Sunday, 23 February 2014

New beginnings

How would you feel if you woke up one day like a completely different person with an identity you knew nothing about? This has actually happened to me... My story begins one morning in November 2013 when I woke up in a nightmare. The world around appeared completely different simply because my perspective was radically changed – literally and metaphorically as well: I was seeing double! As I haven’t had any problems with my vision in my entire life, I blamed the tiredness and I was sure that it will eventually go away - which did happen but only for a short while...

For the first couple of weeks the double vision episodes lasted for only about 10-15 minutes first thing in the morning. Gradually the images came into one and I was back to normal. I was completely freaked out and went to my doctor urgently. They referred me to an optometrist which performed a series of routine tests just to conclude that my eyes looked healthy and there didn't seem to be any ophthalmological issues. Good news but bad news was just about to come...

More investigations started on the neurological side after repeated blood tests for thyroid and diabetes (potential causes for double vision) showed no abnormalities. There was a long list of other possible causes some of which were life threatening such as brain tumours or possibly a stroke. Doctors had soon eliminated all these with a series of scans (X-rays, computed tomography and angiogram) performed at the A&E department in one day. It was the day I actually realised that something was going really wrong in my body. My mind became very distressed as well. I had a panic attack earlier that day which didn't help clarifying the symptoms as I started to feel pins and needles in my left arm and face (which could have been as well related to high anxiety levels triggered by increasingly upsetting double vision episodes). This was because the double vision was there all the time now especially worse when I was looking down or left. In another couple of weeks it deteriorated to the extent that I couldn't see clearly when I was looking straight ahead.

Doctors recommended me wearing an eye patch as I was able to see perfectly with either my left or right eye (known as binocular diplopia). First I was too stubborn to wear one maybe because I was still in denial and was hoping that things will get better eventually. Or maybe I was bothered by the thought of appearing in public with an eye patch (ah, appearances, and jokes about cyborgs, pirates and so on...). The aesthetic reasons faded away shortly and after another panic attack I realised that I couldn't cope without an eye patch. Honestly, I couldn't wink forever to people just to make sure I see them normally! Only if that helped... First I tried the surgical patches which irritated my skin after long hours of wearing them. Then I tried to attach a fabric patch to my glasses (which I started to wear only for this purpose). I purchased this from the Internet and it seemed to work better and it didn't press my eye too much. I am still wearing it after more than one month now and almost got used to it. To note that I need to cover my right eye otherwise if I cover the left one I can't keep my balance when walking. The supplier provided me with the wrong colour but trust me this was not an issue anymore! It was already the New Year and a new look was on its way...

I'm very passionate about photography so if you are familiar with DSLR lenses then you will understand the comparison between a manual focus and my vision. It felt like someone was changing my ‘lens’ settings all the time. It could have been clear for a minute then it went double again or blurry or a combination of those. It varied for different distances which made things even more confusing and disorientating (especially when I was walking). Most of the time was a ‘bokeh’ effect especially at night. Some people pay good money for Photoshop but I had mine attached to my brain and the ‘special’ effects did not stop to mesmerise (and terrify) me... 

Doctors tried their best and approached my case from both the ophthalmologic and neurological perspectives. The neurologists first suspected Multiple Sclerosis (I even had a provisional diagnosis of internuclear ophtalmoplegia) and only the thought of having it has made me extremely anxious. Long weeks of MRI scans and waiting for the results... Conclusion: my scan was pristine and there were no signs of brain lesions. Next they tested my blood for Myasthenia Gravis (or more exactly for acetylcholine receptor antibodies). First test was not performed correctly and had to wait another month or so to have my blood tested again. This time the result were positive without any doubt. It was the day when I discovered that I might have a life companion...

Paradoxically this happened during one of the best periods of my life so far. I was happy, with a loving and caring partner which continues to support me amazingly. My lifestyle was quite healthy (exemplary diet and exercise). I was confident about my future after just completing a master’s degree and simply loving my job. In other words, no major stress or other signs/symptoms that could have predicted this sudden change in my health and life... That was almost as bad as having my house infested with ladybirds around that time of the year!