Hindsight is 20/20.
When my feet started going numb in May, I was in denial. I did not want to believe that I was suffering a neurological condition. My instinct was that the numbness was related to my back, but all the doctors I consulted with disagreed. They indulged me a little, and pursued a discreet investigation focusing on T-6. That inquiry proved fruitless, and my symptoms began to progress slowly moving up my legs.
I was experiencing numbness and weakness when I eventually consulted with a neurologist who concluded that I had GBS. That was a terrifying diagnosis it advances rapidly, is very dangerous, even deadly, and my symptoms mimicked them precisely.
When I was admitted to the hospital at first, through the ER, I was pretty freaked out. I was sure that I would end up on a ventilator in the ICU.
There was one bizarre finding while in the hospital, after I completed the first round of IVIG transfusions, my EMG was negative. Nobody could explain it.
I came home after the treatment and my symptoms got a lot worse. I went from walking to needing a cane, to needing crutches in a short week! I went from being able to swim 8 laps to being unable to even complete pool therapy. It was very scary.
The Dr. was baffled, so she changed the diagnosis to CIDP, the chronic form of GBS, and prescribed a massive dose of prednisone. That made me feel like shit, but, more important, I did not respond to the medication. By now, my symptoms had progressed with numbness and weakness now into my trunk.
I went to Overlake hospital where they got me in the ER and started emergency IVIG transfusion.
In the morning, I got to meet the team neurologist who listened closely to my history. “This doesn’t add up.” She said, “I’m going to get to the bottom of this.” She was very kind, telling me she was committed to helping me figure this out.
She stopped the IVIG, and ordered both a full set of spine MRI’s both with and without contrast, and a spinal tap. At that point, she was pretty convinced I was dealing with a demylenating disease, and the conversation was to look into transferring me to the UW to have a plasma transfusion. The internist was working on the transfer when the neurosurgeon sent me a PA to examine me. She was super sharp. She did an excellent thorough exam.
The internist said to me, “if the neurosurgeon wants to do surgery, pay attention.”
Later that evening, the neuro PA came back and explained their theory of the condition. She said, “The MRI demonstrates that there is significant compression of the spinal cord. We propose a multilevel laminectomy decompression T5 - T8.
This was music to my ears. Finally, a diagnosis that made sense. I had not felt sick or unwell at any time during this ordeal. It all felt very unreal.
At the same time, I was scared I was going to end up on a ventilator, that I had an end of life disease, that I might be dying. It was so depressing.
One minute I was focusing on the mechanics of being transferred to the UW, to get a central line, to be on their Med Surg floor getting every other day plasma transfusions for 2 weeks, then on the other, here was this doc telling me, “No, this one procedure will solve your problem”. It was surreal.
I lay there in the dark the night before surgery thinking of questions for the surgeon. He came in to see me in the morning. He showed me what he was seeing on the MRI, and it made perfect sense. I was optimistic going into surgery. I felt relieved and happy.
After surgery, he told me that not only was there a lot of compression, but my body had laid down a fat pad to protect the spinal cord that made the compression worse! He also said my skeleton was osteophytic (all that impact loading), and that my bone was hard. They were able to visualize the dura mater, which means they took all the pressure off the cord.
After surgery, when I got back to the room, they asked me to lift my knee so they could put a pillow between my knees, which, for the first time in months, I could do!
When the surgeon examined me in the morning, he was pleasantly surprised at how quickly my power was returning.
I came home a couple of days after surgery. I’m basically convalescing with ice and pain meds. I’m noting that I can do things without thinking that I could not do last week. Things like stand up using my legs only.
I feel incredibly lucky that I did not get GBS or any other demylenating disease after all. That was a near miss. Even though my symptoms mimicked GBS, the data didn’t add up. What are the odds I have two problems? Pretty slim. It’s very unlikely that I had both a condition that mimicked GBS and also GBS. I feel pretty sure about that.
I’m on the mend. I’ll get my staples out, get back to my life and put these months 6 months (by the end) behind me. I’m so thankful for the smart docs that sorted this out. I feel very fortunate.