In one of my groups, we have a woman with profound urological symptoms, pain, and gait problems. Positive Babinski. She is trapped in an NHS hospital in agony, untreated. They won’t give her a urodynamics test. Her neurologist’s assessment? It’s psychosomatic.
Another woman is having profound breathing problems, likely due to central apnea (very similar to what I had). She can only inhale four times a minute. Gets worse when laying flat. She is unable to get anyone to take her seriously. They’ve decided it’s psychosomatic.
I already know that if she has Chiari or CCI, she is very unlikely to have access to surgery in her country, even if that is what she needs.
To be fair, my neurosurgeon also thought I was lying about not being able to breathe, until he saw it with his own eyes: medium.com/@jenbrea/path-… He called it a “Partial Ondine’s Curse.”
We also have a number of people in our group who are homeless or about to be.
And Alan is absolutely right. None of these costs are ever counted, so there can be no reckoning. They are externalized to patients. We are ground to dust...
Genuine question: why is it so difficult for doctors to believe patients who are having a hard time breathing, not due to lung or cardiovascular problems, but rather, central apnea? It seems to be a fairly simple problem to demonstrate and measure.
Central apnea was one of my main complaints following my thyroidectomy. When I laid flat on my back, I would become paralyzed and locked in a perpetual cycle of repeated apneas lasting 30-60 seconds.
We had no idea what was going on—it is truly terrifying to not be able to tell your diaphragm muscles to contract at will—and after a few days, it seemed to be getting worse. I stopped being able to sleep, so one night, we went to the ER.
Folks concerned about my advocacy for structural, neurological diagnoses, for #MCAS and connective tissue disorders, or for "#MEspine"––I really do want to understand what is at the heart of this. Frankly, it has been hard.
There is a lot of misinformation floating around (or simply lack of education/awareness––again, it's a lot of different conditions, and I know next to nothing about most of them, other than the ones I happen to have).
I see a really big gap between how American patients are responding to this information v. patients in the UK & Europe, and I don't fully understand all of the reasons for that. I think that's worth discussing amicably, if we can.
I can walk 14 miles in a day (but don’t recommend it!). I was able to build up to doing vinyasas like I can kind of do vinyasa...but all that twisting stuff? Bad, bad.
The weird thing is, since doing it, I can essentially tug on the fascia in my feet via upper body motions. I got on a call earlier today with two friends who have EDS and started to say, ”I know this sounds weird, but...”
Vlad hits the nail on the head here. A lot of it is being generated by discussions on @s4me_info, a UK patient forum. I do my best to keep my mouth shut, but this has all been unbelievably painful and has taken a major toll on my mental health.
I know most forum members don’t engage in this discussion and may not even be aware of the running commentary about me and everything I say, but I am shocked that it is tolerated. (Anyone with a differing POV has long retreated, been put on moderation, or banned.)
I try to do my best to ignore it, but people point things out to me from time to time, thinking they are being helpful.
We need a healthcare system that explicitly allows for two other specialty tiers that (at least in the US) informally exist:
1) the specialist internist (a PCP for specific diagnoses and complex cases that a “generalist internist” cannot possibly handle well)
2) Super specialist specialists. The handful of -its who exclusively see patients with the same diagnoses, like my neurosurgeon.
He was able to diagnose in 24 hours what 30+ MDs had failed to see. Because for him the “weird” and “rare” is what he says five times a day. If you have one of the handful of conditions he specializes in, he can save you a decade or more of frustration.
I am so angry. So much of Jenny’s case should / could have been caught when she was a child or teen, before she ”got sick.” It would not be hard to get this right. We do not need some miraculous feat of science to put into practice what we already know to be true.
Any ME org that is not joining forces with other organizations to educate the ME community on #EDS and #MCAS, that is not talking about comorbidities, is failing patients. I count @MEActNet in that boat. We have got to do better.
Jenny was diagnosed with ME when she fell ill at university, but she was born with #vEDS, which has a genetic marker. She had obvious phenotypical signs, but they were all missed.