Dysautonomia

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Pacemaker offers more surprisers ten years lager

Part 1 of 2 I know a lot more about pacemakers than I did in 2013 when I had the first one implanted. In 2022 I had a battery switched out and believed I was a professional pacemaker user. A few months ago, however, I discovered there is a lot more to this little battery pacing my heart.
For clarification, my heart is structurally sound. Dysautonomia- an umbrella term used to describe the malfunction of the autonomic nervous system- slowed the heartrate. By 2013 I was operating mostly in the low to mid 40s and felt crummy. Medication did not help, and I was diagnosed with chronotropic incompetence (basically the heart’s inability to sustain a normal heartrate). A pacemaker cannot cure dysautonomia, but it took away the bradycardia symptoms which had left me exhausted and winded.
In the last 10 years, the cardiologist and I have surmised why I have bradycardia and dysautonomia. At the age of 20, I had mononucleosis (viral infection number one). My heart started beating more slowly. I had a few medical tests run and doctors said the slow heartrate was due to allergies. I ran when I felt the heart too slow and then went to sleep, typically feeling better the next day.
In 2010, I had a string of sinus infections culminating with the flu in 2010 (viral infection number two and more). The month of December was horrendous and the day after Christmas I experienced my first of many experiences with dehydration. Again, the dysautonomia specialist believes those viral hits are what essentially “damaged” the autonomic nervous system, resulting in a myriad of symptoms and consequences.
Fast forward to August 2023. That was the month I learned of a complication of pacemakers. I had felt unwell for a couple days, and even had a horrible bike ride in which lying down did not help me recover. There was intense pain from my shoulder to my hand- I literally could not hold the bike handle and had to dangle arm (not a heart attack).
I received a phone call from a pacemaker representative that adjusts the settings. He wanted to see me as something was wrong with the pacemaker. In 10 years, I never received a call regarding the battery; I wasn’t sure anyone reviewed it.
Here is the biggest surprise _ pacemaker leads can “break.” After nearly 10 years, the coating of my one lead is coming undone. What does this mean? First, the pacemaker switched from one setting to another, which does not feel good. I passed out once and came close a second time before I knew what was occurring. The pacer can sense orthostatic intolerance I deal with (drop of blood pressure upon standing). It will then shoot my heart rate up, so I feel ok. Unfortunately, with the lead not working properly and actually pacing in both chambers instead of just the top, it doesn’t decipher these changes in my body.
To fix the situation, I am having laser lead extraction surgery at the Cleveland Clinic. I could have had it in Buffalo, but it is a complicated surgery, and the expertise is in Cleveland. It took more than two months to secure an appointment with the surgeon; it’s four months total from the time the pacer stopped working accurately until the lead is replaced. I have not biked since early August, have had to be extra careful with increased symptoms and have dealt with additional fatigue and nausea.
This is my third pacemaker surgery; the most complicated one. The surgical team uses a laser to burn and then slowly pull out the lead. If it is deemed too difficult to extricate the lead without damaging anything, the lead will stay, and I will get a new one that works. Ideally, however, it is hoped the lead can be removed and replaced.
A few months ago,  I went for a bike ride at the Buffalo waterfront believing it was any other summer morning ride. Little did I know the crazy medical detour I began. This is reminiscent to the bike rides in the summer of 2010 in which I had to hop off my bike as I felt like I was going to pass out. These bike rides were the clue that something was wrong with my body, other than an easy fix.
I am annoyed that this has happened; I never even knew of such a complication _ which occurs in one to four percent of the population. I guess I am once again the “lucky one.”
I have learned several things in the last four months including:
1. I need to bike. But walking and using an indoor bike is ok. (Putting weight on my left arm causes “noise” on the pacemaker, which is a problem).
2. My husband and family are of great support.
3. I don’t have to take the first medical opinion I receive. I have a great local cardiologist who can manage my care but for such an intricate surgery I want to be in a top-notched facility that does thousands of these surgeries.
4. Many hospitals do not perform lead extraction surgery because it is rare, the equipment is costly, and a doctor must have specialized training.
5. I am fortunate to be able to travel to Cleveland

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#Weird skin rashes and spots;

I have been "around the block" with a variety of stuff all my life. I am 75 with hEDS, POTS, dysautonomia, MCAS, CFS/myalgic encephalopathy/ SEID, and small fiber neuropathy.

As I age , the management and science has expanded. I feel lucky that there is so much more info. However, this non itchy, nonpainful, bright red flat pinpoint rash stumps me. It is on my lower aarms and lower legs. Is it an auto immune thing or what?

SuzieKihei

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I LOVE LIFE

Today is International SPS Awareness Day. I dedicate this article I wrote for l’orient le jour, a french publication, to all the people who have inspired me along this journey.#StiffPersonSyndrome #RareDisease

I suffer from a very rare condition that affects one or two people per million called Stiff Person Syndrome.

Almost four weeks ago, I came out of the Intensive Care Unit ALIVE - that word has never had such an impact in my life.

On the eve before the 12th of February, feeling weak I told my husband not to worry if I took time to call him post treatment. My mum asked me if I needed her to drop me, but I asked her to pick me up instead because I told her I did not feel ok.

It’s like I knew…

Post treatment, my blood pressure went so low that I passed out and after various attempts to wake me up I was taken to the ER and a few hours later to the ICU. I was soon diagnosed with Septic Shock due to four different bacteria in my blood. In twenty-four hours my condition became critical, and my dad asked my husband to travel immediately back to Beirut from Africa.

From these eighteen days, my memories are the ones that my subconscious created as I was delirious, in and out of consciousness.

I dreamt of life, and how much I loved it, of music and dancing. I heard my parents and husband’s voices and gentle words of love without being able to respond.

Their love and my strength woke me up and I was alive again and able to communicate.

I love life, my body and its strength is undeniable despite all of my sicknesses.

I am thirty-seven years old and neither Stiff Person Syndrome nor its treatments will defeat me.

Whatever defines you hold on to it, do the things you love, live life because it is truly beautiful, live every day and appreciate it.

Life, you brought me back I will not disappoint you.

To all my loved ones, this is for you!#delirium #Coma #BackPain #MightyTogether #StiffPersonSyndrome #JuvenileDiabetesType1 #OrthostaticHypotension #Gastroparesis #Dysautonomia #Arthritis @angesdavis

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Community

Find support and inspiration in our group for people with Dynamic Challenges who refuse to let limitations hold them back from enjoying, loving and living life and the great outdoors.
#Dysautonomia #EhlersDanlosSyndrome #OccipitalNeuralgia
m.facebook.com/groups/341684588871459

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Finding joy in the little things

This journey has taught me to look deeper and notice the beauty that surrounds me.
#Healing #resilience #Dysautonomia

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Does your illness(es) change with the seasons?

Spring has sprung! I know it can be difficult to feel excited like the majority of people when the weather changes. While most are welcoming the warmer temperatures it can be a trying time for those of us with chronic illnesses. For instance, the heat can oftentimes exacerbate symptoms. What are some of the tricks you employ to keep cool and stay safe? Remember to keep hydrated! #Spoonie #ChronicIllness #ChronicFatigue #ChronicFatigueSyndrome #MyalgicEncephalomyelitis #Fibromyalgia #AutonomicDysfunction #PosturalOrthostaticTachycardiaSyndrome #Dysautonomia #MastCellActivationDisorder #MultipleChemicalSensitivity

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I'm new here!

Hi, my name is Deniva1234. I'm here because I’ve been recently diagnosed with Autonomic Nerve Disorder, after a bout with fainting over the past year. Oddly, once diagnosed by a cardiologist, who told me to “just eat 4000mg of salt/day, and drink 2 liters of water, and you will be fine”, my health has declined. Needless to say, I cut back on the recommended salt, drink a good amount of water, but the fatigue and general malaise remains. Restorative Sleep is definitely an issue, also. Need some suggestions, moving forward.

#MightyTogether #Dysautonomia

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