Re: [TMIC] Grace's Progress

2004-08-03 Thread luthyen




Hi CJ,

There is a maillist very much like this one-in fact, started by a
woman who initially had TM and progressed- and you might want to try
there for info. Sharon's email is: [EMAIL PROTECTED]

There are several injectable drugs used to slow the progress of MS.
They are called the ABCR drugs. Avonex is given once weekly into the
muscle (it's the one I use). Betaseron, copaxone, and rebif are the
others, injected more frequently into the tissue just below the skin.
You might ask your docs why they'd recommend one over the others. 

Hang in there!

Sam

Grace Chang wrote:

  
  Thanks for Mary Eden to remind me of
giving the list an updateon Graces progress.
  
  It has been a stressful period for us since the
last time I reported Graces condition to you all. In the past 4 weeks
Grace has been admitted to a local hospital twice due to her lingering
problems of vomiting  low grade fever. Right now, she still
remains in the hospital. 
  
  Vomiting  low grade fever: This has been a major challenge. Initially, her
doctors thought that her UTI caused these symptoms. However, the
antibiotic she took for 3 weeks did not help eliminate the symptoms.
Her cortisone level was around 16 after she stopped the intake of
Prednisone in early July. The GI exam did not show any sights of
abnormality either. Her doctor re-ran her cortisone level a few days
ago and this time the level dropped down to 3. Her doctor immediately
put her back to the hospital to treat the probable Addison Disease
and avoid the potentially fatal "Addison
crisis. This time the doctor believed that her problems were caused by
the adrenal insufficiency after receiving Prednisone for a long time.
Apparently, her adrenal glands are not responding well even she took a
slow taper from 40 mg down to 2.5 mg for 5 months of period before.
Prednisone blocks the release of ACTH (adrenocorticotropin), a hormone
that stimulates the adrenal glands in our body. If a persons pituitary
gland is not stimulated to release ACTH due to either the damage from
TM or blocking from the Prednisone withdrawal, the adrenals then fail
to secrete sufficient levels of cortisol. In order to diagnose this
insufficiency, a stimulation test has been done. Unfortunately, there
is a nation-wide, shortage of a synthetic form of ACTH used for this
test right now. For Graces case, she has to wait another 1-2 months
before the drug becomes available. She is taking IV injections of
hydrocortisone, saline and dextrose and is getting much better now. All
the symptoms of gagging, vomiting, low grade fever and low blood
pressure are gone after two days of treatment. To those of ! you who
are suffering an unknown cause of low grade fever, I encourage you to
check your cortisone level again even you had one recently. Has anyone
had a similar experience before? Hope our experience helps! 
  
  Cognition: Again, I have not
noticed any significant improvement. Her memory remains very sluggish.
Her neurologist did MRI scan at her brain, neck and spinal cord
yesterday after she complained the numbness at her right face.
Unfortunately, the scan result shows that there is a new lesion in her
brain. Based on this finding, the radiologist and her
neurologist think that Grace has MS now.. When I heard the
diagnosis, I felt like being struck by the lighting twice. They suggest
Betaseron treatment for her MS. This medication is given as an
every-other-day subcutaneous injection. Its side effects include
flu-like symptoms. I will get a second opinion before starting this
treatment on Grace. Are any of you currently taking this medication?
  
  Motor skills: She is able to
feed herself with both arms now. The daily writing practice and
exercise of her right arm seems to help regain about 70% of her
original motor skills. She can even move her
left foot voluntarily. The sensation of her low extremities is
gradually coming back. Unfortunately, it comes with a lot of leg spasm
and stiffness. Grace was learning how to sit up before the recent
episode stuck her. 
  
  Bowel  bladder movements:
Also gaining some sensations back. She is able to push during the bowel
program. UTI remains as a big issue for her. 
  
  Emotion: Grace seems to become
very sentimental. She cries over easily for any sad news or storylines
while watching TV. Luckily she has not felt any depression from her
illness. Sometimes I believe that her cognition loss helps to keep her
from depression. Perhaps this is a blessing for Grace. 
  
  My immediate concern is to get Grace
recovered from the recent illness and to return to the physical
condition that she can concentrate on learning the sit-up. I then need
to confirm her MS diagnosis and lay out a treatment protocol with her
doctor if her new lesion is truly MS-related. Grace will continue
taking the acupuncture treatment. By the way, we had to stop giving her
the final Cytoxan treatment due to her UTI. Recently, a friend of mine
told me about a new clinical study of using growth 

Re: [TMIC] Grace's Progress

2004-08-03 Thread Kim Leo Reeves



About two years ago, when my diagnosis had been MS 
all these years, my family doctor prescribed the Avonex shot. It as well 
as the others are to slow the progression of MS. The reason for the Avonex 
for me, and most people, is because the thinking would be a once-a-week-shot 
would be preferable to every other day or every day, obviously. It, 
however, according to the Dr., is the one more peopleget headaches and 
flu-like symptoms from than the others. If the side-effects had been too 
bad to tolerate he would have tried the next one, and so on, if 
neccessary. But that would be the reason, I assume, for Grace's doctor 
picking the one he did -- he doesn't want to take a chance with her being more 
likely to have more debilitationg side effects, even though once a week would be 
more convenient. I would think that if she tolerates it well, he would 
eventually try the once-a-week, and if she doesn't tolerate it well, he would 
try the every day one, with less likely to have side effects. Obviously, 
knowing I have TM, not MS, had it all these years with no progression so will 
never progress, I am no longer doing the shot, and actually wasted a lot of 
money and time. For MS, though, everyone shouldtry it.
 The doctor himself 
actually had MS, retired a year ago because his MS progressed to the point where 
being a doctor was too much. The last time I spoke to him, he had tried 3 
out of the 4 shots, and got such terrible headaches he couldn't function. 

 Kim Reeves

  - Original Message - 
  From: 
  luthyen 
  
  To: Grace Chang 
  Cc: [EMAIL PROTECTED] 
  Sent: Tuesday, August 03, 2004 12:28 
  PM
  Subject: Re: [TMIC] Grace's 
Progress
  Hi CJ,There is a maillist very much like this 
  one-in fact, started by a woman who initially had TM and progressed- and you 
  might want to try there for info. Sharon's email is: [EMAIL PROTECTED]There 
  are several injectable drugs used to slow the progress of MS. They are called 
  the ABCR drugs. Avonex is given once weekly into the muscle (it's the one I 
  use). Betaseron, copaxone, and rebif are the others, injected more 
  frequently into the tissue just below the skin. You might ask your docs why 
  they'd recommend one over the others. Hang in 
  there!SamGrace Chang wrote:
  

Thanks for Mary Eden to remind me of giving the list an 
updateon Grace’s progress.

It has been a stressful period for us since the last 
time I reported Grace’s condition to you all. In the past 4 weeks Grace has 
been admitted to a local hospital twice due to her lingering problems of 
vomiting  low grade fever. Right now, she still remains in the 
hospital. 

Vomiting  low grade fever: 
This has been a major challenge. Initially, her doctors thought that 
her UTI caused these symptoms. However, the antibiotic she took for 3 weeks 
did not help eliminate the symptoms. Her cortisone level was around 16 after 
she stopped the intake of Prednisone in early July. The GI exam did not show 
any sights of abnormality either. Her doctor re-ran her cortisone level a 
few days ago and this time the level dropped down to 3. Her doctor 
immediately put her back to the hospital to treat the probable “Addison 
Disease” and avoid the potentially fatal "Addison 
crisis”. This time the doctor believed that her problems were caused by the 
adrenal insufficiency after receiving Prednisone for a long time. 
Apparently, her adrenal glands are not responding well even she took a slow 
taper from 40 mg down to 2.5 mg for 5 months of period before. Prednisone 
blocks the release of ACTH (adrenocorticotropin), a hormone that stimulates 
the adrenal glands in our body. If a person’s pituitary gland is not 
stimulated to release ACTH due to either the damage from TM or blocking from 
the Prednisone withdrawal, the adrenals then fail to secrete sufficient 
levels of cortisol. In order to diagnose this insufficiency, a stimulation 
test has been done. Unfortunately, there is a nation-wide, shortage of a 
synthetic form of ACTH used for this test right now. For Grace’s case, she 
has to wait another 1-2 months before the drug becomes available. She is 
taking IV injections of hydrocortisone, saline and dextrose and is getting 
much better now. All the symptoms of gagging, vomiting, low grade fever and 
low blood pressure are gone after two days of treatment. To those of ! you 
who are suffering an unknown cause of low grade fever, I encourage you to 
check your cortisone level again even you had one recently. Has anyone had a 
similar experience before? Hope our experience helps! 

Cognition: Again, I have not noticed any 
significant improvement. Her memory remains very sluggish. Her neurologist 
did MRI scan at her brain, neck and spinal cord yesterday after she 
complained the numbness at her right face. Unfortunately, the 

[TMIC] pain

2004-08-03 Thread TBain458
My new neuro in the pain clinic is telling me that PAIN does not continue following the first episode of TM. I was diagnosed over a year ago and I have had pain from my waist down ever since. I have burning, aching, itching, and my skin hurts so bad that the breeze from the ceiling fan even hurts. She is trying to tell me that my pain is not TM. She wants to do a nerve block in my spine, I demyelinated at T9-T10. Please help me. Do any of you still have pain for this long, or maybe longer? 

Teresa Bain Ferrell


Re: [TMIC] pain

2004-08-03 Thread frank
Teresa,

You have Central Pain. Many of us with TM or MS have the pain you have.  I have it 
from my shoulders down, LeftRight.

You need to get another MD. The person telling you that the pain should have gone away 
is totally wrong!!  Get a referral to a University/medical school/pain clinic!!

Your condition weill not be helped by regional nerve block. You need meds- Tricyclic 
Antyidepressant like Nortriptyline, Antiepilepsy med and perhaps some other pain med.  
I use Marinol.

Good Luck- don't let that MD touch you!!

Frank



[TMIC] to Avonex or not to Avonex

2004-08-03 Thread BobbyJim



Well, me missus is doing fine with Avonex, 
and her aftereffects from the shot are now down to almost nothing. 
She's been on Avonex since '99 March, and I've 'pricked' her 245 times and is as 
stable as she can be.
She's still working an 8-hour day and is 
as active as she can be, till fatigue slows her down, but of course; after a 
brief rest, she's ready to roll some 
more. 
Indomitable Sure seems like 
it...:):):)

Maybe Avonex isn't for everybody but for 
us it sure is.

Bobberino,in 
sweltering Elvisland. canicular dayze are finally 
here.


Re: [TMIC] August birthdays

2004-08-03 Thread Erinpelletier



I can't believe there are three people on the list with Aug 11 birthdays, 
that is mine too.

Happy Birthday to all.

Erin
TM 1/6/04


Re: [TMIC] Grace's Progress

2004-08-03 Thread MontzMagic
WOW CJ SHE HAS REALLY BEEN THRU THE MILL WELL AT LEAST SHE HAS GREAT CAREGIVERS AND SHE SEEMS DETERMINED TO BEAT THIS.I AM SORRY ABOUT THE MS THING I WAS TOLD THE SAME THING BUT I DO NOT HAVE MS JUST TM. THE SIDE EFFECTS OR SO SIMILAR. THEY CAN TREAT MS BUT NO DRUGS FOR TM JUST MEDS TO HELP SYMPOMS. I HOPE SHE CONTINUES TO DO WELL.
 MY PRAYERS ARE WITH YOU
 PAM


Re: [TMIC] pain

2004-08-03 Thread MissPrissGrandma



My TM started in 5/76 and other than 
the painful spasms in the beginning I was virtually painfree until the past 
couple of years. Any pain that I did feel in the beginning, i.e., a 
stubbed toe felt 10 times worse than I remembered pre-TM. Now I have pain 
with the least little thing and doing the trial and error thing with the pain 
meds. Elavil didn't help, it only made me gain weight. Trileptal 
helped for neuroleptic pain which seems to have gone away so I have stopped the 
medication for now. I also tried the Fentanyl patch but thought it was 
bothering my stomach too much - I think I was wrong there. Now I have 
Morphine which definitely messes up my stomach and makes me constipated. 
Am considering going back on the patch or trying Methadone. I understand 
it works longer than the Morphine.

Get a second opinion. My pain management 
specialist would only say go swimming, so I had to find another doctor who would 
help me until such time as I am able to try the swimming 
thing.

Good luck!



HildredTM since 
5/76