Iām at treatment today and thought about something I havenāt talked much aboutā¦
I havenāt shared much about my paraneoplastic syndrome⦠Mostly because no one knows what that even is š
About eight years ago when I was completely off cancer treatment, I began declining neurologically. At first it was gradual, but over the course of two years, things ramped up quickly. I started experiencing:
⢠Nerve and muscle pain in my hands
⢠Breathing difficulties
⢠Trouble swallowing (dysphagia)
⢠Blood pressure swings/tachycardia
⢠Tongue tremors and weakness
It all sent me to the Mayo in Rochester where I spent a month going through just about every test you can imagine: CTs, PET scans, MRIs from head to toe, EMGs, nerve conduction studies, spinal tap, skin, muscle, and fat pad biopsies, sweat test (brutal), autonomic testing, respiratory testing, and endless labs. I saw specialists in oncology, neurology, immunology, rheumatology, cardiology, and physical medicine.
A lot of the tests did come back abnormal and yes, I did have multiple myeloma, but my tumor burden was low, it was not enough to explain my symptoms. Nothing led to a definitive⦠yet.
Finally, a sharp rheumatologist at Mayo Clinic mentioned heād seen similar neurological issues in other blood cancer patients. Something clicked. My team back in Dallas agreed, and I restarted treatment. I began improving. We adjusted treatment again and even more relief. But after five years of this, I was exhausted and needed a break.
Then came a stem cell transplant, which I hoped would be the answer.
But it didnāt work. That was devastating.
Iām now back on treatment, and while itās helping, I still donāt have full relief. After years of searching, we finally have a name: T-cellāmediated, antibody-negative paraneoplastic neurological syndrome. (Yes ā itās a lot.)
Basically, my immune system, while trying to fight the cancer, started mistakenly attacking my nervous system. Because I donāt have the usual autoantibodies doctors look for, it was incredibly hard to diagnose. But my neurologist and hematologist agree it is most likely my T-cells that are doing the damage ā especially to my motor, autonomic, and cranial nerves.
Next month, weāre starting a new neurologic treatment alongside my cancer care, and Iām really hoping and praying š it works.
I truly appreciate your continued prayers! And if sharing this helps even one other person going through something similar, itās a win. I really believe this condition is often missed or overlooked in cancer patients.
Thanks for sticking with me through this long journey ā¤ļø