Hsct-Multiple Sclerosis

 

Thanksgiving Day — a few days after diagnosis

 

Road to diagnosis

Like most people with Multiple Sclerosis, I went through a phase of feeling like a crazy person. I had labs checked and tests run but could not pinpoint what I now realize was my first symptom, fatigue. I would always tell my doctors I'm too young to feel this tired; this is not typical, and I don't feel renewed after sleep. I was also way more forgetful than what seemed normal for my age. I lived on calendars and sticky notes but still didn't feel organized in my mind and body. I was also rather clumsy but now realize my brain and body struggled to communicate. At the time, I was still in my late 20s early 30s, but everything kept coming back within the normal range and was chalked up to me being a new mom.

Years went on, presenting even more challenges after my second child. I kept telling family and friends that something was off. I didn't feel like myself. I started having inexplicable mood changes, the cloud of exhaustion wouldn't lift, and I was having weird localized pain in one area of my brain. Finally, I decided to see a Functional Medicine doctor who said everything was normal but only borderline. We came up with a plan to start treating things one by one, so my body would function optimally rather than minimally. Dr. McMinn was the first doctor who helped give me some relief for the depletion of Vitamin D, my inability to concentrate and level my mood. Unfortunately, while several of these things helped, they didn't completely resolve what I was combating. This cycle continued until I finally had a more prominent symptom that couldn't be ignored.

It was a crisp October night, and we'd gone to Zombie Paintball. I stood up after our ride and had numbness in both my feet, and it felt like I was walking on sand. I thought maybe they were just asleep, so I dismissed the very odd sensation. Instead, I drove home, which probably wasn't the best idea, and woke up the next day with the same sensation realizing it had never gone away. I waited two weeks before telling my husband, who insisted I see my primary care physician.

My nurse practitioner, Stephanie Gale, whom I trust very much, was initially thinking pinched nerve or something with an easy fix but thought the symptoms were strange and warranted further investigation to be on the safe side. After my MRI, she called and asked me to come into her office, so I knew it would not be good. My mom went with me for moral support. My doctor said, 'I'm sorry, your scans came back showing scarring in the brain, which can indicate Multiple Sclerosis. I want to refer you to a neurologist for further testing and a definitive diagnosis."

I remember hearing the words, which are forever seared into my brain but not processing the magnitude of what she was saying. I had heard of Multiple Sclerosis but didn't know anything about it. I remember seeing tears in her and my mom's eyes. I had no emotion at the time because it was almost like an out-of-body experience.

I am typically a researcher because I like to know as much as possible since I don't like surprises, but this was different. It was almost as if my brain went into a protective mode and wouldn't allow me to read or research anything. So I decided to wait until I met with the neurologist, enabling him to tell me everything I needed to know.

It wasn't until later that I realized my life had just changed forever, receiving a diagnosis with no cure. Dr. Meador's confirmation finally allowed me to crumble under the magnitude of my diagnosis. He assured me that if there were ever a time to have this disease, it was now since there were so many treatments available. I allowed myself to sit in my feelings then knew I had to put my game face on. My personality likes to see what I'm facing, best and worst-case scenarios, and get a game plan in place. That was the beginning of living daily with uncertainty, the realm I operate least successfully.

MOST TROUBLING NEW multiple sclerosis SYMPTOMS


10/15/16 - Felt like I had sand in my shoes, but feet and shoes were clean with no grittiness to touch

10/16/16 - Woke up with numb feet and toes

10/17/16 - Woke up with numb feet and calves

10/18/16 - Woke up with numbness from thighs down and pelvis that night

10/19/20 - Numbness in thighs down and pain in my right arm

10/20/16 - Decided to see my PCP. They did blood work and a brief neurological evaluation. Had an irregular heartbeat, but EKG was normal, so they said it was most likely anxiety

10/21/16 - Numbness from waist down to toes, pain on the left side of head above my ear and behind my left eye (optic nerve-?)

10/22/16 - Same as above

10/23/16 - Same as above, except my head was tender on the left side and couldn't even lay it on a pillow, had to pain around the base of my skull

10/24/16 - Less tingling and could feel the shower's heat, but severe back pain (lower, middle, and between shoulder blades) like nerves are at heightened response constantly not throbbing just pain.

10/25/16 - Tingling was worse today, pain in the right elbow, pain from left ear along the base of my skull to above my right ear. I had moments of feeling dizzy and lightheaded to the point of feeling like I might pass out.

1026/16 - Numbness from knees down and right arm. Pain in the head has gone away. I am getting MRI today.

10/27/16 - Numbness in calves than feet, still in the right arm and fingertips feel a little numb. No pain in the head today.

10/28/16 - Tingling only in the tips of my toes and severe back pain. I had tummy trouble after consciously thinking to step, and it took my leg a moment to do it.

10/29/16 - No pain, no tingling

10/30/16 - Pain above ears on sides of the head, right hip pain, numbness in the foot in the evening

**2017 - Started Copaxone and didn't have any new disease progression, just extreme weight gain.

4/12/18 - (Started Prednisone) Weakness in my left leg and tingling in my left hand. Numbness and tingling when I'm sitting, then intense pain and numbness when standing.

4/20/18 - Fell unexpectedly on the porch

4/2418 - Fell unexpectedly in room

5/4/18 - Off-balance and almost fell on the porch

5/7/18 - I fell downstairs and hurt my left ankle. My husband had to come home from work and help me back into the house

**2019 - Same symptoms of extreme fatigue, weakness, numbness, tingling, brain fog, brain/body disorganization, and overall worsening of severity in symptoms

**I Started Cymbalta, which took care of my anxiety, depression, and daily pain

**2020 Walking with a cane, relying on Alinker, stopped driving for the most part since I couldn't see at night, and my reaction time was slow due to a lack of coordination and communication between my brain and body.

**2020 HSCT to halt disease