Hey guys.
Okay so it's been a while -- I'd really like to use the thread I started around December to really update in full what went on during the discussion with the Dr in Barcelona.
Suffice to say, I was apparently doing well compared to the other patients he was working with and on (surgery). They suspect I am in the "early stages" of CCI/AAI symptoms and progression. He spoke about how 'Quality of Life' should largely dictate one's choice in opting for surgery or not. He explained it is a complex surgery, that neck mobility after surgery was reduced in all directions by 50%. Surgery is usually a final resort option, something which he reiterated. He clearly also said he wouldn't say "no" to surgery in my case, except that it all comes down to how I feel.
I am not bedridden, but often housebound. My symptoms and energy levels fluctuate a lot. I am in sufficiently good form to exercise for instance. However, depending on the intensity of the exertion, I pay a bill the following day (my back hurts... a lot). Anaerobic exercise suits me best. Without my stretching class, I wouldn't sleep or replenish well, at all. That's mostly the gist of it.
He very clearly showed me the extent of my weak ligaments (from C0-C3, my cervical discs rotate in an 'abnormal' or unusual way which he calls subluxation). He mentions that most women come in during their 20-30s because muscles are not "dense" (I guess?) He mentions men come in during their 40s when they "get desperate" (to quote his assistant, a woman who takes great involvement in his work). These are in my opinion reliable people, it just doesn't stop there, and what we as people suffer symptomatically should be heavily weighed relative to other areas which neurosurgery has less involvement in.
Energy, molecular systems, metabolics, etc. All this has not to do directly with "mechanics" and connective tissue (i.e. ligaments) they are adjacent and sometimes intersectional things. Couple more key questions -- I asked him whether Chronic Fatigue (in his opinion) comes first or CCI/AAI. He responds that based on the subset of patients he has seen which complain about both, they later develop CCI/AAI after getting ME/CFS. I also asked if viral / infectious agents are known to cause CCI/AAI (versus a priori just genetics -- this applies to most of his patients who have hyperflexible joints or EDS, versus also traumatic or accidental in nature). He doesn't know if viral agents cause CCI/AAI.
Considering though, that my pain in my hip joints and upper cervical got progressively and noticeably much worse after getting ill with mono, I think that's what I plan on looking at next in understanding what the hell is going on and what else I can do to help myself.