Posted 4/3/2015 2:44 PM (GMT 0)
I just posted this on the MS board, thought it would benefit here as well...
Just to recap, I was diagnosed last March with a CDC positive western blot. I've been aggressively treating currently for babs and lyme. every since with my LLMD. Most of my symptoms that remain are neurological, and for the most part "Mild" and I've been living with them, leading a normal life, even running again. Last summer I was running 5 miles a day.
In November, I had a scary "flare" couldn't walk due to extreme leg weakness, (like collapsing legs) and intense lightheadedness. I went to ER, thought i was having a stroke, was cleared, had a brain/lumbar and thoracic MRI, with only the lumbar MRI revealing I had an annular tear and bulding. The brain and thoracic were normal. My PCP told me there was really nothing more she could do.....and about two weeks later, I was feeling great. Jan and Feb were my best months for far, since my treatment. My LLMD told me to just to keep fighting, and keep up with my protocol of biaxin, mepron, artesiminin and flagyl. If improvements weren't made, he was considering IV protocol.
A few weeks ago, that "flare" happened again. It's now over three weeks, and my symptoms haven't let up. It's horrifying to feel that at any minute, you will collapse and lose the ability to walk. TERRIFYING. So, after seeing my LLMD he said maybe I should see a neuro, and revisit an MS diagnosis. So I found one and saw her yesterday. And this is what happened:
It was the WORST experience I EVER had with a doctor. And I've dealt with a lot in my 45 years.
To sum it up, she basically chastised me for believing I have chronic lyme, despite providing her with my cdc positive results. We actually argued about it. Her bedside manner aside, I felt like I was on trial for coming to a neurologist with a chronic Lyme diagnosis. In retrospect, I should have left, but I was MAD and just couldn't let it go.
She said "if you have Lyme, then why are you here?" I said that ALL of my symptoms are neurological in nature, and when I got to the point of using a cane, and potentially a wheelchair, I felt it was necessary for another opinion. If you are unwilling to accept that, I'll gladly leave." She apologized, and tried to resume with the examination.
She said IF it was MS, after my last "flare" in December and the MRI I had during that flare, it would have showed a lesion. So she felt it wasn't MS because of that, AND, IF she would request another MRI she would have nothing to compare it to, because the first MRI was clear. She also said that there is no way my insurance company would approve another MRI with a lyme diagnosis.
She proceeded with the neurological exam and I "passed."
She then went on to diagnosis me with migraines and depression, because this is clearly connected to my inability to walk. (sarcasm). When I said that I had some lumbar issues that could be? the reason for the leg weakness, she said" that doesn't make sense, then why would you have the dizziness??" I retorted with the same rational, that "F I do have depression and migraines, why cant I walk??"
So, she wrote me a script for anti depressants, told me to up my metoprolol (for high blood pressure), keep a log of migraines (which I never once had OR said I had) and come back in a month and then "Maybe" she would do a lumbar puncture for lyme (PCR) test.
Despite how disturbing this was, it was good. I knew I could be in store for some opposition to a Lyme diagnosis, but I certainly didn't expect hostility. It actually strengthened my resolve to keep advocating for my health. It may very well be Lyme, and I'll just have to accept that - it's just that the inability to walk that I just cant let go of, until I'm certain this is lyme and nothing else neurological. She didn't suggest any nerve conduction test, even though I said my whole body buzzes constantly.
THe lesson I learned is that any further opinions or doctors/specialists I seek, I will vet out by asking if they have any experience with lyme, if not...I'm going to keep it moving. My LLMD, is very good, and I guess I need to put more trust in him as well, (which is not easy).
I know a lot of us are met with opposition on our diagnosis, but no one should have to endure this when they are sick