Friday, April 30, 2010
Hopelessness
Thursday, April 29, 2010
Another day like Yesterday
Wednesday, April 28, 2010
Tomorrow's Hopeful Light
Debbie Downer of a Day
Tuesday, April 27, 2010
Good Things Come in Small Packages
Monday, April 26, 2010
At a loss...
Friday, April 23, 2010
F*** this!
I was supposed to have an interview today for my non-nursing back-up job. I had the cards majorly stacked in my favor. I worked there, I volunteered there, I was interviewing with my aunt's best friend. But I can't fucking lift.
They gave me the job requirements while they got set. I would've had to go through a physical assessment at the hospital to make sure I'm physically able to do the job. The minimum requirement was lifting/carrying 25-50lbs. Right away I told them what happened. They talked to HR to make sure that they were being totally legal. There is no way for me to avoid lifting or for them to accommodate me. So there was no interview. I left in my stupid monkey suit and cried all the way home. I fucking hate my life.
Wednesday, April 21, 2010
My Rocks
Itty Bitty Now, Big Post Later
Tuesday, April 20, 2010
What CAN I do???
NO roller-coasters, 4-wheelers, skateboards, horseback riding, motorcycles, etc. Anything that “jars” your head and/or spine is a definite no-no.
NO water skiing, snow skiing, snow boarding, sky diving, bungee jumping, etc. (Just trying to cover all the basics – you get the idea.)
NO contact sports.
NO Chiropractor!- Especially at the neck for chiarians and for those with a syrinx, no deep tissue in the area of ur syrinx.(The chiro should be well versed on Both CM/SM)
NO straining which includes straining to reach something, or even straining during a bowel movement. Take a fiber supplement every day if you tend to get blocked up.
NO moving furniture or heavy objects around by pushing, pulling, lifting, or any other way. Pick up nothing heavier than a gallon of milk. I know – that sounds impossible, but keep that gallon of milk in the back of your mind.
NO moving around in the dark!
NO putting yourself into stressful situations or relationships.
NO twisting your spine – try to keep a good posture with your spine lined up and straight.
NO bending over. lower yourself to the floor by bending your knees – not your back.
NO sudden spinal/neck movements.
NO using the hair wash sink at the hair salon.
DON’T try to keep commitments when you’re feeling badly. Listen to your body.
NO excess coughing or sneezing
NO weight lifting
So, I just went to the asap.org forum. It is a site for people with syringomyelia. I posted a new topic, so other people can give me feedback as to what they were told regarding limitations. I hate having so many unanswered questions. I'm so stressed and feeling down in the dumps. I have a decent support system going right now, but more on that later. I need to go try and unwind before working all night.
Monday, April 19, 2010
What next?
The NP called me back. Unlike past times I've met with her, she seemed rushed and distant. Maybe because she wasn't getting paid for this encounter as she would with an appointment in the clinic. Maybe because she wanted to get out of work on time and get home for dinner. Either way, I felt she didn't give me all of the answers/attention I needed to ease my mind.
Q:Where and size?
A:C6-C7 2.5 cm syrinx, and syrinxes mildly throughout my thoracic spine
Q:Activity Limits?
A:Straining, heavy lifting, shoveling heavy loads, the Valsalva maneuver, etc.
Q:Symptoms I should be watching for or that I should come in for?
A:Balance disturbances, weakness, loss of sensation, bowel/bladder issues, swallowing trouble, and change in type or frequency of symptoms.
Q:Frequency of MRIs and Dr. visits?
A:Follow-up Dr. visits every 6 months, with annual MRIs to check for expansion
Q:Impact on pregnancy?
A:I would need to consult a neurosurgeon prior to getting pregnant. Pregnancy and delivery can be a huge strain on the spinal cord. Surgery may not be necessary but they would be able to best recommend a course of action.
Q:Any doubt it could be something else?
A:Other various neuropathies are possible but unlikely at this time. If things progress the next step would be to do a EMG.
She also made note that my syrinxes are not caused by the Chiari malformation as many cases are. Mine may have been caused as a result of trauma from my car accident years ago, or could be idiopathic.
That is all I got from her.
My mind is still racing. She told me not to worry and not to look stuff up online. But how can I not? She was fairly quick and vague with her responses. So here is what I've found that concerns me:
- Signs of the disorder tend to develop slowly, although sudden onset may occur with coughing or straining. (http://www.ninds.nih.gov/disorders/syringomyelia/syringomyelia.htm)
Really? Coughing? Each time I have coughed since I read this the first thing that goes through my mind is: Are my syrinxes expanding???
-Avoid activities that may make symptoms worse
If you've been diagnosed with syringomyelia, avoid any activity that involves lifting, straining, or putting excessive force on your spine. These activities include, among others: Playing high-impact sports, such as football and rugby, Riding roller coasters, Skydiving, Straining during a bowel movement, Excessive coughing (talk to your doctor about treatment if coughing persists), Lifting anything that weighs more than 15 pounds (http://www.mayoclinic.com/health/syringomyelia/DS01127/DSECTION=lifestyle-and-home-remedies)
High impact....does that include running? On some websites it does. No more rollercoasters?! Again with the coughing... And not lifting anything more than 15lbs!!!!!! How is that possible? My purse practically weighs 15lbs... okay, well maybe not that much. But still. How can I lift weights to maintain my physical fitness when things get worse?
I don't like any of this. Not at all. Please... if you are reading this and know something helpful or can help clarify things for me - I would more than appreciate answers and advice.
The "S" Word
Let me start at the beginning of all of this...
Back in the fall of 2009 I was tutoring one day and half of my body when numb and tingling. It was my arm and leg on one side of my body. At this time I can't recall which side. I thought it was the weirdest thing ever. I called my friend Clyde on my way home because I knew he was around and available. I told him what was going on just in case I crashed, then at least someone would know what happened. I made it home safely and within the hour it cleared. I haven't thought about it in months.
Fast forward to March 13, 2010 at 3am. I was sitting at the kitchen table browsing websites for a new digital camera. And instantly, my left half of my body when numb and tingly. A greater portion of my face, my entire arm and entire leg. The first thing I thought of was a stroke. I ran to the bathroom and looked into the mirror. No facial droop or asymmetry. I could still move the affected areas and feel sensations. I put an end to camera shopping and went to bed. I woke Josh up to tell him what was going on. His first words were "just like last time?". And then it hit me, it was very similar to that one day in the fall. I stayed awake for an hour, hoping it would disappear like last time. It didn't. I cried myself to sleep still numb and tingling.
The next morning it was still there. By noon, almost 9 hours later, my face felt normal and it started resolving in my shoulder and upper leg. I went to work for 3pm. The best part of working at a hospital is having professionals at my disposal to question. By the time I was at work it was only affecting from my elbow down to my fingers, and my knee to my toes. My elbow and knee joints felt dull and throbbing. The nurses on my floor threw out suggestions of Bells Palsy or a pinched nerve, but talked themselves out of it. So I asked a surgical resident. He thought it was probably a brain thing given the distribution and that it affected my face. He suggested I see a neurologist. I went to bed at 2am on March 14th, only to wake up at 11am feeling fine.
March 15, 2010
3:45pm - 6:00pm
My left arm from my elbow down goes numb and tingling while I'm sitting in class. It remained that way while walking to my car and driving home. I'm beginning to get suspicious that only my left side is affected by these spells.
**I should note this numbing and tingling isn't like when your arm or foot falls asleep. The numbness is not as intense and I can still feel touch, and the tingling isn't painful like the pins and needles sensation.
March 26, 2010
5:30pm - 10:15pm
Both of my arms go numb and tingly from my elbows down. It started with my right arm and within a half hour my left arm followed. I was simply sitting in a car, riding around and viewing apartments with my friend. I opted out of babysitting the next morning not knowing if this episode would last into the morning. But at least this time my right arm was involved... that is a good sign... maybe.
I made an appointment with my doctor for March 31st, first thing in the morning. Both her and her nurse practitioner ran me through the gamut of neurological functioning tests. Then they ordered up blood work to look at all of my vitamin levels and hormones. They also ordered up an MRI of my head and neck to look for signs of Multiple Sclerosis which is common in women who are far from the Equator.
Friday April 2nd, I had my MRI. That was a whole new experience for me. They gave me headphones tuned into a great country station. How they ever expected me to hear the music was beyond me. MRIs are LOUD! Every scan was banging and pounding in my ear. And there were different sounds. Some sounded like an alarm clock or fog horn, while others were like a jackhammer in my ear. I like to call my apparatus my "space suit" since I had my head and neck locked in some sort of helmet to prevent movement. The guy performing the MRI was so amazingly nice and really made sure I was comfortable with everything going on. Then they injected me with contrast and took a few more scans and I was on my way, only 1 hour after arriving.
Later that afternoon, I was up visiting my future in-laws, when I got the call. My blood tests were fine, just a low Vitamin D level, which is explainable after a long snowy winter. But my MRI wasn't so normal. They found a "spot of concern" on my cervical spine. At the time they thought it was either 1)a cyst formation or 2)demyelination (aka MS). They pushed me in with the nurse practitioner at the neurology clinic for the following Tuesday.
Tuesday April 6th, and I'm in the neurology clinic. The NP runs me through a more extensive gamut of neuro function testing. She notes that my reflexes of my lower extremities are hyperreflexive. (I googled this to find out that is it congruent with spinal cord injuries...hrmmm.) She mentions a syrinx, but at the time I wasn't listening well enough to say it much the less spell it. She orders an MRI of my thoracic spine and 2 tests: evoked visual response (to scope out my optic nerve for MS signs) and median somatosensory-evoked testing (to see how well my spinal cord conducts through this area).
Friday April 9th, (Keep in mind between all of these appointments I'm driving 2.5 hours each way between school and home. My poor car.) my second MRI. This one was roughly a half hour long. They really cranked the music for me which was much better. The head radiologist was there and after reviewing my scans decided he didn't need to add contrast. I thought this was good and that they didn't see anymore areas of concern. (I'll find out later I was wrong.)
Tuesday April 13th, bring out the electrodes. When I arrived the woman put about 20 red marks on my scalp, grinding her pencil through my hair hard enough to leave a mark. It hurt, I was not a happy camper. For my visually evoked test they covered one eye at a time and make me look at a flashing checker board on a TV. This would tell them how well my optic nerve was sending images to my brain. For the somatosensory test they hooked a small stimulator to my wrist. The stimulator made my thumb twitch which was fascinating to me. This test measured how fast the signal would go from my wrist to my clavicle to the back of my neck to the top of my head. They performed this on both sides.
All of Tuesday they didn't call with results. Wednesday the 14th came and I stared at my phone all morning. I couldn't sit still in class. Around noon, I called and left a message asking about the results of my tests. Around 1:30pm, a random clinic worker called to say that my electrode tests were fine, but my MRI showed syrinxes mildly throughout my thoracic spine. What did this mean? I had no idea. I told her to relay to the NP that I had many questions and would like to speak with her. My afternoon class was filled with more anxiety and staring at the phone.
Finally she called while I was tutoring. (back where it all began.) I grabbed my list of questions and started rambling and taking notes.
I'll continue with this post tomorrow. I'm exhausted after a long day at clinical and have to be up early for classes. I'm glad I've found some place to lay out everything that continues to cloud my mind.