B

Your Replies

  • B
    October 11, 2017 at 12:14 am

    Sorry to hear what you are going through. Your post did not specify your neurologist’s specialty or if s/he is with a “Center of Excellence” as defined by this Foundation. Perhaps your next step should be a second opinion with a different neuro, ideally a neuro-muscular specialist from a Center of Excellence? At least then you could know if you fall into the GBS/CIDP bucket or should be looking elsewhere.

    B
    September 8, 2017 at 11:49 pm

    The Foundation’s regional conference is in Chicago (Schaumburg) in two weeks. (9/23). It’s 9-5 and $35. The presenting neuros aren’t local, but you might be able to meet local patients attending the conference. Some will be travelling in like me, but I would think a bulk of the attendees would be local.

    And I agree with ARielsstars that the FB pages are great. I belong to 3 closed groups that you have to be accepted into. There are also some public groups. For the close groups, they actually check to make sure you have a legit profile and may ask about your diagnosis. They try to keep spammers out of there.

    B
    September 1, 2017 at 5:37 pm

    JK – Yes, facebook profiles do require your real name, and it took me months to join the groups for that reason. But the groups are closed, so no one can see your posts unless you are accepted into the group. Also, the part of your profile that shows the groups you’re in does not include closed groups. So to see that I am in the group, you’d have to pull up the group, and it seems unlikely any of my casual acquaintances would do that since most people don’t even know what CIDP is. However, I think this forum is searchable by non-members from search engines, and listing an email address or full name would make that searchable on the internet, would it not? Let’s say I applied for a job and someone googled my email address. Maybe my thinking isn’t 100% logical, but I guess I don’t feel comfortable listing an email here. It’s too bad you can’t opt into private messaging on this forum. I have found the 3 facebook closed groups to be very active and helpful.

    B
    August 30, 2017 at 11:44 pm

    Sorry to be so “cloak and dagger” about the whole thing! I’m fairly private about my diagnosis. Anyhow, I messaged you through the site you listed. Looking forward to connecting.

    B
    August 28, 2017 at 10:32 pm

    Hmm, I wonder if there is a way for us to share our contact information without posting it on here? I’d rather take this conversation offline if we can, especially related to discussing providers. Are you on any of the Facebook CIDP or GBS pages? I do have some further thoughts about docs. My initials are BLH and I post/comment there frequently.

    I wouldn’t worry too much about your first treatment being “right”. Early treatment is important, but it seems most docs follow a pretty standard protocol of first trying IVIG. 2g/kg over ~4 days, then 1g/kg every 4 weeks. For me, I’m about 140-145 pounds, so I received 140g of Privigen, 35g a day for 4 days. Then for the maintenance doses, I get 65g over one day. (slightly smaller dose since I lost some weight along the way).

    B
    August 28, 2017 at 4:37 pm

    I currently see Dr. Adam Wolff at Porter. According to his infusion nurse, he sees 30-40 cases of CIDP regularly. I have also seen Dr. Simon Oh in Aurora. He told me that he sees more CIDP than anyone in Denver. I’m not sure, but I think his case # estimate was around 40 too. I also had my OB/GYN at University of Colorado hospital look into docs there, and that resulted in recommendations for Dr. Quan or Dr. Ringel, whom I haven’t seen. I’ve also had a few people suggest Dr. Round at Rose, but haven’t seen him.

    Sorry to hear about your diagnosis. Who are you seeing? Will you be receiving IVIG? Where? What part of town are you in? Do you need/have a neuro PT? I went to Colorado Neurological Institute near Santa Fe and Hampden and they are great PT specialists for neuro.

    B
    August 19, 2017 at 11:56 pm

    “good luck”, not good look. Guess I should proofread BEFORE hitting submit!

    B
    August 19, 2017 at 11:55 pm

    Sorry to hear what you are going through and good look getting some answers and hopefully treatment. I can’t answer your question, but I was wondering if you are seeing a neurologist that is recognized by this Foundation as a “Center of Excellence”. Also, is it possible that you have CIDP, not GBS? Have you had a lumbar puncture (spinal tap), brain/spine MRI, nerve biopsy and a blood lab panel that would rule out many other diseases? Do you have all of your deep tendon reflexes?

    B
    August 10, 2017 at 10:28 pm

    Not for me. My CSF was not elevated (it is not in 20% of CIDP cases per my neuro). I received a typical 2g/kg loading dose over 4 days, then 1g/kg loading doses for subsequent months. Just my experience.

    B
    August 10, 2017 at 10:25 pm

    Interesting! Saving to read more in depth later (when I’m not so tired, LOL).

    B
    July 31, 2017 at 11:55 pm

    I also have had trouble with Anthem. 12/16 they approved me for 6 months. I had to switch from a PPO to HMO 1/17 and they denied me for 7 weeks before approving me again for 6 months. Now I’m at the point of trying to continue and they denied me again. I’m fairly confident it will work out, it will just involve my neuro doing a “peer to peer” with an Anthem physician claims person.

    B
    July 26, 2017 at 12:00 am

    I often have breathing difficulties. Not so much shortness of breath as a repeated yawn reflex where I yawn, can’t get a satisfying breath and yawn repeatedly. It’s like my brain isn’t getting the message that I have enough air. And/or my muscles aren’t expanding my ribcage enough (like the “MS hug”).

    I too have low blood pressure that tanks during IVIG. Anytime I get below 90 systolic, my nurse has me stand up and she also stops the IVIG and pushes some saline for a while. My PCP also has me do “counter pressure maneuvers”. Basically tense up muscles in legs, feet, backside which pushes blood up to the brain.

    B
    July 25, 2017 at 11:57 pm

    I have a series of balance exercises from my PT, and I can do them with eyes open or closed depending on how my body is performing that day. Balance is comprised of sensory, visual and vestibular. Taking out visual by closing your eyes tests the other two, and can help improve vestibular. (sensory can’t be improved by exercise).

    B
    July 25, 2017 at 11:54 pm

    Hi MW17,

    Sorry you are going through this. You obviously have done a lot of research and have clear descriptions and records of your symptoms. I have CIDP, not GBS, but my understanding of both is that if you have them that early diagnosis and treatment is important. Waiting months and years for a CIDP diagnosis isn’t uncommon, but it seems that GBS is more acute and diagnosed more quickly. (I’m no expert though). Also, I have heard CIDP patients say they believe and infection kicked off their symptoms.

    It doesn’t seem you’ve seen a neurologist, even the in the hospital, so it is good that you are trying to see one. Can your PCP get you in sooner? It seems 6 weeks is too long given your symptoms. If your symptoms get worse, you could try the ER again and try to see the neuro on call at the hospital. Have you had an EMG/NCS and/or a lumbar puncture (spinal tap)? Perhaps your primary could order those so you at least have them when you see the neuro. Although the EMG/NCS is somewhat of an art and some neuros want their own.

    Where are you located? Is it a big city with a teaching hospital? Perhaps try a bigger teaching hospital that will have neuros serving the ER? Also, this site has a list of “Centers of Excellence” with physicians that have proven an expertise in GBS/CIDP. I haven’t gone to one, but was planning to if I didn’t get a diagnosis.

    CIDP affects the peripheral nervous system, which includes autonomic. Sometimes when my symptoms flare, I find myself unable to eat more than an ounce or two at a time. I believe this is called gastroparesis when the stomach isn’t emptying properly. I find buying smoothies with protein and slowly drinking them throughout the day gets more of the calories and nutrition I need and goes in easier than solid food.

    While you’re waiting, try to do strengthening and balance exercises if you can. This will help you feel better, avoid atrophy and monitor your symptoms (wow, I could do that yesterday, not today, and vice versa).

    Best of luck to you. And hopefully more members respond to you — there are several very knowledgeable members of this group who give great advice. If you want/need more, there are a couple of private facebook groups with thousands of members that are more active than this forum.

    B
    July 14, 2017 at 10:51 pm

    I’ve seen two neurologists. One said he sees more CIDP than anyone with Denver, with 40 patients. For my other neurologist, the infusion nurse estimates that practice has about 40 CIDP patients. If you assume they see patients 3 times a year, that’s 120 appointments or 2-3 a week? So not a huge part of their practices, but not unheard of. I’m sure other docs/cities/practices have different stats.