UMDF symposium recap and appointment updates.

Kerissa • June 30, 2016

Hello friends!

We are home!   My parents and I actually got home on Monday the 20th, and I’m just now blogging. :/  The United Mitochondrial Disease Foundation symposium in Seattle was an amazing first time experience!  Yes, it was rough as well because I hardly got any sleep which in turn made all my mito symptoms worse…but, the conference was hopeful and encouraging, too.   I wish next year’s was going to be on the west coast again, but it’s actually going to be held in Virginia!

I could say loads about this year’s conference and take up all your time, but I’ll just share a couple things.

We heard all about the latest clinical trials (and their promising results!) for mitochondrial disease, and I learned from a couple of top mito specialists that I’ll most likely be eligible to participate in a Phase 3 trial to be completed next spring! There’s also another one going on that I may be eligible for as well.  I am currently researching more about both and hope to get more information soon.

All throughout the conference, there were these 15 minute “the doctor is in” sessions that patients/families could sign up for.  I tried to sign up to see my mito specialist who practices in San Diego, but he was all filled up.

There’s this mitochondrial and molecular medicine geneticist near Los Angeles that I’ve always wanted to see as a patient because Complex Regional Pain Syndrome in mito is a common disease he treats.  Well, back in 2014 (I think), he became medical director of Courtagen Diagnostics Laboratory where I had a bunch of genetic testing.  The majority of his time is spent in research with Courtagen, but he did move to a private practice to still see a small number of patients…so private that you can’t even find his clinic online!

Guess what?  I was able to see him briefly for a 15 minute session at the conference!!  And even better news, he wants to take me on as a patient because he researched all about the 2 rare mutations I have! They’re bad mutations, and they exacerbate mito.  But it’s so encouraging that I’ll be able to see someone who actually understands what’s going on!  This is an answer to prayer to be able to see him!  He has a year long waiting list. :O  But it will be worth the wait!  He also unfortunately doesn’t take insurance, so we’ll have to pay out of pocket.  The first 2-3 hour appointment costs a huge amount of money, but I know that the Lord always provides!

Here are some photos I took of our time in Seattle.

me and my favorite doctor (my pain doctor who used to be at OHSU but is now at UWMC)

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Now, onto the long medical update… :/

A lot has happened since I last blogged.  I mentioned in my previous post how I got referred to see the hip surgeon and how they were trying to get me in on Friday (June 10th) so that I wouldn’t have to wait until July 11th.  Well, the Lord provided an appointment for me on the 10th!!  I was so happy. The hip surgeon is very kind and caring.  She explained how hip labral tears are very painful and how they don’t heal without surgical intervention.

I am going to be having hip surgery on August 12th.  Afterwards, it’s going to be a long healing process.  She said I’ll need to have physical therapy twice a week for 3 months and then once a week for 3 more months…!  I also won’t be able to bear weight on my left side for a while.  I’m going to have to practice with my physical therapist (in the weeks leading up to surgery) how to get up our stairs without using my left leg. :/  I had foot surgery in 2010, but I was able to use my knees to go up our stairs!

This surgery is not going to be easy because I have muscle weakness on top of everything else, so I have to get my right side as strong as possible.  But I’m looking forward to no more left hip pain!!

This particular surgery is usually done outpatient, but because my whole medical case is complex, the surgery will be done in the main O.R., and I’ll be admitted afterwards for at least overnight.  In addition to the hip labral repair, I’ll also be having another muscle biopsy done while I’m in the O.R.  Back in 2014, I had a muscle biopsy down in San Diego.  My doctor took lots of pieces of tissue.  But whoever handled the tissue in the lab put one of the pieces in the wrong solution (my local mito neurologist said that’s not uncommon unfortunately..), so guess what.  I wasn’t able to get a specific test done.  So my mito specialist and my neurologist here in Portland said, “Let’s get another muscle biopsy during my next surgery.”  I’m so glad I’ll be under general anesthesia for this second biopsy!  Being awake for the first one was complete torture because the area wasn’t numbed enough.

I have a follow-up with my hip surgeon on July 11th to discuss the surgery in more detail, and Pre-Op is on July 29th!

All day today, I saw my palliative care doctor, my physical therapist, and my pain dr.  Thankful they were all at OHSU!  But I’m exhausted now.  The two doctor appointments were mainly to discuss pain med changes, what works/what doesn’t work, etc.  My pain dr. up in Seattle said he doesn’t want me to take a certain long-acting pain medication at this point that my doctors here in Portland were talking about trying.  But I trust him. So we will be exploring other medications with less side effects.  There’s this certain IV pain medication that works really well for me whenever I’m in the hospital, so we’re going to have it compounded into an oral medication to see if it can help just as much..

On Friday, I have a first appointment with my new primary care doctor who is a pediatrician and an internist!  Looking forward to meeting her for the first time.

And then next week, my whole family and I are heading to the Oregon coast, and I’m excited to spend time with all of them!

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