Can You Hear Me Now?

I realize I am long overdue for an update! I had the angioplasty procedure for CCSVI over 3 weeks ago now, so I know you’re all wondering how I’m doing.

There are two parts to this… the procedure part, and the Costa Rica part. I’ll write about the procedure first, and about the trip itself in another entry.

I was scheduled to undergo testing (blood tests, EKG, ultrasound) on Friday after I arrived, and receive the treatment on Saturday. Since all the updates I was reading on Facebook from others in Costa Rica said they were being delayed for a couple of days, I fully expected that, too. I went for my tests and all was well, they still told me I was scheduled for the following day. The ultrasound showed a reflux in my left jugular and some stenosis in my right. But those of us in the know are aware that these tests are often wrong, the only way to REALLY know is by venography, which I’d be getting at the time of treatment.

Anyway, we went back to the hotel, went for supper, and it wasn’t until we got back to the room after supper that I received the message that my procedure had been postponed until Monday. I figured as much! So was Kim’s, the lady who had been scheduled for the same day as me. We are actually very lucky, because there was a problem with a batch of balloons they received (wrong size) and they only treated one other person after us! Every one else that had been scheduled for the rest of July had to cancel their flights and plans and and rebook for August. Can you imagine! So I’m grateful I was only delayed two days and not 3 weeks.

Anyway, we arrived at the hospital on Monday and were greeted by the beautiful Gloriana, who works for the international department of Clinical Biblica and walks you through everything and translates when required. Her and Isabel, who works evenings, are fantastic. After getting me settled in my room (there was even a futon for Heather to sleep on, the rooms are huge) and seeing my doctor, it was somehow decided that I would go first, and Kim second. Good thing for me, because apparently hers took many hours! She had 5 blockages, I think.

I was brought into OR, transferred to a cold operating table, and hooked up to an IV. There were nurses buzzing around me speaking in Spanish, prepping me. I felt the anesthetic and sedative going in (it stings) and then the next thing I remember was waking up back in my hospital bed and wondering how I got there, and being wheeled back to my room. The difference between treatment in Costa Rica and every other hospital in the world that does this, is that they knock you out. I mean, apparently I was awake and chatting the whole time, and I said it hurt when they ballooned me, but I have NO memory of that. I like the way other clinics keep you awake and aware throughout the entire procedure so you can see the monitors and know everything that is going on. Some friends even said they could feel sensations coming back into their fingers or something at the exact moment they were ballooned. That would be cool.

Anyway, Dr. Fallas has his reasons for doing it his way and I’m not going to argue with a vascular surgeon. The first thing I noticed as whey wheeled me back was that both my feet were sticking up. You know how, when you lie in bed on your back, your feet stick up, and it’s like two little teepees? Well, for years my left foot has been the teepee and my right foot laid flat down like it was just dead. So here they were, both making dents in the blanket. So I knew something good had happened.

Back to my room for the night. I was sleepy from the sedative. Heather came in to spend the night with me after going out for the evening (she made friends with our cute driver, and he took her out and about a few times!)

The next morning I will say I thought my vision had improved, everything was brighter and clearer. This gives me hope that I WILL get that back… at the time it didn’t last long, by the time we got back to the hotel and the humidity it was back to it’s old self. I blamed that, and feeling crummy, on the humidity and discomfort I felt in Costa Rica, but I have been home for 2 weeks now so I can’t blame that anymore.

Dr. Fallas came to visit me that afternoon with his Macbook, to show me all the images from my venogram and ballooning. As I had suspected, there was stenosis in my left jugular and NOTHING wrong with my right one (he looked at every possible angle and was surprised by that, but I assured him all my problems are on my right side so I expected that the blood flow to my left side was normal). He said my jugular ballooned very easily and stayed open, so no stents were used. They only use them if the vein won’t stay open. I also had 40% stenosis in my azygos vein, which he also ballooned. I had told him pre-op to put a stent in and signed a waiver and everything, but he said it wasn’t bad enough to warrant a stent, that he wouldn’t even put one in an artery with 40% stenosis. The re-stenosis rate on the azygos has been 0% anyway, so I’m not worried. God intended for us to have 100% blood flow through our veins, so 40% less is a lot, even if it’s not “bad enough” to warrant a stent (my friend Tessa had 95% stenosis there!) He gave me a copy of the DVD so if I ever want to see my veins I can watch it.

I was back at the hotel by Tuesday evening, and physio started Wednesday morning. Claudio worked with me mainly, as Gaby is a tiny woman and although she is strong, I need a big man to work with me! Someone who could hold me up if I was going to fall… Gaby would be crushed by my weight! Not safe for either of us. My daily exercises were great, and torture, but great. I do wish I could have brought Claudio back with me!

A week later and two days before I left I had a follow up Doppler by Dr. Fallas. It only took him a few minutes to show me how my blood was flowing nicely through my jugulars! He gave me his card and told me to keep in touch, to keep him updated on how I’m doing in months to come. They are keeping good records and will publish their results, as other doctors around the world are doing, so soon we will have the documented results the MS Society and neurologists and nay sayers keep saying are needed, not just “anecdotal”. Because a billion before and after videos on You Tube will never be enough.

The differences I saw in CR were that sitting to standing was easier (I could usually get up on my first try instead of 2-3 and often needing help), I could take deep breaths, and my sense of smell improved. These improvements sort of came and went over the past few weeks, but now that I have been home for awhile and living in my new body I can say the following improvements seem to have settled in:

• Sitting to standing is easier
• Foot spasms have decreased
• My voice is stronger
• There is more colour in my face
• I can take deep breaths, oxygen is better
• My sense of smell is better - I can smell my own B.O. now
• I can scratch; it used to be every time I had an itch down my right leg or the right side of my groin or pretty much anywhere on my right side, I would break into these painful seizure like spasms with my right foot, leg, arm, hand… it was so annoying. Now I can comfortably scratch an itch without the spasms. I did scratch the right side of my back yesterday, and spasms broke out, so perhaps the blood flow hasn’t reached that part of my brain yet!
• Yesterday I had my first pedicure since the treatment, and for the first time in YEARS my right foot didn’t jump uncontrollably when she went to trim the nails and push back the cuticles. Normally she has to be very patient with that foot as it would jump in her face every time she tried to do anything. Yesterday she held each toe to do her thing, and we were both amazed that my foot behaved, didn’t jump or flicker, nothing! It was as calm and normal as my left foot!
• My balance does seem a bit better.

The above are all things to celebrate, and that is what I am trying to focus on. What makes it difficult, however, is that some pretty major things are worse: my bladder is crazier than before, my vision is worse, my walking is worse, I’m weaker, my feet are more numb, my energy is… I dunno… I think my vision makes everything seem worse because I don’t feel safe to move. The double vision is worse than before, although my dad swears when he looks at me, my eyes are lined up better. So I don’t know.

What I think is going on is that my body A) doesn’t like these blood thinners (I have about a week left I think) and B) needs time to adjust to the new blood flow and heal. I know I don’t like the blood thinners because I have bruises all over my legs (and my belly, but that is the pin cushion so it’s expected), I wake up every morning with insane dry mouth, and no matter how much water I drink (which is a lot) I can’t get clear urine, which is my goal. Then I read blood thinners make your urine dark and your mouth dry, which explains those things!

Friends have been telling me they have heard about people who, after the treatment, saw no improvements for months. Some were getting worse and thought they had re-stenosed, until weeks later they suddenly started getting better. So I strongly believe that is what’s going on with me. I went to my own doctor last week and got some blood tests, which all came back normal, so I really think once I’m off blood thinners and give my body time, I’ll feel a lot better. I’m also taking some parasite cleanse supplements from my chiropractor, because that can’t hurt. Parasites don’t show up in regular blood tests. I’m also seriously considering chelation therapy.

As for the colour in my face, let’s compare. These pictures were both taken by Heather with the same camera, no make up:

Obviously, the lighting at the airport before we took off (left) and the doctor’s office (right, 10 days later) are different, but I still think there is a big difference. Everybody who sees me now says something, so it must be true!

I live in hope that my worsening symptoms must improve, because proper blood flow can NOT be a bad thing. The only logical explanation is that my body is adjusting and trying to figure out what to do with this blood flow. And since my very first symptom back in 1987 was problems with my vision, I am expecting that may take awhile to correct. But it WILL.

To brighten up this entry a bit, I will leave you with this photo of the garden outside our hotel in Costa Rica, and to see my collection of pictures (I didn’t take as many as I would have liked, my camera wasn’t always with me) here is the link to my public album on Facebook. Remember that link will expire, so look now!