Hello, I first would like to say that I will be grateful for any ideas, pointers to links would be great, etc. as really I am what I believe you call a lurker. I have tried to help on a few occasions but true to the problem I have, my answers are too wordy as are my questions, thus, not much support and I now realize my fault....
Truly so much has happened to me in the last 4 years or so that it is pitiful if not a perfect example of the ridiculous cost of healthcare but I still like my plan...Anyway, so I am secondary, with a change in symptoms after a DVT and PE which actually very coincidentally came about after not knowing I had a UTI (Neurogenic bladder diag. in 2006 with intemittent cathing 4xday) but my move to new city in 2007 had yet to help me find a decent Urologist who would even do an exam (I suppose the initial Urodynamics in 2006 in my old town were thought to be enough, but when telling them you have your 4th new UTI, and no antibiotic therapy... not good. That was 2009 where luckily my horrible myoclonus calmed down but got Foot Drop... 2010 in the fall, paparplegia from likely MS related Transverse Myelitis and UTI just before, even though on permanent coumadin therapy, had a heart attack while in hospital for the paparplegia (steroids which I had before successfully and was to be moved to rehab next a.m.)... Saved with intervention through Angio and stented and balooned, etc. Long recovery but back to my AFOs or wheelchair of choice depending on distance...
Hope that history 20 years now, last 5 being worst overall health helps in my question.... So I have always been the person on the car ride going back many years who couldn't just sit there and not talk.. People talk right?.. Anyway, I certainly had no prior "tangential" speaking issues as I retired from a job where I was a highly positioned IT manager and traveled the country teaching software always rated higher than my peers.... Here's where I need your help desperately as I am falling to pieces.....Apparently now, I am the brunt of my families jokes and I can only think that based on my background of success that this has to do with either MS (spinal, very little brain involvement) but 20 years of CNS depressants seems to me could be culprit..
2009, I requested Neuropsych testing as I knew Short term memory was a problem. Analysis (9 hours right) was that then age 49, compared to those my age with MS, Short term memory 60% worse (don't know why results were related to me as statistics....Dr. says she was more concerned about my processing ability (told me how I should have been able to draw that picture she showed me in a certain way for example (anyway 90% worse than cohorts (i.e., 49 yr old females MS, etc)..And Oh by the way, you are depressed and have been for a while.. Sort of why I requested the Effexor XR 10 years ago when I left my job as I need and love work but she said I needed to talk to someone...."Dear Doc, my family are all mean people.. no seriously they love me but I have always been the type to let people walk all over me without saying anything and since I've bottled that up inside for 20 or 30 years, my therapy was to upon the next ocurrence, point out to each person that I will not be spoken to that way again.. Sorry family but it's you.. That's not fun and didn't go over well... Yet they do love me and drage me along to any vacation, etc. they can unless of course as my older sister said when I found out they would go to NYC wihtout me for my GodDaughter's 21st birthday at Christmas time (how I love those museums but we're talking MY family)... and I was told.. You don't party or go clubbing so we didn't ask you...and besides when you went to Vegas, you got mad (yes I went with 10 married women for my birthday)...when your friends were with other men.. Wow have priorities changed? No not mad dear sister, just very dissappointed as I chose to raise 2 kids alone hoping that around age 40 when youngest in highschool, I would date, but MS decided to be my partner... As you can see I am hurting quite deeply... but it's really the making fun of a symptom (if it is one and this is where I need help)
Well, someone whose family would tease and talk about their sister, daughter, mom's ridiculous need to speak constantly (getting off track and forgetting things they understand), but feel okay to make fun and laugh at my inability to shut up basically. Yes I talk to my dogs (3 of them at home with me since I offered to help) and love those dogs and if a person was to tell me that they would sit 8 hours per day and not play with, throw balls to etc., etc., their pets while not speaking a word (good boy, love you... etc., I would call Cold) Plumber told my son in law that I talked to dogs all day... For shame!!! Well, last straw was son-in law who has been good to me in so many other ways, let it slip that my own father who I adore and think of constantly (was such a wonderful husband to my Mom and a great dad), on vacation went along with and brought up examples in the laughing session of "she just can't stop talking"... I tried to tell them I can't help it and the deviation from the subject at hand is something I can't help.. I do note my embarrassment when posting to facebook for example (I use the Siri tool to talk into phone since I can't use the little keys) and speaking a subject I find has one using more words than typing into the little box and many times I see my posting (an answer especially) is horribly long...
So, no one brought up a need to frequently speak as a fault that needed measuring at my Neuropsych test and no depression would cause that that I can find.... My daughter who is a social worker at a Nursing/Assited living facility and now knows everything of course, says that my rapid and never ending need to speak is not caused by medicine....okay she's not a doctor or an RN but...
Help me as I have searched and searched and I have noted only in a few letters from one doctor that I am a bad historian due to my tangential speaking nature but that means "I'm basically all over the place" and I would agree but the complaint I'm hearing is that I just speak and speak, etc.
Please anyone who has had a similar problem, I am crying every day as I really don't see the humor and I have to believe that if I could sit through hight level meetings only speaking when spoken to and stay on task running a huge IT department, that some of my drugs have affected me... I have to believe that it is drug related as the neuropsych even noted that my short term and processing problems most likely are (certainly one MRI had a good number of brain plaques but they are not active at all and the spine has always been my issue)... So please allow me to list what I have taken over the years and take now and if anyone knows of a Medline article, MS site article, Neurology article to help me show my family why I can't help this, please I beg you to help point me to this information. Even if article/link/etc. only refers to CNS depressants in general, I know that would help. Imagine the people who use to respect you so much treating you as a 5 year old and then forgetting you are an adult who will likely hear by mistake or someone's cruelty about the laughter everyone has had about your speaking....
*So, 1993 Diagnsosis after 2 years , Given Tegretol (only about two years taking ) and Klonopin about .5 3 X day and as high over last 20 years as 5 total mg per day.. take 3 per day now
*Very first center to start Betaseron so I got it in 1993 and took til 1997 (Moves had a lot to do with medicine changes)
*Somehwere in 1997 took Baclofen, did not handle well thus the reason I am given Klonopin (works better on myoclonus anyway)
*Oral Steroids on 3 to 5 occasions from 93 to 2000 with Decadron added as "try it" in 2005 and it worked I think better than IV solumedrol
*Vicodin for 6 months when symptoms got bad about year ten (bad choice truly as it was the neurogenic burning pain)
*Neurontin for about 2 years for the neurogenic/dysthetic pain along with the a symptom when first active (a very mild then myoclonus) coming back pretty bad and getting worse
*Swtich to Avonex for 2 whole shots.... then Copaxone for 7 years, Imuran (bad new doctor) for two years and now Copaxone again for 2 years so far
*Tompomax replaced the Neurontin sometime in 2002 or 2003 and took Topomax titrtating up to 400 Mg for 7 years as Docs desperate to help the myoclonus which would jerk me out of wheelchair
*EArly osteoperosis from steroid use so tried all the various horrible tasitng quarterly or monthly drugs, now only taking Calcium plus D and Super B complex
*Bone pain got bad so was given Lyrica in 2008/09 some time for that up to 150 mg per day (recently quit that as fear of all the CNS drugs has me concerned and spoke to doc first)
*Oxycontin yes daily, started regimen in 2003 after 2 years of percocet and the ups and downs of when when when.....so neuro of 5 years history and trust with me then switches to 40, 20 , 40 Oxycontin
*Oxycontin 80 mg in 2006 and has not changed still take it two times per day
*myoclonus rearing it's very ugly head about 5 months ago, reminding me of how horrible it was for 7 or so years recently and put on Zanaflex (makes me very very tired) but better than jerking out of chair 4 mg 3X day
*have taken Provigil and between one of hospitalizations and doctor switch, stopped
*had recent sleep study... luckily no sleep apnea of throat but Central sleep apnea (from brain) could be drugs he says (offered Nuvigil) form of Provigil and now up to 250mg but now up all nite too often
*Effexor XR 75 mg for mild depression (required for Betaseron users but I wanted it because I had to leave the most awesome job)...note my neurologist of 9 years insisted on my retiring due to rapid decline
*Macrobid preventative antibiotic for all the UTIs I get for 2 years now (primary insisted after heart attack hospitalization) and TM
*Generic Synthroid off and on based on TSH numbers (have large goiter with blood flow thru) also took it every day for two years as one doc insisted it would help shrink goiter..
*Lisinpopril (alpha blocker I think) added after heart attack Fall 2010
*Prvastatin (as heart attack caused by genetic mutation of some gene that is suppose to reduce or level off statins (something to do with high cholesterol which I don't have normally, threfore genetic testing
*Coumadin (blood thinner for my Factor V Leiden mutation) turns out this is very common mutation in blood (causes many miscarriages) took 6 mos after 1st DVT in 2005, and permanent now after 2nd one
*Plavix (intermixed sometimes with coumadin but more of a platelet thinner had to take at least 6 mos. after heart attack but too much thinning s let me off but must take one baby aspirin day
*Byostolic (Beta blocker first thing given to me about 3 months before heart attack when I used my little CVS machine and made record for doc.
*Neurogenic Bladder - have recently had my second Urodynamics study and urologist is putting me on Flomax meant for men with prostate issues but somehow it's suppose to help me pee more at a time
*Amitiza - this is for severe constipation but not given for my neurog. bowels but during colonoscopy, which didn't work, found to have "tortuous colon" on right side basically scope stuck (how do you gently say not stuck because I failed my duty in cleansing but stuck because of the way my bowel is twisted... surgery maybe someday but right now I have too much else to worry about and have to self extract anyway...
*Also in 1993 after initial tegretol, replaced that with six or seven years of carbatrol (very smiilar I believe)
it is sure that I have forgotten something I took at some point but the truly long term drugs I worry about are the CNS depressants and are the Klonopin, Topomax only replaced 2 years ago with addition recently of Zanaflex, Oxycontin,
Seriously, I would have said up to five years ago that I had the most wonderful family and they would still do anything in the world for me but truly, after having explained so many times about the pain it causes to laugh at a symptom, they insist (as apparently with generally over achieving people, they are all doctors.).. what I am saying about drugs causing it can't be true but they do believe the short term memory and processing issue can be caused by drugs. And truly if I was to say that I had someone on the board here share a story similar, I would be laughed at further so this is why i requested a link, a statistic, research study paper anything... or please if you know any other reason, please share and for my own sanity, please share your personal story if this is something you go through as I will take it seriously!! Thanks to anyone who can help me....
Truly so much has happened to me in the last 4 years or so that it is pitiful if not a perfect example of the ridiculous cost of healthcare but I still like my plan...Anyway, so I am secondary, with a change in symptoms after a DVT and PE which actually very coincidentally came about after not knowing I had a UTI (Neurogenic bladder diag. in 2006 with intemittent cathing 4xday) but my move to new city in 2007 had yet to help me find a decent Urologist who would even do an exam (I suppose the initial Urodynamics in 2006 in my old town were thought to be enough, but when telling them you have your 4th new UTI, and no antibiotic therapy... not good. That was 2009 where luckily my horrible myoclonus calmed down but got Foot Drop... 2010 in the fall, paparplegia from likely MS related Transverse Myelitis and UTI just before, even though on permanent coumadin therapy, had a heart attack while in hospital for the paparplegia (steroids which I had before successfully and was to be moved to rehab next a.m.)... Saved with intervention through Angio and stented and balooned, etc. Long recovery but back to my AFOs or wheelchair of choice depending on distance...
Hope that history 20 years now, last 5 being worst overall health helps in my question.... So I have always been the person on the car ride going back many years who couldn't just sit there and not talk.. People talk right?.. Anyway, I certainly had no prior "tangential" speaking issues as I retired from a job where I was a highly positioned IT manager and traveled the country teaching software always rated higher than my peers.... Here's where I need your help desperately as I am falling to pieces.....Apparently now, I am the brunt of my families jokes and I can only think that based on my background of success that this has to do with either MS (spinal, very little brain involvement) but 20 years of CNS depressants seems to me could be culprit..
2009, I requested Neuropsych testing as I knew Short term memory was a problem. Analysis (9 hours right) was that then age 49, compared to those my age with MS, Short term memory 60% worse (don't know why results were related to me as statistics....Dr. says she was more concerned about my processing ability (told me how I should have been able to draw that picture she showed me in a certain way for example (anyway 90% worse than cohorts (i.e., 49 yr old females MS, etc)..And Oh by the way, you are depressed and have been for a while.. Sort of why I requested the Effexor XR 10 years ago when I left my job as I need and love work but she said I needed to talk to someone...."Dear Doc, my family are all mean people.. no seriously they love me but I have always been the type to let people walk all over me without saying anything and since I've bottled that up inside for 20 or 30 years, my therapy was to upon the next ocurrence, point out to each person that I will not be spoken to that way again.. Sorry family but it's you.. That's not fun and didn't go over well... Yet they do love me and drage me along to any vacation, etc. they can unless of course as my older sister said when I found out they would go to NYC wihtout me for my GodDaughter's 21st birthday at Christmas time (how I love those museums but we're talking MY family)... and I was told.. You don't party or go clubbing so we didn't ask you...and besides when you went to Vegas, you got mad (yes I went with 10 married women for my birthday)...when your friends were with other men.. Wow have priorities changed? No not mad dear sister, just very dissappointed as I chose to raise 2 kids alone hoping that around age 40 when youngest in highschool, I would date, but MS decided to be my partner... As you can see I am hurting quite deeply... but it's really the making fun of a symptom (if it is one and this is where I need help)
Well, someone whose family would tease and talk about their sister, daughter, mom's ridiculous need to speak constantly (getting off track and forgetting things they understand), but feel okay to make fun and laugh at my inability to shut up basically. Yes I talk to my dogs (3 of them at home with me since I offered to help) and love those dogs and if a person was to tell me that they would sit 8 hours per day and not play with, throw balls to etc., etc., their pets while not speaking a word (good boy, love you... etc., I would call Cold) Plumber told my son in law that I talked to dogs all day... For shame!!! Well, last straw was son-in law who has been good to me in so many other ways, let it slip that my own father who I adore and think of constantly (was such a wonderful husband to my Mom and a great dad), on vacation went along with and brought up examples in the laughing session of "she just can't stop talking"... I tried to tell them I can't help it and the deviation from the subject at hand is something I can't help.. I do note my embarrassment when posting to facebook for example (I use the Siri tool to talk into phone since I can't use the little keys) and speaking a subject I find has one using more words than typing into the little box and many times I see my posting (an answer especially) is horribly long...
So, no one brought up a need to frequently speak as a fault that needed measuring at my Neuropsych test and no depression would cause that that I can find.... My daughter who is a social worker at a Nursing/Assited living facility and now knows everything of course, says that my rapid and never ending need to speak is not caused by medicine....okay she's not a doctor or an RN but...
Help me as I have searched and searched and I have noted only in a few letters from one doctor that I am a bad historian due to my tangential speaking nature but that means "I'm basically all over the place" and I would agree but the complaint I'm hearing is that I just speak and speak, etc.
Please anyone who has had a similar problem, I am crying every day as I really don't see the humor and I have to believe that if I could sit through hight level meetings only speaking when spoken to and stay on task running a huge IT department, that some of my drugs have affected me... I have to believe that it is drug related as the neuropsych even noted that my short term and processing problems most likely are (certainly one MRI had a good number of brain plaques but they are not active at all and the spine has always been my issue)... So please allow me to list what I have taken over the years and take now and if anyone knows of a Medline article, MS site article, Neurology article to help me show my family why I can't help this, please I beg you to help point me to this information. Even if article/link/etc. only refers to CNS depressants in general, I know that would help. Imagine the people who use to respect you so much treating you as a 5 year old and then forgetting you are an adult who will likely hear by mistake or someone's cruelty about the laughter everyone has had about your speaking....
*So, 1993 Diagnsosis after 2 years , Given Tegretol (only about two years taking ) and Klonopin about .5 3 X day and as high over last 20 years as 5 total mg per day.. take 3 per day now
*Very first center to start Betaseron so I got it in 1993 and took til 1997 (Moves had a lot to do with medicine changes)
*Somehwere in 1997 took Baclofen, did not handle well thus the reason I am given Klonopin (works better on myoclonus anyway)
*Oral Steroids on 3 to 5 occasions from 93 to 2000 with Decadron added as "try it" in 2005 and it worked I think better than IV solumedrol
*Vicodin for 6 months when symptoms got bad about year ten (bad choice truly as it was the neurogenic burning pain)
*Neurontin for about 2 years for the neurogenic/dysthetic pain along with the a symptom when first active (a very mild then myoclonus) coming back pretty bad and getting worse
*Swtich to Avonex for 2 whole shots.... then Copaxone for 7 years, Imuran (bad new doctor) for two years and now Copaxone again for 2 years so far
*Tompomax replaced the Neurontin sometime in 2002 or 2003 and took Topomax titrtating up to 400 Mg for 7 years as Docs desperate to help the myoclonus which would jerk me out of wheelchair
*EArly osteoperosis from steroid use so tried all the various horrible tasitng quarterly or monthly drugs, now only taking Calcium plus D and Super B complex
*Bone pain got bad so was given Lyrica in 2008/09 some time for that up to 150 mg per day (recently quit that as fear of all the CNS drugs has me concerned and spoke to doc first)
*Oxycontin yes daily, started regimen in 2003 after 2 years of percocet and the ups and downs of when when when.....so neuro of 5 years history and trust with me then switches to 40, 20 , 40 Oxycontin
*Oxycontin 80 mg in 2006 and has not changed still take it two times per day
*myoclonus rearing it's very ugly head about 5 months ago, reminding me of how horrible it was for 7 or so years recently and put on Zanaflex (makes me very very tired) but better than jerking out of chair 4 mg 3X day
*have taken Provigil and between one of hospitalizations and doctor switch, stopped
*had recent sleep study... luckily no sleep apnea of throat but Central sleep apnea (from brain) could be drugs he says (offered Nuvigil) form of Provigil and now up to 250mg but now up all nite too often
*Effexor XR 75 mg for mild depression (required for Betaseron users but I wanted it because I had to leave the most awesome job)...note my neurologist of 9 years insisted on my retiring due to rapid decline
*Macrobid preventative antibiotic for all the UTIs I get for 2 years now (primary insisted after heart attack hospitalization) and TM
*Generic Synthroid off and on based on TSH numbers (have large goiter with blood flow thru) also took it every day for two years as one doc insisted it would help shrink goiter..
*Lisinpopril (alpha blocker I think) added after heart attack Fall 2010
*Prvastatin (as heart attack caused by genetic mutation of some gene that is suppose to reduce or level off statins (something to do with high cholesterol which I don't have normally, threfore genetic testing
*Coumadin (blood thinner for my Factor V Leiden mutation) turns out this is very common mutation in blood (causes many miscarriages) took 6 mos after 1st DVT in 2005, and permanent now after 2nd one
*Plavix (intermixed sometimes with coumadin but more of a platelet thinner had to take at least 6 mos. after heart attack but too much thinning s let me off but must take one baby aspirin day
*Byostolic (Beta blocker first thing given to me about 3 months before heart attack when I used my little CVS machine and made record for doc.
*Neurogenic Bladder - have recently had my second Urodynamics study and urologist is putting me on Flomax meant for men with prostate issues but somehow it's suppose to help me pee more at a time
*Amitiza - this is for severe constipation but not given for my neurog. bowels but during colonoscopy, which didn't work, found to have "tortuous colon" on right side basically scope stuck (how do you gently say not stuck because I failed my duty in cleansing but stuck because of the way my bowel is twisted... surgery maybe someday but right now I have too much else to worry about and have to self extract anyway...
*Also in 1993 after initial tegretol, replaced that with six or seven years of carbatrol (very smiilar I believe)
it is sure that I have forgotten something I took at some point but the truly long term drugs I worry about are the CNS depressants and are the Klonopin, Topomax only replaced 2 years ago with addition recently of Zanaflex, Oxycontin,
Seriously, I would have said up to five years ago that I had the most wonderful family and they would still do anything in the world for me but truly, after having explained so many times about the pain it causes to laugh at a symptom, they insist (as apparently with generally over achieving people, they are all doctors.).. what I am saying about drugs causing it can't be true but they do believe the short term memory and processing issue can be caused by drugs. And truly if I was to say that I had someone on the board here share a story similar, I would be laughed at further so this is why i requested a link, a statistic, research study paper anything... or please if you know any other reason, please share and for my own sanity, please share your personal story if this is something you go through as I will take it seriously!! Thanks to anyone who can help me....

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