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Old 08-02-2009, 07:32 PM #11
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Teeth Hi Nicknerd!

Hey hon!

I'm so sorry to hear you had to go BACK to that horrid place! I hate the hospital too! Just too darn scary for me!

When I was @ the Methodist a while back, I too was the "guinie pig" for the nurses....I was sweating bullets! LOL!

It is AMAZING that you met so many people with MG - can you say AMAZING? What are the odds?

I hope this post finds you strong and HAPPY! I'll keep praying for you, sweetie!

Love,
Erin






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Originally Posted by Nicknerd View Post
Hey guys,

Just wanted to let you know what the results were for my tumor....I got them a bit early because I was sorta on my way to a crisis...I called the hospital where I had my surgery to let my surgeon know that I was having major problems eating and talking again (but worse than before)...I ended up speaking with a resident thoracic surgeon on the phone who told me to come to the hospital right away...My FVC was totally fine (I think almost 100%), but they were shocked by how bad my voice was...I ended up being admitted....again...argh...

The hospital where I'm staying is a teaching hospital, so I ended up seeing like 3-teams of doctors plus residents....I'm kinda a shy person, so this was overwhelming :$...Anyway, the head neurologist decided that they shouldn't give me plasmapheresis again because it's too expensive and my breathing's fine (he made this decision without actually seeing me) even though the neurology resident truly believed I should get it as well as the thoracic surgeon on call...Anyway, I ended up seeing that bigwhig yesterday(the head neurologist) and he agreed that I needed it again, but that I'd have to start taking prednisone (no!!!), which I really don't want to take for a number of very good reasons (not necessarilly the obvious)...

So anyway, I had a plasma exchange today...it didn't really help this time (usually I start to notice a difference right away)...We'll see how things go...Hopefully, things will improve..

Now the tumor business...I found out that it's an AB stage 1 tumor...The doc. said that this is great news, and that I don't need to have radiation (thank the lord)...I asked if it was benign, he said not necessarilly, but my survival rate is 90% and I really shouldn't worry about it ever coming back...phew...

Two interesting things happened...The nurse who did my FVC turns out to have a sister with Myasthenia gravis, who had the typical eye weakness but also extreme bulbar speech, worse than mine...He said that after she had her thymectomy, she took one medication that put her into remission and she's doing awesome now, 6-years later....Another nurse I had had Myasthenia Gravis with a thymoma at the same stage as mine two years ago...She also did pretty badly 1-week after the surgery (like me), but is now in remission...You can't tell that she has it at all! She had a plasma exchange, was put on prednisone, tapered off, and is now on Imuran...She said that the only bad things that have happened since her ordeal two years ago, is that she got shingles (from the imuran, I'm guessing) and she gets a bit fatigued at night...I'll take the fatigue, yes please, but spare me the shingles! lol..

Anyway, I feel hopeful seeing another MGer in the flesh who is doing great!

How are all of you guys doing?

ttys!
nicky
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Old 08-02-2009, 07:47 PM #12
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Hey Annie,

They do the FVC test while I am sitting up...My oxygen saturation is also normal when walking (or at least it was before my surgery)...They didn't really test that this time, only when resting...

What's MIP, MEP, and ABG? I was thinking of asking them if they did the arterial blood gas test, too, but again, I was thinking that I was being to inquisitive and trying to tell them what to do, or something...Maybe it's the way I ask...I'm kinda a nervous person, and might come off as highstrong...*must calm down* lol

I'm sorry that you had the crisis, Annie...Have you had just the one? Were you put on ventilation? That must have been so scary...When I was having the trouble breathing, it was more only when I was talking and a bit when walking...Just felt breathless...At rest, I was/am okay...

I'm still feeling pretty weak...They had to cancel my plasmapheresis today because I keep getting this strange 'attacks' where I'll just be sitting, reading or doing whatever, perfectly calm, and I'll suddenly get a rush to my head...My heartbeat will feel heavy, my vision will become very blurry, and an hour later, my stomach will get very upset and I'll eventually have diarhrea (?sp.? and sorry to be so graphic)...It'll last for about 4-hours....It's really frightening and the doctor has no idea what's causing it (my vitals are all normal)...The one thing that comes to mind, is that my BP is usually on the low side...about 90-100/60-70...When this happens, my BP will be 120/80 or 140/80...those are still normal stats, but not for me...I have no idea what's going on...Maybe my BP is going up because I'm scared, or maybe it's the cause...not sure...I also wonder if I'm getting too much mestinon now...I take 60 mg every 4-hours and 180 time-release once a day...Seems like a lot, maybe...

Argh...

Anyway, sorry to be pouring this on you guys...I just really want to get out of this hospital and back to feeling better!

Ttys!
nicky
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Old 08-02-2009, 07:54 PM #13
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Default Hi Erin

Thanks so much, Erin! I read that you were back in the hospital and the ordeal that went on! It really is boring and kinda depressing being at the hospital, but at least we're safe when we're not feeling well!

I know...I just can't believe that I ran into these people...I am especially impressed with the nurse I met...She looks and sounds terrific...It gives me so much hope...This nasal speech has been my strange bedfellow for so many months that I feel like I'll never get rid of it...But hearing how clear her speech is is truly refreshing...Can't wait to be able to sing again *crosses fingers, knocks on wood*!

I hope you are feeling better, too, Erin! You really deserve to be back on track! Btw, have they ever tested your Immunoglobulin levels to see if they're up-to-par? Maybe that's why IViG works so well for you usually, and why you're so prone to the infections...

ttys!
Nicky
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Old 08-02-2009, 07:55 PM #14
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First, did you read the part about a possible blood clot in your lungs?! That absolutely needs to be checked out.

ABG is arterial blood gas. MIP (maximum inspiratory pressure) and MEP (maximum expiratory pressure) measure specifically neuromuscular weakness.

I've only had one crisis but a lot of exacerbations. I was not intubated, was not put in the ICU even though my O2 stats were dipping below 80%, was not given treatment until FOUR days later . . . it's a long stupid story.

When they crack open your chest, they can mess with the vagus nerve. It sounds a little bit like that. But, again, they need to check for a pulmonary embolism (blood clot) if they haven't already. Have they done an ECG?

It may be the time-release Mestinon doing it to you too. My neuro would not give it to me because it is too unreliable and can overdose you. Depending upon how much stomach acid you have, how you metabolize drugs, etc.

Are you hydrated enough? Here's one more thing to know that will bother the docs. They can run a serum osmolality on you to see if you are adequately hydrated or over hydrated. Hydration effects the blood pressure/pulse.

I hope you get better soon too.

Annie
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Old 08-02-2009, 08:07 PM #15
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Hey Annie,

I did read the part about the pulmonary embolism, but it freaked me out! I will ask them about it, for sure...This isn't the first time the 'rush to the head' thing happened, either...It's just that I have so many symptoms, that I forget about them all when it's time to deal with it...I've been having these little attacks since March, randomly...Can you have a blood clot and normal vitals? Also, would an xray/ct scan show it? I had an xray done last Wed., and a CT done about 3.5 weeks ago...

I know that my platelets are very high, but that's only been since the surgery...All the other CBC tests are abnormal as well...I got a print-out of all my info. since 2007...After surgery is when everything got weird, although I've always had high platelets, but still in the normal range...

i also get a heparin shot everyday....

P.S. Are you a nurse? If not, you should be one! (I think I already said that before hehe)...

nicky
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Old 08-02-2009, 08:47 PM #16
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I'm sorry, please don't be freaked out. Yes, you can have normal vitals and have a PE. There's a specific kind of CT they do with Iodine contrast to look for a PE. Iodine is relatively contraindicated in MG.

That's good that you get printouts of everything. Sometimes they don't tell you things or dismiss them too easily.

Yeah, too funny. I would NEVER be a nurse or doctor. I am a designer and writer - well, I was in a former life. Drs. have way more knowledge than I ever will. I think it's the creativity and common sense they are lacking - which is a shame. It's not knowledge that's important, it's how you "see" it that matters.

You don't need to be stressed out right now, so I'm sorry if I'm adding to it. The first time I had a "positive" D-Dimer was after surgery, which can be absolutely normal. It has to do with fibrin, etc. that's needed for healing. A good doctor will know that a slight elevation is not a big deal. It's when it's really elevated that they need to do more. I'm glad you're on blood thinners already.

Maybe see your primary doc when you get out about those "episodes" and/or talk to your docs there in the hospital.

You just take it easy.

Annie
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Old 08-04-2009, 04:47 AM #17
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Hi Nicky,

thinking of you as you sit in hospital. Hope you are soon home in your nice comfy bed with all the comforts of home. There really is no place like home
take care
Kate
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