Wednesday, April 17, 2013

Gone for Good- Clinical Isolation syndrome

Like a complete ass and with regret for the past few years I thought I was invincible. Quite a juvenile approach from a women at the ripe age of 46. You see approximately 7 years ago I was diagnosed with clinical isolation syndrome. What this means , in a kind way, you don't have multiple sclerosis yet, but your going to get it any day now. For clinical reasons one must present ms symptoms in an episode more then once before the diagnosis is made.


My symptoms appeared initially as a tingling yet scolded feeling in my left fingers and within a few days the feeling began to grow up my arm, with a mild squeezing feeling around my forearm as if someone was holding me tight and not letting up. Since a blog should be one based on honesty, I will tell you that this came upon me just hours after I had performed an over-the - knee spanking on one of my clients. Back then I was a professional dominatrix (NOT a sex worker, more so a social worker in leather, lol). As I drove home from my dungeon, I chided myself for spanking Thomas, the fireman, too harshly. Perhaps in the future, I should interchange spanking with a light weight paddle or hair brush i though. Then the thought crossed my mind that perhaps I had singed my fingers on the cup of tea that I made in the microwave and drank on the way to my Long Island dungeon.


I must stress that Multiple Sclerosis chose me, and its not a good diagnosis for a hypochondriac. Because i was so busy at the time promoting a book, I let this one go by a day until my arm eventually was being choked. Then all the sudden it dawned on me that this is my left arm and isn't the left side of any body part a symptom of stroke or perhaps heart malfunction? With this thought in mind, i drove myself to the emergency room and had just about every blood test, ekg and scan completed. The only thing they did not do was an MRI, but they referred me out to a neurologist for further review.


Of course as a new patient one must wait to be seen even though i paid a premium rate of 670 a month for my own insurance policy. But the Internet kept me engrossed in all possible diagnoses from rheumatoid arthritis to a slipped disc in my back. Three weeks later I was finally seen and all these silly tests were performed such as closing my eyes and holding both arms out straight and even, which I could not do, to touching my nose as directed. The two most unforgettable moments that day were when my neurologist asked me to put my chin down close to my chest and asked if I felt electricity- and yes I did, later I found out that this is called lhermitte's sign and his stern , yet concerned voice stating that ONE out of EIGHT HUNDRED people will be diagnosed in their life time with MS. And with that departing thought he wrote me out a script for prednisone and an MRI with contrast of my brain, cervical and thoracic spine.


Three weeks later I returned to his office to be told that my MRI revealed one lesion in my cervical spine and a few old ones in my brain as if I had episodes previously that i was unaware of. The tears flowed steady, my mascara was now in a Frankenstein design and I thought to myself- why me, im a strong lady-nothing weak about me for sure? Hearing the diagnosis was actually a thousand times worse then the ms symptoms that presented themselves. I cried the next few days, but made a conscious effort to NOT read up on MS. I couldn't allow myself to get to close to the information due to fear, I would hold onto my doctors only words- take the avonex and this disease will mildly progress and i should not be to concerned with all the new medical break throughs. In hind sight, easy for him to say, seeing that its routine for him to speak to ms patients on a daily basis and he's not shooting a four inch needle into his leg muscle once a week.


Well obviously not making a long story short, although i did try, I stayed on the avonex for 2 years and my MRIS actually improved. But because the avonex, an interferon, relentlessly made me sick-so sick, flu sick times one hundred, I had had enough. Copaxone, would be an alternative therapy that i would try although it was a daily shot rather then a weekly one. This i could handle initially until around month seven i experienced a rare side effect where my diaphragm felt as though it locked shut and i gasped for air while my husband called 911. By the time they arrived the symptoms had let up but my anxiety did not, and i would not be returning to copaxone again. Now what?


Well around this time it was the "yearly" time and I was due for my MRI's . After review the mri had revealed that the original cervical lesion had shrunk drastically to where it was almost unnoticeable. My doctor gave me a choice after explaining the clinical criteria for MS. He said I really had the option to wait out a second episode, chances being 50 percent within the first 5 yrs of first episode and 90 percent within the next ten years. Or once again, i could protect myself by returning to avonex. And this where the term"turn back the hands of time" comes into play. I, foolishly, in retrospect gambled on my myelin sheath invincibility and i lost. After two years of not being prophylactic, and even ignorantly skipping my MRI on the second year, decided that it was time to see if the gamble paid off. It didn't obviously as I think I let the cat out of the hat a few paragraphs ago. The last phone call from my neurologist stated that I have lesions "all over the place"., in his own words. One major one in the pons of my brain a few small scattered ones in the thoracic and a quite large one in my cervical. WOW, and now I can say I'm scared, and now bi can tell you I took my first avonex shot tonight after several years, and furthermore I can only hope that no one would negate their health responsibilities as I did.

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