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Home » Forum home » New diagnosis and before diagnosis

Please help!

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Please help!
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sarah1233
07 Sep 2011 at 10:05PM
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Hi. I'm a newbie, very confused and a little worried.

I have had various symptoms, on and off for at least 3 years that I can remember. In the early days, it was fatigue accompanied by pain in my left arm which varied in intensity. After a few months, the symptoms would subside.

My last 'relapse' started around October 2010. I began by feeling extreme fatigue. To begin with I brushed it off as being the time of year and kept going.

At Christmas, I got a nasty ear infection and was off work for a couple of weeks whilst I recuperated. The fatigue grew worse and was relentless. I told my GP who suggested routine blood tests - FBC, renal, liver, thyroid, CRP. All were normal.

By March/April, I was beginning to really struggle at work with the fatigue. It would just grip me around 2 in the afternoon and I was barely able to function. Yet I kept fighting on. I was referred by my GP for a scan on my face due to a lump (results found that I have enlarged lymph nodes, nothing more sinister than that). Around the same time, I started to get strong tingling sensations down my spine from my neck to around the middle of my thoracic spine and then about a five inch horizontal line across to the right. This symptom became relentless and distressing. My GP referred me for an MRI which other than mild stenosis (typical for a 38 yr old), it showed nothing abnormal.

I was then referred to a neurologist whom I saw in August. By this time, I was struggling to walk. After about 50 yards of relatively normal walking, I suffer severe pain in both legs - they feel as though I am dragging lumps of steel along the ground. I also have twitching in both legs and arms whenever I am at rest. When I saw the neurologist, I explained my symptoms - particularly focusing on the fatigue, difficulty in walking and the spine tingling. He examined me including my reflexes. He said he found all my reflexes to be normal and said that as I do not appear to have abnormal reflexes or l'hermittes sign - he felt that my condition was not MS (as suggested by my GP) and that it was most likely that I have M.E./CFS. I was then discharged from his care.

Since then, I have had to take long term sick leave from work - having been to occupational health at work who were very concerned at my ability to continue with my symptoms. My work colleagues were devastated watching me deteriorate each day. I have been back to my GP and requested a referral to an ME specialist in London as there is no provision whatsoever in my area. My GP has to request funding from the PCT for the referral. I am being signed off from work a month at a time until I am well enough to return.

Since seeing the neurologist, my walking ability has decreased further. I need to use a stick to walk out of doors. A few weeks ago, I used a wheelchair for a family day out as there was no way I could have managed otherwise. Over the past month or so, I have felt pins and needles constantly in my left shin/calf. In the last few days I have noticed a sensation like a tight elastic band or sock around my left shin/calf. This is worse when I'm standing but I can now feel it all the time.

In hindsight, I wonder should the neurologist have been so quick to dismiss me as having M.E. especially without a brain MRI? My GP thinks a brain MRI should have been arranged - unfortunately GP's are not allowed to request one. So my hope now is that I get referred to the CFS specialist in London and see what they say.

I feel rather scared and concerned. Of course I would prefer a diagnosis of CFS which could improve in time and hopefully even give me a complete recovery so that I can return to the job that I love! However, there is this constant nagging doubt that my symptoms may be more than that. :roll:

What are other people's experiences? Any ideas other than what I'm doing in regards to getting the right help?

Many thanks
Sarah x

rizzo
08 Sep 2011 at 4:47AM
Top

Hi Sarah, and welcome to the site :)

A few things spring to mind...

- The spinal MRI that you had done may not have been the right type to check for demyelination, so there is a good chance that none of your central nervous system has been scanned properly for MS.

- Your GP can refer you for MRI. I don't have personal experience of this, but I've seen several posts on here which state that their GP has sent them for an MRI.

- I am very confused by the neuro's conclusion that a lack of L'Hermittes meant it couldn't be MS. L'Hermittes is a sign of a spinal lesion. The simple fact is that not everyone with MS gets these. And even if someone has spinal lesions, they may not have L'Hermittes.

- While MSers tend to have abnormal reflexes, it is possible for them to become normal between relapses if the demyelination has been mostly repaired by the body.

The upshot of all of that is that I'd be asking for an MRI if I were you!

I hope you get somewhere with it all very soon.

Karen x

mac
08 Sep 2011 at 8:25AM
Top

When J first told my GP of feeling no energy to do anything J was sent to psychologist as she thought J was in depression.
After a few months J had strange sensations in my right part of the body-itching ,numbness ,lack of feeling and so on.My GP sent me to do all the blood checks.
So one weekend when J didn't feel well J phoned NHS telling them my symptoms and they arranged an appointment in hospital.
At last the doctors started to do their duties.After a few tests J was sent to emergency as they suspected a stroke and finally had an MRI scan of my spine and brain which reviled lesions ..However ,J was diagnosed MS definitely last month after 3 years of symptoms ,2 clinical episodes, 3 different neuros and 2 GPs.
PS.J am from Poland and came to Scotland 6 years ago so sorry for the errors J am making.J am also worrying about the near future as J don`t know how long J will be able to work in my condition.

Byrony
08 Sep 2011 at 8:59AM
Top

Hi Sarah, it seems wrong to me that the neurologist discharged you so quickly without a brain mri, he really should have done one :( . I hope that you are able to persuade your GP that you want an mri as I am sure they can arrange one without a neurologists say so.Infact my husband was refered for one by his GP when he had a bad knee. When I first saw a neurologist my reflexes were normal too but 6 months on from that I was dx with ms.I really hope you get the help you deserve, keep pestering your GP until you do. In the meantime we are always here to support you, :)

Take care.

Sarahx

sarah1233
08 Sep 2011 at 6:12PM
Top

Hi - thanks for replies and kind welcomes.

My GP said that although he was allowed to request my spinal MRI - he is not allowed to request a Brain MRI. He told me that once, he spoke to a consultant about a patient. The consultant agreed that the patient needed and MRI and so the GP wrote on the request card "discussed with Mr ........" Apparently it was still turned down. I don't know if this is a common problem across trusts in general of if this is just in my area. Sounds barmy to me but there you go.

The neurologist said that he felt that my symtoms "superficially appear to be neurological, but that on deeper probing, did not fit the criteria". I do wish now in hindsight that I had had the strength to insist on further investigations "just to be sure" but I was a bit of a wreck with everything.

Getting to the stage of having to give up work, albeit temporarily has been the hardest part of the whole ordeal - and not knowing when or if I will ever be able to return to normal duties is just as bad. I guess my best hope now is that if I get this referral to London, that they will want to do more tests before settling for a diagnosis of CFS rather than just assuming it.

Thanks for listening. x

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