Bob B

Your Replies

  • December 28, 2013 at 6:09 pm

    gslm,
    I have been on this CIDP journey since February of this year, and would like to give you a ray of hope. I am at this point in my treatmnet at about 95 to 97% of where I was pre diagnosis. Walking without aid, (even over snow banks) and working a full time job. (I have a little fatigue, but it is manageable) I am one of the lucky ones from the posts I read here. I happened to be assigned a Neuro that was familiar with CIDP and had a diagnosis in only days. My treatment was started inpatient, 5 days of IVIG.(No side effects to date.) I was on FMLA leave for three months, returning to work full time after easing into it for two weeks. My Neuro was worried that I was returning to soon, but I have done very well. I responded after my “first” IVIG treatment and with P.T. (until June) have been improving steadily since, with two minor relapses. When these occurred my Neuro just repeated the loading dose and then increased my IVIG from one to two days. I am being slowly eased off of the IVIG and the pulse dose of prednisone. We are trying to find the sweet spot, to prevent further relapse. I would be remiss if I didn’t mention that at this time we are exploring alternatives to the prednisone, but this is because I have another medical condition. I am looking forward to a future where I may be able to use nothing. I currently get my IVIG from a Home infusion service. The nurse comes to my home and I recieve my IVIG over several hours. It has now worked out that I recieve my treatments on weekends, so it does not disrupt my work schedule. I am however covered under FMLA, for intermittent leave. If I need to be gone from work for doctors appts. IVIG treatments or if I relapse again, I do not have to worry about being fired for absence from work. (Something you might look into, If you haven’t already, so you don’t worry about a job loss.) I know this whole process is scary, but I find that I do much better when I stay as positive as possible. I still believe that I will recover fully. I can’t speak to other treatments at this time, because I have no experience with them. That is not to say I have not done my own research into possible alternatives. I do know that IVIG has worked wonders for me. I hope this helps. I wanted you to hear from someone who is doing well, making steady progress to a “full” recovery. Good Luck, I wish you well.

    November 19, 2013 at 10:07 pm

    I wish you and your husband well. This is not an easy diagnosis. I was diagnosed in February of this year. For me I was just so happy to finally know what was wrong and that it was treatable. I didn’t even think about the long term ramifications. When I was diagnosed, I was using a four wheeled walker and was unable to get up stairs or stand from a seated position without help. I did get zingers, but I got them mainly in my feet and legs. IvIg got me back on my feet after the first day. By the end of two weeks, I was walking without the walker. Stairs and chairs were still a problem, but by April I was almost back to normal. I’ve had two small relapses, they were both taken care of by temporarily increasing the IvIg dosage. I get very few side effects from the IvIg. Some minor dizziness, slight heaviness in the chest, but no headaches, etc. that some others have reported. This diagnosis has all of us stumbling around at the beginning. I’m still not sure myself where I’ll be tomorrow. I do know that for me IvIg has done wonderful things. My dosing schedule has been very fluid from the start. My neurologist adjusts it according to how I’m feeling and what my latest EMG says about my nerves. Right now I have infusions two days every ten days. The nasty zingers are now only in my feet, they seem to get more active after an IvIg. I believe that the pain is the nerve pathways reestablishing themselves. Who knows, but it helps me deal with the pain. Good Luck…there is hope.

    October 30, 2013 at 9:23 pm

    Thanks to all who responded to my original post. Your words of encouragement helped alot. Just a quick progress report. My Power port was installed last Thursday with no problem. Didn’t need pain meds other than a couple of Tylenol. I am back to doing all my regular chores, no restrictions. Today my infusion nurse used the port for the first time. The intial stick hurt quite a bit, but not worse than getting multiple sticks to get IV started. I did notice that I got extremely tired during the last half of my infusion, nearly fell asleep. I was also lightheaded and had a mild heaviness in my chest after this infusion. I haven’t had these symptoms before. These have all now resolved, but am wondering if anyone else experienced symptoms that they hadn’t had before, following the placement of their port?

    October 13, 2013 at 4:22 pm

    I don’t know if relating my expierence will help with your decision but here goes. I’ve had two 5 day loading doses of IVIG since my diagnosis in February 2013. The intial dose and then again in April after a relapse. I have since been on IVIG on a changing schedule. My neurologist adjusts my schedule to fit how well I feel and according to the results of my latest EMG. So I’ve been on 30gm twice a week every other week and then 30 gm once a week every other week. I recently relapsed again (after being taken off Prednisone),and my dosage and the frequency were increased temporarily. I had three treatments of 45gm in one week, and I now recieve 45gm IVIG twice a week. I tolerate the IVIG very well. I agree with you. I feel that the IVIG does not work quite as well as it did intially. In my case this is due to the fact that I am doing so well. Changes now seem to be so subtle. This latest round however has improved the sensation in my feet to the point where my soles are actually ticklish! I was beginning to believe that I would always have neuropathy in my feet. Now it seems I may actually have normal sensation again someday. I’m sure this won’t help, but I don’t think there is a normal. We all respond so differently to the treatments we are given. If you feel you are at a standstill in your recovery only you and your neurologist can determine what may best benefit you. If you tolerate the IVIG, then trying the higher dose may actually make you feel better. Increasing the dose in my case appears to have improved my neuropathy. This is only my expierence however. I am now waiting for the results to my latest EMG to see where we go from here. Wish me luck!