I had an MRI in January 2009. The M.S. specialist ordered it because I have been having mild headaches at the top of my head that precede things "happening".
- For example, I had a headache that came on before I temporarily lost my ability to write a cursive "D" (and hence lost the ability to sign my name).
- I also had a headache come on and when it had passed, my need to get up at 3:00 a.m. to go to the bathroom had all but vanished.
The MRI was done:
- At the same imaging center,
- Using the same machine,
- Run by the same technician, and
- Read by the same radiologist
as the previous MRI (in November 2006) but for some unexplained reason, they chose a different "slice" size which limited comparability between the two scans.
Based on the amount of space devoted to each subject, the radiologist report is less concerned with my M.S. lesions than it is with what appears to be an "aneurysmal dilation" in my carotid artery which due to that different slice size could not be confirmed so an MRA is recommended. Right now the M.S. specialist and primary care physician are pointing fingers at each other saying the other has to order the MRA. A new neurologist may help with this but I'll post on that separately.
The radiologist reports are interesting. In November 2006, it identified two large and two medium-size lesions along with smaller lesions described as "too numerous to count". In January 2009, "too numerous to count" is quantified at 21 lesions. Some of these 21 lesions have increased in size slightly while others are unchanged. The medium-sized lesions are smaller. The largest lesion has doubled in size while the other large lesion has disappeared altogether.
My primary care physician focused on the lesions that disappeared and so thinks the report is "encouraging". The M.S. specialist's nurse told me he finds this particular mix of lesions growing while others were shrinking to be "atypical". Of course, if the results weren't at least "atypical", what was the point of downing those 1,200 doxycycline capsules?
The November 2006 MRI was done nearly a year before I started the CAP so I have no way of attributing these results to the CAP. What I do know is:
- My supply of antibiotics is nearly exhausted.
- There has been significant improvements in how I feel and how well I function while on the CAP so if I had it to do all over again, I would still do it.