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Cryoglobulinemia Vasculitis

Elba Gigante Mundo - Born in Puerto Rico- Resides in Florida, USA

SCwSG/CVO Spanish Outreach Coordinator Volunteer

Radio Show interveiw to come

Cryofibrinogenemia

 

May 2012 had mild heart attack followed by a number of smaller issues and freakish headaches. I also began to feel an intolerance to cold. 

 

I live in Florida, my arms and hands, feet and leg, chest and front of my neck hurt all the time except when I lay down. I have a constant headache that starts behind my eyes, and white noise in my ears all the time from the time I get out of bed until I go to bed. I'm cold all the time. I feel better when I'm outside or in bed.

 

April 2013, I had major heart attack with emergency open heart surgery. With a number of hospital and ER visits afterward, followed by rectal bleeding. Constantly, cold and never feeling like I can get warm (thaw out). July they did the colonoscopy to find colon cancer with 14 polyps. More hospital visits. August is surgery to remove cancer. More ER visits.

 

October was lengthy hospital stay. More ER and Hospital stays through holidays all with no answer to why I kept having episodes of extreme pain that caused heart events.

 

Mini Stroke in January. Find Rare congenital Blood disorder called Factor 2 Gene Mutation and I'm Homozygous. Feb and March more ER and Hospital stays with no Answers.

 

Finally my Drs send me to Johns Hopkins in Maryland. They find rare Blood Cancer called Cryofibrinogen but tell me its untreatable until its in its advanced stages and/or I need amputation or transfusion. But that its not what is causing all the pain. Could be neurololical they say.

 

May, we go to the Mayo Clinic for more discovery. But proper protocol is not followed and I am negative for Cryo. They don't come up with an answer so I'm labeled with Chronic Pain Syndrome. All they want to do is push more drugs on me. We come home in June and I get terminated from work because FMLA had run out and my Dr.'s are afraid to release me with no real answers. Now, I'm going on Permanent Disability.

 

In all, I have been in and out of over 8 hospitals, 35 times. Still discovering what, why, and where my future is going. I have no regrets. I loved, learned, and lived a wonderful life. Now I live one day at a time. learning all I can about this disease.  I found the CVO website and it helped pull it all together.

 

I've learned to stay warm but that does not always take the pain away. My skin is pale white now. I loose circulation in my arms and legs. I'm told I have nerve damage and neuropathy in my arms, hands, legs, and feet.

 

I hope all is well for you. I'm looking to start a new life with my Wife. We want to inform people of this painfull disease. Do some consulting, public speaking and help others until I can't. Its all in Gods Hands now.

 

Thinking of writing a book. But that's only a thought right now.

 

Wayne Calhoun

 

Cryoglobulinemia Vasculitis

Wayne Calhoun, Florida, USA

Cryo Patient Stories   (Page 2)

I would like to share my health experiences with the intention of helping others within a group of patients that suffer different symptoms that have made their doctors suppose different diagnosis because of the complexity of the clinical pictures. They are called rare diseases.

 

My health during infancy was quite complex. I was born in 1951, year that delimits a stage of medicine and the beginning of many vaccines. Before I was born I swallowed amniotic fluid which produced cyanosis in me but with the good luck of no brain damage.  Around the age of 6 months I had an accident where I had a small head injury which required stitches and an anti-tetanus shot. Within less than 6 months later I again suffered another head injury and my doctor failed to read in my record that he had already given me the anti-tetanus shot just a few months earlier. My body went into respiratory and cardiac arrest. My father was the one to provide CPR since the doctor couldn’t/didn’t react as he realized he made a mistake.

 

When I turned about 2 years old I was inoculated with the proper vaccines including polio. Unfortunately it appears that the vaccine was defective and some of the children inoculated with it developed polio, I included. My right leg was affected. I had severe pain through all my childhood even thou I received physical therapy and wore special orthopedic boots. By the time I became and adolescent I had supposedly gotten over it but, as far as I remember, that leg always hurt and I was also tripping and falling all the time (clumsy?.) My mother placed me in ballet classes as a mean to exercise my muscles, recommended by the doctors and therapists and I loved it as well as Spanish flamenco dance. I did rather well and stood out because of my desire to overcome my limitations and my love for dancing.

 

At the age of 8 I jumped off a swing and landed on my neck and had another respiratory arrest. Because of this accident my cervical vertebrae was injured. I also had a few other falls in which I broke my coccyx.

 

At the age of 9 I had my tonsils and adenoid glands removed due to recurrent infections and inflammation that made it hard for me to breathe.

 

From my teen years on I had frequent muscle spasms and hypoglycemic attacks where I almost lost consciousness. I also suffered from asthma and bronchitis which were treated with antibiotics and penicillin amongst other meds. Before my menstrual cycle began I also had severe abdominal pain and light-headedness. Once I started menstruating I would have hemorrhages and sometimes I would not ovulate in months. But when I did, it was very painful, heavy and sometimes with brown period blood.

 

At the age of 17 I had exploratory surgery due to high levels of white blood cells and extreme abdominal pain. My appendix was removed (it was about to burst.) They also found my ovaries covered in gelatinous tissue. This was my first endometriosis diagnosis.

 

At the age of 21 I got married but was unable to become pregnant so the doctor started me on fertility treatment with Clomid. I became pregnant and had my baby delivered by C-section due to preeclampsia and because I didn’t dilate more than 4cm. When I was taken back to my room I remember feeling that extreme internal cold episode that made me convulse. I remember them covering me with warm blankets and injecting me with anti-convulsion meds. I believe this was my first cryoglobulinemia episode. After this I constantly had intense muscular pain and generalized inflammation.

When my son was 2 y/o he had the mumps and, even though I had already had a mild case of it as a child, I had them again. They were so severe that I developed viral encephalitis. I spent several days in the hospital in critical condition. The headaches were severe. After a few days the doctor released me but I was to observe full bed-rest for a month in my home. Also he forbade me from exposing myself to sunlight which is about impossible when you live in a tropical island. I continued to have intense generalized inflammatory pain for which I received prescriptions that I don’t remember at this time.

 

About a year later I was studying respiratory therapy. We were mandated to vaccinate against the swine flu (swine vaccination.) I developed viral encephalitis for the second time as a result of this vaccination. As a result of the encephalitis I developed small seizures disorder.

 

In 1980 I became pregnant with my 2nd child. Very high risk pregnancy. I had constant contractions for which I was bed-ridden for the rest of it. My daughter was born 8 months later. Because of all of my medical issues/conditions I received very little spinal anesthesia for this C-section. When the doctor began the procedure I felt absolutely EVERYTHING as if I didn’t have any anesthesia. So they hurried the process up to prevent my baby or I from any further complications and in doing so they left a gauze inside me. So I went through C-section and sutures practically with no anesthesia. I went into a semi-unconscious state when they finally injected me with pain medication. I spent the next 5 days with a hemorrhage until my uterus eliminated the gauze on its own. I was released in the morning and by that evening I was back in the hospital. I received blood transfusions. I spent 2 weeks battling between life and death. They administered folic acid, B-12 shots and other meds I don’t remember. I finally made it back home (very anemic) to take care of my son and newborn baby girl by myself. My anemia continued for several months.

 

At this time is when I start having constant and severe daily muscle spasms and I had knots everywhere. At that time I was diagnosed with fibromyositis. Later another doctor diagnosed it to be fibromyalgia because of the constant muscle paralysis I was having. One of them happened as I was driving. It was awful. It’s a miracle I’m still alive!!

 

Two years later I arrived at my work (I was a pulmonary therapist) with fever and a rash all over my body that looked like the measles along with inflammation in all my joints and the infamous “butterfly” rash on my face. The doctors that worked in the office ordered some analysis and I ended up back inpatient at the hospital. I was seen by about 10 specialists. They all agreed in the Lupus diagnosis (systemic lupus erythematosus). I was also displaying symptoms of Raynaud’s phenomenon. I was also diagnosed with splenomegaly. My lab tests will vary from one hour to the next and ANA test were always negative.  A doctor from the VA hosp. specialized in rare and contagious diseases came to see me. Her comments were that I presented a typical picture of person’s with connective tissue disorders (collagen) with systemic lupus erythematosus even though the ANA were negative (false negative). I spent 14 days in the hospital and when I was released they also gave me a final “rare virus” diagnosis.

 

I had no clue who to believe or trust. I had referrals to see so many different specialists like endocrinologists, rheumatologists, hematologists, etc. My first positive ANA test was while under the care of a rheumatologist. She said it was very low (1:10) but she said that could be due to a simple arthritis. When I feel okay the ANA test tends to be positive but when I am going thru a crisis with fever and severe pain it is negative. Afterwards the hematologists performed a bone marrow test (without anesthesia of course). My bones were so soft and brittle that the needle just went through. The doctor said they were so soft they felt like rubbery. They couldn’t explain why either. At the end they were unable to extract any blood from this procedure.

 

Later an endocrinologist suspected that I might have a pheochromocytoma (a tumor of the adrenal glands). Ultimately each specialist had his/her own opinion or suspicion. They all agreed mine was a rare case and that I needed follow up. They also agreed on giving me a diagnosis of “connective tissue disease” as well as the fibromyalgia and fibrocystic disease.

 

A year and a half later I had another surgery to remove several gallbladder stones. Based on the doctors opinion they must have been there for at least 15 years because of the size and appearance.

 

I was well for about 1 ½ years where I worked as head of respiratory therapy department at a local hospital. But I also had yet another emergency surgery to remove a burst ovary cyst that provoked a peritonitis attack. After this I developed UTI’s that went on for a while. Went back to doctor only to find out that during last surgery they had lacerated my urethra and I have contracted the E coli bacteria thus giving me a severe infection. They tried an endless number of antibiotics but the strand was very resistant. I started using natural/alternative medicine and it got better but due to my rigorous work schedule the infection took a new twist. It acquired a new bacterial flora that rendered me inpatient again. I was administered high doses garamycin intravenously. I got over my infection but 2 weeks later I started to present episodes of angioedema as a reaction to some food and chemicals. I had to stop working  and because of these episodes I went down to 85 lbs. (I am 5’ 5”) because my body was adversely reacting to almost everything I ate or used. I was treated with Solucortef and Benadryl and once or twice with an epinephrine shot. My life was very difficult as I couldn’t really eat or even step out of  the house for fear of a severe reaction to something.

 

I went to a doctor that was a researcher for Roche pharmaceuticals. He used a device to examine electromagnetic fields of the body. The device would project an image to a computer and based on a set of scales he would measure, interpret and try to level them out by providing electric/energy impulses. He ended up referring me to an allergist immunologist specialist in candidiasis. This allergist did in fact confirm that I had a candidiasis hypersensitivity or systematic candida in addition to the hypoglycemia that I already suspected since I was a child and the connective tissue disease. He only allowed me to eat 2 types of food at a time for a few months and some organic vitamins so that way we would know without a doubt what was it exactly I was allergic to. Took me 8 years to increase my weight back to 115 lbs. (As a side note I would like to express that during this time I went to live on a mountain and integrated natural, organic, holistic remedies to help my body heal.)  Also, I used to tell him that every time I went to ER with my allergic episodes it became a domino effect. The allergy produced vasculitis which in turn produced a hypoglycemic attack which in turned made me sweat profusely and feel that horrid coldness that I now know to be the cryo. I did have a test called Coombs test warm and cold which produced a positive result. Unfortunately most of the doctors at the ER at the hospital I went were general practice doctors and student doctors. Nobody knew anything about cryo and all they would write in my record was that I came in with a panic attack, hypoglycemic attack and low blood pressure. Unfortunately when I moved to the US so did this incorrect diagnosis of panic attacks.

 

During these years I also had 2 car accidents. In one I broke my right leg knee joint. During 1995-96 I had another crisis with continuous diarrhea that landed me back in the hospital for a full month. All tests came back negative except for a tropical sprue (also known as "environmental enteropathy", a malabsorption disease commonly found in the tropical regions.) They told me I had to eliminate 99% of what I was eating or drinking. That I had developed hypovolemia (hypovolemia occurs when the body has lost too much blood or body fluid to support normal circulation and body functions.)  That if my system didn’t change I only had a few weeks to live. My daughter was 15 by then and I didn’t want to leave her orphaned. I went back home with IV. I only ate wholesome foods like locally grown produce and vegetables (organic) and little by little introduced small amounts of locally raised chicken without hormones. I lived like this for 8months (IV included). A naturopathic doctor recommended Essiac tea and I had that along with organic vitamins. I started to get well gain and went up to 110 lbs.

 

I moved to the US to try to provide a better life for my children and better medical attention for me. I decided to file for disability and the 1rst doctor I saw sent me for a full evaluation. With this I get full set of X-rays of my back/spine. They revealed deviation in C4,C5,C6, compacted sacral nerves, fractured coccyx and herniated lumbar 5  as well as bone degeneration and osteoporosis. I was also sent to a neurologist that diagnosed me with myoclonic seizures. A gastroenterologist saw me as well who diagnosed me with celiac disease, the rheumatologist said I have mixed collagen vascular disease in addition to the fibromyalgia. The cardiologist found a mitral valve murmur. The pneumologist diagnosed me with COPD even though I no longer suffer from asthma my breathing is always labored. The hematologist diagnosed me with pernicious anemia in addition to another type of anemia I do not recall and want to do another bone marrow test (which I REFUSE.) The neurologist diagnosed cryoglobulinemia. Another neurologist performed a conduction test and found peripheral neuropathy in addition to an accident that produced permanent damage to my foot.

 

So needless to say I was approved and receive permanent disability benefits. In the last 5 years I have had two transient ischemic attacks (TIA). Due to my cryo and vasculitis my legs/extremities receive poor circulation, you add the peripheral neuropathy and it became a wheel chair sentence. I am still using a wheeled walker but it is very difficult and hard to do so. I end up with my legs severely hurting and bruises on lower legs and feet. The only reason I am not using my wheelchair is because I don’t have a way of taking it anywhere. To top it up all I just lost my only companion, my assistant dog Valentina. I do live alone. I prefer to keep my independence for as long as possible.

 

My dear friends, I know that many of you have gone through things like these and possibly even worse. I can only imagine all the suffering. Add to this society’s discrimination and even our own family’s lack of empathy due to lack of knowledge or simply because they get fed up with so many medical issues, to the point where we get called hypochondriacs or a mental case.  Also the fact that most doctors don’t have the knowledge or even the desire to deal with our rare medical issues and our lives get all messed up, worse than necessary. It’s a constant fight for survival and even the most basic needs of human existence.

 

Thanks to these type of organizations that allows us to come together and share knowledge and support is the only reason I am able to keep my sanity and self-respect. I sincerely thank all the people who support us without judging and not expecting much in return except an honest friendship. To the people who are willing to keep an open mind and are able to seek information to help out. I am grateful for these internet pages as well as the organizations that donate handicap minivans for people who are wheelchair bound. And thank you to those who have been so patient as to hear my very long life story, J a warm embrace to all of you!!!

 

Sincerely,

Elba Gigante

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