Leg cramps

Yes, I didn’t want to mention alcohol in my earlier posts but I also tried it with my docs permission and found it worked very well! Hmmmm, how about for prevention?



Uncle Bill said:

I find that a little rum, and a squeeze of lime in the tonic water helps, too. Just kidding! But, I have talked to several neurologists, and all said that alcohol in moderation is not a problem for CIDP.

Rev. Mark Matthew said:

As Barbara said, my father-in-law swore by tonic water with quanine to relieve his nightly leg cramps. The active ingredient being quanine. Be careful though. Quanine is much more potent than I thought. Make sure you can take it and in what amount.

hmm, a bit of rum and a squeeze of lime... Uncle Bill I think you may be onto something! I stopped drinking years ago but my neurologists say the same as yours. Now I am curious. In moderation of course. ;-)

Hmmm, curiouser & curiouser. How about taquilla



Rev. Mark Matthew said:

hmm, a bit of rum and a squeeze of lime… Uncle Bill I think you may be onto something! I stopped drinking years ago but my neurologists say the same as yours. Now I am curious. In moderation of course. :wink:



Geepster said:
Hmmm, curiouser & curiouser. How about taquilla

Rev. Mark Matthew said:

hmm, a bit of rum and a squeeze of lime... Uncle Bill I think you may be onto something! I stopped drinking years ago but my neurologists say the same as yours. Now I am curious. In moderation of course. ;-)


I tried quinine as well in pill form, but found that the carbamazepine worked much better.
Rev. Mark Matthew said:

As Barbara said, my father-in-law swore by tonic water with quanine to relieve his nightly leg cramps. The active ingredient being quanine. Be careful though. Quanine is much more potent than I thought. Make sure you can take it and in what amount.

Had CIDP for 3 years now. Been in a wheelchair for most of the time. Getting used to it but the pain on my lower back down to my legs,calves, and feet are excruciating at times. Lyrica is the last painkiller remaining in my pillbox and I take this only on doctor's orders.(I felt sick after trying other painkiller cocktails. ) 1 hour before going to bed I used a vaporizer to vape cannabis. It helps with the pain significantly, help me sleep like a baby, and I have been using it for 2 years regularly. I dunno what other people or patients think about it but it really does "works for me"!

ultimax, if I could get it legally, I would take it in a heartbeat b/c when I did, the results were similar to yours. My biggest issue is the back pain and excruciating pains shooting into the right leg. I take Gabapentin with good results otherwise I wouldn’t be able to tolerate it. Contrary to your experience, I was always ambulatory. Now i’m not too far from a w/c myself! The weakness in the legs seems to get weaker by the week. My Neuro doesn’t seem to pay any attention to, or understand the severity of the pain and weakness. If you come up with any more ideas, please share.

There are many replies so I'll make mine short - When I have cramps (often) I apply a product called Cramp 911 and the cramp will subside within seconds, even the most severe cramps. It's available on line or over the counter.

3 things. Potassium, magnesium and prednisone. My severe leg cramping in both legs in the entire leg was a presentation of the disease. Prednisone alleviated the problem. Of course Prenisone causes a whole host of other problems but steroids will alleviate the cramping.

Good day,

I also do get cramps especially in my legs calves and thighs too, funny enough I do get them in my hands too. However I was on cortisone treatment for my lungs for pneumonia and my neurologists thinks that it might be from the cortisone too. It might be from weak muscles too as I was told which is understandable and physio therapy does really help and biokenetics is great therapy too.

I did join a rehab programme like aerobics/ cardio excercises which was meant for patients with heart problems,. I was the only patient with CIDP. I am from South Africa and don't know if any of you or someone you know with CIDP has any other ideas or info regarding cramps. I also have Rheumatoid arthritis and is fairly under control, but do have to be on chronic medication. I just wish one day I don't have to have tablets. Any other ideas please?

Take care and stay positive.

Regards

Grace

Leg cramps can be debilitating especially at night. I actually take ativan for them which has given me great relief. I do take a Magnesium supplement which did not help the cramps.

If I take prednisone I don't get as much cramps. Had script for quinine but it killed my stomach. Am already taking small amount of anti-depressant as sleep aid along with Ambien but that doesn't work. If I wake up with the screaming leg cramps I have to sort of walk it off or take a Valium. I've tried other anti-spasmodics over the years (like Robaxin etc.) and they just killed my stomach and didn't work. Trouble with Valium is it takes a while to work. Newest thing that seems to be working fine is taking my electric heat pad and wrapping it around cramped muscle (usually calf) and the cramp goes away almost immediately!!! Found this out by accident as I had fallen asleep with heating pad on my lower back and woke up screaming with calf cramp and just shoved heating pad there. Sometimes when both calves go off I stick heat pad between both calves. I've use the pad on an arm cramp spasm and it's works just as well. Told neurologist this and she says, "Oh yes that's fine I tell all my patients heat and cold is good and stretching is fine anything that works is just as good." I wanted to smack her as I am just now being taken seriously for pain (MRI's of shoulders show torn ligaments tendonitis etc.) but still being dismissed. I used to work out with serious yoga and aerobic dance and wish I could "stretch" out like I used to. Stretching my legs now will bring on agonizing cramps and spastic twist. It's been almost 20 years now and I'm still being talked to as if I were a little girl by doctors who get their education from books which teach them about generalities focusing on textbook type cases of specific patients who respond as the pharmaceutical companies tell them a patient will if they just take a certain drug, do decent exercise, eat the right things, avoid smoking etc. I miss the old time family doctors (I actually have one now and hope he won't retire soon) who had to treat the mob who came to the door with everything from a wart to terminal cancer. Those guys understand that not everything fits into neat packages, they listen and they consider all the alternatives. Also they talk to patients as if the patients were adults and knew their own bodies. The age of technology and specialists has created a world where difficult thinking is relegated to computer answers and computer answers are determined by the idiots who input information.



Geepster said:

ultimax, if I could get it legally, I would take it in a heartbeat b/c when I did, the results were similar to yours. My biggest issue is the back pain and excruciating pains shooting into the right leg. I take Gabapentin with good results otherwise I wouldn't be able to tolerate it. Contrary to your experience, I was always ambulatory. Now i'm not too far from a w/c myself! The weakness in the legs seems to get weaker by the week. My Neuro doesn't seem to pay any attention to, or understand the severity of the pain and weakness. If you come up with any more ideas, please share.

Finally saw a new neurologist Monday. I'm finished with doctors and basically thinking suicide is a decent option except for my partner who I can't leave. I don't have IVP My primary doctor was kind enough to consider it but I have heard from on high so I'm quitting this group. Here's my story see if anyone else has had similar experiences for what it's worth.

Dr. P., a local neurologist was a frustrating and humiliating experience.

  1. Saw her 6/18/2015 – told her I was coming because of increasing numbness, pain cramping in lower legs and feet. Gave her list of neurologists I had seen in past and did not complain at their treatment (I found them all except one to be very competent something I do not feel about Dr. P.) The last one was around 2008 which is still 7 years ago and my leg pain has gotten much worse and the numbness and weakness in my ankles and feet is pretty new. My legs are burning cold and numb from my knees to my ankles and I did describe this current problem with Dr. P. on 6/18/2015.

  2. Dr. P's exam was actually totally different from what I had experienced from the other neurologists I had seen in the past. A basic neurology exam runs a pretty similar course. First the muscle test and here I have always been very strong so I expected to be found at least as strong as a woman my age. Second they do the touch your now thing and that went well. Third they do the taps to the bottom of your feet and your knees. That was okay except for the newly replaced knee which was to be expected. *** BUT different from other neurologists I have seen there was not the pricking of the different portions of the legs and feet where the neurologist asks the patient when the feeling changes. This surprised me as the sides of my calves are numb and I'm losing feeling in my feet so I thought this should be significant. Obviously Dr. P. thought not.

    Dr. P., finished with the brief physical and, to my mind, doubting the fact that I had any significant pain then told me to go for spinal x-rays which surprised me, as my MRI's are should be accessible to her and Dr. H. had done some within the last few years. But I figured she had her reason. So I went for my x-rays which were incredibly painful as I had to lie on my side with my leg up in various positions and it was a very bad day (Access-a-ride had taken 2 hours to get there.) Twice during the x-rays I had severe muscular leg spasms and started screaming from the pain till they subsided. I had to go home and told the office that I would get my blood work in Staten Island. I was handed a couple of sheets of paper which I did not read until 7/26/2015 Went for blood test (assumed they were relevant to neurology) at branch of Quest Labs on Staten Island. This took 2 ½ hours with the wait and a rather nasty Albanian phlebotomist who complained loudly and continually in her native language about her plight and who spent more time loading the computer than taking my blood. I asked it to be sent to my primary, Dr. Wang and Dr. P. This was on 7/15/2015.

  3. July 20, 2015 went for the EEG tests with Dr. P. I have had EEG's several time in my life (first time 1968 after care accident, 2nd when lost my leg for 3 months 1999 two more times after that.) I didn't expect the pain (never really had any real pain with these) I had when Dr. P. pricked my right leg. The prick sent my leg into the agonizing spams I have been getting and I almost flew off the table. This was a number 10 pain (which is relative to me believing delivering a baby to be number 10). Dr. P seemed concerned telling me to take slow breaths but my impression was that she was trying to comfort a squalling infant. I told her I use heating pads (electric) to calm the spasms and she gave me a luke-warm pack which was totally useless. “Well,” she said, “We can skip the left leg,” which relieved me as I did not want more but I wondered if the test would be complete. So far I believed that she knew what she was doing (and maybe she did.)

  4. July 27, 2015 came back for follow-up to office. I had just read the papers Dr. P had given me on 7/20/2015 and needed to talk to her about them. I was given forms AGAIN to list my medical history and current medications which annoyed me as supposedly they already had input all this. (I put in my name scribbled a few prescriptions names and put “YOU HAVE THIS ALREADY” in the space where it asked for my complete medical history within the given 2 ½ inches space.) When I saw Dr. P she blithely told me all was normal. I had told her when I first saw her that I did not necessarily expect anything from her as I had seen perfectly competent (most of them were anyway) neurologists in the past and the tests were normal. However I had told her my condition was getting worse and I thought that current tests were in order. On July 27th Dr. P told me there was nothing wrong in the tests. “And the blood tests were normal?” I asked, knowing they probably were. She told me the tests were normal.

    But that's when I told her I had a problem with the sheets she had given out and which were probably filed as patient history in my chart and on whatever god forsaken computer data system Mr. Sinai now employs. She had written in “You were diagnosed with 'disturbance of skin sensation – Primary'”.

    I had come to her for agonizing pain and she's writing down “disturbance of skin sensation.” The reason I am still running around seeing doctors is not that I expect some cure or even some help. I am trying to document a real health condition which is leaving me unable to walk, to pick up a cup or write my name at times and which leaves me writhing in pain for hours at night after a couple of hours relief from sleeping pills and meds that make me hung-over in the morning.

On the same sheet that Dr. P's orders as follows:

1. Stop taking – HYDROmorphone (DILAUDID) 2 mg tablet - Take 1-3 tablets by mouth every 4 hours as needed

lansoprazole (PREVACID) 30 mg capsule, delayed release.

*** At first I had no idea way this was written. Thinking back I remember that Dr. Bronson had given me a scrip to the Dilaudid (12 pills exactly) when I went home after the knee replacement and I had hated the drug which is no more effective than Oxycontin and make you feel really sick. He had hardly given me enough for my rehab and I depended on the

Oxycontin given me by Dr. Wang to get through the first weeks.

2 Your current medications are: *** here was listed the Valium Prisolec Percocet with no scrip notations nearby (I gather she thought these pills unnecessary)

THEN she adds what I gather she thinks I should take:

A. COLACE 1 capsule 3 times a day (I gather she's seen the constipation notation and thinks this simple remedy will work while the rectal spasm get worse.)

B. Aspirin 325 mg tablet _ take 1 tablet a day Enteric coated aspirin (Here she's crazy I used to take a bottle of aspirin a day years ago ending up with a duodenal ulcer since healed and even that didn't stop the pain. Enteric coated aspirin is at my bedside and 1 tablet is taken when I geta migraine. It doesn't even touch the leg, shoulder, pelvic, back pain.)

The rest of suggestions with which I gather she is in favor are the normal pills I am taking i.e. Zolpidem, BP meds etc.

I was devastated by this visit. I waited an hour and the visit took less than 20 minutes. This stuff is what I have experienced over and over again. When I asked Dr. P why she had not written anything about the fact that I was seeing her because I had pain, she told me, “I write what I see and that's what I saw.” Now she had written this the first day I came to see her and she tried to mollify my anger by telling me that the computer demanded a code (“These days,you know,” she said to me who does KNOW, “we're required to put a code in for every visit and that's what the code brought up.”)

When I asked why the sheet asked me to quit taking a pill I had taken once for a few days over a year ago and never taken again she just said the computer picked it up from the pharmacy (from almost 2 years ago? Big brother is at work!!!). When I asked about the Prevacid which I buy over the counter (works better than Prisolec for acid stomach) but for which I never had a prescription she had no answer other than “computer.”

I was pretty angry but temporarily speechless and first asked her for copies of tests, her diagnosis and the blood tests, but then just wanting to get the hell out of her office told her to forget – I'd see Dr. Wang next week and get copies from him. “You are going to send him copies now?” I asked probably not in the most pleasant of tones. “Of course,” she said pleasantly, “we'll send them out now.”

When I got downstairs to wait for my van ride back to Staten Island I received a call from her office which I ignored. 2 ½ hours later having finally gotten home I received a phone call from a nurse or receptionist in her office.

“Ms. Donohue I'm calling from Dr. P's office. Dr. P would like to know where you went to get your blood tests.”

I told her that I had gone to a Quest office on Staten Island and she asked me if I had a number for the office. I had been taken by a friend to a Quest office in his neighborhood and told her I'd have to look up the number and I was very tired. But then I asked, “But why are you asking me this – Dr. P said my blood tests were all normal?”

“Uhh,” she said, hesitating slightly, “those were the old blood tests you brought from Dr. Wang.”

Now I very much suspect that my blood tests as ordered by Dr. P will come out negative and, as I told her when I came, I was just clutching at straws and wanted updated reports. But she wasn't interested in my case enough to look down and see that she had an old blood test report. She obviously dismissed me at the moment she saw me which has been my history and the history of some of my family. She is typical of a certain brand of specialist – they make their money hand over fist treating patients who have obvious health complaints. They have never done the hard work of a primary or a hospital general physician. They graduated and still live in books and on the advice of pharmaceutical salesmen who tell them the newest out there, They go to medical conventions and talk to other SPECIALISTS and pat each other on the back. Life is orderly and the computer speaks truth.

Hi, Maureen, I am sorry you had such a frustrating experience from a dismissive neurologist. Please post a new discussion asking our members for a doctor recommendation in Staten Island, and let's see if we can help set you up with someone who really knows CIDP and who can do better for you than dismissing all of your concerns. I wonder if you have been to a pain specialist? Neurologists may not be the best folks to handle pain issues? But I hope our members can clarify where they have had the most success. A couple of things that may help, too, are to bring a second person to the appointment, who can take notes, and to bring along a pain journal that describes your symptoms, time of day, duration, and what has helped and what hasn't.

Call the hotline, of course, anytime it is needed. But I'm thinking that what you really want is to find that good doctor who will really listen and can help with your pain levels. That doctor is out there, Maureen, and can make a positive difference for you. Ask our members.

Dear Maureen,

CIDP has many ups and downs so don't think about a permanent "solution". I have gone through all the things brought up in this thread and more. I was in a power w/c for over a year but have been able to walk on my own for about a month now.

There is a GBS/CIDP foundation that I am sure could help you locate a specialist in your area as well as give you the much needed support that we all need. Here is its link:

http://www.gbs-cidp.org/

I am happy to speak with you on the phone, or private email, if you like. Just send me a message and I will send you my contact information. I am an ordained priest and currently serving as a chaplain so rest assured that anything we speak about will be strictly confidential.

Blessings dear sister.

I appreciate your kind thoughts but they are completely useless advice.

Going to the ER is a fool’s game and the hours you spend there are wasted money for both you and your insurance unless you have an obvious cut that needs to be stitched (even there you may be taking your life into your hands.)

I had endometriosis for years suffered 18 periods “non-specific” proctitis" (bleed like a pig from my lower intestine) and went often when the horrible cramping and intestinal blockages would get bad. (I actually asked over the years “Do I have endometriosis?” and was told no. After the surgery I asked again and the gyn doctor told me "No you had fibroids that grew out of your uterus. I told this to my primary and he told me that was semantics as endometriosis is fibroid tissue grown outside the uterus.) Over the year at the ER I would be patted on the head given some Darvocets and sent home except for the 3 times they performed a DNC (I was bleeding so badly they thought I was losing a baby - I was not.) Recommendation - “see your own doctor.”

I’ve suffered cheap clinics and specialists after my near death car accident in 67 (where a drunk priest took off the passenger side of the car in which I traveled as he entered an exit on 287 NJ.) I’ve gone since 1964 to orthopedists complaining that my knees locked and gave out (one time when I was almost 9 months pregnant) and was told I was fine continue my aerobics don’t bother with the knee brace that you think makes it less painful - it’ll cut off your circulation.

I was told my gyn problems were small fibroids that would shrink as I reached menopause and there was no reason for my constant PID that they could see. In 1997 I was told by a new gyn doctor (my family doctor whom I loved had left and he had been doing my PAP tests for years so I didn’t have to bother with the cold specialists) that “If it’s giving you so much trouble you might as well have it out.” (Meaning my uterus). “After all you don’t need it anymore.” That took me by surprise but I kept have abnormal bleeding and I was in so much pain I agreed a year later. I woke up after 8 hours surgery and 2 transfusion to a sea of apologies (verbal only) to me and my daughters for not knowing how bad my condition was. I was kept for a week and went home with agonizing pelvic pain which crippled me today.

I have been through rectal retraining (which didn’t work) rectal surgery (which worked a little) countless scripts for laxatives (which make me bloat up as the rectum is in constant spasm and won’t open) which give me sometimes days of cramping until I become totally incontinent. Going to the ER when I had severe abdominal attacks was stupid enough as I have gone through gallons of 'GO LITELY" (has anyone seen the humor in this name) Mira-lax and some new thing that made me lose stool like water with accompanying pain.

At the same time all of this was going on I was nursing my younger two brothers with similar symptoms (one dead 59 went to bed with tranquilizers they offered him - the other on probably his 12th cervical surgery with some specialist to "clean out disks’) and fighting my own continuing muscular problems which were diagnosed first as fibromyalgia ungraded to “need new knees” “hyper-motility” “cuff tendinitis with an extensive distal interstitial delamination tear” (rt shoulder) Bursitis tear left shoulder “otietis pubis” (inflammation pelvic ligaments which would explain lot of the pelvic pain and rectal spasm.) I bring all this up because I have suffered for years (especially after the care accident in 67 where I injured my neck and back fracturing my skull and hip) with muscular problems that were similar to those of my grandmother who was diagnosed with rheumatoid arthritis although she was negative for the blood test rheumatoid factor. In the last few years it seems to me that, aside from the scar tissue and gyn symptoms, most of my symptoms have been increasing muscular spasms and the relatively new inability of my calves to stop cramping and the coldness of my feet and lower legs is all connected. My primary thought it possible and so the referral to the neurologist. I still think all my problems are basically muscular even though my bones are now affected.

But now not only is the neurologist saying it wasn’t neuropathy that the tests are negative (both of these things I could understand) she is telling me to take 3 colace a day and 1 Enteric aspirin for pain. What she is saying in, in fact, that there is nothing really wrong with me and that I have no real pain.

Over the years I’ve been treated for all sorts of immune problems, mysterious rashes, pain and respiratory symptoms (developed pleurisy once after refusing tranquilizers from rheumetologist who told me I was fine waiting 3 months til I couldn’t stand to see my primary and be diagnosed. Found out then that back pain is not just symptom of bad back but of pneumonia - took months to recover in 2001) I am sick of it all.

I’ve had my teeth butchered by clinic dentists as a teenager lost teeth later because dentists didn’t diagnose underlying jaw infection and didn’t believe I was in pain. I’ve suffered an abcessed foot that had to drain a month because a resident taking my primary’s place when I stepped on a piece of wood told me I was fine and the 1 1/2" of wood that was in there was in my mind leaving me with a week of agony.

My cousin Karen like a sister to me was sent away from an ER at 61 told she was having an anxiety attack and died 3 days later of an embolism (they sued successfully)

My brother Chris was diagnosed with bleeding ulcers and never given meds for stomach and bled to death a year later in St. Vincent’s hospital where they were demanding he leave after 3 days even though he couldn’t stand up and where they put under “cause of death” “natural causes.” (I got real cause of death from Funeral Home who cremated him which stated he “exsanguinated” due to duodenal ulcer. He was 59 and I did not sue because who cares about an older useless Aspergers’ poor person who can’t talk well for himself and whose deteriorating health situation his older sister didn’t recognize as she was fighting her own personal battle with her doctors and the doctors of her youngest brother who was having a neck fusion (which didn’t work.)

My nerve pain and problem walking got so bad one year (2007) my daughter took me to Methodist Hospital in Brooklyn where they kept me for a week and did x-rays of spine and hips and put me on lidoderm patches, methadone, percocets, Lyrica, Nexium, Celebrex, Robaxim, Cymbalta and had me see a psychologist. I was doped up to the eyeballs but still cried in pain if I had to stand up (pelvic pain and spasms front of thighs.) I still have copies of all these medical scripts as I never filled them. I willingly accepted the drugging as long as I was in the hospital and just slept hoping they would find something they could treat but when they sent me home with these scrips and note to “resume normal activities” I spent 3 days freezing, sweating and detoxing from this nasty drugs at my daughter’s home. And all those drugs did not completely stop the increasing muscular pain and spasms I was suffering.

I don’t know if my problems are rheumatoid (my rheumetologist told me he suspected something “rheumatoid” even though I test negative for the factor and prescribed me the one drug that does work for the pain which is prednisone) or a compilation of trauma to the body. What I do have is horribly painful shoulders for which I am told the answer is probably shoulder “replacements” as my shoulders are now in such bad shape. What I do have now is pressure on my spine where a spur is increasing in size and for which I was suggested surgery might be indicated. (This is not an answer for me but, because I needed a neck doctor’s approval for my knee replacement last year I went for an MRI and a neck doctor who told me the MRI was too muddy to read. I just found another knee doctor who didn’t care about anything but my knee and had the surgery done.

The surgery was fine but the stay in Mt. Sinai - 3 days - and post op care were pathetic totally different than the care I had received in 2002 for the other knee.) What I constantly have is constant often agonizing pain and muscle spasms that prevent me from picking up objects (I tend to drop them) bend over, stand up straight and the unkindest cut of all the new frozen calf muscles that make my legs like sticks when I try to walk. If I can get to a pool where the water calms the nerves down I can swim laps and I have some slight improvement but it is not like in 1997 and I lost my left leg completely for three months (this was after the hysterectomy and post op nerve pain in groin) where I did recover the ability to walk and return to work until I was laid off a year later.

I’ve rambled on and on here as I tend to do in life but I just want members to understand that today’s medicine is disgusting and based on profit alone. It has never been great but one did use to have a family doctor who knew all of you and who had more than books and other back-slapping peers to ground him/her. I am completely devastated by this neurologist’s visit and see my case as totally hopeless.

Internet sites such as these probably provide some function and I know when I started reading the Pelvic Pain Site I felt better as I saw my symptoms were not so crazy and I hoped that it might spur some action to find remedies for that particular pain. But I see that this is not going to happen and I am in despair.

I have spent hours in a city van going back and forth to doctors and listened to all sorts of stories and I hear dozens of stories worse than mine of doctor arrogance misdiagnosis and worst of all the fact that many painful syndromes have no answer a person must live with it even if they can no longer function as they once did. These are stories of poverty and humiliation and all I see is that the situation is getting worse.

I am watching my oldest daughter go for hours to the ER to be told she has some kind of inflammatory muscle cysts back of her knees or she has a flare-up of her pelvic problems due to fibroids. I watch her limp around still hopeful for some sort of answer, heating holistic stuff, going for acupuncture (tried that once - he had me on stomach head down in some sort of vinyl holed pillow legs straight out while giant massaging apparatus came down to massage my back. My neck was in agony and keeping my legs straight out lying on my painful pelvis was awful.) I don’t remember this older Chinese doctor who had a very successful practice in Manhattan did put any needles in my back. The whole thing was so painful and $150 to boot that I’ve put it out of my mind.

I am trying to accept that I will lose my legs completely that I can no longer paint my portraits, carve my sculptures, or play my guitar. What I cannot accept is being dismissed, humiliated and charged by those who say they are there to help you and who get quite nicely paid and rarely sued despite what they say (I also spent a few years as a young nurse’s aide and can tell you stories that will verify this. If there is a “blue wall” for the police there is a “white wall” for doctors and health services. Quite frankly I hope for all the people who join this site there will be an answer for them personally but I think there is nothing for me to come but more pain. I despise all organized religion, don’t like sports (other than the swimming, biking, skating, dancing I could once do) and my family has drifted apart between ill health, depression and poverty. I haven’t met a psychologist yet who had a rational practical answer for my life’s or my family’s life travails, other than to hold a hand. The money that is out there is to make more money and health is a much bandied about profit making venture where “Wellness” is stressed and those already caught up in chronic illness are brushed aside and patronized by the newest cover of AARP magazine that shows that all is possible despite the wrinkles and scars. “Preventive Care” is stressed where medical profits are unparalleled and risk free. What’s easier – being a scolding nanny to healthy adults and lecturing them on their eating and sexual habits while piling up those monies from regular visits for the initial examination the test giving and the follow-up (which most of the time doesn’t require a patient to go to the office and wait the hours but could be done over the phone) or treating someone with chronic complicated problems where they might get hostile and sue?

It’s insulting – it’s humiliating and it’s hopeless. No one is going to really give an answer and I dread the future.

Dear Maureen,

Surprise me...

Hope is miles removed from both pessimism and optimism. Hope deals with reality. And reality is surprising. If it’s surprising, it’s real. If it isn’t surprising, it isn’t real. Hope is openness for that surprise. In full sense, hope is not the conviction that everything will turn out fine. That’s optimism. Hope thrives in the midst of hopelessness. Hopelessness is not the opposite of hope. Despair is the opposite of hope. In the midst of hopelessness, hope thrives because it will not give in to despair. Although the situation is hopeless, there is always room for surprise. Hope says, “Let’s stay open for surprise.” Not the surprise of a happy ending, Hollywood style. That’s mere optimism and it is proved unrealistic at every turn. But to remain open for surprise when everything turns out worse than we could ever imagine – that is hope. Despair assigns reality a deadline. Hope knows that there are no deadlines for reality. That is why hope thrives in the midst of hopelessness.

Today we have cheapened hope to optimism, and so we get the backlash, which is this wallowing in pessimism and despair. Despair doesn’t allow reality to surprise us. But hope expects reality to surprise itself.

If we have hope, we create a hopeful reality. Our openness for surprise challenges reality. It’s like a mother who looks at the child and says, “Surprise me.” And the child surprises her. Children surprise themselves in the process. We surprise ourselves if we live up to the expectations of somebody who looks at us with eyes of hope and thereby creates the space into which we can grow. This motherly attitude is the one we ought to have toward people who are caught up in pessimism, darkness, or despair, rather than to write them off or contradict them. That’s what they want, to be contradicted. But rather look at them with eyes that say, ”Surprise me,” and they will surprise you.

If you live in Staten Island and are willing to go to Manhattan, there are two places. There is the peripheral neuropathy center at Cornell and another center at columbia Presbyterian Medical center. You may find the former more friendly and less covered with residents.

Leg cramps are a part of this disease. When it is active, you get them nightly. Some weeks are better than others. I would agree that a low Magnesium can make them worse. Proton Pump inhibitors like Prevacid can cause a low Magnesium. Going to anyone who lacks compassion can be difficult. Please do get help if you are depressed. Counseling could really help you both in trying to get the help you need from the doctors you see and changing your attitude. Please consider a second opinion. See how you make out with a different doctor and a therapist.

I don't take Prevacid daily but because of the constant nausea and abdominal cramping I live on Tums. Prisolec is a proton pump inhibitor which is the one thing Dr. Patterson recommended even though I did not ask her advice on my stomach and intestinal problems. I have told doctors over and over again the proton pump inhibitors don't work. Dr. Patterson is at St. Luke's neuropathy center and I had seen Dr. Sandler at Cornell in 2007. He was competent and I had no argument with him accepted that the EEG's & blood tests were normal (although he did say I had some protein anomalies). I have been suffering with this pain now for almost 20 years and I am becoming almost completely crippled. I understand that the tests are all normal but not that my pain is not real and not that I am not suffering. I am becoming completely incontinent and all my stomach tests are normal except for reflux and the nerve damage to my rectum which is not constipation but something that makes the rectum seize up when stool reaches it. I do have pudendal nerve damage finally recently diagnosed and there is no easy answer to this. But the freezing of my calves is the newest thing and the agonizing spams that took place with a stupid EEG is totally new. As for looking past reality when you can't walk can't sleep and all your family and friends are doing almost as badly as you are it's pretty stupid to hope. Psychology doesn't offer much hope for people depressed by overwhelming physical reality. And when year after year horrible things happen facing reality with optimism is pretty sure to bring disappointment. I have some kind of inflammatory thing going on and it's real. And I understand there are no answers that will allow me to live with dignity. The newest MRI's of my shoulders show that the damage is too great (not fibromyalgia as thought in past) for shoulder repair so shoulder replacements are the only thing available. And the recovery is too long. Some times there are just too many things going wrong and simple advice is insulting. I have read a lot of the stories on this site and see that there are a lot of people who are suffering and dismissed. What this site and other ones like it can do to make things better is a mystery to me. But then I wonder why am I responding. Need to get away from this but the pain won't go away.