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Sunday, December 21, 2014

about my Ramsay Hunt Syndrome

I've been unsure how much to share about my Ramsay Hunt Syndrome on my blog because I like to keep this an uplifting space, but my current reality isn't all that uplifting. It's quite scary and sometimes depressing. I have been sharing quite a bit of my daily progress publicly on my Facebook account which means friends and followers alike can see how I'm progressing. If you want to see more frequent updates, then I invite you to follow along with me there.

There are days when my condition is devastatingly heartbreaking and days when my spirits are good. It's unpredictable at the moment. It's all so new to me. I've gotten so many supportive emails from blog readers and sewing friends. People have been asking about how I'm feeling, so I'm going to go ahead and share a little bit here about my progress and prognosis.

If you have trouble playing any of the videos on the blog, you can visit them directly at my Ramsay Hunt Sydney Youtube playlist.  I will warn readers that some of these updates and videos can be quite confronting. If you are squeamish, maybe skip to Day 5. It gets better at Day 5.

Day 1: I've lumped the afternoon that my condition occurred and the next morning with my diagnosis together as a single day as thankfully that happened within a 24 hour period. I blogged it a few days ago, but essentially I had a terrible (and incidental) sneeze followed by what I thought was a dislocated jaw. Fortunately I got terrific medical care and was quickly diagnosed with Ramsay Hunt Syndrome Type 2, a variant of shingles caused by the same virus as chicken pox. It affects the facial nerves, so those affected with it have facial palsy including difficulty moving their jaw, eye and swallowing. Severe ear pain is quite common. Some patients also have dizziness and vertigo. I am very fortunate that doctors were able to diagnose me within 24 hours of my conditions showing which means my prognosis is very good. 70% of patients diagnosed and properly treated within three days of onset make a full recovery. That recovery takes time though - it can happen as quickly as three weeks, but for some people it takes a year or two.

I cannot overstate how lucky I am to have seen good doctors. Most doctors will never see a case of Ramsay Hunt Syndrome in their medical career. That means it can easily go undiagnosed or misdiagnosed for an extended period making it much worse. I am so thankful for the care that I received.


It isn't a flattering photo at all. It's more like a mugshot isn't it? But this is how I looked within minutes of the condition occurring. I took a webcam shot because I was talking to friends overseas at the time. My mouth gaped open to the side and my lip puckered outward. I knew something was devastatingly wrong. Craig immediately got on the train home to get me and I managed to brush my hair as I waited for him. I realize now that was such a vain act. Brushing my hair and taking a better photo... I had much bigger things to worry about.


I am fortunate compared to others with the syndrome, my symptoms are somewhat 'mild'.  The virus did not have time to devastate my nerves because it was diagnosed early. That's not to trivialize what is happening to me. My left eye doesn't fully close. I had some dizziness and vertigo on day 1, but it wasn't debilitating. The biggest concern of Day 1 was my inability to move my jaw correctly. I could barely speak. Eating and drinking were both challenging and avoided. More than anything, I felt afraid.

Day 2: WARNING DAY 2 IS VERY CONFRONTING AND SAD. I'd like to say that I have been on a constant upward trajectory in my healing, but that certainly wasn't the case. Day 2 was devastating. It was then that I realized how severely I'd been impacted. I had to send a flurry of letters on day 2 to people I'd made commitments to. I began the process of postponing projects. One opportunity that had recently come up for me was presenting a webinar. It was painfully obvious that wouldn't be happening anytime in the near future. I could barely speak.

It did give me an idea though. I decided that I needed to make videos that showed the state of my condition daily and document my improvements. I was fairly certain that seeing improvements, no matter how tiny, would keep me motivated. Also many of my family and friends are overseas and I'm not interested or energetic enough for visitors, so the videos allow people to see what the condition was doing to me and answered questions they might be having. At first I was only going to keep them private - a vanity issue, strange as I'm rarely vain - but I decided to make them public as a means of informing people about RHS.  (Frankly, that's speaks volumes about my personality. Even when I'm sick, I'm interested in teaching and sharing.)

The first video is gut wrenching. Those who have met me in person know that I'm an articulate, fast-speaking person with a thick midwestern twang; on Day 2 though I could barely speak.



Day 3: Day 3 came with a lot of hope. My condition appeared to be improving, although I did have severe ear pain that was paralyzing at times. My spirits were much higher. I thought I'd lick this thing quickly. I spent a lot of time finding an online support network for Ramsay Hunt Syndrome patients. I was offered both physical and emotional support from so many friends on Facebook. Things were looking up. I even managed a line or two of hand-quilting that day. Obviously things were still bad, but I had both hope and energy.


Day 4: 
Things hit the skids again on Day 4. I woke up with severe chest pain and tingling in my left arm. This lasted hours. My left arm was weak making simple tasks like typing nearly impossible. Quilting was out of the question. Moving at all was a challenge. We debated a run to the emergency room. We called my diagnosing doctors and waited it out. In contrast to Day 3, I spent most of Day 4 laying down and moving as little as possible. The pain was level and constant through the day and my spirit broke again.



Day 5: When I woke up on Day 5, today, I felt much the same as Day 4. My left arm is still on pins and needles, my chest hurts a bit and my ear pain has returned in full force. I thought it would be another day in bed. As I'm typing this, my vision seems to have gotten worse and the right side of my face has numbness which worries me as it is my non-affected side. Forget all of that though because as it turns out, I now truly understand unfettered joy. If you only watch one of these videos, this is the one to watch.



I don't want this blog to be a sad place or become one just about disease or struggle. I want to show you my progress and my plans. I want to show you the quilts that I'm working and the ideas that I have, but that's going to take time. Be patient and stick with me please. I am bouncing back and forth between having energy and feeling the weight of sheer exhaustion.

Because so many people have asked, I wanted to share this update. I won't be posting them often to the blog, but those who are interested can follow along at Facebook or at Youtube.

I truly hope that each of you are doing much better than I am this holiday season. I wish you all so much joy and happiness and celebration. And if your days aren't the brightest right now, maybe try to sing for a bit. It's working wonders for me.

happy holidays and best wishes.
amy

26 comments:

  1. Amy, when you first posted about your RHD diagnosis I thought " That's sounds awful but I'm sure you'll improve soon". However, after reading this and seeing your videos (and doing some research because I'd never heard of it despite being a nurse for over 40 years) I now understand a little more about it and how devastating this is for you.
    How lucky that you sneezed when you did (attempt at humor) which led to you getting such a quick diagnosis and how fortunate to have such 'on the ball' doctors.
    I cannot comprehend how you must be feeling but I commend you for speaking out and keeping and sharing a visual record of your journey which will help you to see daily improvements. Hopefully through time you will make a full recovery and by recording your progress you may bring hope and encouragement to other sufferers. Keep singing - I sang along with you with tears in my eyes.
    Wishing you a full and speedy recovery and as much joy as you can muster over the festive season. I will follow your progress with great interest and encouragement.
    You are a strong and wonderful woman ...sing out loud and proud and know that you have a huge band of backing vocalists all over the World willing you on.

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  2. WOW. Like Tina up there I didn't fully understand the serious and perplexing nature of this. I wonder is there an explanation for why your speech is not disrupted when you sing or recite? That's unbelievable. I don't do Facebook, but I will have to subscribe for Youtube updates. I wish you more exciting discoveries as part and parcel of a gradual but full improvement.

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  3. You are doing a lot better and the diagnosis was early. The nerves have calmed down a little and appear to be reacting more normally. The ear pain will probably be with you until the rest of the symptoms are gone, but it is intermittent. I can say the weariness will last, but not at the extreme level you are currently experiencing. The tingling would scare me, but that is what doctors are for - to calm our nerves and know what we should worry about. My acute phases only last a couple of weeks most of the time with the dormant phases lasting various times depending on what is happening in my life. You are progressing well and as scary as it still seems to be, ii appears as though they may have found an effective treatment on the first try. Think of you often and say prayers when I do.

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  5. Oh Amy I am so sorry to hear of your health issues. It must be so scary for you and your family. I wish you well in your recovery and hope you are back to full health very soon.

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  6. This is just awful for you and your family. So out of the blue! Thanks for sharing, I'm thinking of you and hoping your recovery speeds up. Glad you have a supportive partner with you.

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  7. I met you at a destash a couple of years ago and I know how you sounded and you did speak quickly you stuck me as a fast paced lively person. I would not have thought that the person in the video was you and how peculiar that the accent has changed so dramatically. I am so sorry this has happened to you, but so very grateful that you were diagnosed so quickly, it really is such a blessing and hopefully crucial to your recovery. I can't even imagine the frustration you are experiencing. I hope you make a full recovery soon, I really can't think of anything else to say to make you feel better, however rest assured people care about you out in blog land and we are all praying for a quick recovery. Merry Christmas.

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  8. Hi Amy, I've been watching your videos on FB and I can see many positive changes from day 1 to 5 with your speech, and then you sang and that really brought tears to my eyes. I can only imagine that moment for you. Music is a very powerful tool in many therapies and it may really help you emotionally too at such a crappy and challenging time in your life.

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  9. So scary, but you are a strong and brave one. Sending lots of good healing vibes your way.

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  10. Third time lucky trying to comment... Wishing you a super speedy recovery and much love. I think you're amazing xx

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  11. Get well soon! Looks like you are an axing person making an axmaxing recovery.

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  12. You are brave and true to post about it. I am a big fan of putting it all out there.. My quilting blog became my therapy blog in short order when my husband was diagnosed with ALS, my mother fell out of her wheelchair and broke her neck and was dead in a week..and my son and his wife were arrested for drugs and I got guardianship of 3 young children...all with in a short period of time. If I did not start blogging about these things, then I was afraid I would go down, down down too..Quilters are interested and quilters care. I care that you have this icky palsy...I think you are very talented and quite the girl. I am sorry that this happened to you..Hopefully it will go away soon with such good medical help. Sending hugs from Charlotte, North Carolina

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  13. Amy, I'm following your progress, thinking of you, and praying daily for you. Hugs!

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  14. Oh Amy big hugs! You sharing your process so openly is surely going to benefit others going through the same thing. I cried when you sang and all the words came out right - amazing!!
    Wishing you lots of love and healing xx

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  15. I'm sitting here with tears in my eyes trying to find the right words to say...You are amazing and brave to share such a debilitating illness with the rest of the world. It will be so very helpful to anyone else who suffers from this syndrome. You are in my thoughts and prayers. Wishing you a very musical holiday!

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  16. Hang in there Amy! I'm so impressed with you and how you're handling this, it must be very difficult. When you did the singing part it reminded me of a TedTalk I listened to: http://www.ted.com/talks/megan_washington_why_i_live_in_mortal_dread_of_public_speaking?language=en

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    1. Thank you so much Anna. I really appreciated that you pointed me to this video. I actually looked for speech videos on Ted this morning, but didn't click this one because the title didn't clue me in to the related topic. I really really appreciate it.

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  17. Amy, I wish you all the best for your recovery and pray that it will be the more speedy kind. Thank you for writing so openly and honestly about your condition.

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  18. Amy, I don't know you very well, we haven't met at all, we are friends only on Facebook and QDAD brought us together; but, I am crying here with joy while watching you sing and the sparkle in your eyes made my day. I have been following your progress and with this video, I believed one more time that you will beat this crap soon! Biggest hugs to you xxx

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  19. Hi Amy,
    Wishing you all the best for your fast recovery. I think your videos are a very brave way to deal with the situation - and it's obvious you're in terrible pain. This looks like one of those things that you just have to wait for the body to recover - and waiting is so very hard. Have you ever tried meditation? It's a wonderful way give the mind a while you wait for the body to heal. Best Wishes. -L

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  20. Amy ~
    Watched your video ~ you are so brave and inspiring! I have no doubt that you will recover from this and be an inspiration to others with the same problem! The last video had me crying and smiling with you! Sending you much love and healing thoughts!
    all the best to you and yours ~ elsa

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  21. Thank you so much for sharing Amy; you are very courageous to do so. As I watched the first videos my heart was aching for you but I can see improvement happening and my hope is that you continue to improve quickly and that you enjoy a full recovery. My thoughts are with you and please keep sharing and documenting your journey.

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  22. I knew you were super but this really proves you are a superhero! I'm so sorry you have to go through this. I'm glad you had doctors that were on the ball and were able to start treatment right away. Sending good thoughts your way for continued progress.

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  23. My thoughts and prayers are with you as you deal with this disease. You have such a great attitude, hang in there :)

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  24. I have a friend who was diagnosed with Bell's Palsy a few years ago, and many of her symptoms were similar to what you are describing. I had it about a year later, but it was very mild. What struck me as similar was that it affected my ears, and my face. I went straight to the ER thinking I was having a stroke. When I got there, the doctor was concerned about a stroke, too, but tests showed that wasn't the case. I have no idea whether or not this could be related to your symptoms, but I thought I'd mention it. I hope you continue to improve and the doctors can make a diagnosis so that you don't have to worry anymore. Best wishes, Amy. I love your Flickr and your blog. :)

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  25. Just checking in to your blog after a long hiatus. Sympathizing with you on your diagnosis. H.zoster can be so tricky to treat. I too suffer from chronic affliction. I hope the paralysis is getting better and the pain and tinnitus subsides. I haven't watched the videos, so don't know if you are experiencing hearing loss.

    My zoster started in grad school with an outbreak on my shoulder. Nothing for years and years, and then an oral outbreak as a result of major dental work. Recurring outbreaks (while mild and kept in check by treating with acyclovir) are common independent of and in conjunction with dental work on that quadrant of my mouth. You have me curious with the RHS though-- several years ago I was afflicted with random boutsof vertigo, tinnitus, ear pain, headache which either were a result of or caused by an initial concussion. Makes me wonder if these things aren't related in some way. Tons of testing over the course of two years and misdiagnosis of Menieres disease lead doctors to conclude "atypical migraines." Based upon some of what you have described I am wondering if there isn't a connection between them--inner ear/RHS/shingles.

    I am rambling...but at any rate, if you ever want to vent to a fellow quilter and chronic singles sufferer I am here for you. I understand how "uncomfortable" it can be during an outbreak, and more importantly, the frustration/depression that can result when feeling poorly from it. Hang in there. (elisaalburyquilts@gmail.com)

    P.S. There are a host of supplements you can take to help support the immune in this regard. The biggie: l-lysine (an amino acid)

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You are a rockstar! Thanks so much for your comments!