Hey, really hoping I can get some good input on how to get my various symptoms properly treated. I feel like I'm spinning my wheels with my current doctor, the appointments are limited to 30 minutes and there isn't even enough time to properly talk about one of the issues, let alone all of them. The other option is walk-in clinics, which I'm starting to consider just on the off-chance I run into someone who's willing to test for a bunch of different things and give referrals. Things have just been progressively getting worse both physically and mentally, and I'm starting to reach the point where the energy of interacting with the medical system is too much. Appreciate any input.
Age: 26
Sex: Male
Height: 6'0
Weight: 150lb
Race: Caucasian
Possibly Relevant Family History: Mother: OCD, Hypoglycemia, Anxiety, Depression
Uncles on Mothers side: Half have "Multiple Exostoses". One has Fibromyalgia. Three have OCD/Tics/Anxiety/Depression.
Grandfather on Mothers side: Progressively worsening allergies in 40s until he was allergic to most things. Grave's disease near the end of that. Alzheimers. Grandmother on Mothers side: Multiple Sclerosis
My medical history:
Jaundice@Birth, refused milk, needed special formula
Sleep-Onset Insomnia 6+
Tourettes & OCD at 10-11ish
Frequent Cold Sores, 6ish/year 10-24yo
Chronic Migraines(20x/month average) 10-18
Appendicitis
13 Patellar Issues & Ulnar Nerve Issues @ 16
Pneumonia, Chronic Bronchitis, COPD @ 17
Went to doctor for being fatigued all the time, Hypothyroid diagnosis @ 18[25mcg T3. Quit T3 at 21ish. Recently tested Thyroid: 3.7 TSH, 22 FT4. Waiting for results on a re-test to see what T3 is]
Tremor(noticed by doctor) @ 18-26
High HR(noticed by doctor, 90-100bpm resting) @ 18-26
High BP(noticed by doctor, avg 135-140/83-90) @ 18-26
Low testosterone diagnosis @ 19 [TRT 100mg/wk]
Depression and Anxiety steadily worse 19-26
ADHD Diagnosis @ 24
Autism Diagnosis @ 25
Mild Sleep Apnea Diagnosis @ 25
Shingles @ 25
Seizure @ 25
I've always ate healthy foods, exercised, etc etc. People who know me well make comments like "You're the unhealthiest healthy person I know".
Current Symptoms that are bothering me: Chronic fatigue. Tired all the time, spend half the day in bed. Get an average of a couple hours of productivity during the day. At this point, neither coffee nor modafinil put a dent in it. Sleep 8-10 hours, still wake up exhausted. Occasionally sleep 18-24 hours.
Progressively worsening cognitive function. Short term memory getting worse.
Certain triggers(standing too long, showers, certain foods) cause blood to pool in hands and feet, toes turn dark red to purple/blue, white if I touch with very slow return to red, numbness/tingling/pain/heat.
Going from sitting to standing causes(on occasion): dizziness, light headedness, blurry vision, eye pain(feels like pressure buildup/being squeezed)
Most foods cause either cognitive or GI issues. Can cause anxiety/irritability, depression, fatigue, diarrhea, stomach pain, the standing to sitting issues, the blood pooling in extremities issues. Meat, Water, & most vegetables seem to be excluded from this. Almost everything else seems to cause some sort of problem. Specific foods that I know I’m intolerant to: wheat, potatoes, peanuts/other legumes, lactose, rice, sunflower oil, most canned foods.
Shooting nerve pain if I exercise for more than 5-8 minutes, used to exercise daily for an hour at minimum
Numbness in left arm from knee to fingertips of pinkie and ring finger.
Heavily decreased sweating/body temperature regulation. Used to wake up with soaked sheets every day from maybe 18-23. Would constantly have large wet patches on back of shirts. Now I can have 5 blankets on and not sweat at all, can’t remember last time shirt got damp.
Misc other info: Recent blood panel showed Calcium above reference range by a small amount(maybe 10-15% above the top of reference range). Blood panel from a few years ago showed Alkaline Phosphatase at 150 on a scale of 20-100, and GGT at 11 on a scale of 10-some high number. Waiting for retest results on those as well.
Had one really bad drug reaction. Got prescribed Brintellix/Vortioxetine in August of this year at the lowest dose(5mg for first 4 days, then 10mg). Within 6 days had bad reaction that I went to the hospital for: blood pooling in feet enough that within 10 seconds of standing my feet were numb and swollen, high fluctuating heartrate(slow, to very fast, etc etc), shaking, myoclonic jerks originating from a mid-lower spine location. At hospital BP was 180/something. They basically dismissed it as sides from the drug and let me go once my BP dropped a bit. I quit the antidepressant after that, and had the myoclonic jerks up until mid october or something.
I have no idea what to do. The standard “one issue per visit” at doctors offices seems to eliminate any chances of dealing with my issues as they all seem interrelated. I’m tired of dealing with all of this. I can’t work, I don’t have the energy to maintain social relationships or keep my place clean, and I wouldn’t even have a home if it wasn’t for family support. I live in Canada, so while it’s free medical care, it’s incredibly hard to convince doctors to do blood tests for a variety of things. It’s also incredibly hard to accurately convey how crippling the fatigue is. I’ve tried a bunch of SSRIs, Wellbutrin, SNRIs, Modafinil, Dexedrine, Ritalin, Adderall, Strattera. Nothing helps. Or it helps slightly(e.g. I can get out of bed), but not enough to actually feel like life is worth living. I get told things like “keep a sleep diary”, but it’s hard to explain that even the energy for that is more than I have.
Any idea of underlying things that could be causing all this? What type of doctors should I be getting referrals to? As of now a CT scan is clean, and I have a pending referral to an endocrinologist. I can't afford a further sleep study at this time(polysom is 800$ and 1.5 year wait, my Apnea test was on some take-home thing they give you). I'm thinking an Immunologist and a Rheumatologist? Are there any blood tests that are worth trying to get the family doctor / walk-in clinics to give me while waiting for specialist referrals?
Edited by echopraxia, 25 November 2017 - 04:31 AM.