
02/06/2025
Hey everyone! It has been a few weeks but much has been going on. After Kathy had her shunt finally reset to its best setting and having her off amitriptyline I could see some of her issues more clearly and I have also had a few years to learn. I noticed a pattern in her reactions to medicine, her major constant issues in her recovery all stared pointing to a lack of acetylcholine at the muscular junction and obvious dysautonomia where stimulant drugs, especially ones that raise norepinephrine cause her to have large swing in her autonomic tone. This causes vascular issues, BP swings, chronic fatigue, peripheral neuropathy and cold extremities. The Amitriptyline masked these issues to a degree, but also cause weight gain, sedation, cognitive issues and increased memory loss so we discontinued this drug.
My research lead me to mestinon as it could treat the root of the issue regardless of which of the several causes could be (Autoimmune, Neuropathic or secondary POTS, TBI caused dysautonomia effecting the same parts of the brain that controls this process). In a matter of 5 days we have weaned her off Vyvanse and Bupropion and she is functioning better on Mestinon alone. I also added Low Dose Naltrexone, which is anti-inflammatory and works well for many dysautonomia patients.
Now that we see such positive results it means I need to find a specialist to help fine tune this diagnosis and aid in treatment options that may further help this secondary condition. In the mean time it should help Kathy improve over the next 3-4 months or more. She should regain muscle strength in her throat, lungs, hands, legs and trunk. She should have less fatigue, especially when standing and walking. Her memory is already showing some early improvements as well.
We knew something was stopping her from making the progress we thought she can make and now both the shunt and her treatments have been adjusted more accurately for Kathy to make more consistent recovery.
Medical help has been almost useless for treating Kathy. As her husband I am afraid of each of these decisions I make to help her recover and I study them for months or now years to decide, but I am even more afraid to NOT try them. It’s also my job to act on Kathys behalf and she would take almost any chance to regain her best self. That’s always been Kathy.
She is still not walking as well as January, but I think that’s coming soon. Otherwise she is better in almost every other way. We have a long way to go, but feel we can make more steady progress now with these changes and the deeper understanding of her body. We should get a better look at what this may do over the next 2-3 weeks as she withdrawals from Bupropion and the new meds begin to stabilize her ANS and her muscles can start improving.
On the hone front we are moving to Sunny Isles beach this weekend and we will test drive the life down here. I also have TMS therapy setup from mid June to the end of July and I amy take her to a functional neurology clinic in Boca that specializes in dyasautonomia treatment that helps her body recover naturally.
We will update more over these next weeks as changes may be more meaningful and hopefully Kathy can get more engaged with you all as she is using her devices more and starting to type again.
We did make a trip to Key west to see our son Austin and she loved being in the Keys again with her puppy on the trip!!