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465013 tn?1289261142

Newby in Limbo = Howdy

Hello world!

I've been lurking for a few days, just reading, reading, reading. You all seem like a great bunch of people that I've already gotten to know. I must say, Q, (if I may be so informal on first introduction) you are simply amazing! Thank you for so much great info. The Health Pages are wonderful! I haven't finished reading all of them yet, but I'm sure I will before too long.

Introductions: 59 y.o. male, 5'5", 160#, (OK, slightly overweight for the past 10 years) former runner (at 120#), skier (nordic and alpine), bicycler, hiker, backpacker, rock climber, D league softball player (any position except first base, haha), rugby player (hook, wing and scrum half) very amateur musician (guitar and bass) and in my spare time I would try to make enough money by being a geek to keep all of that going. Was single until 32, but now after 27 years, and the flop of the economy, and my first bout with Whatever It Is, and my ADD finally drove her crazy and she sent me packing this year.

So yeah, there has been a lot of stress lately.

I am now in my second bout with Whatever It Is. My first bout started mid-Sept '09 and slowly cleared up around the beginning of March '10. I was feeling fairly well for a few months, so that's when she pushed the divorce thru. Then the current bout started mid-August '10 and it's now Oct, so I'm into this bout with Whatever It Is for about 3 months now.

My primary symptoms have been leg weakness in both legs, along with wobbliness, shakiness, and numbness that has been slowly creeping up my legs (now almost to the top of my thighs). And you know that weird feeling that there is something stuck on the bottom of my shoe, but when I stop to look, of course, there is nothing there.

I used to love to take adventuresome hikes in the mountains, but now walking is an adventure with nearly every step; sometimes the ground finds my foot in a different place than I expected, sometimes off a little bit this way or that or sooner or later than I expected. But no matter that, I can't walk very far any more, so what? I have adjusted  by using a cane to help me keep or catch my balance.

Besides that, I can't stand for more than a minute or two either; the problem with that is work, or standing in line at the grocery store. My work requires a lot of standing and walking from one desk to another. Sometimes I can sit down for a few minutes, which helps. And I brought in a tall stool for when I have to work at the server, but sometimes walking around at work is totally exhausting.

And one bad day will cause another bad day. But a restful day will usually bring a good day to follow that.

But perhaps the most annoying symptom is the jittery, quivering, tingling in my legs when I'm sitting or lying down. I swear sometimes I want to just cut them off. But somehow I think that wouldn't go very well, so I haven't done anything drastic, but sometimes it's enough to drive me absolutely crazy. Whoops, too late; went crazy long time ago.

I've been using at least one cane all of the time while fighting Whatever It Is, and sometimes I use a pair of crutches if I need to go very far, but there have been times when the fatigue in my legs has just totally overwhelmed me. I get to the point where my thigh muscles are just about totally useless.

And unfortunately, I have had to leave work unfinished a couple of times because I feel completely wasted from the bottom of my feet all the way up to my rib cage. Which then also affects my brain, which I need rather badly. I'd use three canes if it would help, but I finally gave in and got a used wheelchair. I hate the thing, but sometimes its the only way I can get around.

During my first bout, the neuro department at the nearby "health sciences university" took samples of EVERYTHING. They were able to rule out Lyme, West Nile and some other tests also said Negative, but mostly the results were... 'inconclusive'.

A couple of the tests of my CSF were a little out of range, but there were no O-bands (hmm... that reminds me of our current president, O-bam. Oh well, I'm sorry. I have a horrible sense of humor. I know... comedians out of work, and what am I doing here?) As I was saying, without the O-bands, the tests were... "inconclusive".

When this bout hit me, I called for an app't with the neuro where I had gone before, and the soonest they could get me in was ... drum roll ... February 2011 !! Hi-hat clank !! So, I'm checking with my PCP to see if he knows another way to get some neuro testing done in a timely manner.

Now, just for a little discussion... All of this trouble with Whatever It Is showed up while I was taking Cymbalta. Hmmm... makes me wonder. Two plus two makes, uh ... And now that I'm off of that darn drug (was that ever a battle!) I still have the dizziness, zzapping in my head and tinnitus, which wasn't there before.

I'm hoping that Whatever It Is will be temporary and will clear up in the next few months as my body repairs the damage that was done by that darn drug. But that's just my theory, so don't take any grains of salt with that.

So why did I start taking Cymbalta? I thought you'd never ask. In 2007, my ex was depressed, but convinced our psychologist that I was depressed. Not knowing any better, at the time, I went to the shrink who started me on Cymbalta because of my chronic back pain, which is due to degenerative arthritis in my spine.

So there's another clue in the mystery of Whatever It Is. Except that my spine MRIs have been... yep, "Inconclusive".

Hoping I haven't bored you all to tears,
TimC
32 Responses
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560501 tn?1383612740

  Hiyaa Mr. TimC :)
  
    First off, Welcome to the Forum!  Glad you decided to post.
Sorry that all these Sx have been lurking around you for so long.

   I am wondering why the Majority of your test are saying "inconclusive"??
What exactly are they saying? I mean that is just WAAYYY to many test to be Inconclusive!  To Ironic, don't you think?  A little to Ironic, Ya, I really do think....Ok, yes that is a partial lyric from a song "Ironic" By Alanis Morrisette..LOL  (Me trying to be funny).

   Seriously though, I think finding a Different Neuro would be in order along w/ a different Lab!  Prefferable one that does not using the word "Inconclusive" as their main Vocab word :)  

   Until you decide to see another Neuro or the same one......it is good to keep a little Jounal of Sx and if you did anything to provoke them, how long they lasted and so on. Of course the dates are important also.  Sorry that you are one of the ones that got caught up in the Cymbalta nightmare!

Take Care,
~Tonya
Helpful - 0
1253197 tn?1331209110
Hiya Mr TimC and welcome to the forum. I am so glad that you have Q)out of hidign and shared your wonderful sense of humour with us...you will find you are among friends and some people are so funny and witty as well as being incredibly well informed.(Dr Q comes to mind immediately).

It helps to be in touch with humour, but it is also good to acknowledge the darker harder feelings that are lurking and I sensed that you have had a very tough time in the last two years. Splitting up with your partner after that length of time is an enormous stress so it is not surprising that "whatever it is" keeps resurfacing.

I agress with Tonya that it is a good idea to keep a journal (but think you already need a fairly large one).  Hope you manage to find a neuro soon  as it feels far too long to wait with what you are going through.

I am going to send this now as I have managed to accidentally delete it twice as my new laptop is different and i keep hitting the wrong button. Never mind so here goes....

Cheers for now

Sarah :)
Helpful - 0
198419 tn?1360242356
Hi there,

Welcome. Well, you must be going insane w/all your bottled up energy. It's nice to read about your life before as you refer to as "whatever" entered the picture.

It's something we encourage people to describe to doctors. They simply need to know who you were before all this happened. I find so many similarities in your story, i.e., chalking your problems off to something you did, or took, etc. I swore myself if I just stopped smoking, got some rest, ate right, I'd be fine! I just knew I could fix it, hahah  I couldn't of been more wrong. My monster took months to chill the heck out to a bearable level.

Feb is a long way off and your exactly on track w/what you are doing. You've given a chronology of events, your going to hit up your MD for a chance of being seen sooner and of course.....you joined us!  Doc Q is wonderful isn't she. I know she and all of us appreciate your thoughts of our forum. We think we are special - you'll find a garden variety of characters and experiences and talents among us. So ask anything!

Do you have any copies of the testing run on you in the past? Especially the spinal tap?  You mention on O-bands, but something was out of range, and I'm wondering what the protein said.  Any imagine done of your CNS?

Thanks for joining us!
-Shelly
p.s. agree 1st base definitely rots -- 3rd base rules!
Helpful - 0
Avatar universal
Whatever IT is deserves a name.  

You need to know Whatever IT is to get treatment, whatever that might be.

How frustrating for you to wait until February.   Is this a special neurologist that there is such a lengthy wait to get in?  If not, I would look into getting seen by someone else who can squeeze you in sooner.  I know there is such a shortage of neuros, especially good ones.  A long wait for a first appt. is unfortuantely not that unusual.

Shell mentions tests - be sure to gather up all your test results and keep copies.  They come in handy, especially when you are switching doctors and have a lengthy time of working through the symptoms.

I'm sorry about the collapse of your relationship -that has to be extremely difficult and added to the stress.

If you read the HP's you will see the positive o-bands are not a requirement for MS dx.  This is another one of Q's brilliant pieces.  

You're so right - we are indeed fortunate to have her here among us, even though she is cursed with this MiSerable disease, herself.  She is our ultimate expert here and holds this place together with her information and her wit.    Keep reading her work and you will see why she is the best of the best.

While you're waiting for the next round of doctor appts, whenever that might be, be sure and stick around.  Ask questions.  Rant.  Banter and joke.  All are appropriate here.

Welcome to this special place.

be well,
Lulu

Helpful - 0
1468406 tn?1286489142
Hi! I'm new here too, and just wanted to welcome you to the forum, newbie to newbie.

You've been through so much in the last couple years. I'm sorry for the reasons you're here, but so glad that you found us. The support here is just incredible.

I can't say much that Tonya, Sarah, Shelly, and Lulu haven't said, but might I add that I love your wicked sense of humor? I tend to use humor to cope, and my husband just shakes his head like "How can you joke about this?". I do take it seriously, but humor helps me put it in perspective.

Glad you joined us,
Melissa
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1386048 tn?1281012333
Hi MisterTimC!

Welcome to the forum and the crazy land of limbo!

I sooooooooooooo feel for you with the waiting thing.  

I've been in limbo for months now and my symptoms tend to come and go in about 6 week spurts, so by the time i've gotten to see anyone who specializes in whatever it is that is going on, it has usually resolved!  Try to push for sooner dates wherever possible and you are always within your rights to call for cancellations.

I wish you all the best of luck in your pursuits and look forward to more posts from you along the way....love the sense of humour!!

michelle
Helpful - 0
1466984 tn?1310560608
So sorry for what you've been through in the past couple of years Tim. I am pretty new to this forum as well and thought I was dx with MS in Feb 2010, but then a 2nd neuro said "possible MS " and the first one waffled....so I don't know what I am....but I do know that I'm treating at the advice of all docs.  AND getting more tests done.

Have you had an MRI of your brain?  MY primary care doc ordered that when he heard my symptoms - then I had it to take with me for my first neuro visit.   One thing I have discovered through all of this is that we have to be our own advocates and ask for what we want and need ...and (hard part for me) NOT be timid about it.

Sounds like you are doing all that - but it would be nice if you could get into a neuro sooner than Feb!

I am loving this site as well - find the comments informative, uplifting and funny (thanks for the humor Tim)
Good luck to you!
Helpful - 0
1396846 tn?1332459510
Hi MisterTim,

Welcome to the forum. This is a wonderful place to get input to what you are going through. We have all been there and always have questions and everyone here are more than willing to give advice. This is an amazing forum, and you will find a new family here. :)

I can't add to the wonderful advice everyone has already offered to you. I just want you to know that you are not alone in this journey, we have all been there or are there right now.

I know the feeling of wanting to cut your leg off lol. I said to myself one time that I was just going to ask to have my leg amputated to make the pain go away then I said well then it will move to the other leg, cut it off and then my arms and I would end up a torso with a head attached so I thought better of it lmao.

Anyway I hope you get in to see a neuro much sooner than February, that is entirely to long to wait. Hang out here with us and let us know wha is happening.

Take Care,
Paula
Helpful - 0
465013 tn?1289261142
Thank you all. It looks like I have my homework cut out for me. Start a journal, post my test results, and go get a new joke book. I will do that, except that tonight, I 'm tired and need to hit the hay.

But, one bit of great news: I went to see my PCP (the greatest PCP in the world, by the way) and he referred me to a neuro in the area that he really respects. I called and got an app't with him in one week! So I'll load up with everything I can to take with me to see him.

I'll read the Health Page on that subject and be back with questions. And, oh yeah, I need to post my test results.

OK, one story before I go to bed. This is true: I was in the waiting room at the BIG university neuro dep't for an app't last year. The guard nurse came out and bellowed (it is a big waiting room) TIMOTHY.

As I got up, I said, "What, are you mad at me?" To which everyone in the waiting room busted up. So I said, "Thank you very much, I'll be here all week."

G'nite everybody!
  TimC
Helpful - 0
147426 tn?1317265632
Wll, Howdy right back!  I see the line-up for Last Comic Standing has swelled by one.  Welcome, neighbor.  We are only about 50 miles apart.  I want to give you a probing answer to What-Ever-It-Is that has befallen you, but it will have to wait until after my extended, put-off, dreaded, and completely undone taxes are sent in on Friday.  Why procrastinate when you can always do it tomorrow.

Welcome, I was flattered and blushed like a kid when I read your compliment.  Thank you.  I write those so people can get thorough answers and will understand it their docs start blowing smoke at them.  The HPs are sort of like my children.  And I didn't write all of them by any means.  The forum has many smart and excellent writers.

I'll be back periodically, when I tire of adding up sales tax on our case of receipts.  Before your next neuro visit be sure to read Lies My Neuro Told Me.  I think it is the best for helping someone to see if their neuro knows anything about MS or not.

I see you went to OHSU.  Did you like it there?  I have heard not much good.

I go to the Providence MS Center at Providence St. Vincents, on Barnes Road in Beaverton.  I think it's great, and actually closer to you than OHSU.

Quix
Helpful - 0
147426 tn?1317265632
By the Way, your symptoms sre suggestive of a Transverse Myelitis.  Another entity that comes to mind is CIPD.  Would you be willing to print the entire results of your LP testing?

Helpful - 0
465013 tn?1289261142
DocQ: Bingo! You are so amazing! And I'm not going to apologize for making you blush. Yes, my first round of testing was done at OHSU last fall/winter. My PCP's referred me to the neuro that he would go to and happens to be Hillsboro; he prefers other doctors who listen and think. I've got a few more days to study for that app't.

Do you know of a good way to post the test results from the OHSU MyChart? I'll try a copy/paste and see if that posts OK.

Test: CELL COUNT DIFF, CSF

Component Your Value Standard Range Units
CSF WBC            < 1                     < 6                    /cu mm
CSF RBC             1610                (blank)                /cu mm
DIFFERENTIAL CSF 100             (blank)                (blank)
SEGMENTED
NEUTROPHIL(CSF) 60                  < 7                       %
LYMPHOCYTES(CSF) 30            40 - 80                   %
MONOCYTES(CSF) 4                  15 - 45                   %
EOSINOPHILS(CSF) 6                  (blank)                   %

When I look at this, I have no understanding of it, but it looks to me like my Segmented Neutrophil (CSF) is way out of range; mine is 60% when 'normal' is < 7%.

Also, my Lymphocytes(CSF) was at 30% when normal is 40 - 80%.
And my Monocytes(CSF) was 4% when normal is 15 - 45%.
Helpful - 0
465013 tn?1289261142
That posted kind of OK. This one was just a single line:

Component                        Your Value   Standard Range  Units
MYELIN BASIC PRO CSF       1.13               < 1.11            ng/mL
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147426 tn?1317265632
Your CSF is totally normal.  You had very few cells so they had to hunt a lot to find 100 cells to count.  The percentages are meaningless with so few cells in the fluid.  Myelin Basic Protein is near normal, but is not really standardized and doesn't tell us much.

Where is the IgG and albulmin synthesis numbers (about 4 of them) that make up the IgG index???  Could there be another page to the report??

Quix
Helpful - 0
465013 tn?1289261142
The online OHSU MyChart has the results split up into various groups. Is this the batch you're looking for?

Component                         Your Value  Standard Range   Units
OLIGOCLONAL BANDS SF   Negative
IGG SERUM-OLI                   962           768 - 1632           mg/dL
IGG CSF - OLI                      3.2             < 6.1                  mg/dL
ALBUMIN, SERUM-OLI         4840          3500 - 5200         mg/dL
ALBUMIN, CSF-OLI               30             < 36                   mg/dL
ALBUMIN INDEX-OLI             6.2            < 9.1                  ratio
IGG INDEX-OLI                     0.54           0.28 - 0.66          ratio
CSF/IGG ALBUMIN RATIO    0.11           0.09 - 0.25          ratio
IGG SYN RATE                   < 0.0          < 8.1                   mg/d

Thank you for looking at my numbers; I find it helps reduce my stress level to have someone who is knowledgeable say "CSF is totally normal". All of this looks pretty normal to me, too.

I looked for "Lies My Neuro Told Me" and didn't find it, but I found the articles on Conversion Disorder to be enlightening.

Thanks again, now get back to those dreaded taxes. (I've had a CPA do mine for years; such a wonderful stress relief!)
  TimC
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147426 tn?1317265632
Helpful - 0
465013 tn?1289261142
What? Medhelp says I'm supposed to pick a best answer? Yeah, right. I appreciate everyone's greeting and responses. Although, it is true that DocQ provided some very valuable information, so I guess she gets my vote. I think she gets everyone's vote.

As for my app'ts this last week, CT of my kidneys revealed a benign cyst that gets no respect. When I went to my first app't with the new neuro the old body was feeling OK, but he was concerned about the past symptoms and ataxia. So he's requesting all my results from OHSU from last winter and has requested a brain MRI which will hopefully be scheduled this week. It was a short 'consultation' app't so not much time for questions, but there will be a followup so I hope we'll make some progress on figuring out what's wrong.

Meanwhile, I'm still working on reading more of those Health Pages == Good stuff!
  TimC



Helpful - 0
147426 tn?1317265632
Thanks, Tim.  Actually most of us on this forum feel that it is rare there is a "Best" answer and that our best information comes from the accumulated answers of many members.  No "has" to chose though anyone "can" chose.

We really try to keep the spirit of competition out of the forum.

I'm glad you like the Health Pages.  I am very proud of them.  They have been a collective effort.

I have to say that I am impressed at your neuro who didn't dismiss you while you were feeling okay, but homed in on your past episodes.  That is great news.  You may have skipped directly to a great neurologist.  What luck!

Quix
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465013 tn?1289261142
So I went to my PCP this morning because I had scratched open a mole on my back and I just couldn't see what was going on. He said that it was fine and then asked me about my other app'ts.

I told him the neuro had requested the MRI (which I hope will happen soon) and that my spine Dr. had referred me to a rheumatologist to see what she thinks. My PCP then said something which is very familiar to all residents of this forum; and I quote, "There are two old sayings. One is 'If it looks like a duck, walks like a duck, and quacks like a duck, it's probably a duck.' The other saying is: "If you hear hoof beats, think horses, not zebras.' They're looking for zebras."

Hmmmm....

As stated elsewhere, it's great to have a great PCP on your team.

TimC
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Avatar universal
Yes, we've had so many ducks and zebras here, not to mention other critters, that we could start a zoo.

Good luck,
ess
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147426 tn?1317265632
Tim, the version at my med school was:

Common things are common.

Q
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465013 tn?1289261142

So last night, I was reading thru more of the Health Pages and came to, "What I want my family and friends to know"

http://www.medhelp.org/user_journals/show/5699/MS-challenge-for-life-

It's an absolute "Must Read" if you have any family or friends who don't understand what you're going thru.
  TimC
Helpful - 0
465013 tn?1289261142
Got the brain MRI done today. The followup app't with the neuro is in 10 days. I have an app't with a Rheumatologist on Nov 1. It's been a wild ride; still dizzy, wobbly and feel like poop.

Hanging on,
TimC
Helpful - 0
465013 tn?1289261142
... feeling like poop - with no dx. I know many people have been there. It would be nice if they could figure out something. It's not like I've got tons of anxiety about this, I'm not really afraid of any dx - other than no dx. I'm hoping they find something relatively simple - but this waiting is frustrating. Oh, well. I guess there's not much I can do about that tonight. So I better get to bed. Maybe I won't have to leave the networking meeting tomorrow morning early because I can't stand up.

Hang on!


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