Diagnoses Since Onset of EMS



By Marylin Faith Rumph


Introduction


This poll of persons with Eosinophilia-Myalgia Syndrome began on September 4, 2003, and ended on September 19, 2003. Twenty-six (26) individuals responded: 21 females and 5 males. Two (2) respondents live in Canada, and the remainder live in the United States. I conducted the survey or poll entirely via the Internet, inviting persons known by me who have EMS to send e-mail messages listing all diagnoses and medical conditions or problems that have occurred since they contracted EMS.

I think it's important to state that people not only listed clear diagnoses of diseases or disorders, such as Sjogren's Syndrome or Spinal Stenosis, but also included in their lists what might be considered general symptoms or clusters of symptoms. Examples of the latter would include: Fatigue, Chronic Pain, Loss of Appetite, Slow Wound Healing, and Skin Sensitivity. In other words, conditions such as those (and others) may not be diseases in and of themselves but a symptom or result of one or more diseases, or of medications used to treat one or more diseases, etc. However, that does not make the symptoms any less real or troublesome.

It was hard to take numerous diverse replies and categorize them. I decided to work with a combination of actual body systems (such as Endocrine System) and "common sense" systems in organizing the final list of diagnoses and disorders. Although I also included operations and surgical procedures, I feel certain, knowing what I know about people with EMS, that many people forgot to include some surgeries in their responses. Eventually, I finalized a list of categories somewhat similar to that of the Questionnaire devised by a board member of the national organization before conducting a survey of members in the late 1990s; however, I added or subtracted from it according to my own purposes and added additional categories.

The following diagnoses or conditions rated 30% or higher prevalence among the 26 respondents, in descending order: Muscle Spasms (54%); Depression (46%); Fibromyalgia (42%); Muscle Pain (38%); Bronchitis (38%); Dry Eye Syndrome (38%); Memory Loss (35%); Dry Mouth (35%); Allergies (31%); Gastro-Esophageal Reflux Disease (31%); Fatigue (31%); High Blood Pressure (31%). In order to have at least 31% as a score, 8 persons of the 26 had to be affected by a problem. Fourteen (14) persons specifically listed muscle spasms.

I'm sure that one thing people with EMS think about is cancer - might there be a higher incidence of cancer among those with EMS? A poll like this one will not be of much help in answering that question. Though I do know of a number of persons who have died of cancer or have cancer at present (other than skin cancer), I deliberately didn't ask people with serious cancer problems to participate because: 1) They are too ill to do so, 2) It seems insensitive to even ask them when they are undergoing chemotherapy and other treatments, fighting for their lives, and 3) I don't believe that most would be willing to participate, unfortunately, even if able. Therefore, you will not find here anyone who has listed any cancer diagnoses other than skin cancer. We know that people with EMS have died of cancer (one recently died of breast cancer), and we know that people with EMS have been diagnosed with various types of cancer over the years including (but not limited to): lymphoma, bone cancer, breast cancer, brain tumors, lung cancer, uterine cancer, multiple myeloma, leukemia, prostate cancer, and others. What we don't know is how the rates compare with the general population or with people with similar diseases and whether one or more types of cancer may be starting to stand out as being more prevalent among EMS survivors. After all, it's been 14-15 years (and more for a few) so cancer ought to start showing up if it's a later manifestation or result of having EMS.

[UPDATE June 2006 concerning Cancer in persons with EMS: We still do not have a lot of information about the real numbers of people with EMS who have had cancer or died of it, unfortunately. Skin cancer is appearing at pretty steady rates in those with EMS just as you would expect in the normal population. It's still my belief that lymphoma is a cancer that persons with EMS might be suceptible to getting and in women, breast cancer rates might be a bit higher than in the "normal" population; however we lack data to prove it. In animal studies, mice or rats fed tryptophan developed bladder cancer, but are people with EMS likely to get bladder cancer later in life? I don't know and don't have any data yet. I can say that some persons with EMS seem to be more prone to anemia, known to be associated with autoimmune diseases, and to various red blood cell and/or white blood cell disorders. But, I don't have a good understanding of what is going on in the persons with these problems, except for obvious cases of anemia caused by operations, too low vitamin B-12, iron deficiency in the diet, and other "regular" causes like these which can be fixed by taking iron supplements or making changes in the diet - and that are more common in all persons over age 50.

At this point in time, the majority of persons diagnosed with EMS are over age 50. Remember the typical age (average or mean) at onset was about age 47-49 years of age. So, as of summer 2006, it's been 17 years since the epidemic of 1989; therefore, you can see that those persons in their late 20s, 30s, and 40s at onset have now passed age 50 or are rapidly getting close to it. We do know there are a few persons with EMS from tryptophan in their 30s now, some still in their 40s, and a handful or so under age 24 or so. I speak only of diagnosed persons, not people who may have gotten EMS but were never diagnosed and have mild disease misdiagnosed or never diagnosed.]

The people who have participated in this Poll are asked to contact me with corrections, clarifications, and most of all - other diagnoses as time goes on, so that this article can become an ongoing look at these persons. For instance, if you develop Diabetes Type 2 next year, write to me, and I will add the diagnosis and indication of year. [Note: June 2006: People have not done a good job of updating me. I guess I should go back and re-contact them to try to find out more.]

Finally, a disclaimer: I, Faith Rumph, a person with EMS, do not claim to be conducting a scientific poll or survey, but an informal poll or survey of people known by me to have EMS. The polls and surveys I do arise out of questions I am frequently asked by people wanting to learn more about EMS and about what others with EMS are experiencing. People are free to interpret the results as they like. Careful observers will notice that certain diagnoses or symptoms occur so often (such as muscle spasms) that the likelihood of those things not having something to do with EMS seems remote. Other conditions and diagnoses cannot be attributed with certainty to having EMS. - Marylin Faith Rumph

Please note that I have included links to medical sites with information on many of the diagnoses and conditions. The links come at the end of the Poll itself and are listed in no particular order. If you find a bad link, please let me know.

Poll Results


DENTAL & ORAL:

1. Gum Recession not due to Dental Disease
2. Dry Mouth Syndrome; Dry Mouth; Dry Mouth; Dry Mouth; Dry Mouth; Dry Mouth Syndrome; Dry Mouth Syndrome; Dry Mouth; Extremely Dry Mouth

[ The above listed by 9 persons of 26 or 35% of respondents]

3. Geographic Tongue
4. Mouth Ulcers; Occasional Mouth Ulcers; Mouth Ulcers; Mouth Ulcers [listed by 4 of 26 persons or 15%]
5. TMD [Jaw, Facial, & Gum Pain, but not TMJ]; TMD
6. TMJ; TMJ; TMJ (Although TMJ comes under the umbrella of TMD, I have chosen to list it separately.)
7. Loss of Teeth & Many Teeth Problems; Chronic Teeth Problems
8. Dental Changes not due to Dental Disease; Dental Changes not due to Dental Disease
9. Inspecific Dental Disorder including Shrunken Teeth Roots, Increased Decay & Loss of More than 15 Teeth in a Period of three years
10. Broken Teeth (Vertically)
11. Chronically Peeling Roof of Mouth
12. Inability to Open Mouth Enough to Fit Finger Into (probably a condition that occurred earlier in the illness, not lately)
13. Gum Problems & Surgeries


EYES & VISION:

1. Dry Eye Syndrome; Dry Eye Syndrome; Dry Eyes; Dry Eye Syndrome; Dry Eyes; Dry Eye Syndrome; Dry Eye Syndrome; Dry Eye Syndrome; Extremely Dry Eyes; Dry Eye Syndrome

[The above listed by 10 persons of 26 or 38% of respondents]

2. Chronic Infection of the Eye (type not specified)
3. Vision Changes; Vision Changes; Vision Changes
4. Drooped Eyelids
5. Cataracts; Cataracts
6. Blepharitis [chronic eye infection]; Blepharitis; Blepharitis; Blepharitis [listed by 4 of 26 persons or 15%]
7. Optic Neuritis
8. Frequent Irritation & Hemorrhaging of Whites of Eyes - not called "Dry Eye"
9. Dry Macular Degeneration


SKIN & DEEP TISSUE; HAIR:

1. Scleroderma-Like Skin Changes; Scleroderma-like Skin in some Areas; Sclerodermiform Skin; Scleroderma-Like Syndrome [listed by 4 of 26 persons or 15% of respondents]
2. Skin Cancer; Skin Cancer; Skin Cancer on Face (basal & squamous cell); Basal Cell Problems & Numerous Basal Cells Removed (I believe the patient means they have had skin cancer. I have no reason to believe any of these skin cancer diagnoses were melanoma except the one listed further down the list.) [listed by 4 of 26 persons or 15% of respondents]
3. Alopecia on Two Small Areas where only Telegen Hair Grows; Alopecia; Hair Loss on Scalp & Legs; Drastically Falling Hair & Receding Hairline (of Female) [listed by 4 of 26 persons or 15% of respondents]
4. Very Thin Discoid-Looking Spots of Skin on Forearms & Legs that Bleed if Scratched
5. Dermatitis; Dermatitis; Dermatitis; Dermatitis - Inflamed Skin [listed by 4 of 26 persons or 15% of respondents]
6. Areas of Peau d'Orange Skin; Orange Peel Skin on Hands
7. Sensitivity to Sunlight
8. Easy Bruising
9. Skin Pain like the Flu
10. Leathery Skin with Bumps
11. Urticaria (Hives); Hives
12. Purpura
13. Skin Rashes (not specific)
14. Chronic Fungal Skin Infection
15. Constant Bleeding Rashes that Itch and Hurt
16. Eczema, Only on Hands & Feet; Eczema; Occasional Eczema
17. EMS Brown Spots
18. Severe Itching, Intermittent and Various Locations
19. Skin Sensitivity to Everything
20. Localized Scleroderma (I interpreted this as being actual localized scleroderma as opposed to sclerodermiform skin; however, it's hard to be entirely sure as one can't talk to the physicians of all the people for a Poll like this, or examine the patients.)
21. Actinic Keratoses; Actinic Keratoses
22. Sclerosis (The patient was not able to tell me when asked if this meant of the skin or an organ, just that she'd seen it listed on her charts; I imagine it means sclerodermiform skin in some areas, but I am not entirely certain.)
23. Rosacea
24. Acne
25. Dandruff or Something like it on Scalp and in Ears - Nothing Found to Treat it
26. Pre-Melanoma Moles
27. Cellulitis; Cellulitis
28. Advanced Skin Aging Especially Hands
29. Fasciitis
30. Eosinophilic Fasciitis* [Also included under Immune System; Autoimmune Diseases]
31. Dry Skin; Dry Skin
32. Melanoma on Back (One of the persons with another type of skin cancer also had this.)
33. Seborrheic Keratosis [This is a different type of Keratosis from Actinic.]


PSYCHOLOGICAL:

1. Worsening Depression; Depression; Depression; Depression; Depression; Depression; Mild Depression; Clinical Depression (Thoughts of Suicide); Depression; Depression; Depression; Depression

[The above listed by 12 of 26 persons or 46% of respondents]

2. Anxiety with Panic Attacks; Anxiety
3. Stress Induced Anxiety Disorder
4. Panic Attacks; Mild Transient Panic Reactions
5. Panic Disorder; Panic Disorder
6. Withdrawal from Social Life & Other People
7. Psychological Counseling; Counseling

[In all, 5 persons of 26 mentioned some kind of panic symptom, such as panic attacks; panic disorder; or panic reactions - or 19% of respondents]


IMMUNE SYSTEM; AUTOIMMUNE DISEASES:

1. Chronic Fatigue Syndrome (CFS); CFS
2. Allergies indoor/outdoor; Allergies to Pollens; Allergies to Medications, Pollens, Milk & Other; Food & Drug Allergies & Intolerance; Allergies to Medications & Pollens; Allergies to Weeds, Trees, Grasses, etc., & to Codeine; Allergic to all Milk except Skim; Allergies to Meds & Pollens

[The above listed by 8 of 26 persons or 31% of respondents]

3. Immune System Dysfunction
4. Sjogren's Syndrome; Sjogren's Syndrome; Sjogren's Syndrome; Sjogren's Syndrome; Sjogren's [listed by 5 of 26 persons or 19% of respondents]
5. Multiple Chemical Sensitivity
6. Infections and Slow Wound Healing
7. Consistently High White Blood Cell Count & High Eosinophils
8. Eosinophilic Fasciitis* [Also included under Skin & Deep Tissue; Hair]
9. Diabetes Type I (Considered a Wild Card Variety of Diabetes)


RESPIRATORY & CIRCULATORY; LYMPHATIC:

1. Heart Attack; 2 Heart Attacks
2. Varicose Veins
3. DVT (Deep Vein Thrombosis)
4. Coronary Artery Disease (CAD)
5. High Blood Pressure; High Blood Pressure; High Blood Pressure; High Blood Pressure; Mild High Blood Pressure; High Blood Pressure: High Blood Pressure from taking Prednisone; High Blood Pressure

[The above listed by 8 of 26 persons or 31% of respondents]


6. Frequent Sinus Infections; Frequent Sinus Infections; Frequent Sinus Infections; Always get Sinus Infections when I get a Cold or Flu & Need Two Rounds of Antibiotics; Sinus Infections; Sinus Infections; Sinusitis [listed by 7 of 26 persons or 27% of respondents]
7. Bronchitis; Occasional Bronchitis; Chronic Bronchitis; Occasional Bronchitis; Bronchitis (not chronic); Bronchitis/Asthma; Bronchitis; Bronchitis; Bronchitis; Bronchitis

[The above listed by 10 of 26 persons or 38% of respondents]

8. Pneumonia; Pneumonia; Pneumonia; Pneumonia; Pneumonia [listed by 5 of 26 persons or 19% of respondents]
9. Mitral Valve Prolapse
10. High Cholesterol Levels; High Cholesterol; High Cholesterol; High Cholesterol (previously very low); High Cholesterol; High Cholesterol; High Cholesterol [listed by 7 of 26 persons or 27% of respondents]
11. Asthma; Asthma; Asthma; Asthma; Asthma* (with Bronchitis -Also listed under Bronchitis) [listed by 5 of 26 persons or 19% of respondents]
12. High Pulse Rate [Tachycardia]; Sinus Tachycardia
13. Ventricular Ectopy & Supraventricular Ectopy Palpitations
14. Breathing Problems (not specified)
15. Shortness of Breath; Shortness of Breath
16. COPD (Chronic Obstructive Pulmonary Disorder)
17. Congestive Heart Failure (CHF)
18. Edema; Edema of Hands & Feet When Lying Down that is Still Present in Morning
19. Pulmonary Benign Infectious Lung Lesion (Lower Lobe of Right Lung Removed)* [Also listed under Operations]
20. Constant Nasal Drainage
21. Interstitial Lung Disease
22. Dry Cough
23. Impaired Flow of Lymphatic Fluid
24. Chronic Pneumonitis First Years - None in Recent Years
25. Loss (50%) of Lung Capacity - may be Interstitial Lung Disease, not sure
26. Cold Feet & (Sometimes) Hands & Numb Toes, Even in Hot Summer Months [It's hard to know whether this is a Circulatory Disorder, or whether it's something else, but it seems different to me from those who feel hot all over or cold all over and can't get warm or cooled down.... I put those under Miscellaneous.]


NEUROLOGICAL & COGNITIVE:

1. Neuropathy; Peripheral Neuropathies; Nerve Pain in Legs & Feet; Occasional Polyneuropathy of Leg (Burning); Neuropathies; Axonal Neuropathies [listed by 6 of 26 persons or 23% of respondents]
2. Brain Fog
3. Speech Problems
4. Memory Loss; Some Short Term Memory Loss; Memory Loss; Memory Loss; Memory Problems; Memory Loss (various types); Memory Problems; Short-Term Memory Problems; Short-Term Memory

[The above listed by 9 of 26 persons or 35% of respondents]

5. Abnormal Brain Scans (dead spot on CT); Abnormal Brain Scan [Also listed under #15]
6. Bad Balance & Falling; Loss of Balance, Falling down Stairs; Falling; Trouble with Balance; Falls & Drops [listed by 6 of 26 persons or 23% of respondents]
7. Searching for Words Needed to Produce a Coherent Sentence; Word Recall Problems; Word Finding Difficulties; Memory Loss of Words* [Also included in #21]; Searching for Words [listed by 5 of 26 persons or 19% of respondents]
8. Headaches; Migraines; Headaches; Severe Migraines; Frequent to Almost Constant Migraines [listed by 5 of 26 persons or 19%]
9. Restless Legs Syndrome; Restless Legs Syndrome; Periodic Restless Legs Syndrome; Restless Legs Syndrome [listed by 4 of 26 persons or 15%]
10. Burning of Arms & Legs [probably neuropathy, but not specified as such]
11. Tingling Fingers & Toes in Cold Weather & Freezing Fingers & Toes in Cold Weather
12. Cognitive Problems; Cognitive Problems; Cognitive Problems; Cognitive Problems (Brain Injury); Cognitive Injury [listed by 5 of 26 persons or 19%]
13. Neuritis (nerve damage)
14. Dead Spots on Lower Legs and Arms; Dead Spot on Thigh that Hurts or Burns & has no Feeling
15. Brain MRI shows White Matter in Frontal Lobe much like MS - One Neurologist feels I may Have a Form of MS; MS-Like Syndrome; MRI of Brain Revealed Findings Similar to MS or early Alzheimer's Disease According to Neurologist, but EMS Specialist Said it was Caused by EMS & Originated with EMS Onset
16. Tic Doloureux (Trigeminal Neuralgia) [severe facial pain]; Trigeminal Neuralgia - Severe Pain/Numbing to Face & Scalp
17. Truncal Ataxia
18. Notable Forgetfulness & Distraction
19. Brain Disorders including Inner Ear & Motion Problems* [Also listed under Ears & Hearing]
20. Thoracic Outlet Syndrome
21. Memory Loss of Words, Meanings of Words, Faces, Names, History, Math; Difficulty Finding my Way Around; Not Remembering What I Want to Say, What I went to Get in Another Room, Not Remembering Whether I Read a Book or Not, & Not Being Able to Spell [Also included in #7]
22. Dizziness (extreme for 1.5 years before osteopathic treatment)
23. Myopathy (*any disease of muscles, but listed under NIH's Neurological Site - Neuromuscular)
24. Brain MRI report of "Hyperintensities" & Mastoiditis* [Latter is also listed under Ears & Hearing]
25. Right Leg Dragging & Advanced Wearing Out of Right Shoe - No Known Name for this at this Time
26. Drastic Altering of Handwriting Diagnosed as Part of Neuropsychiatric Injury
27. Mitochondrial Abnormalities
28. Sciatica
29. Carpal Tunnel Syndrome; Bilateral Carpal Tunnel Syndrome Plus C5-C6 Nerve Root Irritation; Carpal Tunnel Syndrme [diagnosed 2003 after poll]


MUSCLES, CONNECTIVE TISSUES, JOINTS, & BONES:

1. Muscle Pain; Myalgias; Chronic Muscle Pain & Aches; Muscle Pain; Muscle Pain; Myalgias; Myalgia Everywhere, Fluctuating; Muscle Pain; Muscle Aches; Muscle Pain

[The above listed by 10 of 26 persons or 38%]

2. Muscle Spasms; Muscle Spasms; Muscle Spasms; Muscle Spasms; Muscle Cramps, esp. Legs, Arms, & Stomach; Muscle Spasms in Legs & Feet; Muscle Spasms; Muscle Spasms Various Locations; Muscle Spasms, Especially Legs & Hands; Muscle Spasms; Muscles Exquisitely Tight with Muscle Spasm; Muscle Spasms; Muscle Spasms; Muscle Spasms

[The above listed by 14 of 26 persons or 54%]

3. Joint Contracture with Loss of Range of Motion
4. Muscle Rigidity and Loss of Flexibility; Loss of Flexibility; Loss of Flexibility
5. Stiffness of Joints but no Arthritis Shown on Tests
6. Fibromyalgia; Fibromyalgia; Fibromyalgia; Fibromyalgia; Fibromyalgia; Fibromyalgia; Fibromyalgia; Fibromyalgia Syndrome; Fibromyalgia (diagnosed before EMS); Fibromyalgia (FMS); Fibromyalgia

[The above listed by 11 of 26 persons or 42%]

7. Muscle Tenderness all over Body; Muscle Tenderness
8. Tendonitis in Thumb Joints; Tendonitis in Right Foot on Side; Tendonitis - Multiple Bouts in Various Locations; Tendonitis; Tendonitis; Tendonitis [listed by 6 of 26 persons or 23%]
9. Arthritis in Hands
10. Muscle Weakness; Muscle Weakness; Muscle Weakness; Muscle Weakness; Muscle Weakness; Muscle Weakness; Muscle Weakness [listed by 7 of 26 persons or 27%]
11. Global Muscle Pain; Total Body Pain; Pain all over Body
12. Tennis Elbow; Tennis Elbow - Came and Went;
13. Joint Pain; Constant Joint Pain; Pains in All my Joints
14. Multiple Herniated & Degenerated Discs of Neck & Spine; One Herniated Disc & One Torn Disc Plus "Mild Compression of the Thecal Sac" Plus Possible "Vascular Congestion" Plus Possible "Cord Flattening"; Herniated & Degenerated Discs of Neck & Spine; Herniated Disc L4-L5 [Also listed under Surgical Procedures]
15. Bone Density Test of Hip shows Very Thin Hip Bones [Didn't state it was Osteopororis, may be Osteopenia]
16. Osteoarthritis; Osteoarthritis/Osteoarthrosis [Osteoarthrosis is the same as osteoarthritis according to articles I read.]
17. Osteoporosis Secondary to Long-Term Steroid Use; Osteoporosis
18. Muscle Atrophy, Especially Legs; Muscle Degeneration (Atrophy, Shrinking, etc.)
19. Hardening in Joints, Including Wrists & Hands
20. Scoliosis
21. Stabbing Pains in Arms, Hands & Legs; Stabbing Pains in Arms, Hands & Legs
22. Hard and Fibrous Areas in Calf Muscles; Hard, Fibrous Areas in Calf Muscles
23. Frozen Shoulder; Frozen Shoulder
24. Radiculitis/Radiculopathy; Radiculopathy
25. Osteopenia
26. Tear in Rotator Cuff (Maybe Both)
27. Rib that Goes Out of Place & Won't Stay in Place, Causing Severe Neck & Shoulder Pain
28. Muscle Problems (not specified)
29. Spinal Stenosis
30. Bursitis


GASTRO-INTESTINAL:

1. Nausea; Nausea
2. Loss of Appetite
3. Gallbladder Flares; Gallbladder Attacks with Fibromyalgia Attacking Colon (EMS specialist assessed this); Gallbladder stones requiring surgery [added Jan. 2004]
4. Irritable Bowel Syndrome (IBS); IBS; IBS; IBS; IBS; IBS [listed by 6 of 26 persons or 23%]
5. Digestive Problems; Chronic Digestive Problems; Digestive & Colon Problems
6. GERD (Gastro-Esophageal Reflux Disease); GERD; GERD, Reflux; GERD; GERD; GERD; GERD; Reflux - GERD

[The above listed by 8 of 26 persons or 31%]

7. Bleeding Spots in Stomach
8. Duodenal Ulcer
9. Hiatal Hernia; Hiatal Hernia; Hiatal Hernia
10. Hemorrhoids; Hemorrhoids; Hemorrhoids; Hemorrhoids
11. Diverticuli in Lower Colon
12. Chronic Diarrhea; chronic diarrhea
13. Polyps in Colon - Benign; Colon p

olps
14. Chronic & Severe Yeast Infections of Colon & Female Organs* [Also listed under Reproductive & Bladder]
15. Malabsorption
16. Esophageal Spasm
17. Difficulty Swallowing at tines; Difficulty Swallowing, especially in the early morning.
18. Loss of Sense of Taste & Sense of Smell

GENERAL PAIN, FATIGUE, SLEEP DISORDERS, GENERAL BACK PAIN:

1. Fatigue; Profound Fatigue; Chronic Fatigue; Chronic Fatigue; Chronic Fatigue, Low or Limited Energy; Excessive Tiredness - Need to Take Naps; Extreme Fatigue After a Few Hours of Activity

[The above listed by 8 of 26 persons or 31%]

2. Low Grade Pain
3. Sleeping too few hours a night; Difficulty Sleeping; Insomnia; Periodic Insomnia; Unable to Sleep at Night Because of Pain; Insomnia; Difficulty going to Sleep [listed by 7 of 26 persons or 27%]
4. Chronic Back Pain; Upper Back Pain; Back Pain/Spasms
5. Chronic Pain (mostly in Ankles & Low Back); Chronic Pain all over Body; Chronic Pain; Chronic Pain all over Body; Chronic Pain in Many Body Areas Designated by Physician as, in part, Neurogenic - including Eyes, Head, Arms, Torso, Legs, Urinary Tract; Chronic Pain Anywhere over the Whole Body [listed by 6 of 26 persons or 23%]
6. Sleep Disorder (not specified); Sleep Disorder (not specified); Sleep Disorder (not specified)
7. Central Sleep Apnea
8. Elevated Pain Response and Sensitivity
9. Non-Restorative Sleep; Non-Restorative Sleep
10. Sleep Problems - Getting to Sleep [Also listed under #3] & Waking a Few or Hundreds of Times a Night

OPERATIONS, SURGICAL PROCEDURES, OTHER INVASIVE TESTS, & STUDIES:

1. Hysterectomy; Hysterectomy (*Total or not, was not specified by persons)
2. Hysterectomy (Total) for Severe Endometriosis
3. Muscle Biopsy in Right Leg & Tissue Removed
4. Torn Meniscus Left Knee, Arthroscopy
5. Torn Meniscus Right Knee, Arthroscopy; Arthroscopy not EMS-related to Right Knee
6. Nasal Surgery
7. Spinal Taps
8. Myelograms
9. Five EMG's - Separate Years, Painful; Many EMG's
10. Angiograms including one with 3 Stents in one Artery
11. 1st Cervical Spine, C6-C7 Exploded - Took 4 Hours to Clean Out
12. 2nd Cervical Spine, T1 through T7 (?) Displacement, Cut Open All with Bone Grafts, All Collapsing on Spine13. Gland Removed from Under Left Arm
14. Herniated Disc L4-L5 [Also listed under Muscles, Connective Tissues, Joints & Bones]
15. Many MRI's and CT Scans; More than 12 MRI's; Many CT Scans
16. Two Serious Falls, Leading to Hip Replacement, Stitches over Eye, & Mild Fracture near Left Wrist
17. Pulmonary Benign Infectious Lung Lesion - Lower Lobe of Right Lung Removed** [Also listed under Respiratory List]
18. Outpatient Surgery for Removal of Uterine Polyps* [Also listed under Reproductive & Bladder]
19. Colonoscopies - more than 6; Colonoscopies
20. Sural Nerve Biopsy
21. Endoscopies; Endoscopy
22. Upper GI Series (many)
23. Eye Studies for Scarring from Sjogren's/Dry Eye Syndrome
24. Cognitive Studies
25. Sleep Disorder Studies
26. Liver & Lung Studies
27. Nerve Conduction Studies
28. Magnesium Studies at Georgetown; Magnesium Studies
29. Surgery for Meniscus Removal (not specific)
30. Gallbladder & Stomach Studies (how fast it empties)
31. Right Shoulder Surgery to Remove Calcium Deposits
32. Endometrial Ablation with Laparoscopic Observation* [Also listed under Reproductive]
33. Severe Infection of Navel Resulting in Removal of Belly Button in 1993
34. Left Leg Biopsies with Tissue Removal 1990 and 1991
35. Abscess of Left Leg at Present (Oct. 2003) that may Require Surgery


EARS & HEARING:

1. Year-Round Closing Up of Ears; "Clogged" Ears Frequently
2. Fluid in Ears 4-6 Times in Past Year
3. Sensitivity to Loud Sounds
4. Ear Pain Deep Inside - Doctors Think Where Ligaments Attach to Back of Head
5. Inner Ear & Motion Problems* [Also listed under Neurological & Cognitive]
6. Mastoiditis (on MRI of Brain)* [Also listed under Neurological & Cognitive]
7. Tinnitus


REPRODUCTIVE SYSTEM & BLADDER:

1. Urinary Incontinence; Leaky Bladder or Urinary Incontinence
2. Cystocele ["Fallen or Dropped Bladder"]; Cystocele; Cystocele; Cystocele [listed by 4 of 26 persons or 15%]
3. Rectocele [Herniated Rectum; may be present with Cystocele]; Rectocele; Rectocele
4. Inability to Achieve Orgasm [female]
5. Endometriosis leading to Hysterectomy
6. Loss of Libido
7. Bladder Infections
8. Bladder Problems & Inability to Urinate
9. Fibroid Tumors & Loss of Blood
10. Premature Menopause
11. Lichen Sclerosus Possibly Caused by Overactive Immune System
12. Uterine Polyps & Outpatient Surgery for Removal* [Also listed under Operations, Surgical Procedures, Other Invasive Procedures]
13. Chronic & Severe Yeast Infections of Female Organs & Colon* [Also listed under Gastro-Intestinal]
14. Peyronie's Syndrome [Male Disorder]
15. Impotence (Nerve related and/or Diabetes related)
16. Hyperplasia of Uterus (Treated with HRT for A While)
17. Endometrial Ablation with Laparoscopic Observation* [Also listed under Surgical Procedures]


ENDOCRINE SYSTEM DISORDERS & DISEASES:

1. Adrenal Exhaustion
2. Diabetes; Diabetes Type 2
3. Classic Reactive Hypoglycemia
4. Thyroid Swings from Hyper to Hypo


FEET DISORDERS & PROBLEMS:

1. Hammer Toes
2. Neuromas
3. Tumors (benign)
4. Painful Callouses; Callouses
5. Recurring Mild Spasms in Right Foot since Early 2003
6. Tendonitis of Lateral Right Foot
7. Plantar Fasciitis in Feet; Heel Pain; Heel Spur [Experts say Plantar Fasciitis & Heel Spurs are the same. "Heel Pain" is vague but can be grouped here.]
9. Hallux Rigidus of Great Right Toe


BENIGN CYSTS & TUMORS OF BODY- NOT INCLUDING FEET:

1. Cysts of Breasts, Legs, & Arms
2. Tumors of Legs (solid benign types, fatty tumors)
3. Benign Breast Cyst; Benign Breast Cyst; Many Cysts in Breasts & Elsewhere
4. Fatty Tumors
5. Two Benign Breast Tumors


MISCELLANEOUS & OTHER:

1. Sub-Normal Temperature (such that 98.6 is no longer "normal"; 97.6 is normal and above that tends to indicate a fever)
2. Unknown Cause(s) of Swelling in Torso Area
3. Spasmodic Dystonia (voice weakness & tremor) [This disorder is called either Spasmodic Dysphonia or Laryngeal Dystonia by Doctors on Internet articles. The terms are interchangeable & are considered to be a "communication disorder" according to NIH, where the condition is listed under the NIH division for deafness and communication disorders.]
4. Inability to Run
5. "Paying for" Walking, House Cleaning, etc. with Fatigue for up to a Week
6. Mononucleosis at age 46
7. Temperature Control Disorder; Body Temperature Irregularities - Cold & Can't Warm Up or Warm & Can't Cool Down
8. Vitamin B 12 Deficiency
9. Great Weight Loss
10. Notable Weight Gain; 50 pounds Weight Gain from EMS Prior to Taking Prednisone; Overweight; Weight Gain [4 of 26 persons or 15%]
11. Elevated Rheumatoid Factor
12. Bloating in Midsection, Meaning Abdomen-Breasts-Upper Arms (I put on or take off 4%-5% of body weight in a few days) [------Note from F Rumph: It's hard to know whether a condition like this is lymphatic largely or what, so I put it here..... It's worth noting that many with EMS have complained of abdominal bloating and breast enlargement since getting EMS.]
13. Vast Weight Changes Up and Down Without Known Cause
14. Elevated Sedimentation Rate (consistently) - from 30% to 100%

Links to Internet Sites on Various Diagnoses & Conditions

None of the following Web sites are endorsed by Faith Rumph.

The CFIDS Association of America
Irritable Bowel Syndrome Association
The Skin Cancer Foundation
The Sjogren's Syndrome Foundation
NEUROPATHY.ORG
eMedicine - Eosinophilic Fasciitis: Article by Sherif Nasef, MD
Welcome to Thoracic Outlet Syndrome
HeartPoint: Coronary Artery Disease
#1 Clinical Depression.com - Support, Resources & Data
The TMJ Association - changing the face of TMJ
The American Tinnitus Association
The Fibromyalgia Network
The Anxiety Network International Home Page
Gastroesophageal Reflux Disease (GERD) and Heart Burn
National Alopecia Areata Foundation
eMedicine - Geographic Tongue: Article by Robert Keisch, DMD
WE MOVE - Focal Dystonias: Laryngeal Dystonia
eMedicine - Dry Eye Syndrome: Article by Anthony S. Ekong, MD
MEDLINEplus: Eye Diseases
Scleroderma Foundation
National Osteoporosis Foundation
Restless Legs Syndrome Foundation
Rosacea.org
National Scoliosis Foundation
Macular Degeneration - Wet and Dry - Age Related Macular Degeneration
Sleepnet.com Homepage
CTS Place: The Carpal Tunnel Syndrome Home Page
Purpura
eMedicine - Cellulitis: Article by Danny Lee Curtis, MD
NINDS Myopathy Information Page
American Thyroid Association
MEDLINEplus: Spinal Stenosis

For information e-mail Faith Rumph at: faith_rumph@yahoo.com
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