Update: ?TM or MS
Christopher Leighton (chris.leighton(AT)sympatico.ca)
Sat, 23 Jan 1999 22:33:31 -0500
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23/1/1999
Well, thought I might update my story from
October 98. I am guilty of not following the internet postings the past 4
months. My second flare abated slowly. The spasticity and weakness in my
left leg has improved but comes and goes so now I have a permanent limp.
Bladder frequency and mild incontinence are also appearing. I have
developed new problems with my vision including intermittent dimming of my sight
from the right eye. The color vision is also distorted from my right eye
so at times, it is like wearing 3D glasses. I have had bouts of stabbing
eye pain, and occasional double vision. I have now seen 7 neurologists
from Windsor to Toronto, Ontario. Also, throw in a rheumatologist, and
neuro-ophthalmologist for good measure. I have had all types of responses
to my numerous, unusual problems from compassion and concern to the other end of
the spectrum One neurologist spent 5 minutes reading my chart while I was
talking, spent about 1 minute examining me then suggested I had an anxiety
disorder. This, after driving 4 hours through a blizzard to see him.
Being a physician I felt like reporting him to the College of Physicians and
Surgeons! I am becoming more convinced that my problem is evolving into
multiple sclerosis though, MRIs have not been abnormal thus far. I am keen
to start interferon therapy, however, without plaques to see, my neurologist is
not keen to prescribe. Unfortunately, as I write this I am once again
having severe neck pain and suspect flare #3 is starting.
I am always taken aback by the responses I have
had from co-workers, friends and families. One friend emailed me recently
and asked "how is the wheel chair ramp coming". Is that supposed
to be funny? People at work try to be helpful... but when you are asked
how are you feeling 30x time in a day it becomes taxing! Unfortunately,
working in a smaller city, it is harder to preserve my privacy. People I
hardly know suddenly feel entitled to know the details of my medical assessments
-- I guess I should be grateful to see this perspective first hand. I hope
it will make me a better physician. But for now, I have to struggle with
adapting the workplace so I can be comfortable and continue to practice
medicine.
The literature the past few months has been
scant. One Scandanavian study looked at EMG studies (shocks applied to
muscle groups) with patients presenting with TM. Patients with abnormal
EMGs early on may have more long term disability.
I would be interested in knowing if anyone has been started on
interferon or Copaxone without a firm diagnosis of MS (ie recurring transverse
myelitis).
Sincerely,
C. Leighton MD