Still No Answers..Is it Just Me?

Posted by dp5wheels25 @dp5wheels25, Sep 1 8:25am

I was an extremely healthy person until a year ago and then one morning I could not get out of bed, dress myself... anything due to extreme bilateral joint and muscle pain. This came out of the blue and the day before I was fine. For over the past year I have had a number of symptoms including weight loss, extreme fatigue, clicking/popping joints and a number of other classic symptoms that definitely made this seem like an autoimmune condition. After many visits to my local physicians and two travel visits to Mayo clinic (about six hours for me to travel each way) I still have no answers. Over 105 diagnostic tests (blood tests, x-rays, Cat Scans, Pet scans, MRI, Nerve Studies...), you name it and they have done it. To be honest, I didn't feel that my doctors there at Mayo were all that interested...a strange feeling as I was told that Mayo was the place for interdisciplinary care and they would get to the bottom of this. I got a folder when I arrived..."Come with Questions and Leave with Answers" in bold type on the folder. I found if I wasn't bringing up issues (like multiple blood tests that showed low Immunoglobulin IgM results) then it wasn't brought up. I don't mind being the advocate for my care but I really had hoped for more communication and interaction with "my care team". Definitely tired of the stiffness and pain and frankly I am also tired of talking about it all. I have cancelled any further trips to Rochester and will try to see if I can get connected again with a local resource. Has anyone else had this experience. I would love to hear from you just to remind me that I am not alone or some extreme unusual case. Thanks

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Profile picture for dp5wheels25 @dp5wheels25

Thanks so much for your follow up it means a lot to me. Absolutely, I had a barrage of tests during my two visits and they ruled out quite a few things which I was grateful for. They just were not able to give me any answers at all and kind of left me hanging there. I did have two Immunoglobulin IgM tests that were very low and some free light chain tests that came back high. My research indicated these were results that I should be concerned about and needed some definite followup. My internal medicine doctor that at Mayo didnt really focus on this and I had to bring it up. He finally set up an immunology follow up at Mayo. I have decided to find someone local who can assist with this. Just concerning for sure. Thanks again for you comments.

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@dp5wheels25
I wish you the best in finding the right specialists locally to investigate further you low IgM and high free light chain test results to look for cause and offer treatment options.

I will wonder if you have a plasma cell disorder or an immunodeficiency that hasn’t been diagnosed. You may also want to investigate myeloma. A hematologist and immunologist may be able to help with a comprehensive review of your tests/results and recommend next steps.

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Hello. I have the symptons. My spine dr diagnosed me as ankylosing spondylitis. I have had crackling popping grinding joints for years. Worst are shoulders, sternum, neck, arms. If I ever lay on my stomach, I cannot move, I am frozen. I blame some of this on my cervical spine, discs all deterioated, but also on my celiac disease. Going to th Gym, and physical therapy helps, but does not eliminate. I find that HRT extrogen patches help as does the migraine medication sumitriptan.

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Profile picture for tuckerp @tuckerp

sounds a little like Polymyalgia Rheumatica. It is an autoimmune disease. You may or may not have an elevated sed rate and CRP. Sometimes HSCRP. Prednisone is the treatment. IL-6 or IL-2 might be issues. I saw a rheumatologist at Mayo. I found him to be very thorough. I do think Dr's are so specialized anymore than generally going to just a Dr is not going to get you the best care.

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I second this idea. PMR was the first thing I thought of. One weekend I could throw my western saddle on the back of my horse, no problem, then the next weekend I couldn't. Because it hurt! 4 yrs I was with a rheummy who couldn't diagnose me. Then I got a second opinion from a rheummy who did. Just a thought.

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Profile picture for suetex @suetex

I second this idea. PMR was the first thing I thought of. One weekend I could throw my western saddle on the back of my horse, no problem, then the next weekend I couldn't. Because it hurt! 4 yrs I was with a rheummy who couldn't diagnose me. Then I got a second opinion from a rheummy who did. Just a thought.

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Thanks suetex, much appreciated...

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Profile picture for dp5wheels25 @dp5wheels25

Thanks suetex, much appreciated...

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Don't doubt yourself. You are not making this up.

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Profile picture for kathan55 @kathan55

I really understand how you feel. I’ve been frustrated since getting sick after chemotherapy in 2005. I started having excruciating pain within a month of completing all the chemo. The first diagnosis was fibromyalgia. I was awarded disability, I could not return to work as an RN.
Anyway, it’s been a very frustrating 20 years. I was eventually diagnosed with chemotherapy induced peripheral neuropathy. The pain has persisted and some symptoms have progressed.
However, I don’t know if all of the symptoms are related to the CIPN. I have been sent by my family doctor to many specialists. I don’t know if they truly communicate with each other. And I do wonder sometimes if they’re truly trying to get to the route of some things.
I wish you the best. I hope you find some help. Hang in there!!

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Thank you so much for the hugs! It’s such a blessing to be able to talk about health issues, to people who really understand. I’ve heard and read that some of the issues we go through or illnesses we have, are called “invisible diseases”. Because it’s hard for others to understand things about us that they can’t see.
I can understand that to a degree. However, I struggled with my family not understanding, almost to the point of not believing just how sick I’ve been. My two sisters live in different states. So they never really saw the things I was going through. But at the same time, they never asked me questions about what was going on, what the doctors were saying, what kind of tests were being done and the results. So I just kept it to myself. My daughters were teenagers when everything started after chemo, so I felt they were too young to go into too much detail. I may be wrong, but I think most mothers don’t want to burden their children with unpleasant things like illness.
They are older now and understand things much better. My two daughters and I live nearby each other so they see the things that go on. They started helping me. Taking me to appointments and listening to what the doctors are saying. Now that’s a true blessing.
Thanks again for listening! I can be quite a talker! Chatty Kathy!!!

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Wow I’m so sorry yes it’s still frustrating when no one has an answer and don’t seem to care, I’m sure they do but sometimes it feels like they don’t.

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I sort of feel like I'm in the same boat. I'm in the process of testing - looking into rhuematoid arthritis and it's most likely? EDS but I can't get in to see the MDs for months and months to actually run the tests and do the evaluations so for now I'm just in PT. Some days are okay but others are awful and sometimes I wake up from it in the middle of the night feeling like one of my joints is exploding like a dying star. No one in my family seems to have much sympathy - including some of my internists and I'm getting frustrated. I'm not generally whiny about pain so I think this is probably pretty bad. I also seem to have a chronic headache which may be related or may just be stress but I'm pretty upset about my family's (non) reaction. It's more complicated than just the health stuff but it sure sucks so I can empathize with your situation. Good luck with your diagnosis! I feel for you.

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Profile picture for krisingle1 @krisingle1

I sort of feel like I'm in the same boat. I'm in the process of testing - looking into rhuematoid arthritis and it's most likely? EDS but I can't get in to see the MDs for months and months to actually run the tests and do the evaluations so for now I'm just in PT. Some days are okay but others are awful and sometimes I wake up from it in the middle of the night feeling like one of my joints is exploding like a dying star. No one in my family seems to have much sympathy - including some of my internists and I'm getting frustrated. I'm not generally whiny about pain so I think this is probably pretty bad. I also seem to have a chronic headache which may be related or may just be stress but I'm pretty upset about my family's (non) reaction. It's more complicated than just the health stuff but it sure sucks so I can empathize with your situation. Good luck with your diagnosis! I feel for you.

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Thanks for your response. Hang in there, I know the pain is not fun and the lack of answers, waiting on doctors, etc... can truly be frustrating. If there is good news, it is that I am seeing from this forum that my situation is not unique and there are lots of others who are suffering and have no answers. Guess that gives me some solace in some strange way. Best to you and hopefully you can get some answers soon!!

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Agreed. Always nice not to feel alone and to receive support. The folks in my life seem to nullify both my physical pain and the mental toll that takes on me as well.

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