I am so exasperated with this entire process.
So I was kinda tossed around from one neurological department to another when I was "diagnosed" (in quotes for reasons I'll get to) a few years back. My MS finding was incidental. I slipped and dented my skull on a wall, got a CT that revealed a cavernoma, got an MRI a month or so later to check that out, and had a single active lesion in my left frontal lobe. I had a handful of small lesions in my juxtacortical regions and corpus collosum, but they didnt seem to think those were compelling. My bloodwork always comes back textbook healthy with the smallest amount of inflammation.
I did have symptoms, but I experienced a good bit of medical neglect and don't always know what's serious and what isnt. I was barely 20 and had developed severe urge incontinence, heat exhaustion, fatigue, brain fog, extreme cognitive slowdowns, etc. The neuro was concerned about the incontinence, but once that stopped and my follow up MRI came back without further activity, she canceled my LP and told me I could start a DMT /if i wanted/, set me up to have kesimpta delivered to my house, and told me to come back in for my first dose when it came in.
I come back with my meds and she tells me she thought she had sent me to a specialist and that she didnt really "do MS". The Kesimpta has been sitting in my fridge since. She essentially diagnosed me with RRMS, it says as much on my charts with her, but told me I'm essentially fine and said the specialist would call me. That was about three years ago.
I recently got a better job and thus better insurance and wanted to check up on things. And around the same time i started to feel like complete shit. My "minor" symptoms have been so intense, but not intense enough that doctors actually believe that they need to put me in an MRI. I live in the american south, so im used to heat and humidity, and in the last 2 months i havent been able to make it from a parking lot to a building without feeling like im going to collapse.
At least a few times a day, i get insane waves of nausea that end when I sneeze. I get random fevers that last between a few minutes and hours, extreme drops in blood pressure, sudden waves of exhaustion. My peripheral vision feels like its way smaller and my tinnitus (that used to be so minor i forgot i really experienced it) has gotten so bad that last week i was unplugging electronics in my house to find what had been buzzing so loud.
These all sound like brainstem type functions, so im obviously very very worried, but my new PCP did not share my urgency about getting me checked on. Either way i have an intake appointment with neurology next week, but god knows how long until an MRI.
I think honestly my point in posting this is perspective from people who have had longer to figure things out (for whatever reason). Is this just what its like? Sound like a new flare? Any general advice on dealing with it qhile the wheels turn?
TL;DR - Equally scared I have a brainstem lesion and that this is just how MS is for me. Any input on either is welcome.
Edit for clarity: The perceptual changes (vision/tinnitus) are constant, most of the things that are intermittent are exertion/heat triggered, but they all happen together (not always all of them, but always more than one). I also have some mild expression aphasia that seems to be worsening, but i just noticed this.