GaryO Houston

Your Replies

  • July 30, 2008 at 8:24 pm

    I saw a new neurologist today at BCM. B-12 deficiency is not what is causing my neuropathy. He suspects it’s “inflammatory”. (Seems I’m about to be an official member of the CIDP Dx club).

    He’s ordered MRI of the head and neck, Pulmonary Function Test (PFT), my 2nd EMG, lumbar puncture, and a battery of blood tests.

    I had the MRI and PFT today. I will have the EMG and blood tests tomorrow.

    I wasn’t able to schedule the lumbar puncture until 1 week from today because I had taken an aspirin and they won’t do a lumbar puncture until one week has passed since your last “blood thinner”. ๐Ÿ™

    I’m thinking of pressing the neurologist to begin treatments if the EMG indicates CIDP again so I don’t have to wait another couple of weeks. (Things have been deteriorating daily for me the last four days).

    Curiously (?) I have had some improvement in my reflex response in my feet and legs. And my neuropathy has been cyclical (some improvement and some deterioration). Is this typical? :confused:

    Do y’all have any sage advice or experience on pressing for treatment early (before spinal tap confirmation)?

    Again many thanks and God bless.

    July 29, 2008 at 11:13 pm

    I’m on my way to Baylor College of Medicine (BCM) Houston tomorrow for further Dx and testing tomorrow. Now I’m armed with all the knowledge and help you all have given me and that gives me confidence.

    I’m trying to get set up with another neurologist there who specializes in Neural Muscular disorders.

    My heartfelt thanks to you all,

    Gary

    July 24, 2008 at 5:19 pm

    Kelly, my original appointment with the neurologist was weeks away and through calmly working my way through the red tape (and lots of prayer support) I was able to see the neurologist the next day. Fortunately for me I live near Houston, Texas and Baylor College of Medicine which put a world class department within an hours drive.

    I agree with the comments on the urgency of getting in to see a neurologist and that emergency room would probably be useless (from my experience). I was cautioned that I may have GBS when I started experiencing numbness on my face and lips and to go to the emergency room. The staff neurologist (Methodist Hospital Houston) was evidently too busy to make it down to the ER. The attending physician was told through a phone conversation with the staff neurologist to send me home and for me to set up an appointment to see a neurologist. That’s after I had their battery of ER admitting tests, a lot of wasted time and money.

    Keep politely pressing your way through the buracracy and administration and try to talk with the medical staff to help escillate your cause.

    Good luck and best wishes, ๐Ÿ˜‰

    Gary

    July 24, 2008 at 2:54 pm

    Kithlyara, I also take sublingual B-12 4000-5000mcg each day. I mainly do this as I had also researched B-12 regiments and my B-12 injection regiment is not nearly as aggressive as “typical”.

    Interestingly I was taking sublingual B-12 (1000mcg) daily prior to my symptoms appearing and diagnosis. I picked some up by accident (intending to get “B Complex” and started taking it for energy. I used to work out pretty hard every day.

    I don’t know if the sublingual B-12 is helping or not. I am running my own test though. I already have my baseline with sublingual B-12 1000mcg (first and second blood tests). My next blood test will be with B-12 injections and sublingual 4000-5000mcg daily. I will then quit taking sublingual suppliments and see what my fourth blood test shows.

    Sorry, I’m an engineer by education and sometimes I just can’t suppress it.

    July 24, 2008 at 9:18 am

    It seems every doc I’ve seen started out thinking my symptoms were “in my head”. My neurologist couldn’t accept initially that my symptoms came on as quickly and progressed as quickly as I experienced “I’m sure you just didn’t notice the symptoms”. (It’s rather hard to not notice “drop foot” when you’ve a runner.)

    I’m sorry Kristen and “limekat” that you’ve had to go through the same skepticism, but it’s transgender… ๐Ÿ˜‰

    Gary

    July 23, 2008 at 4:22 pm

    Thank you all for the B-12 discussion. I talked with my neurologist’s assistant yesterday and the gave me orders for another B-12 injection. I took it this morning.

    Monday and yesterday were very rough days neurogically and physically.The foot drop, leg stiffness and motor control and numbness in my fingers were the most pronounced they have been. I have found that regular (daily) exercise is very important to my health. I can swim, use weight machines, use an elliptical machine, ride a bicycle (I have fall down a couple of times like the tricycle guy on Laugh-In when I stop and try to balance on one leg). You younger folks won’t understand that one.

    If I don’t see marked improvement from this last B-12 injection, I’m going to insist on more B-12 and further diagnosis.

    My Neurological Chiropractor here in Houston has given me a product called “Biofreeze” which seems to “wake up” my sensory nerves temporarily and really cools them down. By the way, my Neurological Chiropractor has spent much more time listening to me, researching, assessing my motor and sensory functions and knows my overall condition and the neuropathy progress than anyone. And she has spent much more time listening treating me (adjustments and physical therapy).

    I highly recommend checking into neurological chiropractic. I found mine at their Certification board web site link: [url]http://www.acnb.org/[/url]

    July 22, 2008 at 3:16 pm

    Thanks Linda and Kelly.

    Linda, my B-12 deficiency is due to lack of “intrinsic factor” which is produced in the stomach. I’ve lost the ability to produce “intrinsic factor” so I can no longer absorb B-12 through the digestive tract. I have to take intramuscular injections. The source of my demylanation is still unexplained, but the lack of B-12 prevented repair. I am experiencing both sensory neuropathy (fingers, palms, forearms, feet, toes, lower leg, lips, and right cheek) and motor function neuropathy (feet, heals, toes and fingers). I was told my case is “extreemly rare” (those are not comforting terms when dealing with your health) in that I didn’t show any evidence of anemia with the B-12 deficiency. I would love to hear back on your diagnosis and treatment. My treatment is 1000mg B-12 every 3 months, which is atypical from my research. Best Wishes …

    Kelly, thanks for the reminder on “whose the customer/boss”. I was surprised as well with the lack of a spinal tap for the same reason. But I was a troubleshooter/diagnostician early in life and my brain is wired to run tests to cover all the bases. I talked with my neurologist’s assistant just before lunch and she said that they would get me orders for another injection and to keep my regular follow up appointment (mid-August). If I continue to see a decline in my motor function or if the injection doesn’t help soon, I will press to move the appointment up. And press for the spinal tap. Thank you for sharing and congratulations on your daughter’s outcome. It is encouraging for those of us who are in the middle of this and new to it.

    Gary

    July 22, 2008 at 1:36 pm

    Thank you Kelly for the quick response.

    I have had two blood tests to date that showed B-12 deficiency. The initial one was done at the same time as the EMG & nerve conduction on my initial visit to the neurologist. The EMG department diagnosis was CIDP based on the nerve conduction and velocity tests.

    I have not had a spinal tap.

    My neurologist was convinced that B-12 deficiency was THE problem after the second blood test confirmed the first results. (Of course he was also convinced that I had charca marie tooth based on my initial motor skills assessment). I guess he thinkgs the B-12 diagnosis is so conclusive that the spinal tap is unneccessary.

    I was relieved with the B-12 deficiency diagnosis, but now I am questioning if it is indeed the whole picture.

    I was initially in constant contact with my neurologist (they knew my phone number by heart), but they have a way of making you feel impatient and somewhat of a pest.

    Thanks again for listening and responding.

    Gary