Keeping on.

Kerissa • October 6, 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 January 21, 2025
Hi, friends, First off, the piece of art above was hand lettered by me last year before all “this” happened. I’m sad to say that I only have 3 or 4 pieces left to share until I run out.. 😢 I went to see my neuromuscular neurologist in Seattle on January 8th. My neck weakness continues to progress which has been so scary. He said I need to get a neck MRI and some specific blood tests to check for polymyositis. If it is normal, though, his opinion is that this is mitochondrial disease progression. 😔 I haven’t seen my mitochondrial specialist in San Diego in more than 3 years (I started seeing him in 2014!), so I’m sadly no longer considered his patient. The neurologist sent a new referral to him, but I’m not sure if it will be accepted.. He’s almost 80 years old (one of the pioneers of “mitochondrial medicine”). And I don’t know if he’s cutting back on “new” patients.. Even if he did accept my case again, I’m currently not physically well enough to fly down from Oregon.. 😞 My quality of life continues to worsen ever since this unusual neck weakness started this past October. I know I’ve said this before, but I truly miss doing all of my favorite things (like hand lettering art) or even simple tasks (setting up my own IV infusions, vacuuming, washing hair, etc.). 🥺 Before October, I was even starting to drive to physical therapy or the grocery store. Yes, I’m 32 and still don’t have my driver’s license due to being preoccupied fighting mitochondrial disease for almost 15 years now. I never shared the exciting news that I was able to get my driver’s permit over 2 years ago, and it was so fun to drive myself to appointments close to home. Now, I can’t do any of the above which has been difficult to process. I shed tears every now and then just thinking about all that has changed. 😢 I’m having to go to bed around 6:30 PM to lie down and rest my neck. But I’m so uncomfortable from the pain, and I don’t fall asleep until after 3 AM every night. So my pain dr. referred me to palliative care. 😢I know it’s not hospice, but I’m still sad we’re at the point where I even need palliative care. Unfortunately, they’re most likely going to deny the referral (if they haven’t already) because we were told they only see cancer or heart transplant patients. I even checked if there’s palliative outside of OHSU, but they, too, see only oncology. It’s so hard that cancer gets a lot of funding, research, and support, and those with rare diseases are left “on their own.” It’s isolating and lonely. 🥺 I saw my PCP again, and he is just the best and full of compassion. ❤️ He placed the neck MRI as urgent and also ordered more labs to keep pursuing answers since all this is such an atypical picture if it was mito progression.. In case palliative turns my case down, my dr. told me that the internal medicine clinic has a complex and chronic pain management clinic (different from the pain center that I’ve been going to since 2011). He referred me to them to try and help me get more comfortable. I have a wonderful team of doctors and an amazing naturopath, but I’m even going to see a functional medicine doctor for the first time on the 23rd. Praying he could maybe have some additional insight on everything and will offer some fresh ideas for treatment as well.. I also have an appointment with the metabolic geneticist on the 28th.. I’ve read through the Bible more than once, but it’s amazing how the Lord points us to specific verses at just the right time. I don’t know about you, but sometimes I think, “I don’t remember reading this before!” Paul David Tripp’s newest devotional Everyday Gospel has been so very encouraging. He shared 2 verses from the book of Genesis where Jacob said that God “answers me in the day of my distress and has been with me wherever I have gone” (35:3). Several chapters later, Jacob also said that God “has been my shepherd all my life long to this day” (48:15). When I read that, I felt such peace. God spoke to my heart to remind me that He is with me and for me….in every circumstance no matter how hard. ❤️ Could you please pray that I can have the MRI completed this month and not have to wait many weeks? Pray that all of my doctors will have wisdom as my case is so complex. Lastly, could you pray that I will persevere and keep walking by faith? I feel so weary, not only physically but also mentally and spiritually. 😥 Thank you so much for praying for me all these years. ❤️
By Kerissa Lee December 13, 2024
"He alone is my rock and my salvation, my fortress; I shall not be greatly shaken." Psalm 62:2
By Kerissa Lee November 9, 2024
“Be still, and know that I am God.” -Psalm 46:10 
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