the beginning

May 3, 2010

I thought I would revisit the beginning of this whole MS. I know I’ve written about it before but I often hear people discussing the problem of getting diagnosed with MS or finding a doc that will actually treat you as a patient and treat you with the respect a person deserves.  Not all of us MSers are lucky enough to be diagnosed with a simple MRi and lumbar puncture.

Along my journey I learned much about MS and how it is diagnosed.  Somewhere along the way a group of neurologists decided that all people with an arbitrary amount of lesions on their MRi and certain results on a Lumbar Puncture WILL be diagnosed with MS. All others are excluded unless of course (here it is) they have documented symptoms lasting more than a year, then they MAY carry an MS diagnosis. This is called the McDonald Criteria.  Yes, yes, I know I am oversimplifying it, but essentially that is the criteria.

Not surprisingly then, we have categories like Atypical Chronic Progressive MS.  Kinda like that Miscellaneous Category in which everything that  doesn’t fit anywhere else, end up.  For all of you Christmas Special followers, consider everyone outside of the McDonald Criteria as living on the Island of Misfits.  We are like the toys that are very useful and fun but not like the others.  If you are keen on Sesame Street than we are the fourth picture-the one that doesn’t belong.  Do you see the pattern, the connection, the exclusion?

The key to getting diagnosed is finding the right person who will listen.  Now this can be a doctor (if so, then most helpful) or a neighbor or a friend or a stranger standing in line at the grocery market.  The more you talk to people the quicker you will find a doctor who is really dedicated to helping people AND who WILL help you with your illness.  Whether you are trying to get diagnosed or trying to find help in feeling better or getting meds, etc.  I think you see where I am going.

While waiting for an MS appointment recently I overheard two people talking.  I don’t mean that eavesdropped as they were sitting next to me in a very tiny, cramped waiting room.  Ok, so I am justifying it.  Anyway, these two women came in together.  One was the patient the  other a friend.  The patient was from Alaska while the other from a little state on the east coast.  And we were sitting in the waiting room on the east coast of the USA.   The patient moved from Alaska to East Coast USA because she had trouble finding treatment, doctors and diagnosis. Her friend knew of the MS clinic nearby and suggested she fly in for a visit.  Well that turned into  diagnosis, treatment, and a permanent move.

When my day were most frustrating in the beginning, I found help in a friend.  When Dr. Frick, Dr. Frack, and Dr. Headupmybutt all turned their noses up at me, a friend pointed me in the right direction.

I learned not to give up but to persevere.  Oh, I wanted to give up.  But friends and family wouldn’t stop bugging me.  I had to keep going.  Now, if you don’t have people like that then find them.  Find at least one other person who will keep you going.  Some people have found help on forums, websites, blogs, etc.

There are a lot of Dr. Headupmybutts out there.  They are the problem, not you.  It is funny because when you have a child most pediatricians will say, “Well, a mother knows,” when you bring in your sick child.  Yet as an adult, when docs can’t find empirical(hard evidence on their tests) then they say “Well, a doctor knows,”.  Stick to knowing yourself.  If you know something is wrong, then keep trying on Doctors like you try on shoes.  You know what is best for you, you know when something is wrong.  You know?

2 Responses to “the beginning”

  1. atypicalms's avatar atypicalms Says:

    Sorry for the delay. I assume you have had the pump implanted already. To answer your question, hopefully not too late, yes the pump did reduce my fatigue. It reduced my fatigue for two reasons:

    1–I was on a large does of oral baclofen which increases your fatigue as a side effect. Because the pump uses a fraction of the amount of baclofen I was on orally, I do not have that added fatigue.

    2–I am walking better and use less energy as I walk.

    All of this adds to less fatigue. BUT, I am still fatigued; just not as bad as I was. There is a noticeable difference. So, yipeee for that.

    Also, it took me a while (months) to get used to the pump. It takes a bit to heal, a bit to get the pump at the correct level, and a bit to get used to it inside your body.

    I am very happy with the results and I have had the pump for two years now. I am told by my docs that I responded very well to the pump. Everyone is different, as I am sure you are sick of hearing.

    I wish you all the best. I hope the pump makes a difference for you, too. Sometimes it is the small differences that make it worth while.

  2. Brian's avatar Brian Says:

    Cindy, Thanks for this blog regarding the ITB Pump. I am in a similar situation MS-wise; I was diagnosed with PPMS in 10/06. It is 4 years later and my initial symptoms of leg weakness has progressed to extreme spasticity where I use a cane or walker depending on the distance. Sometimes I must use a wheelchair so that I do not fall and hurt myself (or an innocent bystander). I am receiving a pump next week (9.07.10) and I have a question for you; has the pump reduced your fatigue? Since the legs have the largest muscles in the body and walking with extreme spasticity is so physically encompassing I am curious. Please answer when you can. Thank you. Brian p.s. I believe we are of similar age (41).


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