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Deborah's Diagnosis

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Lots of people, including me, are confused about the current state of

Deborah's diagnosis.

I believe she was first told PD then MSA then a scan (not sure what type of

scan) in California showed mild PD and possible PSP, then a PET scan in New

York showed Chiari... I'm probably missing something or have it confused...

is there any agreement right now among doctors of what you have? It sounds

like a combination of things at this point. I read your slides and reports

but I'm still really confused, one of your scans had the word " normal " on it

which really confused me. I wonder if you or can go through the

chronology again of which tests showed what.

Hugs,

Pam

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Pam, I'll try to answer your question.

1. MRI, dx with PD in July 1999

2. MRI, dx with MSA in Sept. 2000 due to rapid progression, lack of response

to PD meds and symptoms.

3. MSA dx stayed but was referred for DBS in October 2001 as to it's

likelihood of relieving all symptoms of rigidity and muscle spasm pain

resulting from it.

3. CT scans and MRI's confirmed DBS would be warranted in Dec. 2001

4. DBS surgery on the R STN on Dec. 21, 2001

5. Staph infection, brain, neck chest Jan. 2002... resulted in DBS removal.

6. Toxic reaction to Dilantin, Vancomycian, Clindomycian and Riphampton in

January 2002 leading to hospitalization for presumed s

Syndrome in Feb. 2002.

7. From Feb.- July 2002... more steroids, another hospitalization and immune

system failure.

8. July 2002... saw a neuro ophthalmologist who stated that my declining

eyesight was related to severe brain stem atrophy.

9. July 2002... Saw Dr. Levesque and his dx and report are on my photo

site.... http://community.webshots.com/user/tenacitywins

10. August 2002, with Rx for F-DOPA Pet scan and the email you sent me from

another list member about where to go and who to talk to got me in to see

Veejay, a neuroradiologist and Long Island Jewish Medical Center.

11. Had F-DOPA PET scan in early August. Veejay said it showed only early

PD and I should be out dancing. Requested that we stay and have a FDG PET

scan to rule out PD+ syndrome.

12. Had FDG PET scan and it showed some minimal lack of activity in the mid

brain region presumably related to a Chiari Malformation.

13. Test results are on my photo site along with pics of the two PET scans.

called the hospital this morning after reading your post and they

will be emailing us 2 positive PET scans for me to post to show the

difference between NO PD and NO MSA to that of someone who actually has this

disorder.

14. The tests that I did have and the results that I am aware of (still

waiting for the actual medical reports to come in) are listed in a response

that I made to and his questions.

They still are not 100% sure of what I do have but they are 100% sure of

what I don't have. This was confirmed beyond any doubt in the PET scans.

The neuro's that I saw all concluded that without these two tests, they too

would have said that I have classic MSA. They are currently treating me for

seizures to see if that could be related to everything. My body is still

too toxic to have any conclusive decision made. They want to taper my meds

and give my body time to heal and then re-do the tests. The test for actual

problems for the Chiari malformation were not done b/c I never got a severe

enough migraine headache which was needed to show spinal fluid pressure.

I hope this helps explain what is and is not going on. Pam, I don't have

the address of the guy who sent you the email that you forwarded on to me

about the PET scan machines and Long Island Jewish Medical Center. If you

have it please send it to me. It is because of this group, everyone's

support, your kindness and the mystery man's email that I was able to get to

where I am right now. I can't begin to tell you how very very grateful both

and I are for this.

Hugs and Warm Fuzzies,

Deborah aka Tenacity

_________________________________________________________________

Join the world’s largest e-mail service with MSN Hotmail.

http://www.hotmail.com

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The mystery man who had sent me the PET scan info that I happened to come

across in my mailbox was Al LeBlang ASLB@... I'm not sure Al is still

reading messages at this site as he was quite interested in scanning

technology and surely would have chimed in by now.

I know lots of people diagnosed with MSA or PD or another PD-Plus disorder

are questioning whether or not to have an FDG PET scan. We know you are

glad you had it and feel it gave you answers to some questions yet Dr.

Lieberman, the National Parkinson Foundation medical director, says they are

of limited use. I know people are questioning their or their loved ones

diagnosis and looking for some guidance on this and it seems there really is

none. People need to decide with their doctors on the best course of

action for them.

I think I recall that when I was helping you search for centers that did

this test that there were only about a half dozen in the US. This is

certainly the cutting edge of research with a technology so new that there

is disagreement on it's usefulness as well as limited access to the

technology itself.

Hugs,

Pam

----- Original Message -----

> I hope this helps explain what is and is not going on. Pam, I don't

have

> the address of the guy who sent you the email that you forwarded on to me

> about the PET scan machines and Long Island Jewish Medical Center. If you

> have it please send it to me. It is because of this group, everyone's

> support, your kindness and the mystery man's email that I was able to get

to

> where I am right now. I can't begin to tell you how very very grateful

both

> and I are for this.

>

> Hugs and Warm Fuzzies,

> Deborah aka Tenacity

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so u do not have msa???

Deborah Setzer wrote:

>

> Pam, I'll try to answer your question.

>

> 1. MRI, dx with PD in July 1999

>

> 2. MRI, dx with MSA in Sept. 2000 due to rapid progression, lack of response

> to PD meds and symptoms.

>

> 3. MSA dx stayed but was referred for DBS in October 2001 as to it's

> likelihood of relieving all symptoms of rigidity and muscle spasm pain

> resulting from it.

>

> 3. CT scans and MRI's confirmed DBS would be warranted in Dec. 2001

>

> 4. DBS surgery on the R STN on Dec. 21, 2001

>

> 5. Staph infection, brain, neck chest Jan. 2002... resulted in DBS removal.

>

> 6. Toxic reaction to Dilantin, Vancomycian, Clindomycian and Riphampton in

> January 2002 leading to hospitalization for presumed s

> Syndrome in Feb. 2002.

>

> 7. From Feb.- July 2002... more steroids, another hospitalization and immune

> system failure.

>

> 8. July 2002... saw a neuro ophthalmologist who stated that my declining

> eyesight was related to severe brain stem atrophy.

>

> 9. July 2002... Saw Dr. Levesque and his dx and report are on my photo

> site.... http://community.webshots.com/user/tenacitywins

>

> 10. August 2002, with Rx for F-DOPA Pet scan and the email you sent me from

> another list member about where to go and who to talk to got me in to see

> Veejay, a neuroradiologist and Long Island Jewish Medical Center.

>

> 11. Had F-DOPA PET scan in early August. Veejay said it showed only early

> PD and I should be out dancing. Requested that we stay and have a FDG PET

> scan to rule out PD+ syndrome.

>

> 12. Had FDG PET scan and it showed some minimal lack of activity in the mid

> brain region presumably related to a Chiari Malformation.

>

> 13. Test results are on my photo site along with pics of the two PET scans.

> called the hospital this morning after reading your post and they

> will be emailing us 2 positive PET scans for me to post to show the

> difference between NO PD and NO MSA to that of someone who actually has this

> disorder.

>

> 14. The tests that I did have and the results that I am aware of (still

> waiting for the actual medical reports to come in) are listed in a response

> that I made to and his questions.

>

> They still are not 100% sure of what I do have but they are 100% sure of

> what I don't have. This was confirmed beyond any doubt in the PET scans.

> The neuro's that I saw all concluded that without these two tests, they too

> would have said that I have classic MSA. They are currently treating me for

> seizures to see if that could be related to everything. My body is still

> too toxic to have any conclusive decision made. They want to taper my meds

> and give my body time to heal and then re-do the tests. The test for actual

> problems for the Chiari malformation were not done b/c I never got a severe

> enough migraine headache which was needed to show spinal fluid pressure.

>

> I hope this helps explain what is and is not going on. Pam, I don't have

> the address of the guy who sent you the email that you forwarded on to me

> about the PET scan machines and Long Island Jewish Medical Center. If you

> have it please send it to me. It is because of this group, everyone's

> support, your kindness and the mystery man's email that I was able to get to

> where I am right now. I can't begin to tell you how very very grateful both

> and I are for this.

>

> Hugs and Warm Fuzzies,

> Deborah aka Tenacity

>

> _________________________________________________________________

> Join the world’s largest e-mail service with MSN Hotmail.

> http://www.hotmail.com

>

> If you do not wish to belong to shydrager, you may

> unsubscribe by sending a blank email to

>

> shydrager-unsubscribe

>

>

>

>

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