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Living with an Invisible Disease Growing Up in this Body Imagine being told you are crazy by an assortment of doctors over many years. ◦ Would you begin to wonder if they are right? Imagine being told over and over, “You don’t look sick”. ◦ Would you begin to wonder if perhaps it is all in your head? I have been living with an invisible disease all of my life. It took over 40 years to be diagnosed. Ehlers-Danlos Syndrome is a group of disorders that affect connective tissues: the tissues that support the skin, bones, blood vessels, and other organs. It is a fault in the mechanism for producing collagen. Ehlers-Danlos Syndrome Blood vessels can tear unpredictably, causing internal bleeding, stroke, and aneurisms Dysautonomia is a full-body condition; a nervous system disorder with a large number of symptoms that greatly alter my quality of life. Dysautonomia Each patient with dysautonomia is different — some are affected only mildly, while others are left completely bed-ridden and disabled. Encyclopaedia of Diseases Ehlers-Danlos Syndrome (Type IV Vascular) – I do not produce enough collagen and that affects the capacity of my heart to stretch and contract as it pumps. Arrhythmia – I experience the following irregular heartbeat types, as recorded on ECGs, which have escalated over time and are now ongoing. ◦ Premature atrial complexes – the premature beat initiates outside the sinoatrial node causing another area of the atria to depolarise ◦ Premature junctional complexes – a premature beat arising from an ectopic focus within the atrial / ventricular junction, which causes a compensatory pause and catch up heart beats ◦ Premature ventricular contractions – the heartbeat is initiated by Purkinje fibres in the ventricles rather than by the sinoatrial node, which is a sign of decreased oxygenation to the myocardium (cardiac muscle) ◦ Right bundle branch block - the electrical impulse is delayed in reaching the right ventricle, so the electrical signal spreads across the ventricles sequentially, as opposed to simultaneously Global LV systolic dysfunction – My weakened heart muscle does not have the strength to adequately eject blood, with a reduced left ventricular ejection fraction of 54 per cent. Encyclopaedia of Diseases Hypotension – as low as 70 / 32. My blood pressure is about as low as is possible to be alive, which makes my heart work extraordinarily hard to try to circulate adequate blood. Hypovolemia (low blood volume) – I have about one litre less blood in my body than is normal, which is a dysfunction of nerve activity on blood vessels. This causes the low blood pressure and the high heart rate. Interventricular septum thinning – my interventricular septum is abnormally thin, but has no defect present at this stage. I am being monitored for possible rupture. Ischaemic cardiomyopathy – Because of the low blood volume, I have reduced blood flow to the heart that causes cell starvation secondary to a lack of oxygen. I do not have plaque or cholesterol build up in my arteries. Postural Orthostatic Tachycardia Syndrome - The POTS is a function of the Dysautonomia. My heart beats overly fast when I wake up / sit up / stand up or do anything out of rhythm, trying to get enough blood to my brain. POTS has anxiety- and hyperactivity-like symptoms, the body not being able to regulate its temperature, even restless legs. Ventricular Tachycardia – Unmedicated, my resting heart rate is 120 beats per minute, my moving rate is around 180 and my exercise rate is around 200. Encyclopaedia of Diseases Dysautonomia – a full-body condition; a nervous system disorder with a large number of symptoms that greatly alter my quality of life. Symptoms include inability to regulate my body temperature, my circadian rhythm, my blood pressure, my heart rate. I cannot produce enough blood. Hashimoto’s thyroiditis – Hashimoto’s is an autoimmune disease in which the thyroid gland is attacked by a variety of cell- and antibody-mediated immune processes. My thyroid gland is an irregular size, shape and texture. The symptoms include chronic fatigue and muscle weakness. Insomnia – I have not had a sleep rhythm for the whole of my life. I get short bursts of around two hours at most until I hit a point of exhaustion and then I am not sleeping, I am unconscious. This means that I rarely experience restorative sleep. New medication has helped this in the last two months. Malabsorption – This is the pathological interference with the normal physiological sequence of digestion (intraluminal process), absorption (mucosal process) and transport (postmucosal events) of nutrients. Essentially, I have malnutrition and have had for a very long time. The problem is that it seems to be escalating and I am getting pretty skinny. I now weigh under 60kg, which is about 5kg less than a woman my height and age should weigh. I have had three heart attacks in the last six months. I live with daily chest pain caused by arrhythmia. Living with EhlersDanlos Syndrome means my heart operates as though it is 90 years old. Heart Attack The median age of death is 48 years. I will be 45 in November. After the last heart attack, I lost my mobility. The extra blood in my skull put so much pressure on my brain stem that it shut down the nerves to the left side of my body. Learning to Walk Again I spent two months in a wheelchair, unable to walk unassisted. Managing the Disease I manage the diseases with a concoction of medications to slow my heart rate; increase my blood pressure; put me to sleep; wake me up; digest my food; shut down my adrenal activity; and, deactivate my autoimmune system so that it doesn’t kill off my body. There is no cure for vascular EhlersDanlos Syndrome and there is no cure for dysautonomia. The best I can hope for is access to the treatment that will teach me how best to manage my body to maximise the years I may live in it. What Next? That treatment is not available in Australia, only in the United States. How Can You Help? The POTS Treatment Center The Hippocrates Health Institute ww.potstreatmentcenter.com www.hippocratesinst.org There is a specialist treatment centre for Postural Orthostatic Tachycardia Syndrome (POTS) in Dallas, Texas. At The POTS Treatment Center a wide range of procedures are used that are unique to the needs of the person. Biofeedback Heart Rate Training Nutrition & Exercise Protocols Counselling The goal of this program is to get to the root of the problem by controlling the Autonomic Nervous System (ANS) and thereby directly addressing the dysautonomia. Regulation of the Autonomic Nervous System is done without medication, and making this a permanent change for me to be able to function normally again. I should eventually be able to establish an automatic thermostat within my body that controls my bodily functions. The goal of The Hippocrates Health Institute is to assist people in taking responsibility for their lives and to help them internalise and actualise an existence free from premature aging, disease and needless pain. At Hippocrates, the team of caregivers strives to give each and every guest the tools they need to learn how to help them help themselves. The nine-week program not only provides participants with a concise introduction to the health benefits of a raw, plant-based diet, but involves complementary therapies and related disciplines that are essential to a healthy and well-rounded approach to life, as well as a career path to help others take responsibility for their lives. This means – I will be bringing the technology home to Australia for the benefit of others suffering dysautonomia and other diseases. Why Support Me? My life has always been about others. I have: - built 5 homework centres for Aboriginal children in the Goldfields - built an adult education centre in the Kimberley - developed social recovery programs for a community ravaged by flood - put a roof over the heads of 1,674 Aboriginal kids so they could go to school I have had to retire from full time work and a career I have loved. That doesn’t stop me being a contribution though. What am I doing now? Now, I am a resident at Wild Twig Studios. I mentor, develop and promote artists with the goal of having them in financially sustainable businesses. I even get to develop the youngest generation of artists. How Can You Find Out More? Ever thought you would like to support someone, but don’t know how? There are several things you could do: 1. You could make a donation that would contribute to my treatment and care – www.mycause.com.au/page/69721. 2. You could share my Facebook page with your friends, colleagues and associates – www.facebook.com/100YearsForTracy. 3. You could follow my blog and get an understanding of what it is like to live with an invisible disease – www.100yearsfortracy.wordpress.com. 4. You could assist with the fundraising campaign to bring diagnostic and treatment technology from the United States to Australia. While this cause may be too late to save my life, it will impact on the young people behind me. This is my legacy. Contact Details Tracy Wilkinson-Adams PO Box 253 Melville WA 6956 M: 0414 392 822 E: [email protected] If not you, who do you know that can forward this cause? Please share, someone you know might make the difference.