Picking up where the first book left off, Tremor brings us back into the world of Faith Daniels, Dylan Gilmore, and their friends and enemies. While the first entry in the series may have been about setting the scene, world building, and introducing characters things get real in Tremor. Surprise, surprise. Faith, Hawk, and friend Clooger are along for the ride providing support.
And Dylan needs it. And by the end of the book things might even be a whole lot worse. Where Pulse took a lot of time to set up the dystopian setting, Tremor is a much more action packed and fast moving thriller.
You need to know what happens next and you pretty much know the whole time that the moment you start thinking you can stop reading that something is going to happen that makes you want to read on. I read it in one day and only put it down with I had to answer the phone or make food. I was really glad that Dylan sort of took the forefront this time around though the cast of characters whose point of view we shift in and out of is certainly just as large as ever this time around.
Even though Hawk is my favorite character. To be fair, I actually like Wade and as much as we all want these two twins to die they are actually pretty great antagonists. Although some of the symptoms are similar, dystonic tremor differs from essential tremor in some ways. The dystonic tremor:. Cerebellar tremor is typically a slow, high-amplitude easily visible tremor of the extremities e.
It is caused by damage to the cerebellum and its pathways to other brain regions resulting from a stroke or tumor. Damage also may be caused by disease such as multiple sclerosis or an inherited degenerative disorder such as ataxia in which people lose muscle control in the arms and legs and Fragile X syndrome a disorder marked by a range of intellectual and developmental problems.
It can also result from chronic damage to the cerebellum due to alcoholism. Psychogenic tremor also called functional tremor can appear as any form of tremor. It symptoms may vary but often start abruptly and may affect all body parts. The tremor increases in times of stress and decreases or disappears when distracted. Many individuals with psychogenic tremor have an underlying psychiatric disorder such as depression or post-traumatic stress disorder PTSD.
Physiologic tremor occurs in all healthy individuals. It is rarely visible to the eye and typically involves a fine shaking of both of the hands and also the fingers. It is not considered a disease but is a normal human phenomenon that is the result of physical properties in the body for example, rhythmical activities such as heart beat and muscle activation.
Enhanced physiological tremor is a more noticeable case of physiologic tremor that can be easily seen. It is generally not caused by a neurological disease but by reaction to certain drugs, alcohol withdrawal, or medical conditions including an overactive thyroid and hypoglycemia. It is usually reversible once the cause is corrected. Generally, symptoms include shaking in one or both hands at rest. It may also affect the chin, lips, face, and legs.
The tremor may initially appear in only one limb or on just one side of the body.
Jan 31, Ashley rated it it was amazing Shelves: first-reads-arc-read. Prisons being lifted into the air, the throwing around of washing machines and train cars with just their minds, random air attacks, and other such rubbish just irritated me. An hour later, Dylan willingly went to the quinns and Dylan found Andre. Lee and Anna Write Review Add to favorites. The characters are incredible and the plot is so full of twists and turns. Both of
As the disease progresses, it may spread to both sides of the body. The tremor is often made worse by stress or strong emotions. Orthostatic tremor is a rare disorder characterized by rapid muscle contractions in the legs that occur when standing.
People typically experience feelings of unsteadiness or imbalance, causing them to immediately attempt to sit or walk. Because the tremor has such a high frequency very fast shaking it may not visible to the naked eye but can be felt by touching the thighs or calves or can be detected by a doctor examining the muscles with a stethoscope. In some cases the tremor can become more severe over time.
The cause of orthostatic tremor is unknown.
During the physical evaluation, a doctor will assess the tremor based on:. The doctor will also check other neurological findings such as impaired balance, speech abnormalities, or increased muscle stiffness. Blood or urine tests can rule out metabolic causes such as thyroid malfunction and certain medications that can cause tremor.
These tests may also help to identify contributing causes such as drug interactions, chronic alcoholism, or other conditions or diseases. Diagnostic imaging may help determine if the tremor is the result of damage in the brain. Additional tests may be administered to determine functional limitations such as difficulty with handwriting or the ability to hold a fork or cup.
Individuals may be asked to perform a series of tasks or exercises such as placing a finger on the tip of their nose or drawing a spiral. The doctor may order an electromyogram to diagnose muscle or nerve problems.
This test measures involuntary muscle activity and muscle response to nerve stimulation. Although there is no cure for most forms of tremor, treatment options are available to help manage symptoms. Finding an appropriate treatment depends on an accurate diagnosis of the cause. Tremor caused by underlying health problems can sometimes be improved or eliminated entirely with treatment. For example, tremor due to thyroid hyperactivity will improve or even resolve return to the normal state with treatment of thyroid malfunction.
Also, if tremor is caused by medication, discontinuing the tremor-causing drug may reduce or eliminate this tremor.
His birthday is February 27th, He spent a decade living in Portland, where he worked in advertising, game design, and technology. Carman spends his free time supporting literacy campaigns and community organizations, fly fishing, playing basketball, golfing badly, doing crosswords, watching movies, dabbling in video games, reading lots , and more than anything else spending time with his wife and two daughters.
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