Hi again Natalie,

It's a chemo infusion.   My TM and blindness episodes were caused by Devic's
disease.  I continued to relapse despite medication, so we decided on
Rituxan.  Relapsing Devic's can be deadly.  Estimates are that up to 1/3 of
relasping patients will die from respiratory failure due to a compromised
brain stem.  The goal is to lengthen the time between attacks, and to
minimize the severity whenever the recur.  It's no picnic.  :-(

Grace


>
>
> *"Grace M." <[EMAIL PROTECTED]>* wrote:
>
> Hi Natalie,
>
> The most important thing that we can do for ourselves---is to educate
> ourselves.  Natalie, I've had several close calls, (One at a huge teaching
> facility.) where I've gone into the emergency room and the neuro knew
> nothing about Devic's.   Thank heavens that I know my treatment protocol
> inside and out and have a very big mouth---otherwise, who knows?   That's
> one of the reasons that I am glad to be back in Pennsylvania.  I'm with my
> old neuro from UPMC.  He's an absolute gem.   I know that if anything
> negative happens, up to and including the worst, that it won't be because he
> doesn't know his stuff.  He's always on top of things.  So far since
> starting Rituxan, I've been suppressed and relapse free for almost 4
> months.  I'm keeping my fingers (And toes ;-) crossed.
>
> Grace
>
>
>
> >
> >
> > *cakalley <[EMAIL PROTECTED]>* wrote:
> >
> > Natalie,
> >
> > My Nero also doesn't keep up on the latest on TM. He did know enough
> > after ruling everything else out, that it was TM. However, he did not know
> > about the Plasma Exchanges. It was only after my sister gave him the John
> > Hopkins website and info. that he called and investigated the PLEX
> > treatments. He's told me that he has tried it on several other patients -
> > some helped some didn't.
> > What I do now, is take in the TM digest when I get it and point out
> > certain items to him. Sometimes he takes it and makes copies of an articles
> > or other articles that he has found when he has flipped thru it.
> > I have also printed out info from here and what I have found out on the
> > web and take these in also. He'll flip thru them, stop and look at different
> > items that he finds interesting. Hopefully, he will read and get curious and
> > then from there do more investigation.
> > If you ever watch the Discovery Health channel, many patients or
> > relatives of patients, have to do all kinds of investigating not only of
> > symptoms but also on specialists in the field of problems.
> > My GP is better at looking things up than my Neuro BUT both are males
> > and you know males are least likely to "ask for directions".
> > Well this is my novel - Sorry.
> >
> > Candy K.
> >
> >
> >
> > -----Original Message-----
> > >From: natalie mizenko
> > >Sent: Aug 3, 2007 7:29 PM
> > >To: Transverse Myellitis
> > >Subject: Re: [TMIC] Neurologist, Rheumatologists
> > >
> > > Regina,
> > > You have every right to vent. We all have to vent every now and then.
> > I went to my back surgeon who had done 3 surgeries on L5-Sl the last 2
> > years, finally the last surgery he fused it. I had Cauda Equina Syndrome. I
> > had heard that it could paralyze you, very rare tho. Well, he said it was
> > not related to Cauda Equina & was not anything from L5-Sl. He didn't know
> > for sure cuz I couldn't have an MRI. I had a dorsal column stimulator in for
> > pain (14 years it was still in & didn't work) but I cud not have MRI's due
> > to the magnetic leads attached. So he left went on vacation for 2 wks. & he
> > sent me to a Rehab. I think he should have sent me to one of his co-doctors,
> > but he did not. By the time he was back both legs were paralyzed and it was
> > too late for any treatment to work. And my internist to this date says "I
> > don't know hardly anything about TM". Why doesn't he eduate himself on it?
> > P.O.'s me, ya know? An a internist of all things. It was very ironic,
> > but
> > > another person in my internist's office got TM within a couple mths.
> > of me getting it. I went in for pain control (hospital). Another dr. was on
> > call & he said it is ironic as rare as TM is; I have a patient upstairs I'm
> > doing steriod treatment on to try and reverse it. He said "I didn't know
> > anything about it, til I looked up the symptons on the internet". I felt
> > like saying "will you eduate you partner on it, my dr.? But, I did not. I
> > think one day I'll print out literature and give it to him the next visit.
> > Geez, I ended up venting. I guess it's the day. Natalie M.
> > >
> > >
> > >
> > >Regina Rummel wrote: I was diagnosed with Sjogrens in the mid-80s and
> > that's when I started seeing a rheumatologist regularly. After that, I
> > understood why I had dry eyes and have been using eye drops ever since. I
> > subsribed to the Sjogren's newsletter and joined a group. Many in the group
> > were in bad shape, complications like Lupus, etc. I had no problem beside
> > the dry eye and some fatigue. I learned about autoimmune diseases, possible
> > complications, central nervous system attacks unlikely (so they said at the
> > time), and I profusely thanked my lucky star that all I had to complain
> > about was dry eyes.
> > >
> > > Then, sometimes in 2004, I woke up with strange sensations in my left
> > leg and sensed my balance a bit off. Checked on line, and found something
> > that described what I felt (peripheral neuropathy), made an appointment with
> > a neurologist that I also began seeing regularly.
> > >
> > > I didn't see the need to see a GP. Rheum. and Neuro. were taking care
> > of me consulting with one another. That was maybe a mistake, but why also
> > see a third doctor, I thought.
> > >
> > > Shortly after, when I told the rheumatologist that I didn't feel my
> > bowel movements, she immediately sent me for Cytoxin treatments, an MRI, and
> > put me on high doses of prednisone. I looked at the prescription and read
> > "Transverse Myelitis". I had no idea what she was talking about. And of
> > course, I saw the neuro regularly.
> > >
> > > I progressively got worse in spite of the above treatments, plus IVIG
> > treatment. Nothing helped.
> > >
> > > The last time I saw my rheumatologist was in February of this year.
> > (I'll be venting now.) I had been seeing this woman for 10 years, ever since
> > I moved from L.A. I walked in for the first time with a walker. I was so
> > weak and tired, I could hardly walk. Even though she knows me well, she
> > never asked "what's with the walker, what's going on?". Oblivious, she
> > checked me out, filled out all the paperwork, and sent me on my way with a
> > cheerful "You're doing great!". I can't even begin to tell you how angry I
> > was. How can a doctor who knows you so well be completely oblivious when
> > she/he sees you walk in with a walker for the first time in 10 years?
> > >
> > > I called her back the next day and insisted that I get an MRI because
> > I was on the verge of getting a wheelchair and I knew something was very
> > wrong. I got it, and promptly got a call from her telling me that my "cord
> > is at risk, make an appointment immediately with the radiologist, he'll take
> > care of it". Again, I didn't understand what an AVM was. The radiologist
> > sent me to a neurosurgeon in San Francisco who apparently was familiar with
> > this AVM thing.
> > >
> > > I was soooooooooooo happy!
> > > I thought he was going to take care of that pesky problem in my spinal
> > cord that had been fermenting for as long as possibly six years he said. My
> > Gosh! I thought, if I had caught it six years ago, maybe I wouldn't have TM
> > now. But who knew?
> > >
> > > Well, I had the surgery, I went through acute rehab, blah, blah,
> > blah.....
> > > And I'm back to where I was. No difference.
> > > Same struggle, blah, blah, blah....
> > >
> > > Now, I know you're wondering why I'm telling you all this. You've
> > probably heard it from me before. Well, I'll tell you. It's that piece I
> > read last night in the new TMA newsletter on page 20 and I quote Julius
> > Birnbaum, MD:
> > > "In my experience, patients with neurological rheumatic disease are
> > fatigued by the process of being separately evaluated by individual
> > Neurologists and Rheumatologists, etc."
> > >
> > > In my case, "fatigued" is an understatement. If you've read that
> > piece, I would really like to hear your comments. Are these doctors really
> > helping us? If there is no cure, outside of needing meds, what's the use?
> > "Que sera, sera" is on my mind.
> > >
> > > Incidentally, I hope you're not "fatigued" yourselves after reading
> > this blah, blah, blah... message. Please forgive me if you are. You've been
> > so kind in the past in allowing me to vent freely.
> > > R
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >
> > >---------------------------------
> > >Be a better Globetrotter. Get better travel answers from someone who
> > knows.
> > >Yahoo! Answers - Check it out.
> >
> >
> > Candy K.
> >
> >
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>
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