Just as an update to you all and a brief recap following my cognitive issues and memory loss Professor D’Cruz diagnosed cerebral APS based upon symptoms and positive Lupus blood results. Therefore on warfarin amongst other things. Follow up appointment with Professor D’Cruz explained symptoms getting worse. He brought my case up at the next case conference and haemo want me to up my INR to 3.5 without them realising I have been above 3.5 for the last 8 months or so since being seen by one of the house officers on the lupus clinic last year! Anyway seen neurology Dr Paul Holmes and he says not got all of the right tests results for cerebral APS but agrees some issues especially changes in my brain stem so he has ordered a PET scan and found out today a lumbar puncture to try to see what’s occurring in my brain ! So the mystery continues but it may be that I am a atypical (not the right word but I couldn’t think of the right word!) APS with no relatable issues and it’s all down to my brain And nerves causing all the feelings and pain. He did confirm no tumour and not MS so any guesses on what the jackpot will be???? You just get used to one thing and they then tell you oops it’s not that I always thought we had to fight hard for our APS diagnosis but once you got it you at least could glean an understanding of your issues.
Typically me really doing everything back to front get the hard diagnosis first then move onto something else!!!