Neurology and physical therapy updates

Kerissa • November 16, 2016

“Pain is a forest we all get lost in
Between the branches, hope can be so hard to see
And in the darkness, we’ve all got questions
We’re all just trying to make sense out of suffering, but

You say I am blessed because of this
So, I choose to believe
As I carry this cross, You’ll carry me…”

~Carry Me by Audrey Assad

Hey friends,

Just a short update.  Thank you all for continuing to pray for me!  I know I’ve said this before, but you are a huge encouragement!!🙂

It has now been more than 3 months since my hip surgery….  Physical therapy progress is still very very slow because I’m not just the typical orthopedic surgery patient.  I have muscle weakness from mito on top of that.  I also have hypermobility and loose joints from Ehlers-Danlos Syndrome.  Hypomagnesemia (low blood Mg levels) complicates things even more since it affects muscles.🙁 The ultrasound-guided hip steroid injection helped the pain somewhat, but my physical therapists can still tell my hip joint is inflamed.  We continue to push through, though!

I had a follow-up with my neurologist on October 31st, and she spent 1 1/2 hours with me!  Very thankful for her and how she continues to see me even though I’m over 21.🙂

She said I really need to be seen by a geneticist who can look through all my genetic variants and sort things out even better.  She’s going to try and get in touch with the mitochondrial geneticist in Pasadena, CA (the dr. that I met at the UMDF symposium this past June) to discuss my case and see where I am on his waiting list.

We also talked about my daily headaches.  Although it seemed to be helping, the new medication my pain dr. started me on caused too many side effects.  And when my neurologist heard that I was taking this particular med, she got concerned.  Because of a CHAT mutation I have, I’m supposed to stay away from anticholinergic medications, and guess what, that med is anticholinergic.🙁 So my pain dr. slowly tapered me back off of it.  I did hear from her today and will be starting again the previous med I was taking.  It didn’t help a whole lot, but anything is better than nothing…the burning pain in my hands and feet has been so terrible!  They’re on fire.🙁

My neurologist increased my CoQ10 and Riboflavin, but unfortunately, the headaches are still bad.  So we did discuss trying a very strong anti-seizure med that is also used for headaches.  If I do start it eventually, I need to first get clearance from my nephrologist because it can cause metabolic acidosis.  She also said that it can make you “feel stupid” in that your brain gets cloudy and you can’t think well… : /  But she did say this is most noticeable with the dosage for seizures (which is much higher than the headache dosage).  If I try it next month or so, I hope I don’t experience either side effects!  I just would like a break from these chronic headaches because it’s rough on top of all my other symptoms.🙁

This will be my last blog post until December because the rest of this month is super busy with Thanksgiving, continued physical therapy appointments, and follow-ups with Pain Medicine, Orthopedic Surgery, and GI.  I’m also planning on selling jewelry from my Etsy shop  at my church’s annual Christmas boutique this coming Saturday.  It will be my 3rd time!🙂

I just want to close with this beautiful verse I read from Isaiah last week.  So uplifting and refreshing.  The Lord always goes before me and carries me through the pain!

Happy Thanksgiving, friends.

“In all their suffering he also suffered,
     and he personally rescued them.
In his love and mercy he redeemed them.
     He lifted them up and carried them
     through all the years.”

~Isaiah 63:9

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
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