Mitochondrial genetics appointment.

Kerissa • June 2, 2017

Hello friends,

My family and I got back from CA on Sunday.  It was a super quick trip, but we were able to spend a lot of time together which was so special.

Our first two evenings there, I suddenly had terrible nausea and severe muscle weakness to the point that I couldn’t lift my arms or even get up to brush my teeth.  All I could do was lay on the hotel bed.  It was even so hard to hold my phone up. I couldn’t help crying because it was scary.  This didn’t happen at all when my parents and I traveled to San Diego in January.  I hate that I’m getting worse and feeling the disease progression. :'(  If I were home, I would have had to go to the ER.  At one point, I thought I’d need to go to the hospital in LA.  We don’t exactly know what caused these episodes—maybe a combination of very low blood sugar (despite being hooked up to my regular tube feeds and IV fluids), exhaustion from not getting enough rest, etc.  So for the rest of the trip, my family mainly pushed me in my chair (instead of me “wheeling” myself) so that I could save energy.  When we went to Universal Studios on Friday and Saturday, I didn’t wake up till the afternoon so that I would have enough strength.

Regarding the appointment, my mitochondrial geneticist spent 3 1/2 hours with me!!  He is amazing and so knowledgeable.  He hasn’t seen a new patient in more than a year because he mainly travels across the US and teaches doctors about gene sequencing and more, but he wanted to see me because I stood out to him! So grateful to be under his care!

In a nutshell, he explained that I have a multi-factorial (polygenic) mitochondrial disease which means it’s not just one gene mutation causing the disease—it’s a combination of gene variants that are contributing to my symptoms.  He believes the CHAT variant I have is modifying the TRAP1 (TNF receptor-associated protein 1) gene.  In his words, TRAP1 is a mitochondrial chaperone that is believed to protect mitochondria from the effects of reactive oxygen species-related damage.  Having CHAT and TRAP1 together is much worse than if I just had one or the other.  He said patients with both are in bad shape.  I have intestinal failure and many other things going on.  He agrees that my mitochondrial disease is progressive.  In his practice, 90% of his patients improve or stabilize with his treatment and 10% don’t…

He’s putting me on high-dose co-factors (antioxidants) and supplements.  He wants my blood CoQ10 level and blood “free and total” carnitine level checked.  Normal blood CoQ10 is under 4, but he wants my level to be way above 4 because he has found that a higher level is much more effective to help.  Once I email him the blood results, he will tell exactly how much of each antioxidant I need to take.

He stated that I shouldn’t go more than 2 hours without eating because fasting makes everything worse.

He also wants a migraine genetic panel done through this certain lab that is a division of Courtagen Life Sciences (he’s the medical director of Courtagen, and I had gene sequencing through them).  There are many genes (including pain genes) on this panel that I haven’t had sequenced before.  And the results will tell him exactly what migraine treatment is good for each variant that is found.

He wrote up a very long report for me and my doctors which is so helpful!  He wanted to see me back in 6 months, but we’ll see him in a year instead because it gets expensive traveling and because I still see my mito dr. in San Diego.

Here are few pictures from the trip. Some of these I already posted on FB, but I know some of you aren’t on, so I wanted to share them here!

me and my siblings

My GI dr. told me to find these two famous paintings in the Huntington Library known as Pinkie and the Blue Boy. They face each other from across the room!

The Blue Boy

The Huntington Library and Botanical Gardens in Pasadena was a highlight of the trip!!

the Gutenberg Bible!!

My family and I had a blast at Universal! It was so much fun, and we didn’t have to wait in line much at all because they let us use the front-of-line access since I’m in a chair!That was a huge blessing!

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Today, I had a follow-up with my PCP.  She is going to order the migraine panel that my mito geneticist wants done.  She is also going to talk to my nephrologist and GI specialist to see about adding D5 (dextrose) to my daily IV Magnesium bags.  Hopefully it helps prevent those weakness episodes (as I had another episode a couple days after we got home) since the body can get energy fast from dextrose infused directly into the bloodstream.  Waiting to hear if my neurologist can order the blood tests.  In 2 weeks, I see my GI specialist again.  And tomorrow, I resume physical therapy..  Thank you for all your caring comments and continued prayers, especially after my previous post!  I love you all!

By Kerissa Lee March 7, 2026
Hi, friends, I would really appreciate prayer. Some of you already know this, but at the end of January, I started dealing with an abdominal abscess right next to my j-tube. I looked back through my records, and that was my 6th abscess. :( Since then, it’s sadly been one issue after another. I won’t go into all that has happened, but I’d especially love prayer for my j-tube site. After the abscess, I had my tube changed to a new one on 2/27. The surgery nurse practitioner decided to try the next size up to see if it could possibly decrease some of the leakage, but unfortunately, that was the wrong decision. It’s too large, so now the site is leaking tenfold compared to my previous size. The small intestinal fluid that keeps leaking out around the tube is full of acid which is burning my skin and making it raw. 😭 If you want to know what it feels like, imagine having a bad burn on your skin…then, on top of that, imagine acid being poured onto the burn every hour continuously. That’s how much pain I’ve been in, and I haven’t been able to sleep very well until after 6:30-7 AM each night because the burn is so intense! :’( I could cry, and I have—that’s how bad the pain is… I would show you a picture of the site but it’s not pleasant. 🥺 I’ve been emailing the nurse practitioner every single day, asking to have the tube changed back to the previous size. She hasn’t been helpful. I’ve tried all of her recommendations, but they aren’t fixing the root cause. I had to get an x-ray with contrast earlier today to check tube placement. If she does eventually agree to have the tube changed, I don’t know how I’ll bear the pain of the procedure… Remember, they don’t use sedation for these procedures (my GI specialist is shocked they don’t!), and even though I’ve been asking for lidocaine to be injected for past tube replacements, how do I bear to have needles pushed into such raw tissue?! 😭 Please pray that I will be courageous and strong in the Lord. I think of the verse from Philippians 4:19, and it’s comforting: “And my God will supply every need of yours according to his riches in glory in Christ Jesus.” He will grant me the peace and strength I need to be brave. His grace is sufficient. ❤️
By Kerissa Lee January 3, 2026
Dear friends, As I reflect back on 2025, January started off looking very bleak. I had just recovered from yet another “mitochondrial crash” in December 2024, but my neck weakness was still significant and unresolved. I mentioned this many times, but I’ve never before experienced such severe muscle pain in my neck—it felt like my neck was doing a constant “plank exercise” 24/7. I cried so much and needed relief. 😭 Before this, I also truly took for granted how vital neck muscles are for ALL movement. Even simply standing requires neck strength to hold the head up. I was confined to my bed and the recliner because the neck weakness/pain was so debilitating. At the beginning of January was my long-awaited appointment with the neuromuscular neurologist at the University of Washington. But, the outcome was very disappointing because he simply took these symptoms to mean mitochondrial disease progression. My eyes are watering and my nose stings as I type this with emotion because I didn’t know (like I do now) what the following months would hold. I really did wonder if I was starting to die because not only did I have this disabling neck weakness but I also experienced severe nystagmus every single day (it never happened this frequently before). The brain is what controls eye movement, so my brain wasn’t getting enough energy needed for the simple act of moving the eyes. In February, after several blood tests came back with more “bad” autoimmune markers and I also started dealing with unusual joint pain in both elbows and shoulders, one of my doctors had me start taking 2 powerful antioxidants: N-Acetyl Cysteine (NAC) and Liposomal Glutathione. NAC, specifically, has shown that it can be beneficial for Lupus, an autoimmune disorder. We weren’t sure yet if my symptoms were early signs of Lupus, but my doctor recommended these antioxidants anyways for the mitochondrial depletion. When May came around, I once again had another “mito crash” with significant muscle weakness all over my body (not just in my neck), droopy eyelids, nausea, and increased pain. I was so thankful, though, that we were able to manage this one at home and I didn’t need to be admitted! Even more amazing was the fact that this was the month I noticed I could slightly lift my head half an inch off of the pillow (when lying down). Was God healing my neck? 🥹 June was a big month. As many of you know, 2 separate muscle biopsies show that I have Mitochondrial DNA Depletion Syndrome, but the doctors still can’t pinpoint the genetic mutation responsible for this depletion. So the OHSU metabolic team and I all wrote letters to apply to the NIH Undiagnosed Diseases Network (UDN). And God answered the first of many prayers as my case was surprisingly accepted. 🥲 I don’t currently have a recent update regarding this study as they told us it could take months or even years for anything to happen if anything happens at all (I should email them for an update). Last I heard, the team was analyzing all of my raw genetic data. At the end of June, my internal medicine doctor referred me to the Complex Pain clinic since I was still experiencing so much pain and needing high doses of pain meds. The specialist started me on Buprenorphine, but it’s been a rough go of it. It definitely helps the pain to become more manageable (another answer to prayer!), but it also causes horrible insomnia which I’m still dealing with. 😞 My sleep specialist said I’m basically experiencing a bad case of chronic jet lag—I’m simply exhausted and cannot fall asleep until 4:30-6:00 AM! 😭 A previous blog post shares about the “catch 22” I’m in. I’d so appreciate continued prayer for my sleep. It’s been very hard. :( July through September was amazing as I noticed that my neck weakness had improved a little more each day to the point that it eventually fully resolved….!! I truly could cry tears of joy and gratitude! 🥹🥹 Even my physical therapist started noticing that I didn’t have to hold my head up with my hands when moving around! God answered everyone’s prayers, and I fully believe he miraculously healed me in this area!! Yes, it could be that the 2 antioxidants helped, or it could be that I had finally recovered 9+ months later from something like Viral Myositis of the neck from fighting a viral infection in Hawaii in October 2024. My doctors just don’t know fully. But I am in awe at God’s lovingkindness and great mercy. 🥹❤️ 2 verses come to mind... One is from Ephesians 2:4–“But God, being rich in mercy, because of the great love with which he loved us..” And the other is Philippians 2:27–“Indeed he was ill, near to death. But God had mercy on him..” The phrase “But God” sticks out to me. It reminds me that God is the one who has a plan and purpose for our lives, and it may be totally different than what we think is best or what we’d like. I don’t know what I would say or how I would act if the neck weakness still persisted to this day.. It would be extremely hard, and I know I would struggle greatly mentally and spiritually. But I also know 100% that God would faithfully sustain me like he did during those long, dark months from October 2024 to May 2025 and on.. God’s mercy continues to be so evident as I’m physically in even better shape than I was back in 2023. 🥹 Aside from my sleep, I’m doing so well that I might even have to find a part time job sometime down the road! I don’t know how long this “stable” period will last, and I know life could quickly change again in the blink of an eye (like it has in the past).. But, while I’m stable, I’m having the MOST JOY feeling quite “normal” and being strong enough/having the energy to babysit my almost 6-month old foster nephew. 💙 He’s over 17 pounds now, and every time I hold him, it’s such a GIFT from the Lord to have the muscle strength for carrying/lifting him! I wanted to end this on a joyous note by sharing one last thing that happened in 2025–the opening of my Pain With Purpose Shop around my 33rd birthday this past October! ☺️ It’s a joy selling my handlettered designs (just a heads-up, my card inventory clearance sale ends on the 5th!). 😊 It’s also SO special that my church’s Care Ministry can send encouragement cards I’ve designed to those in our church body who are experiencing suffering. This gives me a little purpose since it’s sometimes hard not to feel useless living with a chronic illness (I’m sure many of you who are suffering can definitely relate..). 😢 Unless something major happens again, I think this might be my last health update for a while as I’m so enjoying this stable season—I continually thank God for it and don’t want to take one moment for granted! I love you all and am so grateful that you are here with me in the valleys and on the mountain tops. 💚 
By Kerissa Lee December 28, 2025
Lucy and I hope you all had a wonderful Christmas! 🎄❤️ Yesterday, she turned 5 years old!! Where has the time gone?! She brings so much joy and laughter to our whole family—we love her more than words. 🥰 To celebrate and as this year comes to a close, my Pain With Purpose Shop is having a sale—I would love to clear out some of my old card inventory to make room for fresh, new designs in 2026!! ☺️ All cards have been marked down to $1.50 each. In addition, I’m also happy to share a promo code for FREE “first class” shipping which will work for all orders of up to 8 cards (unfortunately, an order of more than 8 cards switches to priority shipping..). To apply this offer, enter the code GOODBYE2025 to deduct the “first class” shipping fee. ✨ This sale and promo code will last through January 5th, 2026! Please don’t feel pressure at all to order from me…some of you buy my cards at full price, so I wanted to mark the card prices down for a bit! I’m so thankful for you all—your many prayers all these years have truly uplifted and encouraged me. I pray you have a blessed and happy new year!! 🤗 Stay tuned for my annual “reflections” blog post… ❤️