Thursday, March 8, 2012

It's a beautiful morning...

     It is a beautiful March morning; it seems that spring is beginning to bloom and I LOVE IT! As I drove our daughter to school this morning we were listening and singing along to Shiny Happy People and I thought about how amazingly blessed I am. For the most part, I feel GREAT!
     As for my Chiari Malformation, I do not know how the herniation is doing but my symptoms are much fewer and further between, as are my symptoms from Tethered Cord, POTS, and EDS. Don't get me wrong, I still have pains and symptoms but these days when a symptom pops up it doesn't hang around very long and I just ride it out. For instance, my back was aching pretty badly by the end of the day yesterday but after a good night's sleep I awoke feeling well rested and no backache. THAT IS HUGE!  The good night's sleep is huge, too as I used to wake up all night long and not really sleep. Now I rarely wake once during the night. My neck incision is still trying to heal and I am back on antibiotics for the 7th or so time but it is getting better...again. (I would really like to wear my hair in a ponytail.) Now, all that being said, I am trying to take care of myself. It's not fair to my family for me to NOT take care of myself.
     I am a different person since all this medical mess happened to me. My confidence, tolerance, and thinking have changed. My confidence is lower, my tolerance to certain situations is higher, and I have to remember to really think about something before I do it. Yesterday I attended an MS luncheon/fundraiser and heard a fabulously motivating speaker, Bobbi Doorenbos. She spoke about self pity, pain, and purpose. These things are very close to home for me. The awesome thing that we have in common is that we are both moving forward in our lives despite a devistasting diagnosis and discovering/looking forward to new purpose. She spoke of the book The Butterfly Effect which I have not read but I will! That resonates with me because if a tiny little butterfly's fluttering wings can have an effect on the other side of the world then certainly I can have a positive effect on others in at least a small way.
     I am not sure how I'm going to do that but awareness for Chiari and related issues is on the list for me. As you may have read in my blog it took me 22+ years to be diagnosed with Chiari and for a doctor to realize that was my part of my health problem. Last month, David and I took our daughter for a "screening" as our pediatrician had recommended. The specialist said,"Why are you here?" We told the doctor my story, our daughter's "symptoms" and that we wanted her screened for Chiari Malformation, EDS, and Tethered Cord. (To diagnose Chiari you usually need an MRI  but not necessarily for the other conditions.) Immediately the doctor asked me if I had sacral dimples or a hairy patch on my lower back and I said no. Then he tells us that unless you have one of these two things then you do not have tethered cord implying that I did NOT have tethered cord. Immediately he lost credibility with us as you do NOT need to have either dimples or hairy patch to have tethered cord although many times people with tethered cord do display one of these. Tethered Cord is diagnosed not by external signs but by having a urodynamics study to see how your systems below the waist are functioning.
     Then doctor begins to address Ehlers-Danlos or EDS and examine our daughter. He determines that she has "Joint Laxity" but not EDS. After that doctor says there is no need for an MRI to check for Chiari because there is no founded reason for one, insurance would not pay for it, and if we chose to have one it would be at the hospital, under sedation, and an out of pocket expense. Then doctor tells us that doctor's integrity is at stake if an MRI is ordered under false pretense as doctor sees no reason for MRI. Additionally, doctor says,"Anyway, it's not considered Chiari unless the tonsillar herniation is 9mm." WRONG! http://www.ninds.nih.gov/disorders/chiari/detail_chiari.htm  The National Institute of Health does not put a measurement on Chiari and Chiari symptoms may be present even if the herniation is very small. In other words, size does NOT matter with regard to symptoms or permanent damage.
     This is a doctor that is uninformed and practicing medicine as insurance companies dictate. That is not the kind of doctor I want and there are many of them out there. As a patient you must educate yourself, screen your doctor, and be your own advocate.
     Our child was given a fabulous bill of health and told no medical testing or restictions were needed. This is GREAT but I ask myself if this is prudent given our family history and symptoms that are being displayed. There is more to this story that I will share another time.
     I guess I have flapped my wings enouth for this morning and hope it helps someone. Have a GREAT day and make the most of it.
     May The Lord bless you :)
              Leigh Anne