It's My Nerves!

I haven't written a personal blog post for aeons. But here we are.

I went this morning for an EMG and nerve conduction tests. I've had them before and it involves sending electrical impulses through you to see what your nerves are doing, then putting a needle into your muscle and sending electrical pulses through that as well. It pretty much is as unpleasant as it sounds, though the wire in the leg muscle wasn't as painful as it was last time.

The problem came when he tested my arms as well. This, I think, is supposed to be a way that they can compare the damaged nerves in my legs to nerves in my arms which are ok. But the nerves in my left arm are, it seems, not ok. He kept asking me questions about my left hand. Was I *sure* it wasn't numb? Was I *sure* it was ok. I eventually admitted that I have been having some trouble touch typing with it, and he did some sensation comparison things on both my hands and, sure enough, I have a loss of sensation in my left one. This was clearly showing up in the tests he was doing, which is why he was so insistent.

The thing that scares me is that the neurological problems started with my left foot and leg, then a few weeks later affected my right foot. Now it has affected my left hand, I fear my right hand will be next and then... who knows? I do know, from reading, that this does happen with neuropathy.

He didn't give me any results or analysis, he sends his results to the neurologist who will then go through them with me. But I'm more than a little depressed about potentially having hands as crap as my feet.

Later I went to see my GP to talk about the ongoing neuropathic pain from the site of my neurosurgery last February, and he has increased my gabapentin dose. I'm trying to be optimistic but it hasn't helped so far, and it has thoroughly foul side effects for a few weeks with each increase. I'm going from 1200mg a day to 1800mg a day.

And there's more, of course. There always is. But that will do for now.

Diagnosis Research

At a hospital appointment last week, I received a diagnosis of sensorimotor axonal neuropathy. Possible causes they are looking at are medication-related, coeliac disease, and vasculitis. We know that I don't have diabetes or alcoholism, which are the most common causes.

So, of course, I'm doing all the googling. Amongst others, I have learned these two things:

1)

With exception of the Roman Catholic Church, most mainline Christian churches offer their communicants gluten-free alternatives to the sacramental bread, usually in the form of a rice-based cracker or gluten-free bread. These include United Methodist, Christian Reformed, Episcopal, Lutheran, The Church of Jesus Christ of Latter-day Saints, and many others.

Roman Catholic doctrine states that for a valid Eucharist the bread must be made from wheat. [...] On August 22, 1994, the Congregation for the Doctrine of the Faith apparently barred coeliacs from ordination, stating, "Given the centrality of the celebration of the Eucharist in the life of the priest, candidates for the priesthood who are affected by coeliac disease or suffer from alcoholism or similar conditions may not be admitted to holy orders." After considerable debate, the congregation softened the ruling on 24 July 2003 to "Given the centrality of the celebration of the Eucharist in the life of a priest, one must proceed with great caution before admitting to Holy Orders those candidates unable to ingest gluten or alcohol without serious harm."

2)

In patients with an aggressive, evolving polyneuropathy or a specific paraneoplastic syndrome, additional testing for an occult malignancy is often performed

(my bold - am I possessed by some kind of ghost with cancer?!)

More seriously of course, it is good to finally have a diagnosis. Just need to try and get to the bottom of what's causing it, to be able to find out if it can be treated.