Patrick Bohan: My Story

For over 13 years, I have had nine neurologists evaluate and retake my medical history. Whenever diagnosis is elusive, having a medical history retaken by different doctors is not a bad idea. After all, a fresh set of eyes may uncover important information (1). Over those 13 years, I have had four different diagnoses, so my case may have been both misdiagnosed and mismanaged. My diagnosis changed from benign fasciculation syndrome (BFS) to cramp fasciculation syndrome (CFS) to Isaac syndrome to, what my current neurologist is calling it, multifocal motor neuropathy (MMN) coupled with CFS.

MMN can only be treated with intravenous immunoglobulin (IVIg) therapy. IVIg is very expensive and it is not a cure, but it can slow progression. I react very negatively to IVIg with side effects including eczema, bad headaches, hypertension, and increased allergy sensitivity. That said, I am grateful to have at least one treatment option.

The misdiagnosis and mismanagement of my disorder has, in effect, left me as a prisoner to my own body. Maybe it is not fair, just as it not fair to be wrongly convicted. But after considerable consideration, I would not change these events, they happened for a reason. The important facets of my story are acceptance, advocacy, adaptation, proActivity, and attitude (AAAAA. the Five A’s). Following these steps enabled me to win state and national championships in time trialing (cycling) despite being inflicted with two neurological conditions cramp fasciculation syndrome (CFS) and multifocal motor neuropathy (MMN).

The Five A’s

Acceptance

Acceptance is loving your life and not wishing to change your destiny. Acceptance does not mean giving up trying to find relief and answers, it simply suggests moving forward and not dwelling on the negative aspects of the adversity we may face. I remind myself every day I am lucky person. There are literally millions of people around the globe suffering from ailments far worse than what I have. We take so much for granted, but I now realize that I won the lottery when I was born in this great nation. I did not have a storybook childhood, but this country afforded me with opportunities that billions will never have. For example, I received an engineering degree, own a great home, have a wonderful wife, have great family and friends, traveled around the country and globe, seen things most people can only dream about in my climbing adventures, and always had a good paying job. My life has been great and I plan to live each day to its fullest.

Advocating

Self-education or advocating for oneself when family, friends, and medical personnel are of little assistance. In particular, when the medical profession cannot provide patients with the answers needed to alleviate fears, to find acceptance, to provide treatment options, and to explain how to move forward, it is imperative to advocate for oneself through education. One important thing I learned advocating for myself is to take advantage of the immense benefits that come from a good diet and exercise. Exercising rigorously with pain is definitely possible. The key is to slowly build up exercise capacity and pain tolerance. There will be setbacks and there will be pain, so the key is to take baby steps (2). Conversely, rest days are also vitally important because sometimes in order to go faster and get stronger you have to go slower (3). This is particularly important for elderly persons whose muscles need extra time to recover (even those who do not have any neurological disease). Exercise and a healthy diet of meat, fruit, and vegetables garner positive epigenetic changes that enable the brain and muscles to bypass diseased tissue by creating new and alternate pathways for the brain and muscles to communicate.

Furthermore, I have found one of the best ways to advocate for oneself is to write about my disorder and to openly discuss it with others. I am open about my disorder and like to discuss it or write about it for several reasons. First, the success of people coping with chronic pain and neurological disorders is directly related to if families and friends believe that their pain is real and not just a figment of their imaginations (4). Thus, social behavior is necessary when trying to find new friends going through similar trials and tribulations when our current friends are ignoring us. Second, I find it therapeutic to write and talk about my condition even if people are not listening or reading my work. It feels good to get my concerns and worries out of my system to alleviate stress. Of course, mitigating stress works to mitigate symptoms and pain. At a minimum, I truly believe that some people may benefit from writing a journal, especially if their disorder is being downplayed by family and friends (5).

Adaptation

Adaptation or evolving is changing your life’s course to overcome adversity. Evolving is making changes to habits, life styles, and everyday practices. Evolving is understanding personal limitations and boundaries that result from adversity such as a neurological disorder. Take one example, I evolved to cycling when other activities were too painful or became a safety concern. Thus, I learned that cycling was safer than rock climbing and the pain was more tolerable and manageable than running. Hence, I would have never won any cycling events if I did not get inflicted with CFS and MMN. In fact, if I never found cycling it is highly probable that instead of winning races, I would be needing assistance to walk (possibly a wheel chair). After all, I have conduction block in the peroneal nerve and it innervates eight muscles in the lower leg and feet including the fibularis longus, fibularis brevis, tibialis anterior, extensor digitorum longus, extensor digitorum brevis, extensor hallucis longus, extensor hallucis brevis, and fibularis tertius muscles.

Attitude

A positive attitude is about making the most out of a difficult situation. A good attitude is pushing the envelope by focusing on positives instead of harping on the negatives. Attitude is what drives important personality traits such as gratitude, grit, perseverance, mental toughness, motivation, and resiliency. For instance, I am a better person wanting to help others who suffer from PNH and others who are less fortunate than myself. In particular, I correspond with several persons each week suffering from fear and anxiety brought about by PNH or neuropathy. One person who I corresponded with wrote this note to me “I just wanted to say thank you for your encouragement during probably the darkest time of my life when there seemed to be only a spark of light here and there, and you were one of those sparks.” Helping others cancels our pain with other positive emotions and it builds a positive attitude.

ProActivity

Important aspects of adaptions and attitude include being proActive. Proactive behavior is being practical which means focusing on the present and future and forgetting the past. Yes, it is important to learn from past mistakes, but once that is accomplished, it is time to move forward to implement what was learned. Proactivity puts us in control of our situation; whereas, harping on the past makes us powerless and leads to unwanted stress and anxiety.

Being proactive is what helps us set goals and establish a life plan.

Notes:
1. Campbell, DeJong’s The Neurologic Examination, Wolters Kluwer, 27
2. Barrett, Pain Tracking, Prometheus Books, 67
3. Barrett, Pain Tracking, Prometheus Books
4. Starlanyl, Fibromyalgia, Harbinger Publishing, 14
5. Starlanyl, Fibromyalgia, Harbinger Publishing, 194 – 196

About the Author:

Patrick Bohan is a writer and an avid cyclist who has won state and national championships despite being inflicted with two neurological disorders. He is currently working on a new book called “How a Neurological Disorder Changed my Life for the Better.” Pre-orders for the book are being offered at: https://publishizer.com/how-a-neurological-disorder-changed-my-life-for-the-better/. He is hoping to be able to publish the book in mid-2021. Net profits from book sales will be donated to the Foundation for Peripheral Neuropathy.

6 thoughts on “Patrick Bohan: My Story”

  1. Hey Patrick. Thank you for sharing this story. Forgive this lengthy comment. I’m 38 and have been living with PN for about 3 years now. After multiple visits to the doctors and tests I have yet to get a consistent diagnosis or figure out what caused or prompted the onset. Prior to PN I was really enjoying the challenges of running having been building progress in half-marathon and marathon times with my next goal being to begin training for a Triathlon, A dream I’ve head for years. Then PN hit which ultimately led to anxiety, inner frustration which impacted others, and paranoia that certain exercises were causing this pain. I became not fully sedentary but far less active and began putting on weight. I’ve only recently begun re prioritizing nutrition, fitness, and running and am finding that it’s been hugely helpful. And not only has it been helpful but it’s been giving hope for continuing to pursue those dreams I once had again. I just started googling foundations and support groups for PN today and your article was the most relatable, timely, and inspiring story I’ve found. All that to say, I greatly appreciate that you’ve shared your story and success in cycling. Your story is impacting people. I’m genuinely looking forward to supporting this cause and being a part of this community.

  2. Thank you Gwen and Michael. I am at peace with my condition and situation. My objective is to help others cope with their disorder. Hopefully others can learn from my experience. That is why I am writing a book on my experiences since my wife, doctor, and neurologist believe I have an interesting story to tell. Thank you both for your support and that will help me to continue to move forward.

  3. Blgilyeat, no worries about the lengthy comment. I tend to leave lengthy comments too. Anyway, that is great news about you getting back on the horse. If running does not work out and you find it too painful you can always try cycling. As I stated in my story I migrated to cycling from other sports including running. In my studying of cycling science, in my book I talk about how cycling is the great equalizer in endurance sports. What I mean by that is that you will find people in the 50s and 60s and persons with disabilities excelling at cycling. The reason for this is because the technique for a peddle stroke can vary greatly for successful cyclists but the same cannot be said for running and swimming where technique is paramount. Just as I believe education is the great equalizer for persons in society to overcome socioeconomic differences, cycling is the great equalizer in endurance sports. Besides, cycling places much less impact on your legs than running (as you get older you may discover that). I do not even miss running, hiking, rock climbing, and mountaineering anymore. I found a home on the bike. Best of luck.

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