Off antibiotics!

I can’t believe it’s been over a month since I last wrote in … I certainly haven’t forgotten about this blog or having Lyme disease, but as an academic the beginning of the semester always rolls over me in waves leaving little time to step back and reflect. Fall is especially bad because there are many conferences to travel to (I just returned from a trip) and I always submit to an important conference in my field around mid September (just before my trip this year).

It’s hard to believe how far I’ve come in a year, but as I roll through my second year since diagnosis I often find myself reflecting on where I’ve been. Two years ago I was desperately seeking a diagnosis, unsure what was happening to me, and floundering at work as I attempted to sprint through what felt like molasses. A year ago I had finally come to terms with the prospect of long term antibiotics, only to descend into one of my worst periods ever. I will never forget my attempts to submit to that same conference deadline, which consisted of hours and hours of painful attempts to look sideways at my screen as I edited the most mindless parts of my papers interspersed with occasional moments of clarity in which I would sprint away from anything that could stop me from writing with an over the shoulder request to my husband to take over if kids were involved, and dive in to do as much as possible before the pain and cognitive dysfunction descended again. In contrast, leading up to this September’s deadline, I had only brief mild headaches and not even every day, with no other major cognitive impairments. Read the rest of this entry »

Running the Numbers (June/July, 2009)

I have entered another two month’s worth of numbers into my stats program and analyzed them. I had my best month ever in June, and it is easily visible in the chart included below.  I had many days with only one or two symptoms, and felt much better, than I have since I became ill. The mean number of symptoms per day was 4 in both of these months, as opposed to 8 or more in past months.

Read the rest of this entry »

Drawn in by false hope

I was hesitant to even write about this experience, because who wants to admit it, but I wasted a lot of time and hope on something that I shouldn’t have. The reason I am telling you this is that if you are ill you have probably faced the same temptations I do, and maybe we can all learn something from my experience.

What exactly happened? I desparately want a cure, and I fell for the promise of one…

Read the rest of this entry »

Running the Numbers (Apr/May 2009)

I have entered another two month’s worth of numbers into my stats program and analyzed them. Of note is the fact that I was apparently hyperthyroid in Feb/March (and maybe before that) but went into remission in April. I’m gaining back my weight now, which apparently was caused at least partly by that.

I’ve created a new way of visualizing my data. The next image summarizes major symptoms since symptom onset (Fall ‘06) through August ‘08. Major events (such as the mold bloom) are marked at the bottom.

Read the rest of this entry »

Update and mold remediation

This is a radical topic change for a moment, but I want to give a quick update to folks about how the past few months have been. The more distance I have from last September/October the more aware I am of just how sick I was in that period. I didn’t write much about how bad I was feeling, but a few details can be found in the posts from that period (e.g.,still not over…” and “Highs and Lows“) and perhaps their topics are most illustrative — I made my first visit to a support group; wrote about how the people around me could best help, and reveled in a few pain-free moments.  Rather than dwell on the details, I’ll just say that that period of my life makes me even more grateful for what I have now. It took only about 2 days from the switch from Minocyclin to Zithromax for my improvement to start, and while I think I have plateaued, I am definitely doing well.

Last week was one of my best since February 2008, with about 5 or 6 good days and 3 days in a row feeling like my healthy self (boy can that get addictive!) except for the early bedtime. Looking back over my very sparse notes from last Spring I’d say I’m doing about as well as I was right after the IV antibiotics ended. On the other hand, I also still have bad weeks, and this one definitely qualifies. Hot flashes (sometimes every few minutes); nausea; naps (twice a day sometimes); that heaviness in the limbs … time to hole up and rest.

Interestingly, my improvement also coincided approximately with the installation of a device to dry out my house a little more than our basement humidifiers could. Read the rest of this entry »

More information on treatment options

I feel as if suddenly a world of information is opening up to me about treatment options. My ID doctor in Pittsburgh and my LLMD (Lyme Literate MD) in NY are willing to work together, my MD/Homeopath is supporting and supplementing, and everything from Pamela Weintraub’s book to emails from complete strangers seems to be pointing in this direction. My symptoms are improving, and my LLMD says I should expect monthly improvements or we have the meds wrong. Things are looking good.

Funny, then, that I can’t help questioning aspects of my treatment even as I embark on it. The more I learn about lyme, the more plausible treatments such as the Marshall Protocol sound, or alternately a mixed approach where alternative medicines and antibiotics are applied in concert to address a wide range of issues from lyme (and its many forms) to a variety of co-infections. The Marshall Protocol is in direct conflict with my current approach, though I have it in mind as a next step if this doesn’t work. The multi system, multi infection mixed approach can be boosted beyond my current level. Step one is to add Mepron to my antibiotics (an anti-parasitic safe enough that it is sometimes taken prophylactically), and follow that by anti-parasitic supplements. Mepron was recommended by my LLMD, and the choice was approved of by everyone I’ve spoken with

The daily antibiotic…

Well I’m almost two months into the daily antibiotic experiment “with an n of one” as my ID doc in Pittsburgh says. Is it working? Hard to say. it’s hard not to believe they’re doing something … I seem to feel better, and psychologically I love the fact that I’m taking some action, however uncertain.

So what’s it like day to day? The particular one I’m on can only be taken two hours on either side from food. Not easy for a consummate snacker like myself. Worse, I can’t do start/end of day because it’s very important that I take pro-biotics (sacromyces, in particular) after my antibiotics. So I have to be up for at least 2 hours after I take the antibiotic. I’ve settled on taking them when I wake up/at 3pm and just not snacking between lunch and dinner. Unlike the IV antibiotics I don’t need to provide a litany of advice here — taking antibiotics for a month or two is not all that different from taking antibiotics for a week.

My teeth turned grey due to the antibiotics...
My teeth turned grey due to the antibiotics…

One reaction that I could do without is that they make my teeth black (not unexpected given that it had happened during the IV treatment as well, and is a commonly known side effect of long term doxycyclin, an antibiotic very similar to the one I’m on). My dentist was kind enough to do a mid-antibiotic cleaning with another planned for after I’m done, and they’re currently back to white (we’ll see how long that lasts!)

At the start, the antibiotics made me feel drunk for hours on end (on day two it lasted 8 hours). After that passed it was an hour or two a day for a while, now

... and the dentist turned them white again
…and the dentist turned them white again

that’s pretty much behind me. However a different form of dizziness I experienced even before the antibiotics has become more severe: I find that every time I change height (e.g. sit to stand; lie to sit; etc) I feel dizzy and sometimes almost black out. I hold on to the nearest surface and it usually passes very quickly.

Books

Hi folks,

I’ve been meaning to write this for a while, and having recently acquired a new book that I especially love has pushed this up as a priority. I’ve read three books so far about lyme disease, each with a very different perspective, and I want to tell you a little about them. The books are Cure Unknown, The Top 10 Lyme Disease Treatments, and Healing Lyme (and hopefully soon in a future post, Beating Lyme). Full references below. Full disclosure: I was given the top 10 Lyme Disease Treatments for free in return for agreeing to review it.

I read these books over the last 6 months as I was beginning my own journey into the act of healing lyme disease. At the same time, I was beginning to do my own research into the disease, it’s actions on the body, cures, and the doctors who administer those cures. Each of these books provides a very different perspective on how one might approach a cure, and each has a different emphasis regarding how lyme affects the body. All three discuss the lyme-wars, and all three are written by people who feel that the IDSA view of the world is limited at best. As with the information available in person, the quality and perspective of the books I have read varies widely.

In my mind, the book that is most comprehensive, balanced, and informative is Cure Unknown, by Pamela Weintraub. Weintraub is a senior editor at Discover Magazine, and she, her husband, and both of her children went through years of misdiagnosed lyme, followed by years of treatments with varying success. Her book reviews everything about lyme — the history, the studies, everything. It’s got all the interviews in it and all the literature in it that I wish I had time to read. Despite her experiences, which do color the book, the literature review in the book comes across to me as complete and relatively unbiased. It was the first book that adequately explained to me how an auto-immune disorder might result from lyme, while also reviewing what I see as conclusive evidence that lyme may also persist past 6 weeks of antibiotic treatment. It does not attempt to tell the reader how they should heal their own lyme, but it does describe one family’s path to healing. It is a political book, a science book, and a deeply engaging story of despair and hope. Perhaps the only flaw in this book, in my mind, is the fact that it spends almost no space on the possible role of alternative treatments in healing: she does she interview practitioners of alternative treatments, or literature about them, and only briefly mentions them. Despite that, I highly recommend this book to anyone touched by lyme, or simply interested in a disease that has spawned a society of people and doctors defined by the fact that mainstream medicine has rejected the possibility or appropriateness of their existence, driven by tragedy, and enabled by the Internet. If you buy one book, buy this one.

Perhaps the complete opposite of Cure Unknown is the Top 10 Treatments. Despite the word “conventional” in its subtitle, this book is almost exclusively about alternative treatments for lyme disease. Almost no space is spent on the history or politics of lyme, and the book is really aimed at an advanced reader who has already familiarized him or herself with much of what is in Cure Unknown. As with Cure Unknown, the impetus for this book was personal experience — in particular, the experience not only of having lyme disease, but having even the lyme literate doctors run out of ideas of how to cure it after extensive antibiotic treatments did not work.

The Top 10 Treatments suffers from a lower quality of writing than Cure Unknown, and the work is not as clearly referenced as Cure Unknown. Neither Cure Unknown nor the Top 10 Treatments is written by a doctor, but Cure Unknown includes detailed information about studies and interviews with doctors that is missing from the Top 10 Treatments. Finally, at least in Pittsburgh, finding a doctor willing to administer any of the top 10 treatments listed is difficult at best (and some of the treatments are a little scare to administer on one’s own).

That said, this passionately written book was clearly based on extensive research and presents a comprehensive look at ways to support any treatment protocol you choose to undergo, and regardless of the accessibility of all 10 treatments, the treatments described in Chapter 4 (Detoxification) such as detoxification of the liver, sauna therapy, salt baths and exercise should be part of any treatment plan (and are sadly often not mentioned by doctors or in books). As Rosner says, “it should be standard practice to utilize supportive therapies that increase antibiotic effectiveness” — and I will add, therapies that reduce side effects (such as taking sacromyces daily while on antibiotics to reduce the risk of a yeast infection).

Healing Lyme, unlike the previous two books, is written by a master herbalist and psychotherapist named Stephen Harrod Buhner. This book is not driven by his personal experience with lyme disease, but rather by his experience healing patients with lyme disease. This book is older than the other two, and does not include all the most current research, but it is extremely well referenced and clearly written. It was the first book I read, and after reading it, I had a much deeper understanding of how lyme operates in the body and the ecosystem. At the same time, I found myself questioning how much in this book was true and how much was not. As a patient exposed to the lyme wars, I was disappointed by the style of the literature review in this book. Unlike Cure Unknown, this book does not explain the controversy around pieces of related work, nor does it directly argue why one view point may be more correct than another. Instead, it presents quotes taken from references. As an academic, I know that reading quotes out of context does not really answer any questions about a controversial research area. Despite these flaws, the book is a worthy read, especially after having read Cure Unknown. Also, this book is not simply a biology/ecology text — it is a treatment guide to using herbs to cure lyme. The use of herbs is completely ignored in Cure Unknown and mostly not a factor in the Top 10 treatments, so this provides a valuable additional resource (again, assuming you have access to a practitioner who can guide you if you select this treatment approach).

After reading all three books, I must admit that I am no closer to knowing what the right way to treat lyme disease is. For now, I am going with the approach that is closest to mainstream/for which I can find the most knowledgeable docs & most research — antibiotics. I’m also throwing everything I can at supporting the antibiotics, with supplements, salt baths, yoga, and so on as you have seen in my posts.

  1. Cure Unknown: Inside the Lyme Epidemic (by Pamela Weintraub). St. Martin’s Press, 2008
  2. The top 10 Lyme disease treatments: Defeat Lyme Disease with the Best of Conventional and Alternative Medicine (by Brian Rosner). BM Publishing Group, 2007
  3. Healing Lyme: Natural Healing and prevention of Lyme Borreliosis and Its Coinfections (by Stephen Harrod Buhner). Raven Press, 2005
I’d also like to add to this list: BEATING LYME: Understanding and Treating This Complex and Often
Misdiagnosed Disease (by Constance A. Bean with Lesley Ann Fein, M.D., MPH, AMACOM, 2008.

On antibiotics again, provigil

It’s been a long month, with lots of ups and downs. Two periods of feeling like myself (one going on right now :). In between I started antibiotics again (I’m now one month in, and aside from black teeth (and dizziness/a feeling of drunkenness mostly at the beginning) the other big difference is that I can’t remember having had a headache in a while :).

I also tried Provigil 3 times. Aide from a wierd episode of uncontrollable blinking, I think it gave me a little more stamina when I was tired, but it wasn’t an outstanding effect (and it was mostly overwhelmed by the fact that I was exhausted by traveling).

The other good news was the fact that I made it a total of 7 whole weeks between bad colds (end of April to June 22). However, the June 22nd cold was as debilitating as the one in April, if not more. My reaction to colds seems to be getting worse (my MD/Homeopath says it’s because I’m in adrenal fatigue; the Mayo clinic of course claims such a thing doesn’t exist). All I know is, if I start getting colds like this more frequently when the kids go back to school in the fall, it will be a very difficult semester.

More evidence for antibiotics … and the mold connection

I had the privilege of meeting a wonderful infectious disease doctor here in Pittsburgh this week. She treated me as an intelligent person who deserved a say in my own care, and was willing to talk about and even consider the possible value of additional antibiotics. We ran tests to try and verify one or more of the hypotheses I’ve been talking about in my blog, and also discussed the role that my December-February 2006/2007 mold exposure may have played in my illness.

Wonder of wonders she then had the kindness to respond to some questions I sent her by email a few days later, by which time she had (1) read an article I mentioned to her as possibly suggesting the value of antibiotics and (2) had most of my test results back. She answered my questions and discussed both the article and my test results in the email and included a table with the full details. I was amazed and grateful.

Suddenly the picture seems much clearer .. and perhaps also more complex. The test results pretty conclusively say that I don’t have an auto-immune disease and that I have lyme disease. I was shocked by the latter, it is not supposed to be possible after the sort of antibiotic treatment I had, but the IgM (the test which shows current, active infection) was positive on my western blot, and in fact included markers that are highly specific to lyme. As expected, the IgG (which shows past exposure) was also positive.

I have begun researching mold in any case and have some questions about how it may have contributed or may be contributing to my situation. But the case seems very clear for a specific explanation of many if not all of my symptoms: the IgM test tells us that I still have an active infection. My gut was right.

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