Doctors acknowledging GBS diagnosis

    • Anonymous
      November 20, 2007 at 2:21 pm

      About 13 years ago I had a new baby girl and 3 year old son. I moved out of state, away from family, to fulfill my ex husbands dream of living near his family in the country.

      Shortly after the move, and about 7 months after my daughter was born, I became very, very ill. We had no health insurance, the job my ex thought would support us didn’t, and hadn’t even thought to apply for medicaid.

      Symptoms were fever, absolute exhaustion and back pain that not even Vicodin could touch. For a frightening period, maybe 3-4 weeks, my ex had to carry me to the kitchen each morning and had a straw for me to sip my coffee with as my hands and feet just wouldn’t work, so weak and numb. It was so bad, I almost dropped my daughter several times and would fall myself so she would land on me when it felt like I was going to drop her. My ex didn’t really believe in doctors, didn’t want to incure expenses and certainly didn’t help much. I had a lady from the church come to help, but other than that, but I was on my own. My sister came once and got the baby for a few days, but the ex went back and got her because he missed her.

      We had a family physician to tried to help, but his hands were tied as we couldn’t afford testing. He tentatively diagnosed me with either MS or GBS and referred me to a neuro, who said it was probably viral. Anyway, after 10 months plus of this, I’d just had it and decided to accept my fate. But, a blood test had come back and the doctor said I was positive for Epstein Barr…almost a year later I stillhad mono it was still active.

      I was weak for years after that, exhausted to a point I could barely function…how I took care of two babies is beyond me, but suffice to say the house wasn’t dusted much…I just learned how to compensate when I did feel good. I still had residual problems with my legs, too. I would fall after my “hip” or something would give out…ER doctors, orthopedist, you name it, I saw them. Finally I just gave up and after 3 years the symptoms did all but disappear for about 3 or 4 years.

      In the past four years, however, I’ve noted a recurrence. I’ve had numbness and tingling in my arms, to the point I can’t put any pressure on them when I lie down (have to lie with my arms at my side) or my entire arm or leg immediately will go to sleep to a point I can’t feel them and is more like someone elses appendage hanging from my shoulder/torso. The back pain came back and my shoulders hurt so much I would cry. My legs do this weird tingly pain thing, what I assume RLS is like. This gets so bad I can’t sleep several nights out of the week. You can literally see the muscles moving up and down my legs whe it gets bad. If I sit for even a minute with my leg tucked under me, I will fall if I try to get up as my right hip/leg gives. Often I wake up from the pain/numbness, and can’t go back to sleep, which isn’t helping.

      I did have my neck fused in December, but all this happened long before those discs “blew” and have continued long since the surgery was done, so I don’t think it’s related to that.

      How do I get my doctor to take this GBS thing seriously (he’s a different doctor than the one who treated me for the Mono)? My quality of life is horrible because I’m in so much pain all day, every day and he doesn’t want me to get dependent on narcotics. Even the neurosurgeon glossed over this when I tried to bring this up. They had put me on neurontin at one point, but it make me kind of crazy, so taking that again isn’t an option. I’m on SSRI’s for depression, but that actually tends to make the pain worse, especially the leg /lumbar/sciatica problem.

      Is there anyway to test and confirm to him that I had GBS, maybe some type of antibody test? Or to show where the damage is done? If I don’t go to him with some suggestions, I’m afraid he will blow me off again. As the temperatures drop, this is doomed to get worse and worse. Since I have no tub, sometimes I have to just lay in the shower to try and sooth the pain…it helps for maybe 15 minutes, but comes right back after this.

      I didn’t know until recently that there was such a thing as having residual effects from the EBS, if indeed that’s what I had. But, since it wasn’t completely diagnosed when I had it, just seriously considered, I can’t say for sure this is the problem, though my gut tells me it is since that’s where the pain issues started.

    • Anonymous
      November 20, 2007 at 6:59 pm

      Im so terribly sorry that you are going through this. I understand your dread (because it is dread) at a doctor glossing over what you tell them. Many of us have unfortunately been through the same thing with doc’s not listening, or discounting what we say, or in fact not believing us.

      Do you still live in the country, and if so, how easy would it be to get to a university hospital? Do you have medical insurance at the moment. Also, if you dont want to say over the forum, please pm me where you live and I may be able to get you in touch with someone who may know doc/neuro’s near to you that you may be able to see. I think the highest priority at the moment is to see a doctor who is willing to sit down with you and listen to what you have to say, specially about your past, then to do what tests are necessary to see what can be done to help you out. The fact is that you cannot go on like this, stress is also probably not helping out at all and will only cause more problems and cause GBS (including other illnesses) residuals to flare up.

    • Anonymous
      November 20, 2007 at 7:00 pm

      Im sorry, I didnt even take the time to welcome you 😮 . Welcome to the forums – I hope we can help you in some way!

    • Anonymous
      November 20, 2007 at 8:25 pm

      hi cyn & welcome,

      you need an emg/ncv done by a neuro or better yet a neuromuscular doc to determine the status of your nerves & muscles. where do you live? i may be able to suggest one. take care. be well.

      gene gbs 8-99
      in numbers there is strength

    • Anonymous
      November 21, 2007 at 1:17 pm

      Hi and welcome,

      Your symptoms can be many things. I do not have GBS or CIDP, but this forum has been my family of help during the time when I was undiagnosed. I just love them all 🙂 My symptoms turned out to be hypothyroidism/Hasmimoto’s (the autoimmune variant) with B12 vitamin anaemia.

      When I first went to hospital, I was examined for GBS, MS, Borrelia, celiac and a lot of other things. I had CT, MRI, blood tests, emg test, etc. The doctors did not find out anything and sent me home not being able to walk on numb, aching, sleepy, tingly legs with weaker and weaker muscles. This was all over my body. Aching muscles everywhere – pain moving around. Not being able to distinguish hot from cold in certain spots on the skin. Dropping things from my hands, not being able to carry (had to use backpack). Tongue feeling larger, hair falling out creating small nests when bathing, extreme fatigue, memory and concentration problems, depression etc.

      Thyroid problems are common when being pregnant and right after birth, if you have family with thyroid or autoimmune diseases, if you are in your fourties or older, etc. – look this thyroid thing up on the internet.

      You should be checked for the following too by blood tests:
      diabetes, Thyroid: TSH, T4, T4 free, T3, T3 free, TPO antibodies, TRAS antibodies, deficiency in B12 vitamin also called cobalamin, iron deficiency, ferritin, transferritin, D vitamin, Calcium, Potassium and what others in this forum recommend.

      Thyroid problems are often accompagnied by other co-morbid conditions, and thyroid problems can be a bit difficult to get diagnosed as well.

      I hope that you find out what is wrong with you.

      All my good wishes to you !

    • Anonymous
      November 22, 2007 at 12:57 am

      First, I want to thank everyone for your suggestions and welcome. It is so nice to talk about this without people giving you that sympathy/confused look.

      Second, you mean I’m not really crazy? You have all heard of this type of thing and maybe actually experienced it? Wow, I can’t tell you what a relief that is, I’ve been so isolated with it for so long, I’d about given up hope ever finding people who understood. Before they diagnosed my cervical herniations, I thought I was heading right back to where I had been. My hope was the surgery would fix everything, but all it did was fix my neck lol. The rest is obviously not related. I still think my spine took such a big hit from that paralysis I had, my discs running amock just seem like it’s part of the package.

      They have checked my thyroid on and off, and it seems to be fine, though it is something to think about keeping an eye on. I’d never considered diabetes, though my sister had it, I probably should.

      Other than the pain, I’m greatly concerned about my limbs falling asleep as they do. This isn’t just here and there, it’s anytime I try to lie on my side, either side…it’s also accompanied by the pain, be it in my legs or my arms and hands. You can imagine, then, how rare a good nights sleep is. Having to wake up and reawaken a dead limb takes awhile, by the time that happens, I can’t go back to sleep. Usually, I just toss and turn which stops the complete numbness, but sometimes it gets too far gone. I thought the leg thing was Restless Leg Syndrome, but with my muscles rippling like they do, and the pain that’s involved, I doubt that’s it.

      And with the cold, my hands pain, well I would rather have the herniated discs than deal with that…it’s just brutal, a deep ache that won’t subside and you want to just scream, it’s that intense.

      For awhile, I assumed it was Chronic Fatigue, but the paralysis with my mono just doesn’t cover that. Mono isn’t supposed to paralyze. If my ex husband says something is bad, you know it is…and this scared the heck out of him. Oh, one thing I didn’t mention was my vision was affected for quite some time, especially at night when I’d see doubles. My ex had to stop me from driving after dark for several years. For some (this is going to sound strange) reason when I was on a rather high dose of tranquilizers for the muscle spasms, my vision corrected itself. Doctor couldn’t figure it out either.

      I now live in Western Michigan, about 50 miles north of Grand Rapids. Any referrals you can suggest would be awesome, though I don’t have the best insurance.

      So, my question on the nerve tests is how do they even know what nerves to check? And what would the blood tests indicated? This time I am bringing a close friend to the doctors with me so he can confirm this is a real problem, maybe someone else that has seen it will get the doctor moving. I also have to get some pain management resolved, they yelled at me when I was eatin Tylenol like crazy, but don’t want to give you narcotics. I’ve never gotten “high” on them in my life, they just take away the pain to some extent. Some pain goes through no matter what, but it’s always relieved. We tried some prescription anti-inflammatories, but I had bleeding in my stomach from that; and steroids, but that made me so jittery I nearly hit the roof.

      Sorry I’m so chatty, just hoping you guys can relate to some of the stuff I’m talking about and not think I’m just a baby or exaggerating. Do you deal with the “falling asleep” and RLS? One thing I do know, is there is some damage to my spinal cord from the herniation, and I have hyper reflexes, rather than the slower one people with post-GBS have. Tap my knee and it kicks straight out…even baffled the neurosurgeon.

      Thank you all again, and any help you can give will be much appreciated. I will give the doc the list of tests…he’s usually pretty good if I tell him to test for something, he just gives up if nothing shows up. Again, thank you, and have a wonderful holiday weekend!

    • Anonymous
      November 22, 2007 at 8:38 am

      hi cyn,

      if the pain is neurological, as gbs pain is, you need neurontin. many of us take neurontin [gabapentin], a non-narcotic, for peripheral neurological pain. neurontin is specific, it can work even when ordinary pain killers do not, even the opiates like methadone. great success w many. v safe. start at 300 mg 3X/day [900 total] & increase by 300 every other day till pain stops. taking it 6X/day instead of 3X/day gets more bang for the buck. 3600 is theoretical max/day that your body can absorb. 5600 is practical absorption max/day. the only reason for the slo build up is it may make you sleepy till your body gets used to it. for the fatigue you must rest a great deal lying down. it may only help the fatigue a little, but it is a must for nerve healing. the nerves to pick for the emg/ncv are up to the doc. that is one of the probs of this otherwise good test. pick the wrong nerves & the test is worse than useless. it becomes an incorrect benchmark that no one is aware of. do not believe it takes weeks to analyze the test. the doc knows immediately, as he is doing the test, the results. if he says nothing looks bad, make him try other spots on your body. blood tests can only rule out non-gbs disorders except if you acquired gbs from food poisoning.

      MICH U of M Neuro-Muscular clinic in Ann Arbor Michigan She, Dr. Feldman ordered an EMG & recommended immediate IVIG. We were told “you have come to the Center for GBS. We have been studying this disease for over 20 years and consistently explore the latest advancments in it’s treatment and recovery”. dr. parry is at u of m, world reknown. Mayo in 2002 (I have a severe case of CIDP), but actually had better luck at the U of MN than the mayo w Dr. Gareth Parry, & his is a specialist in GBS & CIDP. His nurse’s name is Denise, & her phone number is 612-626-9919. His phone number is 612-672-6300. You have to ask for his office & then you can leave a message on his answering machine.

      Our Primary care Doctor is Dr. Clark Headrick and the Rehab Doctor is Dr. Dara Headrick, husband & wife both gbs experts.

      Bon Secours Hospital located in Grosse Pointe (313) 343-1000, I went to their ER Nov. 21, 2002 w/numb hands & feet, after countless tests they called in a Neurologist: Dr. Policherla (313) 882-8600 he had experiance w/GBS before me & ran a lumbar puncture & nerve conduction test & determined it was in fact GBS

      *NOT RECOMMENDED* So you see i am not alone in my opinion of him………………….I was beside myself. His name is Dr. Richard A. Lewis, M.D. Professor and Associate Chairman Department of Neurology, Wayne State University School of Medicine.

      Dr. Richard A. Lewis @ the Detroit Medical Center. His office is 4201 St Antone, 8D UHC, Detroit, MI 48201 – Office #313-745-4275
      He is the Associate Chairman of the Department of Neurology & on the gbsfi Medical Advisory Board.

      The neurologist who treated me [quik confirm dx & quik ivig] was Dr. Darryl J. Varda, 2855 Michigan, NE, Grand Rapids MI 49506. Phone (616) 957-4090. Family Practice Doctor [quik dx] is Dr. John Hamersma, Allendale MI 49401. Phone (616)895-2000

      Dr. Robert P. Lisak, Bloomfield Hills, has been chair of the department of neurology and professor of immunology and microbiology in the Wayne State University School of Medicine. He also serves as neurologist-in-chief at the Detroit Medical Center and chief of neurology at Harper Hospital. His primary research has been in neuroimmunology, diseases of the nervous systems caused by abnormalities of the immune system such as multiple sclerosis, myasthenia gravis and Guillain-Barre syndrome. Harper Hospital (Detroit Medical Center) Detroit, MI 313-577-1249

      U of M in Ann Arbor Neuro. whom I think is wonderful. His name is Dr.Teener.

      take care. be well.
      gene gbs 8-99
      in numbers there is strength

    • Anonymous
      November 23, 2007 at 7:37 am

      Thank you so much! I’m off to see my PCP today, will run all this past him. As I said, bringing a family friend who has seen me go through this to attest to it. Why my word alone isn’t good enough, I don’t know, but I think they want to believe it’s just stuff you need to deal with.

      I tried Neurontin years ago, but was hit with major depression from it, so I don’t know if I’m willing to go there or not again. I don’t even know if he’ll prescribe it for that reason. I have clinical depression, but it’s usually manageable, til I took this.

      I’ve noticed the past few days when I wake up the heel of my feet are completely numb, just what I need, one more thing.

      Is the pain and numbness in my arms normal?

      But, people thought I was overreacting with the stomach pain I had, til they found a growth on my ovary, endometriosis and scar tissue wrapped around my bowel.

      Same with my neck, til they found two “significant” herniations, bad by even the neurosureons standards.

      I know when something is wrong. And as I get older, all this stuff is getting worse. Two years ago, my arms didn’t fall asleep, they just tingled…which is why I felt I could deal with it.

      Maybe I do overreact? Does the rest of the world go through this all day, everyday?

    • Anonymous
      November 23, 2007 at 10:27 am

      Hi cyn, Have you ever been tested for MS? You might bring that up to your Dr. Have you ever had a lumbar puncture? It tests for protein levels, and any odd cells. U of Mich is a good place to go. I went there in Oct and was treated with alot more respect and knowledgable drs than I have been in the last 2 years. Its better to have your dr fax/call in a consult request. They have many campuses around Mich, there should be one up near you.
      You don’t need to apologize for the length of your posts, the more info the better:) . Yes alot of us have the symptoms you have described. No its not in your head, alot of us have heard that before also!;) Has your B levels been checked, along with your potassium levels?

    • Anonymous
      November 23, 2007 at 12:00 pm

      cyn,

      pain & numbness is normal w gbs. if neurontin doesn’t work for you, you can try these non narcotics; elavil, topamax, lamictal, trileptal, keppra, carbamazepine, cymbalta up to 90mg, lyrica [similar to neurontin]. Cymbalta® joins a group of other antidepressants such as amitriptyline (Elavil®, Endep®), which are known to be effective in treating neuropathy. take care. be well.

      gene gbs 8-99
      in numbers there is strength

    • Anonymous
      November 23, 2007 at 6:03 pm

      Well, I went in today and it went great. I think having someone who is there with me when I go through this helped.

      My doc feels the arm issue is from the herniated disc. Because of the severity of the damage to my spinal cord, he just can’t get past that and is concerned about scar tissue. Plus, the neuro said the nerve’s grew back with pain memory. I told him it was going on long before that, but he still is stuck on that thought. I’m hoping this new Neuro will look past that, we shall see.

      But, he doesn’t think my legs are related. He does feel the GBS may have caused a neuropathy and nerve damage. FINALLY! So, I’m getting referred to a neurologist for an EMG(?)…I think that’s what he said as it relates to my legs.

      He agreed he wouldn’t put me on Neurontin or any derivative because of the problems I’ve had in the past. I’m back on a tricyclic antidepressant, but we have to keep it low as I have really strong reactions to them. He also put me on Soma at night (things get really bad during the night) and Norco as needed for breakthrough pain.

      I’ll keep you all filled in, I think I’ll keep visiting here as I enjoy being around people who “get it”. Thank you for all your help, suggestions and support!

    • Anonymous
      November 23, 2007 at 11:01 pm

      [QUOTE=cyn926]First, I want to thank everyone for your suggestions and welcome. It is so nice to talk about this without people giving you that sympathy/confused look.

      Second, you mean I’m not really crazy? You have all heard of this type of thing and maybe actually experienced it? Wow, I can’t tell you what a relief that is, I’ve been so isolated with it for so long, I’d about given up hope ever finding people who understood. Before they diagnosed my cervical herniations, I thought I was heading right back to where I had been. My hope was the surgery would fix everything, but all it did was fix my neck lol. The rest is obviously not related. I still think my spine took such a big hit from that paralysis I had, my discs running amock just seem like it’s part of the package.

      They have checked my thyroid on and off, and it seems to be fine, though it is something to think about keeping an eye on. I’d never considered diabetes, though my sister had it, I probably should.

      Other than the pain, I’m greatly concerned about my limbs falling asleep as they do. This isn’t just here and there, it’s anytime I try to lie on my side, either side…it’s also accompanied by the pain, be it in my legs or my arms and hands. You can imagine, then, how rare a good nights sleep is. Having to wake up and reawaken a dead limb takes awhile, by the time that happens, I can’t go back to sleep. Usually, I just toss and turn which stops the complete numbness, but sometimes it gets too far gone. I thought the leg thing was Restless Leg Syndrome, but with my muscles rippling like they do, and the pain that’s involved, I doubt that’s it.

      And with the cold, my hands pain, well I would rather have the herniated discs than deal with that…it’s just brutal, a deep ache that won’t subside and you want to just scream, it’s that intense.

      For awhile, I assumed it was Chronic Fatigue, but the paralysis with my mono just doesn’t cover that. Mono isn’t supposed to paralyze. If my ex husband says something is bad, you know it is…and this scared the heck out of him. Oh, one thing I didn’t mention was my vision was affected for quite some time, especially at night when I’d see doubles. My ex had to stop me from driving after dark for several years. For some (this is going to sound strange) reason when I was on a rather high dose of tranquilizers for the muscle spasms, my vision corrected itself. Doctor couldn’t figure it out either.

      I now live in Western Michigan, about 50 miles north of Grand Rapids. Any referrals you can suggest would be awesome, though I don’t have the best insurance.

      So, my question on the nerve tests is how do they even know what nerves to check? And what would the blood tests indicated? This time I am bringing a close friend to the doctors with me so he can confirm this is a real problem, maybe someone else that has seen it will get the doctor moving. I also have to get some pain management resolved, they yelled at me when I was eatin Tylenol like crazy, but don’t want to give you narcotics. I’ve never gotten “high” on them in my life, they just take away the pain to some extent. Some pain goes through no matter what, but it’s always relieved. We tried some prescription anti-inflammatories, but I had bleeding in my stomach from that; and steroids, but that made me so jittery I nearly hit the roof.

      Sorry I’m so chatty, just hoping you guys can relate to some of the stuff I’m talking about and not think I’m just a baby or exaggerating. Do you deal with the “falling asleep” and RLS? One thing I do know, is there is some damage to my spinal cord from the herniation, and I have hyper reflexes, rather than the slower one people with post-GBS have. Tap my knee and it kicks straight out…even baffled the neurosurgeon.

      Thank you all again, and any help you can give will be much appreciated. I will give the doc the list of tests…he’s usually pretty good if I tell him to test for something, he just gives up if nothing shows up. Again, thank you, and have a wonderful holiday weekend![/QUOTE]

      Hi-
      I was reading your post. You mentioned you are in constant pain and need pain managment. I have cidp. I do not suffer from nerve pain that people with cidp/gbs get. I do however suffer from constant back pain because of the curvature in my spine. I had my spine fused when I was 15,could not get as straight as everyone thought because my doctor had to “go in blind”-the electrodes did not work. Anyways so because I still have a curvature and suffer from pain my orthopedic surgeon at the university of michigan refered me to the pain managment clinic there. I take ultracet for my pain. It some what works,I think I need a stronger dose. My doctor does not want me to up it-however when I see him in 2 weeks I will find out. Just wanted to let you know about ultracet,it may be easier to convince a doctor to give you this and could help with your pain. Ultracet is an a-typical opiod it has 37.5mg of tramadol(the pain killer part)and 325mg advil. Anyways it may be easier to get because it is not currently scheuled and so therefore is not a narcotic,so doctors do not have to worry about the dea..lol You may need to bring this up to doctors and if they tell you it is a narcotic,tell them to look it up on the offical dea site. Some people for some reason in the medical profession seem to think it is a narcotic..Anyways sorry to go on and on. I hope you can get your pain under control:)