Page 18 - 2021 Winter CMTA Report
P. 18

Editor’s Note: This piece is excerpted from Jeff’s memoir, The Fun Master, which portrays his
                         struggles with CMT and his journey as caregiver to a son in fragile health. The book will be
                         published by SparkPress in 2021. Jeff wrote about his training routine in the Spring 2020
                         issue of The CMTA Report.

                         The Feet of Dorian Gray (An Excerpt)




                         BY JEFFREY SEITZER              my twenties because my calf      shoe salesman who suggested I
                                                         muscles had gotten so big from   get plastic rather than metal
                            approached the waiting room  vigorous exercise.               braces. All of them gave a new
                            of the CMT clinic at Wayne       “I can imagine,” he said.    direction to my life. Sensing that
                            State University full of     “Your calves look great.”        this moment was important as
                         Ianticipation. In 30 plus years     I raised my eyebrows, sur-   well, I worked hard to concen-
                         struggling with CMT, I had only  prised anyone would say that    trate on what he was saying.
                         met one person outside my       about my calves. I asked him if     “Your case is better than
                         family who had it. I imagined   he agreed with the neurologist   most CMTX cases,” I heard him
                         being greeted there by a throng  who told me that in some cases  say. “There is less atrophy. Why
                         of fellow CMT sufferers eager to  people plateau at a level with  is unclear.”
                         share stories and exchange shoe
                                                         limited decline, then experience    “That’s a lot to take in,” I
                         tips. Alas, the waiting room was
                                                         a precipitous decline much later.  said, glancing at my notes, which
                         empty.
                                                         “Am I merely waiting for the     looked like an experimental
                             After a few minutes, I
                                                         other foot to drop, so to speak?”  poem. Content to let my wife
                         was led into an examination
                                                         I asked, secretly                         Janet, family science
                         room, where I was joined by
                                                         pleased with my play   In 30 plus years   officer, sort out the
                         Dr. Michael Shy, who told me,
                                                         on words.              struggling with    technical details, I
                         “You have the strangest case of
                                                             “I don’t think so,”                   focused on my new
                         CMTX we have ever seen. In                             CMT, I had only
                                                         he answered. “CMT is                      principal worry, the
                         terms of your neural response,                         met one person
                                                         slowly progressive, so                    difference between
                         muscle mass, muscle tone, you                         outside my family
                                                         your condition will                       my right and left
                         appear to have a very mild case                          who had it.
                                                         worsen. But you’ve                        sides. “If my left leg,
                         of Type 2. In a male, this is
                                                         established a certain                     the good leg, not the
                         rather surprising. By age 60, men
                                                         trajectory. Your degeneration    right, is the lead indicator of the
                         with CMTX typically require a
                                                         should continue along the line   degeneration produced by CMT,
                         cane or even AFOs to walk.”
                                                         already established.”            then I feel I’m in good shape. Is
                             I explained about breaking
      Jeffrey Seitzer and                                    “Your case is interesting in  that your sense as well?”
      son Ethan          out of the plastic leg braces in  another respect,” he continued.   “Perhaps,” he said. “We will
                                                         “To understand how unusual it    have to study your case more.
                                                         is, let me go over some of the   It may not be possible to deter-
                                                         most important aspects of your   mine that conclusively. The fact
                                                         type of CMT.”                    that you’ve had encephalitis and
                                                             I was looking at him while   CMTX, though, is highly inter-
                                                         he spoke, but my mind was else-  esting. Your form of CMT
                                                         where. It was like a waking      involves a protein, Connexin 32.
                                                         dream moving back in time.       It is a little different from other
                                                         First, I was speaking with the   proteins affected by CMT in that
                                                         neurologist at the University of  it is located in both the central
                                                         Chicago, who said I might not    and peripheral nervous systems.
                                                         even have CMT; then I was        It is in a little different location
                                                         speaking with the mysterious     in each. But there is a possible
                                                         stranger who told me about       connection with encephalitis. In
                                                         reconstructive foot surgery;     a very small number of cases,
                                                         followed by the 20-something     some activity like high altitude


      18  THE CMTA REPORT  WINTER 2021
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