bny806

Your Replies

  • February 22, 2012 at 8:33 pm

    oh ok!! THank you for clarifying! ๐Ÿ™‚ I appreciate that! Gosh, even every two weeks seems like a lot (frequency wise), Working full time in a demanding job, plus taking care of two kiddos 2 years and 11 months I can barely get my schedule cleared for every 3 weeks.. including the day afterward to “recover” .. though if I felt better more often, then changing up my schedule to do it more frequently would of course make more sense!
    Speaking of kids.. what do yall do about school/germs etc? With just getting a simple cold/cough (it did have fever with it the first two days) and having such a set back.. I’m pretty paranoid about getting sick again.. however, we are thinking about putting our kids into school three days a week to give me an opportunity to have a few days off to rest (most of those day’s I’ll be at work, but every once in a while it will result in a day of rest).. The only reason we havent’ enrolled them yet is that I know they will get sick, which of course I don’t want, but then that will also get me sick sometimes too! Any advice on that? Thanks again yall!

    February 22, 2012 at 3:43 am

    Thanks so much yall!!! I really really appreciate yalls help!!!
    Dawn Kevies mom – that is interesting about the progressive or relapsing forms responding differnetly to the IVIG.. Mine had seemed to be progressive I though, however after this last “episode” it obviously felt like a relapse and made me look back and it did seem to hit then plataeu and hit again!
    Thanks for the dosage info too! I appreciate it!

    It’s also interesting that yall are on a six week loading dose, down here (in tx at my infusion center), I havne’t met anyone on that.. Is that something that MAYO does? It all makes sense.. and I could defintely see it being nice not having to get it so frequently! I met someone who gets A LOT once a week.. I would be recovering from it constantly I feel like!
    Lori- I like your theory!! I think that makes a lot of sense, that it came on fairly quickly therefore less permanet damage is done and can be reversed quicker! I just am praying that this round works well.. I am still defintely better off in a lot of ways than i was in the beginning of december, and worse in some ways too- it’s all so strange! Overall I am defintely feeling better even at my “worst” .. but I have had more difficulty walking this past week it was pretty crazy! I guess I’ll just await that hopeful “desired response” for a few days!!! So nerve wracking!!!

    February 22, 2012 at 2:55 am

    Thanks Lori! Yea, if I have learned anything, nothing in neurology follows a textbook!!! ๐Ÿ™‚ Mine started with a “floppy” knee, then hips, theh hands, shoulders and face and tongue!! My lower extremities are almost all hip (I don’t notice the knee anymore) and my hands are pretty bothersome, but thats simply becuase I use them more I think… Anytime I try to use my shoulders they fatigue faster than my hands I think… Though after the IVIG I could hold my kids and shop/hang clothes again (i couldn’t do it last time I tried) ..It is interesting how this affects everyone so differently!

    February 21, 2012 at 11:28 pm

    Thank you!!!! Gosh hearing, well reading, you say that just helps calm my nerves!!! ๐Ÿ™‚ I REALLY appreciate you responding to the last post as well!! I work around sick people.. I usually don’t get sick from them, but from co workers occassinally, but mostly from my kids! I feel like a hermit right now, I don’t want to take my kids to birthday parties or big public events for fear of them getting sick and me getting sick (they are 2 years and 11 months).
    I wondered if me getting further away from my loading dose would make the maintenance doses less effective if it wears off before I get the next dose.. I got my 3 day loading dose decemeber 17th.. then felt my symptoms return about 16 days after that.. had 30g (I weigh around 125lbs).. 4 weeks after that (due to confusion on the infusion center/university scheduling.. and then 30g 3 weeks after that..and now 48g 3 weeks after that.. Each time I notice an obvious decline at around the 16 day mark or so.. however, last time it was around then I got fever on that day and it was a much more rapid decline…
    My dr is trying to keep me off immunosuppressants and steroids due to their bad side effects…. I’m hoping not only will I notice improvement with this dose, but that it will last longer, hopefully to the 3 week mark till my next round.. Do some people have to get another loading dose sometimes or is once enough? Thanks again so much for your help.. I REALLY appreciate it!

    February 21, 2012 at 10:14 pm

    Thanks so much for your response!! They currently have the diagnosis of CIDP for me (atypical however). I have had two LP’s the first one normal (protein was 39 or 45 I think), the second one was 95, though that time I had meningitis it was found (the morning after my first day of IVIG loading dose- I was inpatient in the hospital). I have had THREE Emg/ncvs since this all started! The first one showed demylenation around my right knee (my first symptoms and most affected leg), but otherwise normal, the other two (though I don’t think anyone checked that knee again- they all only did more distal (but did go proximal and distal, and thoracic for the needle emg part) ) and the others were all normal!!
    My reflexes have been atypical this entire time – “normal” or brisk, however they have been considered brisk my entire life… now my right and most effected knee is decreasing..
    They have done autonomic nervous testing, which came back positive/abnormal (my heartrate has been out of control since this whole thing started), and nerve/skin punch biopsies which all came back abnormal, they say correlating with “inflammatory” neuropathy/cidp.. The GI symptoms that preceeded my neurologic symptoms have perplexed them since the beginning- my ANA went from mildly elevated to even more so (negative, to 1:80, to 1:640), and now have a positive CMV..
    with not being the typical CIDPer.. i question the diagnosis at times.. well a lot! I still fear worse things – like ALS (my first doc was afraid that’s what it was until that first emg).. so anytime I find a possible other cause that explains my other symptoms I get excited!!
    The loading dose of IVIG defintely helped.. the 1st maintence dose was A M A Z I N G!!! I felt like a new person on that 4th day.. i just hadn’t even realized how sick I was!!!! however, this last time (i got a virus/cold/fever etc), my IVIG didn’t seem to do anything : ( .. I’m now getting an infusion of an increased dose (now 48 instead of 30g).. I’m terrified that it was just a fluke that it helped so much last time, and it won’t help me this time.. and like I said I fear much worse diagnosis at times..

    February 21, 2012 at 2:38 am

    Patto O- what did your rash look like? the first infusion I got a rash on my palms and feet- itchy and teeny tiny little blisters/vesicles.. then the 2nd time i had the same rash but bigger vesicles, but also developed little excema spots all over my legs.. then this 3rd round I took pepcid and benadryl beforehand and for 48 hours afterwards, and no rash (same brand of IVIG), however the IVIG didnt’ help me either.. I told my husband maybe the infusion center just gave me saline and sole my IVIG on the black market!! (can you imagine!?! haha that stuff is so expensive) .. but I did get my typical chest pain with the infusion– the infusion nurse said many people complain of this.. she gives me extra benadryl now due to that.. but if my rate gets too high (can’t handle much over 75g/hr) my chest gets tight and just uncomfortable!!! and it’s kind of uncomfortable for about 24 hours! What in the world causes that you think?? I have my next and increased dose tomorrow.. I am hesitant to take the benadryl and pepcid like I did last time.. maybe my body needs that reaction to take place to be effective??? Crazy I know.. but I just don’t understand why it didnt; work last time, other than I was sick with a virus.. .. I am just PRAYING this time works!!!!

    February 19, 2012 at 2:59 am

    wow.. yall sound so similar to me!!! Gosh, I have cravings of going on a nice jog!!! It sounds amazing!! But for now I’ll be thankful i’m walking! Before this whole thing hit me, right after I had my son I was running again, and couldnt’ get the smile off my face! I was SOO happy to have pregnancy (after 4 years of on and off pregnancies/miscarriages and high risk/bed rest etc) behind me and finally able to get my body back get in shape haha.. little did I know my body was about to be REALLY thrown for a loop!

    Patty- SOO nice to hear you had brisk reflexes too!!! I have always had brisk reflexes all my life, my whole family is thin and does too.. Were your emgs/ncv’s , LP’s etc all typical of CIDP??

    Did yall both have back pain around the onset of your CIDP?? Each “relapse” I have had I have had sharp shocking sensations going down my back… very different feeling than anything I have ever felt, a few days later symptoms are worse!

    February 19, 2012 at 2:44 am

    Thank you so much Patty!!! Its soooo nice to hear you say that your symptoms are similar to mine!!! I still have fears with my CIDP being atypical that it could be something worse.. especially with the minimal effect of this last IVIG… though that 2nd one was the most dramatic amazing effect I could have imagined… The drooling and slurred speech reallly worries me!
    haha, funny you say that about your toe! I run into so many walls, doors, etc just loss of proprioception of my limbs, and I broke my toe.. since this last relapse/virus I can’t feel it haha.. so that’s good I guess!? It’s amazing how fast my body feels like it declines once the IVIG wears off!
    I have good spirits most of the time.. pretty much if I can believe my Dr’s and that the IVIG worked.. and believe my diagnosis of CIDP I’m good.. but there are days where the slurred speech, swallowing, muscle wasting etc etc. freaks me out where I think I have a worse diagnosis (als) and I get upset.. I just have to remember after all the emg’s and dr’s (over 12 neurologists) all telling me it’s not that that they have to be right! I can live with CIDP compared to that ANYDAY! I just wanna be there for my kids so badly, and hopefully I’ll be able to be semi active with them!

    February 19, 2012 at 2:37 am

    Lori, I wouldn’t think the way you responded to the prednisone would be indicative of the other immunosuppressants.. but of course who knows!?!? Prednisone is pretty notorious for adverse side effects and I know from what i’ve read some motor neuropathies can be worsened by steroids, but I would imagine that the other immunosuppresants would still be effective, though I have not researched that specifically.. I know prednisone has TONS Of side effects, but from what I am aware of the immunosuppresants main side effects are, well you get sick easier.. I think nausea maybe. but like I said I haven’t researched them enough yet.. Hopefully the IVIG or PE will kick in and that will be that! ๐Ÿ™‚ It is so strange how this all works!! Good luck!!!

    February 19, 2012 at 2:32 am

    I have been getting only 30g the past two treatments, but they are increasing it to 48g on tuesday… I had a lady at the infusion center next to me who gets 100g EVERY week!!!! That seemed like a lot! She went at a rate of 250, and said she didnt’ get any side effects besides feeling a little run down the next day wow! My dr said they have a limit of 65 or 70 for one day… if you need more than that you have to come back for a second day..
    I get my bun/creatinine (kidney function) checked everyday due to the possible kidney issues.. though I think that is rare.. also I know people can get blood clots with it as well (PE’s DVT’s etc) … not sure if heart attacks and strokes are also mildly increased.. I think for any of those issues you have to have an underlying process that puts you at risk for it and I think even then those side effects are rare. … From what my dr’s have told me IVIG has the least side effects out of any CIDP treatments!

    February 18, 2012 at 4:12 am

    Humm…. Gosh, I don’t have any advice to offer, I wish I did!! Are the effects of PE not cummulative, like they can be with IVIG? I don’t know how long PE “should” take to work… but it sounds like if you are worsening in any way that SOMETHING should be done! I wouldn’t think that IVIG could cause any problems.. were you ever on IVIG + immunosuppresants? Immuran or any of those? That’s one of the options my neuro has talked about being a possibility someday.. I hope someone can give you some more info!! I’ll be sending positive thoughts your way!

    February 16, 2012 at 3:27 am

    THanks so much Shellbones! That’s interesting that illnesses can cause SUCH set backs!!! I also wonder if the fact that i’m getting further out from my loading dose is affecting my sytmpoms? My dr seems to listen now, and mentioned adjusting the dose or doing another treatment earlier very easily.. though at first I think they thought I was just a stressed out woroking mom, until tests started coming back abnormal.. It’s so strange.. my symptoms are bodywide.. with distal (hand) involvement and pretty bad shoulder and hip involvement.. all my muscles are so weak and shakey today My buttock muscles just flat out get so fatigued I can barely put one leg in front of the other.. it’s so odd!! Is that “normal” in this whole CIDP thing?

    February 15, 2012 at 10:08 am

    THank you so much Kelly!! I think you must be right about that as far as the first IVIG having the most improvement to be made- my hubby says the same thing! ๐Ÿ™‚ My dr today at my follow up also said that when I get a virus it can really set me back too, or make that round of IVIG less effective… I still notice improvement from the last IVIG (not much from the most recent)…. but things like holding my kids for any amount of time, which i could do SOOO easily after that last IVIG, I just can’t do right now (and i’m 14 days s/p this last IVIG) ๐Ÿ™ hips and shoulders are pretty weak again too. Other things like my overall energy and especially my dexterity are amazingly better, if not completely back to my old hands! ๐Ÿ™‚

    I had my follow up appointment today, and my dr wants to increase my dosage from 30g to 48g (i weigh 130).. We talked about repeating the dose more frequently if needed after this next dose (i have cleared my schedule for my next dose to be next tuesday and unfortunately can’t budge that any sooner).. My dr agreed no immunosuppresants/steroids at this time… phew! Now I just pray this next round I’ll notice some decent improvement!!!

    February 13, 2012 at 9:17 pm

    Lori- I agree! I can feel everything, and sometimes more senstive, but can’t feel things all at the same time .. haha we have a 170lb dog!!! and I have a broken toe from running into too many things, the door finally got me good!!! I can feel it ok!
    Oh, i meant as far as thin people go that their reflexes are usually more brisk, I don’t know if cidp is more common in thin people , but the tall thing is interesting.. I am 5.10! Do you sometimes not know where your limbs are?? I’ll be holding one of my kids or sitting on the couch etc, and I have no clue where my arms or legs are!?! It was one of my first symptoms.. I thought at the time I must have MS.. but was so busy with kids and work, figured I’d deal with that when it made me deal with it.. haha.. didn’t realize it would result is such a big life change!

    February 13, 2012 at 9:10 pm

    Thanks yall!!! As far as the gluten free thing.. I had about 2-3 months before my neuro symptoms started of GI symptoms and weight loss (it all started immediately after the IUD perforation/blood transfusion hospitalization).. I realized I looked awful- my face was sooo thin (and I have always been thin, but had a chunky face).. all my clothes were huge (and I was only 7 weeks post partum or so)… i think I made a mistake by continuing breastfeeding throughout the blood transfusion/iud trauma.. I regret it.. It wasnt’ until months and months later where I literally thought I was going to drop dead- heart racing and SOOO weak that I was pumping and pumped out clear/blue water.. It really hit me right then, that i was really sick.. and my son wasn’t benifitting from breastmilk that had no nutrients, and either was I !! so i stopped right then and there
    My dr hospitalized me due to my heart rate/dehydration/malnutrition from the GI symptoms.. and it was that same week before the hospitalization that my neuro symptoms really started (My knee was “floppy” and then a few days later my hands went wierd, with the numnbess etc moving up).. I went gluten free the week I got hospitalized (after the weight loss), my bowel symptoms seemed to improve a bit.. but they didn’t fully resolve until the first IVIG dose (about 8 months or more after they started!))!!! Now i’ve gained 10 lbs since the IVIG, and eat much less! I had felt STARVING every single second of every single day until then.. finally I feel better! I cut out all processed foods for a while, but am back to eating some gluten free processed foods.. My celiac tests have been negative (but I was already gluten free then) I have two family members with celiac.. so until I get my life back or at least stabilized I think i’ll continue on .. as much as I CRAVE a REAL cookie!!!
    That is interesting about the hormones thing!
    My follow up is tomorrow, so I’ll defintely be talking about either increasing the IVIG dose or frequency.. I really don’t think the steroid side effects sound very good!!! Thank yall so very much!