Mito appointment update 1/20/2015

Kerissa • January 21, 2015

Hi, everyone!

Well, the appointment with my mito specialist is finished.  Lots of things to process now, but here’s the rundown:
1. My dr. agrees and notices that I’m getting worse medically..  It’s only been 6 months since I last saw him, and he already sees a difference.
2. As I mentioned in the past, more than one thing is going on…the mitochondrial cytopathy (which affects all the cells in my body….this is not just a muscle disease) and spinal cord/nervous system abnormalities—worsening left sided weakness, foot drop, and something called “mirroring” which is not good at all.  Basically, when I grip or squeeze my right hand, my left hand does the same thing and mirrors my right hand…it’s not nice and pretty creepy. :/  In children, this can be normal because their brain is still developing, but since I’m 22, something’s wrong and my brain is not suppressing this “action.”  This indicates a decline in my brain/spinal cord function.  He ordered more brain/upper spine MRIs to again check that everything is fine structurally.  Hopefully I can get those done with the pending foot/ankle scan.
3. Regarding results, one mutation found in my muscle (and blood) keeps coming up.  So my dr. is zero-ing in on this because it has never been found before in genetics.  What’s puzzling, tho,’ is that my mom has it in her blood and she’s asymptomatic.  So, this may or may not be “it.”  He’s ordering more tests to check the number of mitochondria that I have (to rule out mitochondrial depletion disease).  He’s also sending in my skin fibroblasts that were biopsied in June to analyze my mitochondrial super complexes.  That biochemical test he wanted done to check electron transport assays is still pending in New York….what’s worse is, it may not have even been started yet…they’re looking into this now.
4. At my last appointment with him, he mentioned that we may need to resort to Whole Exome Sequencing which looks at over 30,000 genes (2% of my DNA…!).  He is going ahead and ordering that test….it takes approximately 24 weeks to be completed….ugh.
5. I can’t stress this enough—mitochondrial medicine is soo complex.  Mito can be caused by the structure of the mitochondria….it can be caused by the function of mitochondria….that’s why doctors have to look at the biochemical side of mitochondrial disease, they have to look at the electron transport chain and the five complexes, they have to figure out if it’s primary versus secondary mitochondrial disease (secondary is caused by genes outside of the mitochondria that affect mitochondria!), and the list goes on.  Complicated, right? :/
6.  You probably want to know about treatment. Well, all potential drugs are still undergoing FDA approval or going through Phase 1 or 2 trials.  Soo, that will be a while before I can possibly go through one.  In the meantime, my mito specialist is adding more supplements to my “mito cocktail.”  He also wants me to take creatine, and I really pray that can help my energy level because I’ve been needing to sleep 15-18 hours a day lately!
I hope I answered any questions you may have! Thank you for taking the time to read through all this.  Also, I haven’t been able to reply to some of your emails yet, but I just want you to know that I’m so grateful for your prayers!
Next month, I have a lot of follow-ups with GI, neuro-ophthalmology, cardiology, etc.  Plus, I have to get all those pending MRIs done.
I thank God for all of you who are on this journey with me!
Kerissa
By Kerissa Lee November 17, 2025
Dear friends, Thank you so much for praying for me when I had that bad reaction to the autoimmune medication last month. I’m so incredibly blessed by your love and support. ❤️ I saw rheumatology recently, and instead of trying to prevent actual autoimmune disease from starting, they want to just monitor without any medication therapy. In other words, they want to see if more symptoms like fevers or rashes will appear (besides the joint pain that I already experience).. The medicine I did try (which worsened my mitochondrial symptoms) is actually the “safest” out there, and the other treatments for autoimmune disorders are much harder on the body—the team doesn’t think I’ll tolerate those well.. It’s difficult for them to know if all the bad antibodies that have been found in my blood will cause “actual” disease, and only time will tell.. So the plan is to just monitor and follow up with them in February. I wanted to see if my body could recover from this setback without having my IV fluids switched to a higher dextrose percentage. But by the last week of October (week 3 of this mitochondrial flare), the muscle weakness and increased pain all over was sadly still persisting, so I told my doctor. He sent in a new IV fluids order with the higher dextrose, and I’ve been receiving it for about 2 weeks now. I have definitely noticed an improvement in the muscle weakness which has been a huge blessing from the Lord. It was such a gift to feel well enough to go to a friend’s wedding reception at my church last week. 🥹 My cup was filled because I haven’t been able to see so many church friends in years! Regarding the piece of plaque that traveled to a small artery in my retina, I just had the carotid duplex scan completed last Tuesday to see if there’s any narrowing in the neck arteries. I also have the heart echocardiogram scheduled for tomorrow. My biggest, ongoing struggle has been my sleep. I’ve sadly been in a “catch 22” situation for many months now. I mentioned before that I was started on a new and safer pain medication this year. A rare side effect is insomnia, and it’s simply horrible. Night after night, every single day, I’m not able to fall asleep until after 4-6 AM. 😢 Believe me, I’ve tried every type of trick…from different sleep medications that my sleep specialist has prescribed, to all sorts of sleep supplements, praying, listening to worship music or white noise, stopping caffeine intake, etc. Nothing helps. The thing is, if I didn’t take this “new” pain medication, the pain from Mitochondrial DNA Depletion Syndrome is difficult to manage and it’s like an 8-9 on the pain scale. So then I’m up through the night, in horrible pain, and not able to sleep. But when I do take this medication, the pain is manageable, and it’s much safer to be on... Yet, I can’t sleep well while on it... Catch 22. I don’t know what to do, and it’s hard not to feel alone in this struggle. I’m so thankful to God that my health in other areas has been pretty stable.. In fact, this month (November) marks ONE WHOLE YEAR since I was last admitted to the hospital! Isn’t that soo amazing? Aside from these occasional mitochondrial flares/crashes (which happened in December, May, and October), I’ve been doing incredibly well, now that the neck weakness has resolved. But, this sleep struggle persists day after day.. I would love to be able to attend my church’s morning service in person or do many other activities in the morning. 😞 But I’m super exhausted. So many times, I ask God, “How do I go on and keep doing this every single night?” One thing I’ve learned is that God’s grace is truly sufficient for each day. He is the one who supplies me with the energy and grace to keep enduring. It’s hard, and I don’t know how long this sleep trial will last.. But, as Thanksgiving draws near, I’m reminded that I do have so much to be thankful for. Some of the biggest things: being physically able to help babysit my 4-month old foster nephew, shopping at the grocery store, having hand strength to design new note cards like the ones shown here, no longer experiencing neck weakness, and much more. The verse from Zephaniah I recently hand lettered above has been so encouraging lately. God is right by my side; he is mighty to save and will keep helping me through anything that I face. ❤️ 
By Kerissa Lee October 19, 2025
Dear friends, At the beginning of October, I started taking a new medication for the autoimmune disease. I thought I was tolerating it just fine, but after several days passed, I began experiencing nausea, loss of appetite, weakness all over, and increased pain. 🙁 It’s like I’m experiencing another “mito crash.” I found out that this specific lupus medication affects mitochondria. That is, it causes an overproduction of reactive oxygen species (ROS). This, in turn, causes cell damage and oxidative stress. I sure wish the rheumatologists would have known about this before prescribing. But I have to remember that Mitochondrial DNA Depletion Syndrome is rare, and they’re not “mito experts.” Anyways, the last time I felt like this was back in May.. I’m so grateful to God that I haven’t needed to be hospitalized from this, but at the same time, I’m also sad that this happened at all, especially because I had such a nice stretch of stable health. I’d really appreciate your prayers, that this muscle weakness can resolve soon, and that this increased pain all over will get back to my baseline. Every time I have a “mito crash,” it feels like I’m fighting the flu which always sucks. The pain has been hard to bear. And whenever I’m in the thick of it, it’s difficult to remember that this too will eventually pass. 😢 Pray that I will endure and follow Jesus’ example like this passage from Hebrews 12:1-2– “Let us run with endurance the race that is set before us, looking to Jesus, the founder and perfecter of our faith, who for the joy that was set before him endured the cross...” Thank you all so much for praying for me. ❤️
By Kerissa Lee October 4, 2025
"Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces steadfastness." James 1:2-3