Jamie's Tethered Spinal Cord surgery recovery
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In October 2023, after an air ambulance evacuation from Los Angeles to Providence, Rhode Island, Jamie underwent two additional spinal surgeries. The first a release of his 're-tethered' spinal cord and the second, eleven days later, a surgical repair of a huge Cerebrospinal Fluid leak that came as a result of the Tethered Cord surgery.
In May 2024, after months of worsening symptoms, we had it confirmed via two MRIs that the surgery had failed once again, and Jamie's Cauda Equina spinal nerves had tethered to scar tissue at the base of his spine.
Despite the heartbreak of the news and the awful progression in symptoms – the scariest being a growing inability to walk – the world's leading Neurosurgeon for Tethered Cord, Dr Petra Klinge, said that she could not and would not operate again. Jamie had been through three spinal surgeries in thirteen months and the risks of paralysis from another invasive spinal procedure was high, and even, likely.
Needless to say, after everything, this has been a particularly devastating and life-changing year. Jamie has been housebound for almost 23 months now and we continue to try and keep this page up-to-date, so that we can raise a fighting fund for some of the higher-cost, more experimental, non-surgical ways of addressing his neural and spinal defects.
We and he can't and won't give-up on hope of walking properly again.
**** BACKGROUND ****
On October 5th, after two previous ER visits in New York, Jamie was rushed to a third hospital for an emergency spinal surgery.
After two weeks of frightening symptoms following a brainstem concussion, a ‘Tethered Spinal Cord release’ was carried out to address the profoundly worsening neurological and spinal complications sometimes seen in the Ehlers-Danlos Syndrome population. The only solution to arrest the nightly full-body seizures, loss of sensation in his lower limbs, permanent nerve damage and potential paralysis below the waist, was to operate.
A year later, after a sharp and rapid decline in symptoms and progressive difficulty walking, we have been told that Jamie's spinal cord, cut and “de-tethered” in the operation, has now re-tethered. Our worst-case scenario has become a reality after an extremely challenging year post-surgery, both neurologically and physiologically. The re-tethering was confirmed on imaging by the world’s leading Neurosurgeon for Tethered Cord – Dr. Petra Klinge at Brown University.
We are again in position where we have to move very fast to ensure that the progressive damage to the brain, spinal cord and nervous system does not become permanent and paralysis is avoided. We need to work ASAP on getting Jamie safely to the east coast (from Los Angeles), schedule the second emergency spinal surgery and allot for all the medical expenses pre-and-post surgery and into rehabilitation. Once again Jamie will be unable to work for another extended period of time and will need to engage in daily extensive and intensive rehab of his spine, brain and nervous system, and potentially entertain serious additional surgeries. It goes without saying that despite various efforts, the past year has been extremely challenging financially. The costs remain extreme and unrelenting.
Please see below for the history of Jamie's case and multiple complex and chronic conditions that have changed life for him and us over the past six years. As ever, we thank you from the bottom of our hearts, and if there are any thoughts or questions about the above, please do write to us and we can fill-in all the blanks.
With love,
The Wright Family.
**** FURTHER BACKGROUND ****
Our son and brother Jamie, has spent four-and-a-half years searching for answers for, and solutions to his degenerative, debilitating health struggles. In 2017, Jamie fell ill, and has since been diagnosed with a set of serious conditions, including Mast Cell Activation Syndrome, Lyme disease, POTS and most importantly, a serious, rare, genetic condition called Ehlers Danlos Syndrome (EDS) that has caused Craniocervical Instability (CCI).
Over the years, we have all been doing our best to support Jamie finding ways to have appropriate treatment and achieve less chronic and debilitating musculoskeletal pain. It has been a tremendously challenging and winding path up to the point of needing to create this page.
In order to best convey the current situation, we have done our best to condense a bit of the background as to how we got to this point and what we can do about it moving forwards.
What is Ehlers Danlos Syndrome and how it is affecting Jamie…
EDS is a genetic disease that results in faulty collagen production and a weakening of the body's 'connective tissues' that hold us all together. This results in loose, unstable joints that are easily damaged. In Jamie’s case, this ligament ‘laxity' has caused Craniocervical Instability, whereby the ligaments holding Jamie’s skull onto his spine are too weak. He now has a structural compression of his brainstem, due to his inability to hold his head up, resulting in an insufficient oxygen flow to his brain.
If left untreated, this can be life-threatening, weakening the blood vessels, heart and organs.
Alongside countless widespread autonomic nervous system and cognitive dysfunctions that Jamie experiences as a result of a compressed brainstem, EDS makes it extremely challenging for him to support his own body. Keeping it upright throughout the day is a huge challenge as the muscles exhaust from being the sole provider of structural stability, otherwise provided by the skeletal system.
EDS and its ligament laxity also results in multiple joints rotating out of position very easily, leading to frequent subluxations, dislocations and damage to a number of different parts of the body. In Jamie’s case, he has been managing pronounced deterioration in the strength of his neck, shoulders, spine, feet and hips specifically and wears numerous braces under his clothing in an effort to mitigate excessive movement of a number of key joints.
Physically, his daily life has become immensely challenging. He lacks the structural stability to do everyday tasks without injury and pain. The simplest everyday tasks are extremely demanding for him, and as time progresses, some are becoming impossible to perform. Daily, he circumnavigates repeated joint subluxations, relentless muscular and joint pain, and the inability to sit, lie-down and walk without suffering these symptoms.
When allied with an underlying, complex immunological condition – Mast Cell Activation Syndrome, post-infectious processes due to chronic Lyme disease, and autonomic dysfunction due to POTS, the picture is multi-layered and tremendously difficult to treat. As we have learned through our doctors and various patient advocacy groups, for those that suffer with EDS, the pattern of overlapping circles with these specific conditions, each feeding into, precipitating, and exacerbating the other, is all too common with EDS sufferers.
How you can help…
Over the past four-and-a-half years, Jamie has seen 40+ doctors. Misdiagnosis is extremely common with most of Jamie’s conditions, but through force-of-will and huge expense up to this point, we have largely overcome the challenges in achieving an accurate understanding of the conditions (and their consequences) that he's facing.
Jamie has always been a kind and caring son, brother and friend, there for people when they most need him. For his family, business partner and those friends he has confided in, seeing him in such daily pain has been devastating. For years, he has done his utmost not to let these illnesses define him or his relationships, or even overly restrict him from following his professional hopes and dreams.
However inspiring it has been to see, the time has come for us to try and actively intervene with more advanced, and more consistent therapies to help improve Jamie’s quality of life. Having found focused care with an excellent medical team, we know what measures we can take to stabilise his neck and spine specifically. Without acting on these measures, Jamie’s conditions and associated pain will not improve, and will likely deteriorate and degenerate further. We want to do all we can to prevent that from happening, and in so doing, both we and Jamie hope to spread as much awareness about these complex, chronic conditions as possible to help those in the community currently suffering without care or hope of care.
Throughout Jamie’s continued efforts to work through his illness, with our financial support over the years, the medical care has resulted in significant debt, as the therapies and treatments that are effective for EDS (including the majority of the options mentioned above) are not covered by insurance, whether in the US or UK. The financial burden of this treatment moving forwards has led to the act of creating this page, where we are seeking financial assistance so this ongoing treatment is a possibility for Jamie.
We are truly grateful for any contribution big or small to ensure that our son and brother has the best possible chance of improving over time. We will of course be happy to answer any and all questions, and will post updates as to Jamie’s progress over the course of the year.
With love.
The Wright family – Stephen, Sophie and Peter
Additional reading:
Craniocervical Instability
https://metro.co.uk/2021/10/08/student-in-danger-of-internal-decapitation-due-to-rare-conditions-15386522/
Ehlers Danlos Syndrome
https://www.theguardian.com/society/2019/nov/05/we-live-in-constant-fear-the-reality-of-life-with-ehlers-danlos-syndromes
Mast Cell Activation
https://www.mastchttps://tmsforacure.org/overview/
Lyme Disease
Organizer
The Wright Family
Organizer
Los Angeles, CA