bny806

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  • June 12, 2012 at 4:08 am

    Thanks so much Kelly!! I appreciate it!!! I just got the report from my neuro opthamologist (I am going to an internal med dr tomorrow to get established with a PCP.. I have only been seeing my obgyn.. but honestly can’t get past the fact that she did something she wasnt’ supposed to do with the IUD.. and that seemed to all start this all)..
    Anyhow, the neuro opth note said I had papilledema and pale optic discs bilateral.. along with eyebrow and eyelid ptosis (something I have noticed since this first started, but didnt’ even mention to him – no o ne else ever notices.. but apparently he did)! I also found that my serum gamma electrophoresis showed polyclonal gammopathy! Not sure of the signficance of that either.. but it’s something none of them ever mentioned.. I think getting my chest scanned might be a good idea!!! ick!
    Thanks again!

    June 11, 2012 at 4:10 pm

    You sound a lot like myself.. I initally was scheduled to get IVIG every 3 weeks after the loading dose (felt improvement after the first loading dose/however I only had a 3 day loading dose – unsure of the dosage). It REALLY kicked in and I felt AMAZING after that 2nd IVIG.. Anyhow I would feel it start wearing off 10-14 days after the infusions.. and woudln’t know how much I would decline until I got my next infusion.. finally I got a cold from my kids, had a relapse and they moved it up to every two weeks with an increased dosage.. If i don’t get sick from my kids (which I seem to quite often right now).. it lasts me ALMOST the full two weeks.. if I get sick it wears off quickly.. I have only gotten one loading dose… from what I have been reading on here, I may need to get more to get back to where I was that 2nd round.. From everything that I have read ALS/MND does not respond at all to IVIG! Good luck!

    June 11, 2012 at 3:51 pm

    Thank yall so much!!! That is interesting kelly, that emily also had pain behind her eye- did they ever say it appeared like she had attacks of Optic neuritis?? I saw a neuroopthamologist a few months back – he said it appeared as if I had ON in the past (in the eye I had gone to a suburban opthamologist about in the beginning- at the time he said it was fine- i had no idea 2/3rds of the time it looks fine on their exam when it is acute).. The neuro opthamologist said he sees eye involvement like mine at least once a month from CIDP patients (there are only 6 of these drs in Texas, so he sees a lot of wierd stuff apparently). Each appointment is about 5 hours there ugh.. but I do need to head back again for follow up
    Do yall know if I do go get a second opinion if the dr puts down a diagnosis for billing purposes that isn’t CIDP that insurance can “choose” to take their diagnosis and then “opt out” of paying for my IVIG? that’s my biggest fear!
    Kelly – you are right, I would spend everyday in a dr’s office fighting if it were my kiddos… that is a good point.. and most of all above anything I need and want to be here for them for the long run!
    Limekat- funny you mention that – I had weeks where I would kind of drool, and spill drinks on myself, either missing my mouth or just mouth dysfunction in general! Before I got my first round of IVIG I tried straws.. but (how sad is this) I coudln’t even make enough suction to suck through a straw!!! It took all the effort I had and seemed SOO hard I coudlnt’ even do it.. same thing If I blew my nose it would go all funny ,… I was WEAK! Now I can use straws and when my swllowing gets bad it is easier! interesting about your eyes- bright lights hurt mine all the time now too!

    Thanks so much for all of yalls help (this last round of IVIG has worked wonders)however I am 11 days out and do feel it starting to wear off.. I danced around with my kids yesterday – showing my daughter some old ballet moves, haha.. I haven’t been able to be that p hyscially active in a year.. felt SOOO good.. I just want to go for a jog!!! though that would probably be a bad idea! I miss working out!
    Limekat- haha I know, I don’t realize how much I say yall (when I lived in the northeast everyone would laugh at me for it haha) now i’m back down here and saying Yall just makes sense! ๐Ÿ™‚
    Thanks again so much for all of yalls help! I really appreciate it!!

    June 11, 2012 at 3:38 pm

    Sorry to hear you are going through this!! It isn’t easy when our body’s give us such a struggle!!! I had a normal needle EMG x 3, and NCV only one area showed demylenation around my knee (which is where I was initially sympotmatic).. They did TWO lumbar punctures on me, and testing and more testing all while I had to wait and go to more appointments and wait longer.. it was SO frustrating.. Finally I was admitted to the hospital for IVIG treatment.. anyhow the way they ended up finding my diagnosis of CIDP was skin/epidermal nerve biopsy- low risk, easy procedure with only local anesthetic, I believe a few others on here have had it as well.. sometimes I guess it doesn’t show up on EMG/ncv, but will on there.. As far as the LP goes.. by the books you should have elevated protein, but it seems a lot don’t as well!
    As far as them waiting to treat you.. I had the same frustrations.. when I was in their office they thought well you “look” ok.. they would tell me how people would come in in wheelchairs and dragging their legs.. they didn’t seem to understand that I was only 30 years old (before this very atheletic jogger etc) and I had a newborn and 1 year old and full time physical job.. that I coudln’t wait to be dragging limbs (not sure why this is a hard concept for some dr’s to grasp) They even told me it appeared my muscles were functioning like they were 90… but said “if it worsens we will start treatment” haha.. it wasn’t acceptable to fucntion like a 90 year old for me!! Anyhow I saw quite a few outpatient neurologists before (I was so weak and tired, the last thing I felt like doing is seeing more drs.. but i needed help) getting referred into the university ALS/NM clinic they moved up my appointment and then admitted me into the hospital- my breathing was quite affected by this point…. Anyhow, the unkown is the worst.. I was just about to head to mayo myself before I finally had someone help me here locally. Good luck!

    June 11, 2012 at 3:27 pm

    Hello! I also greatly feared, and still do fear ALS as well.. I have had twitching in my legs after exercise x almost 4 years now.. Never thought much of it since I didn’t have weakness.. and then I had a medical procedure go very wrong landed in the hospital with blood transfusions and BAM.. hello weakness!! everything was weak on me.. legs, especially hips, hands (couldnt’ hold on to anything, my phone, silverwear kids etc) then I started having breathing, swallowing and speech problems.. my facial muscles are weak etc.. first dr I saw said he thought I may have ALS (i was 30 years old when he told me this).. now over a year later and IVIG working and many neuros and emgs later my diagnosis is CIDP
    though I am atypical – reflexes in upper extremities are dulled down, but legs/knees are brisk as they have been all my life.. Needle emg was normal for me all three times, and NCV showed one area of demylenation.. anyhow after my medical procedure went wrong and all the weakness started every single muscle in my body twtiched.. the 2nd IVIG took this all away and I felt almost back to normal… however since then sometimes IVIG works great, other times I swear they just gave me saline! As far as the fasics go.. I have them everyday.. though not nearly as much as I used to.. they are there.. From what I have read with CIDP and people I have met at the infusion center – IVIG effectivity not lasting for years seems to be common- then sometimes they add immunosuppresants or do more loading doses (I am still trying to learn about it all) or try other things as Lori mentioned
    I too fear that maybe this is still MND.. maybe it’s all in my head that IVIG is helping.. but then I realize I just have PTSD from my first dr appointment ๐Ÿ™‚ I AM better for sure.. can do thinks I coudln’t even begin to do a year ago, and ALS/MND does not respond to IVIG…. and then I can tallk myself down from the ledge.. temporarily until I freak myself out again!!
    my diagnosis was sealed when they did the skin/epidermal nerve biopsies.. they were quite abnormal all the way up to the thigh.. It’s a low risk simple procedure if they offer it where you are!
    Good luck, and So sorry you have to go through the physical and especially mental stress of this all!!

    June 8, 2012 at 9:41 am

    thanks yall.. it just caught me off guard!! Dawn – I will search for that success story – that gives me hope! I am going to get established with an internest next week and will ask them to test me for bartonella as well.. I did turn CMV positive after my blood transfusions (from the IUD perf which is what started all this fun).. I always wonder if that has anything to do with it too!?? Be nice if it was just a rx of antibiotics or antivirals and i was fixed haha! (one can hope)!

    June 8, 2012 at 9:35 am

    aww, thank yall so much.. I can’t tell yall how much I appreciate yalls support and advice!!! I only got a loading dose one time (when I was inpatient in the hospital) and it was only a 3 day loading dose at that (not sure of how many g/kg as It was all foreign to me at the time).

    I dont’ feel 100% comfortable with the dr we see.. we are so thankful though I am an atypical case of CIDP that they did try the IVIG in the first place.. thankfully it worked and worked AMAZINGLY!

    The further away I get from the loading dose, i defintely feel like it doesn’t work quite as well, though sometimes more than others.. ..
    I feel like the dr we see is more of the old school “doctoring” and doesn’t like hearing recommendations from their patients.. though when I told them it was wearing off before the 3 week mark and having relapses they did respond to increasing it to every 2 weeks.. I am afraid to step on any toes I think.. as this dr at least did try the IVIG.. I know someone at the infusion center that went to get a 2nd opinion and they put her IVIG on hold due to her being an atypical case (also of CIDP).. I hear she is quickly declining and doing pretty badly since the IVIG.. SO, I think after hearing that I am extra afraid to “rock the boat”

    I wish I could be with a dr that I felt more comfortable with.. but am scared to risk a change of diagnosis, revoking of the IVIG or anything that could make inurance wiggle it’s way out of paying for the IVIG!

    I want to feel like I did after that 2nd IVIG all the time, which was almost back to my old self.. So, I think I will ask them if we could do another loading dose.. as I just hate teatering on the edge of major dysfunction!!

    Yall are all right as far as seeing it as an investment in my life, families life etc.. it is just hard with being the bread winner/insurance holder, Mom, the one who cleans, cooks etc.. then I have a very demanding job on top of it all.. We dont’ have any family to help us, they are all out of state.. with a 14 month old and a 2 year old we are obviously busy!
    My husband goes with me sometimes to the appointments.. honestly he doesn’t understand why I want him there, and it is kind of a fight to have him go with me- he just says he doesnt’ understand.. But I was alone at my first dr appointment who said that I may have ALS (1st dr before any emg).. and that was pretty awful experience.. ever since I hate going to any appointment alone!

    Does heat bother anyone else?? I can just melt after showers it seems, and then if I am out in the sun, or if the sun is even shining through the window when it hits my affected areas it just tingles and burns like crazy!
    Pat- I hear ya.. I have always been very active – surfing, hiking, mountain biking.. then I was pregnant for 4 years on and off and just getting back into running/jogging and excited to “get my body back” haha! who knew!!

    limekat- I was also there once – barely able to brush my teeth.. coudln’t carry the kids at all, and even temporarily holding one would weigh me down so much I coudl’nt get my legs out from undernreath me to walk with the added weight! I am SOOO thankful IVIG Is working.. but I agree, there is room for improvement no doubt

    Kelly- did Emily ever have pain behind her eye when she moved it?? I swear I have had one eye that lags a little since this all started.. and its almost like it can get pulled, it gets SOOO sore, it is really painful to move it when I have exacerbations! … she had swallowing difficulties as well right?? I would really like to do that type of loading doses.. I think I would feel like a new person!!!
    Thanks again yall so much for your help!

    June 6, 2012 at 1:57 am

    Thanks so much yall.. Hummmm. I may have to bring that up to my dr.. it’s hard since I don’t know what an “acceptable” level of dysfunction is.. when to push for more improvement or when to just say being this dysfunctional is “ok”… I hate bugging them, but I would love to be as close to normal functioning as possible! I can’t get over how much this last dose helped.. Thank goodness, I have been a complete mental wreck the past two weeks, my symptoms got so bad – the swallowing thing is freaky,and I couldn’t even hold a crayon well again/my dexterity was getting awful again – can’t hold a mascara wand etc… I feel like I am teatering on the edge of pretty bad dysfunction a lot.. changing the ivig to every 2 weeks is helping, but the getting sick a lot is setting me back big time. THANK GOODNESS now I can swallow and write almost normally again.. I may go ahead and mention loading doses to the dr.. of course i have NO IDEA how I would have time for that… stressed!

    June 5, 2012 at 8:10 pm

    Thanks Kelly- I have been wondering if that is what I need.. ever since my first relapse since the 2nd IVIG I feel like each IVIG helps tremendously, but I have never felt quite as amazing as I did after that 2nd IVIG.. and feel like it works less and less, I have been wondering for a long time if a second loading dose would help me get back to that AMAZING feeling I had after the 2nd one? Does it seem like a lot of people do have another loading dose? I’d rather that than adding on immunosuppresants I think!

    June 5, 2012 at 8:04 pm

    love2run- good luck with everything.. gosh all the testing and waiting is SO hard.. this is all so hard, but just waiting for someone to finally actually help is tough! As far as the ANA goes I have always had positive ones, the lowest a 1:80, the worse 1:860 or 1:640 (can’t remember).. My sojgrens markers were elevated one time, negative another and I think everything else was negative.. the lupus “panel” was all negative twice.. My LP was normal one time (upper limit of normal protein the first time). Second time I had meningitis (aseptic) from the IVIG and the protein was elevated – they weren’t sure if the meningitis threw this off or not, as the protein was over 100 and I was most symptomatic at that time too (when I was admitted into the hospital). My GI issues were basically malabsorption/loose stools – like 30 a day ugh.. I felt like I was starving to death i was SOOOOOO Hungry like at the beginning of pregnancy ALL THE TIME.. I ate NONSTOP, even in the middle of the night – huge meals (strange huh?) I am now eating gluten free for over a year due to all of this- the IVIG fixed that issue thank God! Urine issues – I had retention and incontinence.. no fun!
    I think I saw 5 or 6 outpatient Neuros before getting the help- skin biopsy apparently sealed the deal.. I did wait too long though and coudln’t breath well for over a week and was choking on food and liquids from swallowing issues when I was admitted into the hospital. I can’t tell you how many times I was asked if I was “Stressed out” being a full time working mom of two.. i just wanted to scream- You people are stressing me out!! Good luck!!! We’ll be thinking about ya!!!

    June 5, 2012 at 2:35 am

    I meant to add- I was in the sun this weekend, and ever since my most affected areas feel like I have a prickly pear poking them.. And im not sunburned at all.. It is a really wierd sensation, and strange that heat and sun exacerbate it so!

    June 5, 2012 at 2:34 am

    Dick S- haha, I also like your fire hydrant comparison!! I hear ya there! ๐Ÿ™‚ As far as the insomnia goes – I cant even nap if I want to anymore, since all of this started (i work crazy shifts, so a nap would be great at times) but I take lyrica before bed and don’t like taking it in the daytime as it makes me feel funny (don’t wanna work or drive kids after taking it) and the limbs “asleep” sensation is CRAZY when I don’t have the lyrica in my system.. during an exacerbation its even more so – ick! I fall asleep no problem, but within minutes i’m awake shaking my limbs and just annoyed!
    Shellbones- You know as much as I don’t want to be on immunosuprresants you are right.. if it meant I had fewer relapses, that would be worth it, as you can treat most infections with antibiotics if needed, but things can go scarily wrong with relapses that might not be fixable… defintely makes it look more appealing and less scarey- thank you for that perspective! Hope you don’t have to get on antibiotics this time – ugh germs… not fond of them one bit!

    June 4, 2012 at 1:50 am

    heather- I hear ya.. I have a 1 year old and a 2 year old and have been sick since my son was 6 weeks old (he is my 14 month old).. The first dr I went to (on a friday afternoon) said.. I am concerned it might be ALS.. ok have a great weekend- see ya Monday for your EMG!?!!!! I was a SERIOUS WRECK!!!! I knew what ALS was and had secretly feared that.. but to hear a dr tell me that alone in a room.. it was so sureal I can’t even express! Anyhow that EMG was clean, well the needle part.. I had demylenation on my most symptomatic area (my knee at the time) hands had already been hit too… all my NCV were slow, but they aren’t sure if it was due to my extremities being cold or not..
    I had three EMG’s by three different doctors within four months.. the last one at the ALS clinic in the university here… I was sure this was when they were gonna tell me it is ALS/MND.. at this point I had slurred speech and swallowing issues, knee/leg, hip, hand shoulder face weakness and visable hand/muscle atrophy and tongue atrophy…. NO ALS.. needle emg totally normal! My reflexes have been diminshed or absent in my upper extremities all along, and most affected knee is less than my less affected side.. however they are still brisk on both knees most of the time (it is such a subjective test.. i hate it-each neuro tells you your reflexes are different i swear!)

    I have had fasiculations for about 4 years now.. just in my legs for the first two (and I had a numb right foot, i alwyas thought – my shoes were too tight, or when I would jog it would get worse up my leg- figured I had a pinched nerve in my back.. never thought much more of it).. now i have fasiculations EVERYWHERE.. though they are less with IVIG now.. tingling- heat makes this WAY worse.. i was in the sun today and i feel like i have prickly pear all over me.. pretty bad shocks all over (IVIG has helped this except when I have relapses).
    It hit both hands of mine at the same time and I literally couldn’t text, scoop formula (had to give up breastfeeding at 7 months when I came home and pumped out water – I had serious GI symptoms before the neuro symptoms), hold silverwear or do my job which requires very good dexterity.. I can do all of those things now THANK GOD afer my second round of IVIG…
    feel like I have been given a second chance at life.. though I still fear ALS very much.. i have ptsd from that dr appointment!! (sorry I ramble)
    have you had an emg yet?

    June 4, 2012 at 1:40 am

    Thanks Lori!!! I am sure hoping for both our sakes that we find that magic “pill” and we will have the peace of mind that it will help us and make it work.. this whole uncertainty of what the next day brings with symptoms is hard- mentally! :0!!

    June 3, 2012 at 3:54 am

    Thank yall all so much!!! I can’t tell you how much yalls replies mean to me, especially in my freak out mode like I have been in this past week!!! I was a nervous wreck most of today.. woke up thinking MAYBE swallowing was a little better.. hands DEFINTELY felt better thank goodness! However, I was completely freaked out by the swallowing.. legs/hips almost back to normal. but, then this evening I took my pills and I could swallow SOO Much better! I picked up crayons to color with my daughter and had my dexterity back mostly.. Talk about a RELIEF!!! this whole thing is so crazy!!! I’m still not back to what I was a few weeks ago.. but I”m only 2 days post IVIG.. Usually it’s 4 days before it really really hits me well.. what a roller coaster!!
    As far as breathing goes.. I haven’t felt any difficulties breathing this time.. i have had chest pains the entire time, especially with deep breaths or when my heart starts racing.. and I get it during IVIG too, though a different kind.. Difficulty breathing for two months that gradually worsened is what landed me in the hospital for my first IVIG back in december.

    Shellbones – I’m sorry you have had to go through this, but man it is nice to hear that someone else had gone through similar and is doing ok! I have never tried any steroids whatsoever.. I wonder if I should?? Since they think I have multiple autoimmune issues.. it seems like it could help!
    Lori- thank you – that helps me calm down a bit hearing that there are more options out there if this doesnt’ work.. I stress about the immunosuppresants with work and all.. if it will be smart to continue where I am.. but I guess i’ll cross that road when/if it comes to that. I was worsening before this new brand of IVIG.. I was just hoping it would “kick in”.. how many days until yall feel it kick in usually? for me its generally around 4

    GH- my dr is aware that I have had “awkward” swallowing since this all started.. they did the autonomic testing on me a while back which was postive (heart rate in the 160’s – whew I felt bad when that was happening)! My resting heart rate when this all started was in the 140s!!It was awful! No difficultly breathing this time..Thank goodness! I can still walk and talk thank goodness, but I think my dr isn’t as concerned due to that as well.. Though they are treating me which is what matters!

    Thank yall.. I’lll keep yall updated.. I hope that the IVIG continues to work in the coming days.. and I think i’m headed towards steriods/immunosuppresants or something in the near future.. i’m having too many relapses it’s just not well controlled!! this is stressful!