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gailveronica
16-06-20, 14:12
If you've been reading my posts over the last 2 years or so, you know I've had a slew of neurological issues. The most prominent recently has been neuropathy in my left leg and foot, painful and numb at the same time. It's spread to my right foot now, and my last neurologist asked if I could live with it then told me I "graduated" his practice.

My primary care sent me to a specialist 90 minutes away because she's convinced I have some sort of issue. I had a NCV/EMG and most looked okay except for some fasciculations in one small muscle of my left foot and some higher insert activity, more nerve than muscle (so ALS is not a consideration).

I had a 60 minute meeting with the neurologist finally (5 month waiting list) and she said we will be doing this:

1) she will look over my MRIs for central nervous disease - if she doesn't find anything (she doesn't expect to) we will do
2) another NCV/EMG because she said the first was not thorough and if this doesn't show anything we will do
3) skin punch biopsy for small nerve fiber damange

I've looked up some scary things and I asked her two questions:

1) could this be ALS?

Her answer was "This is unlikely."

2) could this be amyloidosis? (this is a VERY scary protein disorder, treated like myeloma, with a very dismal prognosis)

Her answer was "Amyloid is a consideration."

Then she told me that the hoofbeats for me may mean I'm a zebra, as we've excluded most of the common causes of neuropathy in a 37 year old woman.

I'm terrified. I didn't expect that to be said to me, and it's what I fear most. It's a scary protein disorder that infiltrates your organs and shuts them down, one by one. It can start in the nerves. It's very rare, but it's on every chart for peripheral neuropathy.

Her post-visit notes said:

"My strongest suspicion is for a peripheral process, either multiple focal compressive/traumatic lesions, versus radiculopathy, versus more diffuse small fiber neuropathy that may have an underlying autoimmune/inflammatory etiology."

I'm really scared that I have something sinister going on. And that my doctor confirmed my suspicions - while I feel validated, I'd have been happier if she'd said "no, that's outrageous" like all my other doctors did. I even went to a rheumatologist who took bloodwork that is around 60% accurate for amyloidosis and she said it ruled it out --- but this new neurologist said that there is other testing to be done to completely rule it out.

Ugh.

I don't know how to stop looking things up. I've been waking up in sweats for the past 2 days which I know is anxiety. My neuropathy is worsening and I know this is again, triggered by my anxiety and possibly to some extent psychosomatic.

I'm just not really sure how to deal with moving forward with something knowing that there is a very real chance it could be something serious.

I'm currently in therapy for health anxiety, but my therapist has said distractions last only so long, we need to sit with the feelings of discomfort and fear -- I don't know how to do that. I could be dead in a few years, from something absolutely horrible that wreaks havoc on my entire system. How can one sit with that?

pav1984
16-06-20, 14:58
You are understandably anxious and I'm really not sure I can offer any reassurance as I dont know much about your situation but I didnt want you to not get any responses.

Easier said than done but see if you can enjoy today. Worry about something when you know for certain what is wrong. The way I see it from the outside is you can either worry and ruin your day or enjoy today. Worrying wont change the outcome but it certainly will ruin today.

A doctor once said that he likes the phrase "It hasnt happened yet".

Like I say this is very easy to say and in practice very hard but worth a try?

gailveronica
16-06-20, 15:16
Thank you for your consideration in responding. I understand that there's nothing to worry about - yet. But I am hyperaware of every symptom, wondering if this is related, if that is related, going through test results and trying to connect dots... to hear that something terrifying is a consideration, is just... I'm a mess. I do know it hasn't happened yet (or, well, it's happening but I'm under evaluation to figure out why) and until I know, why worry? I totally get that mindset.. I just am not there yet.

I've known for years that something is wrong, and I finally feel like they're going to tell me it's something awful. I've just had a feeling... and I'm so, so scared that my feeling will prove to be right.

gailveronica
18-06-20, 14:43
I'm really freaking out, I can't believe the neuro said that amyloidosis, what I've been fearing for nearly a year, is a consideration.

Amyloidosis is a terrifying disease with tons of nonspecific symptoms - neuropathy, pain, diarrhea, constipation, pins and needles, shortness of breath, irregular heart rate, carpal tunnel, swelling... and the thing is, you can have ONE of these symptoms and have amyloidosis - it hits one part of your body at a time then expands. So it can hit your heart, or kidneys, or nervous system... then infiltrate other parts... and slowly shut you down and kill you. Neuropathy in someone young like me (37) is rare, so they look for the zebras like Amyloidosis.

My therapist said that my neurologist is saying that because I told her I was dismissed by other doctors, and she doesn't have all the tests to rule it out, so she can't just say "no," otherwise I would again, feel dismissed or as I call myself, "crazy."

But at the same time, she said "unlikely" to ALS, so I'm just really worried I have this rare protein disorder that will infiltrate my organs and kill me within a few years. My neuropathy is pretty bad, in one foot, the pain is outrageous, and the numb spots are growing, and I'm not really sure how to just ignore this and keep going.

I'm spiralling.

ErinKC
18-06-20, 15:15
I'm really scared that I have something sinister going on. And that my doctor confirmed my suspicions - while I feel validated, I'd have been happier if she'd said "no, that's outrageous" like all my other doctors did. I even went to a rheumatologist who took bloodwork that is around 60% accurate for amyloidosis and she said it ruled it out --- but this new neurologist said that there is other testing to be done to completely rule it out.

This is quintessential health anxiety. You have spent a significant period of time seeing different doctors to try to either reassure you that nothing is going on or confirm that you are as ill as your anxiety tries to convince you. You feel validated that someone has taken your health anxiety presumptions serious but also say you wish she'd said your presumptions are outrageous like other doctors did. But, if you really wanted to find out that nothing was wrong you would have believed the other doctors and moved on with your life. Chances are there is nothing seriously wrong with you because you have no other symptoms. I get tons of neuropathy symptoms from anxiety that all pass when my anxiety ebbs. But, if I went to multiple doctors I'm sure I could eventually find one who would take it more seriously and conduct more tests.

You asked her if it could be amyloidosis. She didn't bring this up. Once you asked her, she had two options - dismiss it without investigation or consider it so she can give you an informed answer. She chose the latter.

gailveronica
18-06-20, 15:33
omg. thank you <3

gailveronica
18-06-20, 15:58
Also - I do have other symptoms. Many of them. Along with a few highly suspicious inflammatory markers in my bloodwork. I didn't list all of it here because I've listed them previously in other posts, but the doctors initially thought I had MS. This new doctor does not think that, but you are 100% correct - I prompted, and she couldn't say "no" without all of the testing done, that would have made her dismissive just like the other doctors have been. What she actually said was "amyloidosis is a consideration. it can do some weird stuff. it's reassuring that you do not have monoclonal proteins in your blood, but... amyloidosis is a consideration." Verbatim, because... clearly I remember that because... health anxiety... lol

I appreciate your thoughtful response very much, and you're right. I can't expect a doctor to dismiss my fears while at the same time validating me. Thank you.

ErinKC
18-06-20, 16:34
You're welcome! I hope you get your results soon and can feel confident in them!

WiseMonkey
29-08-20, 09:07
Hi, how did you get on with your tests and results?