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My SS Journey: A Day in the Life of an SSer


Living with a rare, unpredictable condition like SS (Superficial Siderosis) can be a challenging and isolating experience. When I first began to notice troubling symptoms—hearing loss, balance issues, and a gradual decline in mobility—I never imagined that these would lead to a diagnosis of SS. The path to understanding my body’s new limitations was long, filled with confusion, frustration, and endless doctor visits. In this article, I’ll share my journey through diagnosis, treatment, and the daily challenges I face as I adjust to a life with SS. It’s a personal account, but I hope it helps others who are going through similar experiences, or anyone who wants to better understand this rare condition.-

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The Beginning of My SS Journey: What Led to the Diagnosis?

In the early days, the symptoms that would eventually lead to my diagnosis seemed to appear slowly, almost imperceptibly. At first, I noticed a slight decrease in my hearing. Conversations that had once been crystal clear became muffled, and I began to struggle to hear people in crowded rooms. Then came the balance issues. I would feel unsteady when walking, especially on uneven surfaces, and started to have difficulty climbing stairs. Finally, there was the mobility loss—every day, it felt like it took more effort to move around, as if my body were growing heavier.

These symptoms weren’t severe at first, but over time, they worsened. I started to experience fatigue, muscle weakness, and discomfort in my joints, which began to interfere with my ability to function at work and at home. After numerous appointments, tests, and consultations with various doctors, I received a diagnosis that would change my life forever: SS.

What Were the Symptoms That Led to the Diagnosis?

The symptoms that led to my diagnosis were both physical and increasingly debilitating. They included:

- **Hearing loss**: The gradual decline in my ability to hear, particularly in noisy environments, made me realize something wasn’t right.


- **Balance loss**: I began to feel more unstable, with difficulty staying steady on my feet and a general sense of dizziness.
- **Mobility problems**: Moving, even short distances, became increasingly taxing. It was as though my muscles and joints no longer responded the way they used to.

It was these persistent symptoms, which only seemed to worsen, that prompted me to seek medical advice. The journey from initial concern to diagnosis was not immediate, though.  

 

Appointments and Tests: A Long Road to Diagnosis

My journey to finding a diagnosis involved countless appointments with specialists, a series of MRIs, and various tests. Unfortunately, many doctors in my area (Paris, TX and surrounding areas) were unfamiliar with SS, which made finding an accurate diagnosis particularly challenging.

One of the most frustrating aspects of this journey was the lack of clarity from my healthcare providers. Many tests came back inconclusive, and it wasn’t until I was referred to specialists further afield that the pieces started to fall into place. Dr. Levy, a renowned expert based in Boston, became an invaluable resource, answering questions my husband and I had about this rare condition.

In addition to the consultations, there were numerous medical tests—blood tests, MRIs, and nerve function evaluations—that eventually confirmed the diagnosis. While I felt relief in having a name for what was happening to me, the truth was that SS, a rare autoimmune disorder, is little understood even by doctors, which made it difficult to know what to expect next.

 

Coping with SS: Adjusting to a New Reality

One of the most difficult aspects of living with SS has been adjusting to a new way of life. The symptoms were not just physical, but emotional and psychological, and learning to cope with them has been a daily struggle.

 

Early Retirement


The physical challenges of SS made it clear that continuing in my career was no longer sustainable. I made the difficult decision to sell my half of the pharmacy I co-owned with a business partner, as I could no longer commit to the demanding hours of running a business. However, I retained my share in a real estate company, as it required far less daily involvement and allowed for more flexibility.

Medical Treatment: Cochlear Implant and Physical Therapy


In terms of treatment, my journey has involved several interventions, including the installation of a cochlear implant to address my hearing loss. The procedure was a turning point, providing me with improved hearing and a greater sense of connection with the world around me. 

Physical therapy has also been crucial in my recovery. I worked with a personal trainer, Tania, who tailored a routine specifically for my condition. Regular exercise, including treadmill walking and cycling, has helped to improve my mobility and maintain some degree of strength.

Supplements and Medications


Dr. Levy recommended a regimen of supplements, including IP6 and Vitamin C, to help manage the symptoms of SS. These supplements, combined with prescription medications, have provided some relief, although they don’t cure the condition. It’s been an ongoing trial-and-error process, trying to find what works best for my body.

 

The Most Effective Activities: What’s Helped the Most?

Living with SS means that I’ve had to find ways to adapt my daily activities to manage my symptoms and maintain some level of function. The most useful, effective, and important activities for me have been:

- **Exercise**: Regular exercise is vital for maintaining mobility and overall health. I use the treadmill and cycle regularly, both of which help me stay active without overstraining myself. 
- **Physical Training**: Working with my personal trainer, Tania, has been incredibly helpful. She has helped me develop a physical therapy routine that focuses on strengthening my core and improving my balance.  
- **Vestibular Exercises**: I perform vestibular exercises three times daily to improve my balance and reduce dizziness, which has been one of the most debilitating symptoms of SS for me.
 
The Importance of Emotional and Practical Support

One of the hardest things about dealing with a rare condition like SS is the isolation that can come with it. In addition to managing the physical aspects of the condition, there’s the emotional burden of living with an illness that few people understand. The support of my family and loved ones has been a lifeline for me.

- **Family Support**: My parents have been instrumental in helping me attend medical appointments, traveling with me to various specialists. Their support has been unwavering, and it’s been a great comfort to have them by my side.
- **My Husband’s Role**: My husband has taken on a significant role in my care, not just by helping with medical needs, but also by taking over many of the household responsibilities that I can no longer manage. His patience, understanding, and dedication have made this journey far easier than it would have been without him.
 
At home, we've had to hire help for household tasks like cleaning and meal preparation, as these activities have become too exhausting for me. Having this support system in place has allowed me to focus on my health and recovery.

 

Goals for the Future

As of November 2024, my goal is to maintain and improve my mobility. Although I currently rely on a walker for day-to-day movement, I am committed to doing everything I can to continue improving. Physical therapy, exercise, and continued medical treatment will remain at the core of my approach to managing SS.

Every day is different, but my focus remains on adapting to my new reality, staying as active as possible, and taking care of both my body and mind.

 

Conclusion

Living with SS has been a challenging journey, but it has also taught me a great deal about resilience, patience, and the importance of support. While the path to diagnosis was long and often uncertain, I am grateful for the resources, medical professionals, and loved ones who have helped me along the way. I share my story in the hopes that it will bring comfort to others navigating similar struggles, and to raise awareness about this rare, often misunderstood condition.

A teachers journey with SS - we never stop learning

Hi I’m Rebekah Gartner and I’m 74 years young. I live in New Zealand, a relatively small country and I’m one of only four known cases of superficial siderosis here at the moment.

 

My story begins years ago in Auckland (our main city) with me standing on a footpath waiting for my husband to come out of the boat yard. I didn’t know it but a woman was driving her car along the footpath because she didn’t have a warrant, license or rego (energy certificate).

 

I don’t remember much about the accident other then what she said and what my husband found. I must have turned as she hit me face-on, breaking my bones and teeth. I fell to the ground backwards, my dress got caught in her wheel and she dragged me on the ground over three car lengths.

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My skin was all torn and when I was knocked down somehow she ran over my neck and the base of my back. She ran over my feet too which I now have rods and screws in. At the scene, I was vomiting and going in and out of consciousness.

 

She told my husband that there was an emergency department up the road and then left.

 

A missed opportunity

 

The doctor on duty at the hospital was young and just out of medical school. He said he couldn’t read X-rays and that my vomiting and blackouts were due to shock. He called the police but they said they’d had twelve people run over that day and could I come into the station. I was in no fit state to go anywhere.

 

After nine hours the hospital released me. We didn’t live in Auckland, we were staying with friends, so the next day I asked my husband to put me in the back seat and take me home. I went to see the local doctor the next day and he said I should be in the hospital however because the accident didn’t happen in Hawkes Bay, I couldn’t go to the hospital there. 

 

So we went home again.

 

I couldn’t work

 

Our accident insurer kept me on the books for eighteen months but  they wanted me to go back to work (I’m a teacher). On the first day, I kept crying and my balance was really bad and on the second I was so bad that I got sent home because they said I was a danger to myself and the children.

 

To add further insult to my injury, I got no further insurance payout because a neurologist told me if I stopped drinking I’d be alright (if I have 2 glasses of wine a year I’m lucky).

 

I started to have TIAs and then another six months off work because I couldn’t drive. I tried to go back to work but I only got worse. I had a stroke and the same neurologist as before didn’t believe there was anything wrong with me (MRIs weren’t around at the time).

Many times I ended up in hospital but because we only had one neurologist at our local hospital who said I was putting it on there was nothing I could do. I have terrible headaches, my lower brain stem burns with pain and I have subarachnoid hemorrhages nearly every six weeks.

 

My turning point

 

Then a big breakthrough happened. The neurologist asked another doctor to do a lumbar puncture and this doctor said I had blood in my spinal cord fluid. He told me to go to my rheumatologist at Auckland Hospital (I also have a rare autoimmune condition, Bechet’s – again only four in New Zealand) so I went to see her and spoke to her about my accident. At this point, I was still on crutches.

 

She put me in touch with a neurologist and put me in hospital for two weeks. An MRI scan showed bleeding from the brain stem.

 

I went to another neurologist in Hamilton, no longer trusting the local one because he’d let me down. While attending an examination with the new neurologist, my speech went funny because I was having a hemorrhage. He asked my husband if I’m like this at home, to which he agreed. He observed that my sight and hearing were going (and now I’m profoundly deaf). After asking many questions, he agreed that I had superficial siderosis. The Auckland neurologist agreed with the diagnosis. They gave me a blood patch but it never worked.

 

I’m grateful for those who have helped me

 

It has been a difficult journey however I want to say thank you to Dr Nik Korchencko at the Hawkes Bay Hospital for listening to and seeing what was wrong with me – he always talks to me when he sees me. Also a big thanks to Dr Michael Levy for helping me to understand superficial siderosis. I write to him all the time and by the time I get up in the morning, he has replied. I couldn’t do without these great men in my life.

 

I thank my husband Wayne for battling on with me, even when I had my stroke and couldn’t talk properly for four years and a doctor at the Auckland Medical School helped me to walk and talk again. When I have my bleeds, my husband can’t understand me but my speech usually comes back after a couple of days.

 

I know that New Zealand didn’t have access to MRIs at that stage but it was great to have Dr Levy to help us all out. I just wish I could go to the US to thank him in person.

 

Where I am today

 

I had to give up my teaching job as my balance was so bad and I couldn’t remember the children’s names. As the bleeds got worse, I took early retirement. I also had a guide dog for many years, now retired, he’s gone to live with a friend of ours. I may not get another one for a while because they weren’t bred over the Covid period. Until then, I can’t go out on my own because I have only 20% vision.

 

I have proven to myself that I can get myself off to the gym, do weights and everything else anyone else does. Oh boy do we work it out in aqua gym! I spend at least two hours a week trying to keep strong. 

 

I was on Ferriprox for a few years but it didn’t help because of the bleeds I have. I wish there was something that could help all of us.

 

We have four people with superficial siderosis in New Zealand now and we have a few really good, knowledgeable neurologists for such a small country.

 

Thank you for reading this, I hope my story helps.

 

Rebekah Gartner

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