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    Waiting and worrying

    Hi Everyone,

    I am new here, so I will tell you my story (and thanks in advance for reading!)
    Last thursday I had an apointment with a neurologist, who told me I have a probable case of relapsing/remitting MS. My neuro exam was normal, as I am not symptomatic at the moment. He is sending me for an MRI and spinal tap, but there is a very long wait time.

    My family doc decided to send me to see a neurologist this summer, after I had 2 "episodes", one at the beginning of the summer, lasting almost 5 weeks, and one at the end of the summer, lasting about 3 weeks. Both episodes began during an intense heat wave. During these episodes, I had tremors, electrical shocks/pins and needles in my limbs and face, intense fatigue, fine-motor issues, troubles with over/under shooting when reaching for things, balance issues, stiffness and muscle cramps (mainly in my legs), feeling as though I wasn't aware of where my limbs were (this sounds wierd, and is difficult to describe), headaches and dizziness. I have had other episodes like this (maybe 5 times in the past 9 years) but never as severe, or lasting as long. each time my family doctor would run a bunch of tests, prescribe me some antiinflammatories to deal with the stiffness, which did nothing, but by the time she decided to send me for further investigation, the symptoms would be gone. This summer she was going to prescribe neurontin for the nerve pain, but again, by the time she got around to that, I was better.

    So, at my neuro apointment last week, the neurologist was very thorough, asking loads of questions. He asked me if I had any bladder issues, and I said "well, a little stress incontinence, after having 4 kids". But in retrospect, that only happened a few times, and only during the first episode I had this summer...and it wasn't a little, it was a LOT...I literally peed my pants, with no warning, and no ability to stop it. It happened a few times over the following week, but hasn't occured since then. But since then, I've had issues, where, even though my bladder is full, it takes forever to start going and then it takes a long time to finish. My family doctor examined me and said she could see no reason for this bladder problem. I had no idea that bladder issues were common in MS, so when he asked, I didn't give him all the gory details. I also neglected to tell him about these wierd sensations I get in my upper abdomen/lower chest...like someone is tightening a band around it. It's excruciating when it happens. I've told my family doctor and she just shrugged and told me it was probably esophageal spasms. But again, in retrospect, this only happens if I am very over heated, like after running, or if I have a fever). I also have a spot between 2 of my ribs near my spine, on the right side, that is painful...it is sort of an "itchy" pain, if that makes sense. I had it all last winter, and saw the doctor a few times, who told me it was muscular. She recommended motrin and a heating pad. The motrin did nothing, and the heat made it WAAAAY worse. She ran a blood test to check my vitamin D levels, for whatever reason, and it came back that I had NO vitamin D in my system (since then I've seen an endocrinologist who prescribed ergocalciferol to get my levels back up, and now I take 5000IU a day). Anyway, this area is about the size of an apple, and interestingly, in the exact same spot on the left side of my spine, there is an area that is numb. I can feel pressure, but that's it. And it's been like that since 2001. I didn't tell the neuro. that either. He asked me if my symptoms were worse after a hot shower, and yes, they get slightly worse. But I forgot to tell him that if I have a really hot shower, I get an intense itching in my limbs that will last until I've cooled down. The itching is so bad, it's almost painful and makes me feel like throwing up. It's like someone is sticking me with hundreds of pins. I don't have a rash, or hives or anything, and it's not soap, because it happens even if i don't use any soap at all.

    So at the moment, I don' t have any issues with tremors or movement or balance, but I have the chronic painful spot on my back, and the itchy when I'm hot, and this lingering fatigue and stiffness.

    I thought about making another apointment with the neurologist to tell him all these extra things that i didn't tell him (I didn't think was relevant until I checked online about MS, since that's what he told me I most likely have), but I don't think it changes the tests he is going to run anyway. He did tell me to call if I had another episode and he would see me straight away. I'm petrified of having another one!! They are truely aweful, and I have 4 kids to take care of!

    He also told me that there is a chance that nothing will show up on MRI. He seems fairly convinced that this is what's going on, and told me that unless he can find another explanation for my symptoms (and he didn't even hear ALL of them) than this is what my diagnosis would be. I really like this doctor, he has an excellent reputatation and bedside manner.

    My only other issue at the moment....my husband doesn't think I have this. I think he needs to see proof on an MRI, which I told him, there may not be. I'm not sure if he's scared and this is his way of coping. I just want my fears to be validated, not poo-pood. He keeps telling me not to worry, that I am fine, and that none of these episodes are related and it's probably something minor.

    So, basically (if you've managed to read this far, haha) i have these questions:
    1. How long does it generally take people with the relapsing/remitting MS to get a diagnosis? I've heard it can take very long.
    2. Has anyone here recieved a diagnosis, but had a negative MRI?
    3. Is anyone else dealing with a family member who is telling you nothing is wrong? And how do you manage with that?

    Thanks so much for any advice you can give me

    MusicMom

    #2
    One other thing I forgot to tell the neurologist. I've been diagnosed with non-acid reflux, which only ever acts up when I'm having an episode. My family doctor had prescribed a motility drug to take for this. Last summer, during my 2 bad episodes, I literally felt like i was drowning. My stomach contents were trickling upwards all the time. This was one of the most distressing symptoms I had. The drowning sensation went away when the other neurological symptoms went away, but since this time I've been having issues swallowing....like I'll swallow and suddenly it feels like the food is deciding it's going to go the other way. Sometimes food feels like it is getting stuck.

    Comment


      #3
      Hi MusicMom,

      I'm sorry you are dealing with all this, but I hope you get the answers and help you need.

      It took 3 1/2 years for my diagnosis--sort of. The first neurologist I saw diagnosed me with MS using the MRI, a spinal tap, and my symptoms and history. But, in the same breath he said 'but I want you to see a specialist to make sure'. I saw the specialist who said 'well, nothing here really screams MS'. Let's wait and do another MRI in a few months. 3 1/2 years and five MRIs later she finally said 'yep, it's MS'.

      And to address your question about spouses, my husband is not very good with this. He was very supportive when I was seeing the specialist and she was saying no MS. I was sure I really had it and he would say things like 'she specializes in MS. She even teaches other neurologists at a teaching hospital'. But as soon as she diagnosed me with MS, he said 'Well, I'm not convinced'. He wanted me to wait and have another MRI--after 3 1/2 years and 5 MRIs.

      I said no way. I'm not waiting anymore. So I went to another neurologist for a second opinion/confirmation to ease his mind. The other neuro said he didn't know why there was ever any doubt.

      My husband hasn't been to any of my appointments since then. He doesn't seem to try to cause me any problems, but he obviously doesn't want to talk about it. I come on here to ask questions and be part of a community that cares.

      My spinal tap was not bad at all, but take it easy afterwards to avoid the head pain. I'm so used to MRIs I practically fall asleep in them now. I listen to the repetitive sounds and my mind just slips off to daydreaming or imagined music.
      Portia

      Comment


        #4
        Thank you Portia, for replying so quickly! I'm hoping to have a little time tonight to read through some posts here, this is a wonderful message board.
        I am very freaked out about the MRI. My dentist makes me take a big dose of ativan just so he can work on my teeth...I feel claustrophobic sitting in the dentist chair, I can't imagine what it will be like to be inside that MRI machine. I looked into the option of driving 2 hours away so I can go to a clinic with an open MRI, but an aquaintance of mine is an MRI tech and she says the open machines don't give as good a resolution as the closed ones. Anyway, I have a prescription for ativan, from my family doctor, which I use for occaisional anxiety, plus dental apointments. Do I ask the hospital how much I should take for the MRI? Should I contact the neurologist? Is there a protocol for sedation during an MRI? I'm also wondering, will my spine be scanned as well, or will that depend on what the neurologist put on the requisition? The neurologist's secretary called me this afternoon to ask me a bunch of questions (have I had brain surgery, do I have implants in my ears, have I been on dialysis, etc) before she faxes the requisition to the hospital. I stupidly forgot to ask about he waiting time! My mind has completely gone to mush since this summer. Ugg
        I just realized I have a million more questions. I will try and read some posts and do some searches, and then i guess I will make a seperate post for my various questions.

        Comment


          #5
          Hello Music Mom...welcome to MS World. MS World has been a safe spot for me in my recent journey with MS and I hope you find it so too!

          Yes, for some people it takes a long time and others not so much. For me, I have had MS a long time (probably 15 years or so), but none of my doctors ever caught it. In the spring of 2009 when I had the most symptoms ever and my weakness and fatigue was quite significant, my primary care doctor was all over it. So, then, my dx was quick, but it was completely missed in 2003.

          It is a hard disease to manage with kids. I will be 50 yrs. old next year and have two daughters in elementary school...I feel exhausted and worn out most days. Since 2009 I went back to work part time too, so now I don't feel like I do anything very well anymore.....

          My husband has been very supportive, but just before I was diagnosed we had a fairly large argument about my deteriorating health. After the dx he felt really bad! This past weekend, he did tons around the house over the holiday and we are learning a new rhythm together since the dx. Even my kids have had to pitch in more to help out. (Which is actually a good thing!)

          Portia, my heart breaks for you that your husband doesn't support you or go to your doctor visits. Thank goodness you have your friends here at MS World! (I feel that too....my DH can only take so much!)

          On the neuro appointments: it seems that my DH and I "hear" different things...like my doc told me to occasionally give myself a vacation day from Copaxone...do you know, I didn't even hear that?..so it was very helpful DH was there!

          Music Mom....hang in there...feel free to read and chat anytime!

          Comment


            #6
            For a lot of people it does take a long time, and for others it is very quick.

            My Mother had her first symptoms when I was born, and didn't get a dx until I was 18. That was 1976 and 1994, respectively, and things are different now. It took a couple years after 94 to start DMDs.

            When I had my first attack, I went to an ER on a Saturday morning with Optic Neuritis. That morning I had an MRI, had it read, reviewed by a MS Specialist (now my neuro), started IV steroids and was told I had probable MS all that day. It was a crazy day! In the next 6 weeks I had another MRI, a spinal tap and started my injectable therapy.

            The only reason I say all that is - it all depends.

            On the MRI. I am claustrophobic also. The MRI machine isn't fun, but it is bearable. I have an MRI next month, and I am not dreading it. You will survive.

            Comment


              #7
              thanks for the reassurance about the MRI. (but I am still nervous )
              It is definately very difficult to take care of children with this. I've got 4 kids between the ages of 18 months and 9 years, and they don't stop! My husband, while a great guy, is very old fashioned (the way he was brought up..his mother was a martyr) so all the cooking and cleaning and child care is up to me, no matter how I feel. Although last night he actually emptied the dishwasher, I stood there watching him in shock! so maybe there's hope...

              Comment


                #8
                Music Mom...there is hope for you and your hubby in getting through this. It is great that he emptied the dishwasher...what a great start. It is interesting that you have an 18 month old; is this a biological child? The reason I say that is you'll see that sometimes women have relapses after a pregnancy...you might want to do some reading on post pregnancy and MS.

                My 10 year old is really starting to help out more and her almost 8 year old younger sister is catching on with that. Since my dx we have had many family discussions about how it takes everyone in the household to make it all work. Which, is actually a good thing...I like to believe that my MS will contribute to raising compassionate and responsible kids. (Of course, that is easy to say now....when I was at your point I couldn't say ANYTHING good about MS, my symptoms or my health in general!!)

                That said, when I did not work outside the home, the expectation of me was much greater to do it all.

                However, to be honest, I have spent this past year and a half since my dx working on "letting it go", that I no longer have to "do it all" and that if the house is a mess and laundry, etc isn't done...I have to just "let it all go!" It turns out that the expectations of "what should be done" were more mine than my DH. Sometimes our meals aren't as healthy as I think they should be (take out or whatever we can throw together because I haven't been to the grocery store). Additionally, I don't volunteer at school the way I used to and I am getting so much better at saying "NO." (I am surprising myself even!) After I shared with my neuro at my last appointment how I am slowing down, not doing as much and trying to say NO more often, he said that I will see the blessing in my MS dx in a couple of years. I assured him that I was not there yet! LOL! Okay, I am not there, BUT I am now finally starting to see that it could be so....but I think that it takes time....like lots of time...maybe years, especially when you have young kids to raise!!

                Anyhow, I say all this to you Music Mom for you to feel HOPE with all that you have going on with your body right now.

                If you end up with an MS dx, please call the National MS Society (NMSS). They can provide resources to you and the best thing that helped our family is the quarterly kid magazine (just a couple pages) the NMSS sends to each of my girls. Also, the NMSS has a great cartoon video that explains MS and why you are tired! It was very helpful for my daughters early on and even recently my youngest asked to see it again.

                Music Mom...have hope...you will get through this MRI...even with the help of Ativan and we are all here to support you!! Best wishes this week and please keep in touch!

                MGM

                PS - Sorry so long...

                Comment


                  #9
                  My advice

                  My advice would be to write out those extra symptoms in a letter to the neuro. Keep it short and sweet, dates if you can. That way he will have it when he has the MRI results and can weigh that information in with everything else.

                  I only had one lesion on MRI so I had to have a spinal. It was hell. If I ever had to do it again, I would have it done by fluoroscopy (did I spell that right?). The spinal was positive. That together with my history nailed it. Make sure you tell the neuro about those anti-inflammatories.

                  A good friend told me to close my eyes during the MRI and not open them until it's over. I'm not claustrophic, but I think it helped.

                  As for spouse's acceptance, well I think it occurs to us (and others) that there's a choice about going through that door marked MS. If we don't go through it, then it's not MS. It's called denial, I suppose.

                  Anyway, if it were me, I'd tell him that you owe it to him and the kids to find out what's wrong and deal with it head on. Just my two cents.

                  Best of luck.

                  Comment


                    #10
                    Thank you MGM! And yes, i have definately noticed a pattern...I have a new episode, with worsening symptoms after each of my children were born. If I go and look at my calendars for the time a year or so post-partum, I have a lot of doctors apointment for wierd symptoms (it started with some tingling and fine-motor issues after my first was born, and continued with increasing severity after my subsequent children) which would go away after 4-6 weeks.

                    Comment

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