"Uh, maybe we got that wrong!", I can sense my neuro's thoughts as I'm looking to him for an answer. I am in the worse shape I've ever been.
January 14-15, 2020: I'm in-patient at Halifax Hospital, Daytona Beach, Florida. I'm stuck between two diagnoses - Parkinson's Disease and Functional Neurological Disorder - with no definitive answer (as neither has a definite diagnostic test!) being treated by the only movement disorder specialist group in Volusia County. Knuckleheads. A second FND opinion after Shands Gainesville in June 2018, I am down from 18 pills of Carbidopa/Levodopa per day to 6 - 1/3 of the highest dose I've taken. Guess what? I'm titrated too low on my meds to keep all of my critical systems stable. My body swings every day from normal in the mornings after sleep to paralyzed from the waist down every late afternoon. Low blood pressure in the morning (100/56). After meds wear off in afternoon I'm 156/104. My legs swell and I have no center of gravity to stand myself up. I've taken four trips to the ER by ambulance since the last week of November. I'm not taking enough dopamine to run all my systems at the same time.
The consensus of the hospital group and neuro group is to commit me to an in-patient psyche ward for an indefinite period of time until they figure out how to fix their medicine mess under doctor supervision.
Do they want me to titrate completely off following an FND diagnosis? Hey, wait!! Before you do that, what if I actually have PD instead and after 6 years of dopamine pills I have no dopamine left in my head? I am not aware of any quick way to get dopamine in my brain. Won't that sort of get me to that post-mortem test quicker?? On the flip side: What if I go back up and they just leave me on my meds so they don't have to deal with it? My side effects including visual disturbances, osteoporosis, and OCD behavior will continue to get worse. I'm too young for this horseshit. January 15, 2020 was the 11 year anniversary of my first PD appointment. 4,015 days. 96,360 hours. Official unstable under doctor's orders.
My advice to those doing research or not yet this far into your disease: Question everything your doctor tells you and get second opinions before making any drastic changes to your routine. There is NO definitive test for PD except post-mortem. All doctors are only giving you their best clinical guess on both diagnoses.
This royally sucks,
Wear Your Heart On Your Sleeve
"Lisa Chalker is One Face of Early Onset Parkinson's Disease. Come along on her journey from symptoms to diagnosis; through treatments and therapies. There are highs and lows, miracles and heart notes, and the determination to never, ever, ever, ever give up on the power of HOPE."