New, In the process of super quick diagnosis?
Posted: Fri Dec 07, 2012 8:31 pm
Hi, everyone. I'm here due to unfortunate circumstances of which I am sure you are all intimately familiar.
I'll get right to the situation at hand, regarding which I would love the input of experienced people. I will try to be detailed so pardon if this gets long winded. I'll summarize first so you don't have to pour through the novel bellow if you don't want.
TL;DR - Wife has partially blurred vision in right eye, mild tingle in foot. Passed neurologist's physical incredibly well; no pain, no imbalance, no weakness, etc. (except for aforementioned issues) He suggested complicated migraine, pretty positive about situation overall. Foot tingle considered to be most likely related to earlier ankle roll and subsequent swelling. Suggested MRI and Carotid Doppler just in case. Suddenly after MRI, incredibly aggressive push toward MS diagnosis. Over the course of about four days, suddenly everyone is acting like MS is basically a foregone conclusion and my wife is under a sudden battery of hospitalization, tests, and treatments. All the while, wife is basically doing great besides the blurry vision. Suddenly, blood thinner has randomly been introduced into the bunch? Does this add up?
---The long version---
Just under a week ago, my wife went to bed after a powerful headache struck. She described it as "behind her eye." At the time we thought nothing of it; I've had headaches centered there before, my mother is plagued by constant migraines and also frequently describes them in such a way, it didn't seem strange to either of us. The following morning she awoke with partially blurry vision in her right eye, which stuck around for about three days when we decided to take her to an opthamologist to have it checked out.
The opthamologist found nothing wrong with her eye. We also mentioned that there was a lingering tingle in her right foot. We had not mentioned this before because we were convinced that it was related to a rolled ankle that my wife had experienced not long before hand. She had rolled her ankle slightly, it became swollen and a little numb afterwards...strikingly common result from a rolled ankle, we thought. The opthamologist immediately proposed MS and referred us to a neurologist.
We got in to see the neurologist the very next day by a stroke of great fortune (Thank the Lord) and he performed a physical examination on her. She passed the examination so well that the neurologist seemed very unconvinced about it being MS related. He suggested that, based on the exam, we reall not worry about MS just yet and that it was most likely a "complicated migraine." He let us leave, but made sure to send us away for an MRI and a carotid doppler just in case. We felt pretty great at this point. A little research into complicated migraines definitely seemed to fit the bill. We did the MRI the same day we left the neurologist and called it a day.
The following morning we received a very early phone call from the neurologist. I save some time by sparing the details of this day, but the neurologist suddenly seemed VERY concerned about MS, mentioned appearance of lesions on her MRI, and urged us to immediately get admitted into the hospital. We did so and have been in the hospital ever since. My wife has been under a battery of different tests. Blood tests of all kinds, IV steroids, more MRI scans, lumbar puncture, calling in "the big guns" and "the real pros" from Stanford, the works. Despite the great stress and fear, she has taken it all like a champ and has been in pretty good spirits during the entire ordeal, considering the severity of it all.
The neurologist also appeared on site and told me that he "has very little doubt that it is not MS." I can't explain to you how much of a 180 this comes off from him from our first visit to his office, where he practically seemed to brush MS completely off the table save for what, at the time, seemed to be a distant precaution in the form of MRI scan.
Of course, all the while I've been madly researching MS between trying to make sure all goes as smooth as I can manage for my wife. I've crammed as much info and anecdotal experiences into the past three or so days that I can. However, some elements of this don't seem to be adding up to me.
Everything I've read suggests that an MS diagnosis only tends to come after long periods of time. I've read claims that two attacks are required before officially
diagnosing a patient with MS, claims that it can take months to years even. In our experience, however, it seems to be taking only a matter of days. Additionally, my wife seems to be feeling INCREDIBLY well despite how definitively our neurologist is proposing MS. She has been completely without pain besides the bad headache she went to bed with at the beginning of this all. In fact, the only pain she's felt at all is from all the syringes she's dealing with. No balances issues whatsoever during any of the multiple exams she's been through (even the original rolling of her ankle was very minor trip, while wearing healed shoes...didn't hit the floor or anything.) No loss of strength. The second MRI (spinal) went very well and they found no lesions or swelling.
Besides the partially blurred vision and a tingle in some of her toes when touched (which is reportedly greatly improved as of today) my wife seems to be doing great.
The final nail on the head came when the nurse appeared tonight and did what has become a seemingly hourly routine...some needles and a check up. This time, however, she produced a syringe we had not seen before and went for my wife's abdomen. We became very confused because this had not happened previously and pressed her on what this shot was about. She explained that it was a blood thinner for avoiding blood clots and was supposed to have been being given to my wife all along. This confused us and we denied the shot, deciding to ask the doctor about it tomorrow.
This got me confused. Besides the precautionary carotid doppler scan (which never happened because of the sudden persistence on MS and hospitalization) there has been no discussion of blood clotting worries thus far. Some brief research into the relationship between clotting and MS didn't turn up anything too interesting except for Hughe's Syndrome (APS,) which actually sounds like a reasonable alternative. But of course, what do I know?
Does anyone else have any input on this? I'm not entirely sure how to navigate the situation. Is it common to have such an aggressive, fast push toward MS diagnosis with such a (relatively, compared to things I've read) good feeling patient? The "feeling" I've gotten from the situation is that it's considered a foregone conclusion at this point. My wife has gone through enough already that I'd hate to add the stress of dealing with heavy medication aimed at the wrong problems. I guess I should stop now before this writing gets any more out of hand...
Any input, guys?
Also, God bless you all. Over the past four or five days I've gotten a brief glimpse into the stress, confusion, and agony many (all?) of you have dealt with here.
I'll get right to the situation at hand, regarding which I would love the input of experienced people. I will try to be detailed so pardon if this gets long winded. I'll summarize first so you don't have to pour through the novel bellow if you don't want.
TL;DR - Wife has partially blurred vision in right eye, mild tingle in foot. Passed neurologist's physical incredibly well; no pain, no imbalance, no weakness, etc. (except for aforementioned issues) He suggested complicated migraine, pretty positive about situation overall. Foot tingle considered to be most likely related to earlier ankle roll and subsequent swelling. Suggested MRI and Carotid Doppler just in case. Suddenly after MRI, incredibly aggressive push toward MS diagnosis. Over the course of about four days, suddenly everyone is acting like MS is basically a foregone conclusion and my wife is under a sudden battery of hospitalization, tests, and treatments. All the while, wife is basically doing great besides the blurry vision. Suddenly, blood thinner has randomly been introduced into the bunch? Does this add up?
---The long version---
Just under a week ago, my wife went to bed after a powerful headache struck. She described it as "behind her eye." At the time we thought nothing of it; I've had headaches centered there before, my mother is plagued by constant migraines and also frequently describes them in such a way, it didn't seem strange to either of us. The following morning she awoke with partially blurry vision in her right eye, which stuck around for about three days when we decided to take her to an opthamologist to have it checked out.
The opthamologist found nothing wrong with her eye. We also mentioned that there was a lingering tingle in her right foot. We had not mentioned this before because we were convinced that it was related to a rolled ankle that my wife had experienced not long before hand. She had rolled her ankle slightly, it became swollen and a little numb afterwards...strikingly common result from a rolled ankle, we thought. The opthamologist immediately proposed MS and referred us to a neurologist.
We got in to see the neurologist the very next day by a stroke of great fortune (Thank the Lord) and he performed a physical examination on her. She passed the examination so well that the neurologist seemed very unconvinced about it being MS related. He suggested that, based on the exam, we reall not worry about MS just yet and that it was most likely a "complicated migraine." He let us leave, but made sure to send us away for an MRI and a carotid doppler just in case. We felt pretty great at this point. A little research into complicated migraines definitely seemed to fit the bill. We did the MRI the same day we left the neurologist and called it a day.
The following morning we received a very early phone call from the neurologist. I save some time by sparing the details of this day, but the neurologist suddenly seemed VERY concerned about MS, mentioned appearance of lesions on her MRI, and urged us to immediately get admitted into the hospital. We did so and have been in the hospital ever since. My wife has been under a battery of different tests. Blood tests of all kinds, IV steroids, more MRI scans, lumbar puncture, calling in "the big guns" and "the real pros" from Stanford, the works. Despite the great stress and fear, she has taken it all like a champ and has been in pretty good spirits during the entire ordeal, considering the severity of it all.
The neurologist also appeared on site and told me that he "has very little doubt that it is not MS." I can't explain to you how much of a 180 this comes off from him from our first visit to his office, where he practically seemed to brush MS completely off the table save for what, at the time, seemed to be a distant precaution in the form of MRI scan.
Of course, all the while I've been madly researching MS between trying to make sure all goes as smooth as I can manage for my wife. I've crammed as much info and anecdotal experiences into the past three or so days that I can. However, some elements of this don't seem to be adding up to me.
Everything I've read suggests that an MS diagnosis only tends to come after long periods of time. I've read claims that two attacks are required before officially
diagnosing a patient with MS, claims that it can take months to years even. In our experience, however, it seems to be taking only a matter of days. Additionally, my wife seems to be feeling INCREDIBLY well despite how definitively our neurologist is proposing MS. She has been completely without pain besides the bad headache she went to bed with at the beginning of this all. In fact, the only pain she's felt at all is from all the syringes she's dealing with. No balances issues whatsoever during any of the multiple exams she's been through (even the original rolling of her ankle was very minor trip, while wearing healed shoes...didn't hit the floor or anything.) No loss of strength. The second MRI (spinal) went very well and they found no lesions or swelling.
Besides the partially blurred vision and a tingle in some of her toes when touched (which is reportedly greatly improved as of today) my wife seems to be doing great.
The final nail on the head came when the nurse appeared tonight and did what has become a seemingly hourly routine...some needles and a check up. This time, however, she produced a syringe we had not seen before and went for my wife's abdomen. We became very confused because this had not happened previously and pressed her on what this shot was about. She explained that it was a blood thinner for avoiding blood clots and was supposed to have been being given to my wife all along. This confused us and we denied the shot, deciding to ask the doctor about it tomorrow.
This got me confused. Besides the precautionary carotid doppler scan (which never happened because of the sudden persistence on MS and hospitalization) there has been no discussion of blood clotting worries thus far. Some brief research into the relationship between clotting and MS didn't turn up anything too interesting except for Hughe's Syndrome (APS,) which actually sounds like a reasonable alternative. But of course, what do I know?
Does anyone else have any input on this? I'm not entirely sure how to navigate the situation. Is it common to have such an aggressive, fast push toward MS diagnosis with such a (relatively, compared to things I've read) good feeling patient? The "feeling" I've gotten from the situation is that it's considered a foregone conclusion at this point. My wife has gone through enough already that I'd hate to add the stress of dealing with heavy medication aimed at the wrong problems. I guess I should stop now before this writing gets any more out of hand...
Any input, guys?
Also, God bless you all. Over the past four or five days I've gotten a brief glimpse into the stress, confusion, and agony many (all?) of you have dealt with here.