UMDF symposium recap and appointment updates.

Kerissa • June 30, 2016

Hello friends!

We are home!   My parents and I actually got home on Monday the 20th, and I’m just now blogging. :/  The United Mitochondrial Disease Foundation symposium in Seattle was an amazing first time experience!  Yes, it was rough as well because I hardly got any sleep which in turn made all my mito symptoms worse…but, the conference was hopeful and encouraging, too.   I wish next year’s was going to be on the west coast again, but it’s actually going to be held in Virginia!

I could say loads about this year’s conference and take up all your time, but I’ll just share a couple things.😉

We heard all about the latest clinical trials (and their promising results!) for mitochondrial disease, and I learned from a couple of top mito specialists that I’ll most likely be eligible to participate in a Phase 3 trial to be completed next spring!🙂 There’s also another one going on that I may be eligible for as well.  I am currently researching more about both and hope to get more information soon.🙂

All throughout the conference, there were these 15 minute “the doctor is in” sessions that patients/families could sign up for.  I tried to sign up to see my mito specialist who practices in San Diego, but he was all filled up.😉

There’s this mitochondrial and molecular medicine geneticist near Los Angeles that I’ve always wanted to see as a patient because Complex Regional Pain Syndrome in mito is a common disease he treats.  Well, back in 2014 (I think), he became medical director of Courtagen Diagnostics Laboratory where I had a bunch of genetic testing.  The majority of his time is spent in research with Courtagen, but he did move to a private practice to still see a small number of patients…so private that you can’t even find his clinic online!

Guess what?  I was able to see him briefly for a 15 minute session at the conference!!  And even better news, he wants to take me on as a patient because he researched all about the 2 rare mutations I have!🙂 They’re bad mutations, and they exacerbate mito.  But it’s so encouraging that I’ll be able to see someone who actually understands what’s going on!  This is an answer to prayer to be able to see him!  He has a year long waiting list. :O  But it will be worth the wait!  He also unfortunately doesn’t take insurance, so we’ll have to pay out of pocket.  The first 2-3 hour appointment costs a huge amount of money, but I know that the Lord always provides!

Here are some photos I took of our time in Seattle.🙂

me and my favorite doctor (my pain doctor who used to be at OHSU but is now at UWMC)🙂

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Now, onto the long medical update… :/

A lot has happened since I last blogged.  I mentioned in my previous post how I got referred to see the hip surgeon and how they were trying to get me in on Friday (June 10th) so that I wouldn’t have to wait until July 11th.  Well, the Lord provided an appointment for me on the 10th!!  I was so happy.🙂 The hip surgeon is very kind and caring.  She explained how hip labral tears are very painful and how they don’t heal without surgical intervention.

I am going to be having hip surgery on August 12th.  Afterwards, it’s going to be a long healing process.  She said I’ll need to have physical therapy twice a week for 3 months and then once a week for 3 more months…!  I also won’t be able to bear weight on my left side for a while.  I’m going to have to practice with my physical therapist (in the weeks leading up to surgery) how to get up our stairs without using my left leg. :/  I had foot surgery in 2010, but I was able to use my knees to go up our stairs!

This surgery is not going to be easy because I have muscle weakness on top of everything else, so I have to get my right side as strong as possible.  But I’m looking forward to no more left hip pain!!

This particular surgery is usually done outpatient, but because my whole medical case is complex, the surgery will be done in the main O.R., and I’ll be admitted afterwards for at least overnight.  In addition to the hip labral repair, I’ll also be having another muscle biopsy done while I’m in the O.R.  Back in 2014, I had a muscle biopsy down in San Diego.  My doctor took lots of pieces of tissue.  But whoever handled the tissue in the lab put one of the pieces in the wrong solution (my local mito neurologist said that’s not uncommon unfortunately..), so guess what.  I wasn’t able to get a specific test done.  So my mito specialist and my neurologist here in Portland said, “Let’s get another muscle biopsy during my next surgery.”  I’m so glad I’ll be under general anesthesia for this second biopsy!  Being awake for the first one was complete torture because the area wasn’t numbed enough.🙁

I have a follow-up with my hip surgeon on July 11th to discuss the surgery in more detail, and Pre-Op is on July 29th!

All day today, I saw my palliative care doctor, my physical therapist, and my pain dr.  Thankful they were all at OHSU!  But I’m exhausted now.  The two doctor appointments were mainly to discuss pain med changes, what works/what doesn’t work, etc.  My pain dr. up in Seattle said he doesn’t want me to take a certain long-acting pain medication at this point that my doctors here in Portland were talking about trying.  But I trust him.🙂 So we will be exploring other medications with less side effects.  There’s this certain IV pain medication that works really well for me whenever I’m in the hospital, so we’re going to have it compounded into an oral medication to see if it can help just as much..

On Friday, I have a first appointment with my new primary care doctor who is a pediatrician and an internist!  Looking forward to meeting her for the first time.🙂

And then next week, my whole family and I are heading to the Oregon coast, and I’m excited to spend time with all of them!🙂

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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