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Céline has Stiff-Person Syndrome


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Posted

^ That's a good piece, thanks for sharing. Davis's POV is definitely important to be heard, especially if she and the others in agreement with her assessment have more advanced stages of SPS. It's a but interesting how perception of the docu can be so different--to some it seems she's bouncing back (like Davis mentioned), to others they read it as she is close to dying any day now (I have seen so may random comments of being moved by the docu and lamenting to let her do what she wants/cheering her on "because she's a dying lady!")

 

Though I understand what she's saying regarding it lacked more details on SPS per se (her treatment plan, research, discussion of the disease, etc), as much as I would LOVE to know about these as well, I understand the docu is more about Céline's early journey with SPS, not really an orientation docu about the disease. How her Life is changing with a newly-diagnosed disease. Adding heavily medical and scientific info overload wouldn't be palatable to most of the general audience. I honestly feel Céline's docu is a good introduction to the disease.

 

Other docus to "fill in the gaps" would certainly be important and useful, not to "correct" Céline's docu, but to expand and delve deeper into the disease proper

 

“I either work hard like an athlete or I stay home like a recluse.” Says Angela, this either/or binary can be incredibly harmful:

 

I understand what she means, but at the same time, I also understand Céline's case is relatively early in terms of disease stage and when it was diagnosed. I give her grace and leeway because 1) she's only speaking and (for now) can only speak about her own experience; 2) she could be in a state of mental shock and denial herself over such a devastating diagnosis/prognosis so this comeback positive bluster and positive affirmations to recover could be her coping; 3) perhaps her case isn't as advanced as others' (or not as bad it comes across in the docu since we only see parts of it) so those words feel true to her, or she is undertaking a significantly different experimental treatment than other patients and is genuinely making remarked progress, and if it proves to work (better), will only benefit other patients.

 

Neurologists actually don’t recommend working out with SPS because it can trigger a huge seizure.

I have been thinking about this myself, along with other atypical patient stuff like she's not triggered by sound/light as other patients, as seen in the events she's attended post-diagnosis, including her insistence on wearing her gd high-heeled shoes. I admit there are even times I hope/think/wonder if Céline's case isn't SPS but something else that has symptoms manifesting like SPS. The thing with SPS is diagnosis (for now) is a case of "most likely" based on a list of symptoms that's why it's often misdiagnosed. It's not definitive, like cancer where you see a cell mass and can absolutely say it's brain tumor. Anyway, just random thoughts in my head.

 

If I had Céline's money, it would be interesting for me to fund 3-5 other qualified volunteer patients to undergo the exact same treatments as I am to see how it affects them. The findings would help me just as much.

  • Like 4
Posted

Well I find this article cringy to read. We already know it was difficult to be vocable when being a celebrity especially when it concern health but:

 

It is not a documentary on SPS. This is a doc about her journey with SPS. Still it leads with a chair and fundraising of 2 millions for research and treatment. Exactly what she seems to dismiss. Did she forget or just avoid mentioning it?

There is nothing worse than feeling bad and expecting the other people to feel the same. Except that yes Celine is very rich and has a better access to treatment, this is her way to experience symptoms. This lady somehow question her disease and symptoms.

 

I think there is a cognitive bias here. We hear about the worst case and people with the worst scenario already diagnosed, are vocable. When you start reading a bit more there are few consensus and a diversity of symptoms and stages. What Dr Piquet underlines also when she says that it is not one on 1 million but rather 100 000 is that way more people than we know are dealing with the disease in their everyday life without being diagnosed and then with a diversity of symptoms and severity.

 

So yeah sorry for the lack of empathy but this paper felt out of the place, with a bad argumentation, and false information.

 

  • Like 6
Posted

She can't do right whatever she chooses to do.

 

It felt like they had all their hopes and expectations on Celine and this documentary.

 

However, I can understand the frustration of seeing someone out and about and doing all the things that you can't do anymore with the same disease.

 

Everything that the patients mention about triggers and how it affects their whole life, I'm curious how Celine is being able to do shows again.

 

Verstuurd vanaf mijn SM-F721B met Tapatalk

 

 

  • Like 2
Posted

She can't do right whatever she chooses to do.

 

It felt like they had all their hopes and expectations on Celine and this documentary.

 

However, I can understand the frustration of seeing someone out and about and doing all the things that you can't do anymore with the same disease.

 

Everything that the patients mention about triggers and how it affects their whole life, I'm curious how Celine is being able to do shows again.

 

Verstuurd vanaf mijn SM-F721B met Tapatalk

 

 

Posted (edited)

She can't do right whatever she chooses to do.

 

It felt like they had all their hopes and expectations on Celine and this documentary.

 

However, I can understand the frustration of seeing someone out and about and doing all the things that you can't do anymore with the same disease.

 

Everything that the patients mention about triggers and how it affects their whole life, I'm curious how Celine is being able to do shows again.

 

Verstuurd vanaf mijn SM-F721B met Tapatalk

maybe she suffers from a lighter version of the disease. However, that attack in the docu did seemed very heavy. Edited by ryba
  • Like 1
post-5889-0-11519200-1681245149_thumb.jpg

Posted
It's another rather jealous doctor (after the one in Montepellier who demanded directly 10 millions from Celine) who didn't get the money which went to another centre. If a disease is so rare how can you dismiss another fellow doctor's contribution to its treatment. Dr Piquet might not be the best doctor in the world ever but she is THE one for Celine. And it's the same for everybody, we praise a doctor who helps us and complain about the one who doesn't and yet for another person it might be the other way round
  • Like 2
A New Day... 10th & 11th November 2006 Taking Chances World Tour, Antwerp 13th & 14th May 2008, Kraków 28th June 2008 Celine 25th & 27th & 31st August 2013 20th, 23rd, 24th, 27th & 28th September 2016 Sans attendre Tour, Paris 1st & 5th December 2013 Encore un soir, Paris 24th, 25th, 28th, 29th June & 2nd, 3rd, 6th, 7th, 9th July 2016 Live 2017 Stockholm 17th June 2017 Lille 1st & 2nd July 2017 Paris 8th & 9th July 2017 Berlin 23rd & 24th July 2017 Live 2018 Taipei 11th & 13th July 2018 Manila 19th July 2018 Bangkok 23rd July 2018 BST Hyde Park London 5 July 2019
Posted

My hope deep down is that she’s also been misdiagnosed and her symptoms were a multitude of years of overdoing things and stress (emotional, physical and mental). I actually believe that she was more than likely going through a complete emotional break in the years after Rene’s passing, which even she wasn’t admitting to herself. However, with these diseases, the symptoms and triggers can be so varied and each individual’s case can differ, I would think. Therefore, without ever being able to get a 100% definitive diagnosis through diagnostic testing, an assumption is more or less concluded given the symptoms and facts presented from each individual case.

 

I myself was diagnosed over 10 years ago with fibromyalgia when I was experiencing general bodily exhaustion, muscle aches daily and many other symptoms that pinpointed to that syndrome but in all honesty I don’t believe I ever had it at all. It was more likely stress and anxiety manifesting itself in many ways physically as I had been through a lot of loss during a 5 year period a few years prior.

 

Anyway, going back to SPS patients, as they say, they don’t have the resources available to them unfortunately as Celine has and don’t have access to the trials in treatment plans for their own individual case. A syndrome is named so as it’s a catalogue of symptoms and not every symptom presents in each and every individual which is obviously why these syndromes are still so difficult to diagnose.

 

Celine herself said it was all about finding a balance in treatments and PT that works for the individual and thank god she seems to have found that balance for her, for now.

  • Like 2
Posted

I haven’t really commented before on the SPS community feedback on Celine and the doc.

 

However.

 

It has to be frustrating for an SPS patient who is suffering badly with the condition to see Celine do those things in the doc. No one had really heard of SPS before this so people will naturally recall Celine’s experiences and some might assume all SPS patients can do what she does. I totally understand why someone who has it might be annoyed, it’s so new and people don’t know a lot about it. We are very much creatures of our surroundings and we go by the things we have seen and heard.

 

On the other hand, I can’t think of a single disease/ailment where there is a list of side effects which every person suffering from them experiences. Even something as basic as a cold or a flu impacts people in different ways. I might have a cough and a blocked nose, someone else might have neither of them but have a headache and a sore throat. It’s not as simple as these are the X number of side effects so every person has to feel them. It doesn’t work like that.

 

The doc is about Celine and her personal experiences. I feel the doc (and the many interviews with the doctors etc) have done a great job of explaining SPS and what the more common side effects are. Those however are not the side effects Celine is feeling right now.

 

I don’t think that SPS patient (Davis) is being fair to Celine. Yes it’s frustrating in that the one person raising awareness isn’t the exact same as you but the doc is about her and how she’s finding it. Attacking her because it’s misleading is just wrong.

 

 

EZRRIMBUMAEcL2n.jpg

Posted (edited)

I agree that this documentary is about her journey with SPS. It has only been known by many because of Celine. The documentary is sort of an introduction to the disease.

 

After that they can now make a documentary that focuses mainly on the disease itself.

 

I agree that Davis is attacking Celine is not fair just because she wanted the documentary to focus mainly on the disease. Then, the title should not be called anymore as “I Am Celine Dion”.

 

Celine Dion’s documentary gives an insider look into her life, her goals for her musical career, and the challenges of living with SPS. As what she showed in the documentary - Exactly!

 

Someone should explain clearly to Davis

Edited by jpatdeleon09
  • Like 2
Posted

As short as possible:

 

- SPS is a spectrum of diseases and exhibits several phenotypes, but is not diagnosed on the basis of symptoms (where did you get that idea?). There are two diagnostic tests: for the presence of pathological antibodies in the blood (mainly anti-GAD 65, often many others - against amphiphysin, against glycine receptors, etc.) and EMG, electromyography (a study of electrical activity in the muscles, which in SPS patients shows constant excitation). Administering immunotherapy to a patient who has "only similar symptoms" would be an unacceptable medical error.

 

- No, there is no basis for claiming that Céline had an undeveloped or mild form of the disease - unless she herself is lying. If she had trouble walking and swallowing, if she had attacks of spasms throughout her body and not just certain parts of her muscles (full body flare up), if any of the attacks broke her ribs, then one can speak of an advanced disease and a severe course. She talks about susceptibility to triggers herself in interviews, so to some extent they affected her as well.

 

- If she had said: "I am in remission after taking therapy X," the matter would be clear to other patients. But her interviews show that it's only improvement, not remission, while she can be seen in the crowd in high heels. People who like her have the right to celebrate; people who are struggling with the disease have the right to ask how this is possible.

 

- A celebrity-patient with a rare disease has every right to talk about his/her experience, and will certainly play a big role in attracting public attention (note: "awareness" is unequivocally positive for the development of medicine, but to diagnosed patients it has different effects, positive and not). However, due to his/her unique situation, is he/she suitable as a spokesperson for the patient community?

  • Like 2
Posted (edited)

- From Johns Hopkins: "Stiff person syndrome is very rare and complex, and its many symptoms can be caused by other, more common conditions. It may take time and several tests to diagnose SPS. If your doctor suspects that your symptoms are due to stiff person syndrome, he or she will review your detailed medical history and perform a physical exam followed by a diagnostic workup. A doctor may make a diagnosis of SPS when there is no better explanation for the symptoms and exam findings."

 

- From stiffpersonorg.com: "No One Single Test for SPS: A diagnosis of Stiff Person Syndrome (SPS) depends on multiple factors. There is no one single lab test or study that determines the diagnosis. (or two as you mention) A detailed medical history, physical exam, blood tests, and other lab tests can support the diagnosis."

 

- Anti GAD antibodies isn't 100% reliable. There are patients with very high anti GAD antibodies (majority for classic cases iirc), there are SPS patients with low/normal levels. Likewise, there are other diseases of which these anti-bodies are indicative of as well.

 

- EMG is not an exclusive diagnostic tool nor does it give results uniquely indicative and definitively of SPS. It can be indicative of "a wide variety of neuromuscular diseases, motor problems, nerve injuries, or degenerative conditions, such as (didn't include long list of diseases, easily googleable):

 

 

No, there is no basis for claiming that Céline had an undeveloped or mild form of the disease

No one has claimed she has mild (or severe) form of SPS? We're just speculating, hoping and wishful thinking based on what's shared. None of us have seen her medical records to claim either way or claim anything, really. Heck, even when her doc says "she's improved" I'm even cautious about what 'improved' means. Improved from the totally destroyed state because of drug abuse weaning but still on course the disease progression, or improved based on her severity wrt cohorts, etc. It's a vague "relative to what" word.

 

However, due to his/her unique situation, is he/she suitable as a spokesperson for the patient community?

She's never claimed to be a rep for the patient community, nor applied to be one. Goodness, she's still adapting to the recent shocker of a diagnosis. She doesn't even have an association, unofficial or official, with the biggest SPS organized community. Instead of pulling her down for speaking about her case, the SPS community would do better by being constructive and LEVERAGING off her popularity. Doing their own org docus, getting her to speak for a portion, doing events and asking her to appear, etc.

 

People who like her have the right to celebrate; people who are struggling with the disease have the right to ask how this is possible.

I agree, it's a curious detail that's why I mentioned it, though it's less "right to ask" but more "would like to know if she's open to share." See? This is the leverage I'm talking about, SPS can even do a series of interviews with her alongside other patients, her docs, her PT, asking these things that puzzle them/us/me (lol). Her docu isn't the be-all and end-all of SPS docus, they should see it as the introduction that hooked the public's interest and they can capitalize on that.

 

I don't think badly of them (Davis et al), I only hope they see other ways Céline's name can also work for their advocacy/other patients. Maybe they will eventually and are still adjusting themselves to the sudden association of SPS with a celebrity of her caliber for now.

Edited by kaye2023
  • Like 4
Posted (edited)

- From Johns Hopkins: "Stiff person syndrome is very rare and complex, and its many symptoms can be caused by other, more common conditions. It may take time and several tests to diagnose SPS. If your doctor suspects that your symptoms are due to stiff person syndrome, he or she will review your detailed medical history and perform a physical exam followed by a diagnostic workup. A doctor may make a diagnosis of SPS when there is no better explanation for the symptoms and exam findings."

 

- From stiffpersonorg.com: "No One Single Test for SPS: A diagnosis of Stiff Person Syndrome (SPS) depends on multiple factors. There is no one single lab test or study that determines the diagnosis. (or two as you mention) A detailed medical history, physical exam, blood tests, and other lab tests can support the diagnosis."

 

- Anti GAD antibodies isn't 100% reliable. There are patients with very high anti GAD antibodies (majority for classic cases iirc), there are SPS patients with low/normal levels. Likewise, there are other diseases of which these anti-bodies are indicative of as well.

 

- EMG is not an exclusive diagnostic tool nor does it give results uniquely indicative and definitively of SPS. It can be indicative of "a wide variety of neuromuscular diseases, motor problems, nerve injuries, or degenerative conditions, such as (didn't include long list of diseases, easily googleable):

 

All this is true, but the topic was not "general difficulties in diagnosing SPS," but the question of whether her diagnosis is certain and on what basis. Since she is being treated with IVIG (this is not speculation, but a confirmed fact), it means that she is among the majority of patients whose disease has an autoimmune basis and this has been demonstrated by blood tests (rather than being part of a minority who only have similar symptoms). This is unrelated to the general difficulty in diagnosing SPS.

 

No one has claimed she has mild (or severe) form of SPS?

 

Just follow the the discussion in the thread, even recent posts - speculation about a mild version of the disease recur regularly (and are understandable as wishful thinking). About the severe course can be said based on her own words - the reasons I cited above; simply not all SPS patients experience such severe symptoms.

 

She's never claimed to be a rep for the patient community, nor applied to be one.

 

“What’s my mission in life? Is my mission to be a singer? Is my mission to be a spokesperson for SPS? Is my mission to be a mother? Or is my mission to be all of the above?” https://www.vogue.co...ailer-interview

 

Once again: I don't require her to choose her words carefully; I'm not accusing her, nor, by the way, other patients (including those who believe that in their case, for the time being, she is doing more harm than help). Each of them speaks from the depths of their own experiences, and it would be good to listen to each of them. Un-ironically, I think that if she really doesn't want to treat this disease only as a private matter and an obstacle to her career (which she would be as entitled to do as anyone!), but wants to appear herself in public on the matter, she needs someone in management to address the issue and avoid information chaos. Speculation doesn't do anyone any good; not her and not the other patients.

 

If someone voluntarily speaks publicly about his/her rare disease (again: for which chapeau bas), he/she has to face the question type "What helped you so much?". All controversies, including those Davis talks about, are the consequence of her courageous and sovereign decision.

Edited by Zofia
Posted

Except that yes Celine is very rich and has a better access to treatment, this is her way to experience symptoms. This lady somehow question her disease and symptoms.

 

It’s a case of “Must be nice” disorder. If you’re wealthy, successful or both you’re going to be criticized on at least some level in everything you do. And you’re not able to express frustrations with your life or perceived shortcomings without it being twisted by others or dismissed.

 

 

  • Like 4
Posted (edited)
SPS Research Foundation has posted materials from their recent annual symposium, including presentations from top doctors in the field (one being Dr Amanda Piquet): https://www.stiffperson.org/2024-sps-symposium?fbclid=IwZXh0bgNhZW0CMTEAAR01z9byZ25nfbxvvM7qdnCXI2-agXKCbYZrhOMBA6tHhTTI5GG47sevUWc_aem_eL1lQ5O4ZO_fur4zqsm1eA Edited by scielle
Posted (edited)

SPS Research Foundation has posted materials from their recent annual symposium, including presentations from top doctors in the field (one being Dr Amanda Piquet): https://www.stiffperson.org/2024-sps-symposium?fbclid=IwZXh0bgNhZW0CMTEAAR01z9byZ25nfbxvvM7qdnCXI2-agXKCbYZrhOMBA6tHhTTI5GG47sevUWc_aem_eL1lQ5O4ZO_fur4zqsm1eA

 

Interesting patient commentary of IACD.

https://www.instagram.com/reel/C8rgfjJun7U/?igsh=MTRwdXB2bmI3enNzMA==

Edited by Nmj
  • Like 2
Posted

I am smiling seeing how right I have been in my assessment of specific behaviours displayed in this thread. :)

 

It is incredible to witness such level of cognitive bias in the way in which words are (mis)interpreted. For example, Celine poses a range of QUESTIONS in relation to her identity and mission in life, and these QUESTIONS are taken as affirmative statements that somehow (?) solidify her identity as an SPS spokesperson.

 

In turn, since we established the basis that Celine IS an SPS spokeperson, we can begin assigning responsibility to her. She is to blame for things she might do or not do, things she might say or not say, and the main criterion applied is how fellow SPS patients feel about the things she did or did not do, said or did not say. :rolleyes:

 

And, of course, confirmation bias comes handy - this choice to cherry pick information that supports one's own opinions and disregard evidence/facts pointing to the contrary. For one, I am happy with post #1964 that set the record straight and reminded us of the wonderful things achieved in such a short timeframe. And posts #1951 and #1961 that described the documentary for what it is - an introduction only to Celine's experience with SPS.

  • Like 3
Posted (edited)

Thanks. I actually followed her for a while earlier this year (or maybe late last year), when she was going through her HSCT. Interesting to see how she’s doing several months later.

Edited by scielle
  • Like 1
Posted (edited)

This is very informative and makes sense:

"Dr. Philip McMillan discusses the possibility of Celine Dion being a victim of spike autoimmunity, focusing on Stiff Person Syndrome symptoms and therapy."

 

www.youtube.com/watch?v=BNlba3AsfRk

Edited by GoldenLeaf
normal_one-heart-7.jpg

Posted

 

“What’s my mission in life? Is my mission to be a singer? Is my mission to be a spokesperson for SPS? Is my mission to be a mother? Or is my mission to be all of the above?” https://www.vogue.co...ailer-interview

 

Once again: I don't require her to choose her words carefully; I'm not accusing her, nor, by the way, other patients (including those who believe that in their case, for the time being, she is doing more harm than help). Each of them speaks from the depths of their own experiences, and it would be good to listen to each of them. Un-ironically, I think that if she really doesn't want to treat this disease only as a private matter and an obstacle to her career (which she would be as entitled to do as anyone!), but wants to appear herself in public on the matter, she needs someone in management to address the issue and avoid information chaos. Speculation doesn't do anyone any good; not her and not the other patients.

 

If someone voluntarily speaks publicly about his/her rare disease (again: for which chapeau bas), he/she has to face the question type "What helped you so much?". All controversies, including those Davis talks about, are the consequence of her courageous and sovereign decision.

 

This was a very clear quote from Celine. She was saying that she doesn’t know what’s in store for her future, and was simply giving examples to be positive and say that “sky’s the limit.” She didn’t definitively say “I AM NOW A SPOKESPERSON FOR SPS.” And for anyone to take that quote, and come out with this determination, needs to take a step back and re-evaluate what they just read.

  • Like 3

Matthew Charles - "Fix You" - Live at The Stonewall Inn

Stonewall Sensation - Season 15

Originally written and performed by Coldplay

Posted

I am smiling seeing how right I have been in my assessment of specific behaviours displayed in this thread. :)

 

It is incredible to witness such level of cognitive bias in the way in which words are (mis)interpreted. For example, Celine poses a range of QUESTIONS in relation to her identity and mission in life, and these QUESTIONS are taken as affirmative statements that somehow (?) solidify her identity as an SPS spokesperson.

 

In turn, since we established the basis that Celine IS an SPS spokeperson, we can begin assigning responsibility to her. She is to blame for things she might do or not do, things she might say or not say, and the main criterion applied is how fellow SPS patients feel about the things she did or did not do, said or did not say. :rolleyes:

 

And, of course, confirmation bias comes handy - this choice to cherry pick information that supports one's own opinions and disregard evidence/facts pointing to the contrary. For one, I am happy with post #1964 that set the record straight and reminded us of the wonderful things achieved in such a short timeframe. And posts #1951 and #1961 that described the documentary for what it is - an introduction only to Celine's experience with SPS.

 

Agreed. I literally made my comments just before I read yours.

  • Like 1

Matthew Charles - "Fix You" - Live at The Stonewall Inn

Stonewall Sensation - Season 15

Originally written and performed by Coldplay

Posted

This is very informative and makes sense:

"Dr. Philip McMillan discusses the possibility of Celine Dion being a victim of spike autoimmunity, focusing on Stiff Person Syndrome symptoms and therapy."

 

www.youtube.com/watch?v=BNlba3AsfRk

 

Interesting and makes you think but is he correct in suggesting that Celine cut her final show of the Courage Tour short on March 12th in Newark, New Jersey due to cold symptoms? 🤔

Posted

Interesting and makes you think but is he correct in suggesting that Celine cut her final show of the Courage Tour short on March 12th in Newark, New Jersey due to cold symptoms?

 

Her last show was March 8th 2020 and then the tour shut down due to Covid.

  • Like 1

'I am, in life and death, the woman of only one man.'

Celine Dion My Story, My Dream

Posted

I remember she was unwell wasn’t she before the pandemic lockdowns?

 

Kev x

  • Like 1
Posted
Yes, she cancelled the Montreal shows at the end of 2019.
Posted

 

 

Her last show was March 8th 2020 and then the tour shut down due to Covid.

 

I thought so, he doesn’t have all his facts correct then 😂

Posted

Yes, she cancelled the Montreal shows at the end of 2019.

 

Wasn’t this right at the start of the tour, after her opening Quebec shows?

Posted (edited)

Yes, she cancelled the Montreal shows at the end of 2019.

Also in March 2020 for common cold before the Covid lockdown.

 

I remember she was unwell wasn’t she before the pandemic lockdowns?

 

Kev x

Indeed! On March 11th Celine annouced she cancelled her shows due to common cold and her shows were supposed to resume on March 24th in Denver, Colorado. However on March 24th the U.S was on Covid lockdown so the Courage Tour never resumed : https://people.com/music/celine-dion-cancels-concerts-because-of-common-cold-doesnt-have-covid-19/

Edited by GoldenLeaf
normal_one-heart-7.jpg

Posted
Was it in Ottawa that Celine struggled with her vocals? I thought the footage I’d seen was when she was singing A Vous but is Ottawa not primarily an English speaking City in Canada? Wonder why she stuck with that set-list rather than reverting to the English one??

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