Thursday, June 6, 2019

Stanford you have been forgiven

I have to say my first experience with Stanford specialists left a lot to be desired. M and I walked out of the building shell shocked, flabbergasted and disillusioned.
Today they have redeemed themselves.
I spent 5 solid hours of my day in the Autonomic Clinic of the Neuroscience specialty of the neurological department at Stanford hospital. Not to name drop or anything. Sounds fancy doesn't it?
This is one of the top clinics for Autonomic nervous system disorders in the world. These specialists are few and spread out internationally.
I'm extremely lucky to live 20 mins from this clinic and to have Drs who referred me to see them.
The testing was mildly brutal I must say, but the technician and I became friends over my two and a half straight hours in his lab so it ended up being enjoyable getting to know and chatting with someone new. Which is one of my favorite things of course.
He was thorough and apologetic when his tests were dizzying, nauseating and difficult but we got through them all.
He mentioned probably five times over the course of hours what a positive person I am in the face of a gazillion issues and what a great attitude I have and he even said thank you for that! It was lovely. It made me feel bad for him a bit dealing with unhappy people all the time? so I asked him:
"Do you get a lot of people who come in here just miserable and grumpy and complaining?"
"Oh yes we do, and I understand that as well. They are dealing with horrible stuff. But you remind me it's all about perspective in life. You change your perspective just a little bit and it changes everything. So thank you for reminding me of that." Deep thoughts in the Stanford Autonomic testing lab. And I must say that's one of the biggest compliments I have ever received! I really appreciated his candor.

When I left my new friend, after convincing him to go to Hawaii on vacation and take his parents to help with their new 6 month old girl, I was off to the Dr to interpret the findings. (And I could finally get coffee after fasting for sooooo long!)
This time this Dr, same one as before,  was more personable, provided relevant information and explained things thoroughly. I left there feeling good knowing that I had been thoroughly tested, poked, prodded and examined and confident in the information I now had. And reminding myself I should know better than to judge by just one visit.

The news isn't great. I didn't leave happy with the actual information, but from the perspective of a chronically ill person answers are awesome, good or bad really. It's a twisted world we live in.

So for those of you who are paying attention to/interested in the technical  medicals side of things he is very confident that the lupus diagnosis is correct because the problems he found are only caused by a handful of things- one of which is Lupus. (The others were instantly ruled out actually). So what it is boiling down to is systemic Lupus with cardiovascular Autonomic neuropathy and orthostatic hypotension.
Quite the mouthful huh?
Basically it's:
Lupus- attacks the connective tissue and
It effects all body systems -systemic
With
Cardiovascular- the heart and blood vessels
Autonomic- the part of the nervous system that controls automatic functions; in this case mainly heart rate, heart filling and emptying and blood pressure
Neuropathy- nerves gone wrong (diseased, malfunctioning, dying, etc in my case malfunctioning because they are being attacked by my immune system)

So because my immune system turned bad and is attacking me (the Lupus) the nerve that controls my heart isn't working, so it doesn't tell my heart to fill and empty when it's supposed to, to pump the blood out when and how it's supposed to or not to beat so fast when it doesn't need to. And the nerve to my blood vessels isn't telling them to constrict and relax regularly and when they need to (so my BP is inconsistent- orthostatic hypotension means my BP drops when I stand up). So my blood isn't going anywhere it needs to be when it needs to be there if you think about it.... Lol.
This explains why I stutter and can't think straight so often. There's no blood in my brain! I wonder if I'll be smart again if I hang upside down.... Hmm food for thought.

So that was my day. Wasn't a bad day at all. The sun was shining, they gave me a coffee and lunch break so I walked to Starbucks. I met some nice people, learned some cool stuff about the nervous system and got some answers. All in all a pretty good day.

2 comments:

  1. My blood pressure is 80 over 50. Should I go to a Nuerologist? I can't afford co pays for insurance as a single mom.

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  2. Im sorry I cannot comment on medical issues you need to contact your Dr. I know insurance is an issue but they are the ones to be able to help you. Good health!

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