Thursday, November 19, 2009

My 1st Encounter with Myasthenia Crisis

For the past 8 years, my only problem with MG is mainly on double vision and drooping of eye lids. But in Year 2008, condition suddenly get worst, maybe due to work stress other symptoms like weakness of arms start to surface.

In Jan 2008,I had a very bad diarrhoea and vomitting due to a bad gastric flu. After that I start to have swallowing problem and speech also not clear at times. One day in the office, I was badly choke while drinking water and my colleagues sent to Tan Tock Seng Hospital A&E Department.

After the doctor examined me, he said that the problem is due to my muscles weakness at the throat and suggested that I consult my neurologist. So I made a call to SGH to arrange to see my neurologist.

On the 15th day of Chinese New Year was my medical appoinment wth my neurologist. When my neurologist see me, my speech was really bad. He said that I need immediate treatment and warded me to hospital straight away. He said that he will give me a 5 day course of treatment of IVIG (intravenous immune globulin). IVIG is derived from pooled donor blood and contains normal antibodies that will help to temporarily counteract the abnormal antibodies.

Speech Therapist was also called to assess my swallowing. Water and water with thickner added was given to me to swallow. Speech Therapist said that I could only drink water with thickner added and consume porridge as my swallowing muscles are still weak.

During the infusion of the IVIG, I felt very tired and weak. Each day the infusion will take about 6 to 7 hours. After 2nd day of the infusion, my speech start to get clearer. Unfortunately on the 4th day of the infusion, I start to experience chest pain. Due to that, the neurologist decided to stop the treatment and send me home.

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