When it started
It's possible that I have had undiagnosed FND for years. I always thought that I was dealing with complex migraines, as told by a neurologist. It was similar to losing my speech and coordination, each time I had a migraine.
2022, at work, and I was waiting for a GP call-back. Wasn't feeling well that day, couldn't put a finger on it but was like something was brewing. When I got the call from my medical practice, I moved away from my workstation and walked, unsteadily into a private room, put the phone on speaker and stretched. As I did both arms and hands started to severely temor. Over the next 2 hours, I had forgotten how to walk, could no longer talk and balance and coordination had disappeared. I was involuntarily contorting my face and mouth to the left side. Initially, my colleagues thought I was having a stroke. I was hospitalised for a week with CT scans, MRI and a lumbar puncture, before being discharged with a zimmer-frame, toilet seat raiser and frame surround.
They didn't give any diagnosis, I could only speak in percussive sounds or utter nonsense, couldn't remember how to walk and was destraught! I got home and the following week we'd booked for a holiday to Welsh coast. Normally we'd pick somewhere that had lots of walking, but on the day of our holiday, I chucked the zimmer frame into the car and told my husband to drive to our nearest Disability Living store. Purchasing a quad stick, I attempted to use it when getting out the car. Of course, the holiday cottage was up a narrow set of steps, set into a hillside and with a very steep incline up the garden. I set off determined to mountaineer up the steps and garden. Managed it! Turned around and looked at the view, and reason for the choice of accommodation . . . I cried, a sea view sparkled in front of me. With no idea how I was going to get back down the garden, I cried some more.
When home OT supported me and I didn't get any type of diagnosis till 8 months later, with a private neurology appointment. (would have been 14 months at least, otherwise)
I felt like it was something like having 3 switches, one for mobility, one for speech and one for cognitive process. All 3 could not function at the same time. Bit by piece, my speech improved, with help from speech therapy, and I managed to get back to choir which was the best thing! I could still sing even on my most incoherent speech days.
I couldn't understand the variances day to day. I must be imagining these symptoms surely!?
I was cross with myself that I couldn't control this - I agreed to have talking therapy. That really helped me to be kind to me, to not play the blame game.
What it’s like
Each day is a bit of a lottery. Some days I can get out of bed and know the day will be reasonably good. It can change in a heartbeat as the day goes ahead.
Some days, I have to literally talk myself through everything I need to do, from getting clothes - if I'm getting dressed, to saying 'now you need to get in the shower, and do your teeth' It's as crazy as that.
Speech can fail at a second's notice; one minute talking and being relatively articulate, next spitting out rubbish, stammering, can't place words, can't remember what I was saying.
Initially, when I was getting my mobility back, I found that the scenery was in time-lag. I'd be walking at a reasonable pace but the view infront and at the side, wasn't catching up! Things with a pattern or lines on the floor, trip my head and I can't step properly or sometimes tip forward. Fortunately, the days of walking like a show pony doing dressage, are past me!
It's so frustrating some days. I can completely zone out, which I learned was disassociation. If there is noise around me, my speech can just switch off or lose volume. This in turn will trigger either a problem with tremor, or mobility. I know it often doesn't last all that long, but it's a real pain.
I stim and tic too now, I also find being in a crowded area difficult
What helps
I have taken to wearing partial noise cancelling earphones when I am exposed to loud areas, which can and often do cause havoc with my speech.
I have found humour invaluable, but equally a cry helps too
The very best thing I did was against every fibre of my being, join a fitness group. This was transformational! I gained not only support and friendship but re-calibrated my coordination, balance and grew my confidence. So much so, that I was able to ditch the mobility aid and also go on all terrain walks again, which my son took me on and even had me climbing over stiles and 5 barred gates!
After 3 years of being unable to work; I used to be a Community Link Services Officer, so matching people's needs in their community with what was available to support them. I loved it so much. Now, I am back in the workplace at 61 and very pleased to report I am with my local Council in their Healthy Lifestyles team as a stop smoking advisor. I have great support, but it was difficult to start with as I had no idea how FND would be affected day to day, till I got into doing the role. It's not been without its challenges. Using the phone for client appointments and speech going awol infront of clients, has its moments
Thank you for reading
Kate on the wonk