We returned Mel's last months worth of Copaxone to the pharmacy.
If she has a relapse then there's a return of the blockage.
She's had no active inflammation (that has been seen) since HiCy, even on a 7T MRI.
She must have had 10 MRI's since last year so I'm pretty sure active/enhancing lesions would have come up.
Despite all that she was feeling crap and had what felt like a relapse but no inflammation.
She was coming to the end of that when she went to Stanford.
Since two days after the op she's felt great. The coumadin is dragging on her as is her work schedule but she's still first up and last to bed with NO naps at all.
She's pretty unique in the fact that she's had high dose chemo and the surgical repair.
Interesting to see how Chris does if he has this done. Keri too maybe. She's had HiCy twice but has relapsed, if this works and lasts then that in itself strongly suggest that auto immunity isn't the culprit. Immune response is of course initially blasted by HiCy. Doesn't make it auto immune though which is crucial.
I guess I'm saying we're done with the CRAB's and steroids too for the foreseeable.
Rebif didn't work, copaxone was post HiCy which may well have helped prevent the immune response to the damaged caused by venous insufficiency and there's no evidence to suggest that steroids shorten relapse or lessen the damage caused by relapse.
For us the puzzle has been solved.
There are many here who will disagree, some vehemently and from their perspective I may too.
But we've done it. She's been through the chemo, followed the autoimmune theory to its logical maximum (short of radiation and bone marrow transplant) - she still suffered.
We're both intelligent people, we've thought this through carefully, yes we acted quickly but not rashly.
She's a clinical instructor in genetics. We know a lot of doctors, surgeons and pHD's they have mostly expressed extreme interest and a 'that makes total sense' response.
She went, she undertook the for her excruciating surgery.
And it worked. Two months later it continues to work and her life is 100% normal.
How long will it last? Who knows. But if she does start to feel bad again, we'll go to Dr. Dake or hopefully by then someone local and she'll be tested and if necessary she'll have the veins opened up again.
She can stop taking the poison daily and we can start to consider having children.
She's been too scared to talk about it as (in my view irrational and this isn't to offend any mom's) she couldn't face being a 'sick mom'. She didn't want to have a baby then three or four years later not be able to walk with her/him.
She's only really told me this AFTER the surgery as she is starting to be able to put that fear behind her.
It's the safety net. The 'we can go get it fixed if it goes wrong again' that we are hearing more and more of from the Liberation participants and that we'll hearing a whole lot of on Sept 8th.
One of the most dreadful things with MS is the unknown. Is this it? This time I can't use my left arm is this the time it sticks? How will I feel at the weekend, can I go to that event? How will I feel tomorrow? This afternoon? In ten fucking minutes?
THAT part of it is going away for Mel.