Transverse Myelitis: My Feet Are Baked Potatoes!

This is my story of Transverse Myelitis.
Hint: The floor is lava!

If you’re a regular reader -crickets- you know that on August 11th of last year I was diagnosed with a very rare spinal/neurological disease called Transverse Myelitis. ‘TM affects approximately 1 person in a million. Yes, I AM one in a million but that goes without saying.

House MD Vicodin ad

I’ll accept the Oxy instead. Thanks Doc

If you’ve never heard of Transverse Myelitis it’s not surprising. It’s the kind of thing Gregory House would diagnose.

My primary care doctor had never heard of it. A neurologist in a small or medium-sized city may come across one case in their lifetime. It’s a wicked disease with a sudden onset and 80% of the time no forewarning. If a TM sufferer does have severe unexplained weakness in their legs it can be shrugged off with ‘Jesus I need to get more exercise’ or if they pee themselves before getting to the toilet on two or three occasions consider ‘Fuck I’m getting old fast.’

Don’t ask me how I know this.

I was on disability for a completely unrelated illness before the TM onset. Usual story; A mild-mannered writer, musician, Veteran Burner of 8 years and dangerously fast downhill skier. Okay, not so much the mild-mannered.

One day I was running errands with a friend and slowly became disoriented.  I insisted on making a bank deposit. It was Sunday and no banks were open but why let reality get in the way of a swelling brain? My dear friend TK pulled up to a random building, gave a hobo $5.00, and pulled away from the curb back into traffic. Seems this cunning plan satisfied me. He then drove directly to the hospital. I opened the car door, and  stepped out. On to my face. Seemed my legs were no longer listening to my brain.
Next thing I remember is being in the emergency room with a morphine, then Fentanyl, drip. The pain was worse than:

  • a) 29 Hours of Labor and Childbirth
  • b) Passing a Kidney Stone As Big As The Ritz
  • c) Lumbar Fusion and Recovery
  • d) Rupturing Gallbladder
  • e) All of the Above. Combined

There was a barrage of questions which I answered cogently yet have no memory of. Followed by MRI’s, lumbar puncture, blood work and finally neurologists jacking me up with steroids. By the next morning I was paralyzed from the waist down. Screw that! During my two month hospitalization  I went from all wheelchair to sometimes using a walker in the halls, stopped drinking coffee with my forehead, and ditched the catheter. Unexpected and inopportune releases of natural gas still occur and I have to schedule bathroom visits to make sure my bladder isn’t full, but it beats the hell out of a colostomy bag!
The first two weeks in the hospital were also spent with psychosis and hallucinations. This was a side-effect of the steroids. Didn’t make many friends during that time. At one point I briefly came out of it and was chained, with what looked like dog leashes, to a wheelchair. Remember yelling about contacting attorneys, the police and possibly the Better Business Bureau.
Found out later that my restraints were there for my safety. Not the nurses. Whoa.

TM has other dandy symptoms besides paralysis. Chronic pain. Forever. Nerve damage that causes, in my case; electrical shocks, twitches, balance problems, overwhelming fatigue, nerve pain manifesting as molten lava running from hip to foot, ripping into the tops of my feet with what feels like a dragon’s claws. There are a host of bizarre and ever-changing indications. Hell, my blood pressure permanently dropped 20 points. Went from severely hypertensive and on Lisinopril to having an attention-grabbing low B.P. Told you that the cigarettes would never kill me.
I walk on stilts and my feet are baked potatoes.
Right? How the hell do you describe this shit.
In the future I look forward to brain lesions, respiratory failure -told you that the smoking would never kill me- and a possible slide into MS. The latter scares me as there are a few people in my Facebook support group who have faced it. We TMers wake up every morning not knowing what symptoms will occur that day. It makes us braver, more careful of our health, and perhaps a bit more neurotic.

The Grateful and Positive Scale:  I am NOT tied to a bag for the remainder of my life. The lesion is at C4 and my arms work pretty damn well. Bonus: I did not die within 48 hours of a misdiagnosis. Lots of people with TM are quads or remain permanently paralyzed from the waist down. Too many are not diagnosed quickly enough. The paralysis gets to the chest and they die of organ failure, gasping for breath,  before anyone realizes what has happened.
I’m one of the lucky ones. Two neurologists were on staff that night and both had treated a Transverse Myelitis patient.
It’s called Transverse Myelitis as the lesion crosses the spinal cord. The lesion transverses the spine. Myelitis is an inflammation of the spinal cord. For an unknown reason your immune system decides to attack and destroy the mylan (the sheath surrounding the spinal cord), instead of sitting in a corner or working itself up over a flu shot.

There's a Baked Potato Inside Each One

There’s a Baked Potato Inside Each One!

I had to leave my home in Nevada (because I shot a man in Reno, just to see him die), gave away more than half of my possessions, and moved in with -gulp/shudder/eeeek!- my mom. Life is lived in a small bedroom at the back of her house. I only get out for numerous doctor appointments, and now Physical Therapy. P.T. is awesome by the way. Painful, but awesome. The first positive feedback on a miraculous recovery that I received, from anyone, in 6 months, was from one of my P.T. therapists. He said I was serious and making great progress. Whoop!

Unfortunately there is no one in this town that I know. Can’t drive a car so it feels like I’m a prisoner. My boyfriend of 3 years came to visit me during the 5th week of my hospitalization, my legs were still paralyzed.  He said he’d met someone new.
Honestly, I wish I were dead most days.
Between pain and loneliness, being fairly certain that no man will ever want me again, and no longer having a home of my own, life can be a bummer. Okay it sucks.

It took six months for mom to admit that her eldest daughter would be mainly wheelchair-bound for the remainder of her life. My mom is awesome, but she’s the poster for ‘We’ll Simply Ignore it and it Will Go Away Syndrome’. Finally this week she took me to Cripples-R-Us, and we made the leap to reality.

Those bastards wanted $300.00 for the cheapest manual wheelchair model, on sale. Yeah right.
After getting back home I spent close to fourteen hours researching all kinds of chairs online. Actually found the one I test drove and ordered it yesterday. $166.00 fully assembled. I rock. Plus, there’s money left over to pay on the collection accounts with various physicians and hospitals, and two chocolate bars. 70% Dark with Sea Salt.
The chair should arrive on Tuesday. This has cheered me immensely today. I’ll do the daily at home P.T. regimen for the rest of my life, but there’s no way I will walk more than a few steps, with a serious gait weirdness. Can do about 5 minutes in the house, with the Cadillac (a cherry-red walker with brakes and a seat) before the pain skyrockets, feet go completely numb and legs give out.  You better believe I’ve been working it though. ANYTHING to get better and get my life back.

Still, there are situations that most everyone with a spinal cord injury faces. Mainly, I don’t know what the fuck I’m doing. Haven’t saved enough to afford the 20% co-pay for the power wheelchair prescribed by the neurologist. The nerve problems in my hands and arms sometimes cause them to cease functioning correctly. A manual chair is just fine with me now though.
Hey baby, can you give me a little push? -provocative wink-
Where do I go for help? Is there any? If it were not for my mother I’d be homeless. How many people do not have this opportunity? What happens to them? Questions pound my head every waking hour.

Worried about transportation in this very rural area. Worried about finding a place to live. Worried about a motorized wheelchair. I’m too young for everything from low-income senior housing (jesus that sounds depressing eh?) to meals on wheels.
How do I get to the barrage of doctor appointments that TM brings? They’re all in Folsom and El Dorado, a half hour drive. The neurologist, Dr. Mengle, sorry Dengle, is in Sacramento. An hour away.

Force my head to consider the progress and good things. Never did purchase AFO braces for my feet and legs.It’s too late now. I can stand on a foam cushion for 20 seconds, and once, on the floor with my feet together, eyes open, for a full minute.
The Lyrica helps with the electrical shocks and best of all I hardly ever twitch now. Words no longer fail me, unless it’s in response to a surreal utterance by my daughter.
Continue working on getting the pain meds balanced and fine tuned. Right now I’m a walking DEA raid. It’s gonna stay that way. Considering a large stock purchase in Milk of Magnesia.

Found a cool psychologist (makes a stylish bookend to the psychiatrist) here in Hangtown. He’s helped convince me to start a screenplay (been thinking of this for a few years) and use this to begin a new direction of life. As with the Transverse Myelitis, I DON’T KNOW WHAT THE FUCK I’M DOING! Learning though. Outlining the story, reading scripts, trying to take the director outta my head and remember my only job is to write. For now.
Beats watching Wheel of Fortune and eating Pringles all day.

Get Up. Get Out. Get Better.
Brilliant isn’t it?
These are the words of Lynne Murray, the nifty guy who rolled up and introduced himself to Sandy and I a few weeks ago, as we sat sipping coffee and making a scene at the Cozmic Cafe. Lynn heads a group called the Placerville Mobility Support. There are meetings the 4th Monday of each month. I can hardly wait.

TM sexy~Miss R

Merry Christmas! The Late Edition

It’s been a crazy few months. Wanted to dash off a Merry Christmas and Happy Holidays to you all. This is my favorite gift, from Peter of Wombania

My Christmas Card from the delightful Wombies

My Christmas Card from the delightful Wombies

Taking steps to regain my life back, literally. Really not steps so much as generic ambulation. It’s a start and it’s cooler than bow ties and a fez. The fatigue from the disease is akin to being hit by a truck every single day. The pain too. I ask you all to forgive my absence. The only thing I want for Christmas? A cure for Transverse Myelitis and for all of those who suffer far worse than myself.

Was accepted to the Johns Hopkins Transverse Myelitis program. All set to buy the plane ticket and check in for the first appointment. After much back and forth on the phone it was decreed at the last minute:  there is no housing for out-patients in clinic programs.
What the hell? Don’t they know who I am? Will work for treats.
Rents in Baltimore? Out of my league. Assisted living options in Baltimore for six months? Throw that in the ‘Brother Can You Spare A Dime’ pile as well. Tried everything possible to find funding. Nothing could be done. No charities for TM, no way to set up a fund or charity for myself. It’s still a dream.
Hell, I still don’t have an electric wheelchair, but I’m saving the gelt up.

Making strides far beyond the original prognosis -rim shot-. Hard work makes for amazing results. I lay about the house all day and exercise. It’s possible in Rachael Land
Was given a roughly 10% chance of walking again. Really? Don’t tell me what to do. I’m better off that way.

May you all have a wonderful, fattening, laughter-filled holiday iced with love and joy. If you don’t see me much it’s because I’m working on a new project, the most important one ever. Crafting a new life, learning to walk and talk and shake it baby.

Tripping the Light Fantastic. With no net.
Walk like an Egyptian? Never!
Dance like a Rockefeller? Hell yes.
Puttin’ on Riiiitz!

Putting on the Ritz

Merry Christmas to All and to All a Good Night!
~Miss R

You Wish You All Could Be California Girls

I killed a man in Reno just to see him die.

No, don’t worry. The Reno PD are slow to find bodies. Or their own squad cars. This has given me time to return to the state of my childhood and another ten years here after the golden age of music, idiocracy and debauchery: Living and working in NYC during the 80’s.

Left the wilds of Reno for the womb with a view in Gold Country. That’s right. I’ve moved in with my mother and step-dad. Arrived with the 24 foot moving van, electronics, musical instruments, 3 pieces of furniture, more books than you can shake a librarian at, more music than you could shake a piano at, Lizzie Borden the cat, and most importantly shovels, axes, Hefty bags, cinch ties and a valid passport.

Arrived Thursday night in northern California, nestled between Lake Tahoe and Sacramento. Mountains, forests, working gold mines hidden in the hills and pot farms. It’s nice to be home.

Been rolling rolling rolling the past two months.  Got the Cadillac of Walkers here. Four wheels. Count ’em FOUR. Still looking for an electric wheelchair to do my Bette Midler routine. Walk like Lurch. If Lurch were 5’2″ tall and a gal with an hourglass figure. My hourglass just has 20 minutes more than the dull standard item. Trying to get a handle on leaving friends behind, people who weren’t friends behind and people I had to duct tape to the furnace behind. Hold on, let me turn on the tunes and hit shuffle.

Wow! You Get What You Give.

Plan to sit outside in the sun later. Already seeing myself as FDR out in the yard. Hand me that blanket will ya? All I need is a war room to work on the current world domination plan. Or, I could paint a Risk board on the patio table. Will let you know. Having a freakish stretch of warm weather before the snow. Yeah I’m still close to Donner Pass. If I invite you for dinner be sure to bring your own utensils. Rolling around in salt and garlic before leaving your place would be a nice touch.

I’m trapped with the parental units until Spring.
Some Good Points:
Room and Board $300.00 a month
Save some money for the first time in 5 years. After time in Baltimore I’ll find a new place here in NoCal.
Plenty of time to work on strengthening exercises and PT
No longer forced to call the fire department to change my bib
Someone around to help me get up when I go crashing to the floor
Chance to meet new friends! Okay it’s the damned mailman but we’re taking baby steps
No distractions to keep me from writing and pondering
Some Bad Points:
Have to ask mommy to drive me to the store or meeting
House is on a hill so there is no escape. It’s literally all downhill from here
I can’t leave my room without an interrogation. I now expect a Spanish Inquisition.
Both of my parents are deaf as fuck. Everyone is shouting. All of the time. Note to Self: Holidays approaching. Purchase Hearing Aids. Learn ASL. Teach parents.
Am not improving and the looks of pity from the family are killing me.  I really do shake rattle and roll! Thank god I’m a piano player.
The man I loved left me. It’s a bitch to try and suddenly un-love someone.
Johns Hopkins is in fucking Baltimore. Not a winter get-away destination. Have to hold on until Spring.
No distractions to keep me from writing and pondering

never waste t ime

Got my cat, was allowed to keep one desktop and one laptop. Quote from mom “What the fuck?! You have too many electronics.”  Yes, I received the Executive Training in Expletives from Mom. “What the hell is that?!”  It’s my practice amp Mom. “For the love of Christ what is this?” It’s a Blue-Ray player mom. “You are NOT taking all of those computers into the house!” Okay Mom I’ll just leave my life’s work in computer coding, the graphics server and other two towers in the climate controlled storage unit. Ooops snuck in a second laptop. Hope she doesn’t find my stash. Of computers. Damn that’s just sad. I need to find weed just to really get that ‘home for semester break’ feel.

DEAR GOD MY MUSIC SERVER IS IN A STORAGE UNIT
But it’s okay mon, Everything is gonna be alright!

I get a do-over. Not many people are given that option. Sure it comes at a price but doesn’t everything. Plan on spending a month or two at Johns Hopkins this Spring. Going to be a guest at the world’s only clinic dedicated to Transverse Myelitis. Enroll in any and all of their clinical trials. Learn new ways to ambulate with their specialized PT program. I’m SO ready.

With caring, learning and self-love I’m going to not only walk unassisted again but kick some ass. Gonna dance under the moonlight on the playa. Spend lots of time strolling the streets of San Francisco with my daughter. Laugh with friends. Meet new people… and try not to kill them. Who knows what this coming ten-year cycle will bring.

It’s a new state of living. The state of California. Miss R home for the holidays. Swimming pools, movie stars.

Well now it’s time to say
Goodbye to Rach and all her kin,
They would like to thank
You folks for kindly droppin’ in.
You’re all invited back again to this locality
To have a heapin’ helpin’ of her hospitality
City Girl that is, sit a spell, take your shoes off.
Y’all come back now, y’hear?

~Miss R

A Poem In the Key of Depression

crows in rain LG

I can beat anything. Conquer anything
From intellectual pursuits to stupid bar jokes
From Music to Skiing
It’s a proven fact and my humility is obvious as you can see

Sitting on the bed
Looking at the damned walker
Thinking of the fall last week that
I told no one about. No more hospitals

Knocked me out cold and caused a concussion
Followed by the first migraine ever
Followed the next day by
Electrical shocks all through my body and numbness

Fuck you body! Fuck you disease!

The truth is kicking my ass
Trying to wrap my broken brain around something
Walking again might not happen at a 30% chance
No dancing no man to love my life a nauseating carnival ride

During the third week in the hospital
Psychosis and hallucinations had stopped
Idiot physicians had jacked me full of steroids and was allergic
Read the records last week they note Explosive Personality

Well when I was drinking and in a black-out it was true
As I read through the charts I laughed
Laughter tinged with grim thoughts
There were no notes on a previous steroid reaction

One night I wandered out to the nurse’s station
And asked for a Cabernet and a Cigarette
Don’t Drink Don’t Smoke What do You Do?
Thought I was on a spaceship. With a bar. It’s so me.

My boyfriend of three years came to visit the third week
After the cognitive functions returned
He admitted after diligent questioning and lies
He had been with another for months. My heart, will and soul crushed then.

So I looked at those paralyzed legs that day
Sitting on the hospital bed going on three weeks
Looking at that damned wheelchair
Knowing he had been cheating on me, why he had not visited but twice and quickly

The number one cause of death from TM
Is Suicide.
Not failure of the liver or respiratory system or falls
Those are the silver, bronze and runner ups

Mom calls every day
She drives from California every two weeks
She does the laundry, prepares food for the freezer
Cleans the house and brings me Fresca which is nice

No longer can I cook, clean or hold anything for long
Taking a shower is a bitch. On a chair. Like a geriatric
Please wash my hair I’m so lonely and it hurts
Feel a burden and pathetic whiner to express these words to anyone

These are my thoughts after almost three months
Working hard each day with PT exercises
Trying to take a few steps no concussion please
Never able to get on my tippy toes again

Fuck you body! Fuck you disease!

Mom called last night and asked how I was
Told her about the anger the shocks, numbness the embarrassment of the steroid reaction
The worthless neurologist with no prognosis and no advice
Exhaustion of the body soul and nerve function and tear ducts

So Mom said Be Glad you were diagnosed so quickly
So what if that steroid caused the staff to treat you as a scary diagnosed psychotic
Your boyfriend was an abusive piece of shit. There is progress. There is no longer a wheelchair
You almost lost your life

And I answered
What Life?

Transverse Myelitis

Have been in hospital for almost two weeks. Lost all feeling in legs and hands now too, and pain in back and hands has increased to 11.
Am in hospital until I can walk and take care of myself. Neurological disease called Transverse Myelitis. One in a million people get it. Docs know nothing really. Am unable to think straight, although mental acuity is returning bit by bit. Suddenly lost all ability to move my lower limbs, three hours after the onset and trip to the ER  lost movement in hands. Cannot go home until I can walk some with my walker. Am up to painful shuffling: a foot at a time using the walker. Can’t fall, cracking my skull. This had already happened in the several weeks preceding. Not sure it would matter.

THIS is the year of the unexpected disease! Watch your back kids.
p.s. didn’t remember how to log in and post. Now that is fucked up.
I may walk in 2 or three weeks. Or never. Oh physical rehab how I do love thee

My friends are passing through Reno to Burning Man. I am missing my 9th year. I hurt. This is fucking depressing as hell. The steroids made me psychotic. Literally

Hospital food is hideous. No one visits because this place is out in the boonies. I need ice cream, cobbler, sweets, a decent cup of coffee.

Okay Done Ranting and Rambling. Burn On kids!

~Miss R