bny806

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  • December 28, 2011 at 10:38 pm

    Thanks Starli! I have never had one in my face, though I have facial weakness (every muscle including my face trembles when I use it), so I think it would probably be a good idea, though I am scared it will show something really bad still. The university here has done a decent job, but I am afraid that a trip to MAYO may be in our future to get more answers.. I have had two lumbar punctures in the past 4 weeks – ugh.. not awful, but not something that I want to keep getting! Thanks for your info, Hope you are feeling well, and getting better!

    December 27, 2011 at 11:22 pm

    Thank yall! Things MAAAAAYYBEE a little better, it’s hard to tell, and then part of me wonders if it’s just placebo effect of me just thinking it’s better.. I do think though I am mildly improved, but must say it’s not the reaction I was hoping for… I guess I was hoping that suddenly I’d be able to use my fingers and none of my muscles would be weak anymore .. ha.. silly I know.. at least I don’t think i’m any worse.. so that’s good! My generalized muscle weakness seems a touch better and tips of fingers mildly improved as well as speech. No answers still..hoping some bloodwork will come back in the next week or so and we can get answers and get a treatment plan set up too. Thanks so much for all of yalls support and I hope yall had a Great Christmas!

    December 24, 2011 at 11:11 pm

    Thank yall all so very much for yalls time!!! I’m free!!!!! I got out yesterday and couldn’t get away fast enough and home to my kiddos!!! Cultures were of course negative, but man those antibiotics were making me feel AWFUL!!
    I think I am feeling better since about last night from the IVIG, but I am far from feeling back to “normal”.. the improvements are minor which I wish they were more obvious- hopefully within the next week or so I’ll feel even more improvement, so that I can for sure know that what I have is Manageable/treatable.
    Thank yall for the info about predosing/rate control etc… I tolerated that 3rd dose no problem, when they never let the rate go above 50.. I was already feeling so much better from the Headache and side effects by the time they told me I had meningitis… what an or deal! I’m not sure where all of this leaves us.. we are waiting for more test results to come back and follow up appointment along with see how my body responds to the IVIG.. at times I feel pretty run down still, it’s been a rough week!

    Hope yall all have a great Christmas, and again thank you so very much for all of yalls help!! It means so much to me!

    December 20, 2011 at 11:32 pm

    Thank yall all so very much!!!! I cant’ tell you how much I appreciate yalls responses! I am sitting here in isolation still in the hospital- going insane from boredom and cabin fever, but feeling a lot better..
    I had not taken lyrica since the 2nd IVIG infusion.. the paresthesias were gone,.. generalized motor function improved.. well today I started feeling some of the paresthesias come back- already!!! Is that normal???? I am still improving in the generalized weakness. the focal/finger weakness I thought was a touch better last night.. but now seems to be going back again.. maybe it’s just due to me feeling bad all over… ugh

    Thank yall so much about the information about the IVIG.. I read yalls responses and asked the attending again about the IVIG… today he seemed to think maybe i could get IVIG again.. but it would be up to my treating physician (he is the hospitalist neurologist), he said it could be risky for developing side effects, but I said I can tolerate uncomofortable side effects if it will keep this ugly beast at bay! So, i’ll have to discuss it with my dr at follow up once i finally escape from here!

    I like the idea of spreading and slowing down the IVIG treatments, I got horrible migraines when I took birth control pills.. but since being off of those pills x 5 years and being on asprin daily I don’t get them anymore.. I wonder what the mechanism is between migraines and the IVIG causing mengitis is? very interesting!

    Hopkins sounds like they have it down to a great system!!! Depending on how all of this goes we may consider that… I also hear there is a great CIDP specialist in houston (i’m in texas) and he got a very large grant for CIDP research in his hospital down there.. we may consider seeing..

    I wish they would have done the LP before the IVIG.. Now the elevated protein (of 90) we are unsure if that is significant or not- is it from meningitis or is it from the underlying issue? Ugh.. i feel like there is still such a long road to find answers ahead of us.. I am just so incredibly worn down right now. I just pray we find something that helps, and also that I can be home with my kids for Christmas- this isolation business is for the birds ! ๐Ÿ™

    December 19, 2011 at 11:48 pm

    thank yall so much for all of yalls replies!!! I really really appreciate it, makes me feel less alone.. and well unfortuantely i am alone… in isolation room now, so my kids can’t visit. ughh
    So, after the 2nd ivig I woke up with a pretty wicked headache and body aches chills.. but from what I had read, this was nothing unexpected.. I got some toradol and tylenol and i would feel great again.. this morning felt nauseated, but seemed to tolerate my 3rd and last round of this loadind dose of IVIG.. They had wanted to do a lumbar puncture on me today (my last one was done at an outside hospital and since my symptoms seemed to dramatically worsen recently they wanted new results and more tests) and well
    Turns out now I have meningitis.. which I had told my husband about 24 hours ago, I thought i probably had aseptic meningitis.. I read it can happen, but thought it was simply some discomfort and it would go away no big deal, but i guess my WBCs in the csf came back half lymphs, and half polys (so they can’t rule out bacterial meningitis)… ugh.. they think its just from the IVIG but until cultures come clear I have to stay in isolation getting antibiotics … and in more turn of events, my protein in the csf is now elevated though that could be from the meningitis they said.. and also in more turns (eventful day)
    my new mri brain came back with a lesion in my right frontal lobe.. my mri 4 months ago was clear.. my neck mri showed a possible lesion on the spinal cord as well.. huh? every single dr has said I dont’ sound like MS… but these guys now think its a possibility, but still a wierd presentation.. though I am a wierd presentation of anything it could be at this point!

    So I now just hope I can be out of here by christmas and home..

    Anyone been through the aseptic meningitis from IVIG…
    the thing that upsets me the most out of all of this is that they tell me I can never have IVIG again!!!!! I’ll have to do PE or something else.. but they said the effects should last for at least a few weeks and maybe we will have some more answers by then.. ugh.. I just pray that I stop worsening and maybe even find answers to all of this mess!

    (i tolerated the 3rd dose well – we never went above 50 just to be safe.. the 2nd night- the night I got really sick we were over 100)

    December 18, 2011 at 9:39 pm

    Thank yall so very much!!! Ugh… Yea the rate was over 100 last night, (i was passed out from the benadryl, so not sure how high they got).. They are talking about going 50 tonight.. I feel pretty crumby now.. body aches, chills headache/spine just hurts, everything hurts.. I can’t tell for sure improvement, but i do not have the need to crawl out of my skin sensation which I have had daily for months and swallowing does seem easier too.. speech a little better. and the nurses are saying my face is less “droopy” (especially one eye).. So thats good news!
    I am scared to get my hopes up too much that this will work, but the thought of it actually working makes me want to jump up and down, even though that would hurt really badly right now. the thought of it is very exciting! I pray it helps!
    Its interesting to hear everyones different reactions to the IVIG as far as improvement in symptoms too! Since I don’t have a diagnosis, I sure hope that I can at least see some definite improvement, to know whatever i have CAN get better!
    My emg’s/ncv’s are clear, so that doesnt fit into CIDP plus my reflexes are normal (maybe a little brisk, but they have been all my life), They will be repeating a lumbar puncture tomorrow and doing evoked potentials.. So who knows. It will be nice when we get an answer, but if that never comes I’ll just be happy knowing that I have the ability to stop worsening and hopefully get better!

    I am drinking tons of water.. but when the headache hit this morning I couldnt even sit up to eat.. So they did start iv fluids.. i’m trying to down lots of water before we go again here in an hour or so!

    December 18, 2011 at 5:08 pm

    Thank yall!!!
    I had my 2nd dose last night and was doing well, they increased the rate quite a bit… and then I woke up with a horrid headache!! It is really bad actually! I am starting to feel a little better, they have iv fluids going now too, I could’nt sit up to drink water with the awful headache! They are going to do the 3rd dose at a much slower rate tonight
    BUT I think I am feeling better!!! Yesterday I coudln’t really tell much of a difference, but as of last night when I woke up with the headache, I noticed my swallowing feels “normal” again… I thought for a few months it might feel awkward, but didn’t really realize how awkward it felt until last night when it felt normal again! My speech seems better- the nurses have even noticed… and my strength is also better! I usually take lyrica everyday/night for the tingling/discomfort, yesterday I was still wanting to crawl out of my skin, but last night I woke up for the first time in MONTHS wihtout that sensation.. and no sensation of it today either!!! Sooo.. the changes are mild, but I think they are real, I have felt badly for so long, It seems surreal that I could actually feel decent again.. So I am really praying this will really help!!
    I have another LP, brain MRI tomorrow and an EEG/evoked potentials.

    Thank yall so much for your help!!

    December 17, 2011 at 9:41 pm

    Thanks shellbones and Lori! I appreciate it!! Yea the diagnostic limbo phase is defintely scarey… I just want to know if i will stop worsening or hopefully improving! Just continuing to worsen and have no answers is quite scarey
    Things worsened dramatically the past 5 days or so.. started having some difficulty breathing, heart rate was high as well.. went to the dr and they admitted me.. Started my IVIG trial loading dose last night and will be in the hospital for a few more days getting more.. along with MANY more tests..
    As much as I don’t want to be here, I think it is good that they are testing a lot of different things and at least trying IVIG! I Just pray it works! i’m so scared it won’t work and then I don’t know where that will leave us

    How long did it take yall to notice any improvement with the IVIG? THey keep saying how I sound like GBS.. though it has been going on for a whlie now.. EMG is clear. . so who knows! MG is on the table as well, atypical presentations of everything.. I wonder if when I leave here if they will give me prescriptions for steriods or any other meds, or do you just go home and see if the IVIG kicks in usually?
    Anyhow.. time will tell I guess! thanks so much for yalls help!

    December 15, 2011 at 3:07 pm

    Thanks Shellbones- yea I am feeling pretty crumby to say the least.. it’s all getting worse so fast, so is the muscle wasting in my hands- which is scarey.. I talked to the univerisity this morning about it all, and still haven’t heard back.. I’m just so sick of having to tell them my symptoms- They hear certain symptoms and seem to ignore others, so my husband is calling them and the previous neurmuscular neuro that I really liked to see if someone can help sooner than later.. They keep ordering more tests and then waiting until they get back.. and then ordering more.. Things have just really gotten worse the past week for some reason.. ugh.. We dont have any family here, but will in a week for the holidays thank goodness.. I have some great friends if need be and my hubby (poor guy is stretched thin with the two kids and work already). Ugh.. I’ll let ya know what they say when he talks to them.. I don’t like to be dramatic or call back after calling once, but he tends to get the message across better.. I”ll keep ya updated.. not the most fun I’ve ever had!

    December 14, 2011 at 11:32 pm

    Wow Jessicah, sounds like you have been through a lot!!!! It really amazes me, especially with this neurological stuff, how so many people have to go to so many different doctors!! I could never be a neurologist since it seems like it’s all so incredibly subjective! I feel like most things you dont have to go and get multiple opinions, mabye a 2nd opinion, but it seems like a lot of people on here and that i’ve talked to see 4, 5 or more neurologists before nailing down a diagnosis.. I have seen.. humm, gotta count them all- 6 totat neurologists!!! 3 that were neuromuscular specialists, and I sit here worsening with no one really knowing what is going on! I have told my husband a few times – I wish I could just Pee on a stick like a pregnancy test and we could just get our answers! haha.. Wish it was that simple!
    With all of this going on, I have opted to NOT get my flu vaccine this year! I don’t give my kids the flu vaccine (they do get everything else though), and I never got it until I worked where I am very exposed to it daily, I started getting it so I wouldn’t bring it home to my kids (if the vaccine was effective that year), but not this year- no way! I did make my husband go get one though, if the flu hits us, we need one man left standing to take care of us haha.. that is IF it even works!
    It’s crazy what can set off our immune systems! Hope your doing well! Thanks again so much for your help!

    December 14, 2011 at 11:26 pm

    Hi Rainydays! I am in diagnositic limbo myself- not a fun process at all!
    Did they perform your MRI’s of your low back as well? did they use contrast? Good luck! I hope you get to feeling better soon and find some answers!

    December 14, 2011 at 11:22 pm

    Thank you shellbones, I appreciate it!!!
    yea your right – with all of this autoimmune stuff everyone presents so differently.. I wish that all universities would do a “team approach” like Mayo does.. I could just go for a few days and see a rheumy, neuromuscular doc, GI, etc etc.. and they could all get together and have a pow wow and then give me some treatment already!!!
    I am getting SOOO much worse the past 3 days, it’s really crazy.. My chest hurts when I try to take a deep breath (I noticed a few weeks ago when I went to sneeze and inhaling I had all over chest discomfort) I just feel short of breath and SOO weak all over! My facial muscles barely move, and I can barely stand up for more than a few minutes without having to sit down due to muscle fatigue.. Then the paralysis of my fingertips is worsening too, as is tongue/speech.. this is just crazy! I am all for being “special” as long as someone can get me to a better functioning better feeling special!! I am MISERABLE!!!!
    Thanks again so much for your help!!! ๐Ÿ™‚

    December 13, 2011 at 10:04 pm

    Thanks!!! I haven’t seen a rheumatologist yet, but I will plan on doing so for sure! I must say I had a sense of relief when I saw that positive result (it was only a 1:80 months and months ago before the neurologic stuff started, but when the initial GI part of this whole thing started), so something has gone way up!! But as you said, since autoimmune things are typically treatable, I felt relieved, after the scares of untreatable diagnosis that have been on my plate the past few months, hearing something autoimmune and confirmed by a lab test makes me feel better!!! I think I should be getting back even more bloodwork tomorrow (LEMS, and a few others that were sent to Mayo.. and then we are adding on MUSK tomorrow- though I have constant focal weakness and atrophy so I’d be an odd presentation of those, though apparently I’ll be an atypical presentation of everythign else too, so It’ll be interesting!)!! I am soo excited to get a diagnosis, and start a treatment, especially when it means that the diagnosis isn’t ALS.. i feel like after that scare I can deal with anything else!… That is really interesting that your ANA is so high too!! Did they find that you had lupus? They are goign to check a SSDNA and a few other things based on my ANA I guess.
    They moved my skin/nerve biopsy up to the 21st of december now! Maybe that will give us some answers too!!!
    Thanks again so much for your help!

    December 12, 2011 at 9:45 pm

    Thank yall so much for your time!!

    Jessicah- Sounds like I’m scheduled for the same as you had – punch skin biopsies, I think is what they are unofficially called, but my dr called them an epidermal nerve biopsy, not an actual- cut out the deeper nerve biopsy like others I have read about that can have nerve pain and may not even yield great diagnositic results either.. From the sounds of it it seemed this punch skin nerve biopsy was a newer thing, the one dr that does it is booked up until march, but looks like as of now we are going in Feburary- she said it would look for nerve damage/neuropathies etc…. Do you know , does it just look for small fiber neuropathies, or can it look for CIDP type neuropathies too? (not really sure if cidp is small or large- apparently on my exam, I have both abnormal). They think this whole thing has affected my autonomic nervous system and are going to be doing additional testing for that, other than the biopsy. I hope it gives us answers about it all – especially my motor dysfunction!! Did you get any answers from it?

    Shellbones- thanks, that is good to know!!! I’ll make sure that they check it before proceeding with the IVIG! I’m a tough stick for an IV apparently, I have these huge veins, but they all tell me how “valvey and knotty” they are ha.. but I tell ya, someone can poke me with a needle a million times if it means that I can start getting better from all of this! I’m READY to get back to feeling decent and on with life again!
    I really appreciate yall, thank you!

    December 12, 2011 at 11:36 am

    thank you, they haven’t checked my IgA levels yet, thats interesting, what happens if someone with an IgA defiicency receives IvIG? You know, I have always had negative antibody testing, even to things that I know I have been exposed to (immunizations, chicken pox etc etc- my titers are always negative even after getting multiple injections of the same immunization to try and acheive a titer) I wonder if that could be a cause? I worry that due to me never mounting measurable antibodies that all this bloodwork I have gotten might not mean a thing!
    We dont’ have a date set yet for the biposy, the Dr who performs it (I guess there is only one around here), is booked out until march!! They didnt’ want to wait that long, they are trying to get it all done in the next week or two, so they were going to talk with him and get back to me…. I sure hope IVIG helps!! I’m SOOO nervous it wont help and i’ll continue to decline.
    Before you had the port, did they use a picc line or just place an IV everytime you went in? Sorry – so many questions!!! I really appreciate your help!!!!