28 October 2024

NMOSD Diagnosis + 8 weeks




It’s Friday morning and I’m in the ‘Airline Café’.  It’s 7.16, I have a bacon omelette and a pot of tea.  I am wearing a white shirt.  It’s busy for a Friday and it’s warm for this early in the spring/summer, so the back door has been opened too.  The plan today is to get to my desk by about 8.30/9.00, without my bacon omelette on my white shirt and to work till about 3.00 here – and finish anything up at home. 

It’s the first time I’ve been at work since the infamous ‘car park meetings’ which preceded the second hospital admission.   It’s the first time I’ve been to work since having the pain bombs reasonably under medicated control.   I’ve been WFH for the last couple of weeks on short hours following the falling asleep on the keyboard incident.   It’s been doable, but I miss the buzz of the office and I miss seeing my team.  Truth be told, I miss just the ‘normalness’ of getting up in the morning, of going to work with Mark and of doing something I know how to do.  And I miss Mark coming to interrupt me half way through me doing something bloggy!!  Which is what’s now happened.

It's now Saturday.  The middle of Saturday.  It’s been a week since finding some normal.  Last weekend there was a MS Society Social, which happens every 3rd Saturday of the month – and even though NMO isn’t MS, they let us come play too!  So we went, and drank tea – and they heard my story and I heard theirs – and they all had lives and were in recovery, one of them was going on an Outward Bound course and my drugs were playing and it was lovely meeting new people and being and doing ‘normal’.

Sunday and Monday were also pretty ‘normal’ and we had brunch with Bo and had friends round for coffee.   And then Tuesday was a bit crap and that was when I realised just how bad I am with the drugs roster!!  Theoretically I should have been doing 4/3 per day – but I accidentally went to 4/4 on both Saturday and Sunday but on Monday went to 4/3 (so less benefit on Tuesday when it as pants!!) by Wednesday I was good to go 4/4 but in the meantime Tuesday was PANTS!  And then Wednesday was ok / good and Thursday was good until lunchtime and then mid-afternoon I realised I’d only had 1 of my 4!!  So yes completely PANTS Lisa!!  If you want to feel/do ‘normal’ you have to take your drugs on time!!  And if you don’t it all goes a bit wrong!!

Anyway!  When the drugs are taken most of the day is ok.   There’s wobbly walking and there are still hot pokers but nothing like the pain that was coming in a couple of weeks back.  Lying in bed first thing in the morning there is an assessment of what is working, what is painful, what is burning.  The MS hug is still tight round my tummy but less so.  My legs still have intermittent pins and needles and the feeling of bandages round my knees and ankles.  There’s still cramps and spasms from hip to toe and as well as the back burn.  The assessment is very much around figuring out when the legs are awake enough to make the trip to the bathroom, which to date I’ve got right. 

Let’s face it, I’m not naturally the most graceful or the most elegant of women, but this whole palaver has just added a whole other layer to my already renowned clumsiness.  Every single thing has to be double thunk!! Even emptying the dishwasher requires pre-thinking, planning!  Getting up from any table or out of any car requires about 30-40 seconds in which to lean while waiting for my legs to wake up and prepare to take my weight – which is excessive at present!   Never the smallest of women, the steroids have turned me into food seeking missile, from which nothing in the fridge is safe!  Mark has been warned that the doors may need widening!  It turns out the bandage feeling is probably water retention.  My once, big but relatively shapely legs now have cankles (horror!) and fat knees.  It also means that moon face has arrived.   Plus – additional, weight round my tummy, means I look at least 8 months pregnant!  Not a pretty picture at all!!  Theoretically, once I see the first Neurologist in mid-November, the Steroids and a lot of other drugs will finish, and I will at least be free to work on some of the steroid weight! And I will also be able to drink alcohol – In fairness I will be a very cheap date, but I’ll also care far less about the moon face, fat belly and cankles! 

Oh – and clearly there’s been some damage to the nerves in my hands as well.  There’s a shake and a twitch which means I double click on my phone and the laptop when I don’t mean to! 

Also – I’ve started falling asleep at inconvenient times – like narcolepsy falling asleep!! Usually it’s just while we’re watching tv – or in the car (Mark’s driving) – today I fell asleep while playing Boggle!  I’m not sure if I just got bored of looking for words, but it’s certainly not the move of someone who wants to win!

And the additional joy to the sleep thing?  I’m sleeping well – very well.  Generally, over a certain weight, I snore.  The steroids, plus a fair amount of fudge and other comfort foods, means that I’m now well above this weight!  It is the first time in our marriage that Mark and I have adopted tactical separated sleep arrangements.  I hate it!  Really hate it!  But bearing in mind Marks job, he really does need to sleep – and apparently, once I’m asleep, I’m unwalkable!  I’m told that even if I’ve decamped to the lounge (it seems less permanent than the spare room!) that Mark can still hear me in the living room!

Oh and the Neuro Physio has been!  I have leg exercises to do.  I can do. I am doing. Plus the pricking and the ice and the warm.  AND imagining.  When the ice pack is on my leg, remembering what cold is like on my leg! Etc! Anyway, she’s lovely and will be coming short term till we achieve some goals.  She hasn’t told me what the goals are – but they are likely to revolve around basic every day tasks, I believe…  I will update next time!!

Continuing tales of Lisa’s online shopping adventure….

The Archies have arrived.  They are bigger than intended.  This makes my feet look bigger, if that’s even possible. They may be more comfy, I haven’t yet decided, and the thought of sending them back, means that I’m not sure that my decision will necessarily be a unbiased one! 

The sticky bra hasn’t yet arrived, the other bra that had been bombing my feed has arrived.  It was a BOGOF – but both seem to be undersized, OR the steroid weight is more excessive than even I have described!

A DNA test for My Heritage has arrived.  Fortunately it fits! Haven’t yet done the test or submitted.  Weirdly, when Lou did the same test, it didn’t mention the German or the French that we know is in there, so slightly concerned that they are not quite as accurate as we are led to believe!!

There is also a cardigan thing that keeps threatening to come – but which also keeps telling me it isn’t coming till I finish my order!  I’m not entirely convinced that this is promising – if it comes it maybe worn with my glittery skirt! 

Summer is on it’s way.  Mark’s just mowed the law – it’s on a hill and hard work.  I’ve suggested that we sprinkle meadow flowers on the land and never mow the lawn again.  The difference between us:  Mark does not see this as a solution to the problem = whereas I’m pretty much all in!!  PLUS – my hydrangeas, the pruning of which was one of the jobs that had to be crammed in between hospital visits, are coming into bud, many many buds!  It appears that we will have big bushy bushes in November / December – I suspect I don’t have to even state that this makes me happy!  Sadly the daisies have now gone!  BUT the lemon tree is absolutely dripping with lemons!  I’ve just seen a lemon posset recipe!  Having never seen this before, it’s now something that I need to make and try!  I did make some lemon curd recently – but Lou’s was better than mine – and Mark suggested that I looked like a witch as I stirred my caldron!! 

Current weather:  Cloudy.  No rain.  Lovely breeze through my trees.  They’re all green and dancing.    And there’s a the first blossom on the feijoa tree, meaning there will be at least one fruit.  Mark is happy about this! Me?   Not so much!

More depthy thoughts?

 Well this week I sent off an application for a blue parking badge.  I do NOT like!  I don’t like that I need it sometimes, I don’t like that my legs very often don’t feel like mine – and I don’t like this gradual descent into someone who is seen as less able and less capable and less than I was 2 months ago.  I know that my legs will probably come back – and I know that it’s not anything to be ashamed of, but I’ve spent my life not caring where I park – and this seems like a backward step.  Also – no longer allowed to give blood!  This is somehow ironic given that I had to wait until February 29 this year to be allowed to give blood in NZ.  I had donated however many times in the UK before I left in 2001 -  and just twice in NZ – just twice!   And they keep phoning me to tell me that it’s time for me to donate again!!

Um – ah yes….

I don’t know how to say this without it sounding trite – BUT I had a bit of an epiphany a couple fo weeks back. 

It is not unusual to hear of people who’ve had near death experiences saying that they have a new found appreciation for life.  Well, my diagnosis is not a near death experience BUT it does feel like life is giving me this lesson.  I’ve always been in awe of Michael J Fox’s approach to his early onset Parkinson’s diagnosis and I feel like this feels like that (although, clearly not early onset anything – but I guess I feel there’s still a lot of life to be lived) Yes, I’m grateful for all that I I have and the life that I’ve lived and for the beauty of the world and for the gorgeous place that I live etc – but it feels to me like this lesson: Bottom line, you don’t know what’s round the corner, so live life.  Don’t be afraid of it (don’t do stupid stuff, clearly, daughters!!) – but live it!  Make sure you have the life you want.  Thing is that it’s true not just for me, but for Mark, and the girls and all those close to me. And it’s as true for me, in my slightly fat legs and steroid pregnancy state, as it is for me when my normal comes back to me more regularly.   

And the ‘normal’ thing? Isn’t it amazing how in a VERY short space of time, the ‘normal’ has become so sought after.   So special.  So important.  Right now, ‘normal’ is all I want.  Go to work with Mark, sit in café, do job, sit down, stand up, press lift button once!!  Yesterday I realised how excited I was just to kick the duvet off and to have been able to find the duvet with my legs! 

So I guess I’m saying – notice your normal – and then make it what you want it to be I guess. 

Love ya – hugs x

 

 

 

 

 Just as an FYI - if you happen to come across this, I've just started reposting!  So there's a spate of posts from September / October 2024 following my diagnosis with NMO.

BUT - if you read the pre-NMO stuff you'll find it goes back as far as 2005.  My last post was, I think 2008!

i.e. if you're reading about shitty husbands, it's not talking about Mark.  And if you're hearing about the girls doing all sorts of activities - it's pre them going to uni and they're probably 13-16 years old!

My point being...  check the date!  But you may well have gone back in time a bit!!  

You're welcome to read the old stuff - but just so it makes sense!!  

 

26 October 2024

 ..what happened next...

Well you will all be very pleased to hear that I am home.
I am no longer in hospital ward, but am instead on my sofa, looking out of the window at a lovely spring day. There is a bright blue sky with cotton wool clouds threatening to start spitting at any moment – not that far off an English Spring sky!! Loving the sound of the breeze. Loving the ability to walk over and open the window at any moment. Loving that it’s my view out to so much greenness! Also loving that as I leant on my macrocarpa bench, waiting for my kettle to boil the lawn was so dense with daisies! The sun’s now shining down so that my favourite reading corner is just about in the shade and while I could potentially, go and read in my little nook, I’m just not quite sure if my reading brain has come back!!
It's a strange thing. You’d think that having spent upwards of 5 weeks in hospital, a reading fiend like me, would, in the last few months, have waded through most of her ‘to be read’ pile, and have made a bit of a start on her ‘Oooh can I borrow’ pile too, but no. This is a weird illness it seems. Not only are your legs and tummy rendered a bit useless and painful, reading is also something that has become of little interest. Talking to ‘my neurologist’ (more of that later but can I just say again that I have a neurologist?!) this morning, it’s quite usual for the illness PLUS the drugs, PLUS the sleep deprivation that comes with the illness to bring on the onset of Jelly Brain. I’m given to understand that it will subside, and that all the words I’ve forgotten will be remembered and brain will return to some kind of normal over the coming weeks. In the meantime, Mark gets to win at Boggle. I’m hopeful that I will also get to finish The Beekeeper of Aleppo before Christmas, but I’m not making any bets on it just now!
Meantime…
Pain wise, I’m paying $7.99 for an app that reminds me when to take my meds! You’d think this would not be necessary, except for the fact that yesterday was day 2 of the full whack of pills and I TOTALLY forgot the lunchtime dose of the anti-spasm pills! So, meds app + dimple packs it is!! The pain-bombs are now being tackled by 3 anti-bombs (!!)! One of them is anti the spasm – and two of them are anti the burn. The spasm seems to now be pretty under control. The burn? Ooooooooh!! When it burns it burns!! I CAN increase the ‘anti burn’ meds – but not till Wednesday morning! Till then I have a quick release ‘antiburn….’ But it doesn’t seem like it can get in there quick enough… and the burn is still burning. BUT OMG it’s soooo much better than last week. If Lou read my blog, she’d be so happy!! She saw the pain bomb full whack with spasm and burn and eyeballs nearly popping out of my head and sweats and swearing and really not a pretty sight… so much better this week. Quicker. Softer. Easier.
/So yes, went in last week, all the neuros saw me and gave me loads of new pills (!!) then the weekend happened, and they let me have a ‘weekend release’. Friday I stayed at the hospital, Mark picked me up Saturday – we had a totally pants night sleep on Saturday but then had lovely Sunday with breakfast and Bo, and friends round for coffee and laughing in the afternoon. And Sunday sleep was just beautiful!
Joyfully, and somewhat predictably, despite the fact that my bed was supposed to be kept open this morning, when we went back this morning, my bed had been given to someone else! So I sat in the whānau room and worked for the morning while Mark went to work! So we are definitely in a better place that we were last Monday. It might take a few days to settle down, and we now know who to talk to if it doesn’t – and so much in a better place than we were a couple of weeks back. Going forward, I need to stop eating, because I've eaten so much fudge and so many nice things, but normal life resumes and there’s only so many days you can go to work wearing leggings before someone raises it as an issue!
And I didn’t know how tired pain can make you. I’m totally pooped, completely walloped! Head on the desk, shattered. The tea is lovely but it’s always cold! And it’s the sneaky kind of tired, where you’re just getting on with your day and you suddenly find that your heads been lolling and you’ve been slavering all over the keyboard! Big brother had warned me, but only now has it occurred to me to talk to my boss about coming back to work while doing some half days. That’s a job for tomorrow.
Meantime, I have a pair of legs that really don’t work very well! My feet are working much better than they were 3 weeks ago, and by that, I only mean that when they touch each other, they realise that they are touching each other! My calves are ok, I think, today. My knees and thighs, oh bloody hell!! Weird as anything!! My knees feel like they’re wrapped in crepe bandages so that they are really fat. They can’t tell when they’re touching each other – and bending, is not something that they want to do. It’s also quite tough for them to feel anything else touching them! My thighs… hotness! Or total nothing at all. At any point, my leg (either) will start rising, even if the other leg is on top and just, completely of it’s own will, just rise. Meantime, the hip will just be having a burn fest…. And it won’t really stop till my foot has finished whatever it is that it’s doing! I’m told the leg / foot rising thing is a spasm and will go with the spasm med… as long as I remember to take the spasm med!!
Meantime, Neuro Physio is coming to see me on Monday. And I have to do homework by reminding the confused part of my legs what the normal part of my body feels like. So ice pack on arm, where it feels normal, then ice pack on leg which is burning…. Heat pack on arm, then head pack on burn! Also, spiky pin on normal part followed by spiky pin on dodgy leg! I feel like a lot of people have been stabbing me with a lot of pins recently. Last Tuesday, in particular. It felt as if a hole swarm of little bees / wasps were just having a wee party! Not fun!
And I started shopping again! Somehow I’ve bought 3 sticky bras instead of one! Why would anyone buy 3 bras that they’re not sure if they’re going to want! Theoretically, they may be interesting because they don’t have straps etc and my skin is super sensitive at the moment. But I don’t know if the actual stickiness will hurt my boob when it comes off. So IF I don’t know that WHY on earth would I buy 3! Since discovering this purchase, I’ve been trying to get into my account, but it won’t let me get around the whole ‘are you a robot’ thing! They are talking to me in my email, but only to tell me how important it is that they know that I’m not in fact a robot! Argh! There’s a possibility I may be selling a couple of LARGE (very) sticky bras in the next couple of weeks if anyone’s interested!!
Oh – and forgot to say that the Neuro Queen that is JP has said, in real words and with a real appointment ‘I am your neurologist’! Appt still isn’t till Feb – BUT I do have a route to talk to her, so we’re cool – I love her, she loves me, apparently, etc!!!
And things that have brought me joy today... thank you Caroline – I still have my Proteus flowers which you gave me the week of my birthday. I’ve just taken the water out of their vase (smelly!) but they are still very pretty. And Kay – toast with Boo’s homemade lemon curd on it as we drove over the bridge to the hospital this morning. Also. Deb, the Jammy dodgers, waiting for me in the pantry!
Also the daisies and the sunshine and the breeze etc!

 Couple of questions and comments for a Saturday afternoon - there were more, but I appear to have lost them somewhere in FB!

- how can togs EVER POSSIBLY cost $486?!
- current view and current sounds below
- and then, this never gets old! Ever!
https://open.spotify.com/track/2kkvB3RNRzwjFdGhaUA0tz... And then I get to 3:10 and it gets even better!
- my daughters obviously have Le Riche feet. Mine are so Percy-Deppe feet! (See pic!)
- I miss my mum. And her feet.
- I miss my Dad and his very white knees.
- I wish my mum had met Mark - I suspect she'd have liked him.
- It's nice to get the crack consultant without having to fight for them.
- heard from MS Nurse - thank you Fiona!
- Ann T... I'll send you the link for my 'liked songs' - there are 489 of them and I suspect that not everyone will want all of them!
However weird this may sound...
This has been a crappy crappy 9 weeks - really crappy,
BUT, BUT... here I sit in an Auckland hospital ward, ever so slightly too warm and all I'm thinking about is the gorgeously wonderful people that I have around me. Seriously. I've been chatting this evening in Messenger to Sarah, Salbags, Tracey and Ann and listening to music that reminds me of lots of other people in both hemispheres - Bat Out of Hell, Perfect Day and Hold Me Now and thinking about all the kindnesses that have been showered on me in the last little while. Everything from Fudge and Ginger Crunch to flowers and my team bending over backwards to make it ok for me not to be at work. And what's become clear is that the shit will pass. (I hope!) The pain and the NMO will be managed (again - I hope!!) and in the meantime the lovelies will still be here. Mark and the girls and Soph will still be here, and friends of old, and friends newly made will be here and they will have my back and give a crap that I'm ok. The silver skirt will come out and dance! In both hemispheres! Shall I get the bucket now or later?!
I'm just waiting for my new dose of pain meds - but I'm not allowed till 8pm..... children's bed time again!


 NMOSD – Home + 28 days….

Look where I am!!
BUT it’s ok!! I think!!!
Yes back in hospital! Which is all very backward and grim and a bit of a pain in the bum, but those of you who’ve read my last couple of updates will be aware that the last couple of weeks have also not been great.
I’m getting ahead of myself. It’s Wednesday. I’m in the bed opposite the one that I was in last time.
Don’t you love how you realise the thing that you want isn’t always the thing that you actually want? I thought I wanted the window bed, until I realised that the window bed faced a patient and a wall (as opposed to an actual window) – plus the window bed is stinky hot!
More bulleting! Sorry!...
- Listening to Spotify straight to my ears. It’s loud. The curtains are drawn round my cubicle. I’m lip syncing with faces. IF, my legs worked better, I’d be dancing! In the absence of dancing legs, I’m bed dancing!
- Lights are turned out at 8.30 here. I feel like a child!
- Last night I woke up convinced it was morning – really light out. But no, Starship Children’s hospital just has a LOT of lights! It was actually 11.30 which was a little disappointing!
- Back feels like it’s sunburnt, without the joy of the sunshine on my shoulders.
- Louisa has been visiting, bless her. It was supposed to be a fun week of activities and cooking and wotnot. In the end, a lot of anti-flam cooking and a lot of baking, plus some Menendez brothers TV. God it was lovely having her here though.
- Louisa does make remarkably good fudge (thank you Ann for pointing us to Edmonds!)
And aside from the other stuff… NMO wise, as it were… (at this point I’ll also apologise for the inordinate number of ellipses! …and exclamation marks, while we’re at it!
Anyway…
To summarise…. Discharge from hospital 28 days ago, was pants. The neurology team were really lovely, really delightful, but not actually very helpful in terms of transitioning me from newly diagnosed NMO patient in hospital to recovering NMO patient at home and back at work. Mark and I went home, collected vast (I recall characterising as ‘huge’!) cardboard box of dimple pack drugs from the pharmacist, got café lunch and started trying to start getting back to normal. My birthday, including beach, Burgerfuel, presents, fudge, flowers and assorted lovely other things, was delightful, as were the couple of days either side of it. But by the Monday, it was less delightful! The Pain-bombs (see previous posts!) started landing slowly but with increasing persistence, and by the time we’d got to the following weekend, they were rolling in very often every 5 minutes, maybe 60 or 70 of them a day.
By the middle of last week the accompanying violent convulsions and wailing continued to increase, plus we had a lovely Lou now up from Welly and it became clear that a quieter and more sustainable plan might be necessary!
Bottom line, there was no point in being at the hospital on a weekend and no point in being there in a long queue waiting in the waiting room in the middle of the day / evening! So at 4am on Tuesday Morning, Mark and I turned up at the Emergency Department of Auckland hospital on the basis that it seemed to be the only way that we’d be able to talk to a Neurologist and ask them our 436 questions!…
Logic from the Yumster head and also from mine…..
- Pain-bombs CAN’T be a good thing – the body obviously destroying itself
- Pain-bombs and associated numbness in legs?… obviously pain-bombs are also destroying legs and ability to use them
- Walking is pants! And legs more wobbly than when left hospital…
- Pain-bombs also resulting in ‘tonic spasms’ = pins and needles in arms and fingers with arms and legs taking on a complete life of their own as they flail windward … also body must be destroying arms and fingers?!?
ERGO – Lisa and Mark’s logic says…
- Lisa will doubtless be totally incapacitated by Christmas, in wheelchair and unable to do any of the things that Lisa has always done and wants to do!
You’ll take from this that both Lisa and Mark are, in extreme circumstances, prone to catastrophising. Catastrophising not helpful, Lisa! Don’t catastrophise! is regularly advice featured in my resilience groups / seminars!
Ok! ED + about 8 hours ish? Via at least 3 VERY nice nurses and a fabulously wonderful ED doctor…. Mark and I find ourselves back in the CDU (you may recall I’ve been there before!) and one of the very fabulous Neurology dept Neurologists is actually with us and talking to us!....
Lovely neuro doc stabbed me a lot with a large pin, pushed, pulled and whacked arms and legs with large hammer (he will hereafter be known as Maxwell! And yes the hammer was silver!) – but the good bit (! Thank God she’s getting to it!!) was that while he was whacking me, he was also talking.
Most excitingly:
‘I can stop your spasms’.
Actually, no, most excitingly:
‘the pain from the pain-bombs is your body, and your nerve endings rebuilding and healing themselves’.
So…
- The nerves in Lisa’s legs are actually working at getting better
- The nerves in Lisa’s arms, tummy, back and every where else are working to get better
- Lisa’s legs are only wibbly because the pain-bombs are landing!
- There is medication to calm down the pain!!!
- I slept a lot of last night!
We aren’t quite there, but we’re getting there – I think! Meantime….
This afternoon, I’ve done some proper solid work work, which has made me happy, because I understand and enjoy it! While doing said work, I have also been listening to Spotify (as before!) – God I love Spotify. I love that in the last 3 hours, Sarah Johnston has visited me with At Last, Sally & Clare popped in with American Pie, James & Hannah with the Bee Gees, the summer of 85 (best summer ever!) with the Style Council, Julia with the Teskey Brothers, SJ with the Bluebells, Lindisfarne with my first year at Hull, bit of Elvis, bit of Amy, bit of Labi Siffre – places and spaces!
Other observations from today…
hospital foodwise, they asked for my order while I was chatting with Becca and I could only remember Macaroni Cheese and Lasagna so I had an Italian Restaurant menu today, and put on some Billy Joel to celebrate!
OH – and all the other good stuff!!!!!!
- We met the Neuro Physio! Who’s going to help my legs and feet feel temperature, texture, walk normally again etc!! Hoorah!!!!
- We met Fiona – who was, it seems, the missing link when we left hospital last time. She came and introduced herself and apologised for the fact that we fell out of the loop last time! Apparently, she’s the person I call when I want to know if something is normal – which is exactly the person that we were missing all of last week! And the week before!
- AND IF Fiona isn’t available and my GP calls her number while she’s not there, the phone will redirect her to…… the ‘duty neurologist’…. Again – which is exactly the person that we were missing all of last week!
- ALSO have been assured we will be connected with the MS Nurse – by EMAIL!!!
- Oh and Best of all – the neurologist: “I’m Dr Chen, I specialise in MS and NMOSD”… Fiona tells me he’s fab (like waiting for 9 months fab) but has just come back from working in UK and has yet to finish setting up his private practice here – which means…. He has no waiting list yet! ERGO… “please, can you be on my team?”, “yes, but we need to get you well and out of hospital first”.
So yes – in hospital – but both Mark and I sooooooo much happier.
It is 10.02pm which is well after Children’s bedtimes!
Huge snogs from the recovering and healing person in bed 1C of ward 51.
Love you madly!



 NMOSD diagnosis + 4 weeks!

Home 2 weeks 1 day!
Update?
Honestly, I have no clue where to start!
Here I sit, Saturday morning, in my breakfast room on what looks like a lovely sunny spring morning. Mark’s at the shops. My Christmas decorations are still up from our pre-Lisa got a really shitty disease, Mid-Winter Christmas. That was on 22 July and it seems forever ago. To be fair I don’t mind the twinkly lights and the baubles still hanging. I figure, the downstairs isn’t decorated, so come ACTUAL Christmas, we’ll ramp that up!
There are 2 returns bags sitting by the door. Post diagnosis I had a little over-reactive shopping spree which has now mostly been delivered and now which a fair amount has to be returned! My Never Fully Dressed Sequinned skirt is here and totally loved, MAX have also delivered some little joys as have TEMU. Happily thought, it turns out that I’m not actually the size of a hippopotamus (hoorah) so that the white tank that I got to go with the sparkly skirt has to go back. And it turns out that internet browsing pink can be about 412 shades – I thought fuchsia would be a nice pop of colour with the twinkly skirt – however on arrival, 1 of the pair of shoes that I bought is virtually neon pink (not good) the other, is somewhere close to orange red on a very precarious kitten heel! On the bright side the phone cover for $5 excellent! As is the rather fabulous $20 black denim skirt! However, Temu!!! OMG – how many emails? how many offers? how many free gifts!!! Anyway the returns are awaiting labels which have to be printed, so next work day is Tuesday – probably posted this time next week!! Oh and I’m still awaiting some white shirts from M&S!!
Currently I’m in PJs. This is not normal attire for a Saturday. Usually, I’d have been at my Activ class followed by coffee catch ups and maybe a stroll, returning home in time for games marathon with Mark. Today instead, I’m ‘seeing what my spasms are doing’! Yesterdays were particularly violent, longer than before and rolling continually from about 11 in the morning. Eventually I ended up sleeping on the sofa. This morning, I’m assessing whether that pattern is continuing or if they’ve calmed down again. I think I may move back to a fudge based diet! Or nothing!
In the meantime, bed has been made up for Lou (thank you Mark), ours is stripped changed and washing is on. With my lovely new cleaners coming on Monday, the rest of the house is staying as it is! So here I am – apparently in full wittery flow!
Actual update!
Yesterday I met the MS Co-ordinator for MS Society. While NMO ISN’T MS, MS Society look after those of us with it! They have support groups, webinars, community nurses etc. And she was lovely, and knew stuff. Main advice was to ‘get on every waiting list’ and ‘get your team together’. She’s told me a couple of other good MS specialist Neurologists to connect with and to ask about Neurological Physiotherapy amongst other things. Third Saturday of the month, there’s a gathering – and whilst I might not go every month, it’s close by, it’s a new group and I’ll certainly check it out!
Also found a good NMO group online. The American ones, I’m not feeling. Generally, they seem to take me to more depressing, more negative spaces – and they talk about soooo many drugs and infusions, which at this stage are not in my orbit, that it’s all a little bit overwhelming and not helpful!
The one I’ve found that I like is an Aussie group. They seem a little more grounded! There seems to be a certain amount of laughing at the absurdity of this ridiculous disease. But they also publish podcasts and updates about evolutions and developments in treatments for NMO with actual specialists / consultants commentating. Couple of people I’ve had proper conversation specifically about the pain bombs, the spasms and the burning – and apparently, it is just part of this delightful disease. Nerve endings in trauma I guess!
And how am I doing? Hmmm… interesting question!
I worked all week! Hoorah! – 3 days from home, 2 days in the office, which I really enjoyed!
The WFH meant I managed to get 3 little walks in. Only baby flat
ones, but including a beach stroll where I bumped into a friend that I never see and it was a really nice surprise to catch up. And the beach always soothes really, doesn’t it. I reckon my legs are moving a smidge better – Mark has not corroborated this opinion for me!
Tuesday I felt almost normal until about 11am when spasms started! I have now issued warnings and apologies to those that I work with, assuring them that when my face contorts and I start spasming/whining, there’s nothing they can do to help – and it will pass. Even still, slightly embarrassing to have to offer pre-meeting spasm warnings! Wednesday was better. One long meeting with only 3 baby pain bombs! And God it was lovely to NOT think about NMO stuff. It was wonderful to focus on ‘job’ stuff. Stuff that I know about and am good at – and have a real, and relevant opinion about!
And then Friday I had Prunes for Breakfast! Who knows if this is why yesterday was so pants and bomby and burny!
And yes, the pain bombs are problematic. I’m having difficulty seeing how these can be woven into normal life. Apart from the pain, it’s not easy having a conversation with someone whilst your body is having a little contortion-fest all its own!
It seems that when something like NMO ‘happens’ you have to make the choice as to whether you ’roll with it’ – or to be rolled over by it.
And I’m on board with that whole, choose how you respond to a situation concept – and it would be fine, if you could, in fact understand what you were rolling with! But for the moment, I seem to be in this state of suspense – of uncertainty, unknowing and completely without control! And that lack of control is not just the situation as a whole – but lack of control over legs, and tummy and spasms and pain – it feels so alien for this body to be so completely not mine!
Anyway – a mixed bag of how I am both mentally and physically I think – and as I process all the information and all the emotions, the roller coaster has rolled, the pendulum has swung – ups and downs, lots of them.
At the age of not quite 60 I thought I knew what the next few years were looking like and I wasn’t unhappy. It’s not like I’ve ever professed to have ‘the best’ life. I don’t Insta the hell out of my Brazilian bum lift or serial holidaying or my puddings / cocktails / influency home décor choices.
But I do like my life. I chose it. I enjoy that I get to spend time with people I like. Love my girls, love my whanau. Love the work I do and the people I do it with. It’s by choice that I spend so many evenings in with Mark – maybe we watch too much tv – but we also play cards and Yahtzee! and laugh a lot. I like that our social calendar is quieter than it used to be and that our weekend mornings aren’t rushed. I’m happy that I’ve chosen to spend a stupid amount of money on café stops for tea, and latterly hot chocolate (!), because it buys me space and quiet and just a smidge of time to watch the world go by. I love that we have our world map on the wall and were starting to plan our ‘trip’. I love my gym crew and my walking catch-ups – and I love our little corner of the bush. I love that it’s so quiet and you can hear the Tuis and the Kereru as you sit on the deck with a bright blue sky and the early Spring sun coming out. I adore the sound of the breeze in the trees and I didn’t mind the idea of another few summers lying on the deck reading a book, with my sasquatch feet Facebooked on the rail inviting abuse.
And so this “oh by the way, your body’s a bit buggered” news, has been something to tussle with.
There’s part of me that absolutely really, believes that my life has been charmed. That I’ve had 60 lovely years. That actually if that all ended right now, I’d still have had dream life, I’d still have been luckier than most. Let’s face it, I could as easily have been given a cancer diagnosis – or a stroke or heart attack. This flippin’ NMO is just my bag.
And when I’m with other people and joking and laughing, it’s easy to remember all the above.
In the middle of a pain bomb, however, or in the immediate aftermath, that’s not where my brain is. My brain cannot conceive of dealing with this ongoing pain. And then I think of all the little parts of my life that have been and are being stolen. Realistically, how and when I’m likely to go the theatre, cinema, ballet or a concert again. Not being in gym classes or having my regular glorious Saturday/Sunday walks and chats. How and when am I ever going to be able to get on a plane again. The travel plans feel tattered. The thought of not ever having another Ladies lunch in London. The thought of never seeing London or Europe again.
And some of this stuff may never become reality but as my toes contort and my sides burn and with no consultant to tell me different or to take away the absolute agony that blows in randomly however many times an hour or a day, it’s hard to conceive that the life I chose is going to remain untouched.
So that’s kind of how I am. Mostly okay. Working VERY hard to focus on the positives and the fact that now is only the start and there is so much more treatment before I know where I’m at – but also intermittently wallowing! Let’s say that. Let’s say what I said in the first video – I’m Okay, but also kind of not okay!
That said – you have all been amazing thank you! Seriously – I have felt so supported by so many people. Sooooo many people – emotionally from thousands of miles away, and physically / practically from the ones nearby.
Latest lovely neighbour…. And little side story. CBD! Ordered last Sunday and delivered on Tuesday – but delivered to the wrong house! When NZ Post had been unable to get a response from the occupants of the house where it was delivered, my next-door neighbour went and got it for me! How lovely!?? That was Thursday. Lou is very amused that her mother is now using ‘pot’! To be fair I’m also quite amused. I haven’t yet ventured down the THC route – it’s supposed to be great for pain, but you also have to be careful about driving with it, so I’m saving it as a ‘just in case’ the other doesn’t work, or needs supplementing!
The first CBD dose was Thursday pm and the late afternoon and night was great. There were a couple of spasms, but they seemed softer. The edge seemed to have been taken off them. Initially, my brain seemed to have shifted into some sort of psychosomatic, omg this is amazing mode!
Friday not so much! Today, doesn’t seem that different. It’s 1040am and there’s a residual burn in my back, which I know will blow eventually. I’m ignoring for as long as possible!
Apparently, the CBD is very effective for pain management and relief and it helps to rewrap the myelin that has been stripped back from the nerve endings. They tell me that I’ll really feel the benefit if I use over a period of 4 weeks consistently. To be honest, I hope I’m feeling some benefits in about 4 minutes! There’s a balm for feet, chest and belly too. I’m wondering what would happen if I just slathered it all over my back and everywhere that hurts? – apart from bankruptcy of course!
Ok! That’s your lot!
Mark has returned from the shops and is hanging washing – at some point I WILL have to move from this chair and it WILL hurt – but before then I might see if Mark’s up for some Yahtzee! (I won! just as an aside!)
Sorry if this one’s a little less up beat. I’ll get there. I’ll keep my chin up and be positive, but we’re in a little bit of a sticky bit just now, and it hurts a bit…. Forgive me the wallowing just for a little.
Big snogs – love ya x

 Saturday 21 September – Day 11 at home.

Well this is fun now!
My plan today was to deliberately focus on the ok stuff – but I failed because the pain bombs are having a party! I’m trying not to focus on that but it’s kind of front and centre at the mo!!!
Note all melodrama and over-emphasis / whining for effect, is exactly that! For effect!
I’m very sorry but we’re back to my digestion! And laxatives! Bearing in mind I don’t yet have the joy of knowing or meeting my Neurologist, I’m having to make a lot of this up as I go. Possibly, I’m homing in on things and making spurious connections - but at the moment, all me and Mark Murray MD have as weapons / treatment is speculation! (In fairness I should point out that MMMD’s record on diagnosis is not great – while they were trying to diagnose me he did tell me quite insistently, more than once that it was probably an appendicitis!! I think he also speculated round pregnancy and shingles! It’s not any of those btw!)
Currently the issue is that in the evening, I’m being pain bombed / spasmed so often, there’s no real respite. The bomb lasts about 30 seconds, which is only 30 seconds – but when they’re hitting every 5 mins it means that the 4 and half minutes in between, is just recovery and waiting for / dreading the next wave!
The doctor has doubled the pain meds, and we’re hopeful that once I’ve been taking that a few more days, my system will be drenched and the pain bombs will recede. In the meantime, I’m lying, I’m sitting, I’m standing, I’m leaning – and still they come. They are horribly loud (or rather I am!) and dramatic and now seem to take in everything from my sternum to my feet – particularly my left leg!
ANYWAY … a few days ago I stopped with some of the laxatives, as, let’s just say, things were moving better. NOW, I’m joining some dots….
So – the lesions that caused the initial attack were all originating in or round my tummy – so all that nausea and hiccupping and retching etc. So if all the dodgy nerves are in that area – MAYBE my tummy / gut doesn’t like food in it at night – maybe it all gets backed up!! Thursday and Friday day I worked full days and was fine till we’d eaten – as soon as we’d eaten, I entered a world of pain!
Based on this theory!!.... I’m never eating in the evening again!! - maybe!! Certainly going to try much lighter meals in the evening – and I’m now downing the laxatives like they’re fudge!! Sadly they’re not! But you get my drift! Oooh – maybe someone should make a really good fudge that’s a laxative! Ann?!
In the meantime – I’ve just had a lovely green breakfast – theoretically nice and light, and if I walk a little bit, maybe digestible. On the other hand, I could spend the next 2 hours with pain bombs and spasms, scaring all the locals in my coffee shop!! I’d love a little treat – but the thought of it bombing me later, is enough to put me off.
One of two things is going to happen here, long term – EITHER I’m going to be permanently in pain and unable to walk very far and I will turn, very quickly into Jabba the Hut – OR, I will end up never eating and be a skinny runt – Oh – and apparently some of the meds make your hair thin! And the thermostat thing, could be as much to do with NMO as with HRT!.... The gift that just keeps giving!
Back to the pain bombs / We are also now quite seriously entering the medicinal cannabis space. Not sure quite how it all works over here – but I’ve got an appt with the cannabis doctor next week – and possibly a date with a less official fairy earlier in the week. Either way, don’t care as long as it stops the pain bombs! Apparently a) you can drive on CBD and b) not illegal!
And in all this…working out the NZ health system. From what I can gather, you are allocated your specialist based on where you live, not on what’s wrong with you / what specialist specialty is! Beautiful logic don’t you think!? So, we are now on the waiting list for the consultant in the public system. I am told to expect to be seen ‘soon’ or, ‘probably within the next 4 months.’ Being in the system has the benefit of being IN the system – so I’ll be called for relevant checks and drugs and any infusions etc. Do not fall out of the system! – cause then you have to go back in the waiting list (presumably via the ED) to be back IN the system! IF you’re not sure your doctor is necessarily the right one for you / your condition, then it gets more complicated! So, I asked my GP who she would want to have as her consultant if she’d just been diagnosed with NMO. She told me the same neuro that I’d landed on when I was doing my research last weekend. Very happy. Online seems to be reflected in good reports and reviews both in the system and in the world, so great. My GP has now referred me to the MS / NMO specialty doctor, using my private medical insurance. I called to make an appointment. There is a queue. I will not be seen till May next year! That said – it turns out that my condition is actually literally 1 in a million – and I am currently (I'm told) only the 5th NMO patient in NZ. There is a little itty bitty (not that little) bit of me that wants her to see my case and go ‘oooh interesting – let’s have a look at you!!’ – I don’t know if that’s how it works – but if that’s her area of interest, maybe? In the meantime, if I love my private doctor, somehow we have to turn her into my consultant in the public system, so that I stay IN the system!! Don’t ask, I have no clue! Anyway, joy joy! I’ve got till May to work it out!!
Oh, yes! And the pain bombs have taken my joy from peeing!! Whatever else happens, when I go to the loo, there will be a pain bomb as soon as I stand up after! So suddenly my joyful peeing has become this delay and anxiety about the pain bomb that will inevitably descend as soon as I’m done!
I seem to have deviated!! Good things in life… ?!
- Eating at the table and playing cards / Yahtzee after. If I can’t eat in the evening, I’m going to need to rethink this plan!
- This morning Mark whooped me at cards! But I know I have had 2 recent victories and a Yahtzee win too
- Less good thing - Today was supposed to be the day Lou came up before we flew to Spain
- Good thing – my Lou coming to visit next Saturday!
- I’m sad we’re not flying tomorrow – I had a little miz this morning.
- Good thing – my Lou coming to visit next Saturday
- Bright side – Air NZ have agreed to giving us some credit! Hoorah!! Not entirely sure exactly what it looks like but maybe Sagrada Familia and Parc Guelle are still in sight?
- Love Air NZ
- Walking legs need to do more walking. Being based at home this week has meant I’ve done farrrr too few steps. I’m not unduly worried – but I feel like the less I do the heavier they’ll get
- I keep shopping! Stop me!!
o Max have delivered a lovely skirt and top.
o Temu are bringing me pink shoes a denim skirt and a phone case
o M&S are bringing me 2 white shirts, another denim skirt and some loafers
(I keep forgetting that Mark might be reading this!... lots of it will go back – honest!!)
- The big good thing….
So here’s the thing – last week a friend described the years after 60 as being like a sniper ally. i.e. if you’re not going to get hit by one thing you’re going to get hit by another – or you’re not. Bottom line, the NMO is my thing – it could just as easily have been cancer or heart attack or being hit by a bus. So on the first hand, we get on and deal with it – others are dealing with their sh*t too. Hopefully – most of you will waltz beautifully and elegantly between the sniper fire. Those of us who get a little hit… well, it’s kind of part of getting older and the only thing we can do is get on with it and make the most of what we have. Cause while I’m wallowing in pain bombs and a little bit off irritation and whinery… (ooh, Waiheke!!) I’m also still luckier than most of the people on the planet. When I remind myself of the life I’ve had and the people that I have around me, what’s to moan about? Admittedly there’s a lot more stuff I want to do and see and experience – but who’s to say I won’t. In the meantime, I still have wonderful family and friends, a job that I enjoy and that adds value, dreams of travel, plans to see people and be places and I get to live in a beautiful country, in a lovely little house, with a gorgeous back deck overlooking the biggest blue sky and a gulley of trees. I have a Yumster who love me and daughters who bring me joy. Sure NMO diagnosis is pants – but I’m still here, life goes on!
(oooooh! Turned it around!!!!!)
Big Snogs – love ya!
Btw – Dear Record Breakers, my pill tally at breakfast yesterday was 14 – is this a record!
Happy weekend lovelies!