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-   -   Just back from my neuro. (https://www.neurotalk.org/myasthenia-gravis/114568-neuro.html)

tysondouglass 02-12-2010 04:59 PM

Just back from my neuro.
 
Hm, could this get anymore dissapointing w/o having to be in the hospital?

It was just a check up, but this is how it went down.

Did his normal check up, looked in eyes because of headaches. etc, did the muscle testing. Right arm and leg pretty weak, yet otherwise quite well.

Though the worst was at the end, when asking about skiing.

He said, I was so close to itibation (sp) last time I was hospitalized that, I while going down the mountain I could collapse, going into respritory failure....How true do you think that is?

Im getting a second opinion on Monday, about the ski trip. I have an EMG schueduled with them aswell. I want to try mestinon again to see if it will work, is that a bad idea while on cellcept and pred?

They may suggest doing that on Monday at duke, but i want to try it NOW.


Im really tired right now, just got back from ear, nose, throat doctor, and have 2 respritory infections sort of...1 from acid reflux, maybe causing chest pains...and the other just sinusy.

And have a few ganglian cysts on my wrist..


Damn.


Well, i need to nap.

hope you all feel somewhat okay.

Joanmarie63 02-12-2010 08:15 PM

:hug: Tyson :hug:

I am sorry your appointment didn't go well. I would NOT add mestinon to your meds without your Dr knowing. I don't know anything about cellcept other than reading what everyone writes about it, I will never try it.

I only take mestinon and it helps me when I need it, but I still get very weak at times, today I dropped my water cup because my left arm was to weak to hold it, soooo, rest time for me :)

We have our good days and bad and only YOU know your body and how it is feeling and you will know if you can ski or not. If your Dr. is that worried about your breathing than maybe you should listen to him.

We all know not to push ourselves to hard. I really hope you get to go skiing, as I know it is something you are really looking forward to. PLEASE continue to keep us updated.

suev 02-12-2010 08:48 PM

Hey Tyson,

I agree about not adding any meds before Dr approves.

Re: skiing
I know this will not be what you want to hear but... is skiing really worth the risk of being on a vent OR going into complete respiratory failure?

Harsh? Maybe. But I believe your doctor is being straight with you. Think about it. The exertion of the trip, the cold air, asking your muscles to ski -- when many times they balk at carrying you up a flight of stairs. The odds of your being able to safely ski right now - let alone enjoy it - are, unfortunately, not in your favor.

Tyson, I have no doubt you will ski many times again in the years to come - - just not this year. It stinks and it's not fair and I so very much wish it were different...but it's not.

I'm really, really sorry - - but I agree with your Dr. Skiing just isn't a good idea right now.

Sue

tysondouglass 02-12-2010 09:23 PM

Joanmarie- Thanks for your support. It was a hard meeting, he was asking me how i was dealing with it all. How do you think im dealing with it mr. neuro? Your telling me if i excersize AT ALL, i could go into complete respritory arrest. Wow cool. Yet im okay with it, im not happy.

I wont try mestinon until I talk to the doctors at Duke on monday, my neuro said they may make me try it again anyway. So hopefully it works.

Is it stupid to just try it one day, to see how i feel? Or half day?
I hope i can skii too, and thanks.


Sue- Im having everything taken away, piece by piece and its killing me. My SAT scores came back today, they were horrible, due to the fact i was starting cellcept, having horrible headaches, chest pains, etc. etc. Whatever. Im just in a horrible mood about it all.

I know its not worth it, but i want to do it SO bad, because everything im trying to do is failing. I know my doctor may be right, but why cant I atleast try it?

I know things arent really in my favor, yet im wishing for something.

I know also ill be able to in future years to come, but right now, i want to be able to skii. Im going with my friend, who is able, and healthy as a horse, and that ****** me off, that i cant even be healthy enough to SKI!

Please dont be sorry, its life i suppose.

Thanks.

redtail 02-12-2010 09:55 PM

Hi Tyson,

man I wish I could say "go skiing", sheesh, I'm ****off for you!!!!!! But listen to your dr, if you were close to being intubated, well thats kinda serious. I do understand, all I want to do is drive to the beach and spend the day swimming, and exploring the shoreline, but just driving to the chemist exhausted me(a minutes drive away), it sucks big time, but yes its life.

I'm on cellcept pred and mestinon, but yes maybe wait to try it after you've seen the dr on Monday.

Mate I wish I had the answers for you, wish I could say go skiing you'll be right, but in my heart of hearts, well I don't want you to end up worse than you are now............

Thinking of you, take care and keep comming here to talk/vent,
Kate

Joanmarie63 02-13-2010 09:20 AM

Tyson,

It is ok, to be ticked off, really ticked off, accepting this illness is like accepting a death, you go through a grieving process.

I have watched/listened to you go from a frightened child to a remarkable young man! You are handling this illness with a strength I wish I had when I was DX'ed. You amaze me and I am so proud of you and how far you have come.

So be ***** at the Dr., at anything and everything you want as it is good to get those feelings out. Remember the cold and high heat is our enemy and we must adjust, and adjust I know you will do. This DOES get better as time goes by, as you learn your limits, and we all have different limits on different days.

neutro 02-13-2010 11:36 AM

Tyson, when will you stop kidding yourself?
MG is an illness not to be played with...and all its medications take some time to have some effect. I'm on Pred, Cellcept, Mestinon since 2 and a half years and presently a weekly Plex.
Mestinon is not going to boost your muscular strength to the point it was before.
I used to swim every day (covered pool at home) and I had to stop for a year, I used to go skiing every year and that will be my third season that I skip...
Besides the medical problems associated with MG you could have while skiing, have you thought at the possible physical injuries like twisted knee, teared ligaments because you weren't able to correctly go down the slopes, even bone fractures because you couldn't control your speed and direction?
If, at least you were going with a good friend of yours or a relative who is aware of your condition, you could go and try the first day the easy slopes (in France the blue or green ones) to see how it goes and then decides how to continue but no, you're going with «healthy as a horse» friend and I'm sure there will be a constant competition from the start...
I know it's hard to accept but we all have had the same feelings and we all fight every day to have the best life possible, some succeed and some not quite...
Sorry to have been so blunt but I was just trying to put you in a more proper (at least from my point of view) perspective.
Maurice.

tysondouglass 02-14-2010 06:49 PM

Kate- I wish you could say go skiing also:) I wish we could all go skiing! I know its serious, though, i know myself, and when Im going towards a crisis quite well now, isnt it feasible just to try one half day or something? Just to see how it affects me? If i start to feel horrible, i WILL stop.

Im sorry, that your not able to spend the day at the beach, i can completely relate such as to skiing. But it really sucks, and that youve been dealt this card is even worse. Im excited about my app. tomoorrow at Duke, after the EMG test, maybe they will have answers for me.

Hope your doing well.

Joan- I know, thanks. Its just hard of finding a good balance because often times its more of me being ****** off than it is me being happy. and i hate that. But maybe i play it off quite well, or maybe i am quite strong. Maybe a little of both. Thanks for all your encouraging words. Hope you feel well.

- I think im learning my limits, and when im getting close to a crisis, which is nice.


Maurice- Your fine being blunt, sometimes it needs to be put out there like such. But, when will I stop kidding myself? Im 17, so at this point, it might take a while. Im almost at terms with it, yet im still in awe to some extent. I know its not anything to mess around with, yet I dont feel like, im just going to STOP breathing on the mountain, i feel like id be weak first, then gradually start getting worse, and i can tell that.

Mestinon may not boost it to the strength i was, yet more than i have. Im sorry to hear about your not being able to swim or ski, i know its hard.

I am going w a good friend, and family, so im in agreeance, to see if I can do anything, atleast blues, if not blacks. Im going to try it no matter what, I think, and if i start feeling anything, then i know i need to stop. But i know my limits much better now, and what I can tolerate.

It is hard to accept, and i fight these feelings, everyday as we all do.

Hope your doing well.

AnnieB3 02-14-2010 09:31 PM

No, it's not feasible. You are still thinking that MG can be "controlled." It can't. As if it's a perfect science. A + C = B + C. Nope, not mathematical either.

You must be in the "bargaining" phase of grief/loss. If I only do "this much," then I'll rest and be fine. It doesn't work that way with MG.

You have got to put the STOP on everything. At least for now. If you don't, you will end up back in the hospital. Or the morgue. Sorry, but I don't know how else to say this right now. You are absolutely kidding yourself.

And when you are at any elevation on a mountain, your O2 sats will drop, making it even harder to breathe, forcing your muscles and heart to work overtime. A stroke or heart attack can happen easily under those circumstances too.

Now I'm blue in the face, so I'll stop.

Annie

Nicknerd 02-14-2010 09:51 PM

Hi Tyson,

I agree with everyone here that that sorta exertion will prolly make you really ill if going up the stairs is hard on you. Throw in the high elevation, as Annie pointed out, and this is a recipe for at least an exacerbation (at least).

My aunt went on a trip to BC and was shocked at how bad her breathing was when she had gone for a swim (higher elevation). Mind you, my aunt is 59, but she is in great shape, has never smoked a day in her life, does not drink alcohol, has no illness, takes vitamins/supplements, eats well...The whole shebang...Now imagine someone who is already compromised in the breathing department, has had surgery fairly recently in the vicinity if the lungs, and whose illness impacts other muscles which will tire out the breathing just because of that weakness alone...

It doesn't mean you'll be like this forever, and you'll always have to make these kinds of sacrifices...It just means that you might have to make them around this time...Later, you will most likely be well enough to do these things again...I know you're depressed because of being sick- believe me, it totally sucks, I know...But if you do something that has a good chance of making you sicker, it'll take that much longer to get back to your normal baseline...My neurologist always tells me that...with MG, your baseline of 'normalcy' will get lower the longer the damage has gone on/the more things progress because of exacerbations...

Please take care, Tyson!:hug:
Nicky


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