Introduction, guidance, venting and more

Good morning everyone, and thank you for having me here.
While I hate that a site like this even needs to exist — filled with people who can relate to the same struggles — I’m grateful not to feel so alone.

My name is Mike. I’m a farmer and rancher, and also a full-time IT Director. Over the past four years, I’ve had to sell most of my livestock and a lot of my land. My animals deserved better care than I could give with how sick I’ve become, and the medical bills have been overwhelming. This is the start of my journey to figure out what’s happening to me.

For background, my only past medical history was Chiari malformation with two syringomyelia, which I had decompression surgery for in 2017 or 2018. I lived a mostly normal life afterward — working full-time, flying planes, farming — managing some breakthrough pain with hydrocodone when necessary.

That all changed after I received the COVID vaccine while working in the medical field. Since then, every COVID infection I’ve had has triggered severe, debilitating symptoms. Doctors, unfortunately, have been largely useless throughout this process. I’ve had to personally request nearly every single test that has actually found something abnormal.

Since then, I’ve been diagnosed with POTS or some form of dysautonomia, ME/CFS, MCAS or histamine intolerance, CCI (cranial cervical instability), and there’s suspicion of some form of EDS (awaiting genetic testing). We’ve also found reactivated mono, and a tickborne disease, anaplasmosis. I recently requested my own CTA scan and personally measured my styloid processes — they appear elongated bilaterally. I’m not a doctor, but I was an EMT and a pilot before all of this, so I know enough to advocate for myself. Sadly, those careers are now part of my past too.

I’m not sure why the medical field has changed so drastically over the last 4-6 years. COVID definitely played a major role, but the sheer amount of dismissiveness and negligence from healthcare providers is staggering.
No, I’m not a hypochondriac. No, it’s not “just anxiety.” Although after years of this, waking up feeling like you’re having a heart attack or that something is blocking your airway absolutely will cause anxiety. Anyone would feel the same.

For anyone interested, here are my images and measurements — I’d appreciate any insights:
:link: CTA Images

Lately, life has been hell. I’m writing this after only two and a half hours of sleep. Last night, my neck was burning, I couldn’t get comfortable, the pain was intense, and I kept jolting awake. It felt like something was stabbing the base of my tongue from the inside — a new and terrifying symptom. The burning neck pain, tongue pressure, 24/7 dizziness (which used to improve when lying down but now persists even then) — it’s all crushing.

I’m also being evaluated for a tethered cord and possible CSF leak.

My neurologist states Eagle’s Syndrome is controversial and outside his expertise. Thankfully, he’s willing to refer me to a university center or even Mayo Clinic. I’ve also requested a referral to Dr. Hepworth, and I’m praying I can get in.

I’m only 29. This all started when I was 25.
I recently got married to an incredible woman who deserves the absolute world — far more than I’m currently able to give her. Watching her stand by me through this makes me both grateful and heartbroken.

I’ve also developed significant medical anxiety. I had never reacted to food or medications before all this. Now I’m down 40 pounds — 30 of those pounds lost in under two months — because my body struggles to absorb nutrients, and I can only tolerate 6–8 foods without reacting.

I’m tired.
I’m overwhelmed.
But somehow… we push forward.

Thank you all for reading, and I apologize for the spastic writing haha, I’m running on little sleep and I’m really out of it. I’m glad to be among people who understand.

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I’m so sorry that you’re struggling like this & have been dismissed by doctors…
I had a look at your images; we’re not medical professionals here, only people who’ve learnt a bit along the way. And I’m rubbish with tech so I’m afraid I can’t label the images for you, but looking at them it looks like you have a short styloid process each side, but a long calcification beside it, so I’m wondering if it’s actually the stylomandibular ligament, although it doesn’t seem to come from the styloid process, it seems to be from beside it, it’s very strange? Here’s an image showing the stylomandibular ligament :


But obviously there is some calcification there which shouldn’t be, and could be causing symptoms- it sounds as if you’re getting vagus nerve irritation symptoms, here a link to a good discussion by @GrnyAny about this:
Successful Surgery for severe Vagus Nerve Compression - General / Eagle Syndrome Stories - Living with Eagle
It will be interesting to see what one of the experienced doctors says, Dr Hepworth would be good to see if you can get on his list. The Mayo clinic don’t seem to be very aware of ES so I wouldn’t worry about seeing anyone there. I hope that you’re able to get some treatment soon, not good if you’re not able to eat properly…

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@sudo -

You’re quite articulate & obviously have a good amount of medical knowledge. We’ve recently seen more of our members who have CCI/hEDS diagnoses being diagnosed w/ MCAS & some also w/ ME/CSF as well, so there may be a link between all those. POTS often goes along w/ vascular compression that’s caused by styloid elongation & can resolve once the vascular tissues are opened up again. Dysautonomia symptoms are often related to vagus nerve irritation, & your tongue symptoms are most likely coming from your glossopharyngeal nerve. Dizziness could potentially rein back to a blood flow issue, most likely vascular outflow obstruction from compressed IJV(s). Depending on where you were having burning in your neck, it could be caused by the occipital, glossopharyngeal, trigeminal, &/or vagus nerves. All of the nerves I’ve mentioned are known to be victims of elongated styloids & symptoms causers of ES.

Try sleeping w/ your head elevated at night i.e. up to 30º. A wedge pillow can be helpful with that. Icing your neck for 15 min every couple of hours or using lidocaine patches (available OTC or by Rx for stronger patches) have also helped a number of our members. Getting an Rx for a nerve pain medication such as Gabapentin, Amitriptyline or Carbamzepine can also be helpful.

I think the calcifications you’ve measured in your images are your styloids. They appear differently positioned than we usually see because you’re supine. If the images were posted w/ your head in an upright position, I’m guessing they would be more obviously your styloids.

I’m so sorry for what you’re going through. We’ve had some really great recovery stories here over the years once the correct surgeries & treatments are undergone. I hope we can help you find what those are so you can get back to doing what you love & be the husband you want to be for your wife.

:hugs:

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I don’t have any answers for you but I just wanted to say that I understand and hope you find some answers and relief soon.
I too am in the beginning stages of this (diagnosis, not symptoms) and understand the frustration. I’ve learned to give myself some grace and compassion and I’m trying not to focus on the negative but it’s hard.

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Hi, I’m sorry to hear you’ve been having to deal with all of this on your own - ie. no medical professional supporting you with this. It seems to be the case for most of us unfortunately and the whole you just have anxiety point of view makes me wonder how many people are being told this daily when they actually have an undiagnosed condition.

I am no medical professional but looking at your images it seems you are correctly measuring calcificed stylohyoid ligaments on each side. Until you get seen I would recommend sleeping elevated, avoiding turning your head or looking down unnecessarily. I try to bend from the knees to get lower and turn your body to look sideways. Also supporting my head whenever I am seated. Avoiding massage, instead favouring using a wheat pack over the shoulders or my stomach to calm the vagus nerve. These things helped me a bit. I also saw a chiropractor regularly but in hindsight would have avoided doing anything higher than c6 if I had known my calcified ligament was touching my carotid artery. I found work through the mid and lower back did help to also regulate my nervous system and reduce pain when I would get really flared up.

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Same here. I am horrified that I went to a chiropractor and wonder how I didn’t end up with a major stroke. Although, I didn’t let him snap my neck so maybe that helped save me.

Massaging greatly helps me. It is basically doing trigger point in the trap area and spots on top of my shoulder.

I use a thereacane to replicate PT.

I wouldn’t waste time and money on Mayo for ES. Although it might be helpful for some of the other mess you have going on.

In a letter Grok wrote for me it pointed out that although I have markers that are known to cause problems such as hypertension, sleep apnea, weight it might be the styloids driving the inflammation loop. My case is a little crazy because the typical blood tests that are run are usually normal but the ones they don’t know what to do with are the abnormal ones ..like Gdf 15, pryuvate,homocysteine,..I even have elevated g6pd. With g6pd they were looking to see if I was deficient for medicine reasons but had no idea what to do with elevated.

If you are a black male you might want to have that tested. That is who typically has a problem with being deficient although anyone can have it .

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Hi @sudo while I really wish I could be more help, all I can add for now is that I hear you and I am just a patient as well going threw similar journey

My heart goes out to you and your family
Keep up the persistence, although you may find some doctors that do not know what to do, this just leads us to the ones that can help
You will find a soulution
:heart::call_me_hand:
Love and aloha

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