P7: Prat fall
I feel that the one gram of oral penicillin twice daily is helping, but I have asked the doctor to increase it to two grams twice daily. We'll see what he says. When I started the ceftriaxone, the benefit was massive and sudden. Given, a lot of my nerve cells are dead, and in the practical near term, I don't expect the beta-Lactams to bring me back to normal strength. My nerve cells are probably still pretty much cleaned of bad glutamate from the ceftriaxone, and I would have seen the biggest increase then, in my first use of a beta-Lactam. So it would be unrealistic to keep expecting strength increases one after another until I can win an Olympic event. But despite all that valid reasoning, I do expect modest strength increases (which I have seen on the right side), and one other objective I have is for the fasciculation to reduce, or stop. After all, if we remove the stress (excess glutamate) from my motor neurons, ought not the twitching stop? This assumes a glutamate-only model of ALS, I know.
I was standing and talking with a neighbor yesterday when I started to take a step, and the toe of my right shoe caught on a recessed sprinkler head. I fell forward, full length onto the grass, but was not hurt, except for the tip of my toe which stung a bit. When I got home I saw the the forward edge of the toenail was cracked, laterally across the foot, not lengthwise towards the cuticle. There was a little blood but no flow. I put some antibiotic and a Band-Aid on it and took two ibuprofen and an Excedrin.
I cannot say for sure whether this fall was caused by ALS, or was just because I am a clumsy dufus.
I must have twisted my neck in the fall because after napping yesterday afternoon I woke up with a crimp in the left side. I limped around (more than usual) that afternoon and evening. This morning I am still limping from it, but it appears to be healing.
I also have a notable increase in muscle twitching. I think it is the soma responding to the fall. Before the fall I was under the impression that the twitching had reduced somewhat, though it wasn't certain enough to blog about.