Wake up, throw up, have the shakes (MCAS)

I had it in my mind that the worst of the mast cell disease (MCAS) side effects didn’t kick in until later in 2015, but I just saw this memory on Facebook from January 3, 2015:

“The day started off with a bad dream, after which I woke up, threw up, and had the shakes for long time. Fortunately it got much better as the day went on, and I eventually enjoyed a belated Christmas celebration with friends and family.”

I remember the vomiting and shakes started long before this – I learned to keep a trash can by the bedside – so those symptoms would have been well back into 2014.