128 Where am I up to?

Isolation day 47 and I can no longer remember my old life! This has been the strangest few weeks any of us have ever known and I think it’s beginning to take its toll.  What did I used to eat? Does the rest of the world still exist? What’s the cat trying to tell me? 

I’ve had numerous conversations with friends and acquaintances who are experiencing sleeplessness, exhaustion and nightmares! I don’t often remember my dreams, but I sure do know how they are making me feel at the moment.  I’m waking up most nights (that’s after spending a good couple of hours tossing and turning trying to fall asleep in the first place) feeling panicky, scared and stressed after a bad dream.  Apparently we use our dreams to process our thoughts and feelings, so if you consider how much change we are now living with, it’s not surprising we have a lot of anxious thoughts to process! I hope someone is doing a study of this somewhere, as it’s actually quite fascinating 🤓

I sometimes use a meditation App called Calm, to help me relax and to get off to sleep.  I’m still using it, but even that isn’t quelling my general anxiety.  It is quite comforting to find that lots of us are experiencing this difficulty at the moment, but I do worry about how this will impact us in the long run. 

As well as dealing with life in lockdown, missing family and friends, worrying about loved ones and about the planet and wondering whether Vodka can really be classed as an “essential item”, I am also experiencing an upturn in my MS symptoms, as well as the disappointment and implication of the cancelling of my treatment.  

I’m not going to talk much about my MS issues here, as I plan to log a full inventory of my current symptoms in another blog post at a later date.

As you know, I was all geared up to fly to Moscow on 16th March, to stay for a month to have HSCT to treat my MS.  It was a long and difficult journey just to get to that point – 2 years of fundraising, lots of stress, visa applications, flights booked then changed and lots to prepare for my time in Russia, my journey home and making the house safe for my return.  When anyone mentioned a time in 2020 that was beyond the 16th March, it didn’t really exist in my head.  My whole life was geared up to getting there and getting it done! 💪🏻

It was Thursday 12th March when I heard that the hospital was having to put new restrictions in place, which ultimately led to me postponing my treatment.  It was a really tough decision but ultimately it was the right one.  If I’d gone to Russia, I might not have been able to get home and My COVID fear would have been through the roof.  Life may be challenging now, but at least I’m safe as I can be, in my little house with my 2 crazy cats. 

Luckily my flights were cancelled by the airline, so I should be able to get my money back … I’ve been trying to get through to them for 7 weeks now, with no success (unless you count sitting in a 2 hour telephone queue success).  I’m hoping that will all got sorted out eventually.  

I had already sent the payment to the hospital for my treatment, a complicated international money transfer, but there was a delay in it getting there, due to everywhere beginning to shut down around that time.  It arrived eventually and the hospital sent it straight back, but it hasn’t got to me yet.  I’m told it’s somewhere in transit and not to worry (but of course, I do!). 

I had to let my GP know that I was still at home, then my neurologist and the team in Sheffield.  I am due for a further MRI scan in Sheffield as soon as it is safe to travel there. Theoretically there is still a very slim chance I could be accepted for treatment there, so it’s certainly worth me pursuing this.  

I had a neurologist appointment in Salford booked for the 5th May and an MS nurse appointment at Stepping Hill booked for the 28th April.  I was notified that both would be telephone appointments and then later notified they were cancelled.  I’ve had a new neurologist appointment arranged for April 2021!! 

Chronic illness is an area where our health system struggles.  Most of the neurology team that I have met are hardworking, dedicated experts in their field, but they are so poorly funded and have to spread themselves so thin, that they struggle to provide an adequate service.  Phoning and demanding to be seen usually works, but it shouldn’t be this way and I find it exhausting and frustrating.  

I went back to work around the time that lock down was beginning and was working from home.  At first it felt good to have something else to think about and to have that contact with colleagues.  But as time went on, I started to struggle with increased pain, fatigue, brain fog and anxiety, so have made the difficult decision to stay off work for now.

So, where am I up to?  Will I ever have HSCT? 

The answer to the second question is that I really don’t know.  The situation we are now in has really frightened me.  There is no treatment for COVID 19.  In severe cases, all the medics can do is treat symptoms and do all they can to keep you alive, whilst your immune system fights the virus.  The immune system remains compromised for quite some time after HSCT and it can take 12-24 months for it to return to normal.  If I were to catch the virus during that time, particularly in the early weeks and months, this would be very risky indeed.

Most clinics offering HSCT currently have their treatment programmes on hold because of this and there has been no treatments started in the UK, Europe or Russia during the last few weeks.  Initially the clinic in Russia offered me a new date in July, but I don’t think it will be safe enough for me to do it then and I’ve recently heard that they are possibly closing until at least September.  Looking forward, it’s hard to see a time when it will feel safe enough, with concerns about the journey home, particularly frighting.  

So, everything is in limbo and I’m just doing my best to live with it!

Stay safe everybody ❤️

100 Another whinging blog post …

If you’re someone who thinks this blog is nothing but self indulgent ramblings, you may want to skip this post! 

I have no good news to tell you, as my pursuit of HSCT in the UK has hit a serious set back this week.  I phoned the appointments team in Sheffield (yet again) and was told that I have finally been allocated an appointment … on 5th February!! 

I mentioned that Professor Sharrack had wanted to see me before 20th September and he confirmed that was the case, but that 5th February is the next available appointment. 

Having already waited so long, this was really tough news to take.  I appreciate fully that our health services are under immense pressure and that demand for this treatment is increasing, as more and more people are hearing about it.  The situation is nobody’s fault (well, apart from the politicians who have underfunded the health service for years), but it’s still very upsetting.  

I have spent the last couple of days talking with family and friends, trying to work out how best to proceed.  Every day I am getting a little bit worse …I can’t keep delaying and delaying. 

I have emailed Professor Sharrack to raise my concern, explain how this is affecting me and to ask if he can do anything to help.  I suspect he has little to do with appointment allocation, so probably doesn’t know what the situation is.  So far he has not replied.  

I have also initiated a GDPR request to obtain a copy of my July scan report. 

From next week I will be phoning the appointments team on a regular basis to see if there have been any cancellations (I don’t hold out much hope for this …if you’ve fought like mad to get an appointment at the HSCT Clinic, you are unlikely to cancel it). 

If we can’t get some clear answers in the next few weeks then I will be back in touch with the clinic in Moscow and relaunching my fundraising campaign.  I must admit that at first I couldn’t really face doing this – it really is such hard work!  But I have been reassured by family and friends that they will help as much as they can and some have come up with a few fabulous fundraising ideas already! 

It has been a tough week for all of us but I’m feeling a little calmer now.  The road to HSCT has been long and arduous, with many unexpected bumps along the way …but I WILL get there in the end. 

Thank you to everyone who has supported me over the last few days …you really are amazing 😘

99 The story so far …

Today, 16th September 2019, is exactly one year since we launched our fundraising campaign, asking family, friends and strangers to help raise a massive £40K to fund HSCT for me in Moscow.  I know I have many new readers since then, so thought now was a good time to write a bit of a summary of the story so far and also to reflect on how far we have come.  

I was diagnosed with Relapsing Remitting Multiple Sclerosis in 2017, after at least 5 years of worrying symptoms and concerning finds on MRI scans.  I also have Hashimoto’s Disease, autoimmune thyroid disease, which was diagnosed in 2006. 

The progression and accumulation of disability of my MS has been rapid.  At the time of diagnosis, my EDSS score was around 1.5 and by December 2018, my neurologist assessed me as 6 (I think I am nearer 5 or 5.5).  I have other long term problems and don’t want to get any worse.  

In May 2018, I saw a BBC news report about HSCT (Haematopoietic Stem Cell Transplant) being successfully used to treat MS and halt its progression (HSCT does not cure MS or undo previous damage to the brain and spinal cord).  Since then, I have been reading, researching and talking to others in order to learn everything I can about HSCT and find out whether could be a viable option for me.  

Click here …

Stem cell transplant “game changer” for MS patients – BBC News 18.03.18

By the Summer of 2018, I had come to the conclusion that it could and began looking seriously at how to access the treatment.  I was aware that some MS patients have been successfully treated in the UK, but that the criteria for inclusion were very specific.  I also knew that I did not meet the criteria, so began researching options abroad.

To cut a long story short, I identified a clinic in Moscow, the AA Maximov Department of Hematology and Cellular Therapy, as my best option.  Well over 1000 international MS patients have been treated here, with several hundred from the UK. 

The cost is €45,000 and with the exchange rate at that time and the additional cost of flights and visas, we worked out that we would need £40K to get me to Moscow for the treatment I need.

We launched our Go Fund Me page on 16th September 2018 and began organising events and taking part in challenges to raise money.  Thanks to the generosity of friends, family and kind strangers, we have raised ….

In the mean time, I also applied to the clinic in Moscow, sent them my full medical records and was accepted for treatment.  We had hoped that I could have HSCT in April 2018, with a plan to borrow the rest of the money needed and to continue to fund raise afterwards.  Then, a couple of months before this, I heard about a new HSCT trial planned to take place in the UK, being led by Professor Sharrack (neurologist) Professor Snowden (haematologist) and at Sheffield Hallamshire Hospital.  This is the team mentioned in the BBC link above. I contacted both directly and despite not meeting their published criteria, they agreed to see me.

I had my first appointment with them in June, followed by an MRI scan in July.  I was told I’d have a follow up appointment in August, but I’m still waiting.  They tell me I will be allocated an appointment on Monday (16th September) and will receive a letter soon after.  

The last few weeks have been very difficult for me.  I’m not good at being patient or at not knowing what’s coming next.  I also feel that all other aspects of my life are in limbo …I can’t plan anything!  I must admit this has really got me down.

Hopefully by the end of this week, I’ll have an appointment date and feel a bit calmer about it all!   I think once I have a date, I will be able to throw myself into other things until the date approaches.  

The decision on whether to treat me in Sheffield or not, all hinges on the outcome of my recent MRI scan …if there is current disease activity, then the answer could be YES.  If there is no current disease activity, then the answer will definitely be NO.  My last 3 scans (most recent in May 2018) all revealed current disease activity, which was upsetting and worrying at the time.  Now I’m in the strange position to be hoping for disease activity! 

I am still in touch with the clinic in Moscow and they are aware of my situation.  If I receive a NO from Sheffield, I will ask for the next available date in Moscow (likely to be early 2020).

Here’s a summary in numbers, of all we have achieved …

  • Funds raised … £18,646
  • Number of donors … 147
  • Go Fund Me followers …145
  • Blog posts … 99
  • Blog subscribers … 22
  • Blog views … 5,283
  • Facebook followers … 107
  • Instagram followers … 208
  • Twitter followers … 262

Never in my wildest dreams did I think we could achieve this much, so thank you to everyone who has donated, helped with events, provided support, shared online and who have been there for me through this journey so far.

Hopefully I’ll have an appointment update by this time next week!

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Moving forward

Thank you to all of you who got in touch with your thoughts and advice on my dilemma. I really do have the most amazing family and friends ❤️

So, I now plan to do what you have all advised and pursue both options – Moscow and Sheffield – at the same time.  This means that we will soon be relaunching our fundraising campaign. 

Here are some quick updates on where we are now …

Gung Ho – on 6th April Niamh, Becca, Tiah, Duane, Alex and Matt took part in the Manchester Gung-ho inflatable 5K and managed to raise £125. Thank you so much guys 💪🏻

As you know, Bobby completed a sponsored fun run a few weeks ago and has raised £250 …amazing! Well done Bobby 🏃🏼‍♂️

Glenda has had a couple of very small wins on the lottery (building up to that big one! 🤞🏻)and Kyra has been saving her ironing money for me …another €45 …thank you both 😘

Jimmy and Gill collected £93 from visitors to their brewery tour and £152.50 from hosting a film show. Thanks for your generosity 🍺

I’ve also been trying to live as frugally as possible and managed to save £1000

Our total now stands at …

This is an amazing amount of money to have raised by a small group of people, with no experience of fundraising. If we can get to at least £25K, I think I could borrow the rest and continue fundraising once I’m well enough.  I’m starting to feel this could be doable! 

We are starting to bounce some new ideas around and to resurrect some old ones and hope to have some exciting news on future events very soon.

I will keep you updated on any news from Sheffield (the lead professor is at a neurology convention in America this week so nothing new to report).

Obviously, if the Sheffield option comes off, we will have some decisions to make on what to do with the money raised. We have decided that if this happens, we will contact individual donors and give them the following options…

  1. Return the funds to them
  2. Donate the money to help others seeking HSCT
  3. Use the money to help support my recovery

I will keep you updated on this as things progress.

Thank you again for all the support, encouragement and kind words that have come my way since my last post …I already feel much more positive and hopeful 🙏🏻

GoFundMe

78 The countdown begins

My flights to Russia are booked! 

Well, my outward flight is booked and my homeward flight is identified and I’m ready to book once Glenda and I get our act together.

Initially my friend Karen was going to come to Russia towards the end of my treatment and travel home with me.  Also, Glenda (my sister) was going to come over from Germany, around the same time, to look after me in my early days at home.  We worked out that with flights, visas and hotels, getting Karen over there would cost over £1000.  Then we had a brain wave and came up with an alternative plan.  So my journey home will involve me doing the first leg on my own, as far as Frankfurt. Glenda will meet me there and travel the rest of the way home with me, then stay for a few more days. 

I have also started the process of applying for a visa for Russia and will be going to the Russian Visa Centre in Manchester in a couple of weeks to have my finger prints taken!

Moscow here I come!

It’s taken so much hard work to get to this point, with lots of doubts and ups and downs on the way.  I’m feeling positive and optimistic at this point.  Just my contract to sign and the final funds to scrape together, then it’ll be time to make a packing list! 

I am so thankful to everyone who has supported me on this journey.  I really do have such an amazing family and wonderful friends.  Everyone has been open minded and accepting when I explained my seemingly crazy plan to go to Russia for medical treatment.  The haematologist in charge in Russia (Dr Fedorenko) very much believes that a positive attitude helps with recovery and with so many positive people around me, I know I can do it! 

(Does anyone know how to add a countdown clock to a blog page??)

If anyone has had a lottery win or has a spare couple of quid they wouldn’t mind sending my way, please donate here … GoFundMe.

54 Neurology appointment

I finally got to meet my new neurologist yesterday and to find out why I won’t be seeing the old one.  It turns out that my previous neurologist has left the NHS, in fact, he has left the country and has returned to Malta! My political mind wonders if this was Brexit related …I guess we’ll never know.

So my new neurologist was doing an additional catch up clinic for those of us left without a neurologist.  He was a nice man but the whole appointment felt a bit rushed and pointless.  He wants me on another DMT, but didn’t ask how I felt about that and he wasn’t aware of my letter enquiring about HSCT. 

I asked him about HSCT and he looked a little flustered then explained that he thought it was likely helpful for some patients, but that we need more large group, long term clinic trials to be clear on who it might help.  He also said that there was a number of drugs left for me to try, before considering anything more drastic.

He briefly mentioned “people who fundraise or sell their homes” to pay for treatment abroad (not realising that I am on my way to being one of them) and made some strange claim about those patients claiming to have improvements or to have halted their MS, but him not being convinced it was true!  He felt some improvements were psychological and linked to the fact that people have invested in the treatment and believed it would work.  

I wasn’t quite sure what he meant by that (intensive chemo, followed by stem cell transplant, having a placebo effect??) but decided not to discuss it further or tell him I am planning to have HSCT myself. 

I felt he was a nice man and clearly believes that current drugs are good for his patients.  It wasn’t until I was on my way home that I realised he didn’t ask me how I am, about new symptoms, or, in fact, my views or experience of anything at all!  

So, that’s it, my hopes of accessing HSCT in the UK are now over.  I am now one of those MSers who is diagnosed, shoved on drugs and seen once a year for a review (during which no one will actually ask how I am!). 

I felt quite down about this last night but am ready to fight on today.  Being an advocate for your own health is something we should all do, whatever our ailment.  Knowledge is power.  Find out what you need, find out how to get it and don’t give up 💪🏻

I now need to get back to fundraising (and possibly borrowing) with a vengeance.  I think I’ll buy a lottery ticket for this weekend’s draw! 🤞🏻

On the plus side, the clinic in Moscow (as well as the one in Mexico) is infinitely more experienced in treating MS patients and has a much better safety record.   I really will be in the hands of world experts and that feels good to me! 

I also left the hospital armed with a bit of light reading! 

GoFundMe

26 The long road to HSCT

As you all know, I am determined to get HSCT for my Multiple Sclerosis.  There is a lot going on in the background to try to get to that point, so I thought I’d update you on where I am up to …

My first choice would be to have treatment in the UK on the NHS, but it’s a huge challenge to even be considered for treatment here.  I have started by writing to my neurologist to see whether he would be willing to refer me to the Haematology department and Manchester Royal Infirmary as a I know that a handful of MS patients have already been treated there. 

I haven’t had a reply from him, but I have had notification that my November appointment has been rearranged and a double appointment allocated.  It’s really difficult to know what to make of this – perhaps he is considering referring me and needs a double appointment to discuss it all?  Or perhaps he is worried that I am considering going abroad and has arranged a double appointment to try to talk me out of it??!

Even if this referral was successful, the next stage is for a panel at the MRI to consider my case.  The criteria for treatment are shrouded in secrecy, so I have no idea if I have any chance at all!

If this route doesn’t get me there, my next option is to try to get referred to the London panel.  To do this, I would need to convince my GP to refer me to a London neurologist for a second opinion on my MS. 

From the beginning I have been told that my MS has “unusual presentation”, so I would try to be referred to a neurologist I am aware of, who has a particular interest in patients with unusual presentation …he also has an interest in HSCT. 

Both of these routes have a very small chance of success in terms of me accessing treatment.  UK neurologists are on the whole, not particularly supportive of HSCT at the moment.  I really think this will change in the future but we haven’t got there yet.

Which then brings me to the other option …clinics abroad.  There are a number of countries where HSCT is available at high cost and in some cases, only for residents of that particular country.  There are also several unscrupulous facilities offering “stem cell therapy” which does not include all the stages of HSCT, so is therefore ineffective. 

There are two clinics recommended by UK support groups – one in Mexico and one in Russia.  I have spent a lot of time researching the treatment at both, talking to previous patients and having discussions with my family and have come to the conclusion that the clinic in Russia is right for me.  

If you haven’t done the research I have, it perhaps sounds a little crazy to be planning to go to Russia for such life changing treatment …but it really isn’t!  They have many years of experience of treating MS patients, a high success rate and an excellent safety record.  

For a while I planned to exhaust all UK options before starting plans for going abroad, but each option presents a long journey and I’m worried about deteriorating while I wait for all these processes to run their course.

So, here I am pursuing both options at the same time.

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