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MS in all its glory

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Comments

  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    A MMD is what I’m looking for . I thought that since I am already diagnosed that I’d be seen fairly soon . What DMD’s are available to me I don’t know , or what is the best . I was on avonex so looking for a better one



  • Registered Users Posts: 89 ✭✭gamerguy1


    Its quite odd that you haven't seen a consultant yet since you were diagnosed. You should have been offered a DMD as soon as you were diagnosed too. I'd be chasing that up, shout louder and you will be heard. Plenty of much better dmds out there now ,avonex is old. You have a choice of tablets or infusion that are much stronger than avonex. They all good it's about finding one that suits your lifestyle.



  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    nothing’s odd in fuerking Irish neurology, ffs. On and off I consider suicide and have told SVUH who keep losing records and “ a t consenting without them”. I am angry, angry, angry.



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    I was but since being diagnosed I’ve moved from south to north and to a different trust . I was signed off Avonex for liver issues. The last few months have seen a decline in my ability that’s , imo , quite drastic . I know a DMD won’t change that but I feel like I’m being lost in the system.



  • Registered Users Posts: 89 ✭✭gamerguy1


    Moving around has made it more difficult to keep track of you I suppose. Still you should be on the system, maybe a go could get you onto a consultant faster. My ability has declined fast the last 6 months too, drastically fast. A DMD would help slow down the progression and you should get the strongest one.



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  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    I have an appointment next month with a respiratory consultant to try to see what is my best strategy to deal with recurrent aspiration pneumonia, I seem to spend at least a quarter of my time on amoxicillin, always sets in during a time of multiple episodes of choking on my own saliva. A speech therapist told me in my case it’s due to lack of sensory feedback from my mouth urging timely swallowing. At same time my speech is just beginning to be affected at times.

    If you progress to the late stage of MS, and if no other unrelated disease intervenes, and all else being equal, this is what claims you, indeed it’s what ends the lives of many with serious neuro issues. There’s no way of really eliminating it, but perhaps lessening its occurrence. The speech therapist said to try and remember to swallow every time I see something or other, but this doesn’t work during sleep and it is very hard to keep up consciously thinking to do something that is an automatic function in the majority.

    Has anyone here being dealing with this issue, and how do you cope with it?



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    No I haven’t had any of those symptoms so I can’t help . Is there anyone else from a speech therapist you can see . Have you contacted your MS nurse about this ?
    Though my leg and foot are killing me after my last fall. Another trip to A&E on Monday for an X-ray . Typical , the first time in years I had to go and 2 weeks later I’m back

    Post edited by cj maxx on


  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    I would be more inclined to go to a minor injuries clinic for the Xray rather than spend 25 hours on a chair in A&E, but I’m Dublin based. Well and good if it’s not broken and even if it is, might be managed by the clinic as when happened when I broke my foot. Any way of avoiding the horrible ED. But if you are located well away from one of these facilities you don’t have that choice.

    MS nurse, lol. My one and only attempt to contact her was met with “return to your GP”. SVUH is a joke of a hospital, they managed to fail to see one single one of my MRIs and told me diagnostic process has to start at square one again, even though I have symptoms of advanced secondary progressive MS. I have a complaint in with the Ombudsman. Several other people I know first hand, have had this fate in SVUH, and the clinic doctor even had the gumption to say “records can go astray when you get MRIs taken at a different hospital, it’s not at all unusual for a patient to find themselves in your position”.

    Also she had the gumption to say “at least you don’t have Motor Neuron Disease or Parkinson’s “.

    Completely tone deaf staff at that clinic.



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    Strangely I got diagnosed in SVUH and thought it was OK , though I had my ex-wifes private Insurance so probably made a massive difference . Also that was in 2015



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    No minor injury clinic near me and I'm in NI . I 'm pretty sure nothing is broken as it's getting better, as in sharp pain when I stand up is gone. Though there is still pain standing on my right foot and the back of my leg (hamstring ?) so I'd like to make sure as walking on a stick is hard when you can't put weight on your 'good' leg.



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  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    private insurance wouldn’t make any difference in a public only clinic which SVUH MS Clinic is. None of the consultants are seeing patients privately as they have full case loads with increased population & not enough neuros coming on board. Other people I know from MS Ireland socials have had similar experience of the clinic as myself. One was attending 3 years before diagnosis, files getting lost etc. The single nurse refers you back to GP “unless you are on DMT, although I think they have got an other nurse now. I think I won’t be given treatment now as it’s likely way too late, but the original intention of the Prof was to offer me Ocrevus, but then communications failed and none of my MRIs got to clinic until I hand delivered copies I had obtained recently. There’s a huge overall problem with SVUH, in all departments where communication is paper only.



  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    It’s a real pity there’s no injury clinic as you are in and out in less than 2 hours, with treatment plan, and really only if surgery is needed are you then referred to a hospital with all preliminary images & assessment t done. You do want to make sure you do the right thing by your “good leg”.



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    I didn’t know the neurologists didn’t do private work now . They did in 2015 . I was there for about 4 years before diagnosis doing mri’s lumbar punctures etc.



  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    they do in theory, but none of them around Dublin are taking on new patients. Full workloads. It’s worse that trying to get a GP. 2015 is a very long time ago in medicine.

    On an up note, I’ve been granted the Ming Term Illness card, with an OT told me was a prerequisite for qualifying for any kind of assistance from the HSE at my age. Not that assistance would be forthcoming, but it’s another piece of jigsaw in place.



  • Registered Users Posts: 226 ✭✭eimsRV


    hi all,


    I was prescribed Baclofen to help with increased leg cramping and spasticity. However it’s out of stock at chemist, who say it’s a supplier issue. Anyone know if it’s a longer term supply issues? And if there is an alternative?

    Will check with MS nurse tomorrow too. Thanks!



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    I had a fall last week which has seemed to ease , but all of a sudden I seem to have hurt ribs . I can’t figure it out



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    I never heard that , though I’m in NI . The last time I skipped my 6 a day I fell head over arse so I hope it’s not long term



  • Registered Users Posts: 89 ✭✭gamerguy1


    There seems to be shortage of baclofen for some reason. I get different brand every month luckily. Teva,strides are the only brands available that I can get. Consultant said some people only can get tizanadine which is different drug but same as baclofen he said.



  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    I don’t want to say much here, but I got an abject apology of absolute admission of my being wronged,from my consultant regarding trusses I complained about. I had a special meeting soon. Fair dues to the consultant.

    Re Baclofen I keep having bits and pieces of products in different sets, none of them add up to total needs. On the other hand plenty of Gabapebtin which does a great job on other things as well as spasticity.

    We often get joint pains, as joints get sprained without sufficient muscular support. My GP prescribes rub-on Etoflam gel which is pretty effective. I find this really helpful in some forms of MS pain.

    just over a bout of aspiration pneumonia of left lower lobe, pending respiratory consultant as this is a recurrent issue .

    Gabapentin is a drug that in my experience. I’m on 300mg taken later in the day, but this dosage isn’t set in stone. Start off with minimum, that’s essential. Of course it has side effects, but in my own particular experience of 300mg it greatly finishes the intense restless leg syndrome I get right side in particular, indeed finished the entire “restless body” syndrome that is the core of it. It reduces spasticity too.

    My personal advice re Gabapentin Side-effects: over first 5 days let the drug bed-in: don’t do a trying serious, don’t drive or operate machinery, see how it goes. Often the negative side effects then settle down

    One common side effect that may remain is a very slight twitchiness of muscles you may feel drowsy, yet it’s not quite like a sleeping tablet in that you can keep yourself pretty alert, alert enough to drive. In fact you can be quite focused when driving and less easily distracted, on lower or familiar doses. You need to be are and careful no matter what.



  • Registered Users Posts: 89 ✭✭gamerguy1


    tohaltuwi you are taking both baclofen and gabapentin for spasticity and spasms,that's quite a high dose of something that has quite the same effect on that symptom. If your consultant is happy with that so be it. Not everyone gets side effects from them but they do take a few days to settle in. I only take baclofen and don't notice any relief from it but if I don't take it then I'm a mess so maybe it does do something



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  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    I’m on Gapentin specifically for the Restless Limb Syndrome which was intense and keeping me awake night after night, I take it in evening ahead of bed, it works very well, 300mg. I take Baclofen for the widespread muscle spasms, but of course chemist has run out, I’m supposed to be on 3 a day but 2 really did the job most of the time. I’m just having to do with less as supplies remain short.

    My biggest concern these times especially is the recurrent pneumonia.



  • Registered Users, Registered Users 2 Posts: 2,493 ✭✭✭tohaltuwi


    Had an interesting meeting with consultant, who couldn’t have been more empathetic. Hasn’t altogether ruled out treatment but explained very well why for the present he is holding it off. As things stand presently I would succumb to cancer or sepsis for a very toxic drug that has marginal efficacy in Progressive MS. Be put it way more nicely that that. However there’s the respiratory consult to see, also back to the surgeon.



  • Registered Users Posts: 89 ✭✭gamerguy1


    Foot cramp and spasm for the last few months, baclofen doesn't do anything for it. A good massage on it with tennis ball is helping more. This humid warm weather is the cause of it I think.



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    I had that a month ago. Baclofen helped with leg cramps but not with the foot ones . It seems to be heat/ humidity related



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    Finally relaxing after a fall . 2 seconds to fall over and 10 minutes to get back up .



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    Back in my chair . 15 minutes trying to get on my feet after a fall



  • Registered Users Posts: 89 ✭✭gamerguy1


    It does take ages to get back up for me too if you have a fall. Totally takes all your energy struggling to get back on a chair. I just make sure I don't fall.



  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    Thing is whatever about tripping when I walk , I find myself having to grab doors /walls or anything just standing still .



  • Registered Users Posts: 89 ✭✭gamerguy1


    Furniture walking I call it, it's something ive been done for 10 years no matter whose house I'm in. I use rollator now and don't have to worry about that. Should get yourself to a physio and get that falling sorted before something is broken.



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  • Registered Users, Registered Users 2 Posts: 14,505 ✭✭✭✭cj maxx


    Has anyone here got the shingles vaccine . I rang my GP practice yesterday and they were supposed to ring me back to see if I qualified by being immuno suppressed .



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