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Russell Bro
02-19-2015, 08:23 AM
I'm Russell,
August 2014
I started with fluid in ears, bursting ear drum, severe headaches, 11-7-14 my right vocal cord paralyzed. I was still able to speak and eat liquid. No diagnosis from 3 different ENTs, one prescribed prednisone and antibiotics, one prescribed nose spray, the other kept having me return after 3 weeks.
After several MRIs of my head and neck, no diagnosis by my GP, ENTs, or Radiologist.
12-19-14 my left vocal cord paralyzed leaving unable to eat or drink so I went to ER got fluid IV and they sent me home.:angry: My wife called a friend that has close connection with my previous GP and told her what's going on, she immediately called Dr. Gusland and told him the story. the next day he had a bed at the Hospital and several Doctor's to see me, including a local Neurologist from UCLA and a ENT I had been seeing.
after 1 week at the local hospital and no diagnosis it was decided that I go to UCLA for higher care.

12-27-14 at UCLA Neurology stroke ward, team of 6 doctors and inters.
PET Scan found inflammations on my throat, upper spinal cord cutting off several nerves such as my vocal cords. Also a spot on my lung which was biopsied 1-8-15. This is when the rheumatologist team had determined they where 85% sure I had Wegener's GPA.

Finally a diagnosis, 1-10-15 infusion of Rituxan, still on prednisone, got flu shot, and pneumonia shot and sent home same day.

So happy to be home I went straight to bed 12:30 am, woke up an hour later aspirating and coughing so hard I collapsed my biopsy lung. Ambulance ride to local hospital. Next day Pneumothorax tube inserted in my chest, spent a week in hospital. By this time I have lost 35 lbs. My only source of nutrition is from my feeding G tube, and IV while at hospital.

2-18-2015
Now I'm home, still no voice, had 3 more Rituxan infusions over the last month, got a pic line to get TPN additional nutrition since I have been losing on average one pound a day and was at 109 lbs. from my original 170 lbs. when I was in shape before all this.

I am really curious how, when, and if my voice will come back on its own, Once it does I will be able to eat and gain my weight back and start feeling normal again.
I thought I was in pretty bad shape until I read may other post on this site, I have to say looking back, I know I did and am still going through a lot, but I feel much better about my situation now, assuming I get my vocal cords working normal again.

Thank you for reading and hopefully replying.
Russell

isi14
02-19-2015, 09:15 AM
Wish you the best Russell!![emoji5]️[emoji5]️.Be positive[emoji111]️


Inviato dal mio iPhone utilizzando Tapatalk

Pete
02-19-2015, 09:26 AM
Hi Russell,

Wow!! You've had quite a spell with our dumb disease.

Rituximab is a great drug, but it's probably not the best for induction therapy that will knock down your symptoms. You may want to ask your docs about using cyclophosphamide to act more quickly. If they put you on it, stay well-hydrated and urinate when you feel the urge. One of cyclophosphamide's side effects is bladder cancer, and the metabolates are irritating to the bladder.

How much prednisone are you taking? If you're still very ill, you may need more to better control inflammation. When I was first diagnosed, I was on 60 mg/day. Between this and the cyclophosphamide kicking in, my appetite recovered really well -- too well as I regained the 25 lbs I lost at disease onset plus another 20 in addition.

I hope your vocal cords and appetite recover quickly.

Also, feel free to ask questions, seek advice, vent your frustrations, and celebrate recovery. There are folks from all over the world on here 24/7/365. You should get responses with a couple of hours, if not sooner.

Keep us posted!

Russell Bro
02-19-2015, 09:43 AM
Pete,
Thanks for the advice, I will ask my rheumatologist about cyclophosphamide see what see has to say. I don't get any more treatments for another 6 months then I get 4 Rituximab infusions over a month time. I am currently on 60 mg a day of prednisone.
It's not that I don't have a appetite since my vocal cords are both paralyzed I can't swallow any thing even my own spit. this is why I am so anxious to find a way to get them active again.

Pete
02-19-2015, 11:10 AM
The thing about Rituximab is it's slow acting -- typically 4-6 weeks before you notice anything...

Jayne 14
02-19-2015, 11:26 AM
Welcome to the gang
What a dramatic welcome you've had to Wegners !!!!
Hope you get your voice back really soon . And god speed


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Debbie C
02-19-2015, 11:45 AM
Hi Russell and like Pete said " WOW " . First I am glad you found this website but sorry for the fact that you had to. I have never heard of this effecting someones vocal cords like yours. Also like Pete said rtx takes awhile to get the full effect,I would definately ask them about ctx ( cytoxin ) that is what many of us had started out on and maybe even give you a higher dose of pred for the inflamation.I hope you start to feel some results soon.

im so blessed
02-19-2015, 01:23 PM
Hi Russel! I have a tracheal stenosis that my ENT calls very odd for wegeners. Then again everything with wegeners is odd :( But mine is in the folds of my vocal chords so when i have a flare i lose my voice. I did not experience paralysis tho. I have heard of the option of injecting the sight with steroids...havnt had to do that myself. Curious if you have a good team of doctors? I think the others are right that rituxan is good but doesnt work fast enough for what youre dealing with. Hope you find some help on here! Im sure you will. These people are all so nice :)

Russell Bro
02-19-2015, 01:27 PM
Debra,
thank you, for the reinforcement and second opinion. I am so ready to eat by mouth. while I was at UCLA I was craving fruit smoothies I ordered a NutriBullet blender, so far it works great for my friends and family. some day I will get to enjoy it.:tongue1:

renidrag
02-19-2015, 01:34 PM
Why are you not getting treatments for another six months?
Dale

Russell Bro
02-19-2015, 01:41 PM
Dale
That the schedule I was given, but when I talk to my rhumy in 3 weeks I will question it. they claim my last 4 treatments are still in my system and working.
I'm ready for my vocal cords to return to normal.

renidrag
02-19-2015, 01:50 PM
Prednisone alone is not enough.
Dale

mrtmeo
02-19-2015, 02:29 PM
Ouch Russell,
What a battle.
Are you using high protein shakes in your feeding tube?
We have to have a certain amount of protein to support our muscle and organs or our body will take from these.
There is a protein powder I used for my mom when she was unable to eat enuf and almost needed a feeding tube.
It is called Bariatric Fusion and you only need 4-6 oz of fluid to mix it and provides 27 grams of protein.
It is used for those who had bariatric surgery.

Debbie C
02-20-2015, 02:07 AM
Debra,
thank you, for the reinforcement and second opinion. I am so ready to eat by mouth. while I was at UCLA I was craving fruit smoothies I ordered a NutriBullet blender, so far it works great for my friends and family. some day I will get to enjoy it.:tongue1:

I also bought a Nutribullet but heard bad reviews about the gasket coming off and the blades breaking so I took it back and got a Ninja but I end up using by old blender that I have had for years. I love smoothies too and have 1 every morning. Hope you get to enjoy them soon.

Debbie C
02-20-2015, 02:11 AM
Prednisone alone is not enough.
Dale

This really scares me when people say this,since I have been on only pred for about 4 years. I keep waiting for the bomb to drop.:w00t:

Pete
02-20-2015, 03:02 AM
This really scares me when people say this,since I have been on only pred for about 4 years. I keep waiting for the bomb to drop.:w00t:

I think the key point here is that pred alone is not enough to induce remission. For some folks, it's probably adequate for maintenance...

mrtmeo
02-20-2015, 04:18 AM
I think the key point here is that pred alone is not enough to induce remission. For some folks, it's probably adequate for maintenance...

I met a lady with weg's that was diagnosed back in 1962.
All they had was pred back then and she is still alive and doing well.
I was totally amazed.
Perhaps, weg's wasn't as mutated back in those days?

renidrag
02-20-2015, 12:56 PM
That is what I meant Pete.
Dale

mishb
02-20-2015, 07:06 PM
Hi Russell and welcome.

Gosh WG has certainly loved you :crying:
I'm glad you found this forum :thumbsup:

We bought a nutri bullet many years ago.......worst purchase we have ever made.
As for trying to send it back to get a refund - forget that as a bad joke too.

However, I hope it works well and the smoothies are just what the doctor ordered.