfeffer.  Dr. Pfeffer is the Director of the Foot and Ankle Surgical Program at Cedars-Sinai in Los Angeles.

I can’t tell you how much I appreciate and admire Dr. Pfeffer. He spends all his time with people with CMT. He wants to better their lives. He wants to see people walk.  He has devoted so much time and energy to the CMT community. I am just so honored to have him here as a doctor, my son’s surgeon, as a friend and as a colleague. So welcome, Dr. Pfeffer, and thank you for coming on. 

Dr. Pfeffer: Well, thanks for having me, and I’m surprised so many people came on a Saturday! 

Elizabeth: First, I’d like to get to know Dr. Pfeffer a little bit more. And when I was doing some research on him, I saw that he did magic.  I’m like, what surgeon does magic? 

Dr. Pfeffer: Actually, magic is important to me. I did this through high school, college and medical school. I actually performed in nightclubs.  I spent the summer in Nantucket at the Rose and Crown as their magician.  And whatever it is that attracted me and still attracts me to magic, is the exact same feeling I get two weeks after surgery when a CMT patient is sitting in the office.  Your foot’s going to be a little bloody.  You’re going to have some sutures to take out, and we open up the cast, and you’ll see some pictures of this, and I hold their foot and I say, “Take a look here, your foot.”  And it’s a new foot. It’s a foot they haven’t seen, perhaps ever, and the look on their face is identical to the look on people’s faces when you do a magic trick for them.

So whatever that is that attracts me is why I continue with magic. Magic is very simple you know. You can do things like this where you can take something and have it disappear. You can make it a little more complicated, which I do in the office for kids.  You just take the same little piece of foam or whatever, and you just put it into this hand and you can just show people that it’s empty.  So that’s sleight of hand, which of course is great for the magician. I still do this at orthopedic parties.  But not to belabor it, if I were going to do this I wanted this to have the same absolutely startling response that people have with CMT when they see their new foot. 

Elizabeth: Your father was a surgeon?

Dr. Pfeffer: He was a general surgeon.

Elizabeth: Oh and so is that what inspired you to be a surgeon?

Dr. Pfeffer: Yes, absolutely –  I don’t think I’d ever have even gone into medicine if not from my dad’s influence.  You know like all of us, I’m a mix of my dad’s DNA and my mom’s and they were very different people.  But dad really inspired me with his surgery, and he was hard-working and I think it was my destiny.  I probably have very little free choice in life.  He didn’t make me but in terms of who I was, it was sort of my destiny, like the Jedi.

Elizabeth: You horseback ride or you did in the past.  You scuba dive, you dance, you create bonsai, and I read somewhere you made a correlation between bonsai trees and surgery.  Could you tell us a little bit more about that? 

Dr. Pfeffer: I’ve always been interested in bonsai which are, you know, plants; they’re trees, and you keep them miniature by trimming their leaves, by trimming their roots, and you keep them in small pots.  Everyone knows what they are, and what you do to shape them is you wire the branches and you hold them down so they look like a tree.  And I realized only a year ago that what I’m doing with bonsai is identical to what I’m doing with CMT feet. I was sitting there in surgery and we were wiring a foot down and putting screw into it, and somebody who knew about bonsai said, “You know, Glenn, that’s exactly what you’re doing with bonsai.”  And it was startling to me. You would think it would be obvious but it wasn’t.

As you may know I’ve got my own foot problem.

Elizabeth: I was just about to ask you; when you told me you had foot issues, I’m like, “He gets it.He knows what it is like to have a foot problem, and I think that’s a bonus for your patients.”

Dr. Pfeffer: Well I was just going to say, though, that’s how I got into horseback riding.  Because I’m athletic by nature, but I couldn’t run.  You know, I didn’t know what I had. It’s very poignant for me, the CMT world, because patient after patient, everyone who’s listening knows this, everyone, unless you had a mother or father who had CMT, you grew up not quite knowing what was wrong with you, right? And I didn’t either.  I didn’t know I had a problem with my foot for 40 years. It sounds dumb, right?  But if someone’s out there with CMT and no one told them they had CMT for 40 years, and they just thought they walked funny and they couldn’t keep up, and they were a little unbalanced, nobody would know. So I took up horseback riding because I could do what I wanted to do. I could fly through the air and jump, and I’m sure all the people listening have modified their lives in way so that they can function with their CMT.

Elizabeth: I think you can really relate to people with CMT and understand foot issues and the inability to do certain things. 

Dr. Pfeffer: Well there’s no question, you know I don’t like to talk about it too much because you don’t want to get a little corny on a Zoom chat with all these people, but yes, I 100 percent relate to what people are going through. I’m not in a wheelchair.  I don’t have problems breathing. My hands are strong.  But for the isolation that somebody feels, the difference that somebody feels growing up with CMT, that is exactly what I felt for sure, and I don’t know that you can teach somebody that.  I’m not sure you can really learn it, but it’s just in my soul.  I’m not as bad off as most of the people with CMT at all but that’s why I get it, you know, that’s why I think it’s probably why I was attracted to all this. 

Elizabeth: So why don’t we start your presentation, I think you are a fascinating person, and I know you’re an expert surgeon and the best of the best.  And you’re also a great presenter, so I’m sure people want to hear what you do every single day.

Dr. Pfeffer: I want to just show you my world of CMT, and I have a certain kind of person that comes to me, right?  Somebody who was unfortunately paralyzed in a wheelchair would not be getting to my office, so I do understand that I’m seeing a segment of the CMT population.  But this is my world and what I go through every single day. At this point I’m confident that we at Cedars are operating on more CMT patients than anywhere else in the United States and we have a plethora of experience with it. 

We’re lucky enough to have a large CMT program at Cedars with some of the most famous CMT neurologists on the face of the planet, such as Rich Lewis and Bob Baloh, and with amazing geneticists. If you have an issue, you can come to see the program. You’ll see a lot of people. Instagram is as alien to me as, you know, speaking Russian or French and yet it’s been a tremendous success for me and the people who follow it. I mean, my gosh, I didn’t even understand that at one point I had two people following it. Now we have close to 1400 people across the world, and I communicate with them all. It’s sad when someone from Ethiopia says “How can I come and have surgery?”, and of course the chance of them having surgery is almost zero for financial and travel reasons.

I encourage you to follow me on Instagram: #CharcotMarieToothSurgery

The foot has 20 muscles.

The foot’s complicated, right?  It’s got a lot of muscles in it.  There are 20 muscles in the foot, more than there is in the entire leg. 

The tibialis anterior lifts the foot.

The tibialis anterior muscle is the strongest dorsiflexor (muscle lifting foot up toward the shin) and helps to lift the foot from the ground. The Tibialis Anterior Muscle also facilitates flexion of the foot upwards and extension of the toes. The Tibialis Anterior Muscle originates from the outer surface of the tibia and inserts into the first metatarsal bone in the foot which is located behind the big toe. 

Extensor digitorum longus muscle - Wikipedia
Toe extensors

Above are the toe extensors. These are what lift up your toes, and interestingly with CMT, if the tibialis anterior that lifts your ankle gets weak, these toe extensors will start working harder, which is why so many of you will have a toe deformity. As the Tibialis Anterior muscle gradually weakens and the foot drops down, a contracture of the Achilles will occur because the tendon is no longer being stretched out during gait. The worse the contracture, the harder it is for the weakened Tibialis Anterior to lift (dorsiflex) the ankle. 

Achilles Tendinitis For Runners
The Achilles tendon tightens with CMT
Peroneus brevis - Wikipedia
Peroneus Brevis

Above is an image of the Peroneus Brevis, one of the key muscles that weakens in CMT.  Why it happens exactly is still unknown, but this muscle, when it weakens, destabilizes the ankle and the foot starts to turn in, because this muscle is weak.  And the other reason the foot starts to turn in so commonly is because this muscle in the right foot, looking from behind, stays strong.

So one weak muscle, and one strong muscle causes the foot to start to deform.

So let’s talk about that what causes the CMT deformity. I’m talking about this common cavovarus  (very high-arch) foot.  This is what happens every millisecond in our body. Muscles are pulling back and forth but keeping us balanced, right? With CMT, because of the paralysis that’s uneven, involving some muscles but no other muscles, they become weak.  There is CMT. Some muscles are powerfully strong, and others are weak and that causes a deformity.  It’s called a cavovarus, and you can really see it on this right foot. 

cavovarus foot

If you took your hand, put it in your pocket and left it there for a year. Not only will you not be able to move it, you’ll probably never be able to open it up again because all of the soft tissue contracts. And that’s what you don’t want to have happen.  If there’s one message I can give you, don’t let that happen. 

The minority of patients I think benefit from surgery with CMT: Most patients do not need surgery.

The person below is wearing ground reaction force braces. This type of brace, made from carbon fiber or plastic actually bends and stores energy.

So when you have no function in the leg and the Achilles tendon isn’t working, these braces are just terrific.  This person could walk a hundred miles if they had to because their foot’s flat on the ground and they’re doing great. Now, here are all the types of braces there are. Some are off the shelf.  Some are custom made. Which is better than the other?  I don’t know.

 I absolutely think chocolate ice cream is the best. Does anyone disagree?  Some people like strawberry or maybe vanilla, and the problem with the braces is you can’t try them all on unless you go to a spectacular brace shop, which I’m lucky enough to work with at our Center of
Excellence.  Would anybody say that a size six dress of a certain brand is perfect for you?  Of course not. You’d want to at least get it in the mail, try it on and send it back.  That’s what you have to be able to do with braces. Unfortunately, we can’t try all these braces and some of them cost thousands of dollars, so try to go to a brace shop that has a wide selection to let you try some of them off the shelf.

Now that is not the right brace for a for this crooked foot.  Some of you have it. I see this situation every day of the week.  Would anyone put a foot like this into a brace?  It’s like putting a square peg into a round hole.  This is from Friday.

This brace does not work for a crooked foot.

 I was a little delayed today getting my talk all set because this gal just came in. She lives on a ranch.  That’s the shape of her foot. That’s the shape of her brace.  Shame on everyone taking care of her.  Shame on her brace maker. She has pain walking on the side of her foot in a brace that looks like it’s something to a caged up an animal.  That foot should never be allowed to walk the face of the Earth.  That can be made flat, and even if this woman can’t get out of her brace, she can get into a brace with her foot balanced and her body weight plumb lined with no pressure walking on the side of the foot.

I can’t see you all, but how many of you have had or have a callus on the side of your foot?  Right. That’s what happens. So these people should all have surgery, that’s how I feel. Now some people don’t want to wear a brace. 

This is Katie’s Story

“Hi, my name is Katie. I live in Florida and I have CMT. Katie didn’t want to wear a brace. It was in sixth grade when I first started getting made fun of for the way that I walked and noticed that running and keeping up with my friends was becoming more difficult for me, and my parents started taking me to some doctors to try to find out what I could do to help me with my CMT.  With each doctor that I met with, I felt like they didn’t understand my specific case of CMT.  And they gave me some options, like braces and orthotics, and some of them would help me temporarily but nothing ever really helped me. So when I was in high school, I started falling almost regularly, and I missed out on my homecoming and my prom and just gave up on trying to find shoes that fit and started to become really discouraged.”

So Katie was a young woman, and she didn’t want to wear braces. She could have actually been in a brace.  So she came from Florida. She said, “I don’t want to wear braces the rest of my life.”  So I said okay and she had some muscles that were working.  We operated on one foot, and she was incredibly brave and so we operated on the other. Katie could hardly walk without a brace without holding onto a wall.

Many of you know that kind of person.  So the CMT type foot deformity is a tricky surgery. That’s the problem, right?  People have had a lot of issues with it.  There’s so many components to CMT surgery.  The surgeries will take at least three to four and a half hours. There’s no way to get through it quickly.  Basically, the failure of CMT surgery is when we don’t do enough.

So this is what we put on the operative board at Cedars-Sinai.  We put all the procedures someone’s going to have. “Hi, we’re going to fuse a part of your toe joint,” you’d say to a patient, “Okay, let’s schedule you for surgery.  Hi, we’re going to do a tendon transfer on you. Okay let’s schedule you for surgery.” But the tendon transfers are some of the most complicated and extensive surgeries that there is in all of orthopedics except for some spine surgery or hip surgeries with dislocations and acetabular malformations.

Many surgeries in one – CMT foot surgery

Now how do we know what to do? Well, the problem is there is no good consensus on what to do. At least there hasn’t been, but we’ve done a lot of studies on this at Cedars and much thanks to the CMTA for their help.

This was a study we did. It was published in 2018. It was sponsored by the Charcot- Marie-Tooth Association (CMTA) and this was really incredible for us because we won a prize for this operation telling us how to correct the heel varus.  And we won a prize for this as one of three research studies of the year most likely to change orthopedics. I just happened to have it here.

We took a print of one of my patient’s foot – Sarah. And we printed out 18 “Sarah’s”, 18 of these and then we studied them with different operations in the lab, but very exactly, and we showed which was actually the best operations for correcting heel deformities in CMT patients with her type of problem.  Since then we’ve done other research more on heal osteotomies.  We’ve looked at extensor transfers  The most difficult, competitive organization in the world and the most academic is the orthopedic research society.  And Max, who’s going to be joining us, he’s the second author, won a prize here just this past spring for a young investigator’s prize. I mean this is like winning a Nobel Prize in orthopedics and I was actually stunned by it.  But part of the reason is because the whole area of CMT surgery is so poorly investigated, it’s not that hard to do some landmark work if you do the research. 

Now there’s a big hole on how you should do CMT surgery and how it ends up in people and how do people do it. We’re just starting now.  Some of you I’ve operated on. I always say I’m a pretty accessible guy and I don’t hear about too many people doing poorly. I know the ones I’ve had to re-operate on.  I just spoke to a woman this morning where a young girl in New York is not having the motor strength that she needs. So I think I have a sense of it, but we’re going to study it and hopefully publish that by the end of the year. 

So this was a remarkable thing – years in the planning. There were seven past presidents of the American Orthopedic Foot National Society and some of the most famous foot and ankle surgeons on the face of the planet, and with the sponsor of the CMTA sponsorship and Elizabeth’s fire in her belly. we brought these people together.  And it almost killed me, literally, but we finally published a paper on our results, which just came out, and this is a consensus. We didn’t get everyone to agree, but I think just to sum it up here, this is accessible. You can get it through the CMTA and other places and if you’re going to have surgery locally in your area if you can’t come to Los Angeles for some reason, give this to your surgeon and say, listen I’m sure you know all about this but would you mind taking a look at this paper. And if they haven’t seen it they’ll be grateful to have it.  https://www.cmtausa.org/news/breakthrough-guide-to-orthopedic-surgery-for-cmt/

Chicago Think Tank

Consensus Paper – Can be found on CMTA website: https://www.cmtausa.org/news/breakthrough-guide-to-orthopedic-surgery-for-cmt/

  The goal of surgery is to give you a flat foot, and to balance your foot.  My goal is to keep you out of a brace if I can, and I usually can if I’m willing to operate on you.  It doesn’t always work that way, and if we can’t get you out of a brace, at least we’ll get you into a smaller brace.  Much better to wear just a small piece of plastic than some of these bigger, bulky braces.  So what do we do? We transfer tendons, which is moving muscle.  We move strong muscles that are deforming the foot to weaker muscles which are letting the foot become deformed.  We cut through the bone. Here you can see a bone. This is a right heel we’re looking at.

 We take a wedge out of the bone. We twist the heel around.  Here you can see it. So this is the heel from behind on the right side. You can see what we do. We take a wedge out and then we just simply shift the heel.

Okay, now who can you trust to do surgery?  I hear there’s a lot of talk about me in chat rooms and stuff. I said, is there anything I ask my patients they don’t like.  One person said, well you kept them waiting a lot, and another person apparently said, well, I just didn’t like him, but I guess he’s a good surgeon.  But look out there. I don’t hear anybody saying about me, anyway, oh he sold me a bill of goods. He said I’d be good but I’m not. I just do not hear it.  And if you do, tell Elizabeth and she’ll tell me because I want to hear about the failures I’ve had.  I know the failures. I know why they’ve occurred but most of them have just been in the hands of God.  Find someone who does at least one CMT surgery a month.

Find someone you trust


That’s a fair number of CMT surgeries to do. Most very experienced, busy surgeons will be doing three CMT surgeries, maybe two a year. But if you can find people around the country. that’s a good thing. 

When should you do your surgery?  Do it as soon as you know that you or your child can’t live with their foot the rest of your life.  The sooner the better. Dr. K, my partner, because I don’t operate on people really under the age of nine, he just operated on a four-year-old yesterday from Utah, both feet. All these people are the perfect age for me to be doing surgery.  You know, 10, 11, 15, 16, but you can do it anytime. It just gets harder because things get stiffer the older you are. So every day, because of Instagram, I chat with people.  Some people are from Eastern Europe. Some people are from United States, and I have met most of them.  I guarantee you I will make you better. I don’t know how much better.  I’m not 100% sure I’ll keep you out of a brace, but I tell people you’re about a C-. I’ll at least get him to a B +. All right. So all I need is one strong muscle.

All I need is that muscle to move.  That’s it.  I just need any muscle. Is there risk? Of course. 

CMT Foot

The biggest reason surgery fails are that not enough was done. To do 18 surgeries at one time is a lot.  T

 

Sarah was one of the most amazing. You may have seen her. She was 16.  She couldn’t walk. We operated on one foot.  All she said she wanted to do was walk down the high school aisle without having to hold on to her father.  I called her years later.  I said, “How are you doing? What’s going on with you?”  And she said, Dr. Pfeffer, you don’t understand.” She said, “I just walked 10 kilometers around London with my boyfriend in cute shoes.”  So that’s a magic trick all right.  This gal, she said, “I don’t want to wear braces. I’ve had surgery.  I’m going to be the first woman President of the United States.  I’m going off to college.”

There she is.  I mean, I can’t do that.  Could she? She texted me a while ago. She goes, “After five or six hours of walking around campus, I need a little co-op brace. You know, ones that go into your laces because I get tired at the end of the day and sometimes need a little bit of help.” That’s better than I ever thought. 

Q & A

I’m wondering how you deal with toes.  Yeah it’s a great question.   Very succinctly, toes  are among the most difficult, actually, of  surgery to do  and the the longer people wait, the worse off they are. I can  still  fix the rest of the foot, but the toes  become more and more problematic  and  there’s no easy answer for that.  Sometimes as simple as just  transferring the tendons. Sometimes we just cut the  flexor tendons but I don’t like to do  that in someone who has a motor disease.  And what I’ve been doing lately with  severe problems is we actually have been  fusing these joints. It’s okay because  the joints are useless. It’s not doing  anything for anyone except getting in  the way.  So we fuse the joints and leave the  tendons alone  and and we can have some beautiful  results with that. The problem is  it’s a lot of surgery. That, in and of  itself, that operation could take an hour,  hour and a half. To add that onto a four  hour operation …  someone like the boy I’m operating on on  Monday who has all that  may have to come back, he may for the  toe operation.

I had foot surgery, now my knee and hips  are not aligned with my feet and I am having gait problems as well as some knee and hip issues. I’m wondering  if that is because she waited too long and  the CMT foot made her walk differently  or do you do gait analysis beforehand?  Have you heard of these problems?    Someone has foot surgery. They get  deconditioned and the hip muscles which  are vulnerable to begin with, and the  knee muscles  get weaker, right? So they just get  deconditioned. I know of one person in my  career from Santa Barbara,  and she had foot surgery. She was, you  know, recovering  and then she had that problem. You know,  and all of a sudden her hips started to  have a problem.  It’s really really rare if the foot’s  have been bad … feet have been balanced  properly. My first thought is that the  surgery didn’t work on the feet and that  they’re imbalanced.  The key is to remain conditioned, even if confined to a bed. Get some five pound  weights on your ankle and lift up the leg.

Do you ever do both feet  at the same time? 

Never. You could do double surgery, like in a four-year-old like yesterday where Dr. K  did that.  Where you can just carry them around  easily, but no,  an adult is going to be completely  impaired because they can’t put any  weight on their foot for six weeks.  Yeah. They would have to be tiny.  Carry them around to the toilet. Carry  them to the chair.  What weight would that be? I don’t  even know. You know, 50 pounds  if dad’s strong.

Is there a particular age you recommend surgery?

There’s not a specific age, but how do you  know  to bring your child to trust you with  his feet or her feet?  When do you do it? Well, it’s absolutely  the  most important question anybody can ask,  and I don’t have an answer. To operate on the crooked foot at any  age,  operate certainly on the young  adolescent at 12 or 13,  as soon as you know that person’s not  going to live with that foot ideally for  the rest of their life.  If you look at your child, your friend,  and you say  I don’t want them to have that foot the  rest of their life, that’s the time to  have surgery. 

Since CMT is a progressive disease  do you do surgery and then 20 years  later you have to do it again  because the foot deforms or what is your  experience with that? 

There’s no literature on that whatsoever.  The study that we  started in 2017  will be coming to fruition soon. I said   I told you, anyone I’ve operated out  there  please answer us when we write to you,  and we’ll follow these patients along  forever, and the only way  anyone will have an answer for that is  in 2037 when those patients are still  around.  Most … many of them … many of them were  young and we’re going to find out how  they’re doing  but I can tell you this. If anyone’s  considering surgery  and they’re not doing well, don’t delay  because someone says, tells you, you’re  just going to be paralyzed in 10 years  anyway.  That’s not my experience. I’ve been  operating for 30 years  in California and no one has ever come  back to me and said  the operation hasn’t worked because I’ve  gotten weaker,  ever. And I’m around, you know, so I’ve  never had that. So I don’t  think these things progress. and I    personally think that when you do this  on a young person …  this is really critical … what do you  think happens? And we’re doing a study on  this.

Is it true you should not operate on children  until their bones are finished  developing? Is that sort of an  old school philosophy?

No, it’s an old  school philosophy. Just  throw it out the window.

How can you find a foot and ankle surgeon,  one who really knows what they’re doing on  the CMT foot, 

  I want people to come here if they  can.  I’m  amazed but I admire that  COVID is not stopping anyone. Tomorrow  there’s a girl from Texas  and she’s driven up. There’s a boy next  week from New York, and he’s flying in,  you know.  So it doesn’t seem to stop anybody much  for the CMT and they think it’s a  good time, right, because schools are  virtual. So all of a sudden  someone’s saying, well, this is not worth  it to be freshman in college for seventy  thousand dollars a year. I’m gonna get my  feet taken care of.  People come, I want them to stay.  A lot of surgeons wouldn’t want that,  but I want the person to stay here for  two weeks.

Now it’s a big  city and a lot of people have relatives  and I would say what I tell everyone. You  can get a hotel  out of town for $59 somewhere  a week and you can get a hotel in town  for $5,900  a night, and I’ve had both types of  patients.  Normally the former than the latter  but you stay and then the sutures will  come out in two weeks and then you go  home.  Insurance will … we’ve never been denied  insurance because most …   if you’re in North Dakota …  in your town the insurance knows that  there’s nobody who’s going to  want to do this, and if they do want to  do it, the patient will say doctor how  many have you done?  Have uoi done hundreds of patients, the way  they have at Cedars? It’s too difficult  a surgery to take on you know  so the the surgeons don’t want it. Even  the HMOs will allow people that …  one of those people I showed you is  from an HMO, which is very restrictive  healthcare, right,  in Hawaii but the HMO doctor  doesn’t want to do it.  Medicaid and the medical patients aren’t  allowed to come  but almost all insurances will allow  this.

I’m an employee. I don’t get a penny  from doing the surgery,  just not a penny. I’m an employee of  Cedars and Cedars is part of almost  all plans.  And the last thing I would just say is  if somebody doesn’t allow you to come at  first,  they will because all you have to do is  say this is where I want to go.  Are you willing to take the  responsibility,  doctor, insurance plan, but I’m not going  to do well.  And the answer for that 99% of the time  would be,  why don’t you go to Los Angeles? Now there  are  certainly people who do what I do in the  United States, but they’re large areas  where they’re not.  Okay, that’s a really helpful answer.  Great to know.  I just said the cash price is just  insurmountable. I just …  it’s tens and tens of thousands of  dollars. So you really need to  to go through insurance and get that. 

So in that regard  we’ve never had anyone turned down. Sal  Rosette, my surgery scheduler …  I was working late night in the office,  he was leaving late and I asked Sal  about this.  And he said to me is exactly what he said. I don’t know if it’s true or not.  He said, Doc, he goes, we have no one ever  turned down by  insurance for you. Each doctor has  something called an NPI number that  designates them.  He said he’s at the insurance company  I’m talking to them on the phone  and they say well what’s his NPI number  and it’s CMT  and the insurance just  immediately says, oh yeah, you can go  there.  I don’t know if … I don’t know if he’s  just reading into that  or not. I said, so they’re tracking us  with CMT and my doctor number? He goes. ” they must.”  Blue Cross, he said … I don’t know if it’s  true … but according to him he said Blue  Cross knows about you  and CMT. Anyway that’s a long answer.  That’s okay, very helpful. Back  to the age a little bit, and I know you  spoke to the crooked foot  being, you know, of surgical  possibility at any age. 

What are your thoughts on ankle fusion?

There was a consortium  in Europe which you know about. Dr.  Shy was there and others  looking at this, the  surgical issue,  and we met and I was amazed that one of  the surgeons there does a lot of CMT  surgery said  we do fusions in everyone. We do tendon  transfers and fusions. 

So I was born with a  fusion  You can do okay with the fusion of the  joints that are usually involved with  CMT,  but you’re not perfect. And I had …  if my foot moved perfectly, I would not  have dislocated my ankle when I fell in  the pool recently.  You  don’t want to do a fusion in a young  person.  If you have to, it’s not the end of the  world.  Let me tell you, if anyone’s telling you  who has CMT  that you need an ankle a fusion, you need  another opinion  from out of town.

But never  fuse an ankle in a CMT patient  as a general rule. Why? Because you’ll do  much better with those braces.  When you fuse the ankle, you take all the  spring out of the ankle  and you negate the ability of using  those wonderful braces, those ground  reaction force braces that are made now,  and those braces are anything from over  the counter or  basically online to  ten twelve thousand dollars a pair, so  there’s a lot of options.  But you have options unless you get your  ankle fused. 

Who should do my surgery?

  There are orthopedic foot and ankle  specialists. That’s who you want to see.  An orthopedic  MD foot and ankle specialist … M-D,  someone who went to medical school.  You know,  that’s the first thing. Not a podiatrist. If there’s a podiatrist  out there who’s done 100 CMT surgeries,  then fine,  I have no problem with that. You know,  podiatrists are not medical doctors.  There’s some natural competition  between orthopedic surgeons and  podiatrists.

I’ve operated on always over 40 000  people with CMT. Wow. In this one you need somebody with gray  hair. I am  so much better at this than I was 15  years ago.  Go see somebody. Contact me if you want.  Set up a telemedicine visit,  and I’ll tell you whether I agree with  your opinion or not.

And I know everybody,  and I’ll secretly tell you if I think it’s a  good person to go with.

The Consensus Paper – Take that paper, put it in your pocket  bring it to your surgeon …  learn it. CMT patients are pretty smart  people.  And learn what’s in that paper. Ask a few  questions and see what the answers are.  What we wrote in that consensus patient  paper will change  and it’s not the final answer, but it’s a  very good start to knowing who the right  surgeon is for you, right?

Elizabeth: I can’t thank you for being so  passionate about our cause,  and you’re very approachable, and even  in  the world of orthopedic surgeons. And  it’s you guys are very very busy,  and very task oriented, but you care. You  have heart.  You have soul. You follow up with your  patients.  I mean, the quality of care that you give  is amazing. So not only are you a very  competent surgeon, but also you’re  somebody that’s approachable and you can  talk to and you’re interesting.  And so A+. Thank you so much.  Thank you so much for this wonderful  presentation and caring about our community. 

Active Living with CMT: Exploring the Health Benefits of Urban Living for People with CMT

By Mike Driedger

As someone living with CMT, I’ve found that living in a city — in my case, Toronto — has made living a healthy and active lifestyle easy.

Of course, urban living might not work for you. But I’d like to share with you how I owe much of my health, mobility, and happiness to living in a walkable and cycleable community.

To start, let me introduce myself. My name’s Mike. I’m a 39-year-old male living in Toronto with my wife, and I have CMTX. While I haven’t begun using AFOs yet, my CMT has progressed to the point that I do regularly walk with a cane for stability — like many of you, I’m a wobbly guy who’s prone to falling down.

I live just outside of Toronto’s downtown core in a 25-storey apartment building. I originally moved in because it had both a swimming pool and a gym, which has made daily exercise, especially in our harsh Canadian winter, so much easier — all I have to do is go downstairs! Even at the end of a long day, having the pool and gym only a few floors away makes it hard to be lazy. On average, I swim about two km (1.2 miles) each week. And now, after 12 years of living with these amenities, I can’t imagine living without them.

Mike at the pool!

Toronto is a dense metropolis with many walkable neighborhoods. Most of central Toronto has a high walk score, which means most amenities — such as grocery stores, pharmacies, community centers, restaurants, and bars — are within walking distance to residential areas. So, I walk a lot. I walk for groceries with a wheeled “drag bag.” I walk to run errands, go out to restaurants, and to meet up with friends and family.

Using a “drag bag” in town.

For distances a little farther away, I walk to public transit stops, take a bus, subway, or streetcar, and then walk the rest of the trip. As I already mentioned, I walk with a cane most of the time, but occasionally switch to walking poles in the winter.

When I’m not walking, I’m biking. I bicycle to work most of the year, except during the iciest and snowiest months of winter. During those months I drive my car — yes, I have a car, but only drive about 6,500 km (4,000 miles) a year.

My office is about 8 km (or 5 miles) from home, so it’s a reasonable bike ride both ways. I’m also lucky that my employer values active transportation and has shower facilities for employees. This seems to be something that more and more urban-based employers are providing, and it’s definitely appreciated.

So I’ve managed to set myself up with an active lifestyle where I can swim, walk, and bike regularly: urban living has allowed me to stay physically active on a regular basis. In fact, many urban centres like Toronto actually make it harder and more expensive to drive than to walk, cycle, or take public transit. By default, I’m active and getting physical exercise just going about my daily life. Whether heading to work, shopping for groceries, running errands, visiting friends, or heading out on the town, I’m using my own body to get there. Plus, having a gym and pool in my building means I don’t have any excuses, even when I’m home.

Luckily for me, my wife loves being active and exercising too, and maybe even more than I do — she often pushes me to keep going. We often joke that our hobby is exercise.

As someone with CMT, I find that this works really well to ensure I’m fit and staying active. Not only do my daily routines and life keep me mobile, but I actually enjoy swimming, cycling, and going on long walks in my spare time. Urban living has made all of this easy.

I’ve found that the best path for physical health is about making exercise as easy and as part of your daily routine as you can. Look, even if big-city living won’t work for you, maybe it would benefit someone you know. If you’re young and still trying to figure out where you want to live for school or work, at least consider the simple health benefits of living in a more accessible and walkable city or town. As a person with CMT, you don’t need to “find time” to be active — it’ll just happen.

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Mike Driedger is the Co-Leader of the CMTA Toronto, Canada Branch. He’s also on the CMTActive Facebook team, moderating the group and encouraging members to be active in their daily lives. Mike himself is passionate about keeping active and a proponent of active transportation. He cycles to get to work and walks, swims and cycles in his free time. He’s a Program Director focused on work engaging people and businesses on issues related to health and the environment. Mike has a BA in environmental studies with a sociology stream and a graduate certificate in environmental management and assessment. Mike lives in Toronto with his wife, Adrienne, and their mischievous cat, Diego. He loves to explore the sights, sounds and tastes within his own city, as well as in destinations around the world.

Mike participated in the VIRTUAL Cycle 4 CMT, riding 1,000 km throughout the month of August, raising an amazing $3,800 for CMTA research – STAR or Strategy to Accelerate Research. If you’d like to donate to Mike’s efforts, go to: https://cmta.akaraisin.com/ui/cycle/participant/6048747

If you’d like to contact Mike, his email is: mdriedger@gmail.com

Never Say Never: How an Ebike Rocked Our World

The training wheels came off my own bike so long ago; I’d forgotten the emotions, challenges and vulnerable feelings of trying to balance on two wheels for a few pedal strokes without crashing to the ground. In fact, I had always taken riding a bike for granted until my 5 year-old son, Yohan, attempted to ride his bike without stabilizers. The experience was stressful, defeating and frustrating.

“This is not fun. Not fun at all. I’m done.” he said as he walked slowly back in the house, head down. “I keep tipping over. I can’t get my feet on the pedals. I’m going to die out there. Biking’s dangerous and stupid!!” When Yohan sets his mind to something, there is no going back. He gave up biking on the spot – forever?

Fast forward 15 years to the excitement of leaving home for University. Yohan was thrilled to have been accepted to Pitzer, a small college in southern California, expanding over 35 acres of relatively flat land. At 20 years old, Yohan’s arches had become extremely high, his toes curled and his ankles, unstable. Chronic burning pain and fatigue were also issues to taken into consideration. Pitzer did not offer transportation between classes, so we discussed alternative solutions.

How about trying a moped, a scooter, a golf cart, or a Segway (I was half joking about the Segway)?  Every single idea was shot down in a blink of an eye, until Yohan’s dad mentioned a bike. There was a pause before Yohan said, “Lemme think about it.”

Segway I2 SE – Blue Ridge Electric Fun
Segway? No Way!

The following week, we were looking for a bike with a low crossbar. “Oh, you are looking for a girl’s bike?” joked the salesperson. No one laughed. “Idiotic comment.” I muttered under my breath. “No, we are looking for a low top tube for people who have a hard time swinging their leg over that bar.”

At about the same time we purchased Yohan’s bike, my brother, Anthony, happened to be in town. He spent an hour with Yohan in our long driveway, providing the guidance, confidence and tips Yohan needed to succeed. With a little practice, Yohan overcame a lot of his fears, stayed upright and felt comfortable enough to bring the bike to campus, where he used it a handful of times to get back and forth to class.

Look Mom! No training wheels!

Riding a bike on campus comes with its own challenges, including other student bikers doing wheelies, skateboarders weaving in and out of people, inattentive students tuned into their cellphones, etc. At graduation, we packed up all his belongings, minus the bike, which was in a state of complete disrepair, still attached to a bike rack, with a kryptonite lock whose combination had been long forgotten.

Just when we thought biking would never be in Yohan’s future, we rented a Scott e-bike during a trip to Tahoe….and overnight, a cyclist was born. He was able to go farther, faster, and for the first time in his life, could accompany his friends and his dad on some longer rides. It has a low step-through design (aka a girl’s bike), and in pedal-assist mode, you still get a great work out and have backup power when needed.

Photo Credit: Yohan’s friend – the one and only, Vincent Billard

So, this year, for the VIRTUAL 7th Annual Cycle (and Walk!) 4 CMT, Yohan rode his e-bike across the Golden Gate Bridge, up the Marin Headlands, and back for a 20 mile ride with 2200 feet of climbing. Never would we have thought that the child who could not ride a bike due to lack of balance, sensation, and confidence would one day ride over the Golden Gate Bridge, maneuvering around pedestrians, cyclists, kids, dogs, etc… There were setbacks, spills, road rash, fatigue, but with the support of friends, family and our CMT community, he conquered. The smile says it all….and more! Thanks to all our supporters and cheerleaders – You are CMT Champions!

To learn more about the Cycle (and Walk!) 4 CMT, click here: www.cycle4cmt.com

The smile says it all!