Showing posts with label thyroiditis. Show all posts
Showing posts with label thyroiditis. Show all posts

Thursday, November 01, 2012

Starting treatment for Lyme

NOTE: THIS POST HAS BEEN ADDED TO POST PUBLISHING

My gut problems stopped in time yesterday for me to make the hours drive to Noosaville and also because as usual he was running behind so I had an extra half an hour at home.  That clinched my decision to go especially since I don't mind driving and all I had to do was sit.  I was capable of sitting upright without feeling strain or heart racing from it but for the first half an hour I waited in the car reclining and snacking on nuts because it was past lunch time by then.  I carked it pretty early last night though, totally exhausted, but the sleep restored me enough to not be paying too much in terms of flare-up today.  And my gut is behaving today too.  I'm needing a sleep soon though.

I was surprised that the doctor did not want me on anything for my thyroid.  He said it was inflammation (thyroiditis) and he was more keen to start me on treatment for Lyme disease.  He said he bets both my blood and urine will come back positive for Borrelia.  He phoned for the results while I was there but they were not ready as I suspected and then he chatted to the staff for quite a while.  I could tell that he is passionate about the cause to bring Lyme disease into recognition and that he considers himself to be more on track than others who are treating Lyme too aggressively too soon.  Nevertheless I realise that all treatment protocols are controversial and both antibiotics prescribed to me are not without their side effects.  However, if twelve months of treatment is going to get me out of this terrible life I lead then I guess it will be worth it. It could be longer than 12 months and from what I read online, most people who are having success and stop treatment are relapsing.  Not everyone has success and some opt to go the herbal route.

I can't say I am not worried because I am really worried about herxheimer reactions when endotoxins are released and my history of gut problems with antibiotics in general.  It sounds like I will be complaining more about diarrhea than constipation when I start the second antibiotic.  Firstly I will be taking Plaquenil which I have been on before but I have not been on such a high dose before.  The instruction sheet explains how to build up gradually and acknowledges the eye problems and sun sensitivity.  I think that is why I stopped last time despite having eye problems before I even started like I have still now.  I may have gotten a rash too if that's when it was that I got a rash.  It's all a bit hazy now.  I have to report a rash if it happens, otherwise I will continue with the regime until I see him in a month.  I will be considering some multifocal sunglasses in the meantime.

UPDATE: I found my old posts about the rash and I did associate it with Plaquenil enough to stop taking it here

But then I started taking it again here

I think I kept taking it until July 2011.  It was prescribed by Dr Herd (local rheumatologist) for a possibly unknown autoimmune disorder but I did not have any long-term support from him. 

BACK TO THE PRESENT: I was hustled out the door before I could think to ask about the neurontin (an anti-epileptic used for pain) and whether doc thinks I should take it but I am quitting on the Endep except maybe on a one-off basis if I have bad problems with sleep.  I was losing my good days to being too dopey.  I also got more constipated and was putting on weight just in a few days.

Now that B is back in HB, I was thinking..... maybe X-mas up there.  X-mas is much more fun with kids around and Cohen won't be little much longer.  He is starting prep at school next year.  B may not like the idea and I know her family will want Cohen too.  I could well be too sick to do anything but lock myself in a dark house.

The dark house thing I did a couple of Summer's ago when my eyes were bad and I could not tolerate the heat.  I hate Summer up here.  I was pronounced low in vitamin D after that and then I got it back up with supplements because of the threat of osteoporosis and on advice by my current doctors.  I stopped taking vitamin D earlier this year when it was back up to 100 but now I am in the red for it being too high at 165.  I am also getting confused about the regular vitamin D test and the 1,25 D metabolite test.  Apparently lyme bacteria like an environment rich in vitamin D or maybe they cause it? Read the last sentence in the abstract I just linked to: "High levels of 1,25-D may result
when dysregulation of the VDR by bacterial ligands prevents the receptor from expressing enzymes necessary to keep 1,25-D in a normal range."  The doctor referred me to http://bacteriality.com/  I found a vitamin D calculator there and in reference to my 1,25-D it said "This very high value of 1,25-D shows significant VDR dysregulation, and is typically seen in people with extensive Th1 inflammation, often with cardiac or pulmonary involvement."

More on vitamin D and the vitamin D regulator (VDR) here.

All those doctors over the past couple of years who told me to get my vitamin D levels up got what they wanted.  Hmmp.  I did make quite an effort to do just that and eat so many of the foods on the list of vitamin D foods to avoid so that once again I feel like I am on some nightmarish merry-go-round.  I had just started eating black pudding again and I was really enjoying it and I have been having milk and fruit smoothies often fortified with whey protein.  I can't believe that even my humble fish oil tablets (which I do get benefit from every time I ache and get joint pains too badly (if I am not already consistently taking it daily) have all of a sudden become foods to avoid if I am assuming correctly that my doctor wants me to.  It was not a specific instruction - just the site reference and reference to the Marshall Protocol.  I've heard of all these things but I honestly thought it was taking things too far.  I was using LF dairy a lot specifically to get up my bone density readings (due again February 2013) and many on Lyme Protocols say to avoid it but it is very common to find anything with vitamin A in it to be fortified with vitamin D in USA and I guess it will become common place here too as the government start "educating people" about it with ads on the TV.  It seems like a conspiracy to keep the sickest people sick!!  If they don't check 1,25 D (metabolite) levels then a plain 25 D vitamin D test is useless.  That makes a lot of doctors useless because they follow the mainstream medical advice that seems to be controlled by greed at best.  OK, end of rant.  But what is left for me to eat now, just meat and vegetables that are low FODMAP?  I doubt my LF milk is fortified with vitamin D.  This is Australia and we are behind the times thank goodness.  But what about the sardines in the cupboard and the kelp noodles I specifically bought?

It seem I will be expected to be following some sort of detox program as well as taking probiotics, chia seed and aloe extract/juice for my antibiotic gut.  More money.  I can't afford Xmas this year.  I'm already spending money on buying better quality or starch-free or gluten-free foods, even organic when I can and other supplements etc and I am just about at my limit so something has to be given up.  I've heard that some of these antibiotics cost big bucks and I hope they are not something I will have to take on this protocol.  One last ditched effort before I quit on doctors so try and support me please.

Oh, I forgot to tell you B got the job and is starting today.  Good one.

Sunday, September 30, 2012

Over-active thyroid, Under-active adrenals

The title is a summary of some of my test results that were discussed on Friday with Doctor Andrew.  My appointment with him was for 1:30 and I got in at 5:30.  I'm not going to talk about that except to mention that they say there is no gain without pain and I don't think it should have to be like that!

My friend did not come with me this time because she was being a friend to the family who was a victim of a home invasion.

The test results

All tests related to blood cells, liver function and cancers were negative.  Iron and B12 levels were normal so I've been doing OK in that regard for at least a year now.

Kidney function (including glucose and electrolytes) he remarked as being fine but Creatinine was low at 38 umol/L (should be 50-120).

ANA (Antinuclear Antibody) test showed a low titre of 160 (normal < 80) in an observed "speckled" pattern.  I have had a positive to this in the past as well.  It is a non-specific marker for Lupus but the other markers I had tested (P-ANCA and C-ANCA) were negative.  It is getting retested in the next batch of blood tests.

Serum cortisol was low at 8:40am 170 nmol/L instead of between 220-660.  It indicates low adrenal function so my adrenals will be getting an ultrasound.  However, the short synacthen test I had earlier this year supposedly indicated that I did not have Addison's disease.  Serum cortisol will be retested via blood test too.  Doc wrote next to the results "natural cortisone" so he does not prescribe steroids at least not at this stage because they can turn Lyme bugs into super bugs which I am sure is a very simplistic explanation on my part.

TSH (Thyroid stimulating Hormone) was low at .05 (normal 0.40-4.00) and is consistent with hyperthyroidism.  This may be associated with:
  • a Thyroiditis (Grave's, Hashimoto's, Subacute)
  • autonomously active Thyroid Tissue
  • relative T3 overproduction, or
  • severe intercurrent illness, "Sick Euthroid" state
  • hypopituitarism (rare)
Dr Andrew said Thyroiditis and specifically mentioned Grave's disease but it will be retested with more detail and I will be having an ultrasound of my thyroid gland.  I know that the last time I had a TSH it was within the normal range but I often have unexplained bouts of anxiety and racing heart is worse sometimes.  It can explain diarrhea too and I still have loose bowels.  They are worse again today because I have cut back on the pain killers I was needing for the aches and pains so I am not benefiting from their binding-up side effect.

The only pathogen that showed up was Mycoplasma pneumoniae (a positive IgG) which I already knew I had in the past.  It can be a Lyme disease co-infection but as far as I understand it is quite common as a disease in it's own right - "walking pneumonia".  It is not enough evidence for Dr Andrew to put me on his antibiotic protocol so he is insisting I borrow the money to get the PCR for Borrelia test done.  He suggested my children as a source of funds.  Isn't that a joke?  At any rate, it is going to take some time for me to get it organised so I do not have another appointment for 6 weeks.  We are hoping I can get someone down this way to draw the blood etc.  I have to ring Australian Biologics to find out what to do and order the test kit and it is the Queen's Birthday (again) tomorrow so it will have to wait until Tuesday.  Yes, I intend to bung it on my credit card and go ahead.  I have not got time to go through the procedure to get out some Super.

Having said that I need a positive to Borrelia to be treated, people with negative test results to Borrelia are being treated and improving but it is likely to cause problems for the Australian doctor because it is an unconventional treatment not without risks.  I gather my doctor is already under scrutiny.  He is one of the few who are prepared to stick their necks out for their patients or their beliefs.  As an aside I see that Dr Sarah Myhill is being taken to court again and in cases like that, it is the patients that come to defend their doctors.  I have known for years that my local doctor Jo always did everything exactly by the book.  It is a shame there is no book for ME/CFS. She has no idea.

I think it was the test marked food RAST on the pathology request form that was labelled "Allergic Disease Investigation" on the pathology report.  I had a low reaction to one food group mix so it is impossible to tell what would be causing the reaction without further testing.  You can make some deductions.

Total IgE was 56 kU/L within the normal range

Allergen specific IgE:
Nut mix
(Peanut, Almond, Coconut, Hazelnut and Brazil nut)  was negative

Seafood mix
(cod, shrimp, tuna, salmon and blue mussel) was negative

Tropical Fruit Mix
(Peach, Kiwi fruit, rockmelon, banana and pineapple) was negative

Food mix
(Egg white, Milk, Wheat, Soya bean, peanut and cod) was a low positive (class 1)

Dr Andrew has marked this for further testing (extended RAST and ISAC suggested on pathology results form) but it is not included on my next list of blood tests.  Either he forgot or knew that it could not be bulk-billed.  It looks like I will need to be paying for something else but it can wait which is what I assume he is thinking.

My new pathology request form now includes:

TSH, ANA, fT3, fT4, TRABs and cortisol which can all be bulk-billed

I am resting and poking about and more comfortable than last week but since doctor day I have had really blurry eyes and have gone hoarse after talking on the phone (to Rob at one stage who is all exited because his son is giving him some money to by land or a house in Cracow if he can find one cheap enough) and the morning pain and loose motions continue along with the generalized aches and other stupid little things.  I'd be happy if we could live without having to eat because it would save me from a lot of gut problems.  I sort of wish Karla was right when she says that we will be living on air and light when the earth enters the fifth or is it sixth dimension - as we become less dense she says.

Main Street Cracow as I saw it in 2007