Hi Jen,
It is frustrating to try to navigate through all the information, supplements, "save yourself" books and somewhat sketchy advice offered by many so-called healthcare "professionals". After suffering similar symptoms, especially the morning routine of waiting for the "spell" to pass so that you can get on with your day I finally found a doctor that seems to understand and is offering me real guidance.
Another day, I'll document my own saga but reading yours, two things you might consider, gluten/dairy intolerance and b12 deficiency! I used to wake up with that "sick" feeling in the morning but since I've given up wheat it's gone. When you are allergic to wheat (very common if you have a scandinavian heritage), the villi in your intestines are impaired:
When damaged and inflamed, the villi are unable to absorb water and nutrients such as vitamins, folic acid, iron and calcium. This causes the coeliac to be susceptible to a variety of other conditions related to malabsorption, including lactose intolerance. Clinical and mucosal recovery after institution of a gluten free diet is objective evidence that the enteropathy is gluten induced. http://www.foodreactions.org/gluten/ There are dozens of sites to reference with information including alternatives to wheat in your diet. I found it difficult for about a week since I love my bread but since then have found gluten free pasta, corn chips and a lot of great substitutes including tasty gluten free bread. Within 2 weeks I noticed a big difference and the moring spells are gone.
Second eureka from my travels - b12 deficiency. This little nugget came from an infomercial I saw in the middle of the night. Great news to find it but frustrating since I was under the care of 6 specialists and being monitored weekly because of the huge amount of iron prescribed in an attempt to cure my serious pernicious anemia. Some people lack "intrinsic factor" which allows you to make use of the b12 you would normally gather from a reasonably healthy diet. We need to take SUBLINGUAL B12 to overcome this genetic roadblock. A trip to the local health food store and about $30 (5000 mg b12) made such a huge difference in how I felt (I was soooooo tired before finding this with my low blood count that carrying my purse to the door was all the exercise I could manage). I can't tell you how annoyed I was in the followup with my internist to hear "oh...I guess that was a good idea...". Oh brother!
The best source for B12 by the way for me has been Swanson.com and after researching several forums (including the pernicious anemia association), I'm using Jarrow's Methyl b12 5000. They don't dissolve under my tongue as quickly as the Superior brand I used to get at Wild Oats (Cyanocobalamin) but some studies report better results. My blood values are good now and it only took a few weeks to feel significantly better.
The b12 lesson prompted me to research and find a doctor who knew hormones and nutrition. I was driving two hours each way to see him at least 3 times a year and paying out of my pocket to visit him. His office did not process insurance and my insurance carrier only paid a portion of his bill but it was worth it. He discovered my thyroid issues, "cured" my fibromyalgia but after 3 years I stopped making progress and wasn't hearing anything new or useful there. When it came time to renew my health agreement, I decided to look closer to home. They were generous with their time, he would take a good hour consult to really hear how I was doing (and I learned a LOT) but it wasn't all good and it was expensive.
I found my new doctor about 40 minutes away. First consult was 2 hours! She took copious notes, reviewed a pre-visit questionnaire and all my labs for the previous 3 years. She changed my thyroid prescription, took me off wheat and dairy and zeroed in on the apnea (never even mentioned by my previous doctor). She has me graph my morning temperature and pulse to fine tune my thyroid prescription (found a nifty little tool on ebay to check my pulse ( [url]
http://cgi.ebay.com/3-1-Pulse-Heart-Rat ... 335c50916b [url]). She's eliminated supplements and added others and even calls me to check in. (really!)
My big steps in my recovery plan are: Balance thyroid, Find Issues (gluten intolerance-yes, lactose intolerance-not so much, OSA-definitely) and resolve, balance hormones, then once I can get up off the floor energywise, exercise). She seems to really know her stuff.
I know I'm not an easy patient...after years as an insurance agent, selling medical malpractice for a time, I'm no longer easily impressed with a medical degree. These are hired consultants after all, and I am open to their advice but no longer a true believer. My best strategy has been to take notes during the consult and then create mindmaps on next steps. I keep one on each doctor and then a master one on my overall heath plans. A few years back (another day I'll write the chronicle) I ended up in the ER with great insurance and a complicated collection of symptoms. After 14 hours of diagnostics (I think they ran me through every billable test and machine in the hospital) I had several rounds of test result consultations with a wide crew of specialists.....they never found any one thing seriously wrong - my problems were the collection of minor things wrong from a thoughtless lifestyle of overwork, high stress, fast food, no exercise and triple expresso's. I did get an intense course in how little they write in their charts, how short their memories are and how unlikely it is that they will actually connect up with other doctors in a group consult on a patient's issues. Short of inviting them all to a conference in the same room or even a single phone call, good luck! My solution became the mindmaps. I also found that writing everything out, attaching ALL the test results from EVERYONE, including my observations and questions in writing overcame most doctors' terrible listening skills and biases. Most are great readers though and presenting them with a little "report" HIGHLIGHTED AND ORGANIZED, actually made them much better consultants for me! I hand them the packet, sit silently (SILENTLY, I repeat!) until they look up from the report with a question. If they don't look at the report, I ask them to please take a moment to look at the reports provided for them by Dr. X (my other doctors) and then they usually will take the time to really review what's there. I keep a binder of everything, but leave them full copies of the maps. This works BEAUTIFULLY my friends. Thankfully, I am now graced with two GREAT doctors (internist, opthomologist) and two typical physicians (GP, OBGYN) who simulate "caring" but I can't help feeling like patient #111345,000 with Condition #233434553443443555, only another human speedbump on their path to the end of their day and BMW. They are nice enough people but I wish they could experience what being their patient is like. I'll eventually replace them, probably sooner than later.....
I've moved to a high deductible plan, put the savings in an HSA and really become a tough health consumer. Because of the high deductible, most services are out of pocket and while I do spend a lot on the consults with doctors (current physican does not accept insurance and is $250 a visit), it's been worth it. Still not convinced about the sleep study, I'm going to be creative with my testing but we'll see what the wunder-doc has to say this next visit.
Good luck Jen. It's not always clear what to do, your detective skills will be tested but there will be moments of victory, that will keep you going!
b*8