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SOM History/Data : 2. My SOM journey begins
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 Message 2 of 5 in Discussion 
From: juds  in response to Message 1Sent: 3/11/2008 5:14 AM
This is Juds, this is my story, and I'm stickin' to it.  At least for now.

Onset of symptoms, how long ago/i.e. # of years
My symptoms began in the early to mid 1980s. I suspect that they had manifested earlier, but it was then that they lasted for days at a time, but only during the Spring and Autumn seasons.   My symptoms increased in frequency and duration as time went on.

Types of symptoms
My eye (although at that time I wouldn't have been able to articulate that it was my eye) would move all over the place.  What I saw seemed to be some kind of movement of what I saw, rather than a visual disturbance caused by my eye(s).  It made me feel dizzy, disoriented and always sick to my stomach.  The area around my eye hurt, I had headaches (aside from migraines which I have had for most of my life) and the area around my right cheekbone.  I felt very clumsy and out of sync with my body, tripping, dropping things and the like.  I made joking excuses about how clumsy I was, but it was a serious worry for me.  There were the occasional moments when it interferred with my ability to drive well, and driving became very stressful for me because I never knew what was going to happen or when it might happen.  I had absolutely no information or medical or personal support and felt very isolated and more than a little crazy.  It was a very lonely time for me, many years of feeling lost, alone, sick and insane.

Which eye has SOM, right or left
Right eye

When you sought diagnosis
I had a theory, to which I clung with desperation for many years.  It was that whatever was happening was because of some problem concerning my eye and brain.  I thought that the angle at which sunlight entered our atmosphere at those two times of the year (spring, autumn) had an effect on how I was able to see.  You know, planet rotation and all that.  Didn't then, and still don't have any idea why I thought that, but it seemed logical to me because I didn't experience symptoms at any other time of the year.  Year by year, the episodes of saccades (rapid eye movement) increased, becoming more frequent and lasting for longer periods of time.  I began mentioning it to my ophthalmologist, but he dismissed them as some, benign happenstance.  By 1992 I was experiencing episodes several dozen times a year, and began to be more assertive about a diagnosis with my ophth.  In 1996 he told me, with extreme exasperation and impatience that there wasn't anything wrong with my eyes or vision and that I should seek the help of a good mental health care professional.  He then spun on his heels and left me alone in the examination room.  When I realized that he wasn't coming back, and that I had been dismissed, I left, went home and never mentioned my symptoms again.  At the end of 1999 my symptoms were so bad that I thought I was going insane, and dragged myself to a new ophthalmologist for one, last mention of my vision problems.  That doctor looked at my eyes for a few minutes (found out later that he was using a slit-lamp microscope) and told me that he knew what I had, that he couldn't help me but knew someone who could.  Within a week I had an appointment with my current doctor.

Who diagnosed you
An ophthalmologist in my town, to whom I had gone for one, final attempt at finding out what was wrong with my vision.  This was in early April, 2000.  If this appointment had a similar result to the last one with the other doctor four years previous, I was determined to find a way to live with the disability that was taking increasingly greater parts of my life away from me.

How you found/was referred to that person
I found a listing for the clinic in the telephone book and just took the first appointment that was available.

Proposed causes, i.e. head injury, illness
None, although I was in two major accidents before the age of eight years old.  Both involved head injury, but did not cause any continuing problems.  My doctors do not see them as the cause of my SOM.

If you have been diagnosed with nerve compression
I had an MRI that showed possible nerve compression.  Because I would never consider nerve compression surgery, this is a non issue for me.

How SOM was explained to you
I was told about how the muscle and nerve interact inappropriately and all the rest.  It was bewildering and scary during the testing periods that eliminated all the other, much more horrible things that might possibly be wrong with me.  There was very little information available about SOM then, and my research was not as fruitfull as I would have wished, but I continued, nevertheless.  You know what they say, hope springs eternal, and it certainly does for me.

Your feelings and response to your diagnosis
I was thrilled to have a diagnosis, but not sure what any of it meant.  I went through a short (not short enough!) period of anger towards the ophth who was so unkind to me in 1996.  I've since gotten over that.  Mostly I just sort of pity him now, so I clearly still need to work on that whole anger thing. 

The first treatments suggested to you
The pediatric neurologic ophthalmologist to whom I was referred started me on carbamapezine/Tegretol. 

Your response to those suggestions, how you felt, what you did or did not do
I have tried that medication several times, finally having to quit it when my effective dose was too sedating.  In the following years I tried other medications, without relief.  I was unable to try beta blockers because I have asthma.  The medication route was so frustrating for me.  Trying and  experimenting with expensive medications, hoping that they would work, sticking with them long enough to reach effective levels.  Makes one so weary and frustrated.

Remissions
In the beginning, my symptoms were random and infrequent, but I hadn't any idea that they were actually remissions.  As time and the torture went on, I knew that the absence of symptoms were remissions, and I learned to appreciate and take full advantage of them to do things that were difficult whilst experiencing my SOM symptoms.  I had surgery in July, 2007, but prior to that I had been without any remission since early in 2001.

Research that you might have done on your own
I went online as soon as I got home from that first appointment, searching for anything about superior oblique myokymia.  There was a handful of abstracts and similar document links, but also one of Jeanie's that she had posted a year or so prior to my finding it.  I've always thought that that happened in January of 2000, but I recently found a file of e-mails (absolutely fascinating!!!!!) from that time, and my first contact with her was on April 18, 2000.  That first group had twenty members and it was all via e-mails to one another.  The first informal group were begun shortly after that  When it was lost in early March of 2002, one of our members started another online group, but just in case we lost contact again (horrible, horrible and very horrible experience) I began this group as a back up.  Around that time, another of the members of that first group began a forum at his university, which is still in operation.  Since then, I have scoured Internet resources, medical college libraries and my own physician resources.  I have hundreds of documents, which is nice, since there was scant information available even fifteen years ago.  The distillation of the best of those documents can be found on this site.

Current SOM status
I had a radical tenectomy type of surgery in July, 2007. I have been left with permanent diplopia/double-vision, that is taking much longer to resolve and heal than I had hoped.  The movement of my eye has stopped aside from the occasional pulling of my eye in an attempt to have some kind of binocular vision.  Time will tell if symptoms return, but I seriously doubt that they will because of the large piece of SO muscle that was removed.  I am hoping to begin experimenting with prisms in my eyeglass lenses by mid-summer of this year, 2008.

Your age 61
Your gender Female

I have a few extra thoughts.  This is not the history that I would have written about myself and SOM ten years ago, nor even a week ago.  Trying to keep to just the facts helped, of course, but time changes how I view what happened to me, and this is aside from the issues with memory.  I know that I will continue to remember things that I want to add here, and will do so when I am so inspired.   Writing this was more emotional than I would have thought, and that is why it is chock full of awkward sentences and misspellings.  But, I don't care because writing this was also comforting in a weird way.  And, let us not forget to thank Molly for stimulating this new aspect of information gathering.  OK, thanks, Molly!!!!!!


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     re: 2. My SOM journey begins   MSN Nicknamemad-eye-annie  3/14/2008 6:32 AM