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Dysautonomia Information Network
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Ideas and opinions expressed in
Personal Stories belong to each individual author and are not necessarily those
of the Dysautonomia Information Network. Personal Stories are in no way a
substitute for professional medical advice, diagnosis or treatment. Readers
should not try any treatments discussed in Personal Stories without first
obtaining a physician's approval.
Emma's Story
By
Emma Nicholson -from Ipswich in Suffolk
December 2003
As a teenager at high school I experienced some "dizzy and blackout spells". The
doctor said they were due to hormonal changes and left it at that. Overall, I
was pretty well and the dizzy spells seemed to settle down. I left high school
at 16 years old healthy and happy.
I started
training for my job, which was working with drug-addicted children in a crisis
unit. Things were going well until I fell ill one day at work with stomach
pains. I was rushed into hospital where I underwent an operation to remove a
burst appendix. Soon after that I was fighting an infection, which left me in
hospital for six weeks.
Once I was discharged from hospital I was feeling pretty well and had
settled back at home with my parents. Two weeks later I started experiencing
extreme dizzy spells upon standing. I was also passing out. I was then taken
back into hospital where the long journey to discover what was wrong with me
began!
The blackouts got so bad that I could no longer stand at all, and also
transferring became a problem. I was then put on complete bed rest or Hoist
transfers only. This lasted for three months. The hospital was stunned with what
was happening to me. They sent me for blood tests, scans and other tests to try
and find out the root of my problem.
The tests started to come back absolutely fine and tongues started
wagging. "Is this girl crazy?" people started asking. This became a very
stressful time, as I did not know what was affecting me in such a dramatic way.
I was then referred to Queens Square in London where I was diagnosed
with POTS. I had many tilt tests, breathing tests, heart rate tests and heat
tests. I stayed in hospital for a year and three months with this condition,
where I had physio, medication trails and time to help me adapt to being in a
wheelchair.
I have
this condition so badly that I use a wheelchair all the time, as I blackout as
soon as I go to stand. I take 97 tablets a day to try and maintain a blood
pressure, as it drops to as low as 49/60. I take beta-blockers to slow my heart
rate and other medications to increase my salt levels, etc.
The dyautonomia has affected my blood pressure, heart rate, stomach-I now have to
have a syringe driver set up every night with anti sickness medication as my
stomach no longer empties properly. I am waiting for a drainage procedure to be
done, but there is a problem with my being put under anesthetic. I have a
long-term catheter due to retention problems.
I know the above doesn't sound that hopeful, but I must add that I am now
twenty; I have an adapted bungalow and have some really great caregivers. I am
back at work now and studying for a degree in alcohol and drug counseling. I am
very happy and making the best of the situation.

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Katherine’s story
By
Katherine
January 2004
I have had
mild POTS symptoms since the early 1990’s when I was in my early 20’s. The
symptoms started while I was a Peace Corps volunteer in Africa. They were mild,
came and went and I didn’t think anything of them.
In 1999 I
had episodes of prolonged tachycardia, chest pain, fatigue, tremor, and
anxiety. My general practitioner diagnosed me with anxiety, and found that I
had an under active thyroid due to Hashimoto’s – autoimmune thyroid disease. I
started treatment for Hashimoto’s and my POTS symptoms gradually disappeared.
Then I got
pregnant in 2002. This is when everything changed, and it was clear something
else was wrong. I remember one day at work—I was about 4 1/2 months pregnant --
I was trying to lift a sheet of paper from a printer, and I felt so weak I had
to sit down. The next day I was in a conference phone call, and I suddenly felt
so dizzy and weak and my heart was beating so fast I had to hang up. I laid on
the floor at work for an hour, and then my husband came to get me and we went to
my ob/gyn.
She was
concerned I had an undetected cardiac problem and sent me straight to a
cardiologist. He ran some tests and concluded that I wasn’t exercising enough
and was anxious. Over the next weeks my condition deteriorated further, until I
was nearly constantly dizzy.
I talked to
my endocrinologist, who suggested I try to add more salt to my diet. This did
the trick! Within several days I felt almost normal again. By the 7th month of
my pregnancy, though, I was too exhausted to work anymore and was having dizzy
episodes. I stopped working and was at home, sleeping a lot. My ob/gyn just
said it was normal to be tired in late pregnancy and that I was too demanding of
myself. I didn’t know anyone who had been this tired though.
My daughter
was born at term, 10 lbs, 2 oz, 22 inches long, by C-section due to placental
abruption that nearly killed both of us. My blood pressure went sky high during
labor. I lost so much blood I had to have a blood transfusion. I was sick in
bed post-partum for months. I managed to nurse my baby for four months, but did
very little else. Every doctor I saw told me I had severe post-partum
depression and needed treatment. I finally agreed to see a psychiatrist who
determined I had no depression, but an undiagnosed medical condition.
Eventually,
I became so weak I was unable to walk and at times unable to sit up. My husband
carried me to the ER, literally, on three occasions. On the third occasion, I
was admitted to the hospital and finally diagnosed with POTS. My doctor (a
partner of the cardiologist who diagnosed me with lack of exercise and anxiety)
started me on 20 mg of Prozac and 10 mg of Pindolol. By August 2003 I was
stronger and back at work part time.
I have
relapses of the symptoms that scare me, and I am not as well as I was prior to
pregnancy. I have limited exercise tolerance and get tired easily. I do yoga
every day and walk several days a week with my daughter in a stroller, but
anything more aerobic still seems a strain. I find that eating too much sugar,
not getting adequate sleep, too much stress, a minor medical procedure—any of
these things--can set me back.
Overall, I
feel optimistic about my long-term recovery, although I have also accepted that
I have to make some lifestyle changes. I have also learned that illness can be
a blessing. I have discovered that it is possible to take one day at a time,
sometimes just one breath at a time, although this is not always easy. I have
found how important my family is to me and what special people they are. The
world around me seems more alive and intense than ever, and I take pleasure in
the small details of life that I might have otherwise taken for granted. Life
seems so precious, and the ability to enjoy it is a blessing.

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Kathy's Story
By Kathy
Howell,
Ohio
January 2004
My name is Kathy. I am approaching my
thirtieth birthday this year, and I have been living with POTS since October
2001.
I went to have what I thought was a simple
knee surgery. It turned out to be anything but simple. Within days of my
surgery I began experiencing rapid heart rate and shortness of breath. At first
the doctors thought that it was caused by blood clots in my leg and my lung, but
even after those were dissolved I was still symptomatic. This lasted for eight
months without any doctor being able to tell me what was going on.
Besides these symptoms,
I had no energy or any desire to do anything. It was completely frustrating and
aggravating. At the insistence of my employer, I was sent to a cardiologist in
Columbus, Ohio. It was then that I was finally diagnosed with POTS.
Unfortunately, although I had a diagnosis, they couldn't help me either. The
regimen of medicines they put me on did not work. It made me depressed. I knew
that without some kind of improvement in my health I would not be able to return
to my job as a corrections officer.
By July 2003, the
cardiologist I was seeing had run out of options and scheduled me to see Dr.
Blair Grubb in December. I had no idea how I was going to survive those five
months. I left it all in God's hands and went on vacation.
Returning
from my vacation, I went to my regular family physician. I couldn't handle the
depression anymore. He said he had just read a medical journal article by Dr.
Grubb that would help me. It turns out that the same drug my physician wanted
to use for my depression would help me with the POTS. I agreed to try it. It
couldn't be any worse than what I was already experiencing, I thought. Turns
out it was a good decision to try it. That was in August 2003, and by November
2003 my health had improved so much that I could return to my job. Two months
have gone by, and although I can't perform my job quite 100% effectively, I am
doing quite well.
I had absolutely no idea such a syndrome existed. Until I got sick, I had never
heard of it. It wasn't until this past December that I knew what had caused all
the problems in the first place. I have a subdivision of POTS, known as Joint
Hypermobility Syndrome. It means that there is not enough firm collagen in my
joints and blood vessels for them to perform accurately. The reason that it
wasn't discovered earlier is that the muscles in my legs were overcompensating
for the lack of firm collagen. When I became unconditioned due to the blood
clots, that's when all the problems began.
I believe that more needs to be done to get the word out about these syndromes.
Until this all happened to me, no one I knew had ever heard of it. You see
people on talk shows all the time discussing many different diseases and
syndromes. I wish that we could use these avenues to inform the world. Without
the information, there is no hope for better care for us. Getting the word out
may also help someone out there who suffers from these same symptoms but also
has no idea this syndrome exists. Many cardiologists don't even know about it.
Remember, if not for my family physician, I have no idea if I would be back to
work right now or not. If there is anything I can do to help pass along this
information, I would be more than happy to do it. I just don't know where to
start. Any help would be appreciated.
I can be reached at KATHOW23@aol.com if
anyone has any ideas on how to spread the word about this syndrome. For those
of you who also suffer with the symptoms of this syndrome, my heart is with you
and may the good Lord bless us all.

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Debbie's Life in a Not so Nutshell
By Debbie Henrie
May 2004
I have had medical
problems most of my life. I can remember as a child missing a great deal of
school due to stomach aches, sore throats, and other various aliments. In third
grade I broke my arm, had a large juvenile abdominal polyp removed, and got
scarlet fever. This happened all in the space of about two months. I got car
sick every time we went anywhere and was very small and underweight for my age.
In third grade, I wore a size six dress. At age two, while a sitter wasn't
paying attention, I got into two bottles of baby aspirin and ate them all. I
was on a ventilator for three days, and the doctors said I wasn't going to
live. When I did live, they said I was going to have irreversible brain
damage. I kid with people now that that's my problem. However, sometimes I
wonder.....
In the 4th grade, I had severe stomach problems. I vomited at least two to
three times a week and always had heartburn or an upset stomach. When my mom
finally took me to a doctor, he told her I was an attention seeker, and it was
working. That was the first time I heard that, but it certainly wasn’t the
last. Therefore, my mother decided the only way to stop me from this bad
behavior was to force feed me laxatives every time I complained or threw up. I
couldn't do anything about the vomiting but, believe me, I stopped complaining.
I would have diarrhea for months, and I'm sure I was dehydrated most of the
time. I suffered from vertigo even back then. My sister fainted quite often,
and she was provided more attention. She seems to have grown out of it, and has
had no problems in her adult life except for autoimmune disease, but she has no
symptoms of POTS.
As a teen, I could not keep up in P.E. or any sports. I never had any stamina.
I couldn't believe the energy that kids my age had. I was always plagued with
fatigue. No matter how much I slept, I was always tired. However, I went to
school and worked a fulltime job starting at 14. I married right out of high
school and went to college to study nursing. I went to school five days a week,
eight hours a day, and then worked two ten hour shifts as a waitress on the
weekends. I can remember being at my parents’ house and falling asleep during
dinner and my face landing in my plate!
We moved after graduation to a small town in Idaho. I got a job at the little
15-bed hospital there. I was so exhausted I could barely get to work. They
would call to see if I would work, and I would beg my husband not to answer the
phone. He was not an understanding person. He said if I wasn't so lazy and
worked more I would feel better. So, I worked more and felt worse.
I became pregnant at 21, and that's really when I noticed a lot of weird
symptoms. The fatigue was unbearable, all my joints hurt, I was so anemic, and
I was always lightheaded. I noticed that often my heart beat too fast, but I
attributed it to the anemia.
After a very stressful and painful divorce, I got down to 75 pounds because of
my stomach bothering me so much. I hurt everywhere, was always dizzy, and
everyday I thought I wouldn't make it through work. But, I got up every day and
forced myself to go.
After I married my second husband, I did well for a while until we moved to
Spokane. I believe the stress of the move, plus my husband’s inability to get a
job, flared up everything I'd ever had in my life. I was working at a large
hospital on a cardiac floor, and it was very stressful. I went to four or five
different doctors, but they said I had too many symptoms to have anything but
psychiatric problems, and was offered antidepressants. I politely refused and
realized I really was crazy. One day at work, I was talking to another nurse,
and she said she had all the same symptoms. I was shocked. She recommended a
new doctor just starting his practice. I was skeptical and very nervous. He
was beautiful and wonderful, and he is still my doctor after 19 years! He
diagnosed fibromyalgia, but he ran a number of tests to rule out other things.
He said I was not crazy, but I had a disorder that can drive you crazy.
Finally, I had a diagnosis.
He put me on a TCA to
help with my frequently interrupted sleep patterns, but after a few weeks, I
noticed that my heart was always pounding. I went in to see him, and he
immediately weaned me off it. My rate slowed, but we discovered after that
experience that there were a lot of meds out there that caused me to have
tachycardia. We steered clear of them.
In the early 90's, I was diagnosed with possible Meniere's Disease
and placed on a diuretic. It is the first line of treatment for this disorder.
I asked the neurologist if I needed a potassium supplement. He said the dose
was so small, and it would be impossible for it to affect it. Well, after two
doses my potassium was less than two, and I was headed for a cardiac arrest. I
couldn't even take a k+ sparing one without needing IV replacements. So I just
lived with Meniere's Disease too and
dealt with the attacks when they happened. We were discovering I had very
little tolerance for most drugs. My doctor started giving me ½ to ¼ the usual
dose of meds.
In 1996, while on a blood mobile run, I was doing a history and suddenly my
heart started pounding, I got hot and sweaty, and I thought I was going to
either pass out or throw up. Someone took me back to the blood center, and my
BP was 180/100 with a pulse of 180. I have never felt so terrible. I went
to the doctor, and he thought it might be a fluky thing, but he tested me for
pheochromocytoma. It was normal, of course. I started having these episodes all
the time. Always the same, pressure in my throat and head, BP skyrocketing,
nausea, and then after about 1/2 to one hour, everything calming down but
leaving me completely exhausted. I got an event monitor, and it just showed
sinus tachycardia and pac's. The doctor put me on three different meds I didn't
tolerate, and then he tried atenolol 12.5. I felt much better except I was even
more fatigued and found myself waking up at night feeling like I hadn't taken a
breath in five minutes. But it did curb those awful attacks, so I just dealt
with it.
In the fall of 2001, I started becoming very short of breath with the slightest
exertion, and was having a lot of breakthrough tachycardia. I really felt awful;
I had to cut back on my hours. I decided I was just fat and out of condition, so
I bought an elliptical machine to lose weight and get in shape. That was in
November. In March 2002, I was still only doing three minutes a day on that
darn machine. I got so short of breath and tachycardic, I just couldn't
breathe. I went to see my doc, and he started what became every test known to
man on me. I had a thallium treadmill which showed ischemia. This led to a
heart cath that showed normal vessels. My ejection fraction was 80, which is on
the high side. I did a cardiopulmonary treadmill, and it was discovered that my
heart rate at rest was 120, but one minute after starting the treadmill, it was
190. The doctor said stop. He told my doctor there was something wrong with my
sinus node. That I was not conditioned, but it would be impossible for me to
get conditioned. They decided I had Inappropriate Sinus Tachycardia. Then on
to an electro physiologist, who actually was the first to really discuss in
depth autonomic dysfunction. I had never heard of it, and my internist wasn't
very familiar with it.
I had a stress and
non-stress echo which showed hypertrophy from having so much tachycardia and HTN,
and a mild mitral regurge. I had a tilt table in February 2003. Although it
was negative, my heart rate shot sky high, as did my blood pressure. So, I've
never fainted. This drove the cardiologist crazy, because he said everything
pointed to POTS, but I was never syncopal or even pre-syncopal. They decided I
should have an ablation, because my heart was already starting to suffer from
the prolonged tachycardia. I did not want to do this at all, and I had a very
bad feeling about it. But the cardiologist, my doctor, my hubby, and my gastro
all said it was the way to go.
I worked a 14-hour day on March 17, 2003. I had a 6-hour EPS and ablation on
March 18, 2003, and I have never worked again. The ablation only lasted 10
days. I have constant arrhythmias now including PVC's, which I didn't have
before the ablation. I got disability on my first try. My blood pressure is
now considered malignant hypertension, and they can't get it under control. I
have severe emotional swings, and there are days where it takes all I've got to
get up just so I can go lay on the couch. I started looking up everything I
could on dysautonomia. However, it is difficult to find a lot of information
for people who don't pass out and have very high BP's all the
time. I called NDRF and they sent a ton of information. My doctor, bless him,
poured over it. He sent me to a nephrologist. All four or five of my docs
agreed that I was way too complex for anyone in the region I live in. The
literature, unfortunately, said ablation is almost always contraindicated in
people with my symptoms. Oops, it's the only way my body can compensate. So,
they all contacted Mayo and requested I be seen.
Mayo rejected me because I have chronic fatigue. Dr. Robertson at Vanderbilt is
looking at my records now and believes I have baroreflex failure. We are hoping
to get me into a research program there. I am following his protocol for now.
I have been diagnosed with orthostatic tachycardic intolerance, severe reflux
and poor motility. I have Barrett’s esophagus from all those years of "make
believe" stomach aches. I have lost over 30 pounds since November because my
esophagus no longer contracts like it's supposed to, IBS, colitis,
Meniere's, vascular collagen disease, FMS,
malignant HTN, arthritis, and hypertrophy of the left ventricle. At this point,
I know my time is limited, but I would really like to get into Vanderbilt
because baroreflex failure is very rare. My doctor believes I have many
overlapping features of dysautonomia among other health problems. It would be
nice to know that my suffering, if researched, could help someone else, as it is
probably too late for me. That would give me the faith to believe there is a
reason it has happened. Gosh, and that's it in a nutshell....

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