Mary Park
Change. A word that means so many different things to different people. Change is hard to accept. Change is something most people resist. Change is sometimes out of your control. Change is what I needed to do if I wanted to survive and thrive with Wilson’s Disease.
I choose to look at change as something positive. I am a stronger, wiser and more compassionate person because of it. I took control back from Wilson’s Disease, something I had no control over, and challenged myself to overcome my physical limitations through sheer determination and stubbornness. I would not let it control me. I would not accept that I would have to “live” with my physical limitations. I believed I could get better. I had faith. Faith that I would be able to fight through it and make the most out of the challenges I faced. Faith in myself. And, most importantly, faith that my God would not forsake me.
I will never give up trying to get better. I will never give up hope that I will beat this disease down to something that does not limit me anymore. This is why I choose to share my personal story and why I am so honored and humbled to be a part of the Big WOW in Los Angeles.
I had no idea that my life would completely change in mid-2014. Over the course of the next year, the physical person I was no longer existed. My confidence, assertiveness and strength also began to fade as my physical limitations progressed. From the moment I noticed a slight change in my otherwise very neat and small handwriting, I knew something was wrong. It did not make sense to me. I also noticed I was feeling more fatigued than usual. At first, I attributed it to my consistently long working hours as a trial attorney. But it was a different kind of fatigue; something no amount of sleep and rest would alleviate. I decided to go to the doctor. Initially, my doctors dismissed my symptoms because they were so slight and because things change with age.
But I know me. I know my capabilities. Over the next few months, I noticed slight tremors in my hands and neck, I was slower at tasks I used to do quickly, my balance was getting worse, I could not focus my eyes, and the fatigue and changes in handwriting got significantly worse. None of my doctors could figure out why my neurological faculties were deteriorating so quickly. Without running more tests or researching my symptoms, they casually and quickly dismissed me. So, I insisted I be referred to a neurologist. I made an appointment with Dr. Saumya Gill and to my relief, she believed me that something was wrong. She told me, “high functioning, intelligent people would notice the slightest change sooner.” That statement comforted me because it validated to me that my symptoms were real. Dr. Gill ran multiple blood tests, ordered MRIs and referred me to various specialists. Unfortunately, the specialists did not believe me and told me I had a psychological problem. Those doctors took the easy way out and blamed the problem on the patient. I believe if more doctors were like Dr. Gill, other patients would be diagnosed sooner with Wilson’s Disease. She took the time to listen, to care about her patient and believe her patient. It is that belief that allows a patient who is struggling with an unknown illness to continue fighting for the answer.
I continued to deteriorate. So much so, I was staggering around. It was hard to keep my balance. My tremors were worse. Then, my voice and speaking ability changed. It became arduous for me to even communicate the symptoms I was experiencing and what I was feeling. In public, the moment anyone heard my voice, my slow rate of speech, and inability to articulate and say multisyllabic words, they turned to look at the “weird” person. It shocked my conscious that people looked at me like I was less than a whole person. They made assumptions about my intelligence and capabilities. My mind was still working. My internal voice was screaming, “I am still me! I can still think! I am not stupid!” The looks I received were disheartening. This was a novel and frightening experience for me because I was so accustomed to commanding attention when I spoke in a courtroom or at meetings and events.
My health reached a tipping point one evening, which sent me to the emergency room. The ER doctors were confounded and diagnosed me with generalized ataxia. I was admitted to the hospital for further testing. The next morning, the head of the neurology department examined me using subjective tests based on his preconceived bias that many neurological symptoms are caused by mental health issues. Without reviewing my medical record and conducting a thorough neurological exam, he diagnosed me with Panic Disorder. It was at that point I realized I had to get proactive and advocate for myself. I had never suffered a panic attack before in my life. I had a high stress career. In fact, I thrived under stressful situations. My experience with this neurologist was the spark that reignited my confidence and allowed me to stand up for myself. I refused to believe the doctors that dismissed me.
After he discharged me with a mental health disorder, I went back to Dr. Gill and she referred me to a movement disorder specialist (within the HMO I was currently insured) and to an outside movement disorder specialist, Dr. Jeff Bronstein, at UCLA. Dr. Gill and the neuroradiologist suspected Wilson’s Disease. After meeting with Dr. Bronstein, he confirmed my diagnosis of Wilson’s Disease in August 2015.
Dr. Gill put me on a conservative treatment of zinc acetate because my neurological symptoms were so severe. She did not want to risk my neurological symptoms getting worse or becoming permanent on penicillamine or trientine. By this point, I had deteriorated so significantly I was in a wheelchair, bedridden, and unable to control my tremors, feed myself, dress myself, bathe myself and take care of my basic needs. I could barely speak. Other than my immediate family, no one could understand me. My family could see my suffering. They knew me best and knew the person I was — self-assured, highly motivated, independent and hardworking. At my lowest point, I felt helpless and despondent. I wondered if I would need 24-hour care for the rest of my life. It was hard for me to be completely and utterly dependent on others. I was worried that I would never be able to return to my career that I loved. Would I be able to live the life I was meant to live? Or would I be this helpless person who could not survive alone?
Although my neurological symptoms were debilitating, I found hope. With a proper diagnosis, I had peace of mind that I finally knew what was wrong with me. I found comfort in knowing my illness was treatable. I renewed my commitment to fight this disease. The first step was taking charge and entering a drug study recommended by Dr. Bronstein in December 2015. He is the Director of Movement Disorders and Wilson’s Disease Center of Excellence at UCLA. The study was being conducted by Wilson Therapeutics for a new drug, bis-choline tetrathiomolybdate (WTX101), and directed by Dr. Bronstein at UCLA. Initially, my symptoms worsened but over time I noticed changes. I was feeling stronger and less tired. After three months on the drug, I decided I was strong enough to start physical, occupational and speech therapies. It was not easy. I was still in a wheelchair. I still could not do most things for myself. And the 30-minute sessions took everything out of me.
Over the next few months, I noticed that I was getting better. I practiced my therapy “homework” for at least four hours per day. Then one day, I decided I would take a walk around the block. The first time I tried I stopped multiple times, rested my head against walls because of my neck tremors and supported myself on my sister who shares this disease with me (subsequently diagnosed in late 2015). Before I knew it, I could walk around the block without stopping. By November 2016, I was walking 10,000 steps per day! Although I struggled, I could do day-to-day tasks and take care of myself. I started driving again in late December 2016.
Now, I am completely independent. Strangers would never know I had a debilitating neurological disorder. I am very active again like I used to be. I regularly go to Pilates and spin classes, walk/run most days and I am back to weightlifting.
I could not have accomplished this without the support of my loving husband (who married me when I was sick and before my diagnosis), my family, my church family, my friends, Dr. Gill, Dr. Bronstein and the incredibly extraordinary medical team at UCLA. God gave me the strength and will to keep fighting, and have faith that all things are possible with Him. I am humbled by His grace and mercy on me.
I share my story because together we can beat this by inspiring others, encouraging others, supporting others and having collective faith that we will become the best person we can be with Wilson’s Disease. The reason why I choose not to show my face in my profile picture is because I want to represent all the faceless people suffering with this disease. We are all one and the same. Nine months ago, I would never have believed I could climb up the stairs at the Baldwin Hills Scenic Overview (almost 300 steps going 950 feet vertically). But I can now. This is me triumphing over Wilson’s Disease and reaching the top of the mountain!
Scott Parker
I have Wilson’s disease. I was gaslit by the doctors in my local clinic for 6 years. They were condescending and dismissive: I was told that my psychiatric issues and sleep problems were probably due to poor sleep hygiene or a vitamin deficiency. My symptoms came on suddenly in 2017 and got progressively worse each year: severe treatment-resistant depression, panic attacks, changes in behavior, changes in personality, profound fatigue, hypersomnia, sleep fragmentation, nightmares, memory problems, and significant decline in executive function. I would get lost when trying to drive to familiar places. I found a talented psychiatrist who helped me regain some functionality. Given a heroic daily dose of amphetamines, I was able to stay awake hours at a time. The real turning point came once I was prescribed ketamine.
I’m 34. Untreated, Wilson’s disease is fatal. Diagnostic delay is the number 1 killer of Wilson’s patients. Despite numerous attempts to murder me with negligence, I am not anti-doctor. If you are a medical Dr., or if you are heading into medicine, please have some trust in your patients and listen to them. Sometimes unbearable suffering is caused by serious disease.
Teresa Patterson
My nephew has Wilson’s Disease. We attended the Big Wow in Ann Arbor in 2015, and really felt it was a good cause.
This year, (2016) the Big Wow falls on my daughter’s wedding day. The family decided that we could do both, if the walk was closer. So, we decided to organize a walk at a time and location that allows us to participate in both events. I guess you could say it was selfish.
We hope that having a walk in another city will help spread the word and awareness of Wilson’s Disease.
Editor’s note: This editor would call hosting a walk on your daughter’s wedding day as courageous and generous and on behalf of the Wilson’s Disease community, we want to thank you again.
Nicolette Pavalunas
My journey with Wilson disease
By Nicolette Pavalunas
My name is Nicolette Pavalunas. I am 21 years old and was diagnosed with Wilson disease in October 2023. Wilson disease has not been known to run in my family, so I am the first one to live and experience this in my family.
I share my story in the hopes that it can be recognized and diagnosed more quickly by doctors.
I started noticing symptoms in January of 2023 which presented as stomach pains. It was mostly on the right and left side underneath my rib cage. I was very concerned because as a nursing student at college, I knew my symptoms weren’t normal. I also experienced tremors, feeling lightheaded, absent minded, fatigued, restless and had swelling in my legs and feet, itchy skin and severe stabbing pains in my liver and spleen. The pain was so bad that I would cry.
I moved back home to Washington state from Arizona where I attended college and took a break from nursing school to determine the cause of my medical issues. I was constantly feeling sick and everyday was different.
I had a very scary flare up of Wilson disease before I was officially diagnosed that made me terribly sick. I was very weak, feverish, nauseous, vomiting. My jaundice was so severe that my eyes glowed yellow. I was so exhausted that I slept for an entire day.
I wasn’t aware how serious my symptoms were. I assumed I had the flu and didn’t seek any medical attention. I now know that I need to get medical attention right away in case this happens again because those symptoms indicate liver failure.
I have always toughed out being sick and would never go to the doctors unless it was absolutely necessary because I was told so many times from a very young age that I made myself sick due to my own stress.
It turns out all of those times may not have just been caused by stress but by Wilson disease, a disorder I have had since birth. I will forever be thankful for the doctors at the Swedish First Hill Organ Transplant Center in Seattle for listening to me and helping me determine the cause of my symptoms.
They ran numerous tests including an abdominal ultrasound, CT scan with contrast, doppler ultrasound of the portal system, endoscopy, fibro scan, weekly bloodwork and a 24-hour urine copper test. I was first diagnosed with autoimmune hepatitis however it was later determined to be Wilson disease.
Wilson disease has enlarged my spleen and severely damaged my liver. Unfortunately, the copper build up in my liver is so severe that I am now on the liver transplant list. While I am waiting for a liver transplant, I am taking penicillamine to remove the excess copper from my body so that my other organs won’t suffer any more damage. I take 3 doses a day and according to my last 24-hour urine copper test, the medication is working. Some days are better than others, but I am starting to feel like my old self again and don’t experience symptoms as intensely anymore.
I am extremely thankful for Dr. Lutchman who have helped me manage my disease so that I can enjoy my twenties and all the things that my new life has to bring me.
I am now back in school and working towards my dream of becoming a nurse so I can help others. I will continue to spread awareness of Wilson disease. I am also back to work as a medical assistant which allows me to work with patients and help them through their own personal diagnostic journeys.
I am learning to live with Wilson disease until I receive a liver transplant. I am extremely lucky to have such a solid support system with my family and friends who helped me be brave and gave me the strength I needed throughout my entire diagnostic journey.
I can’t begin to thank my family especially my parents for being by my side and letting me have a shoulder to cry on the days where I felt defeated by my disease. They have put parts of their life on hold to help me. They support me, helping me find ways to manage my disease, and researching ways to make me feel better.
I know how hard this was for my family and friends but they continued to put on brave faces which is why I could continue to be strong.
I hope by sharing my own journey with Wilson disease that it can help patients and their families have a peace of mind that this disease is manageable and that you can live a very normal life with Wilson disease. I also hope for more research in the hope that one day Wilson disease will have a cure.
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