Friday, 13 January 2012

Back in Wonderland?

Hopefully you will know my story if you read my first blog.  You will be familiar with how I was fobbed off by Doctors until I paid out of pocket to go private and finally got to a diagnosis of MS on Dec 22.

Well, when I had that follow up appointment (privately) with my Neurologist he realised that although he had the results of my brain MRI (which showed the lesions) he didn't have any for my spine.  He re-read his notes and realised that it was his error and that he hadn't actually ordered the spinal one, only one of my brain.  He apologised up and down and said he would need to re-do as he felt that my leg heaviness and limb symptoms may be as a result of spinal lesions.

It was at that moment I asked him if I would need to pay again for the test as I was self-funding. He said that he hadn't actually realised I was self-funding and that he had probably saved me hundreds of pounds. He went on to add that he would transfer me across to his NHS list and see me in clinic, I felt that finally I had someone on my side.

Yesterday I went to see him, armed with a list of new symptoms and to find out what the next step is. He explained that they have to run all the tests again (through the NHS) I guess almost ticking off the boxes to fit the protocol to diagnosis (he said it gets tricky with someone that starts private and then goes back to the NHS).  He said that they have to "gather the evidence" and satisfy all the steps so at this point I am at an official diagnosis now of "Probable MS".  Fine, I can accept that.  There are rules and protocol, I get it.

What I don't get is this; Once I do all of these tests and if I get to a diagnosis (again) of MS he said that I need to prepare myself for the fact that I probably won't fit the criteria for the DMD's (Disease Modifying Drugs).

So excuse my graphic choice today but it does accurately portray how I am feeling.  Screw you medical system.  I am fobbed off for years, go back and forth to finally get a diagnosis and then my Doctor jumps back on the fence.  I need to go through more tests, including having a needle in my back to collect spinal fluid (no small thing for a chicken like me) and then after all that IF I do get an answer I won't be eligible for medication.



Until when?  How rubbish does my quality of life have to get before I meet whatever the target is?

Where does this leave me? Am I officially back in Limbo-Land?  Do I get my hopes up that I am not actually a member of this club that nobody wants to belong to? Am I back to facing a name-less enemy (even though I have already been told I have MS once)?  Does it even matter though as I don't get the ammo to fight it because I "probably won't fit the criteria"?

What does this mean?  Is this IT?  I have to feel like this all the time?  I feel like I am going CRAZY.

So last night I was beside myself as once again insomnia kicked in at 2.30.  I lay in bed thinking "what if".  What if the rest of the tests come back negative?  If he is no longer willing to diagnose me based on the brain scan, symptoms and history as he did in December and the rest of the tests come back clear, then what?

He still thinks this is a neurological disorder as I have had every blood test under the sun, ruling out other mimics such as B12 deficiency, Lyme etc so in the early hours of the morning I Googled; Neurological disorders that mimic MS.

Nothing fits my symptoms except something called Fibromyalgia, although apparently this doesn't show up on an MRI and I have something on my MRI.  Also, it just doesn't quite "fit".  Am I grasping at straws? Uugh I am soooo confused and sad.

I have had many facebook messages from other MSers who took YEARS to get their diagnosis and I am so worried that I will be in their shoes.  I just want to KNOW.

Maybe I should change my Blog title to My Journey Through LaLa Land because that is how it feels.  I am sure there will be Limbo-Landers who can relate to this Blog today as well as MSers who may have had the ups and downs to diagnosis.

I am convinced that it is not only the disease that causes the 75% depression rate but also the way we have to struggle and fight to find out what the heck is going on with our bodies.

So where do I go from here? I will do all the stupid tests and regardless of whether I get an answer or not, drugs or not, I will continue to be fabulous and live my life, enjoy my family, love my sexy man, have my laughs with friends, take my holidays, drink my wine and sing karaoke.

So enough about me, how are YOU?




11 comments:

  1. karen i was lucky enough to be diagnosed with my first sign of something was wrong ie i lost my mobility completly and was numb with tingling . my lumber puncture was normal so not all show up ms . but my mri showed liesians on brain and spine. but still they couldnt call it ms untill i had a relapse as you have to have multiple liasions . i had the relapse in october.i think we all have the thought that mistake has been made hopeful anyway..but i do sympathise with you karen being told that you have this horrible thing then being told you have to go through the tests again. i dont understand why you wouldnt be suitable for the drugs. i have just this minute had delivery of my rebif.keep strong karen xxx

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    1. Thanks Shirley.

      That is my concern. I have read not all show on the lumbar and so I am hoping in a way that the spine MRI will show lesions (not that I want them but you understand what I mean) so that it is enough (with my brain MRI) for a dx without the LP. I am nervous about it, I know everyone says its no big deal but for some reason I really would rather not. I dont know what the criteria is in my area for the rebif/dmd's but he said I need to prepare that I wont get it. Its a bummer. Oh well, onward and upwards. Keep on smiling and dont let the ba$tards get you down ;)

      Love to you my friend
      xx

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    1. Karen let me first say thank you for blogging about your MS journey. I too am being left in Limbo land and it is so frustrating and EXPENSIVE..but it does help to see that you are not alone in this struggle..thank u again for sharing your experience

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    2. Thank you Tiffany for reading and taking the time to leave a comment :) It is SO frustrating going back and forth and I am so sorry you are here too. I am here to support you whenever you want to share/chat. x

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    3. Thank you so much...we will win this fight!!!

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  3. Karen, you and I are living parallel lives on opposite sides of the pond. I live in New Hampshire, USA. I, too, have been shuffled from one doctor to another. I am awaiting an appointment to see yet another neurologist. Without a proper diagnosis I feel like no one believes me. In the meantime, I have been reading a lot about the various MS diets that are out there. The MSRecovery Diet, Ashton Embry's diet, Dr. Swank's diet...all of them really built around similar ideas. Have you looked into any of them, yet? I am curious as to what you think? I'm sort of rehearsing a 'at-this-point-it-can't-hurt' drama around it.

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    1. The feeling of not being believed or having how you are feeling dismissed or trivialised is awful, I feel your pain. My Doctor actually said that he "wasn't worried by my symptoms" .... UMMMM hello, thats because you arent feeling them!

      I have been reading the Montel Williams book that is all about how he manages his MS with diet etc.

      I will also look into the ones you have mentioned. Stay in touch and good luck to you.

      x

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  4. Oh, bother, bum, tit!!

    I am so very sorry to hear about this unexpected fork in the road.

    Fingers and toes crossed for you Karen that if the neuro was happy to give you the diagnosis based on the classic lesions in the brain then you won't have any trouble meeting the McDonald criteria.

    The MRI that you will undergo will likely involve injecting you will gadolinium enhancing substance to show up new lesions versus old ones. There is talk that in certain cases you'll only need the one MRI to show up a disemination in time and space for relapses.

    Anyway, the lumbar punch is a breeze for most people. I had one and survived to tell the tale but it wasn't as easy as I had read.

    Bottom line is try not to let your mind run away with all the negative what ifs?

    You go girl!!

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    1. I know, it sucks doesn't it? I feel like once I wasn't paying private then he completely changed his attitude.

      I am going to stick with his original dx and just go through the motions at this point. I have spoken to so many people who have been through the same sort of things (especially when switching from private to NHS) so I think you have to almost "go it alone" unless you are literally unable to move. It is such a rubbish system but hey ho, onward and upward as always.

      Thanks for your ongoing support my friend. Keep well.

      x

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