Guest guest Posted November 30, 1998 Report Share Posted November 30, 1998 Hi Anne, I just had an EMG done a week or so ago. I've copied part of an e-mail I sent out detailing what's involved with the EMG (electromyograph). There's two parts to the test. The first part uses electrodes. They " zap " you with different levels of an electrical pulse and measure the time it takes to reach sensors that are placed on different parts of your body. This is how they tested me -- the sensors were placed on my hand and fingers and the electrode sends a current from my upper arm, elbow and other parts of my hand. They did the same type of thing to my leg. The longer it takes to reach the sensor, or if it doesn't reach the sensor at all, tells them there's nerve damage. This part of the test doesn't hurt, but it does feel really strange. The doctor told me its the same type of shock a dog gets from a collar with one of those electrical fences. The second part uses a needle. The needle is placed at several points in the body, for me it was two spots around my ankle, my shin, thigh, lower back, shoulder, upper arm, below my thumb, and on the fatty part of my hand below my pinky (I think there were a few more, but those are the ones I remember). First they listen to the nerves, if there's a buzzing or rattling type of noise, this means something's wrong. Next they test how the nerves conduct the messages sent by the brain. I had to move my hand/foot, or cause pressure by pressing against his hand to test this. This shows as waves on the machine. There's certain patterns that are normal, and anything out of the range or unusual tells them there's a problem. Another good thing about this test was that I got " preliminary " test result while he was doing it. We all end up waiting weeks for test results, it was nice to know right away. The test is alittle painful. But once it was over, so was the pain. There was a discussion about this last week on the list, and it seems we all tolerate it differently. But I hope it's easy for you. I was glad to have the test done because it showed nerve damage, which meant I got new meds that really help with the pain. I hope the tests show something that helps with your treatment. I'll be thinking about you on the 8th! Let us know how everything goes! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 1998 Report Share Posted November 30, 1998 Hi Again, I had my husband take me for my EMG. For me the test made my arm very tired (but it didn't hurt). So it was nice to know I didn't have to drive myself home. Plus the moral support is great to have. But if that's not an option, you'll be fine. It does sound like you're going to have a busy day on the 8th! Good luck, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 1998 Report Share Posted November 30, 1998 To SUSAN: Thank you for letting me know what to expect. I have a busy day ahead of me on the 8th. I have to be at that doctors office at 8:30am and I think the nurse said it should take maybe a half an hour. And then at 12:30, I have an appointment with my regular doctor who gave me the referral to go there. They said that I will get a brief report to take to my doctors until the full results come in. Your right, at least they let us know something. So like if they zap me and I feel it, I need to let them know right away, right? This needle thing, is it like acupuncture? I am wondering if they will just do my left arm? I mean that is where the pain is except for my legs. Sometimes I wonder if I have Lyme because it seems like the same places tend to hurt alot, like my legs for instance. The arm thing just started two weeks ago. I am wondering if I should be going by myself when I get that EMG done. Thanks alot and I will let everyone know how it goes. Hopefully, I won't chicken out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 1998 Report Share Posted November 30, 1998 Hi Anne, I am glad dug up her letter from last week about the EMG to share with you, it was an excellent explanation. I wish I had read it prior to my exams. Just keep in mind that you will be in our prayers on the 8th. It sounds as if they are looking for nerve damage to explain the numbness and pins and needles and pain you are having. > I am wondering if they will just do my >left arm? I mean that is where the pain is except for my legs. You should tell them what areas are bothering you so they can test them all at once, you would hate to have to go back and get them done at another time. > >Sometimes I wonder if I have Lyme because it seems like the same places >tend to hurt alot, like my legs for instance. The arm thing just >started two weeks ago. When I first got Lyme disease, my worst pains were in my neck, now two years later I have herniated disc in that area....it just developed and did not come from any injury or fall, so I definitely think it is from Lyme disease. When you say your arm hurts, is it in your shoulder area? When I herx, I get oddball pains all over the place, for instance a bad pain on the top of my foot that feels like someone is driving a wooden stake through it, or squeezing vise-like pains in my foot. Or horrible pain in my wrist. Then they are gone! It really is strange. > >I am wondering if I should be going by myself when I get that EMG done. I went by myself, it only hurts when it is being done, and just for a few seconds, but if you feel you will be shaken by the experience, do take someone with you to drive you home. > >Thanks alot and I will let everyone know how it goes. Hopefully, >I won't chicken out. Don't you dare chicken out, it is not that bad.....you may just say, " Is that all there is? " when you are done.... Hugs, Marta Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 1998 Report Share Posted November 30, 1998 Hi Marta, I hope you are feeling much, much better. Yes, 's explanation was a very good one. I actually understood what she was saying. *giggle* My whole arm just ached, and my shoulder area feels like it is out of whack. My foot, its usually the heel of my right foot, and both my legs hurt, they feel like their not going to make it sometimes. If you would kick me right now, they would probably break in two. The pains that I get are strange...your ok, and then all of a sudden you get a sharp pain in your leg or knees. Since my dad doesn't live too far from there, if I feel bad I will go to his house until my doctor's appointment and lay down there for awhile. I feel like such a baby. I think it would help if I had a valium before I went. Too bad I don't have any or know of anyone who does. At least that would relax me. Thanks Marta! Hugs, Anne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 1998 Report Share Posted November 30, 1998 Anne I only went to the ER because at that point they had no idea what was wrong with me, and I feared that it was all related to something backfiring in my brain. I now would call my lyme doc and see what he could do for me. Take care and good luck. Keep me posted. Thanks Amy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 1998 Report Share Posted November 30, 1998 Ann, I have my hands and fingers go to sleep. It seems to be connected to my cervical spine. They did an MRI (painless) and determined that I have bulging vertibrae that are pressing on nerves that connect to left hand, and particularly palm and certain fingers. They indicated that I could or should have surgery to correct this. I have found that a certain pillow (that japanase pillow with shells or beans in them) can mold to under your neck, kind of like a neck roll and often releave the symptoms at least temporarily. With all the other stuff going wrong right now, I can life with pins and needles in my palm, but if it gets bad, ask your MD for an MRI of cervical spine. At least its not painful. Hugs, Gail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 1998 Report Share Posted December 1, 1998 Anne, Call your doctor (the one who ordered the emg's) and ask him to rx a few valium. Tell him you are very anxious about the test. I recently did that when I had to have 3 MRI's back to back. (It wasn't that bad after all though.) My doctor called in a rx for three pills, one the night before the test one the day of, and one for after...it only cost $1.83 for the pills. The only thing is, then you definitely need someone to drive you for the test and back. Let me know how you make out. You are not a baby, all of us get anxious on occasion. As for your shoulder pain, that was the beginning of my herniated disc, if it continues, ask your doc for an xray, that would show cervical problems too, mine did. Marta >From: Anne Marie <amrhodes@...> > >Since my dad doesn't live too far from there, if I feel bad I will go to >his house until my doctor's appointment and lay down there for awhile. >I feel like such a baby. I think it would help if I had a valium before >I went. Too bad I don't have any or know of anyone who does. At least >that would relax me. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 1998 Report Share Posted December 1, 1998 Gail, thanks for the info. I will have to remember that if it continues to get worse. I know what pillow you are talking about, I think its called or made of Buckwheat. I need to get a special pillow for my acid reflux too, so maybe I will look into that. I hope your pains are less now. Hugs and God bless, Anne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 1999 Report Share Posted April 5, 1999 Hon, You are far from hopeless. My husband was on interferon..the depression was awful. Now that he has relapsed and tried interferon and the pill..the side effects were worse than the disease..for him. If you can go on without the interferon..I would give it a shot. Love, Carolee ---------- From: Scooby759@...[sMTP:Scooby759@...] Sent: Tuesday, April 06, 1999 9:15 PM Hepatitis Conelist Subject: Scared From: Scooby759@... Hi everyone. I found out I had Hep c about a year and a half ago when I was actively drinking and ending up in the hospital psych wards for depression and alcoholism. They must have screened my blood tests and thats how they found out. I have been clean and sober about 9 1/2 months and had a liver biopsy about a week ago. My doctor wanted to put me on interferon but just called and said she didn't think it was a good idea because of my past history. I was told I was " depressed " but not that I was an alcoholic when I was in the hospital. I abused medication and drank along with it. Now that I am clean and sober, I feel I am being punished for how I hit bottom, by not being able to have a chance to get better by taking the medication. The Dr. says it causes depression and she " doesn't want to chance it " . Does that mean I am hopeless? ------------------------------------------------------------------------ Share the wealth! http://www.ONElist.com Tell a friend about ONElist's 115,000 free e-mail communities! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 1999 Report Share Posted April 6, 1999 Hi , I was being treated for Depression and Anxiety disorder when I found out that I have Hepatitis C. There is a chance of depression getting worse if you are on interferon, but if your psyciatrist knows about the Hep C, he/she can work with your other doctor on the depression. Since I was on Wellbutrin, I didn't have any problem with depression while on interferon. People who are not getting help for depression might have a problem with it. You could get a little down, just because the inteferon makes you feel sick, like you have flu symptoms, but they don't last very long. Having to take the shots three times a week can be depressing, along with all the blood work and doctor visits that are necessry. But with my Wellbutrin, I didn't have much problem with depression, just some down days, but nothing serious. My doctor wasn't really concerned with the depression since I was on medication. Hang in there. Marie At 11:55 PM 4/5/99 -0400, you wrote: >From: Cherry 2000 <cherry2000@...> > >Hon, > You are far from hopeless. My husband was on interferon..the depression >was awful. Now that he has relapsed and tried interferon and the pill..the >side effects were worse than the disease..for him. If you can go on >without the interferon..I would give it a shot. > Love, > Carolee > >---------- >From: Scooby759@...[sMTP:Scooby759@...] >Sent: Tuesday, April 06, 1999 9:15 PM > Hepatitis Conelist >Subject: Scared > >From: Scooby759@... > >Hi everyone. >I found out I had Hep c about a year and a half ago when I was actively >drinking and ending up in the hospital psych wards for depression and >alcoholism. They must have screened my blood tests and thats how they >found >out. >I have been clean and sober about 9 1/2 months and had a liver biopsy about >a >week ago. My doctor wanted to put me on interferon but just called and >said >she didn't think it was a good idea because of my past history. I was told >I >was " depressed " but not that I was an alcoholic when I was in the hospital. >I abused medication and drank along with it. >Now that I am clean and sober, I feel I am being punished for how I hit >bottom, by not being able to have a chance to get better by taking the >medication. The Dr. says it causes depression and she " doesn't want to >chance it " . >Does that mean I am hopeless? > > >------------------------------------------------------------------------ >Share the wealth! >http://www.ONElist.com >Tell a friend about ONElist's 115,000 free e-mail communities! > > > > > >Attachment Converted: c:\mariek e-mail\attach\WINMAIL9.DAT > > >------------------------------------------------------------------------ >Looking to expand your world? >http://www.ONElist.com >ONElist has over 115,000 e-mail communities from which to chose! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 1999 Report Share Posted April 6, 1999 Hi , When I was diagnosed 6 years ago, the doctor wouldn't treat the Hep C because of my history of depression. My primary doctor kept an eye on my depression for 1 1/2 years, at that time the doctors decided that my depression was in control and started me on Interferon. I did have to increase my antidepressants while on Inf, but I am doing fine. Hang in there.....You are not hopeless. hugs, Judy M Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Well, today is not a good day for me. I am extremely down in the dumps after calling the lab and finding out that my ALT, AST and GGT are slightly elevated now after weening off the predisone. I guess I know what that means. I will have to up the dosage again, which really ruins my weekend. I was diagnosed in July with AIH and started taken the meds in July. All has been normal until now. I wonder if this is going to be the course I'm going to take where I'll always have to be on high doses of the pred. I was almost in tears as I hung up the phone with the lab. I just want to be NORMAL!!!! I am sorry I am griping so much. I just need to get it out of my system. Geri, I read your comment about not worrrying about things in the future that haven't even happened yet. I really needed to hear that. I am the world's worst about worrying about tomorrow today. I have always been that way. I guess that's why it is so ironic that I have this disease where there is no predictiability. Thanks for listening Audra, AIH Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Dear Audra: Whether or not they increase your prednisone again will largely depend on just how elevated your enzymes are. If they are only up a little, maybe the doctor will wait and see if they go up any more. If he does suggest starting prednisone again, ask if you can start at a low dosage, to see if you will respond to that, instead of starting again a 10 or 20 mg. Hang in there! Take care! Kathy (AIH) Seattle area Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Kathy, I am currently on 10 mg of pred and have been weening off of pred the last couple of months. My enzymes are just slightly elevated. I'm thinking this means back up to 15 or 20 again. Audra, AIH Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Audra, It could mean going back up...or it could mean staying where you are...or it could mean a slower taper. You and your doc have to weigh the risks of slightly elevated enzymes vs prednisone. Keep in mind that at 10mg and below, the bad effects of prednisone are at a minimum. Your doc may opt for a slight elevation and followup with a bx to see how much, if any, additional damage is being done to your liver. Don AIH Minneapolis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Audra, It could mean going back up...or it could mean staying where you are...or it could mean a slower taper. You and your doc have to weigh the risks of slightly elevated enzymes vs prednisone. Keep in mind that at 10mg and below, the bad effects of prednisone are at a minimum. Your doc may opt for a slight elevation and followup with a bx to see how much, if any, additional damage is being done to your liver. Don AIH Minneapolis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 My doctor had me go off prednisone after about nine months and I had to go back on immediately as the enzymes were shooting higher. The second time he had me go off, I asked him about increasing my Imuran. He increased it from 75 mg per day to 100 mg and I got off successfully. He now has me going back to 75 mg Imuran and the AST is slightly up. I will know more next month when I get my blood tested again. I recall someone in this group quoting Dr. Czaja at Mayo as saying he keeps patients on prednisone for two years before he starts withdrawing it. Anyone else remember something like that?? ADilli5783@... wrote: > > From: ADilli5783@... > > Well, today is not a good day for me. I am extremely down in the dumps after > calling the lab and finding out that my ALT, AST and GGT are slightly > elevated now after weening off the predisone. I guess I know what that > means. I will have to up the dosage again, which really ruins my weekend. I > < <rest of note snipped> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 My doctor had me go off prednisone after about nine months and I had to go back on immediately as the enzymes were shooting higher. The second time he had me go off, I asked him about increasing my Imuran. He increased it from 75 mg per day to 100 mg and I got off successfully. He now has me going back to 75 mg Imuran and the AST is slightly up. I will know more next month when I get my blood tested again. I recall someone in this group quoting Dr. Czaja at Mayo as saying he keeps patients on prednisone for two years before he starts withdrawing it. Anyone else remember something like that?? ADilli5783@... wrote: > > From: ADilli5783@... > > Well, today is not a good day for me. I am extremely down in the dumps after > calling the lab and finding out that my ALT, AST and GGT are slightly > elevated now after weening off the predisone. I guess I know what that > means. I will have to up the dosage again, which really ruins my weekend. I > < <rest of note snipped> > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Audra I know how you feel about just wanting to be normal. Predisone and imuran have destroyed my body, it's so bad that I'm embarrassed to be seen in public, even by my doctors. My body even though I'm now loosing weight still are getting these stretch marks and are now climbing up past my belly button. i got facial hair, now gone thanks to entocort, and at being diagnoses at 23 I lost allot of my 20's I believe. Even though today at 27 i go out and pretend that it does not bother me (my appearance it really does) I know longer try to pretend i can keep up to my friends. My days off work are spent thinking about doing house work, and the day prior to my work day is spent in bed. I get really angry when one of my staff says they can't come in cause the have a sore body part, or they think they are getting a cold. I get mad when a staff young and healthy gets hit by an individual in a controlled environment and takes a week off of work for stress. last week I got attack in my vehicle while driving and I'm afraid of taking one moment off because maybe all get fired because of my health. my job pays my bills along with all my medical and i can not loss it. I got a call from my work saying there is a rumor going around that I'm dying and will not be coming back??? my response was I hope I don't look that bad?? So now my hr. at work have changed because people feel safer when i'm there?? so hrs are 3-11pm which will be a challenge not to fall asleep at 930?? Sometimes I feel if i lose my job I have lost the fight with aih, because it has taken another " normal thing away " . When I started to write I thought I try to cheer you up, opps failed at that, sorry. I must have had to vent. thanks for listening Sorry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Audra I know how you feel about just wanting to be normal. Predisone and imuran have destroyed my body, it's so bad that I'm embarrassed to be seen in public, even by my doctors. My body even though I'm now loosing weight still are getting these stretch marks and are now climbing up past my belly button. i got facial hair, now gone thanks to entocort, and at being diagnoses at 23 I lost allot of my 20's I believe. Even though today at 27 i go out and pretend that it does not bother me (my appearance it really does) I know longer try to pretend i can keep up to my friends. My days off work are spent thinking about doing house work, and the day prior to my work day is spent in bed. I get really angry when one of my staff says they can't come in cause the have a sore body part, or they think they are getting a cold. I get mad when a staff young and healthy gets hit by an individual in a controlled environment and takes a week off of work for stress. last week I got attack in my vehicle while driving and I'm afraid of taking one moment off because maybe all get fired because of my health. my job pays my bills along with all my medical and i can not loss it. I got a call from my work saying there is a rumor going around that I'm dying and will not be coming back??? my response was I hope I don't look that bad?? So now my hr. at work have changed because people feel safer when i'm there?? so hrs are 3-11pm which will be a challenge not to fall asleep at 930?? Sometimes I feel if i lose my job I have lost the fight with aih, because it has taken another " normal thing away " . When I started to write I thought I try to cheer you up, opps failed at that, sorry. I must have had to vent. thanks for listening Sorry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 , It sounds like you're still having a rough time. Don't let depression get you down again! I know your job causes a lot of frustration for you, but I also remember how you used to tell some funny stories about your experiences on the job and with the people you are caring for. That was a pretty cold thing to do - for that person from work to call and ask if you're dying. I can't believe how insensitive some people are. You should have just said, " No, I'm not dying. Are you? " Take care, Geri Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 1999 Report Share Posted November 6, 1999 Barbara, << I recall someone in this group quoting Dr. Czaja at Mayo as saying he keeps patients on prednisone for two years before he starts withdrawing it. Anyone else remember something like that?? >> The liver transplant clinic at Scripps in La Jolla, California keeps patients on Prednisone for two years minimum I was told. In some cases, they remain at a minimum of 2.5 to 5 mgs. permanently - for life. Apparently I'm one of those who will always take 5 mgs. minimum for life though it wasn't explained to me why. However, my Internist did comment recently that " given your history, you will never be able to take less than 5 mgs. of Prednisone. " What history? Not that much different from all of yours except I haven't had any flare-ups, and I did have stage IV cirrhosis when I was diagnosed. My Las Vegas Hepatologist, who happened to get his Fellowship at Scripps, started weaning me off Prednisone in mid-1998. When I got down to 10 mgs. I developed giant hives and he commented that for some reason my immune system had gone wild. I went back to 15 mgs. then started down again, until New years Eve 1998, when I was down to no Prednisone. By then, apparent adrenal insufficiency was so severe I could hardly walk because of pain and fatigue. A Rheumatologist from Scripps then put me back on 10 mgs. and the pain let up considerably. Once the weaning started again, the pain increased and has been consistent ever since, except now it looks like something else (so far undiagnosed) has developed that's causing bone problems. When I got down to 5 mgs. this last time, I was given the final decision that it's going to be 5 mgs. for me from now on. As we've all experienced, higher doses of Prednisone masks pain while it's doing it's own destructive thing. But, it does seem to halt inflammatory processes thus liver elevations, most of the time. Sometimes it feels like a lose-lose situation. Take care, Geri Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 1999 Report Share Posted November 7, 1999 Audra, << Geri, I read your comment about not worrying about things in the future that haven't even happened yet. I really needed to hear that. I am the world's worst about worrying about tomorrow today. I have always been that way. I guess that's why it is so ironic that I have this disease where there is no predictability. >> I've had my share of feeling anxious, to the point where everything that was worrying me would march through my head all night long until I would nearly have a full blown anxiety attack. I wish I could remember the " gestalt " that helped me get beyond that. I somehow was able to do a turnaround with my outlook on life and the future and now I simply refuse to buckle under to fear of the unknown future. I think that all of us can look back at times when we were certain the worst possible would happen, and even when it doe, we realize we survived and wonder why we were so afraid. Humans are amazingly resilient. It's just too bad that we have to be put to the test to discover this about ourselves. It helps to have a place like this to go where we can put those unknown ghosts out in the open. It's like leaving the closet door open instead of worrying that something is hiding in there. When it's open, you KNOW what's in the closet. Take care, Geri Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 1999 Report Share Posted November 7, 1999 Hi Audra, I think your doctor's decision about a possible increase in prednisone will depend on your individual condition and progression of AIH. A spike in liver enzymes isn't necessarily an indication to increase meds. A lot depends on the combinations of other results in your labs. I REALLY hate taking meds of any kind. But I like living more than I hate meds, and I'm sure you do too. The most important concern is to improve your liver function, and prevent any damage to your liver. You are young and have your whole life ahead of you. There are people with AIH, who are able to work, have babies, raise a family, and lead active lives. There's no reason to believe you are not one of them. Sometimes it takes a while to find the combination of drugs which will keep you stable. The way I see things is that even the healthiest people don't know what tomorrow will bring, maybe the lesson is to make the most of every day. As we say around my house, " Don't jump off the bridge UNTIL you come to it. " Regards, Barbara Ann AIH Transplant Recipient Quote Link to comment Share on other sites More sharing options...
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