ArianeK 💜 #Care4ComplexBC (she/her) Profile picture
Feb 8, 2023 33 tweets 8 min read Read on X
I don’t know where to begin to explain where I’ve been for the last year + a half. I’ve been approved for #MAID after a nightmare of medical malpractice/negligence + severe medication/iatrogenic injuries. I don’t want to die, but can’t live like this or get adequate medical care.
Spring 2020 I had Covid and was in year 3 of chronic aseptic meningitis from my biweekly IVIG infusions, for which I was taking what I know now to be toxic doses of antihistamines and a lot of hydrocortisone (a steroid) to barely tolerate it, the only treatment available to me…
For my autoimmune small fibre neuropathy (which was later confirmed to be a complication of Sjogren’s + Lupus), which caused severe autonomic neuropathy that was shutting down my digestive system, making me faint, have bladder issues, severe weakness, and many other problems.
It was only later when I was hospitalised I was able to switch to weekly infusions which I tolerate better but are still arduous to endure. (The province doesn’t like paying for weekly.) My doctors did not say anything about the amount of meds I was having to take being unsafe.
6 months after Covid, I started having bizarre burning/flushing episodes, with extreme burning concentrated in my lips, nose, and stomach. I begged for help for months - it was terrifying and seemed linked to the antihistamines but I don’t know if the Covid played a part.
It eventually got so bad I couldn’t eat, I went to ER multiple times to be sent home starving and still on fire inside, until my neurologist pulled some strings and got me admitted at Lions Gate summer 2021. The six days I spent there were some of the most terrifying of my life.
The stories coming out on the news then were barely the tip of the iceberg, it was straight out of a nightmare or horror movie. I spent almost the entire time in a gurney in the ER waiting room, the doctor doing absolutely nothing, while being starved and bombarded with meds.
I told them over and over the drugs were making me feel worse, I became hypoglycaemic and lost consciousness, thankfully the brief time I was in a unit with better staffing, eventually I started vomiting foam uncontrollably and couldn’t walk… I came out weighing 75 lbs.
We asked for me to be discharged because we knew I would die there otherwise. We went home briefly but I was readmitted at Mt St Joseph within 24 hrs. My electrolytes were so bad it took 5 more days before I was stable enough to go home still burning, again treated as reflux.
They changed all my meds there, worsening my GI symptoms, I haven’t had a normal poop since. A few days before LGH the rheumatologist who’d taken me on put me on a high dose of prednisone after misdiagnosing the burning as being from the lupus I’d finally tested positive for.
I’d never been on prednisone before, and by the time I got home it was making me delirious. I wasn’t warned about its risks + didn’t realise until nearly a year later that was the start of severe neurotoxicity. (I’m not sure if it was the dosage or if I have a hypersensitivity.)
Within a matter of a few weeks, I started dropping things, developed a tremor, walked like I had Parkinson’s, started dribbling urine, and the burning spread so my whole body felt on fire and like I was being electrocuted like when you touch a cow fence…
I was aware and could communicate but could barely stay awake and felt like I’d been drugged. I went to the hospital multiple times + was sent home with no answers, told to stay ON the prednisone + taper off the other meds I had been put on, while waiting for an MRI.
That MRI didn’t come until December when I had finally been admitted to VGH (after another traumatic ordeal in the ER) because after months of this and developing a horrible case of shingles the week after my first Rituximab infusion, I could no longer eat again.
They kept me two weeks, I failed an NG tube (feeding tube through the nose, also majorly traumatic), was on TPN for a few days, and then the GI doctor the second week who only mocked me and screamed about not wanting me on his floor, sent me home - completely undiagnosed.
I do not know how @brunodbo kept me alive those months. I was in another dimension, terrified, locked into this agony with less and less care from my specialists who did not know what to do and mostly absolutely DGAF. The prescribing doctor kept saying it could be the lupus…
But it turned out it was the completely unnecessary prednisone frying the crap out of my brain. I was kept on the high dose for 6 months before starting to taper when I was sent home NYE 2021. As I tapered down last spring, it started to become clear it was the cause all along.
I was locked into that state for almost a year. The damage was severe. I have significant neurological + cognitive deficits, am extremely debilitated from the immobility + muscle atrophy. My bones are dust. My hair fell out. My teeth are damaged, I’m too sick to get them fixed.
My nails are curled and painfully dig into my fingers. My skin is like leather. I still feel like I’m on fire mostly in my face and mouth, but also when I’m scratched or injured. I went from a sickly but coping and mobile within the house 40 year old to a debilitated 90 year old.
I was encouraged by the rheumatologist to come off the prednisone too fast and have severe arthritis I didn’t before, and the second round of Rituximab in June not only required prednisone which set me back months, but sparked severe damage to my GI system.
I’ve been begging for help ever since, but refused admission to hospital for a work up. I’m terrified to go anyway after how violent and damaging they’ve been. Finally an internist is trying to help me but I’m so far gone…I’m trying to wait for an outpatient colonoscopy.
I fear I’m too weak to survive the prep nevermind the procedure. The burning pain is totally uncontrolled. I can barely walk. I’m in agony with bowel pain, nausea, diarrhea every day. Palliative care wouldn’t help me. My GP is trying but I’m too complex for this system.
When the Rituximab made me so much sicker I applied for MAID and would have gone through with it, but was given the 90 day waiting period. It was unimaginable torture and now I’m still here, of sounder mind but suffering, maybe not unhelpable but unable to get the help I need.
The hospitals are not safe, I’m immune suppressed and had a bad vaccine reaction so haven’t had a booster. I’m terrified, in agony every day, don’t tolerate meds well. Every day I come close to calling the MAID doctor. I want to live but not like this and I don’t know what to do.
You’d think when doctors deeply harm you, permanently damage you, traumatise you… that they would feel bad and actually rally and try and save your life. But nope - too complex and you’re not a human anymore. They leave you for dead.
And because apparently even fellow disableds are happy to defame me on my death bed, I just used my entire energy for the day to defend myself against a bully who could have just gracefully let this pass. But no, cause apparently my life is a fucking joke even to them.
Part 4, I guess: hear about psych consults, my poop, and the sociopathic behaviour of too many doctors. I’m sure my speaking out will backfire but I have so little left to lose.
Part 5: an update on last week, plus bonus photos of me if you want to see who I am/was…
Part 6: The glimmers of hope are already fading. In 2023, in Vancouver, Canada, somehow you will be left for dead if you’re too “complex” or an “undesirable” - even if that is because of medical injury. Those who could help won’t, and the few who want to can’t.
Part 6.5? Oh yeah don’t forget I’ve felt like I’m on fire for 2.5 years and can’t get help with that either. That’s why I was (wrongly and unnecessarily) given the prednisone that destroyed me in the first place.
Part 7: FUCKING FINALLY (it probably won’t save me but maybe at least I’ll get to know what’s wrong?)

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More from @arianek

Jul 22
💯 Here's my version for #Care4ComplexBC patients:
1. Internists as PCPs
2. Complex Urgent Cares (keep us out of dangerous, overwhelmed ERs)
3. Timely, funded access to out of province/country care if not avail locally
4. Patients right to choose/change doctors
5. #AidBeforeMAID
Part of the reason @dockevinmcleod's post made me want to write up a complex patient's version of this list is that he talks so much about increasing efficiency + quality of care. The terrible "care" I've received in my life has wasted SO MUCH money + doctor hours in the system.
@dockevinmcleod The avoidable hospital admissions. The dozens if not hundreds of useless specialist appointments with doctors who don't know a thing about my disease. The toll of all the medical injuries on my body, and the increased healthcare needs I will continue to have due to them...
Read 7 tweets
Jul 5
I feel so fucking trapped - in this room, in this house, in this neighbourhood, in this city, in this healthcare hell, in my diseased body. I’m relatively privileged + my mom is helping, but even I can’t find a way out. People aren’t meant to endure this with so little support.
I keep coming back to the idea there should be a full fledged multidisciplinary clinic in Vancouver for complex diseases (a real one not the CCDP) for Dysautonomia/POTS, EDS, Sjogren’s, GI motility, MCAS, all the overlapping diseases of “the triad”. Canada needs one badly.
With a proper autonomic neurologist, neurogastroenterologist, immunologist, some kind of head and neck specialist, rheumatologist, physiatrist, etc. With an infusion clinic for fluids + meds. And a 7 day a week urgent care for complex illness to keep us out of the bloody ERs.
Read 11 tweets
Jul 2
I needed to recover a bit before I was ready to post about this, but the reason I was offline for a few days last week was that after almost backing out last minute, we went through with the trip to Seattle for the autonomic and neuropathy testing. We got back Thursday night. 🧵


Photo of the front of an RV with the side door open
Photo of the white Peace Arch with American and Canadian flags, and the green grass of Peace Arch Park, fully of people on a sunny day
Photo of a medical office with tilt table and other equipment
Me strapped to a Tilt Table Test bed, covered in electrodes and QSART censors.
TL DR; The tests were strongly confirmatory of my disease. Both the POTS/Dysautonomia and the small fibre neuropathy (SFN). The neuropathy in my feet, which started burning again in early April, is extremely severe already, after being off IVIG since Xmas. I feel vindicated…
And yet, even this does not guarantee I can access treatment, as I cannot prove it’s worsened since being off treatment and isn’t just residual damage. And I can’t prove beyond a doubt that I have active disease. Even if the two autonomic neurologist subspecialists said so.
Read 31 tweets
Jun 30
I’m sitting here outside listening to the pitter patter of the rain, and processing everything. And the thing that hurts maybe more than anything is being treated like nothing has happened to me. Like none of it was real. Like I haven’t suffered. Like I’m not seriously ill…
Someone who suffered a stroke or who was going through endless cancer treatments would never be treated like this. My body has been devoured, my nervous system and brain damaged by other things instead. How is that any less devastating? Do I not deserve the same validation?
No matter what Nice Internist or the lovely American doctors say, it’s the others that haunt me. The ongoing mistreatment and gaslighting by my neuro and GP. Everything my old specialists did to me that nearly ended my life, and left me more debilitated and in pain. #MedicalPTSD
Read 6 tweets
Apr 23
So, I just heard the one cardiologist in Vancouver who knows about POTS/dysautonomia is no longer accepting POTS patients. Let's add this to the tally, and see what care is left for complex patients in BC... (tl dr; Vancouver DESPERATELY needs a proper Dysautonomia + EDS clinic.) Close up photo of green moss sprigs
The one specialised autonomic neurologist (with knowledge of autoimmune dysautonomia/treating with IVIG), who briefly took on autonomic patients before closing her practice to them a few years ago, has now moved to the US. AFAIK nobody has been able to get on treatment in ~3yrs.
The one proper GI motility doctor who has a decent understanding of at neurogastroenterology (and at least some comorbidities like MCAS and SIBO) is routinely refusing any follow up care to complex patients. Many are ending up starving and hospitalised due to lack of care.
Read 11 tweets
Apr 23
It’s funny that people like me get labelled as “anxious”, when really we’re coping as well as anyone could possibly expect, with levels and layers of stress, sickness, pain, uncertainty, PTSD, etc. that most people couldn’t imagine. Stop pathologising normal emotional responses!
See also: Rational “fear” is not “anxiety” (for eg. how it’s used to pathologise caution around covid). Rational “sadness” isn’t “depression” (sadness and grief are totally normal). Not every feeling is a mental health issue. We aren’t supposed to be devoid of feelings!
The way that medical professionals and society alike pathologise and weaponise normal human feelings is just bizarre. If people are uncomfortable with other people’s normal human emotions, that is their problem and maybe they need to seek support for that.
Read 5 tweets

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