Tag Archives: Multiple Sclerosis

My story in a “nutty” shell

I have needed IV steroids 12 times since Jan 2010 for five bouts with optic neuritis and an unbelievable amount of multiple sclerosis relapses. Three of those twelve IV’s were 5 day infusions, while the rest were 3 day infusions. Still a lot of steroids to put my body through. I suffered through two solid years of very active lesions on my MRI and progression of MS symptoms and disability. The entire time I was on MS meds (except for the 3 months following my venoplasty treatment) those MS meds did nothing to help me and seemed to make me worse.

I did Copaxone first for 7 months and had 3 very bad relapses while on it, losing my vision and needing to use a walker for a few days. I did try LDN (low dose naltrexone) and felt better in reference to my fatigue but it did not stop or slow down the downward spiral I was in. Then was switched to Avonex for 8 months (which made me so sick for 24 hours after each shot) and after losing bilateral vision in my eyes and having two more relapses with MRIs showing even more activity, I had to stop the Avonex.

At this time I was noticing a lot of head aches and very cold feet and hands and ended up getting tested for vascular issues and was found to have a 90% blockage of my LIJ (left internal jugular) vein and a 60% blockage of the RIJ (right internal jugular) vein as well as a 50% narrowing and webbing of my azygous vein. I was a candidate for the venoplasties and had them performed and was amazed at how much better I was after – they surprisingly seemed to have a profound effect on some, but not all, of my MS symptoms. I had my balance back immediately and was able to function at work as a physical therapist and was able to start working out in a boot camp class once a week for 3 months…

Then unfortunately my symptoms gradually started to come back and my MRI was active again and I lost bilateral vision again… I was retested at a vascular followup and my veins had renarrowed – I had restenosed. I had the procedure done again but the only benefit I gained from the second procedure was warm hands and feet again. No return of balance or any other physical deficits and my eyesight continued to worsen. So, I will not say that the two incidences are related or not, whether one causes the other or vice versa, but it is interesting how my symptoms reacted to the initial procedure and then after my veins renarrowed. Makes you wonder…

Anyway, after relapsing again, I was convinced to go on Gilenya and while on it for 4 months had another 2 relapses, lost 25 pounds, started having heart trouble with tachycardia and irregular skipped beats, had a white blood cell count of 2.0 and was extremely ill. So, I stopped all MS meds officially on Feb. 19 and after the Gilenya got out of my system (which takes about 3 months) I started feeling human again. I have had no relapses, only mini- or pseudo-flares of old symptoms which don’t last long as long as I rest and pace myself. AND my MRI’s are better! I still show all my old lesions, but nothing is currently active!

It’s a bit ironic that I feel better off MS medication than I did when I was on it. The only medication that ever made me feel some what better were antibiotics, which brings me to the possibility of me having late-stage lyme disease and/or Cpn (Chlamydia pneumoniae) which possibly triggered my MS or are the reason for my neurologic deficits.

Ironically, I did have lyme disease from a tick bite when I was 20 and was treated with Doxycycline for it. So recently I have re-tested myself for possibly chronic lyme disease through Igenex and the results were inconclusive with one positive band and a second semi-positive band so I have yet to try more antibiotic treatment for possible chronic lyme. I am awaiting the stem cell infusion that I will be receiving in 6 days. And then once the study is over I may send my Igenex data to a Lyme Literate Doctor (LLD) to maybe get his opinion on this and possibly pursue this to rid my body of lyme and possibly Chlamydia pneumoniae.

For now, I really do have all my eggs in my “stem cell basket” as MS meds seem to not be the answer for me. I refuse to go on Tysabri for fear of PML (although I am JC negative) and the rebound effect of lesions that you may get if go off Tysabri scares me as well. I am hopeful for BG-12, but if I can be MS drug-free following my stem cell infusion and have no further progression, that that would be the most amazing and best thing in the world to me! Oh, and add to that repair of damage… heaven!

6 DAYS! Wow, in 6 days my life will hopefully be changed FOREVER!

11 days and counting! Hopefully…

As of today, October 1st is still my stem cell infusion date. Which means in 11 days I will be getting my long-awaited infusion. Or will I?

Three days ago I had a terrible headache on the right side of my face, which turned out to be due to eye pain. My anxiety started about possibly having a relapse with optic neuritis. I then noticed slightly more blurry vision and was having increased spasms in my legs, which meant I was limping more. Not a good sign. I was hoping it was just temporary since I have recently been dealing with a bunch of stress – just a lot going on and me overdoing it at times. Shame on me! I know better, but what are you gonna do? I can’t just sit there and rest. Not my style at all.

Then yesterday I pretty much limped most of the day at home but got a ton done and noticed my eyesight had worsened by the evening. I decided to sleep on it and call my opthalmologist and neuro in the morning if things didn’t get better.

Well… I had to make the call.

And the study nurse said to come in ASAP for a possible relapse assessment, which is part of the stem cell study protocol. So after a urine test, blood work, vision testing and neuro testing, it looks like I am having a mild relapse currently. So, I had three choices:

1. Go on steroids right away, which would delay my infusion by 30 days after my last 60mg oral taper.

2. Wait to see what my urinalysis test said and blood work tests revealed, possibly needing to treat for an infection which may be causing my symptom exacerbation. And going on steroids tomorrow if I am worse and there is no sign of infection.

or…

3. Do nothing, hope it gets better on it’s own and wait the 11 days to get my infusion.

I chose no steroids unless I get so bad in the next 11 days that it would be unfair to my body to not treat a bad relapse. Either way I would still get the stem cell infusion, however it would have to be delayed by a month if I went the steroid route.

So, we shall see…
Today I rested (as much as I could).
Oct 1st is my goal, so lets pray I wake up feeling better tomorrow.

My Stem Cell Journey Continues

We are getting so close to my October 1st stem cell infusion! I am so incredibly excited! And in case you missed it, this is how my first appointment went in July.

I had my most recent MSC appointment a little over a week ago on August 1st. I almost missed this appointment though thanks to not having this appointment in my phone calendar and thanks to a pretty rough night.

Starting with the rough night story… the night before my appointment, I went to my usual Mexican fiesta night with my sister-in-laws and not remembering that I had to wake up at 6am the next day, I indulged in a jumbo peach margarita. When getting home I remembered that my appointment was the next day and I had to sober up quickly and arrange for my boys to have someone to watch them since I would be leaving well before they were going to wake up. Of course I had insomnia and a horrible headache until around midnight. Then I tried going to sleep and my stomach started hurting. I awoke at 2am nauseous and ended up in the bathroom bringing back up a peach margarita. Feeling better, I returned to bed only to be woken up twice by both of my boys crying that they were having nightmares. So, when my alarm went off at 6am I had only gotten 2 hours of miserable sleep and was on my way to my appointment.

With coffee in hand, I arrived at my appointment with some time to spare. I had the standard set of tests performed including another MRI, 20 vials of blood drawn, OCT test, neuro tests, visual tests, visual evoked potentials and mathematics adding test. My brain hurts just thinking about that math test!  I found out that my previous MRI from last month did not show any new enhancing lesions, which is amazing because I have been off all MS meds since Feb. 19th, and ironically this was my first clean MRI since I was diagnosed.  I have been feeling a lot better overall since being off medications… hmmm… but I digress…

Anyway, I got the fantastic news that…

MY CELLS HAD GROWN AND MULTIPLIED!

They are now cryogenically frozen at Case Western Reserve and we are waiting on a test result to come back which tests for the sterility and viability of the cells. Once this test comes back, I have one last pre-infusion appointment which will put me through the same standard tests one last time before I get my stem cells infused into my body. That appointment is on Sept. 12th, and that’s when I find out that everything is officially a go for Oct. 1st!

And because everyone seems to be asking about the specifics of my stem cells and my infusion, I share with you a YouTube video which describes the mesenchymal stem cells that are instrumental in this study:

Mesenchymal Stem Cells Drive New MS Study/Treatment

And my infusion will be of my thawed stem cells through IV. I do not go through any chemo or radiation thankfully. I will be receiving about 2 million cells per kg of body weight. My main hope is that this infusion will stop the progression of my MS. I would love to see repair of damaged myelin and nerve/brain tissue and recovery of eyesight in my right eye and strength and coordination of my left leg and arm. Getting balance back and getting rid of fatigue and spasticity would be great too.

Crossing my fingers and saying my prayers!