My Journey with POTS, EDS, MCAS and MALS

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12/07/2025

I had my first virtual follow-up appointment last week. Dr. Fowlkes thinks I’m doing great. I’m up to 3000-5000 steps a day. I’m able to eat about 12 foods now which is wonderful. I’ve tried other ones, but they were not a success yet. I’m on a 10-15lb weightlifting restriction for another 4 weeks. I still struggle with exhaustion and nausea but not as bad as it was. Pain is slowly decreasing. Overall, much to be thankful for.

Something else has been on my mind to share with you. I’ve never officially posted this before, but I think if I do it will help you to understand better how to talk to those with lifelong illness.

I was born with a genetic condition called hypermobile Ehlers Danlos (hEDS). I remember living in pain already as a child, and had my first joint surgery at 17. Simply put, the connective tissue throughout my body is faulty…its too stretchy. Having this condition affects every organ, every joint, every blood vessel, our skin and even nerves which are surrounded with connective tissue which is why I had those Tarlov Cysts on the nerves in my sacrum several years ago. This genetic defect can cause other conditions like, POTS, MCAS, compressions like MALS & SMAS, gastrointestinal issues like Gastroparesis and food intolerances, multiple joint issues and subluxations, organ prolapses (all of the above issues I have) and many more issues including extreme tiredness. Having EDS is a lifelong struggle.

While I am so thankful to be free from this abdominal compression (SMAS), my body still has and will have many ongoing struggles. For example, having surgery and being in the hospital 10 days has exasperated my POTS, leading to a struggle to regulate my blood pressure. Two nights ago, after feeling weak and not well for several hours, I thought of checking my bp. It was averaging about 85/48, so I spent the next 1 ½ hours trying to stabilize it so we could go to bed. I could have taken an “emergency” medication I have to make it go up but with mast cell issues i often react to medications. I could have gone in for fluids but who wants tk at 10:00 pm, so I opted to eat Celtic salt, drink coconut water, and push fluids. Eventually it was stable in the low 90’s over mid 50’s, and I started feeling better.

I am sharing this with you to give you a small glimpse of life with EDS and its effects which includes daily ongoing pain and other issues. I still have a hip with a split open capsule and torn labrum. I still have ribs that are constantly going out and need to be put back in. I still have reactions due to Mast Cell issues. I still have an unsteady neck that I’m trying to hold off treating. I still have a torn cartilage in my knee that keeps getting caught in the joint and then I can’t walk until it moves. The second reason is to help you understand what others with chronic illness could be dealing with in private. We need to be sensitive to what we say to others with chronic illness. Be encouraging, be supportive, be a listener and ask in what ways you can pray or help rather than focusing on whether they can be cured or not.

For myself, it’s not helpful to say things like, “I hope you will be pain free now” or “hopefully this is your last surgery, etc.” While I hope for the same things, in God’s providence it doesn’t seem realistic in my lifetime. I’ve had to work through mourning the life that I thought I wanted, and my outlook on life is now very different. I’ve learned to be thankful for the good hours, thankful for the things that I still can do, thankful that surgeries are even possible, thankful that God continues to carry me through each day, and that He gives me the courage and strength to press on. Focusing on these things is what gives me joy, and in my moments of discouragement, being reminded of the care of my heavenly Father brings the greatest comfort. I am so thankful for many of you who are constantly pointing me to Him; thank you for being with me on this lifelong journey.

30/06/2025

“For I have learned, in whatsoever state I am, therewith to be content.” As we laid in bed the other night and I reflected over these last 3 weeks and especially since being home, I told my husband these are the words that I need to focus on. The fatigue and exhaustion that I still have is unlike any I’ve ever experienced post-surgery, but I’m sure a 10 day hospital stay didn’t help. Just walking out to the garden or to the chickens to get the eggs makes me tired. Doing laundry, making a meal, or sometimes even talking is tiring. Although I’m used to pushing through pain and tiredness, I’m ‘trying’ to patiently listen to my body while gently pushing forward. I aim to get in at least 2000 steps a day and hopefully soon 3000.

For me one of the greatest helps for contentment is focusing on thankfulness. Every morning I meditate and reflect on different aspects of these last three weeks and thank the Lord for everything that comes to mind. When truly thankful, discontent has a hard time making inroads.

My potassium is back in range. Eating is definitely still a struggle. There are about 8 foods and 2 soups that seem to go ok. My weight is still slowly dropping but hopefully it will soon level off. With my entire anatomy being forever changed around, my intestines have to adjust to their new home. My stomach and bowels need to figure things out and that is still a struggle and a prayer request especially that I wouldn’t develop a blockage. I still struggle with nauseousness especially during the night and into the mornings, but thankfully I’m not actually vomiting. The pain is slowly decreasing. I’m almost off Tylenol mainly because the labs for my liver functions were quite elevated and I want to get those numbers back down. My incision is healing very well. I hope to cut back to once a week for IV fluids this week to see how it goes.

My husband, children and grandchildren have been wonderful, and I am so thankful to have come through this surgery, especially with the anesthesia concerns, and I await the day I can serve them once again.

Please pray that my virtual visit with Dr. Fowlkes on Wednesday will go well. Pray also for daily strength and normal stomach and bowel functions.

I want to take you back to discharge day. Being discharged from Lewis Gale Hospital Montgomery is no ordinary event. The...
22/06/2025

I want to take you back to discharge day. Being discharged from Lewis Gale Hospital Montgomery is no ordinary event. The journey that most of us have taken to get to the point of surgery is often almost insurmountable and the hope to be able to eat normally again hardly seems real. So discharge day is a big deal…for a minute we forget our pain because there’s victory mixed with hope. And so the “dinner bell.” The ringing of the dinner bell, symbolizing the hope of eating normally again, is rung to the cheers of the 4th floor nurses, our dietitian, other SMAS patients, Dr Fowlkes and his wonderful NP Lillian.

Sweet Lillian spent so much time in my room. This dear Christian woman was such a godsend. We worked through many complexities and a bond was formed. To hear her express that it was hard to let me go brought tears to my eyes.

Following the bell ringing is putting the star on the map that marks our hometown. There is laughter and hugs and more tears. Friendships were formed not only with fellow patients but all involved in our care. Out of all my 23 surgeries I have never seen a doctor and staff so invested in helping people, and the level of care they gave mixed with their southern charm was phenomenal. Leaving was definitely bittersweet.

20/06/2025

We are home!

19/06/2025

I was able to line up nutritional support if needed, labs twice a week, and fluids twice a week so was able to be discharged. We are driving the 10 hours home today. Please, please pray that I can have the endurance to make the trip and also for my husband as he is tired as well. We’ve thought through the options and believe this is the best way to do it for various reasons.

17/06/2025

O magnify the Lord with me. Words fail me to express how He has taken care of me and how worthy he is to be served. It would take writing a book to walk through these last nine days. Not that it’s been easy; there have been very difficult times but he’s always been there. I long to share some of these things with you but struggle to have the energy to do so now.

Just one example. Imagine my shock when just prior to going into surgery, I was told that this hospital does not carry IV Tylenol. Since post surgery I wouldn’t be able to drink any water to take oral meds and with Tylenol being my only recourse for pain control it felt like it was too much to hear.

“What am I going to do?” It was a question not only to my nurse and my husband but to my God.

A few minutes later my nurse had an idea. They could put liquid Tylenol down the NG tube. It was enough of a plan that I could get through the first days.

Post surgery the plan worked good. Every six hours they would sq**rt the Tylenol down the tube.

We met the other two patients and their loved ones those first days and quickly formed a bond, but what was beyond our expectations was the knock on our door from one of the other families.

She said, “because our daughter has a port our doctor ordered us IV Tylenol to bring to Virginia. We have way more than we need. Would you like some? I asked the doctor and we can share it with you.”

My first thought was Elizabeth Elliot and the bananas over the prison wall. What were the chances that someone from across the United States whom I’ve never met would need IV Tylenol for this surgery and that her doctor would order way more than they would need? God loves to show himself in our impossibilities and so often exceeds our expectations.

Day by day the knock would come and more bags of IV Tylenol would be in her hand. And day by day we would marvel at God’s provisions.

Friends, I don’t think my situation is necessarily unusual. God works through impossibilities many times in our lives. Pray that our eyes may be open to see his great goodness

Overall Donna has been doing as expected. Today she had a bad reaction to some preservatives in a medication and she had...
17/06/2025

Overall Donna has been doing as expected. Today she had a bad reaction to some preservatives in a medication and she had a rough few hours. As Donna was in the middle of the severe pain she exclaimed, “God is still good!”

She is on a full liquid diet and was able to get in about 1000 calories yesterday. At this point the doctor is happy with that and we will continue to increase over time.

One of the main issues we are still struggling with is her potassium level. She received 9 bags of potassium and then they switched to a mixture with potassium in it but they haven’t achieved where it needs to be. Also because potassium is hard on one’s veins she is on her 5th IV site.

Donna is weak but still determined to press on. Yesterday she walked 2000 steps up and down the hallway trying to get things to wake up and to keep herself as strong as possible. Her and the other 2 SMAS patients often visit each and encourage one another.

Please pray for balanced electrolyte levels, the ability to eat food and perseverance to press on. Last night there was again a beautiful rainbow…God’s faithfulness on display once again, an encouragement to all of us.

14/06/2025

Donna has a so far received 6 IV bags of potassium and one of magnesium. Thankfully, her magnesium is back in range but her potassium, calcium and protein are still quite low. They are going to continue giving her more IV potassium.

Overall, today was a much better day. She was given permission to have a small container of applesauce which she ate over a span of a few hours. Since that went OK she had a very small amount of thin puréed chicken noodle soup, which she also tolerated.

The doctor was in tonight and is pleased with her overall progress. After 2 nights of little sleep we are hoping for more rest tonight.

13/06/2025

Hard night for Donna. Potassium again is low and Magnesium is now low making her feel quite awful. They gave her a bag of magnesium and she’s on her second of four bags of potassium.

Thankfully she got a few hours of sleep. Please pray that her nimbers would normalize and that clear liquids would be tolerated today.

12/06/2025

Donna had a rougher day today. The clear liquids made her quite nauseous so it’s back to ice chips and we will try again tomorrow.

Donna’s potassium is also low and causing her significant heart palpitations so they gave her two bags of potassium last night. Getting that is hard on one’s veins and hers did blow so they moved the IV for the third time.

On a positive note she was able to get a shower and sit outside for 20 minutes today.

Praying for a better day tomorrow.

According to all the doctors Donna is doing very well. She had extensive adhesions that had to be dealt with before the ...
11/06/2025

According to all the doctors Donna is doing very well. She had extensive adhesions that had to be dealt with before the compression could be fixed but he was able to do what he needed to. She has a midline incision that’s about 7 inches long.

We are on day three. Donna is getting through with just Tylenol and lidocaine patches. Everyone is amazed that she getting through this recovery with just Tylenol.

The ng tube was really bothering her. Because she has met some milestones they decided to remove it this afternoon.

Tomorrow she can start graduating from just ice chips to sipping clear liquids. If the clear liquids make her nauseous then it will be back to just ice chips.

Her surgeon’s NP came in the room this morning and asked Donna if she would like to sit outside for a bit. Those of you who know Donna well could imagine how her face lit up at that.

Overall we are very humbled and thankful with the progress she is making. Donna feels carried on the wings of prayer and thanks you for them.

The first picture was right before surgery. The second is outside in the bright sun.

09/06/2025

I wanted to provide a brief update. The surgery was successful, and the doctor will follow up with us later today. We are currently focusing on managing pain levels. The medical team administered liquid Tylenol via the g-tube. She is resting quietly to minimize nausea, but the pain remains significant.

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