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Building routines that support Duchenne care

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Setting expectations

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Shalom Lim, who lives in Eastern Singapore, was diagnosed with Duchenne muscular dystrophy at 4 months old in 1996. He shares how early diagnosis shaped a lifelong approach to daily care and routines.

Transcript

For me, it’s important to build a routine that integrates our treatment into our daily habits.

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For example, I always make it a point to use my cough assist machine every time I get up from bed. And also take my medicines so that I don’t forget them in the day. While I don’t use reminders, my caregivers and I, we remind me to take my medicines on time and to go and to use the therapy that I need to use.

Usually to start off the day, this is what I normally do. But I would say if reminders do help you, go with alarms for the pill box. Just whatever works for you to be able to adhere to your treamtent plans.

Because if I miss treatment, we cannot possibly compensate once we miss a dose or we miss a therapy in the day, we cannot really make up for it.

Taking them before or after a meal or together with a meal could also work. And also, it doesn’t always have to be a chore. You can do it while you are doing something you enjoy. Like listening to music, or watching something.

It helps to build a positive reinforcement. And it can also be like a personal challenge, and once you have achieved it each day you feel the satisfaction of it’s like a victory of a small way. So I think that’s one way you can also look at it.

More videos

Weighing risks and uncertainty in Duchenne treatments
Finding compromise in Duchenne care
Strengthening Duchenne care via respectful collaboration
Embracing imperfection and progress with Duchenne
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