Keeping on.

Kerissa • Oct 06, 2017

Hey friends,

It’s been over 3 weeks since I last posted, and again, there’s so much to tell and to process.🙁

But I will try to post an update for each medical specialty:

Podiatry~

On September the 19th, I had toenail surgery under anesthesia to correct the ingrown toenails.  Everything went well, but my toes are still bleeding/draining even now which means I have to continue soaking my feet in epsom salts.  It also hurts too much to wear shoes.  I have a follow-up with my podiatrist next week to make sure everything is healing well.

Pain Medicine~

The following day, my pain dr. performed a bilateral lumbar sympathetic nerve block to calm down the pain in both feet and try to prevent a CRPS/nerve pain flare-up.  After the procedure, I had to be monitored for a little while because I was so sleepy from the meds and my blood pressure got pretty low.  Thankfully, the block did help to prevent the CRPS from returning.🙂

Otolaryngology~

On Friday the 22nd, I saw my ENT (ear, nose, and throat) dr. to follow-up on my swallowing.  Lately, food/liquid has been going down even before I swallow which causes choking.  So my ENT dr. said I’m experiencing something called “premature spillage.”  This is caused by a weak tongue that also doesn’t have good swallowing coordination anymore.🙁 He said the tongue is trying to tell the body that it’s too tired to eat.  All this is due to the mitochondrial disease worsening..  He said not much can be done for it, but he did refer me to the swallowing therapist.

Neurology~

I had an appointment with my neurologist recently to go over the EEG results.  Again, it’s abnormal in that it shows a lot of generalized slowing all over my brain which indicates “diffuse cerebral dysfunction.”  But thankfully, the whole body jerking I have during the day and especially at night is not caused by seizures.  She said this jerking (myoclonus) can be caused by a number of different things (brain, spinal cord, etc.), but there’s no way to know for sure where it’s coming from.  Since it disrupts my sleep, she prescribed a very strong anti-seizure medication which can also be used for myoclonus.  I started it a little bit ago, and I think it does help.🙂

Physical Medicine~

I saw my physical medicine dr. this past Monday to follow-up on the back pain, osteopenia, etc.  I now have my spinal brace, and it feels good to wear it every now and then.🙂 Lately, my right shoulder has been snapping and popping a lot when I move it.🙁 I know I don’t post much about EDS (Ehlers-Danlos Syndrome), but it does continue to cause problems/joint pain.  He said these “subluxations” are stretching the joint capsule in my shoulder which is not good.  My shoulder is too loose from EDS…🙁 So he told me to be extra careful when I dress, move, etc.  He also ordered cervical (neck) spine x-rays to check up on my cervical instability since it’s been 3 years since they last checked.

Internal Medicine~

This past Tuesday, I had a 2-month follow-up with my PCP.  She is just so thorough and caring!  I am so blessed to have her oversee/coordinate all my medical care.🙂 We talked a lot about my upcoming surgery and how that will go with all my other medical issues.  She also wanted to know how I’m doing mentally because she knows that so many doctors often just take care of a certain part of my body and not the body as a whole.

Nephrology~

Unfortunately, the medication I tried for my renal magnesium wasting didn’t help at all.🙁 Really disappointed that my Mg level continues to be lower than it was in the past and that the medication didn’t benefit.  This means I continue to need 8 whole grams of IV Mg a day.

Swallowing Therapy~

I had a long session with my swallowing therapist for the first time this week.  She and the fellow evaluated my swallowing with lots of different food textures.  She had me work on several different swallowing techniques and exercises to try and help this “premature spillage” swallowing problem.  She doesn’t know if it will help, but we will at least try.  Some of the swallowing exercises are challenging!

Sleep Medicine~

Sadly, there are still no sleep study openings sooner than December.  So my sleep specialist this past Wednesday decided to try and order the new machine (called an adaptive-servo ventilator) for my bad central sleep apnea before the study and see if insurance will possibly cover it.  Please pray they will be willing to use only his chart notes for now to back up my need for this machine!

Urology~

Next week, I see my pediatric urology surgeon to go over the big surgery.  I also plan to ask her if she can possibly change my j-tube while I’m under anesthesia so that I don’t have to be awake for it when it does need to be changed.  *Side note: recently, my tube accidentally got ripped out of my abdomen (it got caught in a folding chair after I got up from sitting), and it was the worst acute pain ever!!! :’(  The balloon that holds the tube in place was still intact.  This meant the balloon which is bigger than the hole got yanked out of a tiny hole!🙁 It bled so much, and it was extremely difficult to insert it back in.  Tears automatically came from the severe pain.  And the area is still tender to this day.🙁 This is the first time that happened, and I’ve had this tube for 3 years!  I now have to use a feeding tube clip on my clothes to hold it up so that it doesn’t hang.*  So if my urology surgeon can’t change it, my PCP is going to ask if any of the pediatric general surgeons can replace it during the bladder surgery.

This weekend is my 25th birthday, and I know it’s only by God’s grace that I turn another year older.  I look back on being 24 years old, and I have to say, it’s been the hardest year yet mito-wise.🙁 Turning 25, I don’t know what will happen, but I do know that the Lord will be with me the coming year!  And that is such an encouragement.

P.S. I love this quote below!🙂 I’m just so thankful that my body (fighting mitochondrial disease every single day) won’t be like this for forever.  And it is only because of what Jesus did for me on the cross.❤

By Kerissa Lee 16 Apr, 2024
Read Part 1 if you missed it.  | 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. 😔 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.” 🥺 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. 🥺💔 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. 🥺 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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