by jamesw20m3 on October 4th, 2014, 7:29 am
So it's my first post. I am a 38 year old physician, husband, and father of 2. First noticed fascist in hand 12/2014 while driving. Wow, what a roller coaster since then. Panic, irrational fear and sadness, depression, etc. I delayed my neuro eval until May for some work related reasons and to get my affairs in order as I truly thought this was it. Tried cymbalta for depression and severe anxiety with some improvement though fasics were worse.
My history. Mild life long anxiety, I'm the Classic type A doctor. Healthy until 2010 when I developed esophageal achalasia, another fun disorder, that I still struggle with. Fasics are widespread and constant. Arches of my feet, pleural, are more myokymia, I feel the fasics in my L calf every time I sit or rest. However, I get them in the face, arms, scalp, etc. no atrophy or weakness though I do feel the fatigue. I'm a workaholic and though a doc never exercise so can't tell how it's affected endurance. Can walk all over disney world fine though
Interesting, when it first began I went to my dad for help, also a doc. Said he had fasics, mostly in he feet, for decades. Mine are more impressive. He really never has been bothered by it. He was diagnosed with fibromyalgia 20 years ago but only mild case. We each work 60-70 hours weekly so not significant disability.
My local neuro, who runs our all clinic, looked me over as a favor. Quick exam strength, reflexes, movement, etc. said no worry about bad stuff. Who knows why. I has chest X-ray, Mri l spine, xt abd and pelvis, colonoscopy, upper endoscopy, etc to rule out paraneoplastic. Lab tiptoed out MG, Lus, etc. then saw all doc at Cleveland clinic. Most intense neuro work up I've seen. No issues. Recommended against emg as not necessary.
So, here I am. A scientist who wants answers and none exist. Still worry daily but much better. Thanks for such a great site.