
After going to sleep about 3:30 this morning, I find myself awake at 5:30am. Excitement about Santa and Christmas morning? I wish. My insomnia is actually caused by steroid use; I've been taking Prednisone for 5 days now after having been diagnosed with
Bells Palsy .
One week ago, I had this very strange sensation in my face; the left side of my face around my cheek and lip felt as though I was on the tail end of the effects of a shot of novacaine. The right side of my face didn't seem to want to fully cooperate with the slightly numb left side. It was just weird and I was having a little trouble actually articulating to myself what I was experiencing. Three days later I was seen by the nurse practitioner at work (how lucky am I to work for a place that has health care on site?) and she made the diagnosis of Bells Palsy. Bells palsy is a condition that causes the facial muscles to weaken or become paralyzed. It's caused by trauma to the 7th cranial nerve, and is not permanent in the majority of cases. But it's damn sure freaky. For example, if I try to raise my eyebrows in unison, the left one works, the right one doesn't; if I try to flare my nostrils, same thing. Try to grin a wide smile, I look like a character actor who has a half smile. My right eyelid doesnt close as much or as well as the left. All in all, rather disconcerting.
The research seems to indicate that Bells Palsy is brought on by Herpes Simplex 1 (HSV-1). No, this isn't the "I been sleepin' around" Herpes (that's believed to be Herpes Simplex 2 - HSV-2). Exposure to HSV-1 is common with a vast majority of the population having been exposed to it. Most people are exposed during childhood. Kissing between relatives is the most frequent source of exposure, but it may be possible that the virus is also spread while sharing towels, utensils, etc. The active virus is commonly associated with cold sores, but the virus often runs its course without causing any blisters - blisters actually appear only 15% of the time and I've never had a cold sore. The result is a large population of HSV-1 carriers who do not know they've been exposed to the virus. There's also Herpes Zoster wich is the chicken pox/shingles virus but that's another story. It's thought that when the latent virus reactivates at the facial nerve the immune system begins to produce antibodies, causing an inflammation.The nerve itself becomes inflamed, or the inflammation within the canal exerts pressure on the nerve. The result is that the nerve is compressed inside its bony tube and the compression of the nerve is the injury that stops transmission of signals to muscles. Unable to receive signals to contract and relax, the muscles become temporarily weakened or paralyzed.
Not content to sit back and be passive about this, I've hit it with everything I can think of. I'm taking Valtrex (an antiviral), prednisone which I've discovered has some nasty side effects including include retention of sodium (salt) and fluid, weight gain, high blood pressure, loss of potassium, headache, muscle weakness, puffiness of the face and psychiatric disturbances. The psychiatric disturbances include depression, euphoria, insomnia, mood swings, personality changes, and even psychotic behavior. I haven't had any psychotic behavior (at least not any that any of my personalities remembers) and I damn sure havent had any euphoria (a little friggin' euphoria would be a damned nice Christmas gift Santa). But insomnia, a little depression and some bona fide grumpiness I'm definitely experiencing.
I'm also wolfing down the B vitamins, the amino acid L-carnatine, echinacia, have visited a chiropracter and had my first acupuncture session yesterday. Leave no stone unturned. This morning (now almost 7am as I write this) I'm thinking there may have been a very,
very slight improvement, perhaps 5-10% in my facial muscle control. But I'm so exhausted and irritable it's hard to tell.
So say a prayer for my face folks. Imagine me not being able to show a full look of surprise (and there is so much that amazes me daily). If I'm really PO'd I can't flare my nostrils like an angry bull. Did I mention I'd like for my right eye to blink without me making a concious effort? If I see a really cute guy, I've always winked with my right eye. Am I supposed to change my whole "here's winking at you kid" thing to the left now?! A half smile may look good on the Mona Lisa but I need a whole one.
Ho, ho, ho.......