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Evolving Diagnosis- Ms Possible :-(


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#1 KayDub

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Posted 31 October 2011 - 02:11 AM

I know it seems like I'm constantly changing what's wrong with me because at first the doctors couldn't figure it out. First random paralysis from blood clots then GBS now TM. Well it is 100% for sure TM between my T9 and T10, I have a wonderful neurologist who did all the proper tests. Shame it took months to see him! The other doctors kept getting distracted by an old track injury that led to joint fusions in my right foot with some metal, which led to some originally unknown nerve damage when some of the metal got removed a year later when PT didn't help. That damage was eventually treated with a lumbar nerve block that was really successful. It was just a random fluke that the blood clots that were caused by the bacterial infection that went hand in hand with my TM started in my right ankle (though in retrospect I thought it was weird my ankle flared up because I'd never had problems with it, only the foot. Oh well, I was already being accused of being a pill seeker, I brought up my old injury to validate something was wrong I think). Also it was unfortunate I was in Australia but still with my American health insurance. The blood clots were the easiest thing to see and treat, so that's what the Australian doctors did because my insurance company (Tricare, courtesy of the good ol' USA military) was mandating I get sent back as soon as I was stabalised. So even though I kept telling them I couldn't move, they said all they could do was treat the infection and clots and send me back. Also unfortunate that I got sent to hematologists and orthopedic surgeons when I got back instead of a neurologist because all the doctors kept saying my paralysis would go away when my clots went away. They also blamed it on my weak muscles (I was squatting 400 lbs shortly before I was sick lol). My neurologist said I really should have gone right into inpatient rehab when I got back to maximise what I can get back.

Oh well, would have could have should have. It's nice to know, without a shadow of a doubt, what happened and have an MRI showing the damage to my spinal cord to back it up. Well not nice of course because it's a serious diagnosis and perhaps with mystery paralysis I could hop out of bed tomorrow. But it's nice to know there's a legitimate diagnosis.

But, how's the poem go... nothing gold can stay. Like I said my damage is in between mt T9 and T10. I was originally entirely paralysed below my waist. A few months after getting out of hospital and doing PT and swimming (mostly swimming and doing water PT on my own and with the fiance, the PT was clueless about SCI, mind you she didn't think I had one) I regained a small amount of motion, mostly in my left hamstrings, quad and hip flexors. Enough to slowly get up on forearm crutches. Everyone, myself included, was ecstatic. I was still in a chair 95% of the time but it was improvement! Got stronger but nothing else changed until the end of September when, with a whole lot of determination, I was able to occasionally wiggle my right toes and ever so slightly (it could be mistaken as a twitch most of the time) move my hamstrings and hip flexors. I also had a bit more bladder control. Still had a BP but to pee I just made I went very very often as I still couldn't really feel my bladder and I pushed with my hand on my lower stomach a bit. It went from "Yes I'll get better because most people are supposed to improve" to "Ohmygod I am going to get better!"

Then October hit. I still swam and did PT. School still stressed me out majorly but things with my mum had even improved. So nothing major changed. Except I couldn't move my right toes or knee at all, barely even my hip flexors. I then began to lose motion in my left leg, only have occasional jerky quad and hamstring motion, pretty much completely dead below my knee. I had a LOT of pain problems before and while they stayed the really sporadic sensation I had (numbness coming and going but staying low in my body) went away. It's now very consistent, I cannot feel anything to about my ankles then up towards my belly button sensation slowly comes back, but slowly. Mostly I feel pressure but I can't feel if somethings wet (weird I know) or pin pricks you get at the doctor or my shoes or clothes. I started having more potential pressure sore problems and not completely AD (I'm at the level where it's uncommon but not really rare like T12 or below apparently) but mild blood pressure spikes and flushing when there was something causing pain I couldn't feel. Can't pee on my own anymore :-( Getting on meds and cathing again. So pretty much I've gotten worse and it's a bit more than just a lull or a minor dip. It's just worse. I would say it's a mental thing because now that I have a diagnosis I'm back to fitting the SCI symptoms. But most of it happened before I got the MRIs done or the EMG results back that gave him his official diagnosis and when he found out the damage was much much higher than anyone originally thought. So it's not that.

My doctor thinks the virus may still be active in my spinal cord. He wants to do a spinal tap but is hesitant because, since no one has any idea what caused my TM (can be loads of different bacterias or viruses), he doesn't want to introduce anything or possibly compromise it. I'm getting loads of blood work done (bllleeeeeehh I have such a phobia of it I wish I could get put under for it, silly I know, but unfortunate you need an IV to get put under, defeating the purpose. Doesn't help that my last IV took 5 nurses and 3 doctors including a specialist an hour to get in in hospital, I'm a really hard stick. Sorry had to rant.) Hopefully that will pull something up. He's being optimistic and is pulling all the strings and connections he has to get me into Craig's outpatient, possibly inpatient if things get worse and he can find out why and stop it. He's really respected in Colorado, so waiting months to get into him this summer might be worth it to get into Craig quicker! But yeah he hopes some really specialised PT and rehab will help it and if the blood work doesn't find the cause that it'll just go away.

So because of that, and the fact school was not going well because I was still so sick and also had major problems with accessibility (that's another novel length post from me at a later date) I've had to withdraw. Luckily I get to keep my scholarship and am in good standing with the university, which is really good. I'd prefer to be in school when I can focus on just school instead of an ever evolving health crisis. I kept trying to trick myself into thinking I was like someone who was injured but now just had to get used to being in a chair. I had a hard time coming to terms with the fact I'm actually still very sick and I'm not copping out by taking some time off. I'm also frustrated that this summer when I approached the school about deferring a semester or two to address my health concerns, they told me absolutely not. Could have saved a lot of money, energy and grief, but oh well. Can't change that.

But back to my doctor. He's wonderful and nice and optimistic, but he's also a realist. So the other explanation (and what prompted me to go on and on and on like this until this point) for what caused the TM and why it's still changing... MS. And I'm going in for brain scans next week and the week after.

I don't really know how to feel. Obviously there's no diagnosis and he's trying to rule it out. But obviously there's a very real possibility, if not of MS, but of something serious that causing these changes. I felt like I was coming to terms with being in a chair and being paralysed pretty well. I've been struggling with not being able to ski "normally" or teach my AB kids full time like I was planning on, but in the scheme of things I've been very lucky and was going to be okay. Then I thought I was improving and might be able to walk! Then it was back to okay, SCI, worst case, I'm completely, well, complete. It'll be hard but I can deal. SCI is scary and horrible, don't get me wrong, but generally there's a baseline. You (generally) hurt an area and have certain function there. You might get better you might get a bit worse if another injury or vertebrae collapse or something happens, but generally you have that injury then the rest of your life is spent dealing with that injury.

MS, or some other degenerative disease, scares the shit out of me to be honest. The idea of continually losing something and having absolutely no control over it, like your life is just a bunch of sand slipping through your fingers no matter how hard you grasp on... frightening. I've always been pretty type A, I like to problem solve and be on top of things. It's almost why I think I was able to deal (or have been able to so far) with being paralysed relatively well, because it was like... I can't use my legs now. What can I do? What do I need to change? Done and done, sounds like a challenge and I like a challenge. Also the biggest part is as a para, not only do my arms work but my brain is all there. Well as there as it was before I got sick ;-) With MS you're affected cognitively. I think to write and think and create and solve puzzles and problems... I don't know what I'd do losing my cognitive abilities at all, and worse off, when you do you're too far gone to do anything about it. All I can see is a really bleak future where I'd become a prisoner to my dysfunctional body and mind... On top of that I'm only 23, I'm still pretty young.

I'm trying not to think that and hopefully everything will be okay. I just had to get this off my chest. If anyone is still reading... well thanks for listening, I really appreciate it.

Edited by KayDub, 31 October 2011 - 03:31 AM.


#2 Harry3082

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Posted 31 October 2011 - 06:29 AM

Yes I was still reading when I got to "If anyone is still reading!" I had to google what TM was.

While I feel for you with your struggle to find out exactly what your diagnosis is, and how it's going to effect you physically, with your schooling, current state of mind as it would Anyone, I'm sure with how strong you've been this far that your still going to have the strength to over come anything that comes your way!

Stay Strong!
We're here!
I'm looking forward to having a Lawyer Friend!

Always willing to be an Ear!
XOsss from an Old SCI
Aka Jimmy D

#3 Irish Wheelz

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Posted 31 October 2011 - 07:05 AM

Wow... What can I say. First off, I'm really proud of you Kay. You coming this far and still fighting is seriously something to be proud of. With you juggling with school, family, disability and your illness, that makes you like superwomen. Keep ya head up Kay, and stay strong. We need an awesome lawyer in the future for us sci's. I'll keep ya in my prayer everynight. Keep up the good work. :hug:

#4 wheeliebear75

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Posted 31 October 2011 - 07:40 AM

Don't know what to say aside from I'll have my fingers crossed it is NOT MS or anything "degenerating". :hug:
*Enjoy every sunset, but be grateful for every dawn.*
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#5 jenny407

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Posted 31 October 2011 - 12:12 PM

Dear Kay, I haven't read each detail - please excuse me -- I'm very busy right now. Sorry!

But as to MS:
I have three friends with MS (just in case yours IS MS, really).

I can assure you that - if that is indeed your illness - the cases vary very much.

There is interferon treatment, which works quite well for many / most. Often, things go very slowly, or even stop (more or less). I find that the cognitive ability is NOT affected - at least in most cases. In those I know. For many years, for 2 of my friends, it has only been slight walking problems - still today.

I would like to encourage you. Once you find out what it is, you can take action!

I know you are one to keep fighting. I much admire you for your attitude.

All the very best,
jenny
"Life is what happens to you while you're busy making other plans." John Lennon

#6 Tetracyclone

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Posted 31 October 2011 - 12:52 PM

Kay,
ditto what Jenny said. MS can be a one-time brain lesion and nothing more for many years. It can be sudden paralysis, similar to yours, with gradual improvement that means a person stays on their feet for many years, until or unless the next "event." It can also mean gradual degeneration.

You could spend your worry time before the next brain scan reading up on an MS forum.

So many moguls in your path...
Look! It's a snail! It's a sloth! Able to creep short distances before lunch!

#7 KayDub

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Posted 31 October 2011 - 05:34 PM

Thanks guy I really really appreciate the support. Just to clarify, with or without MS or a similar disease, I still have an SCI. I have pretty severe TM (possibly caused by MS, possibly caused by something else) that damaged my spinal cord pretty bad, and since the damage is still very clear on the MRIs 5 + months later, it's definitely SCI paralysis. Even though the damage has gotten worse it's not the kind of come and go paralysis from MS, it's the virus/bacteria from the TM that's still lurking there. The MS would just be in addition to that. I guess that's what really scares me, MS + an SCI. Both are bad enough on their own but together? Eek.

Good suggestion to look at an MS forum, I wonder if there are any other people with a SCI and MS, not just MS related paralysis. MS or not you're still stuck with me! Hopefully the doctors can get rid of the virus in my spine or at least make it so minimal it does nothing so I can go back to working on making improvement!

And also I'm probably just freaking out. I probably don't have MS and will get to go back to just dealing with my SCI and getting rid of the virus that keeps damaging it once and for all! I'm just one of those people who overthinks things.

Thanks again everyone! :hug:

#8 Irish Wheelz

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Posted 31 October 2011 - 06:51 PM

With or with out your sci, your a pretty awesome person. *HIGH FIVE* lol. I'm putting you on my life list. Now I gotta meet you and give you a high five, it's gonna be awesome.

word of the day is: AWESOME

#9 qbounce

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Posted 31 October 2011 - 07:15 PM

I attempted to research TM, but only came up with "T-Mobile" and "Transcendental Meditation." Something tells me these are NOT the cause of your paralysis, though.

Sorry about your diagnosis, but at least it's good to know what possibly caused the issue. Now, back to the treatment and therapy!
When we remember we are all mad, the mysteries disappear and life stands explained. - Mark Twain

#10 paul1404

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Posted 31 October 2011 - 08:10 PM

TM = Transvaal Myelitis

#11 Irish Wheelz

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Posted 31 October 2011 - 08:30 PM

transverse myelitis

http://en.wikipedia....sverse_myelitis

Edited by Irish Wheelz, 31 October 2011 - 08:32 PM.


#12 rjwheelz

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Posted 01 November 2011 - 12:38 AM

Wow thats a bit Kay sorry didnt see this yesterday Hope it all becomes clearer. :) Its a nightmare sometimes being pushed from piller to post main thing is to keep ones spirits up :) All the best Kay

#13 Tetracyclone

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Posted 01 November 2011 - 01:43 AM

Kay,
Since you had to quit school a good fit of hysteria (hissy fit) is one way to fill your time.

Drama is central to human life. You will love it until you are old and lack the energy for it.

:mfrlol:
Look! It's a snail! It's a sloth! Able to creep short distances before lunch!

#14 LeviM

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Posted 10 November 2011 - 11:00 AM

Hi Kay.

I have MS on top of a spinal cord injury. I was diagnosed with MS only a couple years before my Spinal cord injury ( C7-C8 incomplete, Asia B ). (I was diagnosed with TM at first until the brain scan showed lesions) I have opted not to treat MS with the traditional meds after the first year of diagnosis because the meds made me feel horrible all of the time. I have heard that not all people feel so horrible on the meds.

It is my understanding that most people with MS do not progress rapidly or aggressively but unfortunately that has not been the case for me. The functions I have lost during MS flare ups have not returned or even gotten a bit better after. So for me what goes is gone. Again according to my doctors this isn't the case for a lot of people with MS. A lot of people have a very slow progression with often years between active flare ups. And a lot of people regain a lot of what they lose after the flare up passes.

The worst issues I have are never ending fatigue, progressive decrease in strength and coordinator in my arms and neck and vision loss in my right eye.
I also have some memory issues that are a side effect of both MS and the TBI that occurred with my SCI.

People with MS will likely go in and out of PT/OT as the disease progresses. I have found it helpful. As I lose more function and strength it helps to go back in and have the help needed to try and adapt the way I do things to compensate for the loss. I've done a lot of adjusting and relearning how to do things but it's worth it.



I hope that MS is ruled out for you. Stay positive, it could always be worse. If it turns out to be MS then I'm positive you'll have the attitude and will power needed to go on with your life doing and enjoying all the things you care about most.

Edited by LeviM, 10 November 2011 - 11:01 AM.





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