Appointment with Neurologist

I truly am impressed with Dr. A.  He has a wonderful reputation for not only his skill but also his communication and relationship with his patients.  He lives up to his reputation, that is for sure.  I am so blessed to have come upon him. 

Dr. A spent a bit over 2 hours interviewing me, taking notes, and such.  He had me get into a hospital gown and had me perform a few of those neurological tasks like closing your eyes and touching nose with alternating hands.  Dr. A was very methodical and thorough in his questioning, noting, etc.  After he’d completed checking me he told to get dressed and he would return and tell me what is going on with my spinal cord.  He was not arrogant, but rather definitive and confident.   

He said I have Radiation Myeolopathy ( Thoracic).  I have neurogenic bowel and bladder.  So, no, I did not have a “stroke in my spinal cord” as other doctors have suggested.  He said that would be something that would happen all at once.  My symptoms were gradual and still changing.  The question/dilemma is how far will this damage go?  My sister had to ask whether it had been a mistake to have the radiation back in 12/2005 for the lesion.  The oral medication was not handling the lesion so evidently I needed to do something.  Dr. A said to not even go there…that had I not done something back then, I could very well have ended up a paraplegic had I not done something. 

Whatever the case, I need to look forward.  I should continue to work with the rehab doctor. 

Dr. A did not have any suggestions as far as medications.   He feels I’m taking all the Baclofen I should be taking right now.  We’ll see where this visit takes me.

Brief Update, Details Later

I am getting somewhere, though I think I may find myself very close to where I left off..only with a better sense of direction.  Still, the journey feels better this time. 

My cancer (Multiple Myeloma) is smoldering; it’s low enough that it does not require any treatment.  I think I read in the doctor’s notes that they consider it Stage I.  At one time I was considered Stage III.  I may be misunderstanding something, so that will be a ggood question for my oncologist, whom I don’t see until May. 

I saw my urologist.  My bladder and kidneys look fine on the CT Scan.  I asked him to look for something, even if it’s beyond my kidneys and bladder.  Dr. F  feels like when I say something is wrong, then something is wrong.  That makes me feel good to have a doctor who respects me that much.  Anyway, I’m supposed to make this entry ‘brief.’

Dr. F compared the CT scan he took last week to the one in the hospital that was done in January when I was in the hospital.  He said there was a ‘cystic mass at the anterior parrt of the head of the pancreas.’  It was missed in January but he said it was hard to see.  Whatever.  It’s also most likely a Red Herring and nothing, but it is an excuse to go in there and check things out.

I had an Endoscopy/Colonoscopy last Friday.  The colonoscopy was fine.  The Endoscopy was fine, and a biopsy is being done on the cyst.  I have not received the results yet. 

I see the neurologist I’ve been wanting to see tomorrow! I am really looking forward to that because he is not only very good at what he does, but he’s also known for having a very good communication style with his patients.  I need that type of doctor for a change. 

I did a two day prep for this procedure to ensure I was emptied out.  Upon cleaning myself out, I still felt like I was sitting on something.  This tells me that my nerves are extremely spastic down there and while I feel that pressure, it doesn’t always mean that I’m….full. 

Without going into a bunch of mumbo-jumbo here, I’ll wait until I’m more awake and have more information.  I just am relieved that I’m narrowing it all down.  I’m finally getting to that spot where I will have a better idea what I’m dealing with and hopefully how to deal with it.  I’m anticipating a new recipe of meds. 

On another brighter note, my oldest son had his first child, a son.  This is my second grandson.  This is something else I want to address.  Where I was once looking at what I can do, I’ve found myself focusing on all that I cannot do.   While I do have some bum things going on, I am still blessed.  It’s just that at one time I had so much strength and so much to give.  Now I feel so empty and helpless in ways.  Hear me readers, I know that is so untrue.  I know that I not only still have much to give, but  perhaps even more, more that matters even.  It’s just another challenge in life and I think it’s important to identify, express, and share with you.  When we get ill and our lives are changed so drastically, there is certainly many paths one must travel and survive to the best of our abilities.  I’ve regressed a bunch, but I think I’m at that point where I can choose which path I want to take…land it’s certainly not the path that I seem to have headed down.  I intend to turn back and go forward.  More on this another day, another time. 

Funny as I write this part…and I mean FUNNY.  I usually watch FoxNews 24/7, but I currently have Animal Planet on.   Just as I describe that I’m in a challenging spot, I’m watching this show called “Trapped Under a Boulder.”  It’s from 2006.  This guy is trapped under a boulder in a stream waiting for help.  He’s alone and cannot feel his foot.  There’s a big crawfish or whatever that is  pinching away at his toe!!  It’s cutting it even!  He’s saying how bad his luck is anyway, but then to have this!  He is able to get a stick and whack it away.  Maybe you have to see it or I have to describe it better, but talk about being in a bad spot!! 

Oh, in February my new PCP (primary care physician) recommended I get on an antidepressant.  I filled the prescription but decided against taking it until after I see what my neurologist comes up with.  Why put more drugs inside me that perpetuate my condition? 

Tomorrow is the first day of what I feel will be resolution to my current most troubling pain/discomfort.  I may not ever feel great, but I will at least know what I’m dealing with, maybe even know why, and will have a plan to work on with a good doctor. 

That’s all I ever wanted.

End of March

It’s been nearly two months so I figure I need to update.  In some way I wish I did not disclose this blog to family or those who know me personally.  Sometimes it’s just best to remain…anonymous.

Anyway, updates.  Non-health related: Closed on the 5 acres but unfortunately the 12.5 acres with my home on it fell through.  The people really want the loan and are qualified, but few banks will approve a loan for a 35 year old modular home, which is what I have.  By now it also needs TLC.  It appears I’ll be paying double payments (house payment/rent payment) for a while.  I am able to do this because of the proceeds from the 5 acres.  I don’t know how long I can do this, though.  One obvious reason, the money will last only so long.  The second reason is that for once, I would to focus on my health and stop worrying about finances, etc.  Unfortunately, unless the property sells for at least the minimum I can accept and pay off the loan/equity/realtor fees, my only other option is to continue as I am until I run out of $…then I guess try to work with the bank…or let it go back to the bank.  I’d be worried about finances still, if that occurs, as I know one does just not walk away from a financial obligation without repercussions.  For now, I’m trying to keep the faith that it will sell soon.  The original people are still trying…I think.  Gosh, they have $23,000 to put down on it!! 

Health related.  My MM is still low enough, smoldering I guess, that it does not require treatment.   This is the good news.

I still have my other issues.  It seems to take forever getting into the new doctors.  I chose to wait on seeing the “best choice” neurologist.  My first available appointment is April 15th.  What I hope to get from him is not only a more thoroughly explained diagnosis of my spinal cord damage, but also a better “recipe” of medications to cope with the side effects. 

I’m putting the rehabilitation doctor on hold sort of because he cannot be of much help until I get my issues under control.  The rehab doctor can help me cope with my disability, in other words, but the question remains: what is my disability?

I’ve tried the suggestions the rehab doctor has recommended for bowel movements, but they’re not working.  I’m hoping the neurologist has run across several other people with the same issues as me.  I would think a neurologist would have more experience in something as complicated as this rather than the rehab doctor.  We’ll see.  This neurologist not only has a reputation of being one of the best in this area (near Kansas City, Mo), but he also has a reputation of having great communication skills (bedside manner) with his patients.  After what I’ve been through with doctors, no matter what pain I’m in while waiting to get in to him, it’s worth having a decent doctor.

My numbess seems to have increased. I’m not sure whether to call it numbness, or is it tingling.  It’s a bit of both. 

My bowel function, or lack thereof, seems to have changed some, too.  That is what is so tough with me…my symptoms keep morphing. 

I have a wonderful urologist, who while checking me out, went above adnbeyond the call of duty.  He checked a CT scan he did with one done in January in the hospital.  He found where they missed a “cystic mass on the anterior part of the head of my pancreas,” whatever that means.  Honestly, it’s probably nothing at all, but it might be enough to cause further research and maybe find out what my problem is.  My stomach just swells up, gas I guess, and it’s abnormal.  I wish I could explain it better.  It’s more to the right side and it’s not necessarily over the food I eat. Sometimes I hardly eat even. 

Without going into much gruesome and gross detail, I just feel like everything halts a little ways before the very end…if you can read between the lines.  Suppositories do not help when this happens.  I try Milk of Magnesia then.  It takes at least two doses (two days) and then, maybe…something..but not much and it still takes several days to complete much. 

Suffice it to say, I’m just all messed up in my digestive process.  It just should not be this complicated.  It’s more than “gas build up.”  Something is causing this slowing down, building up, and swelling of my abdomen.  I’m just slightly nauseated.  My stomach area is feeling a bit of being maybe..more numb on the inside.  I just wonder if this spinal cord damage is spreading and maybe affecting my intestines and how they work? 

I don’t understand the body, how it works, and so on. 

As a result of what the urologist found, he relayed the information to my new pcp, who has referred to to a GI doctor, whose office is supposed to contact me to set up an appointment.  I’ve not heard anything yet.  I should have called my doctor’s office today, as it’s been three working days.  Then again, the office girl told me it could take three days, so I’m trying to remain patient.  In the meantime….I suffer.  If I don’t hear anything tomorrow by 10am, I’m calling my doctor’s office. 

My urologist and I go back to 1997 when I had a kidney stone. I’d gone to a local hospital where a doctor accidentally punctured my ureter and kidney when trying to poke a stone back up in my kidey.  It had been blocking flow for 3 days, they’d tried flushing me with IV fluid and waiting for it to pass, and it would not.  So up through my urethra they went and the doctor had the accident. 

I found later that the more updated procedure would have been to do a nephrostamy (sp?) and go directly in through my side (kidney) to remove the stone.  This doctor used a correct yet more outdated method.  It’s not that he made the error in poking my ureter and kidney, it’s that he let me lay there for over 6 hours with all the infected urine and dye to release in my body…plus he didn’t know whether the stone was still in my kidney OR in my body cavity.  I said he “poked a hole” in my ureter, but he really nearly ripped it apart.

When my family saw how panicky he acted plus he’d been arrogant and rude prior to this error, they had me transferred to another hospital.  There’s so much more to this incident, but the moral of the story is that this is when I met my current urologist, Dr. F.  He is a very good and ethical doctor.  When I did my recent change of doctors from that one group where I had to go to “their urologists” to this new team of doctors, I decided to return to Dr. F. 

After all that explanation, my purpose was to relay what Dr. F said about me the other day as well as back in 1997.  I wish I could remember his exact words, but the jest of it was that ‘when I say something is going on in my body, I’m generally right.’  I’mrelaying this because I worry that I sound like a hyperchondriac or you know, the stereotype that goes on and on over every little thing.  I do not do that. 

Something is going on with me and it’s very painful and discomforting.  It may be something serious or it may just be something that causes this great discomfort, but I just feel it’s something the doctors have not figured out yet.  It’s not just gas or due to nerve sensations from my spinal cord stroke/damage.  It the spinal cord damage has caused this, then, it’s something that needs to be particularly identified and treated because no normal human being could live…day after day..with this type of feeling.

I’m finding I’m having a more difficult time walking, too.  Is that more nerve damage OR is it related to whatever is going on causing my digestive issues?  I just don’t know.  I’m doing my best to describe my problems and get in to the appropriate doctors.  Until you have an established relationship with a particular doctor, it just takes red tape.  The only thing I could do is another emergeny room run..and there is no reason for that.   This is just so frustrating.  I’m at that point where I just have to wait for something to pop or break and it be an emergency OR wait for my appiontment while in increasing pain and discomfort.  I also worry that whatever is going on could be progressing. 

So, that is my current story.  I don’t mean it to sound depressing, I am just journaling my experience.  After I write something like this, I always contemplate deleting it…but this blog’s purpose is not only to give me release by typing it, it’s also to help others in case they have similar issues.  This blog is on a “healthblogs” site and not just a regular “journal” site.  I guess I’m trying to defend this gory entry. 

I anticipate that in a few months, my entries will sound more hopeful and decided.  I anticipate that I will have some answers and solutions from these new doctors I’ll be seeing.  So, with providing all these details…perhaps if someone else has these symptoms, they could help. 

One thing, reader, please keep in mind.  If you are just anther person with Myeloma, this has a very high  percentage NOT to happen to you!  I don’t know a percentage because I don’t know exactly what is happening to me.  It’s just that Myeloma does affect the bones. I did have a lesion (tumor) at my T8. I did have radiation and kyphoplasty at the T8.  All this probably contributed to my spinalcord damage.  That is all I know.  This could happen to another person with Myeloma, but I’ve yet to come across another.  I put my “story” out on the IMF email log and no one else has responded with this.  No one has had a spinalcord stroke diagnosis as I have had anyway.  If there is a someone out there who has, maybe they are dealing with all the yucky symptoms and not journaling about it like me.  Who knows.  But that is why I’m journaling about it.  I don’t think this would have happened had I never had Myeloma.  I never had any signs of bone issues.  I never had back pain or anything.  Somehow this has come as a result of something the Myeloma has done.  I’m going by only my instincts.  But given I was a runner and cared for horses and mowed my grass and other such physical things on my own without a complaint of real physical pain…I just don’t see this as a result of anything other than the Myeloma damage. 

Another side bit of news.  I have experienced my first grandson’s #1 birthday as well as a new grandson a few weeks ago.  Grandson #1 lives near here and I see him more often.  Grandson #2 lives far away.  I sadly miss both my grandson #2 and his father.  My son and his wife here were going to drive me down to visit, but I am in no condition to travel let alone be far from home at all…at least until I get al this figured out.  I am just thankful that Grandson #2 is healthy and loved. 

I never thought that by the time I was a first time grandmother I’d be in this condition, not able to run and play with the babes.  I can’t even hold and walk them; I can only sit down and hold them.  But as soon as I say or type that, I realize that there are countless others who lose their sight to see  or ability to even hold their grandbabies and sometimes it involves their very own babies.  So, I need to be thankful for what I can do and for the good things that still are.

A New Year & Holding on to Hope

Hello.  I haven’t blogged in a while, I know.  So, what’s changed?

I sold my 5 acres and that is behind me.  Then, my home sold and we close 3/4/09.  I have mixed emotions. I wish things had been different in that my home had been in better repair and that I felt that I could handle it out in the country by myself.  I would have had the company of all my pets.  But the reality of it all is that they deserved better than what I was able to give them.  Wish I, should have, could have, and all that stuff won’t do me any good now.  It could have been so different, maybe, had I done things differently.  I didn’t.  So, this is the best I can do and it’s not that bad.  At least my home has sold.  I didn’t get as much as I would like to have got or what it’s really worth, but then in this economy and my current condition….it’s great. 

Still, it’s a big chapter of my life closing.  A BIG chapter.  This was my grandparent’s retirement home, though what I owned was a smaller part of the acreage.  There’s a lot of memories gone  now.  Also, it just dawned on me.  Now, when my or my son’s pets die, we don’t have a family plot to bury them anymore.  We’ll either have to let the vet take their little body or maybe a relative will give us a “spot” to bury our little loved one.  Silly as it may sound, that is important to those of us who love our little pets.  I never worried about it before.  I buried 3 dogs a little bird in my yard. 

Big changes in doctors.  I finally made it back to my original oncologist, Dr. M.  January 13th I’d gotten so sick, vomiting, having leg spasms and just losing it.  My blood pressure had been super high for 48 hours so an ambulance was called and I went that way.  I was too sick and out of it to ride in a car. 

I went to the hospital where I was originally diagnosed at.  I was there a week and now have a good “team” of doctors.  I’m working with a pain management group for my pain medications.  I’m seeing my original oncologist, Dr. M.  I have a new primary physician, Dr. J, who works in this hospital.  There’s a neurologist who saw me in the hospital, however I don’t know if I’ll see him in his office anytime soon.  In any event, I think I’m at least settled in on doctors I can be comfortable with.

My MM is lying low enough that no treatment is required.  I have spinal cord damage unfortunately.  Nothing new about that.  This hospital did MRI’s and such and came to the same conclusion.  I must have had a stroke some time in the past, and near that T8 spot where I’d had a lesion, radiation, and kyphoplasty.  After the stroke, my spinal cord atrophied.  Thus, I have all of these horrible side effects now.

I’m continuing to work with my rehab doctor, Dr. P., on getting my bowel movements under control.  He tells me of success stories with paralyzed people, so surely I should be able to do this.  My body keeps changing things on me, so I don’t know what I’m doing really.  The last day or so I have been urinating on my own.  Once I had to catheter.  This is new and strange.  It’s not easy, but it did happen.  Now I feel like I may have to catheter again.  So, it’s tough and confusing that my body seems to go back and forth in its functioning.  Anyway, I’m trying to move forward, follow Dr. P’s instructions, and trust in him. 

While in the hospital they changed me from Morphine Sulfate 60mg 2x day to Methadone.  At first they had me on 50mg a day (15mg, 15mg, 20mg). My goodness, I was out of my mind and could not recall that entire week in the hospital.  Of course, in the hospital, they were also giving me morphine in the IV for pain. I have lots of nerve pain.  I think I have neuropathy pretty bad in my feet.  I’m now down to 7.5 mg of Methadone a day.  I take 2.5 mg 3 times a day.  We’ll see.  They want me to give it a chance.  I’m trying.  I seem to be doing better in some ways.  I’m having to work hard on my mental state, but I seem to be improving. 

I’m very very tired today for some reason.  I could just sleep and sleep.  I made myself get up at noon today and have  been up ever since.  I didn’t go to bed until 11pm.  I haven’t been sleeping well, due to the pain and spasms in my feet and legs. 

I’m going back to the pills I took from that Dana Farber Cancer Institute for Neuropathy and will see if that helps.  Acetyl L-Carnitine, Alpalipoic, B-Super Complex, B12, B6, and some other stuff…I don’t recall. 

Well, I’m really too tired to continue, but thought I’d put an update here.  I keep thinking I’ll get more faithful here.

Closing Out 2008

I found a Rehabilitation Doctor out south here.  Actually in Overland Park in the same building my urologist is in on Mondays.  I believe he works out of St. Joseph Hospital, which is good, as I really like that hospital.  I’ve only seen Dr. P twice.  I like him.  He’s very nice and right now that is very important to me.  I’m still haunted by Dr. D’s rudeness and the other doctors’ aloofness, judgmentalness, and egotisticalness (if those last two words are words even, but you get my point).  My new oncologist is full of himself, quite honestly, and he’s known for that, but he seems semi-kind anyway.  Dr. D was just overwhelmed and way too busy for her own good.

Dr. P appears to be quite knowledgeable and he’s very very nice.  He’s taking time to get to know me and working on one thing at a time.  Right now we’re working on getting my bowel movements in order.  They’re not in order yet.  He has me doing 3 things the same time every day in order to retrain my body into having BM’s on its own.  (Isn’t this a nice topic? Answer: No.  But, this blog is supposed to be honest and hopefully help others if they find themselves having any similar issues.)  OK.

So, every day at the same time I’m supposed to insert one Ducalex suppository, take fiber, plus stool softeners.  Then I adjust things as needed.  It’s been over 2 weeks and still my body is not working right.  I can not express how uncomfortable it is not to eliminate properly.  It’s not only uncomfortable, but it’s quite scary at times. 

There’s been a few times where I’ve tried something to help me along, like Phillip’s Milk of Magnesia or Bisacoydl pills.  The day I tried the pills was awful.  I don’t know if it was just a coincidence that I had a migraine or if the pills and my issue combined caused the headache and abdominal pressure, but I thought I was dying, seriously. I thought I was going to pop.  It was the day before Thanksgiving and I knew everyone was preparing for the day, so I didn’t want to mess up anyone’s holiday.  I just figured if I popped, I popped and maybe someone would find me! Ha! That sounds funny now, but I truly was quite frightened.  I called my son about 9:30pm the night before and asked him to check on me the next morning.  I prayed as I tried to go to sleep.  God answered somewhere in the middle of the night.  The pressure I’d felt all day and into the night worked themselves out somehow.

Then the Milk of Magnesia. I tried it last Saturday night.  I was having issues Sunday early morning.  Both times I’ve had to cancel out or delay previously made plans.  It’s so upsetting to be in this condition.  I am beginning to wonder if I should even ever make  plans, as I have had to cancel them.  I don’t want to give up and I “try” to get out and live and do things, but I most often have to cancel.  Sometimes I wonder if I’ll ever get this part of me resolved.

I see Dr. P sometime in January.  He’s going to do that EMG test, but I think only on my upper body.  I do have numbness and little electric shocks occurring in my arms and hands, so he’s checking that out.  I have to wonder still what is going on in my lower half.  While I like Dr. P and think he’s good, he is not a neurologist.  I believe that I’ll have to go through more MRI’s and testing in the future to assess what is going on.  I’ve been through so much testing already and there was so much commotion with the “bad doctors” and now I’ve changed doctors, that it’s just time to rest for a while. 

I have a feeling I will be changing oncologists again in the future.  I was not aware that the hospital my current oncologist works out of may not have the experts in all the other areas I have issues going on (e.g. neurological, urological).  If I’m sick and then need help in those other areas, well, this hospital doesn’t have the same caliber of doctors.  St. Joseph does.  if I get sick, I’m going to go to St. Joseph.  At that time maybe I would just change oncologists then.  My very first oncologist works out of St. Joseph. 

This changing doctors in midstream of this spinal issue has been difficult. 

Oh, good news in early December.  My “numbers” are good and actually a bit lower than the measurements in October.  That is good.  My main issue is the spinal cord damage.  I need to learn how to survive.  And, I think my dilemma is 1) I haven’t had a good doctor to really summarize in totality what is wrong with my spinal cord.  I think it’s more than just the T8 and 2)transition of changing doctors–oncologist wants to handle only cancer issues so I’m on my own to get the other resolved. 

Usually cancer patients are just dealing with their cancer.  I’m dealing with my cancer plus my spinal cord issue.  This spinal cord issue happens to be very life altering. 

I feel like such a hassle to my family.  I am a hassle.  But I plan for things to improve in the near future.  Once I get things settled as far as moving in completely here and moving things out of my old home completely (things are still there) and also once I close on the sell of some land, AND once spring comes and the weather is not so bad, THEN things will be easier to get on top of. 

Great news about one of my Arabs.  The people I gave my Arabs to called to inform me they sold the mare to a wonderful lady who was looking for a horse that fit Mazey perfectly.  I’ve been in contact with this individual and Mazey could not be in a better home.  Her new owner spells her name “Mazzie,” so “Mazzie” she will be from now on.  Her new owner is also going to think of a new name for her when the new name comes to mind.  This lady sounds absolutely wonderful and keeps journals on her horses.  We’ll be in contact. 

So, my 3 dogs and Mazzie are in better homes than they were in even when I had them.  I couldn’t ask for more for my beloved pets.  I had to have a little cry about this today, but that’s OK..the tears were selfish tears for me, but happy tears for my pets. 

I plan on things to improve.  I’m going to think in that direction.  I have challenges right now, that is true. but I still have so very much to be thankful for.

Update

I moved into my new home November 1st, Saturday.  It’s really nice, nice to have no steps and newer and cleaner.  In ways I miss my old home, probably more so because of my pets.  A friend actually stepped up and took my three outside dogs.  She’s giving them a wonderful home and they are better off than they’ve been in a long time, perhaps ever.  I still miss them and feel horrible giving them up in the last years of their lives. 

I’m still settling in and I’m still trying to decide where I will go for Spinal Cord Rehabilitation.  I need pain management (medicine), bowel function help, and physical therapy for balance and walking.  I think I need something called an “EMG” where they assess which nerves are not functioning.  I can go to KU rehabilitation which seems to have it all in one place and pretty complete, but I’m trying to stay away from there, as it’s so far away.  There is a nurse that works there who is awesome.  She’s the one who sent me the packet of information and I hear she’s helped a lot of people with spinal cord injuries. 

It’s been stressful trying to find any other places.  I wish I had someone close to bounce things off regarding where to go, but not so.  I have great family and friends, but they’re not that closely involved in these kinds of matters.  Oh, this is when you wish you had either a good hubby or a devoted daughter.  They’re usually the people that assists an old lady like me in these things.

Anyhoo, I may just have to suck it up and go to KU.  It wouldn’t be forever, though the doctor would be someone I would see semi-regularly.  I need someone qualified to help in the pain management.  Also, I can’t walk without a cane and preferrably a walker, so it would be nice to have someone assess my potential…realistically. 

I’m gettinng there.   I have some things to shore up regarding the move and other financial items.  This will take time.  I have decisions to make and things to do..slowly and hopefully surely. 

Next oncologist appointment is December 2nd.

October Ending

I guess it’s only mid-October, but I’m looking forward to its ending.  I am moving into a Retirement Community here in town November 1st.  It’s small, nice, and has no steps.  No steps are key.  I’m having a very difficult time here with just the few steps I have.  Plus, it will be nice to have neighbors close by. 

All is not good with this move, however,  I’m having to relocate some pets.  I have homes for most of them and I think I can work out the rest, mainly cats.  It just adds a little stress to the mix, but it will work out. 

My niece went with me to the second appointment with my new oncologist.  She noted his slight arrogance, too, but she also feels he knows what he’s doing.  His reputation is being a good MM doctor but not having a good bedside manner.  I’m going to stick with him for now.  The neurologist he’s recommended me to works out of a hospital that nearly killed me in 1997.  Like Dr. T. (new oncologist) said, however, I’m only seeing a doctor, I’m not being admitted to this hospital. 

I’m just going to try to chill about the doctor for a while.  Let him get to know me and vice versa.  My previous doctor put me on the Fentanyl patch last month.  I did not like it one bit.  I’m back on Morphine Sulfate.  I prefer Oxycontin (generic Oxycodone) for my pain.  The generic Oxycodone is no longer available, so that is why I went to Morphine Sulfate.  I’ll hit the donut hole too soon with the Oxycontin. 

My MM was staying low for a while.  I think the Dexamethasone helped, too.  I was put on the Decadron due to that edema in my spinal cord at the T8.  It’s supposedly diminished now and only a little scar tissue remains.  My tingly numb feeling remains if not has worsened.  I’m having a very difficult time walking.   I believe my issue is more in my sacral area.  I feel like the doctors were too focused on my T8 area. 

I’ll see the new neurologist this Wednesday and we’ll see what he recommends.  I have been put in touch with a Spinal Cord Rehabilitation Group.  The lady was wonderful over the phone and send me lots of great information regarding bowel care when you have a spinal cord injury.  It’s very  helpful information.

Additionally, I went to the ER several weeks ago.  I don’t recall if I put it in here.  I was sure I had a tumor or blockage in my abdomen.  They took a CT of my stomach.  I was full of gas.  It was bit embarassing.  But the ER doctor was able to make me feel like they were listening to me.  The ER doctor told me to stop taking all of the Senna and Colace and Miralax I was taking.  He said he felt that I was causing my problem.  I was doing what my oncologist, Dr. D., told me to do.  She was wrong I guess.  Things have improved since I stopped all the Senna and Colace. 

But I still have a problem with my bowel function and urinating.  I still must self-catheter.  I am trying to figure out my bowel function.  I think I’m best to allow everything to work as naturally as possible.  My numbness in my private area is maddening, uncomfortable, and painful.  My feet also hurt.  My balance is very bad and seems to have gotten worse.  I’m anxioius to see what the new neurologist suggests.  In the meantime, I’m trying to hang in here and remain positive.  

My MM might be starting to act up.  Certain markers have risen.  My IGG serum is now 1823 (normal range is 700-1600), so I’m only slightly out of the normal range.  My M-spike is 1.4.  I don’t understand this enough to know what is normal.  I don’t think any of this is too bad; it’s just that these numbers have started to move in the wrong direction.  I’m going to pray and plan on them to move back the other direction.  It has on its own, I think.  The steroids made some improvements, but I think I improved on my own once or twice.  I’m not sure. 

So right now, the new oncologist Dr. T. and I are getting acquainted.  Likewise, I’ll see what the neurologist says and we’ll get acquainted.  I suspect my problems with bowels etc. are neurological, so perhaps a GI doctor is not necessary at this time.

One thing I’m upset about, but I’m working on letting it go, is what the GI doctor said about me in his notes.  This is the GI doctor from KU.  I was not impressed with him any way.  He seemed distant and did not even touch me or my abdomen when he saw me.  Perhaps he is wise enough that he can tell what is going on with me simply by asking me questions.  My niece and sister attended my second appointment with him.  I told him I was very uncomfortable and that I felt like I was sitting on something.  He told me that I need to be happy that I could catheter myself and to just get used to it.  In his report he said that I appear to “exacerbate my symptoms.”  Oh my gosh I can’t tell you how angy it made me when I read that. 

I’ve had to pray about it and just get over it.  None of the other doctors have said anything like that, so it’s just he & my personality conflicts I guess.  We didn’t have any tension between us, but I whole heartedly disagree with his assessment of me.  This doctor, Dr. A., is an Indian doctor.  I think there may be some cultural differences going on, as well.  I just know that I am a brave patient and I tend to put up with too much discomfort before I complain.  Dr. A. just does not have a clue.  I don’t wish any harm on anyone, even people I dislike, but I find myself hoping that he feels the same sensations I am feeling one day.  I don’t want it to be a permanent thing for him, but I sort of want him to feel this that I feel for just a little while, but I want him to think it’s going to be for the rest of his life.  I’d like to see how he would handle it.  It is simply horrid to deal with.   

The nice nurse I spoke with from the Spinal Cord Rehabilitation place said that it’s sort of a doulbe edged sword for me.  I feel, so that is good, but I feel enough that it’s very uncomfortable.  In one sense it might be better if I didn’t feel everything like I do. 

I saw my urologist and it was good to be back in good hands.  He said that nerves can do weird things. 

It seems fit.  Tonight I’m watching shows about medical mysteries.  One was the treeman adn the other is the man with a growth on his face.  These are two individuals who have it far worse than me.

Met New Doctor

My sister went with me to the “new doctor,” Dr. T, and sorry to say, we weren’t all that impressed, but agreed he’s better than Dr. D.  What we mean by “better” is that he’s just not as rude.  It’s too bad, but when you have Multiple Myeloma, you just don’t have that many options.  This type of cancer is so rare and complicated and there just are not that many doctors who treat it,  Now, a doctor can call Dr. Durie or other experts on MM, but at this time I just don’t want to go that route.  I would rather have a doctor who is at least somewhat familiar with MM. 

Dr. T took lots of lab work and I see him in a few weeks.  He referred me to a neurologist, whom I won’t see until October 22nd.  Dr. T was hoping I’d be able to get into the neurologist before I saw him next, but not the case. 

I went ahead and made an appointment with my former urologist, who is very good and knows my history.  I’m just having him check me out to see what he thinks.  See, in 1997 I had a kidney stone.  The doctor I initially went to poked a hole in my ureter & punctured my kidney.  Then he let me lay there for 5 hours with poison and dye all loose in my body.  He messed me up royally, but Dr. F saved my kidney and my life.  He knows my history and he’s good.  I’d went to the KU urologists recently just because my doctor was affiliated with KU and I was trying to stay within that umbrella.  Not any more.

I still have that sore spot to the right of my belly button.  I still have a swollen stomach and it’s more to the right.  Is it all gas?  Who knows.  I wonder if I’ll have to still see a GI doctor or have another colonoscopy/endoscopy done. I had one in January 2008 and everything was fine.  But I’ve got swelling since then, so I don’t know. 

I just wonder if my entire problem is neurological.  There has to be a way to get through this and on top of these symptoms and sensations.

Got The New Doctor!

The good news is that I am able to go to the new doctor, as he accepts my insurance and he’s accepting new patients.  I see him next Monday at 1:40pm.  His office is so much closer and in a nice area, so that will be just great.  I hope he turns out to be very good and nice.  Anything will be better than Dr. D.

I requested my medical records from the old Cancer Center and Hospital.  I’m having them fax some things to the doctor and mail all to me.  One said she’d get the records in the mail tomorrow, so they should get here by the end of the week. 

I’m still very bloated.  Nothing is really coming out.  I’ve taken Maalox.  I’ve eaten.  I’ve taken some of that concoction that is a natural laxative.  Nothing.  My abdomen is all swollen and hard. 

I haven’t urinated much at all today.  It seems I do mostly late at night and through the night, and maybe in the morning a little.  I am not going to worry too much yet unless I don’t urinate at all before midnight tonight.  My body clock might just be weird.  I haven’t drank that much water today, so I’m trying to drink some now.  I should have drank more water today.  I did drink two glasses of milk today, though.  And, probably not so good, but I had lots of coffee this morning. 

We’ll see.  No one can figure out what’s going on, so I guess until I pop, I just will have to deal with it. 

My legs and feet are way more tingly numb feeling.  There’s definitely pressure somewhere.  I can’t figure out whether this is something neurological, in the spinal cord, OR if this swelling is pushing on a nerve and causing the numbness.  Don’t have a clue. 

Just par for the course with the doctors from “that Hospital.”  I’ll avoid naming names.  I have to self-catheter, so there’s these companies that sell those catheters.  They work with Medicare and your doctor and with an prescription and information from the doctor (urologist), you can get the catheters mailed to your house monthly.  They can not get this nurse to give them the information they need to start sending me the catheters.  The guy from 180Medical (the catheter company) talked to the nurse, told her what he needed, she promised she’d send it, and she has not. That was over a week ago, maybe over 2 week ago.  There was a representative from his company in the hospital today and he was supposed to talk to her.  We’ll see. 

The doctors and nurses associated with that hospital just leave a lot to be desired. When I was in the hospital for those two weeks, I thought they were great “in” the hospital.  And, I think they really were.  But the doctors and nurses, whose offices are also in the hospital, are just not adequate.  Period.  Then, looking back at the doctors in the hospital, I’m a bit frustrated when I think of how they focused on just that one spot that has disappeared now.  I do feel they overlooked other symptoms I kept trying to describe.

But then, regardining that spot “disappearing,” I’m a bit confused about that.  I wonder if the nurse worded it correctly.  Did it “disappear” - the “spot” or is it the “swelling” that’s disappeared?  I’m just confused. 

Hopefully it’ll all be sorted out in the future. This new doctor has his hands full.  I dread in a way what I’ll have to go through to figure out what is causing this numbness. Will it be more MRI’s and more tests?  Probably.  It seems like all that I’ve gone through so far has been a waste.  I guess even if I have to go through more repeated tests, IF they can come up with an answer, it will be OK. 

But, the bright side is that I have a new doctor who is closer to home.  That is something to be thankful for.

Feeling A Little Ridiculous, Buttttttt….

Son, niece, and sister took me to the ER yesterday.  I was just miserable and having a hard time breathing.  I feel like I’m 9 months pregnant and catch my breath. 

The ER was great, listened, and thorough.  Of course, I tried to just focus on the issue at hand: my swollen abdomen, the pain and pressure it was causing, and feeling short of breath.  My blood pressure was 201/128 (or 112) I can’t recall, but think it was 128.  It was off the wall.  We got it down to 143/90 something..or something like that.  I’m in that much discomfort that it affect my BP.

They gave me a CT Scan.  I drank some nasty Crystal Light stuff with the dye, had to wait an hour, then had the CT Scan.  There did not inject the contrast dye because with Multiple Myeloma and I think Lymphoma, they dye does something with protein in your kidneys and shuts your kidneys down.  But they said with the CT Scan without the contrast, that they’d still see if there was anything in there, whether in my liver, ovaries, whatever.

Ends up, I’m FULL of gas.  The doctor said if you poked a pin in me I’d probably spin all around the room like a popped baloon.  Funny.  He said I didn’t have any poop in there.  So, no obstruction. 

This is the exact opposite results that I got the other day from my doctor’s office.  They said I didn’t have gas but that I had poop just sitting all through my bowel. 

The ER doctor told me that he thinks I’m making my own problem by taking the Senna (8), Colace (2) every day plus then taking Miralax.  Well that is the instructions Dr. D gave me.  I guess her instructions are wrong. 

So, I’m stoppinng the Senna.  Maybe can take a softener, like Dulcolax every day, but to go natural.  This doctor said if I feel like I need to do something, like if I’m not going, to just get one of the Fleets phosphates — or whatever they are that has that salty little bit of stuff you have to swallow.  It gets you going in a few hours.  He said the stuff I’m doing takes 3 days and gets me in trouble  At least he had some answers and ideas.  Plus, his advise is opposite from what my oncologist gave me.

My next plan of action is this:

  1. Tomorrow I’m checking on an oncologist I know of that specialized in MM, near here, and goes to Centerpoint Hospital.  The ER doctor spoke highly of him and his partner and also said that they act like your PCP.  That’s what I really need with this type of condition.  I need to check if this oncologist’s office accepts my insurance plus will he take on a new patient.  Oh I hope so.  It will be such a disappointment if this part falls through.  I’m so through with my current oncologist. 
  2. If I get an appointment with the new oncologist, I can then cancel my other appointments with Dr. D and the GI appointments she’d made. 

I’m so ready to make this change now. I just pray it all works out.  One way or the other, I’m changing doctors though.  Once I get on with the new oncologist, I’ll have to have help with my neurological problems.  Maybe some type of therapy.  I’m not sure what we’ll do in that area.  That “spot” has disappeared, so for now I don’t know what there is to do. 

I need to consider urology given I have to self-catheter.  I have a really good urologist I used to go to.  I just need to set up an appointment with him so that he knows where I stand now.  It’ll be heaven seeing him versus the unprofessional doctors I saw before. He’s good, thorough, and very professional. 

Then, once I get all this settled down, maybe I can just rest and enjoy life a bit more.  I’m still horribly uncomfortable.  That pressure has not gone away, though I’m less fixated on it now that I feel comfortable that adequate tests were done on it and no obstruction shows.  I think the way the GI doctor did not even touch my stomach made me have doubts how thorough he was checking me.  He only ordered an ultrasound after the insistance of my niece and sister.  There’s results from the ultrasound that may require further testing, but I’ll let my new oncologist decide if we just lay low for a while or what. 

It’s going to be a little bit of a rough ride in the next few months getting this organized, but in the end, I think things will be more manageable.  If I do get the doctors I’m hoping for, my appointments will be close to home and if I ever have to go to the hospital, the hospital is close, clean, and every room is a private room!  Can’t beat that!

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