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Re: Re: Cardio Visit

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Hi Sharon.Thanks!I am ok.I dont know what is going on but I choose to be mostly

in denial.lol.My mom reminded me that miracles happen everyday And to keep my

faith and fight. And some how it will be ok.I luv my mom!The definiton says that

Ischemic testing is used in evaluation of pts w/suspected McArdle disease and

the levels lok for mitochhondrial myopathy.I cant even keep up!Lol.Like a

glucogen storage disease.This is way over my head.lol.

hugz

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Let me get this straight - I am the slow one here with medical mumble jumble - they don't know what is wrong so they are using you as a lab rat and a pin cushion on a fishing expedition. Am I in the ball park?

Re: Re: Cardio Visit

Hi Sharon.Thanks!I am ok.I dont know what is going on but I choose to be mostly in denial.lol.My mom reminded me that miracles happen everyday And to keep my faith and fight. And some how it will be ok.I luv my mom!The definiton says that Ischemic testing is used in evaluation of pts w/suspected McArdle disease and the levels lok for mitochhondrial myopathy.I cant even keep up!Lol.Like a glucogen storage disease.This is way over my head.lol.hugz

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Hi nne.Thanks! I am ok. Or will be ok. One of the 2.lol. Thankyou for all

the prayers.They mean alot.

luv you!

cassy

Cassy,

I am so sorry that you are worse. My heart goes out to you. You remain in my prayers.

Hugs

nne

On 12/13/07, payngabbyaol <payngabbyaol> wrote:

I seen the cardio.He ordered me a walker with a seat and I got it already!He said I am worse,and my muscles dont stop contracting and im very rigid.He said alot of my symps are like parkinsons.I am having Ischemic testing next wk and soon muscle biopsy,he thinks it may be a rare muscle disease.He needs to speak with the neuro,hes in India so he will email him and when hes back in jan I will see him.My eye has a blind spot and I guess I didnt realize since I compensate with my other eye.hugz,cassy

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Better, now that I'm back on the LDN. hugs, Trista---- payngabby@... wrote:>Hi Trista! Thankyou! I have been praying alot. And I pray for you too. How are you feeling?>luv n hugz

>cassy

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Thanks Sharon! I didnt know the 2 were connected.And ya.The reumo thought I had

a MD,remember? The stupid neuro sent me there a few times cuz they insisted I

have a reumo disease just cuz my dad did.I had the cardio send me the reports

from seeing him.There is alot of interesting stuff in it.He says I have elements

of dysautonomic dysfunction but also feels I have additional problems relating

to the group III and group IV afferents from skeletal muscles .?

hugz

I found a link for you to see: http://www.muscular-dystrophy.org/information_resources/factsheets/medical_conditions_factsheets/mcardles.htmlRemember when the docs were thinking something about Muscular Dystrophy? Now this link is on an MD website. Did you know there was a connection of some sort? I'm going to go ahead and copy and past the info here for you. Tell me if you think this fits you. I'm glad you have your mom! Miracles DO happen! I'm praying for you every day, Cassie.loveSharonWhat is McArdle’s disease?

McArdle’s disease is a metabolic muscle disorder first described in

1951 by Dr McArdle. The disorder is also called Glycogen Storage

Disease Type V (GSD V). People born with McArdle’s disease are unable

to produce an enzyme called muscle phosphorylase. This enzyme is

important in producing the fuel source required by the skeletal muscles

for exercise.

To Top

What are the symptoms?

People with McArdle’s disease develop severe muscle pain and fatigue in

the first few minutes of exercise. If exercise is continued despite the

pain, a severe muscle spasm or contracture will develop. This results

in muscle damage leading to myoglobinuria, a dark discolouration of the

urine. Many

people with the condition remember painful symptoms from early

childhood but the disorder is rarely diagnosed before adulthood. Some

people notice a worsening of their symptoms in middle-age and this may

be accompanied by some muscle wasting, especially over the shoulders

and back. Most people live normal lives and learn to improve their

exercise tolerance using a “second wind”.

To Top

What is a second wind?

There are two types of exercise: aerobic exercise includes walking,

gentle swimming, jogging and cycling. Anaerobic exercise is more

intense or sustained exercise and includes running, walking uphill and

carrying loads. The first few minutes of any exercise are usually

anaerobic. Normally,

during anaerobic exercise, muscle phosphorylase converts glycogen

(stored starch) to glucose (sugar). The glucose enters a metabolic

pathway known as the glycolytic pathway, which ultimately produces ATP

(energy). During aerobic exercise, the main energy source comes from

free fatty acids carried in the blood stream. These fatty acids enter a

different metabolic pathway, called oxidative phosphorylation, which

takes place in the mitochondria (these are the power houses of the

cell) the end result is the production of ATP. A second wind is

like a key opening the door, enabling exercise without pain for people

with McArdle’s disease. After a few minutes of exercise when pain

occurs, if the individual rests for a moment or two, exercise can be

continued without severe pain. The second wind probably results from a

switch in metabolic pathway from the glycolytic pathway to oxidative

phosphorylation.

To Top

Which muscles are affected?

Any skeletal muscle is affected. Usually walking brings on symptoms in

the legs and carrying heavy shopping affects the arms. Sawing, digging

or squatting may affect the back muscles and some people develop pain

eating chewy foods.

To Top

How is McArdle’s disease diagnosed?

A blood test will usually reveal a raised muscle enzyme known as

creatine kinase (CK). Sometimes a forearm lactate test is performed,

although this is not essential. The diagnosis is confirmed by a muscle

biopsy, which shows an excess of glycogen and absence of the muscle

enzyme phosphorylase. In up to 85% of patients from Northern Europe, an

abnormality in the gene encoding for muscle phosphorylase, called R50X

(previously known as R49X), can be detected on a DNA test (blood test).

In practice such testing is rarely helpful and not always available and

is not essential to make the diagnosis.

To Top

Is there any treatment?

The ability to develop a second wind is greatly increased by keeping

physically fit. Taking regular gentle aerobic exercise, such as walking

is important. At the start of exercise, when pain occurs, slow right

down or stop until the pain has subsided, then try again. Sustained or

severe exercise, such as weight lifting, or sprinting, must be avoided

because of the high risk of muscle damage. Continuing to exercise in

the presence of severe pain will also result in muscle damage and

myoglobinuria, which will in turn increase the risk of acute renal

failure. Many

different diets and supplements have been tested in McArdle’s disease

such as high protein diet, vitamin B6 and creatine supplements, as yet

there is insufficient evidence to suggest that any of these benefit

people with McArdle’s disease. There is some evidence to suggest that a

sugary drink prior to planned exercise might help. This however, needs

to be balanced against excessive weight gain, which should be avoided

at all cost. Carrying increased weight will lower your body’s aerobic

threshold and make exercise more difficult. Keeping aerobically fit is

the best way to condition McArdle’s muscles to improve performance and

improve quality of life.

To Top

What happens if myoglobinuria occurs?

Most people with McArdle’s disease will develop myoglobinuria at some

time in their lives. Myoglobinuria is a dark discolouration of the

urine from a red- brown colour (mild) to a brown-black colour (severe).

This is a warning sign for acute renal failure, which can occur if

severe muscle damage has occurred. If this happens the kidneys stop

producing urine because the draining tubules become blocked with the

products of muscle breakdown. If

the episode of pain and contracture was not too severe myoglobinuria

will be transient and lighter in colour. After more severe episodes the

muscles may be swollen and tender and there may be flu like symptoms.

Minor symptoms are managed by increasing fluid intake to maintain a

good urine output. More severe episodes will require an admission to

hospital for intravenous fluids and if kidney failure occurs, a period

of dialysis may be required. Kidney failure is almost always

reversible, but expert treatment is required immediately to prevent

complications during the acute stage. It is, therefore, very important

to seek medical help early should any of these symptoms occur.

To Top

Are there any other precautions?

There is a reported risk of acute muscle damage, with certain general

anaesthetics (usually muscle relaxants and inhaled anaesthetics),

although in practice problems appear to be very rare. The anaesthetist

should be made aware of the diagnosis of McArdle’s disease, and may

choose to avoid certain anaesthetic agents. Tourniquets should not be

used during operative procedures in patients with McArdle’s disease.Affected

women do not seem to be disadvantaged by pregnancy or childbirth. A

natural childbirth is a realistic possibility for women with McArdle’s

disease.

To Top

Will I become disabled?

McArdle’s disease does not affect life expectancy. Some people do

notice a slow deterioration in their symptoms over many years but by

far the majority of people remain independent and able to walk.

To Top

Can it be passed on to my children?

The condition is caused by a recessive gene. This means that one

abnormal copy of the gene is passed from each parent to the affected

child, who in turn will have inherited two abnormal copies of the gene.

The risk for both carrier parents to have an affected child is 1:4 for

each pregnancy.People

who have McArdle’s disease do not usually pass the condition onto their

own children because one normal copy of the gene will have been

provided by their partner. However, all of their children will be

carriers. Generally speaking carriers do not have symptoms. This email is a natural hand made product. The slight variations in spelling and grammar enhance its individual character and beauty and in no way are to be considered flaws or defects. Re: Re: Cardio Visit

Hi Sharon.Thanks!I am ok.I dont know what is going on but I choose to

be mostly in denial.lol.My mom reminded me that miracles happen everyday

And to keep my faith and fight. And some how it will be ok.I luv my

mom!The definiton says that Ischemic testing is used in evaluation of pts

w/suspected McArdle disease and the levels lok for mitochhondrial

myopathy.I cant even keep up!Lol.Like a glucogen storage disease.This is

way over my head.lol.hugz

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No Idea.lol.It says alot more.It also says during slow deep inspiration she

showd very litle sinus arythmia and variation in HR was.4 beats a min which is

lower then the expected average.And I also performed a isometric tst on her and

she wasnt able to elevate her BP,in fact she wasnt able to generate suficient

power,which may account for bp resonse.I wish I had a scanner.There is more,I

dont understand it.lol.

Do you understand what that means? The group III and IV stuff? Sharon This email is a natural hand made product. The slight variations in spelling and grammar enhance its individual character and beauty and in no way are to be considered flaws or defects. Re: Re: Cardio Visit

Hi Sharon.Thanks! I am ok.I dont know what is going on but I choose to

be mostly in denial.lol.My mom reminded me that miracles happen everyday

And to keep my faith and fight. And some how it will be ok.I luv my

mom!The definiton says that Ischemic testing is used in evaluation of pts

w/suspected McArdle disease and the levels lok for mitochhondrial

myopathy.I cant even keep up!Lol.Like a glucogen storage disease.This is

way over my head.lol.hugz

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Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now.

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Im glad to hear that. When did you go back on it? And how were you

without it?

hugz,cassy

Re: Re: Cardio Visit

Better, now that I'm back on the LDN. hugs, Trista

----

payngabby@... wrote:

>Hi Trista! Thankyou! I have been praying

alot. And I pray for you too. How are you feeling?

>luv n hugz

>cassy

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#AOLMsgPart_2_f7ac2203-33ad-4dd8-906a-1c983ae88bc7

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Thanks Peggy! Your so sweet!Big hugz for you too! Yes.I have done PT. I

had to see some special neuro pt cuz the other ones said they didnt

know how to help me.?My pt was very limited,didnt seem to help but I

still do the stretches and exercises.They are mostly done laying

down,helps some but is so tiring. I think I would call my shaking

tremors.The neuro called them tremors,then the cardio said they were

rigid and that my muscles dont stop contracting.I have symptoms that

fill a whole page.And unfortunely they are a pain in the a** every day.

The thing with the tremors though almost looks like a seizure since its

in my arms,legs,hands,feet,and low back.It jus jerks and hurts like

hell and my back feels like its cripling over and it also jerks.To be

honest I dont know what they are I thought they were spasms til it got

a little worse.I take baclofen and I read about 1 of those muscle

diseases and how the baclofen makes it worse.I dunno.luv ya

cassy

Re: Cardio Visit

((((Cassy))))

I wish I was there to give you a real hug, a nice long bear hug!!!!

This is scary news, but don't jump to any conclusions until you know

for sure.

My Dad has Parkinsons and he shakes so I'm confused as to the part

about you being rigid and your symptoms being like Parkinsons. Maybe

once they know what you are up against they will know better how to

treat it.

Have you ever done any physical therapy at any time during all of this?

That may help you as well. As for the walker with a seat, I'm glad that

it came to you so quickly, but sure wish you didn't need it.

Praying for you and always here for you.

Love ya

Peggy

>

> I seen the cardio.He ordered me a walker with a seat and I got it

already!He said I am worse,and my muscles dont stop contracting and im

very rigid.He said alot of my symps are like parkinsons.I am having

Ischemic testing next wk and soon muscle biopsy,he thinks it may be a

rare muscle disease.He needs to speak with the neuro,hes in India so he

will email him and when hes back in jan I will see him.My eye has a

blind spot and I guess I didnt realize since I compensate with my other

eye.

> hugz,cassy

>

#AOLMsgPart_2_dc412a3d-e653-47e2-bddc-d488f8b71ead

#AOLMsgPart_2_dc412a3d-e653-47e2-bddc-d488f8b71ead

#AOLMsgPart_2_dc412a3d-e653-47e2-bddc-d488f8b71ead

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It's really cheap to get, but I like getting several months worth at a time, to save on shipping. No reason to pay $5.95 for just 30 pills, when I can get several months worth, for the same $ I couldn't afford it when I needed to re-order, so I decided (silly me) to just not take it, and see if I notice any problems. I was off it for a month, and in pain all month. Before that, my pain was tolerable. I've been back on it for a few weeks now. ---- payngabby@... wrote:>Im glad to hear that. When did you go back on it? And how were you

>without it?>hugz,cassy>>> Re: Re: Cardio Visit

>>>>>>>>>>

>>>Better, now that I'm back on the LDN. hugs, Trista>----

>payngabby@... wrote:>>Hi Trista! Thankyou! I have been praying

>alot. And I pray for you too. How are you feeling?>>luv n hugz

>>>cassy>>>>>>>

>>>>>>

>#AOLMsgPart_2_f7ac2203-33ad-4dd8-906a-1c983ae88bc7>>

>#AOLMsgPart_2_f7ac2203-33ad-4dd8-906a-1c983ae88bc7>>

>#AOLMsgPart_2_f7ac2203-33ad-4dd8-906a-1c983ae88bc7>>

>________________________________________________________________________

>More new features than ever. Check out the new AOL Mail ! -

>http://webmail.aol.com

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No More not taking it! Ok?! Lol. I hate pain,sorry you were

suffering.:( Im glad its getting better.

hugzzzzzzzzzzzzzzzzzz(thats a big gigantic humongous hug!)

Re: Re: Cardio Visit

>

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>

>Better, now that I'm back on the LDN. hugs, Trista

>----

>payngabby@... wrote:

>>Hi Trista! Thankyou! I have been praying

>alot. And I pray for you too. How are you feeling?

>>luv n hugz

>

>>cassy

>

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>#AOLMsgPart_2_f7ac2203-33ad-4dd8-906a-1c983ae88bc7

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>#AOLMsgPart_2_f7ac2203-33ad-4dd8-906a-1c983ae88bc7

>

>

>#AOLMsgPart_2_f7ac2203-33ad-4dd8-906a-1c983ae88bc7

>

>

>________________________________________________________________________

>More new features than ever. Check out the new AOL Mail ! -

>http://webmail.aol.com

#AOLMsgPart_2_dfe3393d-aa8a-4f26-9555-f3bddcf41bf5

#AOLMsgPart_2_dfe3393d-aa8a-4f26-9555-f3bddcf41bf5

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Well. Forget em! There only doctors so they can get paid for it! Lol. Lol. I

have filed already.Ahhhh.lol. My phone interview is on the 18th. I signed 17

medical release forms! No wonder why people get a lawyer before they even apply.

Im nervous for the phone interview.Dont know what to expect.I hate that. I like

to be prepared.lol. Im expecting to get denied.Oh.well. I will get a lawyer

there gonna have to approve us eventually.

hugz,cassy

I learned my lesson! For sure. Sweet dreams. I am off to snuggle under my many blankets. hugs, Trista

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Your not slow! My dx process is.lol. Well. Im lucky enough that they

havnt taken me as there lab rat.lol. But I have had tons of tests. Im

lucky my insurance hasnt kicked me out.My neuro thought I had Devics

disease(like ms)then I got 3 opinions for that and it wasnt that.Then 1

of the idiot specialists thought it was a reumo thing cuz my dad had

2.Well,aftr getting all that ruled out and bouncn around I landed in a

neuro genius arms.He figured me out.Autonomic dysfunction.Then I was

sent to a cardio and hes findn out more as we go along.So,more to

come.lol.

hugz,cassy

Re: Re: Cardio Visit

Let me get this straight - I am the slow one here with

medical mumble jumble - they don't know what is wrong so they are using

you as a

lab rat and a pin cushion on a fishing expedition. Am I in the ball

park?

Re: Re: Cardio

Visit

Hi Sharon.Thanks!I am ok.I dont know what is going on but I choose to

be mostly in denial.lol.My mom reminded me that miracles happen

everyday And

to keep my faith and fight. And some how it will be ok.I luv my

mom!The

definiton says that Ischemic testing is used in evaluation of pts

w/suspected

McArdle disease and the levels lok for mitochhondrial myopathy.I cant

even

keep up!Lol.Like a glucogen storage disease.This is way over my

head.lol.

hugz

No virus found in this incoming message.

Checked by AVG Free

Edition.

Version: 7.5.503 / Virus Database: 269.17.1/1183 - Release Date:

12/13/2007 9:15 AM

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#AOLMsgPart_2_e345d028-1cad-4561-98b7-b2263781207f

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