When you have multiple sclerosis, let assistive devices assist you

How voice-to-text software will enable this columnist to keep writing

Benjamin Hofmeister avatar

by Benjamin Hofmeister |

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Aside from a few unpleasant moments, I enjoyed my time as a medic in the U.S. military — so much so that when I began to slow down noticeably, I decided to continue in that field by applying to become a physician assistant (PA). I initially wanted to apply to the Army’s program, but when it was discovered that it was multiple sclerosis (MS) slowing me down, that was no longer an option. Undaunted, I started the application process to several civilian programs while I was being retired.

At the time, I had steadily increasing mobility issues, but few symptoms anywhere else. I reasoned with myself that I could still be a good PA with a cane, or even from a wheelchair if it came to that. Functional legs didn’t matter as long as MS left my hands, eyes, and cognition alone.

Of course, MS didn’t leave any of those alone, so PA school was completely off the table. When brain fog hits, it’s like trying to think through Jell-O. My eyes see double (known as diplopia), and I have extreme difficulty focusing when I become fatigued. My dominant hand spends most of its time as a loose fist, and I’m down to about 30% function in my other.

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As you might imagine, all of these make typing slow and difficult. What I once did adeptly with all of my digits is currently done letter by letter, with one finger. In fact, I think this column will be the last I write this way. From here on, I’ll be relying on voice-to-text software to put my thoughts on “paper.”

I’ve been practicing with this software, and it’s easier, smoother, and much faster than my current method. There’s a bit of a learning curve, though; voice-to-text apparently wasn’t made for musing or rambling. The finished product is full of extra periods where I paused too long, and it turns out that I say “um” and “you know” a lot. Regardless, a few minutes of fixes are much easier than hours of single-finger typing.

Better late than never

I should’ve started using this technology a year ago at least, but I was slow to adopt it. I guess it felt as though I were surrendering another part of me to multiple sclerosis. Actually, it felt like someone else was making the decision to surrender for me. I just felt that I was losing another ability because I wasn’t fighting hard enough to keep it. MS takes, and it often makes me feel like I’m running out of things to give.

Fortunately, I have dear friends who reminded me of my own words when it came to assistive devices. I often ignore my own advice, as I’m reluctant to listen to the person responsible for all of my bad decisions, but he gets it right sometimes. I apparently once said that canes, rollators, wheelchairs, weighted utensils, grabbers, etc., are just tools available to keep me involved in my own life. As I have no intention of stopping writing, I think I’ll add another tool to the box.

Refusing to use the means to keep going would really be surrendering, and I’m not ready to raise the white flag yet.

What’s in your MS toolbox? Please share in the comments below.


Note: Multiple Sclerosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Multiple Sclerosis News Today or its parent company, BioNews, and are intended to spark discussion about issues pertaining to multiple sclerosis.

Comments

Cynthia avatar

Cynthia

Thanks .
I think that feeling that you are giving in or not trying hard enough is one of the worst you can have. And it doesn't help to have friends and family tell you that you don't need a rollator or wheelchair yet. Or when they treat you like you are making it up !
I have never met anyone with MS who didn't do all they were able to do . Using aids is not much different than wearing glasses . If there is something to make your life better .... use it .
Thank you for another great column. I am glad that there is something to make writing your column easier .The aids I use make me feel that I have some control over the situation ... and that I AM trying to the best of my ability.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks, I always enjoy your comments. You’re so right,regaining control when MS keeps taking it away is what using aids is all about.

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Bon Trathen avatar

Bon Trathen

Currently use a cane, and walker for longer walks (15 minutes or so). Am looking at getting a scooter so I can still enjoy getting out to the mountains (I haven’t been getting out because I get so tired walking). Here’s to enjoying the mountains for years to come.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

That's exactly the attitude I'm trying to mirror Bon! Thank you for the example of using tools to stay involved in life.

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Lesley jackson avatar

Lesley jackson

Great article no matter how you write just keep doing it ,
MS makes us adapt when we are not ready, sometimes that adaptation is frightening the alternative is worse .
Tools for the job to quote you .

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks Lesley. I should be happy to adapt. I should be happy that I have the means to adapt. I am, but I just wish I wasn't being forced. Support and empathy from people like you make it so much easier. Thank you again.

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Susanne Johnson avatar

Susanne Johnson

Great article. I think the same way you do. I’m toying with getting the voice to typing software. What have you foundto be the best for you. I need it.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Hi Susanne! I haven't purchased software for my pc yet, but Dragon seems to be the most recommended one and is probably what I'll get. The speech recognition on my phone and tablet is what I'm using while I make the decision.

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Popi Fourakis avatar

Popi Fourakis

From Greece. For the last 8 years I have been using a rollator - walker, since there is not a single step I can take without aid. How very depressing!! Yet, when I have to Cover really longer distances I use an electric scooter which is Super. Furthermore, I renewed my Driving licence and I am about to buy an Automatic, adapted car. I strongly believe that independence is priority number 1, no matter what it takes.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thank you for the comment Popi! Yes, using the tools to maintain our independence is a top priority.

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Rachel avatar

Rachel

I´m glad you found a plan B for the production of your column as I am a frequent reader. Just a hunch but I would wager that almost all MSers put off using the assistive device, whatever it may be, until the struggle is overwhelming.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks Rachel! I have a hunch that you're right. Especially when it comes to me.

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Linda L VanderVlugt avatar

Linda L VanderVlugt

A cure for multiple sclerosis would be a dream come true. I was diagnosed over 50 years ago. I pray that you will support MS reaearch and support for the ms community. Thank you Linda VanderVlugt

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Thanks Linda! It really would be wouldn't it? I do support and will continue to support research. It's our hope for us and future generations.

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Laura avatar

Laura

I cannot thank you enough, I’ve been reading your column for the last few months and I really find your thoughts a comfort when everyone around has no idea! Thank you again and I will listen to allowing tools to help me!

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Benjamin Hofmeister avatar

Benjamin Hofmeister

You're so welcome Laura!

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Trish Nafotz avatar

Trish Nafotz

Thank you for the encouragement. Wish my friends would read your columns instead of judging.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

You are so welcome Trish. Thank you for reading and commenting.

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Tom A avatar

Tom A

This one doesn’t get talked about much: Can using disposable underwear (adult diaper) be an assertive device? There is also development of an electrical device to help control bladder, which I have not ventured into. How many can recall experiencing their first unexpected bladder event out of the house? Had I been wearing a diaper, it would have been no big deal at all. “Adult diaper” is an obvious oxymoron, and a sign of something (for the average person I suppose) that is uncompromisable.
But it does not signal a permanent transition to going to the bathroom uncontrollably in your pants all the time. They are truly something that give you freedom, and the assistance is unseen. You still use the toilet and the “garments” don’t actually get used every time you head out. For me, it’s actually seldom. But not having to worry about that unexpected event was very liberating and so sad it took me so long to become aware of it. And bladder meds? No longer an issue either.
I vote for “adult diapers” as the most life changing assertive device, if you have the courage to try it.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

I would say that disposable underpants are absolutely an assistive device, for all the reasons you listed and just the fact that they keep someone involved in their own life. Before I retired for good, I had a long commute and an office separated from the restrooms by quite a distance. Adult diapers enabled me to continue working as long as I did. I don’t use them much anymore because the abdominal relaxation provided by my Baclofen pump and because I have things arranged just so at home.

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The Cranky One avatar

The Cranky One

In my country such items are known as and called "continence products" - which is equally descriptive of what they are used for but removes the juvenile connotations of the word "diaper" (which is called a "nappy" in my country).

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Anybody with children who watch Bluey knows exactly what country you're from. 😀

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Lorraine Alexander avatar

Lorraine Alexander

I totally agree, the more we can help ourselves and others (relieving them of some aspects of care) with assistive devices the better life is.We all know people who resist, who need assistive devices for MS or other reasons; they not only risk their own well-being but put more of a load on family and friends because they seem to think assistance is two steps from death. And we all know how little most people want to admit their own and others' mortality. What I am about to write may seem trivial, but I'll go ahead anyway. Must so many of our rollaters, wheelchairs, even canes be so unattractive? (And I am not advocating flor flower decals and other superficial approaches.) Is there no one working on design issues in addition to the mechanics, suspension, etc.? I see people who appear depressed in their chairs, for example. Would they not feel at least a bit better if that chair were beautiful? I managed to find a rollator designed and manufactured in Denmark. I cannot tell you how many people on the street as well as in clinics and hospitals come up to me to ask where I found this stunning number. I tell them, and they are amazed: Most wheelchairs look to me like instruments of torture. This one is sleek and understated, with a comfortable seat, ergonomic hands grips, and it is made of carbon, so much light and durable than other metals (except titanium, which is very expensive). I tell them it comes in three solid colors, including red, which I call Ferrari red. They want to know all the details. (I should be on salary for the company, ByAcre!) Also available are more robust models for people who are able to walk on country paths or beaches. So why don't we see stunning wheelchairs as well?I have a theory. To those who are abled, the notion that people with MS, say, would care about beauty is a non-starter. The anglo-American sensibility cannot take it in. I could go on. Good luck and best wishes to all. PS: I too write (on the enviroment) and feel s fortunate that my work can be done sitting down!

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Tom A. avatar

Tom A.

My wheel chair (which doesn't get used often) was paid for by insurance of a company who was a big supporter of The MS Soc (so it was difficult for them to turn me down). My job required trips through airports, and in 1996 cost $1400. It looked expensive and I guess it is sharp (relatively speaking) , spoked wheels, ultra light weight, completely foldable and dissassembleable, and painted a sharp electric blue. Point is, cost may have something to do with the look. I suspect it is more like $3000 now.

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Well put Lorraine! So many daily aids seem to be designed for non-daily use, don't they? As though we were only supposed to use them just until we feel better. My wheelchair almost looks like I live in it. Cup holders, recharging adapter for phone or tablet, side bags, and even a fan in the summer. I do have stickers on it, just not flower ones.

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The Cranky Obne avatar

The Cranky Obne

Your point about functionality vs looks is valid, but it's not often entirely possible to achieve both all of the time. The ByAcre and most of the cross-folding walkers are a lot less stable than the front-to-back folding walkers and can actually be dangerous for people with very poor leg function and balance who are not yet using any sort of wheelchair. Most of the "better looking" items of assistive technology such as walkers and wheelchairs also come at premium prices which many PwD cannot afford to pay - so there's another form of discrimination - we might not want it that way but it is a fact of life - not everyone can afford to buy a sleek snazzy looking sports car (which may not be fit-for-purpose) and many have to settle for what works, not what looks pretty (and carbon fibre whatevers are never cheap). However, having said that, I do agree that more effort could be put into making all these items a bit less boring in appearance, but if someone want's to "bling up" a boring walker or wheelchair with diamantes and stickers there's nothing wrong with that form of personalisation either.

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iris prusky avatar

iris prusky

why cant they find already a medicine to stop the disease from advancing!!!! why ????

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Hi Iris!

I don't have an answer for that, but how I wish I did.

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Tracy L Squires avatar

Tracy L Squires

I would like to know the cost and how you go about getting the text to speech app for like word documents

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Benjamin Hofmeister avatar

Benjamin Hofmeister

Hi Tracy! I haven't actually bought voice to text software for my pc yet, but this is the one most recommended. https://www.nuance.com/dragon/dragon-for-pc/home-edition.html

I currently use the voice to text software embedded on my tablet and phone. It seems to work fine for now, but I'm sure I'll move up to a better version with more bells and whistles soon.

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The Cranky One avatar

The Cranky One

Yup - tool for tasks Ben, tools for tasks. - and so glad you seem to be listening now that your own wisdom got bounced back at you. No-one questions someone using a rotary hoe to create or dig over a half-acre veggie garden in a back yard, but they sure would question the sanity of someone trying to do the same job with a hand trowel! (do they make a ploughing attachment for the Ben-mobile?)

MS has already messed up my legs so that gardening, and house/ urniture renovating are just memories in my rear-view mirror. Due to having already started messing with my hands, MS has also taken away my plan of returning to re-learning/ playing music in my retirement (so I have a bunch or really good instruments that need re-homing - insert big sad face emoji right here).

Now I'm noticing a further drop in my hand function, and it scares the pants off me that I'm going to lose the last of my "retirement dreams" which still had some life left in it - the creative pursuits of sewing and art. However, I'm a stubborn old cow and have given myself a stern talking-to about starting to think about ways to keep this last dream alive somehow - modify what I do and how I will do it perhaps? Possibly move into different ways of working? Explore different styles maybe - minuscule and detailed has always been my fascination, but the fine motor skills needed for that sort of work have already flown the coop :( :( :(

Sometimes we just need to get over ourselves, and do whatever is needed to keep doing whatever we can. The only thing I ask of ll and sundry is please DON'T EVER call me an inspiration - or I'll find a way to put an overdose of laxatives into your coffee!! :) I'll leave the inspo-porn of people climbing Mt Everest or running marathons to the MS drug marketing people (idiots?) who haven't a clue about what living with MS can really be like. In the meantime, like most of us, I'm just a PwMS doing the best I can with what I've got (left...).

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Benjamin Hofmeister avatar

Benjamin Hofmeister

There's no plow or cultivator attachment for my "other" chair, but there is a fishing rod holder, so I've got that going for me I suppose.

You are an inspiration.....in the same way that a cattle prod is inspiring.

Now stay away from my coffee.

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The Cranky One avatar

The Cranky One

OK - your coffee is safe - for now - purely due to logistical issues around many thousands of miles and my rather sad bank balance. Now to more serious matters such as .... oh look - there's a squirrel. Oops - no it's not - it's a llama with attitude and whisky breath and I think he's heading in your direction....

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