What's My Next Move?

The lousy news for my week month is that my experience with SoluMedrol seems to have been temporary. I am as bad (if not worse) than I was  before I took it. Every day seems to be a struggle. Oddly enough, I don't seem to be surprised by this; I just didn't expect this to be happening so soon -- know what I mean? But, if not now, then when?

Come June 28, I will have had my MS diagnosis for 32 years. The actual diagnosis was transverse myelitis/probable MS. It wasn't until October of that year,  when I had my first  bout with optic neuritis that I was given the official proclamation, "You realize that this means you have MS, don't you?" by the opthamologist. Well, no, and yes; I was acting as if it was MS (as was suggested to me) since June, but I hadn't really taken in the intricacies of what comprised a "proper" diagnosis. Possible, Probable, and Definite weren't yet part of my lexicon. That was then. This is now.

So what do I do now? Last year I tried to get an electric wheelchair and was promptly shot down by my PCP. I was just trying to stay one step ahead of the MS. Following my motto of "hope for the best, and plan for the worst." I have a manual wheelchair, but it doesn't fit in my house. It fit in my parent's house just fine. Theirs was a home on Queen Anne Hill in Seattle; it was only 1600 sf, but the rooms were ample, and the doors were wide enough for my chair. There was only one door that I had to watch my fingers when going through, and that was in the hallway. All of the others were 32".

Not in this house, though. I'm pretty sure a Jazzy could get through the angle from the kitchen and into the dining area into the living room and through to the hall then into my bedroom. That leaves out the bathroom which has a 19 1/2" doorway. To take a shower or use the toilet I would have to transfer onto my walker and DH would have to help me. Or, I would have to use a portable commode. Yeah. I remember those days, even 32 years later.

Been there. Done that. When I was first diagnosed our bathroom was upstairs. So were the bedrooms. I spent the first year on a sleeper sofa in the living room, and using a portable commode downstairs in our "little hall."

Then my parents hired a contractor and added a room onto the house. A bedroom/bathroom which was not only a lifeline for me, but also for my aging parents.  When I got married and moved out, some six years later. In 1997 and 2000 (respectively) they each ended up moving downstairs into that room at the end of their lives; so I guess you could say it was money well spent.

Also, they had a deck put onto the room, which was well used for all its years. Who knew that we would spend so much more time outside on that deck than we ever did in the yard? But we verily lived on the deck during the Summer. I also decorated it with lights two Winters, which was lovely as it could be seen from both my room and the dining room. OH, memories....

So back to my question - what is my next step? A call to my neuro? More steroids? Well, no. He said NO to steroids. He offered to prescribe AMPYRA for me, as it touts to aid walking. I will remind him when I see him in July that Ampyra didn't work for me, and he told me at that time that he didn't see it working on his other patients either, even though they said that "they felt better when taking it;" damned placebo effect.

A call to my PCP? I can't afford PT at $35 a visit so that's out of the question. I think I need an OT evaluation in my home to see what suggestions s/he might have for me. Perhaps this year my worsened condition will crack my PCP's steely demeanor and I will get some help. I so liked Dr. Shibata better than Ashley.

In the meanwhile, I have been freezing my ass off this Spring as the temperature hasn't gotten above 70* more than a few days at a time. The weather program on my desktop suggests that it will reach 80* on Friday, but that is also with showers. Will it also be humid? Well, this is the Pacific Northwest, so anything is possible.

Good Night, TTYL, and Be Well






Comments

  1. Webster, I'm so sorry you're having such a relapse. If your PCP doesn't do as you asked, I'd find a new one. YOU pay THEM for a service, and they need to remember that and get down from their high horses! Good luck in whatever comes along!
    Peace,
    Muff

    ReplyDelete
  2. Oh gosh, I'm so sorry to hear of your dilemma.

    I have never gone the steroid route. My doc told me early on that it would not stop any damage that the MS would do, just shorten the course of the relapse.

    Here in Canada the gov't doesn't pay for assistive devices unless one is para/quadriplegic. If one has private insurance, then the mobility companies go out of their way to suit you up with the latest and greatest!

    I couldn't afford to buy an electric wheelchair, but rental costs are often reasonable. Can you not rent an electric wheelchair?

    There are also "slimline" manual chairs made to fit through 22 inch doorways. Can you take the moulding off around the doorway? That might give you a couple of inches.

    If WC are covered under your gov't insurance plan, I don't understand your PCP's stance. Hopefully an OT evaluation will change his mind!

    It's 91* here today with high humidity, 70* would be just perfect for me!

    Stay warm, or cool, and best of luck to you!

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  3. I am so sorry that you are having so much trouble. I've been so busy with my own 'life' that I haven't been checking blogs lately.

    I do hope that you improve.

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  4. I am so sorry. Frustration. I too am an optimistic pessimist in hoping for the best and expecting (and planning for the worst). Still unpleasant though.
    I hope that something to make life easier appears on your horizon - soon.

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  5. Sorry you've been feeling bad. The Solumedrol is great...while it lasts. Anyway, I wish you luck. I'll be thinking about you!

    p.s. Am jealous of your cool weather. Getting into the 90s here. UGH.

    ReplyDelete

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