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Just to expand upon my treatment. Around December 1st, 2016, Dr. “One” began treating me with 80mg of Prednisone every day. Two weeks in, I called him and said I’m worried, I’m getting progressively worse. He said, give the Prednisone a chance to work.
By Christmas I was using a cane and by New Year’s I could barely walk and I had trouble holding things in my hands due to numbness and loss of motor control. I called him January 3rd and said I was in awful shape and need to see him. Got in to see him that day, collapsed in his office and was sent off to the hospital for a week’s worth of IVIg.
Like I said, I started to feel better almost immediately. I stayed off work until February 14. During that time, Dr. “One” said we would continue with 80mg of Prednisone per day and that the push from the week’s worth of IVIg was all I needed.
But by the end of February I felt a small decline and by mid-March I knew something was wrong again. Finally got into see Dr “One” by the end of March. I was using a cane again, had numbness in my hands as well and felt extremely weak.
He gave me another week’s round of IVIg beginning April 1st. But the staff gave me the infusions so quickly-2 hours each day-that I felt no benefit after this treatment.
It was at this point, I got a second opinion. Dr.”Two” looked at my treatment from Dr. “One” and said, point blank, this guy isn’t doing you any favors.
It is obvious that Prednisone doesn’t help you. And did you know that IVIg only stays in your system for 30 to 40 days. So he let you relapse by not continuing a regimen of IVIg. Additionally, your April infusions were delivered too fast and that’s probably the reason you felt no benefit from them.
In other words, I went 3 months under my old doctor without an effective treatment and then, when he does give me the IVIg, its given to me incorrectly.
Dr. “Two” started me on monthly treatments of IVIg. I saw a huge boost in May and regained much of my upper body strength. Since then, with plenty of ups and downs, improvement has been incremental. I’m definitely going in the right direction, but the progress is very slow. But with this disease, progress is progress.
If you go the IVIg route, make sure to have the serum delivered slowly. It makes all the difference in the world.
Then, remember, you will be easily fatigued. When you get to the point you are tired, rest or your atrophied muscles will make you pay for days. Also, I’ve found that stress can make your symptoms worse. I’ve about 90% mastered the stress at work, but on the days I let it get to me, I can feel numbness creep back into hands, arms and legs.
Assuming its CIDP, all I can say there is hope. In early January of this year, I collapsed in my doctor’s office. I think that was needed to convince him that I WASN”T GETTING BETTER 😉
That evening I was admitted and couldn’t stand. A week’s worth of IVIg and I started to regain strength and could walk again. It was a long process, and involved getting a new doctor, but almost 10 months later, I’m working full time, and playing 9 holes of golf a week.
I still have some weakness and pain and there are definitely ups and downs, but things will get better with treatment, over time.
Best of luck. Keep us informed and feel free to ask more questions.
I’m about 9 months out from diagnosis and the beginning of treatment. While much better, I still get fatigued after a day’s work or if I push it too hard in general.
It almost sounds like you have CIDP, which is chronic. Find yourself a neurologist and get treated ASAP. Good luck.
Hi Jeff,
Very weird cycle for me. It took almost 2 weeks for the IVIg to kick in. Around the 16th of this month, I started to feel energized again and I’ve remained on the uptick since then.
I don’t get inflamation, just weakness in my calves/ankles and nerve pain in my feet.
My doctor upped my gabepentin to 1500mg a day and it now actually takes the edge off the nerve pain in my feet.I’ll agree with you on over doing it. At this stage in my recovery, there is only so much I can physically do and when I cross that line, I pay for it for a few days until I can rest for a bit.
I saw your other thread. I’ve never really had anything over the counter that takes inflammation out. Sorry, I can’t recommend anything on that topic.
Sorry it took so long to respond.
Just saw my neurologist this morning. He said that treating CIDP is as much an art form as it is a science. With my ups and downs, he wants to try an IVIg treatment one day, every other week versus the current back to back days, each month.
He said the more even distribution of IVIg has helped some other of his patients avoid the ups and downs and helped to progress to the next level of healing.
Worth a shot….
Thanks Cer100. I took off work today and feel a bit better. But I’m still worried about decline. I wish recovery was linear, but obviously it isn’t.
Hi Jeff,
My infusions are for 2 days, each month right now. I called my insurance, and they acted like it was just a formality. I also talked to my health care provider and they are providing all the information required. So at this point, I don’t know what is going to happen.
As for medical necessity? In the overall scheme of things, I’m doing much better. My core body strength has returned, but I have lingering numbness in my hands, lower legs, and feet.
At about 3.5 weeks, I can feel the effects of the IVIg waning, so at this point, I’d hate to see how much I’d regress without it.
If my strength would return in my legs, and the neurological pain in my feet would go away, I’d be happier.
But on the other hand, I was using a cane again at the end of April, and now I can play 9 holes of golf. So I’ve come a long way. I’d just hate to see my progress foiled by my insurance.
Bryan
Just another update. I guess my expectations are too high. I should be eternally grateful. I’m walking fairly well. I’m able to work and even play 9 holes of golf a week.
But, I still have pain/burning and stiffness in my feet and when I tire out, I get numbness in my lower legs and from my elbows to my fingertips.
I was really hoping the IVIg would have helped these areas to start healing by now, but I guess I’m just impatient.
Last July, when I believe the very first signs of CIDP were emerging, I experienced shortness of breath upon exertion. I thought my asthma was acting up, but it turns out it was a symptom of the emerging disease.
My first doctor treated me with prednisone, 60mg, so needless to say, my breathing improved greatly-along with all my back pain! 😉 Unfortunately, the steroids did nothing to help my CIDP.
When I received my first round of IVIg in January, I think all signs of labored breathing vanished. It wasn’t until I had a relapse in late March that I experienced shortness of breath upon minor exertion again.
Now that I am on monthly rounds of IVig (since April), the huffing and puffing has pretty much went away.
Amyozzy, do you take a couple of Benadryl and a tylenol before your IVIg infusion? Also, how fast do you receive it? Maybe slowing down the infusion rate might help. Good luck.
So 10 days out, I’m starting to feel subtle effects of my infusion. My physical strength has returned. I cut my gulley with a push mower this afternoon. At the end of June, I was huffing and puffing, and struggling cutting the gulley. Today, it was a cinch!
Also, I can walk down the stairs again like a normal person, instead of both feet on the same step….
So nothing earth shattering, as it feels more like an incremental boost in the right direction.
Still have a lot of pain below my knees and in my feet. Also, there is persistent numbness in my fingers.
Haven’t got the usual bounce so far. Also, I’m just plain tired.
CIDP is a cruel mistress. Highs, lows and everything in between.
So far, I’m having a typical reaction to the IVIg. I’ve had 5 or so days of fatigue, with pain and numbness ratcheting up in my legs and feet.
Today, I felt a bit more energized and my feet and legs are feeling better. I usually get a bump about 7-10 days in. That would put it about Wed thru Friday of this week. Hopefully the pattern holds.
Thanks Cer100. Your reaction to IVIg sounds close to mine. My fatigue is starting to lift and hopefully I start to see an improvement in the next few days.