Community Munchausen's by Internet (Malingerers, Munchies, Spoonies, etc) - Feigning Illnesses for Attention

An excellent analysis.
I don't believe it's about her either, purely from the IVIg.
You know that Every. Single. Time. she received her weekly infusion she would've been posting screeds about her fabulous shiny new toy.
This alone is enough to convince me.
That alone wouldn't be enough for me just because of how many times she had a big munchie prize and rejected it. Because her primary motivation was the ED and protecting the ED at all costs she sometimes would munch her way into something the other girls would kill for but refuse to actually try it or say it caused anaphylaxis the next day.

Oh and just because I like to be fair, I re-read through some of her stuff last night to see if I missed anything. Lo and behold, I was wrong about all of her gene mutations being VUS. She did provide proof that she had a pathogenic KCNQ1 gene mutation in the same blog that she says the FLNC mutation was a VUS but it totally for realzies caused muscular dystrophy in her. KCNQ1 can cause Long QT Syndrome, which she did have and provided proof of although how much of it was from the gene and how much of it was from the ED and all the medications she was on, we'll never know.

But revisiting her accounts last night just makes me more sure that article wasn't about her. When something was actually wrong, she showed it off almost without fail. She posted the results of her 24 hour urine test, her WES, bloodwork, EKGs, even scans from her barium study showing the contrast was sitting like an inert brick in her broken shitpipe. There's no way she would have had actual IBD and immune dysfunction show up on testing and not show us her colonoscopy and immune panels.
 
Today I have brought you a headache.
So do you think his "girlfriend in medical school" is:
a) imaginary
b) gullible and duped, or
c) MBP

Another one bites the dust. Cheyanne flew too close to the sun and has passed away. What a waste of organs - if only they hadn’t been transplanted into a munchie.

I was offline enjoying nature for a week, and during this time briefly had a fleeting thought that any one of my cows could have died while I was relaxing and I would have no idea until I got back. It's almost sad how inconsequential their lives are. RIP.
 
Cheyanne's death inspired me to do a little welfare check on Katie Stanina. I'll get back to the twins soon but I really just... needed to make sure she was okay.

If you don't know Katie Stanina you can check her timelines (1, 2) and updates (1, 2) but the tl;dr is she was another patient of Dr. Trevino with a history of anorexia in her teen years now claiming all the usual zebra diseases. Needle in a munch-stack. The difference is Katie was born so premature she was almost non-viable and she has real and lasting effects from this including a learning disability. She's competent enough to not need a wrangler but wasn't really capable of understanding the gravity of what she's doing or that the girls she's "friends' with are lying to her. She used to run to the ER constantly for 'anaphylaxis' that was really anxiety. She made herself a screeching pest in every local hospital by refusing anything but the most extreme measures as promoted by her spoonie cult who also encouraged her to do things like purge through her feeding tube and dose herself with epinephrine against medical advice.

Shit hit the fan during quarantine when she was barred from going to the local cancer center for her port care and tried to do it on her own. Right after that she started posting about her rib and shoulder dislocating and how she was trying to sleep/walk off the pain. Turns out it was pulmonary emboli and if someone hadn't convinced her to go to the ER she would have likely died. She spent a month and change in the hospital alone and terrified because covid meant she could have no visitors. Both lungs collapsed, she had multiple bouts of pneumonia and pulmonary and pericardial effusion, developed interstitial lung disease and was finally diagnosed with pulmonary hypertension, an often-fatal disease. She developed a severe case of medical PTSD from this and her lungs never fully recovered. After that, any time she had a procedure, no matter how minor, she would desaturate and end up in the hospital for a week during which time she would have collapsing fits that made her hit her head on things. She was diagnosed with PNES and thrown in psych for self-harm and being combative with medical staff. Right after release she was back in the hospital with another bout of pulmonary emboli, sepsis, and a heart attack.

And then it turned out the seizures were real. She was finally diagnosed when she started having "classic" tonic-clonic seizures and by that time she was already starting to go into severe prolonged seizures - status epilepticus - that did not respond to emergency medication. One of these status seizures was so severe and prolonged that she went into respiratory failure and had to be put in a medically induced coma to save her life. She was discharged after many months with a vagus nerve stimulator and a trach tube. Our last update of sorts she was still trying to get the VNS properly calibrated. They had weaned her off the vent but because of the amount of scar tissue and the risk of performing any kind of surgery on her she still had the trach.

Alright, happy thoughts only because Katie's doing great. First some old posts from her facebook that I missed in my updates, from right when she was released from her hospital stay where she was in a coma. Celebrating no seizures thanks to her VNS, a ketogenic diet (the real kind for epilepsy where everything is precisely measured and balanced, and new medications.
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They believe she has an extremely rare form of epilepsy. Now that she's actually sick, she has remarkable insight into the fact that watching her almost die over and over again is extremely traumatizing to her family and friends, perhaps even more than it is to her because she's not awake for it. Also praying that if she has to go back to the hospital that they please take her to her local one so she can be with her family which is totally heartbreaking. The last hospitals she's been in have been in Bradenton (an hour and a half south of her), Gainesville (an hour and a half north) and Orlando (2 and a half hours southeast).
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Hurricane Ian is approaching and Katie is terrified that if her power goes out she will not be able to be suctioned and will aspirate. Thankfully they get through the storm with no loss of power.
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And she's now getting back to playing her violin. It was something she used to really love doing and had a fair amount of talent for. She used to play in her church band and wants to get back to it. Sounds like she decided to get back into it while she was hospitalized forever.
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Alright, I've already posted this but I want to post it again because it really helps us understand just how bad of a situation Katie is in. Katie used to be your typical zebra munchie and made a habit of going to the ER for "anaphylaxis," often chimping out when they told her she was just anxious/having a panic attack. She also sometimes would jab herself with epi explicitly because it would make them admit her. There is a good chance she really believed she was having anaphylaxis and needed to be in the hospital. This did not stop all the ERs in the area from flagging her as a frequent flyer and a drug seeker. She's not faking anymore. She's really sick with real epileptic seizures that show up on EEG and put her into respiratory failure. BUT because of her PTSD from being hospitalized she also has involuntary psychogenic non-epileptic seizures. So in this post, she has had another prolonged seizure and gotten 911 called, paramedics abort the seizure, but when she wakes up in the hospital and is semi-delirious, she has a psychogenic seizure. The new ER docs see this and her history and assume she's faking the whole thing. Then they realize whoops, she's not faking and they have to drill into her bone for intraosseous access so they can very quickly get a lot of medication into her if she goes into status, even though she has a port and in the past they've used that. The comments are full of munchies like Jamie Bruce and Potsie Nicole, but also some real epileptics who commiserate and try to explain why IO access was necessary.
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This turns into a two week ICU stay.
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After which we learn that she's still being treated by Trevino for shit she doesn't have. She has a tiktok at the time under the handle blessedepilepticzebra08 but it's deleted.
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Still sometimes tagging the zebra shit but it's rare. More and more she's only talking about the epilepsy and lung issues. We learn that one of the bouts of sepsis is what caused her epilepsy to go out of control.
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Aww man, kid, you're breakin my heart. Once her real health issues started getting bad, she didn't want to worry her grandma by letting her know how sick she was so she kept finding excuses not to visit. While hospitalized she decided life was too short and she was going to visit her grandma and explain everything. Two days before she was scheduled to visit, grandma died. When she finally feels well enough to visit the grave she leans over and says "I'm finally here, grandma." Would whoever is cutting onions near my computer desk please stop? (Katie said "when I saw her at the funeral home", but she means cemetery. Her grandpa's been dead for 20 years and she was hospitalized during the actual funeral for more seizures.)
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But we're back to happy thoughts because she finally can get the trach out after over a year.
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She is still seeing the epilepsy specialist who saved her life and she's able to make it three whole months without a seizure because of him. This is huge for her.
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Katie is now finding an identity and hobbies outside her illness. She LOVES cats so she starts volunteering to do social time at a shelter.
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Unfortunately she has a seizure at church but she says that realistically, with her diagnosis she will always have these breakthrough seizures and she just needs to keep on keepin on.
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The tone of her posts has changed entirely. She's now all about sharing small positive moments in her daily life and things that made her laugh.
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She's still claiming EDS. Fine.
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And she still gets down or has moments where she's angry and overwhelmed with everything. She has a dental issue, but all the treatments she can possibly take for it will interfere with her epilepsy medications or her blood thinners.
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She gets the problem teeth extracted.
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Five days later she's admitted for more seizure activity.
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But the good news is all the treatment is working. She's having fewer, much less severe seizures that are easier to treat. She spends one day in the hospital and is discharged home.
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Is she still clinging to the spoonie diagnoses? Yes, but it's never been clear how much of that she really believes and she's much, much less focused. No more running to the ER for MCAS every other day. She's smiling, her actual health problems are getting better, her port is no longer hanging out of her shirt in every photo if she even still has one, and she's finding things that are more important to her than social media. She may never get out of the zebra realm, but I no longer feel like any day now I'll be reading an obituary.
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Maybe I missed it, but does she get therapy for PNES? If she isn't she needs to. Since they knew where the teams stems from, treating it will be easier.

You can have epilepsy anywhere in the brain. Most people recognize a tonic clonic seizure. Most Tonic clonic seizures stop on their own and the only risk is where the person having the seizure drops.

Status epilepticus is a bitch and I hope someone explained to Kate in person that this is why she got a IO.

I am curious her actual diagnoses. Most epileptics have seizures in their sleep and it is fairly rare to get seizures fully under control. Most people go through long periods of trial and error with meds.

I am curious how long her seizures run if she is going to the hospital for them.and since she has a VNS, and they pulled back some of her meds?

Every single epileptic I know has issues with their teeth due to medication, hopefully she finds someone who will work with her and her doctor.

I am glad she is picking back up her hobbies, being out and active. It is good for her. I hope she keeps getting better.
 
Once they've truly been at death's door it changes their perspective doesn't it?
you'd think so but the number who get sepsis and go back for round two would suggest not.

though i guess with sepsis its illness, slow recovery, then back to normal as long as no permanent organ damage is done. whereas epilepsy and the lung problems require ongoing management so it may be more likely to get it into someones skull that this is not a good way to live.
 
Maybe I missed it, but does she get therapy for PNES? If she isn't she needs to. Since they knew where the teams stems from, treating it will be easier.

You can have epilepsy anywhere in the brain. Most people recognize a tonic clonic seizure. Most Tonic clonic seizures stop on their own and the only risk is where the person having the seizure drops.

Status epilepticus is a bitch and I hope someone explained to Kate in person that this is why she got a IO.

I am curious her actual diagnoses. Most epileptics have seizures in their sleep and it is fairly rare to get seizures fully under control. Most people go through long periods of trial and error with meds.

I am curious how long her seizures run if she is going to the hospital for them.and since she has a VNS, and they pulled back some of her meds?

Every single epileptic I know has issues with their teeth due to medication, hopefully she finds someone who will work with her and her doctor.

I am glad she is picking back up her hobbies, being out and active. It is good for her. I hope she keeps getting better.

I'm sure you know this, but I'd be remiss if I didn't at least mention it for people who aren't aware.

Falling during a seizure is a source of injury, but it's definitely not the "only" significant threat posed by seizures. Seizures of any type can cause respiratory arrest, cardiac arrhythmia, or sudden death, even in patients who were previously healthy aside from having epilepsy, and every seizure a person has increases their risk of having more.

Additionally, anyone with epilepsy is at risk of Sudden Unexplained Death in Epilepsy (SUDEP), a poorly understood phenomenon in which a person with epilepsy dies suddenly with no apparent anatomical or external cause identified at autopsy. Often, it occurs during sleep and the individual is discovered dead in bed. Sometimes, but not always, there's evidence of a perimortem seizure event. Although the underlying mechanism of SUDEP is not (yet) well characterized, several risk factors have been identified. The most significant is poorly controlled tonic-clonic (generalised convulsive, or "grand mal") seizures. Patients whose seizures frequently occur at night are believed to be at even higher risk. SUDEP is a rare outcome of epilepsy, affecting around 1 in 1000 adults (and 1 in 4500 children) annually, but it is the most devastating.

If you witness someone have a seizure, whether or not they have a history of epilepsy, you can provide first aid. Stay with him and make sure there's nothing nearby that could injure him. Do not put your fingers or anything else in his mouth, but make sure his airway is unobstructed. If you're able, turn him on his side to reduce the risk of aspiration, and put something soft, like a sweatshirt, towel, or blanket, under his head. Take note of how long the seizure lasts if you can. Some people are disoriented, confused, or combative immediately following a seizure, so take care not to get hurt yourself. Speak calmly and reassuringly, remind him of where you are and what happened. Cal 911 if the individual has
  • never had a seizure before
  • a seizure longer than 5 minutes
  • multiple seizures occuring in a cluster
  • difficulty breathing
  • impaired consciousness lasting longer than a few minutes after the seizure ends
  • an underlying health condition, including pregnancy

In Katie's case, she's already had at least one episode of status requiring phenobarbital coma. Some genetic epilepsies are very difficult to treat, with seizures arising from multiple foci within the brain. Even if a single point of origin is identified, there's no guarantee that the seizures will respond to medication. Considering she has a VNS, it's very likely that she's already failed multiple antiepileptic drugs. Every treatment that fails to provide adequate seizure control makes it less likely that a patient will ever achieve seizure control.

I only skimmed the update (am at work, sorry) , but has she also been diagnosed with PNES? That would be a sticky wicket for an epileptologist, for sure.
 
Maybe I missed it, but does she get therapy for PNES? If she isn't she needs to. Since they knew where the teams stems from, treating it will be easier.
Before the epilepsy she was seeing a therapist as part of continued care for her eating disorder and some other issues, but I haven't seen her mention still seeing one. She seems to have developed an aversion to seeing any kind of psych services and I can't say I blame her. I kinda glossed over the story of how she was diagnosed but it was bad and would make anyone distrust psych.

She had the pulmonary emboli at the start of Covid lockdown so she was alone and scared in the hospital for over a month while she kept almost dying. She also lost a ton of weight. After that she went to her unscrupulous quacks who used her weight loss over a short period to justify signing her up immediately for a GJ feeding tube at a hospital in Tampa. She got the surgery and came through it fine and was discharged. A day or two later she went back to that hospital complaining of pain and they found that her lung had partially collapsed again and she had pneumonia. During this hospitalization she started having the "collapsing spells" but because she had all the pulmonary issues and a POTS diagnosis they didn't do anything about it at the time.

After discharge they got worse and so did her pain, so she went to her local hospital who saw her all the time for her panic/"anaphylaxis". They admitted her, but when she started having more "collapsing spells" and hitting her head, they flagged her as psych. Her new feeding tube and her port were both removed and she was moved to the behavioral unit for self-harm and combative behavior. She was there for weeks before she got transferred to another hospital's psych unit who put her on unspecified seizure medication. It's unclear whether they believed it was real epilepsy and put her on epilepsy-dose AEDs or if they kinda lied to her to get her to take them at a mood stabilizer dose, but either way the seizures decreased and she was discharged home. That was September 2020.

In October she got her feeding tube replaced and had another week in the hospital for respiratory problems. She also started having the collapsing spells again, but her quacks diagnosed her with "non-epileptic dysautonomia-related seizures" and told her she just needed to get back on her IV salt water treatment so in March 2021 she got her port replaced. In early April she was visiting friends in Orlando when she started feeling really bad. They took her to the ER who dismissed her low-grade fever and high heart rate as just anxiety, so she went back to her friends' house. A few hours later her fever had spiked so they took her to a different hospital who diagnosed it as sepsis. This is when the seizures really got bad. Unfortunately she was still deep in spoonie circles at the time, and one of her friends, Faith Anne (who is also documented on this site) had just gotten craniocervical instability surgery saying it saved her from her life-threatening "seizures." Katie took this information to her quacks who referred her to a spinal butcher to get the surgery.

Thankfully, if one can say that, she had a tonic-clonic seizure while out with friends shortly before she was supposed to go to her surgery consult and they called 911. Diagnosed formally by EEG in June 2021 and put on Keppra. She had a few SE episodes they were able to abort with emergency meds before the one that sent her into respiratory failure in December. From what I understand from her semi-coherent posts, after diagnosis they determined that the reason surgery always went bad is anesthesia is a huge epilepsy trigger for her and her "combative behavior" that they put her in the behavioral ward over was actually focal seizures and the aftermath thereof.

So yeah. It's super complicated. She's genuinely learning disabled and has difficulty understanding things. For example, when she was first put on Keppra she didn't like the side effects and couldn't understand why they couldn't just find a seizure medication that didn't have side effects for her. She was raging and beating her chest about how it's NOT OKAY!!! to make her take a medication that makes her feel bad and threatening to go off it. She knows she now has a real epilepsy diagnosis and that ignoring her real seizures/brushing them off as a psychiatric problem almost killed her and her medications are what saved her. And she knows she recently got blown off in trauma for a psychogenic seizure and ended up with her leg drilled into when they realized she's also severely epileptic. So when they tell her she needs to see a psych she doesn't see it as 'you need to get the psychogenic seizures under control so this doesn't happen again." She sees it as another bad doctor not believing her real seizures and harming her in the process.

Sorry for the novel, but I really can't blame her for not wanting to see a psych given all the times she was brushed off as a psych case and almost died from it.

I only skimmed the update (am at work, sorry) , but has she also been diagnosed with PNES? That would be a sticky wicket for an epileptologist, for sure.
She has, and she had a situation where she had a seizure bad enough to be taken by ambu (aborted by emergency meds) followed by a psychogenic seizure in the ED. The doctor apparently got wires crossed and thought she only had PNES so he placed a regular IV in her neck. Then they saw her history and realized that she had previous respiratory failure from status epilepticus and they needed better access, which unfortunately led to her getting an IO placed while she was awake and alert.
 
I'm sure you know this, but I'd be remiss if I didn't at least mention it for people who aren't aware.
Funny enough, I had a lot of that written out and ended up erasing and could focus more on Katie. But overall it is great information to have. Especially if you do need to call emergency services for someone having a seizure who would normally would doesn't need it.


Keppra is a really hard drug. I don't know anyone who has liked it. The side effects are not worth any benefits. The horror stories of keppra are long. That is sucks when that is the first thing they throw at you.

This is where I sound mean, the treatment for PNES is treated with CBT (which I am not sure she would fully benefit from.) She should at least try, even to show she is not using PNES to munch and open to treatment. People who clutch at PNES tend to go for the full munchie platter. There are people who have PNES and just quietly get treated.
 
Now Katie has a genuine epilepsy diagnosis and the resultant treatment and procedures that have come with that, she has rejected any offer of psychiatric input because "she is truly epileptic" (as mentioned, understandable, given her dreadful experiences).
It must be very difficult to try to treat PNES in this population, where there is also a genuine epilepsy diagnosis that will negate the psychogenic element to the patient.

Edit: clarity
 
So, cheyenne ended up dying then. I can't say i'm surprised. Though it just makes it that much worse for everyone involved that she got those organs after putting herself into that situation for no legitimate reason. She took organs that should have gone to people who needed and deserved them and then died nearly immediately afterwards anyway. So they were wasted. Not that she wouldn't have munchied her way into rejection or destroying them anyway, but the point is its not just her dying - taking those organs means multiple people who would have otherwise received them are likely going to die too because they were wasted on her instead. So she's killed not only herself but multiple other people. I have zero sympathy for her after that. Crazy isn't an excuse. Even by munchie standards she's scum to cause that outcome. The doctors and whatever review committee that authorized those organs going to her are idiots who shouldn't be practicing medicine and got innocent people killed to facilitate an idiot munchie. So much for strict standards for transplant recipients. The people who enabled her behavior aren't guilt free here either. If not for them this wouldn't have happened

This is a shameful embarrassment for the US healthcare system
 
Especially the doctors and nurses who enabled her to exploit the system. Malpractitioners.
Dr. Afrin, her main Mast Cell Specialist, has a lot to answer for IMO and not just in regards to Cheyanne. I fell too deep into the rabbithole when I was looking into some of his patients last year so forgive the sperg.

First, when Cheyanne was diagnosed she had already been previously tested for MCAS a bunch of times. More than one 24-hour urine test showed nothing and she always complained that dumb bad doctors let it go out of temperature and if it hadn't been for that they'd have seen she was really sick. Her bone marrow biopsies were "flubbed up" and that's why they showed nothing. She had a colonoscopy with biopsy but they didn't use the right stains because they were looking for IBD or food allergies. Etc etc. There was always some reason the tests had been done incorrectly according to her. Then by her own description of their appointment, Afrin did no additional testing on her. He diagnosed her with MCAS based on the colonoscopy that did not use the right stains and a few elevated levels on blood test - almost all of which can be an ED artifact or artificially produced with overdoses of an easily available supplement according to the medfag who I consulted on her timeline. Either way, she wanted us to believe both that the original doctors "flubbed up" all of her tests but that the good doctor read the results of those incorrectly-handled tests and came to the right conclusion from them without needing to redo any of them. Here and here are her two most informative blogs about her diagnosis journey.

Even weirder, Afrin used to live in South Carolina which is how another of our girls, Brynn, came under his care back in like 2013. But by the time Cheyanne moved up to South Carolina, Afrin had moved to Minnesota. He arranged through local doctors to long-distance manage the care of several patients including Cheyanne, Brynn, and Denae/PoisonHivey and Bethany/rebellious_story. Both Cheyanne and Denae only traveled to meet him one time to be diagnosed before he took them on and started directing their local doctors in their care. All of them complained about trying to find doctors and hospitals who would let him run the show. He is also managing the care of Ellie Grace, the possible Munchausen-by-proxy case I mentioned a few days ago who was diagnosed as a child and has already had tons of complications from his care. Here are some pics of Cheyanne with Ellie, Brynn, and Denae that make me all stabby. That kid was like 9 or 10 when she was diagnosed and put on high dose steroids.
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We also know of another patient who lived in Lower Merion, PA named Taylor Nearon. Taylor was long-distance friends with all the rest of the Afrin crew and at least orbited by MC although I'm unclear if any of them met Taylor IRL before she died. Taylor was a 17-year-old high-achieving high school soccer player who looked like this:
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Taylor's accounts are private and I never heard of her until I started digging into the Afrin munchies at which point she was already deceased, so I don't know a lot about her. I know Afrin is on the board of directors of her charity as well as Dr. C. J. Fidler, who was the local physician who Afrin worked through for her.
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So are Brynn and her mother.
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And formerly Cheyanne.
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Here's Brynn with Taylor's mom at an event in 2018.
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And MC in 2020.
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Less than a year into treatment with Dr. Afrin, Taylor looked like this.
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Six months later, she looked like this.
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And on the two year anniversary of her diagnosis. Needless to say: steroids involved. At the time she had developed several steroid-related complications including diabetes, a fatty liver, and osteonecrosis.
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Most of what follows I got off her mom's socials, which were public but no longer are and I did not archive because I never planned to post about her. A few weeks after that photo was taken, Taylor woke up unable to feel her legs. She was rushed to the hospital where she was diagnosed with epidural lipomatosis: a fatty mass had grown nearly the entire length of her spine and strangled her spinal cord. It was removed under emergency surgery but the damage was done and over the next few days her back also broke, leaving her paralyzed. She spent the last weeks of her life in a hospital bed on a ventilator unable to move. She kept getting infections and having to undergo treatment for them. In September 2017 at the age of 20, she refused further treatment and died.

Taylor's death is one of the worst things I've encountered while doing this, and I watched a woman pick her shins until both her legs had to be amputated.

There's also two other young women, both of whom I believe were Afrin patients, who developed the same condition that paralyzed Taylor. One got the surgery and lived although I never heard if she regained function. The other, who knew what happened to Taylor, opted not to have the surgery. She went off her steroids and got back to her life, but is paralyzed to this day.


Why does every post of mine just reek of so much effort? can I never just say "lol fat and dead?"
 
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