Jim-LA

Your Replies

  • January 28, 2014 at 9:16 pm

    What you describe is almost identical to my experience with Miller-Fisher Syndrone. The right side of my face was numb and paralyzed. I couldn’t close my right eye or smile from the right side of my mouth. I had problems chewing because part of my mouth wouldn’t work right. My speech became slurred. My vision was blurred too.

    MFS is a variant often associated with GBS. You can learn more about it in the frorums here: http://www.gbs-cidp.org/forum/miller-fisher-variants

    In my case, the combination of Prednisone and GBS/MFS required surgery to remove cataracts and restore my vision loss. The biggest improvement for my MFS came after having Plasma Pheresis treatments.

    January 22, 2014 at 9:14 pm

    Here is a story about a CIDP sufferer in your State and what doctors and hospitals might be a good choice: http://www.wwltv.com/news/Frank-Davis-battled-rare-serious-disease-before-death-235315401.html

    On another forum I read about a Neurologist, Dr. Leo deAlvare, at Lady of Lourdes Hospital in Lafayette, Louisiana who may have good CIDP experience. http://www.lourdesrmc.com/expertcare/neuromedical/neurologyclinics

    If you don’t feel like you are getting the help you need on this board, maybe you will find what you are looking for here: http://www.livingwithcidp.org/forum

    January 22, 2014 at 8:48 pm

    From what I have read, the factors that influence damage are medically technical and have to do with lymphocytes in your blood stream. Separate specialized testing must be done to differentiate the three types present in your blood:

    B lymphocytes (B cells) are antibody-producing cells that are essential for acquired, antigen-specific immune responses. Fully mature B-cells are called plasma cells that produce antibodies, immune proteins that target and destroy bacteria, viruses and other “non-self” foreign antigens.

    T lymphocytes (T cells): Some T cells help the body distinguish between “self” and “non-self” antigens. Others initiate and control the extent of an immune response, boosting it as needed and then slowing it as the condition resolves. Other types of T cells directly attack and neutralize virus-infected or cancerous cells.

    Natural killer cells (NK cells) directly attack and kill abnormal cells such as cancer cells or those infected with a virus.

    Those of us with GBS have immune systems that produce abnormal lymphocytes at some rate. Rates vary by individual and I have not heard of any way to effectively predict that. In my case my immune response was quite strong and I became completely paralyzed in 10 days. Others report a much more gradual progression.

    Plasmapheresis (PE) will remove the GBS lymphocytes, but not stop your immune system from producing more. IVIg will stop your system from producing more, but do nothing to reduce what is already in your blood stream.

    Hope this info helps.

    January 22, 2014 at 5:47 am

    Kirkly, you said your symptoms have gone on for a year. This would indicate CIDP or a variation that has similar symptoms. I think I would rule out RGBS because it is so rare and you have gone over a year. An accurate diagnosis is essential for the proper treatments to be prescribed. Diagnosis is costly, but probably not as much so as IVIg or PE. SCIg is a less costly alternative to IVIg because it can be administered at home and some patients can give it to themselves (no nurse required).

    I was fortunate to have decent insurance throughout my illness, but I had some bills in excess of $50K that were not covered by insurance. The 1st lesson I learned was to negotiate the bill before accepting treatment. Make sure they will accept your insurance company payment as payment in full (after deductibles). If not, ask if they have a program for people with no insurance or financial hardships. Apply for the program or go to another provider. You may find you have to create a special trust that will shelter your assets before the program will accept you. Once that is in place, you may have to file for health care aid from your State. The ACA went into affect this month and programs such as Louisiana’s Medicaid have expanded their program coverage and eligibility requirements: http://www.benefits.gov/benefits/benefit-details/1270 .

    It’s bad enough just having to deal with the disease itself, a financial hardship on top of this just complicates the whole process of getting the disease dealt with. I wish you the best in navigating both.

    By the way, since you mentioned a lack of forum responses earlier, this forum has some undocumented etiquette that I think should be observed:
    1. Search the other posts to see if your topic is already covered
    2. Use a meaningful title for your thread
    3. Add appropriate tags to facilitate forum searches
    4. Do not double post (post the same message twice in one thread) or cross post (place the same message across several topics)
    5. Act in a give and take manner; help others as often as or more than you ask for help
    6. Do not post new problems on someone else’s thread and interrupt a topic of discussion
    7. Write concisely and do not ramble
    8. Give a little background before asking questions; structure questions to attract responses

    I’m sure other forum posters would suggest additional behaviors, but these should help new folks here.

    Have you ruled out Houston as a possible alternative to dealing with your non-responsive doctor?

    January 22, 2014 at 3:38 am

    I had been a semi-professional tennis player and was in very good physical condition pre-GBS. GBS took me to being a quadriplegic in 10 days. That was in 2008. I was subsequently diagnosed with CIDP/MFS in 2009 and I am still wheelchair bound today. I don’t think physical conditioning pre-GBS has much to do with post-GBS recovery.

    The disease attacks the fatty insulation (Myelin) that surrounds the nerve fibers (Axons). Without the insulation the nerve signals simply short out before reaching the muscles. The muscles themselves are still there in whatever condition they were pre-GBS. The muscles begin to weaken as we are no longer able to exercise them. In my case my legs and feet atrophied.

    One of the keys to a better post-GBS recovery is how much Myelin damage was done. The body can rebuild Myelin at the rate of 1 millimeter a day, which is only 0.0032808 ft, this is extremely slow but there has been little that can be done to speed up the process. I don’t think physical conditioning has much to do with Myelin growth.

    Getting early treatment for GBS is the best way to get a better and faster recovery. If you are lucky enough to have a mild form of GBS you will recover sooner and more thoroughly.

    Here is a survey you may find interesting: http://mycidp.weebly.com/doctors-seen–fitness-levels.html

    January 19, 2014 at 9:51 pm

    Gslm,

    In my case the onset of symptoms was rapid. I went from normal to quadriplegic in ten days. In contrast, many members here report a long and gradual process before treatment was finally authorized for them.

    CIDP is a complex disease to diagnose properly due to the number of variants that doctors must rule out before prescribing treatments, especially when the major tests for CIDP come out negative. Some doctors may be afraid of jeopardizing their own practices, or risking legal actions against them, and are reluctant to authorize treatments until after a confirmed diagnosis. Whatever the reason, it can be frustrating and scary to have to wait for them to act.

    It sounds like you might have one or more of the many variants that can mimic CIDP symptoms. The following site has a good review of the variants from a female’s perspective: http://cidpusa.org/variants.html Dr Engel is involved with this site, I tried to get in to see him when I first got GBS/CIDP, but was unsuccessful. Read through these to gain some additional knowledge about what you might have. The extra knowledge could help you steer your doctor in the right direction and get your treatment process started.

    Best wishes for success!

    January 19, 2014 at 1:25 am

    Although GBS peaks in a relatively short time (couple months), a return to post GBS abilities will take considerably longer. Many report still having some GBS symptoms years later. When the symptoms do not clear up sufficiently after a year or so, most doctors would consider it CIDP. There is another, much rarer, form of GBS called Recurrent-GBS (RGBS): http://www.ncbi.nlm.nih.gov/pubmed/18931012

    January 19, 2014 at 1:12 am

    I too had the Stryker bed while in a hospital. It kept me moving when I couldn’t move myself and helped stop the bed sores from forming. I couldn’t afford to buy one when I finally got home some 6 months later, so I now sleep on an air mattress that I had my doctor prescribe for me (so my insurance would pay for it).

    January 19, 2014 at 1:04 am

    PE will wash out the IVIg. Best approach might be to have three PE treatments to remove the bad anti-bodies (found in Lymphocytes). Then start IVIg or SCIg to help stop your immune system from producing more bad anti-bodies.

    January 19, 2014 at 12:52 am

    PE is probably the most costly treatment because it is not available as a home treatment option.

    IVIg can be administered at home for quite a bit less than if done at a hospital or infusion center. However, IVIg is still very costly and could trigger your husband’s Aseptic Meningitis.

    SCIg is probably the least expensive treatment and can be administered by you or your husband at home. SCIg is also said to greatly reduce the risk of Aseptic Meningitis. CSL Behring who sells Hizentra, a version of SCIg, has a program called “CSL Behring Patient Assistance Program” where they sell the product at considerably reduced costs. Check it out here:
    http://www.hizentra.com/about-scig-therapy/patient-frequently-asked-questions-answers.aspx

    January 18, 2014 at 8:32 pm

    I had teeth pain, but I don’t recall a feeling of crushing. My weird sensation was I felt as though my legs and feet sank through the bed and was almost touching the floor.

    Treatment costs for PE or SCIg are overly expensive and I think many of the inflated medical prices are due to corporate greed. I had a bill totaling $50K at one point that was not covered by insurance. I found the hospital had a special program for those with financial hardship and I applied. The bill dropped to a few hundred dollars and I made payments over time. I had a similar experience at another hospital and did not qualify for their financial aid program (I won’t use them for that reason). The criterion for financial hardship varies between hospitals.

    What town do you live in? Have you looked into the financial aid programs available from your local hospitals? Have you received quotes for SCIg and PE? I have found that these costs are almost always negotiable.

    January 15, 2014 at 3:43 am

    Congratulations! I can’t go that fast in my power wheelchair.

    January 13, 2014 at 11:18 pm

    I ran across a website that looked like you may have been posting to:
    http://oritoday.pp.ua/ori.php?v=0ozrbMiMpbg&feature=youtube_gdata_player&titl=My%20CIDP%20story
    The website contains videos from Dr Shaoulian under the name NerveMDorg. I apologize for any confusion if you are not involved with this website.

    If you haven’t already done so, you might consider posting your story at the CIDP Survivors website here:
    http://www.livingwithcidp.org

    I wish you the best of health and hope you get back into cross-country soon!

    January 12, 2014 at 9:27 pm

    Other forum members have reported good GBS/CIDP diagnosis and treatment from The Neurology Center http://www.neurocenter.com by Dr Gregory Sahagian. He is also Chief of Neurology at Tri-City Medical Center in Oceanside (which has an ER).

    You can contact the GBS-CIDP liaisons in San Diego for additional referrals:
    Julie Jukich
    619 218 6033
    – Or –
    Liz Russell-Parker
    619 750 8778

    January 11, 2014 at 3:13 am

    Another way to search on the forum is to click another members’ name in a post. This takes you to their profile where you can learn more about them. If you click their “Topics Started” or “Replies Created” links, you can read through all of their posts.

    This type of search can also be usefull if you want to learn what they had to say on a particular topic of interest to you.

    You do not need to be signed in to use this feature!

    Too bad there is no way to contact other members directly. The only way this could be done at present is to add contact information in your profile. Then others could contact you using the method(s) you choose. Since this could be added as text buried within text (example: n a m e AT g m a i l dot c o m) it would be quite safe from spambot harvesters and scrapers.