Friday, June 3, 2022

2 years + 7 months + 3 weeks - Happy New Year!?

 2 years + 7 months + 3 weeks - Post Lemtrada

 

June 3, 2022

 

Happy belated New Year, I guess.  I could have sworn I wrote a post in January or February but I guess I only wrote it in my head.  I also started writing a post in early April but even though there was a lot to say, I couldn't find the words.
 
Summary of the last 6 months:
- In February, I started having double vision in the morning.
- I had another MRI but it showed no new lessons.
- We spent months de-cluttering and getting our house ready to sell.
- Listed and sold our old place, closed and moved into our new place, finished moving out of the old place, closed on that and tried to fit our life into half the space we had.
- Double vision got worse but then got a little better after we moved.
- Had a follow-up appointment with my Endocrinologist, an appointment with my Neurology PA (for the eye thing), a regular Optometrist eye appointment (update my glasses), an initial appointment with a Neuro-ophthalmologist (for the eye thing), had blood work done and a CT Scan for that, had a second follow-up with my Endocrinologist, a follow-up with the Neuro-Ophthamologist, and a 6 month follow-up with my Neurologist.
- Visited my cousin in Atlanta at the beginning of April (that was a nice break).
- Went to a wedding in Missouri at the beginning of May (that was nice too). 
- I finished my 4th and final yoga teacher training intensive via zoom and graduated from the program. 
- My son graduated from high school.
- I am now in Michigan.

It's been an insanely chaotic 6 months. 
 
My Endocrinologist lowered the Methimezol from 5 mg to 2.5mg per day in February and my thyroid hormones have been in a good place since then.  
 
The double vision started at the beginning of February and was just happening first thing in the morning.  I woke up one morning and looked at the alarm clock and saw two clocks, one over the other one.  It took about 5-10 minutes for me to be able to see straight then I was fine the rest of the day.  I made an appointment with my Neurology PA; through her screening checks we discovered that my double vision showed up when I looked to the far left and I had some eye soreness.  Also when I closed my eyes, shook my head then opened them again it took a couple seconds for my vision to lineup again.  She suspected that it had to do with my eye muscles because the double was on top of each other rather than next to each other.  She had me go in for the MRI and put me on a steroid, she wanted to do an infusion but because of the president's day holiday weekend, they gave me an oral steroid.  As I mentioned above, there were no new lesions.  The steroid helped the soreness but the double vision in the morning was the same.  It stayed pretty stable until April when the bulk of the stress hit.  I noticed that it seemed to be lasting longer in the morning, I noticed it sometimes during the day and I was noticing it at night when my eyes would get tired.  Once life calmed down a little, I went back to that base line I started with in February.  The Neuro-opthalmogoist found that the muscles under my right eye were swollen.  It showed up on the CT Scan and he didn't find any markers in my additional blood work that showed any other possible issues. I did ask about the worsening that seemed to be related to stress.  He said it made perfect sense because my brain is working to straighten out my vision and when you are under high stress your brain gets distracted with dealing with the stress and doesn't have enough capacity, basically, to also deal with the vision stuff.  He prescribed an 8 week course of weekly steroid infusions.  It took me a few weeks to set it up with everything that was going on the last 3 weeks but I did my first dose this week; 500 mg of Solumedrol.  The last time I was on that it was like taking speed but that was also 5 days in a row and I was on an oral steroid before that so we'll see how it goes.  It's been two days, that evening and yesterday, I felt a little bit "peppy-er" but I am not feeling that great today.
 
During my Neurology appointment, we just reviewed everything that had been going on and talked about my next Lemtrada infusion.  As much as I wanted to, I just couldn't squeeze it in in February.  I am planning to do it in early October.
 
That's where I am health-wise and the rest of it...it's just been a lot.  Everyone knows how stressful moving is in general.  Downsizing is extra stressful because you feel like you've gotten rid of a lot of stuff then when you actually move, you realize how much more stuff you still have.  Furniture-wise we did a good job paring down; it's just all the stuff.  How do you accumulate so much stuff without even realizing it?  It's emotional, uncomfortable, stressful, cramped...we'll get through it.  Going through the process sucks.  For the first time ever we have a storage unit (we actually have two, a medium and a small). 😳 We usually make fun of people who have so much stuff they need a storage unit and here we are.  George Carlin has that bit on stuff...so true. Here it is if you want a laugh.
 
I am hoping to use the summer in Michigan to recharge my batteries because there is still a lot to do in Texas.  We were only in the new place for 3 weeks before we had to leave.  One of those weeks we were still bringing things over from the old place and for four days we were out of town for a wedding; we really were only able to make it livable but there are still boxes all over.
 
Anyway, that's it.  I'll check-in after my steroids are done with an update on my eyes.
Have a good summer.
   

Sunday, December 5, 2021

Two years + 1 month + 3 weeks - Hypo to Hyper

 

Two years + 1 month + 3 weeks Post Lemtrada

December 5, 2021


Happy Holidays!

Can you believe another year is about to end? After my kids started school, time seemed to fly by. School years dissolve and blend into each other. But these last two years seem like they’ve been 10 but at the same time keep moving at a rapid pace. I know I am not the only one with this warped sense of time because many people have mentioned the same thing. For me it’s mostly because it’s going to be 2022 but I haven’t done much over the last two years and the things that did happen seem like they happened more than just a year ago. It’s a very strange feeling.

Anyway…on to the events of the last almost two months. I went on a college trip with my daughter; we had a lot of fun but I picked up the flu somewhere. I started feeling like I had allergies (drainage but not feeling bad) about 48 hours after we got home, 48 hours after that it moved into my sinuses so I went to our PCP. She ran flu and covid and I was positive for the flu. 😞 I had the flu shot the week before but it hadn’t been long enough to take full effect. I am glad I went to the doctor when I did; I started feeling worse and running a fever throughout that evening but she gave me Tamiflu and it seems to have shortened it. I started feeling better the next day.

I had an appointment with my Neurologist. It was uneventful…he showed me my MRI pictures and why he thought the new lesion was an artifact (it didn’t show up in other angles, he was surprised they even called it a lesion); we talked about my next Lemtrada dose; an alternative to Vyvanse (I can’t remember if anything was decided about that); and my thyroid. He said he does have patients that had delayed their Lemtrada treatments and are now going forward with them. I was thinking about doing it in February but now we have things going on the end of March, April and in May so I am conflicted between not wanting to be stressed and be able to concentrate on my treatment and wanting to just get it done. I have to be monitored monthly for 4 years after my second treatment; it’s already been two years and I just don’t want to make it any longer than it already has to be. If I don't do it in the next month or two, I am going to wait until the fall.

My thyroid is acting up again and my TSH numbers are back to zero. I had an appointment with my Endocrinologist this week. I was confused about how TSH and thyroid hormones worked together then my PCP explained it to me and it made sense but I forgot again because my Endocrinologist explained it to me and it made me realize I was describing it wrong. My thyroid hasn’t been on vacation; it's on speed. My TSH is 0 because my thyroid is making T3 whether I need it or not. I saw my Endocrinologist in person this week and I am glad I was able to. She checked the size of my thyroid and didn’t think it was enlarged but she thought my eyes looked slightly “bulge-y” and my T3 & T4 levels are high again plus my thyroid antibodies are high so she put me on Methimazole to slow my thyroid down. I started it yesterday. She has a few patients that had taken Lemtrada and some of them only need to be on it for a short time to “reboot” their thyroid, others cycle on and off. She said in extreme cases of Graves disease they do radioactive iodine treatment or remove the thyroid. Hopefully, it won’t get to that point. However if I do have my thyroid removed, my husband and I would have matching neck scars. I can’t think of anything more romantic than that. 😍 I used to be hypothyroid. I had been on 45mg (3/4 of a grain) of Armour Thyroid for at least 5 years. It makes me wonder how bad I would be if I hadn't been or maybe I just would have gone hyperthyroid faster.


We had Thanksgiving with family this year. Not my choice, some family is not vaccinated, and two family members had covid in the two weeks prior but I am not the only person in my family so I kept my distance, kept my mask on and didn’t eat anything while we were there. Thankfully, it’s been over a week and none of us has gotten sick. The Omicron variant is concerning but I am not going to freak out yet since we don’t know much. Even if it does end up being as bad as Delta, I am not sure I could change much. I still wear a mask in stores; I don’t have any more travel plans but I would reconsider those if I did and I only visit with people who are vaccinated. We don’t eat out much at home so I would probably limit that even more. My PCP did say that she still doesn’t eat inside restaurants that it’s still the biggest exposure point. She’s had plenty of patients who have gotten covid and that was their only exposure.

Overall, I've been feeling ok. The spasticity in my legs in the morning is more frequent. Not everyday and as always varying in strength but more frequently there. My fingertips are still numb; not better or worse.  Emotionally I've been not so great.  We have a lot of change going on; both kids graduating high school and getting their lives started, downsizing our house, etc.  This I will blame on MS: I don't handle change well at all anymore.  I never used to be that way and I am not old enough for this just to be an age thing.  That's where I am, trying to deal with the everyday like your kids growing up, getting on with their lives and moving, and the non-everyday like figuring out what is going on with your thyroid, deciding when to do the next dose of a drug that will knock out your immune system again while trying to deal with the middle or end of a pandemic.  It is a lot but a "normal" person would handle it, feel the stress, yes but handle it.  I am left feeling dazed and crying about everything.  By the way, I am still reading that book about the brain and autoimmune disease (I got distracted by a fiction novel for my book club🤷).  There is something to that.  
Alright, I am done openly publishing my pity party to the interwebs 😉.
 
We are staying home over the Christmas holiday. I hope everyone enjoys their holiday season.

Take good care
 
PS sorry about the formatting of my last several posts.  I was typing them out in Word first, there is no paste unformatted option, it makes you unable to change any of the formatting and the clear formatting button doesn't do anything.