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    New. Scared. Introduction ...

    May be a rather long read ...
    My name is Cecilia. I'm a 36 year old single mother of two wonderful sons ages 16 and 12. For approximately 10 years I have had medical issues that still boggle every doctor I see. It all started with fatigue. Not your everyday run of the mill fatigue ... a fatigue so hard to describe, but debilitating. Test after test, scan after scan ... nothing was to be found. Everything always came back normal. Doc always summed it up to being a full time working, single Mom with two small boys. Until one day, it was said I had a vitamin D deficiency. Doc prescribed high powered vitamin D regimen for about a week, then a daily supplement from that point on. It was like night and day. For the first time in a really long time I felt energized again. A few months later, fatigue again. Only this time the fatigue came with a very weird form of chest pain. My heart didn't hurt, I was able to breath, but I felt like something was wrapped around my chest just under my breasts. This was chalked up to anxiety attacks. For years, I would fit my life around this "wrap" around my chest. I would wake up an hour earlier in the morning just so I could still make it to work on time while I dealt with fatigue and this "wrap". The next symptom that came along were tremors. My right hand would shake out of control for no apparent reason. This was summed up to carpal tunnel. Next came the pain. Joint pain, muscle pain, felt like I had the flu all the time. This time, Doc said it was depression and I was put on an antidepressant along with an anti anxiety medication. Neither of these medications really made me feel better. The pain became worse, the fatigue kept me out of work more than I was at work, and the tremors in my hand were embarrassing.

    As I said, I have dealt with these main symptoms for over 10 years. But I kept going. As I was going to work one day, kids in tow, hands full, I walk up a small flight of concrete stairs in front of the apartment I lived in. Something didn't feel right, as if I couldn't feel the bottom's of my feet. I go to take the first step up the stairs, put my weight on my right leg and BAM. Out of no where my leg gives out on me. It was as if nothing on my body registered I was falling. I didn't catch myself. Just bam ... down. I wasn't knocked out, but I couldn't move. I could feel everything. I was hurt. But no reaction. Since then I have fell several times, but thankfully nothing serious has happened. My right arm gives out on me out of no where. No warning. Just gone. Working one second, no feeling the next.

    Present day. I have tingling in my hands and feet as if something is cutting circulation off, but nothing is cutting off circulation. Tremors are worse. I lose feeling in the bottoms of my feet only. It's a very strange feeling! The tops of my feet have feeling, but it's as if there is an invisible line around my foot that just doesn't feel. Not an everyday occurrence though. I can't sit, stand or lie down in one position for any length of time or I will become so stiff I can't move. One afternoon, on a very bad day for me ... I lost vision in my right eye. My son took me to the ER ... Doc there had no idea what would be causing it but called an optical specialist to have me seen in office the next morning. Outcome was Optical Neuritis. Eye specialist put me on Prednisone 40mgs daily and sent me for an MRI with and without contrast. Those test came back normal, but still no sight back. She said it could take awhile for the sight to come back, but wanted to do a CT scan with and without contrast just in case. I kept asking what Optical Neuritis was and she never really gave me an answer other than to say it was the swelling of the optic nerve. When I asked why is when she told me it was usually a precursor to MS. MRI showed no lesions. CT scan didn't show anything either, however, there was still significant swelling of the optic nerve. Finally, after about 8 weeks, my eye sight came back. Because there were no lesions were found, I thought I was in the clear for MS, so I didn't think of it anymore.

    Last week I saw my Family Doc who told me that I could still have MS without brain lesions. He got me into see a Neurologist rather quickly. In fact I go in a couple of days. I'm trying to stay optimistic! However, I'm still very nervous at the same time.

    I know this is long ... and I do apologize! I have not told family members or friends of any of this. The only people that know are myself and the Docs I've seen thus far. My children know something is wrong, but do not know for sure. My concern is ... what questions do I ask the Neuro? I'm terrible with asking questions and even more terrible with remembering information given to me. Should I involve a family member to come with me to this appointment? Or will the first appointment be just a general assessment? I really do not know what to expect.

    Once again, I do so apologize for rambling on so. And thank you from the bottom of my heart for reading this far! Any help, advice, suggestions, or positive affirmations would be greatly appreciated.

    #2
    Hi Cecilia -
    Don't apologize for having to tell your story. Looking for a diagnosis is a hard place to be.

    I just wanted to let you know that this a great place for questions, learning, 'meeting' new people that understand.

    I'm glad you are seeing a neurologist. You should write down questions, we all forget them! If you can, I would take someone, they may think of questions you didn't after hearing what the doctor says. I would ask him to explain MS. If he does it well and patiently, he's going to really give you a lot of information.

    I think some other people will give you some questions, I just can't think of any off the top of my head. My first neuro visit was for numbness in my shin and we were doing a nerve conduction test - I thought it was going to be a problem with my back, when he said MS, I said "no way?" then he explained what MS was, how it "works" and why he thought I might have it. As he talked my questions just came out.

    I wish I could be more specific, but I think once you see him and he reviews everything he will explain a lot and your questions will flow - what does the MRI mean, what other tests might he do, what about medications, etc.

    Good luck and I hope you find an answer so you can begin treating your symptoms.
    This music is the glue of the world Mark. It's what holds it all together. Without this, life would be meaningless

    Comment


      #3
      Hi Cecilia,

      Sounds like you have a lot going on I am so sorry.

      When you see the neuro make sure to bring something to write on. Even better, like empirerecs said, write your questions out before you go so you don't forget anything (this is from experience, I always forget). Make a list of all your experiences and symptoms as well. I would assume that the first appointment will be a general assessment with some non-invasive physical tests (strength test, sensory test...you pretty much sit the whole time, at least in my experience).

      They may order blood tests or another MRI. In order to dx MS they have to rule out many other things, like lupus, B-12 deficiency, lyme disease...there are literally like a hundred things that present similar to MS. Try not to think about all the things it could be until you have seen the neuro

      Also, many people with MS experience the fatigue you described and there are medications available to combat this, same goes for the pain and stiffness. Some people try a combination of alpha lopic acid and acetyl l-carnitine which you can get at the drug store (ask your doctor first though) to help with fatigue.

      Even without a dx of MS, you can experience some of the symptoms you described. You may want to see if they can give you anything to help with the pain, stiffness and fatigue and even the tremors in the meantime?
      dxd RRMS 7/2011 - Rebif 8/2011 - Tecfidera 7/2013

      Comment


        #4
        Hello, and welcome to the board. Sorry that you are here -- but you are in excellent company !

        As far as bringing someone with you -- I would say yes, but it should be someone level-headed who will remember what happens and/or could take some notes for you if you are too shell-shocked to do it yourself. My husband went with me and was great for moral support, but he's not a note-taker. He does have a good memory, though, so I typed up the notes I took during my appt. as soon as I got home and he helped me refresh my memory on anything I didn't write down clearly.

        It would be very important for you to type up and take a list of symptoms and a timeline if you can remember when certain symptoms occurred / how long they lasted; and any medications you've been on with side effects and if they were effective, etc. I made sure I had a printed copy I could hand the dr. to put directly into my medical file instead of relying on him/her to copy it down correctly. I bring an updated one every time I visit the dr.

        Also bring a list of any current medications that you are on, with the name of the med, why taking it, the dosage and how often the med is taken.

        Here is a list of questions I brought with me to my first appt. (Some of them may not apply to you.) I spent a few days typing up the list and modifying it. You could copy and paste the questions into a document yourself and modify them to suit your needs.:

        How long have you been treating MS patients ? How many MS patients do you care for ?

        What other types of tests may I need to have ?

        How long do you think I've had MS ?

        What type of MS do you think I have ?

        What is my short-term and long-term prognosis ?

        How does my <<insert any other medical issue you have diagnosed here>> factor into the MS, and any treatments that are recommended ? Is it an issue at all ?

        What are flare-up symptoms to watch for ?

        How do I know when I'm having a flare-up ? Do I contact your office when I think I'm having a flare-up ? Are there OTC meds, etc. to help alleviate the symptoms of a flare-up ?

        Are there ways to try to prevent or minimize flare-ups ?
        Are there activities or things that I should, or should not do, such as exercising, etc. ?

        What types of treatment are recommended ? Why do you recommend this type of treatment ? What are the side effects ? Will the treatments affect my daily life ? How long will I be on the treatments ?

        Does the treatment affect my whole immune system ? Do I need to be more vigilant about my immune system ?
        What type of tests might I have to have done regularly ?

        How often do you recommend an MRI ?

        How do we know / track if a treatment is working or not ?

        Should I continue to go to to my PCP for annual checkups, gynecological issues, colds/flu, shots, etc. ?

        What are the benefits of having care/treatment at the MS Center as compared to a regular neurologist ?

        Would the MS Center be able to work with my PCP for standard tests and bloodwork, etc. so that I wouldn't always have to travel so far ?

        What are the costs of treatment ? I am concerned about health ins / prescrip coverage.

        Good luck and I hope that you can get some answers, and at the very least some symptom/pain management to start with. This is a great support place to be !

        Comment


          #5
          Thanks, Cosake, those questions are wonderful! Those will help a lot of people. I was dx in 2008 and wish I had had those. Eventually, I got there but it would have been faster!
          This music is the glue of the world Mark. It's what holds it all together. Without this, life would be meaningless

          Comment


            #6
            Thank you all SO much!!

            I just want to say thank you from the bottom of my heart for all the advice and information you gave me. I did write down all of my symptoms, list of meds and how often taken. I did not take anyone with me. The only person I could think of that would be level headed and none emotional would be my Father who was out of town. Even though she did give me A LOT of information, she was very kind and had the nurse print off several pages for me to read over which included a local MS support group.

            I have to say this Doc was so kind and so patient. She read over my lists, asked a lot of questions and sat patiently listening to every answer I gave. There was never a time in the appointment where she interrupted me nor did she give me weird looks and side ways glances. And the best part ... I didn't hear "It's all in your head" as I have heard countless times in the past.

            She performed several in office tests. Following her finger with only my eyes, touching my nose then touching her finger, holding both arms out stretched to either side with eyes open and closed, balance tests while standing with eyes open and closed. Lastly, she had me lie back on the table and close my eyes. She then proceeded to ask "Do you feel this" with every poke. At first I thought she was faking my out as a test because she kept asking if I felt anything and every time was no. She did this over my feet, legs, arms, hands and face (both sides). I have no feeling in the bottoms of my feet, and I have less feeling in the right side of my body than I do the left. But again, she didn't act surprised or baffled.

            At the end of the appointment, she sat me up and proceeded to tell me it was her clinical opinion that it is MS. However, she wanted me to take a blood test along with another MRI, but this time of my spine. They will be checking the Cervical and Thoracic area with and without contrast. She reassured me that with these test she just wanted to make sure of her clinical opinion and also it was to rule out anything else, as someone said, MS symptoms are also symptoms of other things. She put me on pain medication, Neurontin, as well as another round of oral Prednisone treatment.

            Blood test is already out of the way. Did that right after the appointment in the lab at the Hospital. I wasn't sure if they were going to leave any blood for me! 25 vials of blood?? I've never had that much blood taken at one time. Go for the MRI on the 26th.

            Again, I just want to say thank you so very much! It feels so good to know that I'm not alone through this.

            Comment


              #7
              You're welcome ZenCricket! That's what we are all here for Good luck to you!

              It's awesome that you felt comfortable and liked your neuro...that is a huge plus I am also super glad they gave you something for the pain you are experiencing!
              dxd RRMS 7/2011 - Rebif 8/2011 - Tecfidera 7/2013

              Comment


                #8
                Hello from FL.

                I am so glad you found a "patient" doc. Yes, I had about thirty vials drawn while in hospital, then even more when I had a relapse. Sounds as if this doctor is on top of things. Try to stay calm, even though it is difficult! Those were excellent questions, BTW. Hope you have a correct diagnosis and treatment soon.

                Wendy

                Comment


                  #9
                  I know how you feel

                  First of all I want to say welcome! I also had a long time fighting symptoms because I had back problems on top of being "so young" (20 at the time of my first symptom of numbness on the bottom of my feet) before I was diagnosed.

                  I wanted to tell you that my mom was also diagnosed with MS after I was but she only had lesions in her SPINE and the only reason they looked for MS was because she had some of the same symptoms I did. So it IS possible to have MS without having lesions in your brain.

                  Good luck to you.

                  Comment


                    #10
                    Hey ZC, welcome for all the wrong reasons, but welcome.
                    Spinal MRIs can be tricky because the darned things take so long. Try searching the forums here, there's some pretty good advice on how to "ace" your MRI without moving around or falling asleep.

                    Comment

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