Global Rare Disease Awarenes

February 28th is a day set aside for rare disease awareness 

A global organization partnering with NORD (National Organization for Rare Disorders)


My name is Kim Fowler and this is my focus story of rare disorder awareness. 

I have discovered personally what it is like to have a rare disorder, under the crisis of my medical team having no knowledge or awareness of it at all.

I have Primary Orthostatic Tremor. OT for short or POT – Primary Orthostatic Tremor, primary because classic OT does not have any other Neurological issues present. (Not to be confused with Postural Orthostatic Tachycardia Syndrome, which is a different disorder referred to as POTS)

It can be a very long journey to receive a diagnosis for rare disorders. Many times in creating awareness we can then create a path for others that live with the same disorder of symptom confusion and no medical direction. It has to start with medical facilities being informed; who can then refer patients into a specialized medical field for care. 

I write this for awareness. And also that my journey may help others with rare disorders or diseases.

For as far back as 6 years when standing engaged in a conversation standing still, I would feel weak, nauseous, and clammy; feeling like I could just melt to the floor. I would leave and go sit. As time passed I experienced it more frequently while cutting my husband’s hair while standing doing kitchen prep, and while showering. Turns out that showering is when most patients of OT first notice it, or they find themselves leaning for support on counters. My legs had begun to tremor, in church worship while standing.

Because I have had autoimmune diseases for many years, (Hashimoto’s and Sjogren’s) I attributed it to the very common autoimmune fatigue.

A little over a year ago it turned into very visible leg tremors while standing, causing me to feel unstable.

One evening last February 2021, standing doing kitchen prep for dinner, I pushed myself too hard while feeling that familiar weakness; later in the evening, I had a severe spike in my usually very normal blood pressure, which seemed to have brought on the leg tremors while standing to become more consistent. My physicians had no clue what to tell me. All tests came back normal. Standing leg tremors and feeling weak had become chronic and consistent.

My Endocrinologist, who is a brilliant doctor told me I needed to find a Movement Disorder Neurologist. He sent a referral request that failed as the only Movement Disorder Neurologist in our area is not taking new patients.

I went to my PCP (primary care physician) who informed me of the shortage of Neurologists in our area with a very long waiting list for available appointments.

I began to google my symptom of standing leg tremors, which ceased when walking or sitting down. It was a very simple search, telling me of Orthostatic Tremors and describing exactly what I was going through. This search revealed the knowledge of its extreme rarity. I googled it over and over, in my unbelief, as it was revealed to be a rare neurodegenerative and progressive disorder. Then I began to read all the research. The most current research comes from the Mayo Neurological Research Team of Rochester, MN.

I had repeatedly gone to my PCP, who may have been tired of trying to understand my standing leg tremors. He ask me if I drank alcohol – two different times he asks me. “No, not ever,” I replied both times smiling at the question. 

I ask him, “Have you ever heard of Orthostatic Tremor?” to which he replied, “No.”

I ask him to look it up. 

And also – I need a referral to Mayo Clinic of Rochester, MN. I came prepared with an informed referral plan. A good physician of any kind should present with clinical curiosity in leaning in to help you towards a specific health care direction.

This whole process took weeks with insurance denials trying to get pre-authorization to get outside my insurance network. Referrals were not processed through to Mayo Neurology Clinic or my insurance. The system was failing me. I appealed, repealed, and also did a fast re-appeal to my insurance. While referrals were falling short in delivering. I was advised to send the referrals myself. And also ask my PCP to write a letter to my insurance company explaining my need for a Movement Disorder Neurologist. I faxed the PCP referral and also faxed a personal letter to one of the Mayo research team leaders of Orthostatic Tremor. Finally, the timing all came together.

I had an incredibly compassionate caring insurance case manager who coached me and assisted my passage to Mayo Clinic and even advocated with each of the neurological rule-out tests in need of insurance pre-authorizations. To diagnose a rare disorder takes a lot of ruling out other factors. The main confirming OT test is a standing EMG, that was the test I was anticipating. I completed tests in April and then returned In May for a conclusive diagnosis. 

The Movement Disorder Neurologist at Mayo said, “you have Orthostatic Tremor.” I did not tell this physician that I had googled and read all the research papers. I just let him inform me of what direction we would take. My parting question – I told him I had ridden motorcycles since I was a kid and I ask him if I could continue. He said, “Sure, why not.” with his beautiful Italian accent.

What the Movement Disorder Neurologist’s tell OT patients – there is very little by way of help for this rare neurological disorder. I already knew that. I had read it. 

Being able to advocate is essential with the complex separate medical hurdles of navigating for a diagnosis, solid answers, and direction for excellence in health care treatments. And also navigating through the complexities of insurance. In preparation for health care navigations, if you are unable to advocate for yourself, bring a loved one or family member. It helps for support and it helps to have 2 sets of ears. Also, someone with you brings greater accountability to not be set aside. Keep a file of your Insurance information, test results, health history, and medications with scheduling; an organized up to date hard copy file, and also a medical file record on your phone and tablet that is printable and easily sent. I have printed notes for my husband to look at while I articulated verbally my symptoms and progression so he can make sure I cover it all with sufficiency. I believe physicians appreciate good preparation. It’s respectful of their schedules. 

For clinical understanding these are the characteristics of OT as described by (NORD) The National Organization of Rare Disorders;

The main symptom of primary orthostatic tremor is the occurrence of a rapid tremor affecting both legs while standing. A tremor is involuntary, rhythmic contractions of various muscles. Orthostatic tremor causes feelings of “vibration”, unsteadiness, or imbalance in the legs. The tremor associated with a primary orthostatic tremor has such high frequency that it may not visible to the naked eye but can be palpated by touching the thighs or calves, by listening to these muscles with a stethoscope, or by electromyography. The tremor is position-specific (standing) and disappears partially or completely when an affected individual walks, sits, or lies down. In many cases, the tremor becomes progressively more severe and feelings of unsteadiness become more intense. Some affected individuals can stand for several minutes before the tremor begins; others can only stand momentarily. Eventually, affected individuals may experience stiffness, weakness, and, in rare cases, pain in the legs. Orthostatic tremor, despite usually becoming progressively more pronounced, does not develop into other conditions or affect other systems of the body.

Some affected individuals may also have a tremor affecting the arms. In one case reported in the medical literature, overgrowth of the affected muscles (muscular hypertrophy) occurred in association with Primary Orthostatic Tremor.

My words;

In short – we can’t stand or we are very limited in standing for any length of time. It causes a very anxious feeling in public settings and we are at an absolute loss for a logical way to express for understanding. It affects elders as well as the young, but primarily elders (60s and over) This neurological disorder of Orthostatic Tremor is progressive as revealed in current research.

Before I was put on medication, my legs began to tremor within 1 minute. Now I have around 5 minutes. I can shift leg to leg as that resets the tremors somewhat like walking. Standing and leaning on a wall or counter for support or using the shifting leg strategy are coping strategies, even then it wears me out and causes great fatigue later.

The difficult part of a disease or disorder that I call –  “invisible”, is that no one knows how you feel, or the mental resistance it takes to fight the depression involved as a patient processing and thinking through it and on into knowing the fight that lies ahead. The first time you walk up to an electric mobile cart in a store you are pushing back tears and pride all at once. Not wanting to be seen by someone you know. Because hey…I can walk well, but I can not slow walk for long or stand for long when shopping. Pushing a shopping cart helps for a brief shopping trip.

Most importantly I can ride my motorcycle, as I am seated and supported. My husband and I have traveled many cross-country miles over the past 15 years together, all over America. So… I will be able to call it all good when I can no longer ride.

One research neurologist gives it a very good word picture as he says – it’s like riding a bicycle, as you slow down you become wobbly and at a stop, you have need to prop yourself up. This should help for excellent understanding.

Coping strategies; I use a rolling stool chair for kitchen prep. I sit to shower. I sit to brush my teeth. I simply sit down for any task that requires too much time standing still. I keep a small shoulder-strapped folding tripod stool in my car. I lean, sit or move leg to leg when holding a conversation. When I see a waiting line for anything I get an anxious feeling and do deep breathing and leg shifting, which can become exhausting as it does not work for very long. My husband does most of the quick trip grocery shopping. Stress is a factor in any neurological disorder. I mostly quit watching the news and for the most part limit social media. I isolate more than I should and I am hoping I move past that. I have my buddy/love husband of 42 years for support. I love to see our grandchildren. And come spring I will be on my motorcycle. 

The rarity of OT is astonishing just through my observations. When I searched for a support group within the ranks of Orthostatic Tremor disorder. The only sufficiently active group is based out of Australia with global representation. Their numbers, which includes concerned loved ones and relatives of OT patients is just under 1000.

I can not stress enough the importance of a support group within a rare disorder or disease. This group of Primary Orthostatic Tremor patients shares years of experience that leads to coping advice and the latest information of research studies. A very proactive group that bonds together with encouragement. Sharing their OT journeys, lending great support to the newer ones like myself. Within the OT support groups, some OT patients express that their neurologists have told them; in a lifetime within clinical practicing, they might only have one or two OT patients, if any at all. It takes a Movement Disorder Neurologist’s expertise with marginal knowledge given the limited resources of research and also limited treatment options to diagnose and give clinical support.

Researchers and physicians both may benefit to enter into these support groups for observation of patients informing one another of their individual stories. They present great clues for researchers who are pursuing causes, treatment, prevention, care, and cures. Testimony and documentation of how their OT journey began and has progressed over the years should be valued information for research. Orthostatic Tremor is yet in its infant stages of research.

Along the way, I have met fellow OT patients who are vigilantes in pursuit of further research. I signed consent for Mayo to use my records for research.

UAMS has asked if I would be interested in being a part of a long-term study.

I say yes, I want to be a part of moving this research along.

Increased Orthostatic Tremor knowledge and awareness in the medical field is a great benefit for OT diagnostics. My team of caregivers (PCP, endocrinologist, rheumatologist and, nurse practitioner) all of who I have great confidence in, had never heard of Orthostatic Tremor due to its rarity.

I know there are many physical unknowns and physicians can not be expected to know everything.

Awareness is essential for diagnostics with rare diseases and disorders.

Blog 9) Orthostatic Tremor and a Walk in Faith

9) Orthostatic Tremor and a Walk in Faith.

Oh my goodness.
Are you still here. 😂
I have depleted my mind.
Therapeutical writing……no it was brain exhausting.
Blog 9 in my Orthostatic Tremor series, ENDS here.

I am old, worn out with Chronic auto immunes and now OT ;
ORTHOSTATIC TREMOR AWARENESS BLOG – in my elder state, I apologize for repeating stuff.

I believe I included in blog 5, my encouragements with a couple of book recommendations and scriptures.
I am aware that some reading this may not join in with my Faith.
But that is what I have to offer.
I invite you to read what is personal to me.
Or you may want to not read of my faith.

It’s up to you.

This is an older blog of mine.
Go read it and come back as I try to finish WELL with this OT Awareness Blog) 9

Regarding my Orthostatic Tremor, in the words of Andrew Murray from his book, “Jesus Himself”.

“Oh! my Lord Jesus, though I do not understand it, though I cannot grasp it, though my struggles avail nothing, I am not going to let Thee go. If it is possible for a sinner on earth to have Jesus every day, every hour, and every moment in resurrection power dwelling in his heart, shining within him, filling him with love and joy,—if that is possible, I want it.”

(Many of Andrew Murray’s books are on Amazon for free kindle downloads and also utube has many, many of his books to listen to audibly for free.)

The above quote set my heart towards Jacob in Genesis 32:22-30
Read, study it and meditate on it and please take it personally.

I don’t like to say favorites in the Bible, although this passage would be a mark for me for all my life as God’s child, restoring me over and over – I go back to it when I audible pray fervently, pouring out and then receiving holy restoration in my walk.

And now it is fitting with my Orthostatic Tremor journey too.

After Jacob offered up to Esau a present of peace he entered into deep fervent prayer. I can’t tell it quite like my faithful study partner,
Mathew Henry, breaks this passage down so well in his Bible commentary;

Genesis 32:24-32
A great while before day, Jacob being alone, more fully spread his fears before God in prayer. While thus employed, One in the likeness of a man wrestled with him. When the spirit helpeth our infirmities, and our earnest and vast desires can scarcely find words to utter them, and we still mean more than we can express, then prayer is indeed wrestling with God. However tried or discouraged, we shall prevail; and prevailing with Him in prayer, we shall prevail against all enemies that strive with us. Nothing requires more vigour and unceasing exertion than wrestling. It is an emblem of the true spirit of faith and prayer. Jacob kept his ground; though the struggle continued long, this did not shake his faith, nor silence his prayer. He will have a blessing, and had rather have all his bone put out of joint than go away without one. Those who would have the blessing of Christ, must resolve to take no denial. The fervent prayer is the effectual prayer. The Angel puts a lasting mark of honour upon him, by changing his name. Jacob signifies a supplanter. From henceforth he shall be celebrated, not for craft and artful management, but for true valour. Thou shalt be called Israel, a prince with God, a name greater than those of the great men of the earth. He is a prince indeed that is a prince with God; those are truly honourable that are mighty in prayer. Having power with God, he shall have power with men too; he shall prevail, and gain Esau’s favour. Jacob gives a new name to the place. He calls it Peniel, the face of God, because there he had seen the appearance of God, and obtained the favour of God. It becomes those whom God honours, to admire his grace towards them. The Angel who wrestled with Jacob was the second Person in the sacred Trinity, who was afterwards God manifest in the flesh, and who, dwelling in human nature, is called Immanuel, Hosea 12:4, Hosea 12:5. Jacob halted on his thigh. It might serve to keep him from being lifted up with the abundance of the revelations. The sun rose on Jacob: it is sun-rise with that soul, which has had communion with God.

I like this story of Jacob because I know how broken I have felt at times and I know how broken each of us feels at times. We wrestle life. In those times, I have prayed fervently with sincerely needing to feel closer to my Father/Lord and wanting clarity. An intervention prayer such as Jacob’s wrestling and pleading for a blessing, should change his walk and cause him to rely on God for the great journeys he had ahead. OT has brought me closer in need and reliance on a close personal walk. My OT prayers were surrendering to a new change in my life. And it is okay. I seek the face of God.

Genesis 32:31 NLT
[31] The sun was rising as Jacob left Peniel, and he was limping because of the injury to his hip.

Orthostatic Tremor ….

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Blog 9)

To move from blog to blog in this series you will find towards the bottom of each blog, just above the calendar, you can navigate from blog to blog.

Kim of:

Blog Series for Orthostatic Tremor Awareness

Blog 1)

Blog 2)

Blog 3)

Blog 4)

Blog 5)

Blog 6)

Blog 7)

Blog 8)

Blog 9)

Blog to follow; 🤔

Please feel free to reply, your replies are valued and appreciated.
Be kind and helpful in your replies.

AWARENESS of Orthostatic Tremor is the goal.
Attention for research purposes is the BONUS.

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Blog 5) Orthostatic Tremor – Managing Mentally

Blog 5) Managing mentally – Orthostatic Tremor

(Orthostatic Tremor is a rare neurological disorder of the cerebellum, causing the inability to stand without leg tremors, feelings of instability, and imbalance with gait freezing, tremors cease when walking, sitting, or laying down.)

On a good day, I could brag about my coping skills.
On a bad day not so much.
If I have a string of bad days……Eeyore, I am.

There is a popular “spoon theory” that is passed along with all autoimmune regarding fatigue. I won’t give reference to it, as it is very easy to google. It’s an illustration of knowing your threshold of endurance on any given day with chronic illness. The price we pay is to much…it’s too much too recover from when we go past what limited resources a body has with chronic illness.

I think through and measure out what I can and can not do in one day. I have often said to my husband if there were a pill for fatigue relief I would take it. Fatigue itself feeds into our infirmities as a stress factor. My Rheumatologist would suggest prednisone. And I have taken it for short periods in relief of Sjogren’s autoimmune flare or to get me through a vacation motorcycle cross-country adventure. It is my medication of superpower, though I don’t want it to be a common thing.

Many doctors do not understand autoimmune fatigue. I am thankful mine do, both my Rheumatologist and Endocrinologist.
With long-term fatigue comes depression and those two buddies like to cycle together.

If I were to define the worst of my autoimmune Sjogren’s it would be fatigue. Although at this point I am guessing that Orthostatic Tremor has been on my heels chasing me down for a few years, being an intermingling antagonist causing stress and flaring my auto immunes (Sjogren’s and Hashimoto’s). Or at the very least confusing me with very strange undefined health issues. Who knows.

At church when I helped my husband do a monthly breakfast for dinner before Wednesday evenings activities. Moving around the kitchen helping was no problem, but when we stood to serve I would begin to tremor in my hands. I have had essential hand tremors most of my life. I found this embarrassing, though most people don’t notice. Then later washing the dishes standing in place, my legs ached as I had maxed out my fatigue. I would leave early, distressed and sad at my limitations. Thinking that I appeared lazy or might even be judged as not participating comparatively by those who know nothing of what I am going through.

Enduring long-term chronic auto-immune illnesses and now Orthostatic Tremor. I processed through in the early weeks of knowing I was headed down the Orthostatic Tremor path. Thinking about what a burden I could become to my husband, who consistently said, “We are a team”. And in truth, we have always been a great team together. But he carries a lot of responsibility as a pastor and I did not want to be an anchor on him.
My church family was bringing food to us, but I also thought I don’t want to be a burden to them and they could not keep it up. I went very dark for about a month in my thinking.
I was navigating those grief stages.
Depressed, not wanting to tell, express or explain. I had a desire to present with only being vibrant, never wanting to appear weak, being in my nature an optimist to my very core, happy and positive, with great enthusiastic humor……in the depth of my depression, my optimism pushed through. I am a fighter with a power of faith in God and perseverance.
Though I was battling some infirmities that I did not understand. I feel expressing these personal aspects is very important. Knowing how we are affected on a personal level is very much a part of how physicians and researchers may develop an understanding of our mental state with chronic illness.

I am thinking of all the things that help me……wanting to articulate without the normal classic positivity Cliché’s.

Sometimes I have to give myself a good shake.
Stop spinning my negative thinkings and think about good things.
It is so important how we speak to ourselves.
Keep a thankful list every day. Being grateful is fuel for contentment.
Allow expression of your negativities briefly, because suppression of much can cause depression……but do not stay there.

All this brings me to one of my favorite Bible passages;

Philippians 4:6-9 NLT
[6] Don’t worry about anything; instead, pray about everything. Tell God what you need, and thank him for all he has done. [7] Then you will experience God’s peace, which exceeds anything we can understand. His peace will guard your hearts and minds as you live in Christ Jesus. [8] And now, dear brothers and sisters, one final thing. Fix your thoughts on what is true, and honorable, and right, and pure, and lovely, and admirable. Think about things that are excellent and worthy of praise. [9] Keep putting into practice all you learned and received from me— everything you heard from me and saw me doing. Then the God of peace will be with you..…

There is a very good book called, ‘The Phillipians 4;8 Principal’, by Tommy Newberry. Check it out. Purchase it or download it, it is a book needed in your library.

I read Psalms 23 slowly in meditative personal praying. Sometimes I read it out loud slowly in prayer/meditation consuming God’s word to work its Holiness. 23rd Psalms is for life. Living in the comfort of knowing my Father’s presence.
There is also a book called, ‘Traveling Light’, by Max Lucado, on the 23rd Psalms. Another book worthy of your library.

A long full hug on my hubby/buddy/love.
Cuddle that puppy or kitty you have. (our Elroy and Gracie)
I have a Hammock and I call it, ‘ Hammock Therapy’.
Take a warm bath with music. Try, Julie True, her music is comforting and meditative.
A good balance of doable activities, a chore or two for accomplishment’s sake.
Exercise – walking….
Meditation of calmness with deep breathing (I pray throughout my day continuously).
Honestly this task I’ve taken on; to blog out to the world about Orthostatic Tremor has been therapeutic.
Close friends, the ones who listen and understand.
My dear sweet close friends might tell you about how I hide when I’m down…….

Lean in for this one, it’s one I share above all;
When no one is around, I have a therapist who listens as I wail out in tears, speaking out loud all my hurt, pain and sorrows. I empty myself soul and when I am empty, a gentle holy presence of peace holds my brokenness in his arms… Jesus.

Fear not child.
You are loved and
I understand your pain.
Please KNOW this.

To all physicians –
Clinical tests, lab tests, and physical examinations are functionally essential. But you are dealing with real people and mostly this is minimized in your process of care and research. Not always, but I do believe mostly.
Quote from the above article;
We review the clinical signs of POT (Primary Orthostatic Tremor) that may help to increase the awareness of doctors and improve the diagnosis accuracy, based on the motor symptoms and description of the everyday life disability, as reported by the patient. Non-motor symptoms (including somatic concerns, anxiety, depression, and social phobia) should be better considered in POT as they have a major impact on quality of life. Pharmacological treatments (clonazepam, gabapentin) may be helpful but have a limited effect over the years as the patients experience a worsening of their condition. On the long term follow-up, there are still unmet needs in POT, and new therapeutic avenues may be based on the pathophysiology by modulating the cerebello-thalamo-cortical network.”
And also….
“What I have learned from this patient and many others is that the impact on daily life is under-estimated, as doctors often do not realize how many activities may become restricted or impossible with POT. As illustrated by this observation, the detailed description of limitations in everyday life activities, with special attention to those while standing, corresponds to the (mainly motor) key diagnosis features [1–4] of POT (Table 1) and may help non-neurologists to be aware of the diagnosis despite its rarity.”

I believe Orthostatic Tremor is getting passed over because most physicians have never heard of it.
Some lean away in the apprehension of what they don’t know.
We need a health care team who leans in with clinical curiosity intending to care and even research it out to know.
Much of our mental well-being is in actively making sure we have physicians who are willing to take care of us and be challenged into understanding OT.
Tell them about it.
Give them printouts.
Send them the internet links.
Point them to get on the support group sites and study our stories.
Tell them you need them to understand for well-being and for any other patients with Orthostatic Tremor symptoms. We need to fight for awareness together.
Share this blog.

If you sink into a mental depression seek clinical help.
Find someone to tell – that can help you navigate to a strong mental balance.
If you are not on a support group, seek them out. Search on Facebook, the most welcoming and encouraging one I have found is called – Primary Orthostatic Tremor group.

I so appreciate those who have formed groups of support.

And here is a very helpful site;

“After her diagnosis in 2000, Gloria Nelson MacWright created a website called to see if there was anyone else out there. She began hearing from others worldwide, and now over 1,100 people have registered on the site to create the Orthostatic Tremor Community.” The above is a statement from Movement Disorder Neurologist, Diego Torres-Russotto, who is Director of the Nebraska Medicine Movement Disorders Clinic and has done much on behalf of Orthostatic Tremor.

Another helpful site.

This is why one of the 1st directions I took was in finding an OT support group. My testimony regarding how essential a support group is;
I was diagnosed with Sjogren’s in 2007. I had never heard of it and my physician did little by way of explaining it to me. I had never even been in a situation that I needed a support group medically.
We fear what we don’t know, it’s our very nature. I was motivated in the night sitting in my living room in that fear and despair, I found a group called SJW – Sjogren’s World. That night as I posted on it about my fears and inquiries, what I found was comfort from some very compassionate women who were moderators. There was within that special group, different individuals who provided a fellowship of kindreds in a journey of Sjogren’s, with encouragements along with a couple of excellent nurses who had a history of Sjogren’s diagnosis for decades and knew more than most doctors about it and cared to share.
They had on-site all the research and helpful information. There was a neurologist from John Hopkins who was involved in researching the neurological aspects of Sjogren’s as he asked questions and studied within our group.
Find a support group, if you have not already.
Find your kindred.
I am a sjoggy, with sjoggy sisters.
And now I am an OTer.
And I will be okay.

By the way, my motorcycle is my dose of good mental health…..
And I am NOT giving up on it. (after all…I sit on it….I don’t stand on it 😊)
I proved to that Mayo Movement Disorder Neurologist that I was at the top baseline in balance, for a 65-year-old lady.
I ask him, ”so can I ride?, I’ve ridden all my life”.
In his exquisite Italian accent, he replied (BTW – it was an Italian physician who discovered OT and was the original kick-off in research) “sure, why not”, he replied.
I know there will come a time when I cannot.

I am NOT a person who might say –
best wishes, luck to you or I am sending good thoughts your way…..

I pray for peace, comfort, and strength, I want a Godly power in your life.

For we who Tremble – listen to this:

Please feel free to share this blog and also encourage your friends, loved ones, and your health care team to share.

To share this blog simply touch the FB share button at the bottom. Or hold down on icon button below and chose to copy.

Blog 5)

To move from blog to blog in this series you will find towards the bottom of each blog, just above the calendar, you can navigate from blog to blog.

Kim of:

Blog Series for Orthostatic Tremor Awareness

Blog 1)

Blog 2)

Blog 3)

Blog 4)

Blog 5)

Blog 6)

Blog 7)

Blog 8)

Blog 9)

Please feel free to reply, your replies are valued and appreciated.
Be kind and helpful in your replies.

AWARENESS of Orthostatic Tremor is the goal.
Attention for research purposes is the BONUS.

Use the share button.