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General Update on my wife and subsequent advice

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Nevergivup

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Around April 2019 I wrote a series of posts relating to my wife. She is a stable, happy, fun loving person, who rapidly changes into a violent devil through what we together call her “head attacks”. At times she will even attack our very young daughter. Smashing up items in the house is normal. The mood change, which lasts for up to one hour, is instant and extreme. She recalls little of these events.

I first wrote this case up in the sufferers’ thread, which was a mistake as I was then attacked for continuing to support her, with a determination to find the root cause of her condition. Apparently, I should have ditched her i.e. take the children and run. I am absolutely certain that should I have done this she would not be alive today. Her children are everything to her.

The first GP (physician) we went to was a middle-aged man. As my wife freezes up when asked to discuss her history, I relayed her upbringing. She lived through and witnessed extreme violence involving armed insurgents and soldiers over the first 10 years of her life. She also suffered violent attacks on her person. On hearing the background and the symptoms, the doctor immediately diagnosed PTSD and recommended counselling. We both resisted – my wife through her inability to discuss personal details with anyone. It took several years before even I was to learn of her experiences. I resisted counselling as I don’t necessarily trust Councillors and through concern that the doctor made no effort to check her physical condition.

Time went by and we continue to go back to different doctors. My wife ended up being sent to an emergency psychiatric team that prescribed medication for depression and psychosis. The attacks continued. As I was still concerned that no physical examination had been instigated. I pointedly asked “should she not be checked with a head scan?”. The reply was “I suppose she could have a CT scan”. Nothing was done. A while later in a letter to her current GP I made known my opinion that it makes sense to eliminate a physical cause before continuing with the psychological path.

We still resisted counselling which was brought up over and again by the doctors. Still, nothing was done until I put real pressure on one doctor who offered to put her on a public health list for a brain scan where the waiting time was over 4 months. I was still being treated like a crackpot. She stated that she felt that the chance of a tumour was “less than 1%”. Having researched her condition in great depth I was putting it at 30%.

I had had enough and asked how much would it cost to go private with specialist neurologist: $1600 for the first visit and $300 for each visit thereafter. I told them to go ahead. At the first visit the neurologist listened to every detail with great care and was very non-committal. At the end I asked him, “in your opinion could this be PTSD?” He thought for a very long time and said, “it’s possible”. Clearly, he was not convinced that it was PTSD.

He put her onto an epilepsy medication and booked her in for a MRI scan. Epileptic seizures are common among sufferers of brain tumours. The seizures can be in many forms and can include violent behavior. He must have put her on the urgent list as she had her first scan 3 weeks later in the public system. They identified a lesion/tumour in her cerebellum.

She has since had 2 further MRI scans such that that now the tumour has been better characterised. The latest diagnosis is that it is likely to be a dysplastic cerebellar gangliocytoma. This condition is also called Lhermitte-Duclos disease which is very rare. The tumours are usually benign but can become malignant over time. They grow very slowly. They can impose pressure within the cerebral fluids causing headaches – another of my wife’s symptoms. She also occasionally collapses and loses consciousness for up to 1 hour. Prior to the scan GPs knew all this and still insisted that it was PTSD. There will now be ongoing scans to establish possible growth. There is also mention of a biopsy which I feel is essential. We need to know the composition of the tumour.

One of the reasons I kept pushing for a physical examination was through watching a video by a MRI specialist. He and a colleague studied 20,000 brain scans of violent prison inmates throughout the world. 30% had some form of physical brain abnormality.

I now believe that most doctors end up in their profession through being smart at school. This is mostly through having good memories and recall. They are no wiser than you or I. They are mostly tunnel versioned, as are many “smart” people.

I write this letter to urge supporters of loved ones that suffer from rapid, uncharacteristic mood changes and persistent head pain to insist on full physical examinations – including a brain scan.
 
@Nevergivup welcome back.

I'm so glad you've now identified the illness that your wife suffers from. So very glad too that she has been receiving appropriate attention and finally the correct diagnosis. This must all be a huge relief for you, your wife and your children.

I hope the tumour remains benign and somehow you all can shift towards a better life together.

I believe you are being unnecessarily harsh towards all of the forum members who responded. Clearly you were unsatisfied with the opinions of those members. And that's your prerogative. But like it or not, they were operating under the assumption that the diagnosis your wife received and that your related here, was the problem. That ptsd was the problem. Not some extremely rare brain condition that takes highly trained professionals in neurosurgery to diagnose.

You didn't come here with a question about her diagnosis. You came here wanting to speak to people about her behaviour and you got their opinions.

Nobody here can diagnose anything. Nobody here can mind read. We can only use the information you tell us and even then your responsibility is to be extremely mindful of how you receive it and what you do with it.

In this particular case, your wife has a physical illness that, thanks to your incredible persistence it seems, has been diagnosed. Well done to you. :) She must be very relieved that she has you to love her.

I think there is something to be said in defence of the medical profession too. They truly are people, like us & sometimes, often times, the most simple answer is the right one.

Clearly on this occasion the scans were necessary but those types of investigations shouldn't be considered the place to start. You have yourself, characterised this terrible condition your wife has as rare afterall.

Take care of yourself and obviously you don't need any further encouragement to take care of your wife because you are doing a damn good job of it.
 
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blackemerald1 -

I came to this forum to find out if other sufferers had similar symptoms to my wife's. It was all part of my research. I am not blaming anyone here for a misdiagnosis. That would be silly.

If I could think outside the square why couldn't the GPs? When listed, the symptoms are classic brain tumour. The GPs had this list in writing from me. It did not need to be a rare tumour. There are many more common kinds that can cause the same symptoms . I already had epileptic seizure on my personal list before the neurologist prescribed medication for the same.

As this was a very serious condition that threatened the physical well being of our whole family a brain scan should have been the very first step IMO.
 
When listed in a specific way. When you have the prior etiology. And have daily contact with the patient / know very well their normal, and when they are off base.

Just as a list? Could be a dozen of things. That they needed rule out first... and so were on it.

It's not them doing wrong / being stupid.
It's them not married to your wife. ;)
 
The impact of her condition on family was very serious. A potential physical cause was very serious. All it took to identify or eliminate such a cause was a 1/2 hour test. This could have been done (as I requested) 2 years ago.

I am not trained in medical science. I am trained and practice in another discipline in science. I diagnose situations where the potential for catastrophic failure must be quantified. One must eliminate the most serious components first -especially when there are clear signs that point in their direction.

The process of diagnosis is the same in any discipline. One doctor diagnosed PTSD and 3 others followed like sheep.

One of the most destructive sides of this case is the extreme shame and despair suffered by my wife after an attack. Now she has hope and can hold her head high again instead of saying through her tears "I don't understand".

We will not be going to a Councillor. The could have caused real damage should we have followed advice.
 
I can kind of understand why you had trouble getting the doctors to do what you were insistent on.
If you choose to only listen one thing I say here, let it be that I'm glad you were able to help your wife and can now have a proper family life.

I first wrote this case up in the sufferers’ thread, which was a mistake as I was then attacked for continuing to support her
Others have covered this better than I can.

On hearing the background and the symptoms, the doctor immediately diagnosed PTSD and recommended counselling. We both resisted
Here is where I think your difficulty began.
It is seldom beneficial for anyone when a doctor over diagnoses a patient.
If someone goes to doctor complaining of a sore abdomen and fever. The doctor isn't going to automatically perform an emergency appendectomy when it's probably just mild food poisoning.
It's better to treat it as food poisoning, if that doesn't work, then try the next most likely thing.

The attacks continued.
It sucks that you had to endure it for so long, I'm glad it resulted in a positive outcome. Clearly you love her very much, she's lucky to have you in her corner.

I pointedly asked “should she not be checked with a head scan?”. The reply was “I suppose she could have a CT scan”. Nothing was done. A while later in a letter to her current GP I made known my opinion
You would be amazed at how many people argue with physicians, many of those don't even try to research anything. Google doctoring is so common they just get sick of arguing with every Tom, Dick and Harry that walks in the door. Especially when they won't even try what was suggested.

You're entitled to your opinion but the doctor is not required to act on it.

nothing was done until I put real pressure on one doctor who offered to put her on a public health list for a brain scan where the waiting time was over 4 months.
Public anything takes ages, moreso for elective procedures.

I had had enough and asked how much would it cost to go private with specialist neurologist: $1600 for the first visit and $300 for each visit thereafter. I told them to go ahead.
Unfortunately, most people will never be able to afford this option. Fortunately you could, and apparently worth every penny.

They are no wiser than you or I. They are mostly tunnel versioned, as are many “smart” people.
You're right they aren't wiser, they are however highly educated in a field of practice and experienced in treating many people of all types.
They of course make mistakes like everyone else does, they also see alot of the same things over and over again. Not everyone with the same disease experience exactly the same frequency and severity of symptoms. Starting with the most common possibility that fits the patient assessment, is common sense.

Even a non result has value.
I'm not trying to be judgemental, or say you can't disagree with the doctor. I'm just suggesting keeping an open mind.

Anyway, thanks for the update on your wife, it was good to read that she now has light at the end of her tunnel. Hope things continue to go well for you.
 
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