Monthly Archives: July 2008

Foul Weather Mood

Google ImagesIt’s hot and muggy and I’m sick of the air conditioning. So during the day I sometimes open up and leave it off, but I eventually feel wilted and cranky, byproducts of the MS, so in the evening it usually goes back on. Sometimes I gauge my cat’s behavior on whether the air needs to go on: If he’s lying completely stretched out and long on his back and his eyes look glazed, it’s probably time for some cool air.

On this topic, I have to admit that I’m a somewhat moody person. Just like the weather, there are days when I feel sunny and temperate, brisk and aloof, cold and not open to conversation, misty and sad, and hot and volatile. Doesn’t everyone? I like to think that I’m not the only moody person out there, and I do have a way of reigning it in when situations call for it. I think over the years I have learned to better control my emotions when I need to—- something challenging for fiery Aries people who pretty much wear their thoughts and emotions on their sleeves. Nevertheless, I try to make a conscious effort to keep calm and not overreact.

Yesterday was definitely a foul weather day and I know that I lashed out with immediate anger towards a loved one (you know who you are…..) But in my defense, I do keep the dramatics to a minimum, and sometimes people with chronic illness need to just vent and be heard. No replies necessary. And I in turn need to realize that others often also have a lot on their plates (medical, financial, and such) and learn to respond with a little less ZEAL? Is that the correct word?…………Let’s meet in the middle.

First Day Back Out

Today I started volunteering again at the library. I will usually go in on Fridays, but the coordinator will be out this Friday, so today was the day. The volunteer coordinator told me about a new program I will be working on: to bring reading opportunities to kids who are waiting for foster care placement. There are 2 social service agencies in the area, and books will be brought to the facilities for the kids to choose from and take to their foster homes. They can choose 3 books and they also get bookmarks and small backpacks. There is a mascot who will also visit and talk with the kids. But first the books need to be processed.

My job today was to enter the titles, authors, and age groups for the books into the database. The coordinator showed me the many boxes of books waiting to be processed. I got 2 boxes done, then I strolled around the library as I waited for the rain to stop. So I now have a good, useful feeling and I anticipate going back.

“This Has to Be Multiple Sclerosis!”

Double Vision, Google ImagesI’ve just finished my pulled pork sandwich, an unexpected offering and leftover from our 4th of July gathering. Gulped some water and I am now ready to plunge into the meat (no pun) of my MS diagnosis story:

So from 1998-2005, my multiple sclerosis was a big mystery which eventually became dubbed “probable MS.” I had oligoclonal bands present in both of my spinal taps, I was positive for no other similar conditions or diseases, I had more than two nerve scars apparent on my MRIs (“multiple sclerosis”), and I had various telltale symptoms of the disease: intermittent weakness/numbness in my left leg and my right hand and forearm, “trick” bladder and bowel systems, muscle spasms in my left leg, some developing numbness and tingling in my torso, and balance issues with my left leg (I sometimes crashed into stuff on my left side.)

Shortly after we purchased our first home (spring of 2005), I was making a right turn out of our new neighborhood to get onto the main road. I glanced to my left and saw double. Not terrible, nauseating double vision, but just a slight doubling of everything towards my left-hand side. I rubbed my eyes because it was spring allergy time and I thought maybe I had a “misty” left eye. Not so.

I just remember going home and telling my husband about it, and I said aloud, “This has something to do with MS. It has to. It’s another freaky symptom.” I was very nervous and I called my parents first and told them what was going on. Then I called my primary neurologist’s office and at first they said I couldn’t get an appointment for 2 weeks. I lost it and yelled,” I have double $%&*!?# vision! Would you wait 2 weeks to see your doctor?!” So they got me in the next day.

My neurologist concurred that this was likely from multiple sclerosis. He again sent me for MRIs and had me schedule with an eye doctor. He also sent me to the emergency room to make sure the problem wasn’t something “acute”, which is code for a stroke or a brain tumor. I would have a CT scan, which is good at detecting such problems, but an MRI is more sensitive to the fine workings of the brain and spinal cord nerves and the scarring that happens during an MS attack.

On the way to the ER, Bill and I stopped to get some pizza because we knew how long an average ER visit lasted. The day was particularly hot, and I remember that my vision got so bad it completely doubled so that just looking straight ahead caused double vision, and only looking to the right stopped the problem. It is the understatement of the year to say that I was scared.

So my CT scan of course came back negative, and my MRIs showed a new, active lesion on my brain stem. I next headed to my mom’s eye doctor. He tested me, but could detect no immediate problems, but he admitted that he was a generalist. So he sent me to a specialist: a neuro-opthamologist. This is where I finally heard the words,” You definitely have multiple sclerosis.” This woman could see the damage to my 6th nerve going to my left eye (termed 6th nerve palsy.) She said this happens pretty much only to MS patients and diabetics. I definitely was not diabetic.

At this point my general neurologist sent me back to one of the specialists I had already seen. His team concurred with the MS diagnosis and asked if I would like to be in a clinical trial for two different MS medications. I would get more care and be closely monitored over a 2 year period. Sounded good to my mother and me.

I was not given any steroids at this point and had to wait out the double vision for its duration: 7 weeks. At this time I did not know that I could have had the steroid therapy and shortened the attack. I followed what the MS specialists said and started the study, taking Betaseron injections every other day. My best comments about this study are that I have taken Betaseron for 3 years, it works well for me, and it has probably contributed to a recent 2 year period of being relapse-free. My worst comments will come forth as more of the story unfolds.

Happy July 4th!

We’re going to see my brother, his wife, and their 3-year-old today, along with my parents. Those guys live west of us, and since we’re near the shore, we can avoid all the tourists coming east to go to the beach. Although I think we’re in for some showers and maybe thunderstorms later on. Well, I’m bringing my swimsuit anyway, because my nephew loves the pool at their development. We’ll see how the weather goes.

Hopefully you, too, will enjoy your day with loved ones and cast your worries aside. Catch some fireworks and do the silly “oooh” and “ahhhh” thing. I’m most looking forward to playing hide-and-seek with my nephew. And eating hamburgers and potato salad.

The MS Specialists Who Couldn’t Diagnose Me

Microsoft.comBetween the years of 2001-2004, I was poked, prodded, MRI’ed every 6 months, spinal tapped another time (to make sure no Lyme disease bacteria were still present in my spinal fluid), drawn blood from so many times I can’t even count (!), and seen by two MS specialists and one rheumatologist. My husband and I actually liked the rheumatologist the best and almost hoped that the problem stemmed from his area of expertise. Seriously, the MS specialists were okay, but not at all definitive. They kept saying “probable multiple sclerosis”, but would not commit to the disease, since I had only a few lesions/scars on my spinal cord nerves. It was everyone’s theory to “wait and see” what would happen next (a scary prospect from the MS patient’s perspective.)

In the meantime, I was having very bad headaches that came out of nowhere (I was never one to suffer from them unless I was sick with the flu or such.) They seemed to start and then escalate when I was out in the sun. Authorities on MS will say that headaches have nothing to do with the disease, but I have read so many message board posts that indicate the opposite. On more than one occasion Bill took me to the ER, just to get a strong painkiller for a headache that wouldn’t go away. Demerol, given as a shot in the butt, worked great. Incidentally, the headaches tapered off and never returned after about a year, much like some of my other MS symptoms. Go figure….

Another odd thing I developed was something like restless leg syndrome. It happened the first time after coming back from a family trip to the Outer Banks (2004.) Bill and I were sitting on the couch and my left leg just jerked out, like I had just had a reflex test. Of course it was late spring again, my time for relapses. This left leg spasticity would usually happen at night, before bedtime, and then in bed as I was falling asleep, or trying to. Very annoying. It continued on and off for the next year, then disappeared for a while.

During this period of time, I also gradually noticed that I had to go to the bathroom more frequently. Not because I was drinking or eating more, but because I felt more of an urgency. Sometimes I felt like I would burst (particularly my bladder) if I didn’t get to a bathroom. Then I would go and be surprised that I didn’t have a full bladder, just the urgency like I did. Strange. I later learned that these bladder and bowel issues are some of the most common MS symptoms, especially for someone who has damage along the spinal cord nerves. But still no definite diagnosis from the “specialists.” My general neurologist followed their lead.

In 2004 I had to stop working as an ultrasound tech. I tried per diem at two other places, but I could not keep up with the work load and found myself shooting my mouth off about the ridiculous pace. True, the demands were ridiculous and I can find at least 5 or 6 techs that will back me up on this, but to be fair, it is the nature of the job, and it was time for me to say goodbye. This is when I turned to the library, and I started volunteering.

Getting a definite MS diagnosis would finally happen in 2005, after an undeniably “MS-induced” attack. It led to participation in a clinical trial for Betaseron v. Copaxone, 2 multiple sclerosis medications. But real help and understanding by a true MS specialist (my current, dear doctor) would not happen until a bit later….

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