"The truth is rarely pure and never simple" (Oscar Wilde). -- This blog reflects my personal life with but not defined by MPS I- reflecting the peaks and valleys of this dx., and my life despite a rare disease while rarely falling within the standard definition of this disorder.
Saturday, December 30, 2017
Happy (almost) New Year! - Humira Study, Pharma/MPS, etc
Hard to believe but it is just 31 hrs away from 2018 - this year hasn't been a bad one nor particularly great (but really it hasn't been to bad) - I guess I am ready for a new year though. =)
Thankfully the past few months up till a few wks ago the headaches had been really good (and even now they aren't as bad as sometimes, just not as great as they where either). I think or am pretty sure the lumbar-CSF (Spinal fluid) leak is healed up and that makes all the difference in how I feel.
I don't really know what I'd hope for 2018. Maybe easier times with my Peds Neurosurgeon? Would be nice when I do eventually call them if my Neurosurgeon could just listen and try to help vs how it always is.
Otherwise just that day to day life stays decent and those I care for stay well also.
Dr.Polgreen and I, CA
Humira Study:
3months or so after the TIA (Mini Stroke) occurred and I had postponed going back out to CA to do the final Humira (Dr.Polgreen) Study enrollment I made the trip, did the final needed tests and enrollment process and 1st injection is done last wk (right before Christmas, don't ask me what I was thinking!)
I /we won't know for about 3-4months (week 15 if I remember right) whether I am on actual Humira injection now or whether I am getting placebo injection every 2wks but alas atleast I am enrolled and it's started now!
Equally awesome is the Foundation I work for has agreed to fund 3 more Patients for this study so that is awesome to. There is actually fairly wide interest among families though it seems actual enrollments has been wider amongst the more severe-MPS I Hurler Families than it has been amongst Pts with my more attenuated form. That said for pain, inflammation and our arthritis like issues this is a drug/study worth considering!
Had it not have been for my cardiac issues I was offered a spot in Dr.Polgreen's original, 1st phase of the study but at the time I was dealing with heart and shunt issues and surgeries so declined/postponed enrollement till this last summer.
Heart wise / Amiodarone:
This has actually been relatively okay. Still plenty of the skipped/feels like my hearts tripping over itself beats but at the same time they occur less frequently (50% improvement?) and between this and the Ivabradine and some supplement doses + the other Heart meds I take it seems to maybe be helping in general a few things. I won't complain when it's relatively better. Not perfect and plenty of symptoms yet but some is better than no improvement!?!
NIH - Sangamo :
I honestly can't even remember the last time I updated or posted here but has been a relatively quiet (in some ways anyways!) few months and yet really busy to. I con't to work with Sangamo, the Biotech Company (doing the gene editing studies for MPS I and II) I spoke at in San Francisco a few months back on/off.
The Sangamo Patient Rep I mostly work with reached out to me a week or so ago to see if I would be interested in/willing to work with them in March for a Rare Disease Day related event at the NIH, hosted by the NIH for a Rare Disease Day Mtng. The mtng is actually 3/1, so not actually on Rare Disease Day.
I agreed to doing this if a few things work out, namely that costs are covered by the mtng sponsorts (Sangamo is figuring that stuff out). Honestly if it happens it will be neat! I mean how cool would it be to be a Patient voice speaking at the NIH (Nat'l Institute of Health) to Pharma and Gov't/Research people!?!?!
On the flip side if it doesn't happen I am genuinely okay with that to. Traveling these days is ALOT more exhausting then it ever used to be so while I enjoy it when I go to mtngs and Conferences I am also just as happy to be home in my own space! Whatever be God's will, will happen. =) I just have to say though it's an awesome honor that this Biotech/Pharma company asked me to be their Patient speaker for the Gene editing part and seems to want to keep working together!
I am working some with Regen-X Bio, another Gene therapy Company working on a treatment for my MPS I and have a Conf call set with them for later this next wk as they wanted to catch up and update me on what they are working on. Pretty neat. =)
I never do anything I do for any reason other than I want to help better educate Families and Providers/Researchers (in the MPS Community and in my own care) and I genuinely like helping Pharma/Industry better work to meet our adult-MPS Pt. needs. But in the process of doing this I will admit it is phenomenally awesome to (it seems) be making such a impact in so many areas (both to Families and to Pharma/Industry)!
Running for Rare Team - 2018 Partner
Running for Rare - NORD Partnership
This will be my 6th yr partnered on the Team? My runner this year works at Genzyme and knew a very little about MPS I as a whole when she 1st emailed me so it has been fun emailing and texting with her, getting to know her. My runner 2 yrs ago, Sarah and I had planned to partner up again this yr but Sarah ended up not being able to do the marathon so I will to this with Sarah and especially her daughter Madi on my mind that wknd. Madi has CCHS a sleep/ventilation disorder (I can't do explaining it justice but Madi requires a breathing tube and must sleep with that attached to a machine at all times or she will (If I am remembering this right) suffocate from CO2 build up.
I am REALLY glad my partner this year Cheri seems pretty fun and really interested in learning and how can she raise awareness for my MPS so I do think it will be a good year! Should be a fun time leading up to Boston!
I'll sign off on that note. - Thanks for stopping by,
Happy (almost!) New Year!
Erica
Sunday School Christmas Party
Friday, November 24, 2017
Happy Thanksgiving...Restarting (oral) blood thinner, various
A bit late but Happy Thanksgiving! I will admit I've struggled a bit this holiday season to get excited for the Holidays (I am looking fwd to some parts just struggling with other things) but no less I am grateful for all I have and all who are part of my life.
Things con't to go pretty well with the headaches - I honestly think this is 1 of the longest periods I've had in a long while (perhaps some yrs) where I've not had pretty bad headaches. I am so so glad Dr.Bragg has stayed part of my care and my life and that she con't to work with Dr.Iskandar (my Neurosurgeon since she moved, her former Partner) - together they have made a difference especially this last surgery though really I think this relief is almost an unintended benefit of surgery (no doubt moving the shunt catheter helped significantly, that radiating pain is 90% better and only occurs now on much rare occasion and to a much lesser degree).
Best perhaps of all (though don't get me wrong that relief is fantastic to!) but the CSF (spinal fluid) leak that occurred after this last surgery which continues to a small (or varying really) degree is what truly relieves my headaches. The 2 shunts alone make a significant difference in my headaches but I rarely feel truly great. With the additional CSF leak it is truly like a whole different situation and WONDERFUL!!!!
Heart rate wise, oh this heart rate of mine. I swear between the shunts and Heart which could drive a person nuttier!? I suppose that depends on the day! The Amiodarone which I've been on for I want to say about a month now but I honestly can't remember has been going okay but doesn't seem to be working any to well. Some times heart rhythm and rate seem okay then other times it's just pure nuttiness and I am in now way being dramatic about this. I mean literally excess-long runs of skipped/extra beats (PVCs or whatever, has been different than even my normal, not normal) beats. so less than awesome.
I know Dr.Earing (Cardiology) is/was concerned about these and if the Amiodarone doesn't work there not being another option (other than going back to Cath lab to re-look at heart and rhythm more closely but I know Dr.Kovach is really reluctant to do that b/c of the 2 heart valves and (if I remember right) this rhythm is coming from an area where the new mechanical heart valves are or it may have been that this area + scar tissue would complicate any procedure. I can't remember for sure just that he is less than enthused to go that route. I completely get that! Hopefully Dr.Kovach has some idea or we could figure something out.
These rhythms are downright exhausting not to mention secondary symptoms it causes. Can only pray - pray for God to give my Providers guidance and for myself con't to ride it all out! God is good so as frustrating as it all can be (and oh it is at times I'd be lying if I said otherwise) I know ultimately 1 step at a time... AND will enjoy this shunt-headache relief however long it decides it is going to be good! Atleast 1 issue is being nice!!!!
Re-starting Coumadin
I restarted the Coumadin today (oral blood thinner) and per Cardiology test INR (lab test to measure how thin blood is) Tues at Infusion (I LOVE that my PCP works with my Cardiology Team and will order the test for them + has said she'll be sure the result gets faxed to them). So i'll be able to have this drawn right at infusion similar to how I used to at CHW/FMLH. As in the past although Dr.Simpson will fax Cardiology the results they've asked I call and let them know so they can call back the same day or soon after with any changes they may want to make or when to test again. Due to our issues with this in the past and the concern of the TIA (mini stroke) that occurred a few months back + Cardiology wanting to prevent that recurring as much as possible (or atleast minimize risk from heart-blood clot risk). Never to dull but should be ok and thankfully my Team is all working together! I also have to say the 'Care Everywhere' system which allows my Providers at 1 health site to access records for Providers at another site is really, really nice!
Thanks for stopping by,
Erica
Things con't to go pretty well with the headaches - I honestly think this is 1 of the longest periods I've had in a long while (perhaps some yrs) where I've not had pretty bad headaches. I am so so glad Dr.Bragg has stayed part of my care and my life and that she con't to work with Dr.Iskandar (my Neurosurgeon since she moved, her former Partner) - together they have made a difference especially this last surgery though really I think this relief is almost an unintended benefit of surgery (no doubt moving the shunt catheter helped significantly, that radiating pain is 90% better and only occurs now on much rare occasion and to a much lesser degree).
Best perhaps of all (though don't get me wrong that relief is fantastic to!) but the CSF (spinal fluid) leak that occurred after this last surgery which continues to a small (or varying really) degree is what truly relieves my headaches. The 2 shunts alone make a significant difference in my headaches but I rarely feel truly great. With the additional CSF leak it is truly like a whole different situation and WONDERFUL!!!!
Heart rate wise, oh this heart rate of mine. I swear between the shunts and Heart which could drive a person nuttier!? I suppose that depends on the day! The Amiodarone which I've been on for I want to say about a month now but I honestly can't remember has been going okay but doesn't seem to be working any to well. Some times heart rhythm and rate seem okay then other times it's just pure nuttiness and I am in now way being dramatic about this. I mean literally excess-long runs of skipped/extra beats (PVCs or whatever, has been different than even my normal, not normal) beats. so less than awesome.
I know Dr.Earing (Cardiology) is/was concerned about these and if the Amiodarone doesn't work there not being another option (other than going back to Cath lab to re-look at heart and rhythm more closely but I know Dr.Kovach is really reluctant to do that b/c of the 2 heart valves and (if I remember right) this rhythm is coming from an area where the new mechanical heart valves are or it may have been that this area + scar tissue would complicate any procedure. I can't remember for sure just that he is less than enthused to go that route. I completely get that! Hopefully Dr.Kovach has some idea or we could figure something out.
These rhythms are downright exhausting not to mention secondary symptoms it causes. Can only pray - pray for God to give my Providers guidance and for myself con't to ride it all out! God is good so as frustrating as it all can be (and oh it is at times I'd be lying if I said otherwise) I know ultimately 1 step at a time... AND will enjoy this shunt-headache relief however long it decides it is going to be good! Atleast 1 issue is being nice!!!!
Re-starting Coumadin
I restarted the Coumadin today (oral blood thinner) and per Cardiology test INR (lab test to measure how thin blood is) Tues at Infusion (I LOVE that my PCP works with my Cardiology Team and will order the test for them + has said she'll be sure the result gets faxed to them). So i'll be able to have this drawn right at infusion similar to how I used to at CHW/FMLH. As in the past although Dr.Simpson will fax Cardiology the results they've asked I call and let them know so they can call back the same day or soon after with any changes they may want to make or when to test again. Due to our issues with this in the past and the concern of the TIA (mini stroke) that occurred a few months back + Cardiology wanting to prevent that recurring as much as possible (or atleast minimize risk from heart-blood clot risk). Never to dull but should be ok and thankfully my Team is all working together! I also have to say the 'Care Everywhere' system which allows my Providers at 1 health site to access records for Providers at another site is really, really nice!
Thanks for stopping by,
Erica
Subscribe to:
Posts (Atom)



