LMayberry

Your Replies

  • June 11, 2017 at 4:49 pm

    Jim-LA

    I read an article from a link on Twitter two days ago about Rapamycin and its ability to repair Demyelinated nerves. Now I cannot find the Tweet or my replies to it. I wonder if so,Elmer had it pulled for being medically irresponsible?

    It cited a study from the University of Baltimore and was vert scientific. It did mention the side-effects, but most of them did not seem any worse than with the other immune suppressant drugs being used. For me, the blood sugar issues would not make it a good choice for me.

    I am seeing my neuro on Thursday and I need something try. No real improvement with IVig. I had a temporary improvement after five days of Prednisone, but it raised my blood sugar, requiring insulin. It wore off in two weeks. Same with six days of Solumedrol.

    I still have two months until I get seen by the UCI Neuromuscular Center and I hate not getting any treatment until then. My neuro does not seem to know what to do and I just want to be able to walk well enough to leave the nursing home.

    I am sure you understand the frustration.

    June 11, 2017 at 9:20 am

    It sounds like you have gotten treatment very quickly. So,e wait months or years to get a proper diagnosis. Getting IVig is very difficult for many and you are lucky to get it right away, but it doesn’t always work for everyone, but it is probably the safest for you and the baby.

    But if it does not give you some good results after three months, it might be necessary to go with another treatment. Prednisone has worked well for me in improving strength and numbness, but the effects are very short-lived and the side-effects of weight gain and raising my blood sugar to the point of needing insulin make the long term use not good.

    Everything I research seems to have a downside, but my treatment was greatly delayed and I didn’t get a diagnosis until I could no longer walk, so there needs to be a lot of repairing what is broken.

    Your baby needs you to be healthy and the other drug options would very likely not allow you to continue breastfeeding. If IVig, doesn’t work, steroids and immune suppressants are the next options.

    Good luck and I do hope the IVig does start giving you good results.

    June 3, 2017 at 10:16 am

    Jk –

    Thanks you very much for your reply and information. I had asked the social worker two months ago if she could help me find out about this. When I was declared disabled it was made retroactive to when I retired from my job 8/1/15, so I will hit the two year mark in two months.

    But I am not low-income. I have a good pension, along with SS would be great except the I have to pay $7500 per month for the nursing home, plus medical copay, transportation costs as well as the bills for keeping my house. That puts me $1500 to $2000 in the hole ry month. The outgo exceeds my income.

    It is very soon going to get to the point that I won’t be able to afford proper care, and I am panicking. Besides CIDP, I also have bad eyesight due to retinal bleeding, so looking up things is a real issue.

    Take care and thanks again.

    June 3, 2017 at 10:16 am

    Jk –

    Thanks you very much for your reply and information. I had asked the social worker two months ago if she could help me find out about this. When I was declared disabled it was made retroactive to when I retired from my job 8/1/15, so I will hit the two year mark in two months.

    But I am not low-income. I have a good pension, along with SS would be great except the I have to pay $7500 per month for the nursing home, plus medical copay, transportation costs as well as the bills for keeping my house. That puts me $1500 to $2000 in the hole ry month. The outgo exceeds my income.

    It is very soon going to get to the point that I won’t be able to afford proper care, and I am panicking. Besides CIDP, I also have bad eyesight due to retinal bleeding, so looking up things is a real issue.

    Take care and thanks again.

    June 3, 2017 at 1:07 am

    The only family I have is a brother in Oregon who has enough problems of his own. I have a nurse advocate with Blue Shield but she can only act on doctor’s orders. BS did pick up my nursing home bill for a couple of weeks after I got out of the hospital in April for IVig.

    I only get out of bed for showers and doctor appointments. I don’t have my own wheelchair, so I have one to use that no one else wants. I just purchased a leg brace and have started to stand, but it is very painful. When the ankle was broken, I really never had much pain due to the numbness, but standing the last few days has caused some intense pain and from what I can tell it is at a point where a plate and screws were put. I had no idea because I couldn’t,t feel it until a couple of days ago.

    I just turned 63 a couple of weeks ago, so I am about 20 years younger than most of my fellow residents. Not much chance of socializing. Most of my friends were from work and I have only had four of them visit me in the 21 months. I retired as a computer technician less than two months before I got sick because my eyesight was getting so bad I could not continue.

    On the good side, when I applied for SSDI, I got immediate approval. I am hoping that my situation gets better after the visit to the UC Irving Neuromuscular Center. If they confirm the diagnosis, the battles might get easier. Next neuro visit is June 15 so nothing will happen until then.

    June 2, 2017 at 2:00 pm

    Sandy-

    Isolation is a huge problem for me. I have spent the last 21 months in hospitals and nursing homes. I was in private rooms while in the hospitals and my nursing home roomies have been most non-verbal or non-English speaking. I have no family in the area and only my 91 year old housemate who can only visit me weekly, if I’m lucky, since the only nursing facility that would take me is miles from our home.

    It has been an on-going battle to get proper care, and my condition has declined to where I can’t walk. Before I was diagnosed with CIDP, I had a broken ankle from having the paramedics dropping me when they were called to my house because I was too weak to stand up. Complications do to nerve and muscle weakness have led to a contracture. The ankle is turned in and the ortho I saw last month said I should have the foot amputated if I want to walk.

    But extreme weakness and dizziness are also keeping me from walking. So I am stuck in my bed with very little interaction with anyone other than phone calls to the housemate. I am so afraid of causing him distress by burdening him with my problems, I just wind up crying in the middle of the night. My level of frustration with my lack of medical care is really getting to me. My physical therapy was just cancelled again on Monday, my one and only IVig treatment was two months ago and the steroids have helped but have made me insulin dependent.

    I just want to be able to walk enough to get to bathroom so I can go home. Today, I will have to pay another $7500 to stay in the nursing home. That exceeds my monthly income by $2000, so I can’t do this much longer.

    Mid-August I have an appointment with the UC Irvine Neuromuscular Center which may help get some treatment, if I can last that long. I wonder how many of the patients die before their appointments?

    May 18, 2017 at 12:13 pm

    I just had my last Solumedrol of the six day course. My blood sugar was ranging higher than it was when I took the Prednisone last month. It has been a major battle for me trying to get what I consider appropriate treatment for all of my medical problems. I have gone from getting blood sugar checks four times a day down to once a day, twice a day when on the steroids. When I am in control,of what I ear, I have gone up to three weeks without needing any insulin. I am currently living in a skilled nursing facility, so I have to eat what I am offered.

    I also have had eye problems that have been treated with Prednisone eye drops and implants in the eyes. Those have also messed me up in putting on weight no matter how restrictive I am with my diet. I really don’t understand why they would treat problems caused by high blood surgery with drugs that cause high blood sugar. I have had cataracts and retinal bleeding.

    My neurologist seems to be waiting on having the diagnosis of CIDP confirmed by the University of California at Irvine Neuromuscular Center, which I have been waiting for three months and still have three more months to wait.After having the five day hospital stay cost close to $300000, the insurance company doesn’t want to pay for an expensive treatment for an unconfirmed diagnosis. Both the Prednisone and the Solumedrol showed definite improvement but only lasting about two weeks. Living in a nursing home is very expensive and my money will run out soon, so I need to be able to walk so I can got home. Having had treatment delayed for a year and a half has been costly.

    Thanks for you reply, Bryce. I think that I will probably wind up trying an immunosuppressant once I get a firm diagnosis.

    May 17, 2017 at 1:20 pm

    I just got a copy of my hospital bill for my five days of hospitalization for getting IVig. The only other things done were a brain CT before doing a spinal tap. The bill was close to $300000! When I got to the hospital, they asked for almost $1400 up front before starting treatment. I expect the insurance to pay this, since it was all pre-approved, taking four very long months for that to happen.

    Do you have massive co-pays every time you have an infusion? My follow up treatments have been one five day course of Prednisone and I am on day five of six day of a MedrolPak now. Since that only costs about $20, I am sure that makes the insurance company very happy, but being diabetic, it is doing horrible things to my blood sugar levels. But I am stronger, but th Prednisone wore off in a couple of weeks.

    May 13, 2017 at 1:33 pm

    Blessedmomof3 –

    If you are asking me why they didn’t start IVig for me when I was originally in the hospital, it is because I could NOT get any of the medical staff to listen to me about the dizziness, numbness and weakness I was experiencing. I was discharged to a nursing home to recover from my skin graft. The doctor for the nursing home even called to insurance company saying that it was irresponsible for them to discharge me when I was clearly too weak to walk or take care of myself.

    I paid for three additional weeks to try to get back to walking when I finally discharged to got home, which lasted about five hours. Even after breaking my ankle, a neurologist was called in, but again, the insurance company insisted that I be sent again to a nursing home with the neuro saying that I had something, but he wasn’t being allowed to pursue it.

    After I was considered weight-bearing on the ankle, I asked for the nursing home to make an appointment with the neuro because I was being called uncooperative in participating with my physical therapy by not walking when asked. Since I was so dizzy and afraid of falling and hurting myself more, this was true.

    I was informed that my insurance was cutting off Mersin home care and PT and still hadn’t seen a neuro, I called the neuro who had seen me in the hospital and was informed that they had told the SNF that he would not see me because he was no longer accepting my insurance. So I protested at my discharge meeting that not only were they refusing my request for a neuro appt, they hadn’t ordered the leg brace for my ankle that would allow me to walk. The leg brace arrived the week after my insurance and PT ran out, so I had the leg brace but no one to help me walk.

    So now I was on private pay again and still no neuro appointment. So I decided that upon leaving care, I would need a primary care doctor, so I made an apptment with one for May31st, my target date for going home. Due to a rug resistant urinary tract infection, I didn’t make my target, but I did keep the appointment. He gave me a referral to a neuro. Th SNF “lost” the referral three times before finally making the appointment for the end of August 2016. I checked out of their facility at the end of July because of their continued non-care of the UTI and foot.

    I had two more hospital stays for the UTI and ulcerated foot without any neuro consult being allowed at the beginning of August and was placed in my current SNF mid-August

    When I got to the Neuro appt, I was told that the previous SNF had cancelled the appointment (vengeful bastards) but the dr. would see me..Then the messes started again: insurance not wanting to pay for blood tests, MRIs and delays in getting NCV/McS done. Finally in November, I received the CIDP diagnosis with a recommendation for IVig.

    That started a new batttle. It was recommending that an infusion service come to my SNF to do the IVig, but my SNF refused to let them come. Since I can’t walk, the a,bulatory infusion centers refused to take me. The insurance agreed to five days in the hospital, but my neuro said my primary care doctor would have to admit me, and the SNF doc was not responding to my request. Then the IVig was denied by the insurance because the neuro screwed up by not giving them my weight for the proper dosage.

    Finally March 29, I was admitted for five days of IVig. Nothing bad other than itching, but there is no further doses scheduled.. I was given Prednosone from April 19-23 with good results, but they wore off. I started a MedrolPak this morning, hoping to get strength back and reduced numbness.

    New ankle braces have been ordered and I am hoping to be able to try walking again in the next few days before the Medrol wears off. I am hoping that once UC Irvine Neuromuscular Center confirms my diagnosis that Ican get IVig on a regular basis.

    Sorry to go on for so long, but this has been a long battle and I want to make sure that those who are being offered treatment right away don’t delay. I ,at be facing a life of never walking again because of treatment delays. Don’t wait for it to get worse.

    FYI, my insurance is Blue Shield of California PPO which seems to think that killing me off is cheaper than paying the bills.

    May 12, 2017 at 11:44 am

    Liam-

    Take the IVig! My neuro explained that many conditions can be helped by taking it, so not delaying treatment is the best thing you can do..

    I am an example of how bad it can get of treatment is delayed. I lost the ability to walk when I was hospitalized with a skin infection. I couldn’t get the doctors to pay attention to me and do anything about it. My diagnosis was delayed over a year, and I have spent almost all of my savings for nursing home care. When trying to get help, the paramedics were called by the ambulance service I called to take me back to the hospital and they insisted on seeing me try to walk. They drooped me and shattered my right ankle, which took forever to heal. But due to the nerve and muscle damage, the foot developed a contracture. I was told on Tuesday that the only way for me to walk again is to have the foot amputated and have a prosthetic foot replacement.

    At this point, I am still too weak to walk, but I am starting a second course of Prednisone today. If treatment had been started earlier, I would probably be enjoying life at home, instead of paying $7500 a month to be totally miserable and waiting three more months to be seen by the Neuromuscular center at UC Irvine.

    Don’t let the damage become permanent!

    May 8, 2017 at 7:46 pm

    Sandy-

    At times I think one of our biggest problems is dealing with the doctor’s egos. I have gone crazy for the last two years trying to get answers and have the doctor’s communicate with each other, but I have had little success.

    I am in a nursing home and their doctor should be coordinating everything, but I don’t think he has the slightest idea of my diagnosis. This last timeI saw him, we had a disagreement over his wanting to treat me for high potassium with a medication that could have possibly killed me, when I was disputing the blood test results because of the way the blood was taken (tourniquet left on too long and very small needle used) and he backed off but was angry that I had researched the medicine and discovering that if it was taken with the artificial sweetener Sorbital, which is a major ingredient in one of my medications, it could cause intestinal necrosis. He hasn’t visited me since.

    I see an ortho surgeon tomorrow about correcting my deformed foot, but blood tests are showing severe anemia. I have been asking for them to look into this because if surgery is offered, I don’t want a delay because of my blood.

    I have four different online apps from my doctor’s that display my visit and test info. It would really be great if there was a way to link all of this information together so everyone could see all of the test results. My last blood and spinal fluid are on the hospital app, my neuro has a different one, my two eye doctor’s use the same app and I have been set up on the IC Irvine Neuromuscular Center’s app even though I don’t see them for another three months.

    Every time I see a new doctor, I dread filling out the paperwork, worrying that I might be leaving out something important. Here is a list of my conditions:

    Diabetes Type II 9/15
    Necrotizing Cellulitus 9/15
    Cataracts 9/15
    Retinal Bleeding 9/15
    Congestive Heart Failure 10/15
    Fractured right ankle, surgery 12/15
    Antibiotic resistant urinary tract infection 5/16
    Ulcerated right foot 8/16
    Polyneuropathy 8/16
    CIDP 11/16
    Autonomic peripheral neuropathy 4/17

    I lost the ability to walk five days after being hospitalized for the cellulitis but I could not get anyone to do anything about it. When in rehab after the broken ankle, my inability to walk was considered to be self limiting and my insurance cut off care and rehab. I am finally getting PT again after a year of being cutoff, but they have no idea what to do to help me. I try to explain, but they don’t listen.

    Listening would solve a lot.

    May 7, 2017 at 10:09 pm

    JK – Haven’t contacted anyone about the SNF situation. Just complaining about the situation in-house for my previous SNF got me “black-balled” (term used by hospital social worker who was unable to place me in any SNF in my large hometown) because the SNF community does contact each other. My complaint was about their incompetent staff doctor and I just wanted my own doctor to prescribe for me. They also would not make recommended specialist referral appointments. I can’t screw myself anymore than I already am as I need the care.

    My main objective right now is to walk again so I can go home. Fixing my foot is a big issue, but having the strength to just stand is big, since I don’t know if it is the CIDP or the anemia making me dizzy. My primary doctor is provided by the facility and has been pretty invisible.

    May 6, 2017 at 12:47 pm

    Bryan

    Thanks for the number. Just have to get the neuro to prescribe then figure out how to get the infusion done. Trying to find out if my insurance will cover SCig, since my SNF won’t allow IVig in the facility. Shouldn’t be any harder to give than insulin, but if no FDA approval, the insurance probably won’t approve.

    May 6, 2017 at 11:58 am

    I have had only one five day course of IVig from March 29 to April 2. Then my Neuro put me on five days of Prednisone April 19-23, which seemed to help more in giving back strength and some sensation, but it is wearing off already. Ny neuro said he would re-evaluate me mid June to determine further treatment, but I am feeling serverely under treated at this time.

    I have Type II diabetes, so the steroids are not a good choice for me. I have had six months of steroid implants in my right eye for retinal bleeding, which added about 20 pounds, and the five days of Prednisone added another five pounds.

    I am still theee month away from being evaluated by the UC Irvine Neuromuscular Center to try to confirm the CIDP diagnosis to make Blue Shield happy about paying for all of this. They denied paying for some of the blood tests ordered which cost me about $600. The IVig cost me $1400 in copays, so I really can’t afford all of this.

    May 3, 2017 at 11:35 pm

    You certainly would not want to place her in a facility that does not have experience in dealing with GBS patients. I know that some places are considered a “Sub Acute” facility, which would deal with more seriously ill who might be on a respirator or require tube feeding.

    A co-worker who had GBS was sent to a rehab place in San Pedro that she said was excellent. I am in a SNF in Bellflower that had decided to IVig infusions onsite so I had to go to the hospital. I was previously in a place in Long Beach that provided more services, but this was before I got the CIDP diagnosis. I left there because their staff doctor was sloppy with his prescribing, not checking my allergies before giving antibiotics and ignoring my complaints of weakness, numbness and dizziness, which led to a one year delay in my diagnosis. After discharge and rehospitalization, I needed to be placed in another SNF and I was turned down by every facility in Long Beach (except one that cost $11,000/month) because this place had me “blackballed” according to the hospital social worker, so that is why I am in Bellflower.

    So they can turn you down because they think you might be too much trouble.