Reflections on this past year 2013

Kerissa • January 1, 2014

Another year is just about over!  As I look back on these past 12 months….2013 was filled with unexpected events and a lot of “firsts” (and “seconds”).  You could say this is my belated Christmas letter..  I’m sorry if this is a bit long….a lot happened this year. lol

In the middle of January , I came down with a 103.3 fever that wouldn’t break, even after taking Advil and Aleve that morning and the night before.
I took my first ambulance ride to the ER after the paramedics came to my house.  I remember hearing one paramedic saying, “She’s burning up.”  And still another told me, “I’m so glad your dad called us.”
My heart rate got very high (in the 150 bpm range)—the doctors had to quickly give me about 4 liters of IV fluids before things started calming down.  One resident dr. told me, “You’re a troublemaker!”
My labwork came back all out of whack, and I tested positive for Influenza B.  The flu hit my mom and sister as well, but it was the hardest on me because of the mitochondrial disease..
The flu caused a terrible CRPS flare-up
—the pain got so unbearable, and my feet swelled up.
Once I recovered from that ordeal, I had my first bilateral lumbar sympathetic block to calm the pain down.  After doing LSBs for 25 years, Dr. S told me that was his first time performing a bilateral one!
In April , my parents, sister, and I traveled to Cincinnati, Ohio for the first time where I saw Genetics, Neurology, and Pain at Cincinnati Children’s Hospital Medical Center!  
We spent a week there, and this is when the doctors really started suspecting mitochondrial disease. 

Met this precious little guy at the RMH!  He was getting ready to have a bone marrow transplant!  I know I shared this pic before, but it’s one of my favorites!
On May 21st, my 90 year old grandma (my dad’s mom) passed away suddenly due to a suspected pulmonary embolism. :'(  That was so hard, and it was the first time my siblings and I really experienced the death of a grandparent (my oldest brother was only 6 months when our grandpa passed away from a heart attack).
A lot happened in July.  My 89 year old grandpa (my mom’s dad) passed away from kidney failure. :'(  We weren’t expecting that, also, because he was given up to 6 months to live.  As you can imagine, that was so difficult for all of us to go through two close family deaths in not even two months.  We all miss our grandparents terribly.
 I’m not sure if it was because of the stress, but that month, I began experiencing chronic GI issues for the first time (which are still going on today).
In July as well, my geneticist in Cincy ordered nuclear mitochondrial exome sequencing.  That was my first extensive genetic test which took about 6 weeks to be completed. 
 
But before the test could get started, our insurance denied the exome sequencing because it was out-of-network.  The lab had to go through the appeals process which took an incredibly long 5 weeks!  But thanks be to God and the amazing laboratory Courtagen Diagnostics, the testing did get appealed!  And our insurance agreed to cover the whole cost!
In August , a caring and thoughtful family in our church let my family use their beautiful beach house for a whole week!!!  That trip to the coast was much needed and such a blessing.
Our view from the beach house.
Soon after my 21st birthday in October , I had a second lumbar puncture (spinal tap) to check certain lab values at the request of Dr. H, a mitochondrial specialist in San Diego.  I’m still currently trying to get in to see him, but this again may take several months..
Beginning in November , I started having difficulty swallowing (but not from a sore throat) and severe esophagus pain.  Eating brought extreme pain, and for more than a week, it felt like food was stuck in my esophagus.  For the second time this year, I had to take another trip to the ER.  The doctors had me stay overnight in the observation unit as they tried getting to the bottom of this.  I had a test done called an esophagram, but this revealed nothing.  They wanted me to get an upper scope of my GI tract, but they referred all of this to my GI specialist here in Oregon and the motility dr. in Cincinnati.
December 1st-14th, my parents and I traveled a second time to Cincinnati Children’s Hospital Medical Center.  I was admitted to the GI unit of the hospital for tests that could only be done inpatient.
All of this was for the GI manometry testing!
And this is what it looked like on the computer screen.

I also had a lot of outpatient tests/appointments with cardiology, orthopaedics, pulmonology, genetics, and neurology.  Based on my genetic results, the doctors also think that I have a rare genetic neuromuscular disorder called Congenital Myasthenic Syndrome.  This is on top of the mitochondrial disease..  They already started me on a cholinesterase inhibitor drug to slow the progression.

This has been a tough year for all of us, but your prayers/support and the Lord’s grace has sustained us through it all!

I don’t know what 2014 will bring….maybe it will be an easier year….or maybe there will be new trials and tests.  But this I know 100%: my Lord and Savior is always always good, sovereign, steadfast, and faithful!

“Beloved, do not be surprised at the fiery trial when it comes upon you to test you, as though something strange were happening to you.  But rejoice insofar as you share Christ’s sufferings, that you may also rejoice and be glad when his glory is revealed.”
I Peter 4:12-13

By Kerissa Lee November 17, 2025
Dear friends, Thank you so much for praying for me when I had that bad reaction to the autoimmune medication last month. I’m so incredibly blessed by your love and support. ❤️ I saw rheumatology recently, and instead of trying to prevent actual autoimmune disease from starting, they want to just monitor without any medication therapy. In other words, they want to see if more symptoms like fevers or rashes will appear (besides the joint pain that I already experience).. The medicine I did try (which worsened my mitochondrial symptoms) is actually the “safest” out there, and the other treatments for autoimmune disorders are much harder on the body—the team doesn’t think I’ll tolerate those well.. It’s difficult for them to know if all the bad antibodies that have been found in my blood will cause “actual” disease, and only time will tell.. So the plan is to just monitor and follow up with them in February. I wanted to see if my body could recover from this setback without having my IV fluids switched to a higher dextrose percentage. But by the last week of October (week 3 of this mitochondrial flare), the muscle weakness and increased pain all over was sadly still persisting, so I told my doctor. He sent in a new IV fluids order with the higher dextrose, and I’ve been receiving it for about 2 weeks now. I have definitely noticed an improvement in the muscle weakness which has been a huge blessing from the Lord. It was such a gift to feel well enough to go to a friend’s wedding reception at my church last week. 🥹 My cup was filled because I haven’t been able to see so many church friends in years! Regarding the piece of plaque that traveled to a small artery in my retina, I just had the carotid duplex scan completed last Tuesday to see if there’s any narrowing in the neck arteries. I also have the heart echocardiogram scheduled for tomorrow. My biggest, ongoing struggle has been my sleep. I’ve sadly been in a “catch 22” situation for many months now. I mentioned before that I was started on a new and safer pain medication this year. A rare side effect is insomnia, and it’s simply horrible. Night after night, every single day, I’m not able to fall asleep until after 4-6 AM. 😢 Believe me, I’ve tried every type of trick…from different sleep medications that my sleep specialist has prescribed, to all sorts of sleep supplements, praying, listening to worship music or white noise, stopping caffeine intake, etc. Nothing helps. The thing is, if I didn’t take this “new” pain medication, the pain from Mitochondrial DNA Depletion Syndrome is difficult to manage and it’s like an 8-9 on the pain scale. So then I’m up through the night, in horrible pain, and not able to sleep. But when I do take this medication, the pain is manageable, and it’s much safer to be on... Yet, I can’t sleep well while on it... Catch 22. I don’t know what to do, and it’s hard not to feel alone in this struggle. I’m so thankful to God that my health in other areas has been pretty stable.. In fact, this month (November) marks ONE WHOLE YEAR since I was last admitted to the hospital! Isn’t that soo amazing? Aside from these occasional mitochondrial flares/crashes (which happened in December, May, and October), I’ve been doing incredibly well, now that the neck weakness has resolved. But, this sleep struggle persists day after day.. I would love to be able to attend my church’s morning service in person or do many other activities in the morning. 😞 But I’m super exhausted. So many times, I ask God, “How do I go on and keep doing this every single night?” One thing I’ve learned is that God’s grace is truly sufficient for each day. He is the one who supplies me with the energy and grace to keep enduring. It’s hard, and I don’t know how long this sleep trial will last.. But, as Thanksgiving draws near, I’m reminded that I do have so much to be thankful for. Some of the biggest things: being physically able to help babysit my 4-month old foster nephew, shopping at the grocery store, having hand strength to design new note cards like the ones shown here, no longer experiencing neck weakness, and much more. The verse from Zephaniah I recently hand lettered above has been so encouraging lately. God is right by my side; he is mighty to save and will keep helping me through anything that I face. ❤️ 
By Kerissa Lee October 19, 2025
Dear friends, At the beginning of October, I started taking a new medication for the autoimmune disease. I thought I was tolerating it just fine, but after several days passed, I began experiencing nausea, loss of appetite, weakness all over, and increased pain. 🙁 It’s like I’m experiencing another “mito crash.” I found out that this specific lupus medication affects mitochondria. That is, it causes an overproduction of reactive oxygen species (ROS). This, in turn, causes cell damage and oxidative stress. I sure wish the rheumatologists would have known about this before prescribing. But I have to remember that Mitochondrial DNA Depletion Syndrome is rare, and they’re not “mito experts.” Anyways, the last time I felt like this was back in May.. I’m so grateful to God that I haven’t needed to be hospitalized from this, but at the same time, I’m also sad that this happened at all, especially because I had such a nice stretch of stable health. I’d really appreciate your prayers, that this muscle weakness can resolve soon, and that this increased pain all over will get back to my baseline. Every time I have a “mito crash,” it feels like I’m fighting the flu which always sucks. The pain has been hard to bear. And whenever I’m in the thick of it, it’s difficult to remember that this too will eventually pass. 😢 Pray that I will endure and follow Jesus’ example like this passage from Hebrews 12:1-2– “Let us run with endurance the race that is set before us, looking to Jesus, the founder and perfecter of our faith, who for the joy that was set before him endured the cross...” Thank you all so much for praying for me. ❤️
By Kerissa Lee October 4, 2025
"Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces steadfastness." James 1:2-3