Hello, March.

Kerissa • Mar 03, 2016

Wow, it’s been a whole month since I last posted here.  Did you miss me?πŸ˜‰

February was very rough, and I’m glad I can now look back on it.

Here are all the latest appointment updates.  Beware, this is super long!!  If seeing doctors was my full time job, I’d be rich.πŸ˜‰  For those on facebook who already read my “mito” update, just scroll down to pass that one.πŸ™‚

Mitochondrial medicine (posted Feb. 16th):

1. My hypomagnesemia is related to the mitochondrial disease—a lot of his patients deal with the same thing and need daily IV fluids with magnesium just like me. Still going to be seeing nephrology at OHSU on the 29th.
2. He wants my doctors to aggressively treat the Wilson’s Disease and start me on another chelating drug in addition to the Zinc Acetate I’m taking. Unfortunately, there have been no studies showing that WD causes a mitochondrial depletion (which was found on my muscle biopsy). This means treating WD probably won’t help improve the mitochondrial symptoms, but he’s still interested in how treatment goes!
3. He is going to ask the lab to check my whole exome sequencing analysis (done last year) for Wilson’s Disease gene abnormalities.
4. I will be starting Alpha Lipoic Acid in addition to my other mitochondrial co-factors and antioxidants.
5. He thinks that in the next 2-3 years, I’ll be eligible for a drug trial. So far, one that he’s involved with looks promising.
6. I’m dealing with another painful jejunostomy feeding tube infection…πŸ™  Thankfully I didn’t have to go to the ER here! He was able to prescribe antibiotics for me, but he said I need to follow-up with my GI surgeon right when I get back!
7. One more thing, he said he won’t forget me and that I’m very memorable!πŸ˜‰πŸ˜€

GI Surgery :

I followed up with my GI surgery team the day after I got back from San Diego.  To my surprise, I had to have a small unexpected surgery called “incision and drainage” at the site of my j-tube infection.  It was very painful, and for several days after that, I had to pack the wound with gauze twice a day.  The resident cultured the abscess, and we received results the same day I was in Seattle on the 22nd to see my pain dr.  My cultures grew a bacteria called Enterobacter Colacae Complex, so I was switched to a different antibiotic.  I was on antibiotics for a total of 11 days.  Thankfully, the infection is now gone, but my j-tube site is raw and super painful due to bile leakage.  This has been a problem since November, so my GI surgeon referred me to Wound and Ostomy Care.  Haven’t seen them yet, but hopefully soon..

Neuro-Ophthalmology :

The ophthalmoplegia (eye muscle paralysis) in my left eye is stable which is good news.πŸ™‚  The vision in my right eye is continually getting weaker, though.πŸ™  My right eye is either working too hard because my left eye doesn’t move well, or this is due to the copper accumulation from Wilson’s Disease..

Pain Medicine :

It was soo good to see my pain dr. at the UW Medical Center on Feb. 22nd.  He gave me a big, long hug!  For those who don’t know, he’s my favorite doctor out of all.πŸ™‚  He spent over an hour and a half with me.  From the appointment and neuro exam, he came to the conclusion that I’m currently not dealing with Complex Regional Pain Syndrome.  He thinks I have Small Fiber Polyneuropathy which is very similar to CRPS but also indicates nerve damage.  The plan is to try and switch to a different and new medication….similar to the one I’m on, but he’s seen better results.  I’ll also be getting another bilateral lumbar sympathetic block, but it will be done here at OHSU.  We talked about Spinal Cord Stimulation, and sadly, he doesn’t want to put one in yet because my health isn’t stable, I’m on IV nutrition, and I just got over an infection…all big risks.  If I were to get an infection in my spinal cord from the surgery, he would never be able to forgive himself.  I trust him completely and understand, but I AM disappointed….hopefully things look up and I can get one down the road!

Gastroenterology:

I had a GI follow-up after we got back from Seattle, and my dr. ordered lots of blood work to be done to check on all my vitamin levels and minerals since I’m on TPN.  We should get results on Friday.

Hepatology:

My GI dr. spoke with my hepatologist a couple weeks ago.  He said that my hepatologist will be calling sometime soon to tell me that he wants to repeat some Wilson’s Disease tests.  He wants to see how the Zinc therapy is going and if it’s helping remove copper from my body.

Nephrology: 

I saw my nephrologist for the first time this past Monday, and she is amazing!  So blessed to have her on the team.  She ordered lots of lab tests to be done tomorrow to try and get to the bottom of why I’m dealing with Hypomagnesemia.  I really want to cut back on my IV fluids with magnesium, but that’s going to be hard to do if my level keeps dropping.  Hopefully these tests give us some answers.  She’s looking into 2 kidney disorders, and I pray I don’t have either.  I don’t think I can take another diagnosis!!

Pulmonology:

Today I saw my pulmonologist for the first time to assess my weak respiratory muscles.  I had another pulmonary function test, and we compared the results with the one done at Cincinnati Children’s.  It wasn’t good news.  One of my values showing lung strength decreased from 72 to 46.  That’s a big decrease, and this level is seen in chronic respiratory failure.πŸ™  So I have to get another PFT done in 6 months to keep an eye on this.  Taking it one day at a time, and I know I’m in the Lord’s hands.  Here is something good—all my other pulmonary tests (including chest x-ray) are normal.πŸ™‚

πŸ™‚
By Kerissa Lee 16 Apr, 2024
Read Part 1 if you missed it. ο»Ώ | Part 2 | Just 2 days after I was discharged from the hospital, I started experiencing severe nystagmus (shaking eyeballs) along with nausea, vomiting, and retching. I didn’t know what was happening and was again so scared. πŸ˜” I was told to go to the ED since I wasn’t tolerating any of my oral medications. The doctors gave me IV fluids and lots of different IV anti-nausea and pain meds. They told me I needed to be admitted and talked with the neurology and internal medicine departments to see which one should admit me. But….to my dismay, both teams made a bad judgment call when they decided not to have me admitted (my mom has since talked with a patient advocate for guidance on what to do if “this” happens again). Even the ED observation unit didn’t want to take me because I was “too complex.” πŸ₯Ί I was sent home still vomiting and in so much distress (with mitochondrial disease, anything like untreated vomiting/diarrhea is a big “no-no” to put it simply because it’s a huge stress on the metabolic system). My body was really struggling, and I experienced very drooping eyelids and worsening weakness all over. The next day, I was seen by my PCP’s colleague, and after much discussion, he directly admitted me to the internal medicine floor. I’ll always be grateful to him for his quick action and the very thorough letter he wrote. There were sadly no beds available, so I waited at home. But, the following day, God was so kind to bless me with a private room that became available. Once I was inpatient, the doctors tried to get a handle on the nystagmus and vomiting. All the usual IV anti-nausea meds didn’t resolve things, so they gave me an “off-label” medication that can sometimes help nausea. That did the trick, but another issue soon arose—I started showing signs of mental confusion. I remember not being able to explain what was on my mind, and if I did talk, it didn’t make sense! For example, 2 nurses were in my room helping each other, and I made a comment about them being married. 🫠 Another instance, my family later shared that I asked them if they could see the ocean out the window. I can’t recall a lot of my time in the hospital because I was so confused.. My mom wondered if the confusion was from the off-label nausea medicine, so the team immediately discontinued it. By God’s grace, that did the trick…. Hospital life was definitely a roller coaster. You know that whack-a-mole arcade game? Once one problem ended, another popped up. After not receiving proper nutrition for many days, I started trying to eat orally again and resumed j-tube feeds, but for some reason, I wasn’t able to tolerate either like before. My stomach became so huge and distended….even with the feeding pump setting of just one teaspoon per hour. It didn’t make sense, especially since I tolerated a high rate of tube feeds two weeks earlier when I was admitted for the neurological weakness. I kept trying to increase the tube feed rate, but my GI tract didn’t tolerate it. The doctors brought up the possibility of TPN (IV nutrition). I was very discouraged and so homesick. With no progress increasing the formula rate, I did in fact have to be placed on TPN. Emotionally, it was a struggle dealing with this new problem on top of the mitochondrial crash.. 😒 Up next: Part 3…
By Kerissa Lee 13 Apr, 2024
Dear friends, It’s been almost 3 months since I last blogged.. So much happened, and it’s very hard to believe how quickly things changed. I know many already know the whole story. But for those who haven’t heard it, I will try to recap here. It’s quite the tale, but I wanted to share it on my blog to look back on because God truly carried me through the unimaginable. ❀️ When I requested urgent prayer for the sudden onset numbness and weakness in my whole left leg back in January, I had a routine follow-up already scheduled with my primary care dr. on January 25th. I was so thankful I could see him right away for this new issue. I showed him my worsening weakness, and he sent me straight to the ED to make sure I didn’t have a condition called Guillian-Barre Syndrome (GBS). While waiting for a bed to open up on the neurology floor, the muscle weakness spread to my right foot and up my right leg to the point that I could barely lift both legs up. Words can’t express how truly scared I felt that I was going paralyzed. πŸ₯ΊπŸ’” It was the hardest time of my life, and I continually wept, not just because of the physical pain (which was the worst leg pain I’ve ever experienced) but also because of the emotional distress.. The “foot drop” in both feet was so severe that my soles were almost parallel to the hospital bed when laying down. It was devastating. Due to the weakness, I couldn’t even walk to the bathroom and had to use a bed pan. The team was concerned about possible heart/lung issues, so I had to be placed on a continuous cardiac telemetry monitor (which is different than the standard one). Twice, they asked me if I’d be okay with life-saving measures like getting intubated (placed on a ventilator) if the weakness kept spreading like it was.. I underwent countless neurological exams by nurses, medical students, residents, and attending neurologists. To rule out GBS, a spinal tap had to be done as well as extensive brain and spinal MRIs (cervical, thoracic, lumbar, and sacral). Not feeling well, it was incredibly difficult to lay in the very narrow MRI tube for more than 2 1/2 hours without a break. When GBS was ruled out, we still didn’t know what was causing the weakness. To be honest, in a way, I WANTED to have GBS because they explained GBS has a good treatment. So, not knowing the outcome and prognosis was very hard. 😒 Looking back, I remember how I shared a verse from Isaiah when I wrote my “2023 reflections” blog post at the beginning of this year: “Let him who walks in darkness and has no light trust in the name of the Lord and rely on his God” (Isaiah 50:10). When I posted that on January 1st, I never could have imagined how dark life would get. I knew God had a plan, but I was still so terrified. And there was nothing I could do but trust him (even though my faith felt so weak while in the thick of it). I cried so much and struggled with great fear. But in the midst of that dark time, I thought of a well-known passage from 2 Corinthians: “So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day. For this light momentary affliction is preparing for us an eternal weight of glory beyond all comparison…” (2 Corinthians 4:16-17). A phrase stood out to me: “light momentary affliction.” This trial weighed heavily on my shoulders….it definitely didn’t feel “light” OR “momentary.” I had so many questions. Could I surrender all and trust that God has my best interests at heart? I prayed that he would grant me the eyes to see everything from an eternal perspective and use this hard time for his glory and good purposes. After spending 9 days on the neuro floor, I was sent home.. The neuro team attributed this whole event to a “very unusual mitochondrial crash.” And only time would tell how I would recover. Up next: Part 2…
By Kerissa Lee 23 Jan, 2024
Hi, friends, I had a whole other post ready to go with some good news, but instead, I have an urgent prayer request. I started experiencing sudden onset numbness, tingling, and weakness in my whole left leg, and it’s been so scary. πŸ₯Ί It just came on out of the blue. I was doing so well with physical therapy each week (able to walk fast on the treadmill and leg press 40 lbs), and now, I have to limp because my left leg is soo weak. I really want to avoid the ED as much as possible, so I saw one of my doctors today. She’s concerned I’m having a big motor nerve issue. 😭 The plan is to see a physical medicine specialist, have a nerve conduction study, get an urgent MRI done, as well as see my PCP and pain doctor on the 25th and 29th for further evaluation/testing. I know I already said this, but it really has been so scary to lose function so quickly. Can you pray that I will trust the Lord and not worry? It’s been very hard, so I’d really appreciate your prayers and support in the coming weeks. Thank you so much. ❀️
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