Question:

Hi Jackie You are right absolutely and I so appreciate everything you said. I need to change my focus and not expect to change my husband’s personality as you stated. Thank you so much to all of you for your kind comments and ideas. I am never alone in this because I have my family of course, but I am also fortunate enough to get to know all of you:-) Nicole C. in Austin Yall "Jackie in CA" <jane…@hotmail.com> wrote in message <news:LxL6b.2734$Yt.445@newsread4.news.pas.earthlink.net>… – Hide quoted text — Show quoted text -> > Some of you may feel that I am over reacting but I am crushed by this. > > I felt betrayed by the one person that could help this disability > > feared dr see the light – failed completely in his task > Hi Nicole, I’m coming in late on this discussion, but I do have > a perspective on the situation you described.  I too, took my > husband with me to help explain the impact of the disease to > my doctor.  I needed his support because I don’t express > myself well.  I felt VERY let down by his attitude and couldn’t > understand why he said so little and seemed reluctant to back > me up.   He explained himself this way:  The doctor is the > authority and it is not up to him to tell the doctor his job!!!!!!!! > In a way, I think it is a "guy" thing. > In retrospect, I can see that this is entirely consistent with his > personality.  He is a retired police officer, a very controlling > type person; an authoritarian.  He could not conceive of > tolerating anyone not in law enforcement telling him how > to do his job, therefore, he could not conceive of what he > considered to be telling the doctor how to do his. > Complicated?  Yes.  Consistent?  Yes. > Once I realized that I could not reasonably expect him to > change his personality, I changed my approach.  I had > to really coach him.  I worked overtime explaining to > him that clarifying symptoms is not telling the man how > to do his job.  It was not until he became quite ill himself > and needed my help that he began to understand what I > needed.  My cause was helped when he ran into a few > incompetent MDs himself!  Even so, you would think > that he was testifying in court to hear him bend over > backwards not to say anything less than a complete and > true fact – and that only when asked! > He’s more helpful at the doctor’s than he used to be. > I’ve lowered my expectations of him.  I’ve also worked > hard at making myself more articulate – even if that means > writing out what I want to say and handing that to the doc > as soon as I can.  I’ve also had to learn to tell any doc > to give me all instructions in writing because I will not > remember otherwise.  If he/she wont, I find another doc. > One of the first lines I write tells the doc to talk slowly > so that I can absorb what is said! > It is still (at age 60+) hard to be assertive with doctors. > I still work at it.  It takes practice, determination and > stubbornness.  I’m still easily thrown off-track but I get > back on-track better than I used to! <g> > Anyway, when you are feeling relaxed, take a good > look at your husband’s personality/characteristics. > Try to find a solution that fits him – I’m sure he wants > to be helpful but that he feels awkward for some > reason. > Good Luck, > Jackie

Response:

> Some of you may feel that I am over reacting but I am crushed by this. > I felt betrayed by the one person that could help this disability > feared dr see the light – failed completely in his task

Hi Nicole, I’m coming in late on this discussion, but I do have a perspective on the situation you described.  I too, took my husband with me to help explain the impact of the disease to my doctor.  I needed his support because I don’t express myself well.  I felt VERY let down by his attitude and couldn’t understand why he said so little and seemed reluctant to back me up.   He explained himself this way:  The doctor is the authority and it is not up to him to tell the doctor his job!!!!!!!! In a way, I think it is a "guy" thing. In retrospect, I can see that this is entirely consistent with his personality.  He is a retired police officer, a very controlling type person; an authoritarian.  He could not conceive of tolerating anyone not in law enforcement telling him how to do his job, therefore, he could not conceive of what he considered to be telling the doctor how to do his. Complicated?  Yes.  Consistent?  Yes. Once I realized that I could not reasonably expect him to change his personality, I changed my approach.  I had to really coach him.  I worked overtime explaining to him that clarifying symptoms is not telling the man how to do his job.  It was not until he became quite ill himself and needed my help that he began to understand what I needed.  My cause was helped when he ran into a few incompetent MDs himself!  Even so, you would think that he was testifying in court to hear him bend over backwards not to say anything less than a complete and true fact – and that only when asked! He’s more helpful at the doctor’s than he used to be. I’ve lowered my expectations of him.  I’ve also worked hard at making myself more articulate – even if that means writing out what I want to say and handing that to the doc as soon as I can.  I’ve also had to learn to tell any doc to give me all instructions in writing because I will not remember otherwise.  If he/she wont, I find another doc. One of the first lines I write tells the doc to talk slowly so that I can absorb what is said! It is still (at age 60+) hard to be assertive with doctors. I still work at it.  It takes practice, determination and stubbornness.  I’m still easily thrown off-track but I get back on-track better than I used to! <g> Anyway, when you are feeling relaxed, take a good look at your husband’s personality/characteristics. Try to find a solution that fits him – I’m sure he wants to be helpful but that he feels awkward for some reason. Good Luck, Jackie

Response:

*hugs* I refuse to take my husband to my doctor’s visits because I fear this more than anything else.  I know that my husband thinks part of my symptoms are "in my head" or related to lack of exercise or poor nutritional habits or any number of other things that "just aren’t healthy."  Anything that means I don’t have an actual illness.  I think this is a defense mechanism for my husband.  He has a lot on his plate already with two children with significant disabilities.  I think that he just doesn’t want to face any possibility that I might really be sick.  Maybe your husband froze up at the doctor’s office and decided inwardly that he really didn’t want to know. I’m not trying to excuse him, I’ve just found that sometimes understanding why my husband responds in a certain way helps me to cope with the response. It doesn’t make me like it, but it helps me to cope with it.  I think it’s really important for couples to talk about these things, to try to communicate their feelings with each other, and I would encourage you to tell your husband how you feel if you are comfortable with doing that. I haven’t learned how to "understand" what is going in the head of the so-called professionals who negatively respond to their patients, downplay symptoms, or recommend psychotherapy.  All I can really say about this is that it might be a good idea to find another doctor.  Especially if that’s what your intuition tells you. Hang in there. Larina P.S. I don’t think chocolate and coke cause lupus symptoms.  I could be mistaken here, but that’s my thought.  As for the Atkin’s diet, I would get a second opinion.  The Atkin’s diet is the fad diet of the day, but there can be some health risks (as with any diet).  Remember, information is power.  Get all the information you can about the Atkin’s diet before you jump into it.  L. "Nicole Clifton" <nrclif…@aol.com> wrote in message

news:e9bd925a.0308271752.20ad8dde@posting.google.com… – Hide quoted text — Show quoted text -> It has been a while for me again been doing just icky. Some of you may > remember that I have had recent issues with my rhuemy in the last year > since filing for disability – he stopped listening and started > seriously downplaying my symptoms? > My fault I should have switched like my intution said… .but > disability professional suggessted otherwise… > My husband went with me for the first time to my dr visit. I told him > I thought this was for our benefit and for the drs. I explained (or so > I thought) that given this change in the doctor it would help my > health care by my husband explaining my symptoms from his point of > view and how they affect our lives.  He says to people we know that > most days he feels like he can’t touch me without my giving a sign of > pain especially in my spine…. > Well, what he did was not the above, instead he decided what would be > most helpful is if he told the doctor that I drink several cokes a day > and like chocoloate and said nothing else of what goes on at home. > What shocked me about this is that, he has to take up so much slack > for me at home and he didn’t talk about it? > I admit (and did in fact share this with my rhuemy on my last visit) > that cokes and chocolate are not good for me or my health I know this. > According to my Dr. or Oncology and Nurtrional Science that is very > common with people who have chronic illness and pain. > The point is I have no problem with my husband bringing this up, if it > is important to him then he should, BUT WHAT IS DRIVING ME CRAZY AND > HURTS BEYOND BELIEF is that he said nothing of all the symptoms and > negative impact my illnesses have on our lives???????? > It was like I was sitting in a good old boy meeting and I was a child > being discussed. They (the dr and my husband) that if I stopped > drinking cokes and eating sugar, I would be essentially cured? My > symptoms to include extreme shortness of breath and mouth ulcers as > well as many others were dismissed. > They also decided that the Dr. of Oncology and Nutrion did not know > what he was talking about and that I should instead follow the Atkins > diet instead of the diet perscribed to me by the nutrional specialist. > Some of you may feel that I am over reacting but I am crushed by this. > I felt betrayed by the one person that could help this disability > feared dr see the light – failed completely in his task > My heart is broken and I feel like I have been sent back to start with > my health care. There is obviously more to this story but the > highlights have been covered. > Have any of you experienced this with your spouse or dr? > One more thing, my dr. actually made fun of lupus support groups and > said they were not helpful???????? > Confused and sad. > Nicole C. in Austin

Response:

In article <e9bd925a.0308271752.20ad8…@posting.google.com>, Nicole Clifton <nrclif…@aol.com> wrote [ >One more thing, my dr. actually made fun of lupus support groups and >said they were not helpful????????

A few do hold that view - one UK consultant said "In my hospital, *I* make the diagnosis" and had all the leaflets taken away. -- Andy [Chair, N E Lupus Group] See http://www.kitzbuhel.demon.co.uk/lupus for more!

Response:

If you really want to have your husband talk about > the household issues brought up by your condition, you may want to think about > going to someone who is better trained and attuned to dealing with this stuff, > rather than your medical doctor.

Hi I appreciate your insight however, i do feel I need to clarify one point. I did not want my husband to discuss his household chores rather I wanted him to discuss my symptoms that directly tie into him having to carry more of the weight in this area.:) Nicole

Response:

On 27 Aug 2003 18:52:56 -0700, Nicole Clifton wrote: > It has been a while for me again been doing just icky. Some of you may > remember that I have had recent issues with my rhuemy in the last year > since filing for disability – he stopped listening and started > seriously downplaying my symptoms? > My fault I should have switched like my intution said… .but > disability professional suggessted otherwise… > My husband went with me for the first time to my dr visit. I told him > I thought this was for our benefit and for the drs. > Nicole C. in Austin

Hi, Nicole 50 lashes with a wet noodle for hubby. Sounds like you have discussed your disappointment with him. Good. It’s time for a new doc. I have been to only a handful of appointments with Linda over the last 23 years. She has rarely needed my support at them. This may be why: Appointment for 4:00 pm, admitted to exam room at 5, Doctor comes in at 5:30. I know this doesn’t look good. Doctor has intern with him. Case is discussed, exam performed, symptoms discussed, course of action discussed, questions answered. Leave office at 7. Oh! that’s why doctor was so late. Linda remembers much more about appointment than I do. Find yourself a new doctor. GOOD LUCK Timothy

Response:

Hi Nicole, You are not over reacting at all. I would feel the same way. I doubt your husband even realized what he was doing. The conversation with the doctor went a certain way and he forgot or didn’t think to mention the most important things. Perhaps this will help you make the decision to change doctors. Follow your intuition. I am sorry you have been so hurt by this. BJ-Sk. Canada "Nicole Clifton" <nrclif…@aol.com> wrote in message

news:e9bd925a.0308271752.20ad8dde@posting.google.com… – Hide quoted text — Show quoted text -> It has been a while for me again been doing just icky. Some of you may > remember that I have had recent issues with my rhuemy in the last year > since filing for disability – he stopped listening and started > seriously downplaying my symptoms? > My fault I should have switched like my intution said… .but > disability professional suggessted otherwise… > My husband went with me for the first time to my dr visit. I told him > I thought this was for our benefit and for the drs. I explained (or so > I thought) that given this change in the doctor it would help my > health care by my husband explaining my symptoms from his point of > view and how they affect our lives.  He says to people we know that > most days he feels like he can’t touch me without my giving a sign of > pain especially in my spine…. > Well, what he did was not the above, instead he decided what would be > most helpful is if he told the doctor that I drink several cokes a day > and like chocoloate and said nothing else of what goes on at home. > What shocked me about this is that, he has to take up so much slack > for me at home and he didn’t talk about it? > I admit (and did in fact share this with my rhuemy on my last visit) > that cokes and chocolate are not good for me or my health I know this. > According to my Dr. or Oncology and Nurtrional Science that is very > common with people who have chronic illness and pain. > The point is I have no problem with my husband bringing this up, if it > is important to him then he should, BUT WHAT IS DRIVING ME CRAZY AND > HURTS BEYOND BELIEF is that he said nothing of all the symptoms and > negative impact my illnesses have on our lives???????? > It was like I was sitting in a good old boy meeting and I was a child > being discussed. They (the dr and my husband) that if I stopped > drinking cokes and eating sugar, I would be essentially cured? My > symptoms to include extreme shortness of breath and mouth ulcers as > well as many others were dismissed. > They also decided that the Dr. of Oncology and Nutrion did not know > what he was talking about and that I should instead follow the Atkins > diet instead of the diet perscribed to me by the nutrional specialist. > Some of you may feel that I am over reacting but I am crushed by this. > I felt betrayed by the one person that could help this disability > feared dr see the light – failed completely in his task > My heart is broken and I feel like I have been sent back to start with > my health care. There is obviously more to this story but the > highlights have been covered. > Have any of you experienced this with your spouse or dr? > One more thing, my dr. actually made fun of lupus support groups and > said they were not helpful???????? > Confused and sad. > Nicole C. in Austin

Response:

In some ways, this seems to me a typical male-female dynamic. Oftentimes, when couples go together for counseling, the women wants to talk about the emotional/couples issues while the man wants to dive right into tactical issues because he wants to "fix" things. For instance, studies show that spouses of men with arthritis love to go to cognitive behavorial counseling sessions with them. However, the men hate to have their spouses go – because the men think the women take up too much time talking about the emotional stuff as opposed to specific strategies for dealing with the condition. But the upshot is the studies also show that these same men, who are reticent to have their wives accompany them, have more benefits from the cognitive behavorial sessions when their wives go with them. If you really want to have your husband talk about the household issues brought up by your condition, you may want to think about going to someone who is better trained and attuned to dealing with this stuff, rather than your medical doctor. << It has been a while for me again been doing just icky. Some of you may remember that I have had recent issues with my rhuemy in the last year since filing for disability – he stopped listening and started seriously downplaying my symptoms? My fault I should have switched like my intution said… .but disability professional suggessted otherwise… My husband went with me for the first time to my dr visit. I told him I thought this was for our benefit and for the drs. I explained (or so I thought) that given this change in the doctor it would help my health care by my husband explaining my symptoms from his point of view and how they affect our lives.  He says to people we know that most days he feels like he can’t touch me without my giving a sign of pain especially in my spine…. Well, what he did was not the above, instead he decided what would be most helpful is if he told the doctor that I drink several cokes a day and like chocoloate and said nothing else of what goes on at home. What shocked me about this is that, he has to take up so much slack for me at home and he didn’t talk about it? I admit (and did in fact share this with my rhuemy on my last visit) that cokes and chocolate are not good for me or my health I know this. According to my Dr. or Oncology and Nurtrional Science that is very common with people who have chronic illness and pain. The point is I have no problem with my husband bringing this up, if it is important to him then he should, BUT WHAT IS DRIVING ME CRAZY AND HURTS BEYOND BELIEF is that he said nothing of all the symptoms and negative impact my illnesses have on our lives???????? It was like I was sitting in a good old boy meeting and I was a child being discussed. They (the dr and my husband) that if I stopped drinking cokes and eating sugar, I would be essentially cured? My symptoms to include extreme shortness of breath and mouth ulcers as well as many others were dismissed. They also decided that the Dr. of Oncology and Nutrion did not know what he was talking about and that I should instead follow the Atkins diet instead of the diet perscribed to me by the nutrional specialist. Some of you may feel that I am over reacting but I am crushed by this. I felt betrayed by the one person that could help this disability feared dr see the light – failed completely in his task My heart is broken and I feel like I have been sent back to start with my health care. There is obviously more to this story but the highlights have been covered. Have any of you experienced this with your spouse or dr? One more thing, my dr. actually made fun of lupus support groups and said they were not helpful???????? Confused and sad. Nicole C. in Austin – Hide quoted text — Show quoted text –

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- Hide quoted text — Show quoted text -bruce wrote: >>The point is I have no problem with my husband bringing this up, if it >>is important to him then he should, BUT WHAT IS DRIVING ME CRAZY AND >>HURTS BEYOND BELIEF is that he said nothing of all the symptoms and >>negative impact my illnesses have on our lives???????? >  Nicole C. in Austin > Hugs Nic >  Maggie said it better than I can , but what I see is that hubby may have > seen the DR. as god and feared going head to head with him. > You have the right to be hurt as he did defend and support you. > That DR. is not for you , change now if you can , female intuition is seldom > wrong!!! > Me feels that strong coaching by you to hubby with electric cattle prod is > in order. > Bruce On. " Grrrrrrrrr "

lol Bruce!  (((Nicole)))  I too think maybe hubby got tongue tied at the docs, and didn’t mean to make it seem he thought it was all about the chocolate and cokes, but I wasn’t an eye-witness, just through reading the account it sounds to me like this is true.  I agree completely with Bruce that you need a new MD, and as soon as possible!  When I found the right doc, I didn’t need my hubby to defend me.  They’ve never even met, and I’m getting the best care I’ve ever had.  Good luck finding a new doc!  It’s one of the hardest things I had to do, but now that it’s over, I am so glad I pursued it despite all the doubts from docs and loved ones, including myself. Reassuring hugs for you, -Sharon — "Don’t make me come down there…"                            -God

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> The point is I have no problem with my husband bringing this up, if it > is important to him then he should, BUT WHAT IS DRIVING ME CRAZY AND > HURTS BEYOND BELIEF is that he said nothing of all the symptoms and > negative impact my illnesses have on our lives????????

 Nicole C. in Austin Hugs Nic  Maggie said it better than I can , but what I see is that hubby may have seen the DR. as god and feared going head to head with him. You have the right to be hurt as he did defend and support you. That DR. is not for you , change now if you can , female intuition is seldom wrong!!! Me feels that strong coaching by you to hubby with electric cattle prod is in order. Bruce On. " Grrrrrrrrr "

Response:

(((((((((((((((((((((Nicole)))))))))))))))))))))))) IMO, this quack of a doc will be of little use to you when it comes to your disability application. In fact, he’ll probably hurt your chances with his attitude!  Also, IMO, if he’s so dead-set against support groups, it’s probably because he’s an alcoholic or addict in denial. (That was more for your amusement than a judgement, BTW. :) ) My hope is that your husband will see how badly you need his support. It’s hard for "healthy" people to comprehend just what all we go through.  I don’t think he means to blame everything on coke & chocolate, but I know it feels like he is doing just that. You need a doctor that is concerned for your overall well being & a good doctor can explain your condition to your husband when you need him/her to.  A doctor may say something like: "Although, Nicole may eat too much chocolate & drink too much pop & although it is true that she may feel much better if she were to limit or cease her consumption of these products, her disease cannot be blamed on said products or we would have an epidemic equal to that of the plague." : ) Hang tough, hon! Hugs, Maggie

Response:

:(  Hugs Nicole, and I know that won’t help…. Cindy "Nicole Clifton" <nrclif…@aol.com> wrote in message

news:e9bd925a.0308271752.20ad8dde@posting.google.com… – Hide quoted text — Show quoted text -> It has been a while for me again been doing just icky. Some of you may > remember that I have had recent issues with my rhuemy in the last year > since filing for disability – he stopped listening and started > seriously downplaying my symptoms? > My fault I should have switched like my intution said… .but > disability professional suggessted otherwise… > My husband went with me for the first time to my dr visit. I told him > I thought this was for our benefit and for the drs. I explained (or so > I thought) that given this change in the doctor it would help my > health care by my husband explaining my symptoms from his point of > view and how they affect our lives.  He says to people we know that > most days he feels like he can’t touch me without my giving a sign of > pain especially in my spine…. > Well, what he did was not the above, instead he decided what would be > most helpful is if he told the doctor that I drink several cokes a day > and like chocoloate and said nothing else of what goes on at home. > What shocked me about this is that, he has to take up so much slack > for me at home and he didn’t talk about it? > I admit (and did in fact share this with my rhuemy on my last visit) > that cokes and chocolate are not good for me or my health I know this. > According to my Dr. or Oncology and Nurtrional Science that is very > common with people who have chronic illness and pain. > The point is I have no problem with my husband bringing this up, if it > is important to him then he should, BUT WHAT IS DRIVING ME CRAZY AND > HURTS BEYOND BELIEF is that he said nothing of all the symptoms and > negative impact my illnesses have on our lives???????? > It was like I was sitting in a good old boy meeting and I was a child > being discussed. They (the dr and my husband) that if I stopped > drinking cokes and eating sugar, I would be essentially cured? My > symptoms to include extreme shortness of breath and mouth ulcers as > well as many others were dismissed. > They also decided that the Dr. of Oncology and Nutrion did not know > what he was talking about and that I should instead follow the Atkins > diet instead of the diet perscribed to me by the nutrional specialist. > Some of you may feel that I am over reacting but I am crushed by this. > I felt betrayed by the one person that could help this disability > feared dr see the light – failed completely in his task > My heart is broken and I feel like I have been sent back to start with > my health care. There is obviously more to this story but the > highlights have been covered. > Have any of you experienced this with your spouse or dr? > One more thing, my dr. actually made fun of lupus support groups and > said they were not helpful???????? > Confused and sad. > Nicole C. in Austin

Response:

It has been a while for me again been doing just icky. Some of you may remember that I have had recent issues with my rhuemy in the last year since filing for disability – he stopped listening and started seriously downplaying my symptoms? My fault I should have switched like my intution said… .but disability professional suggessted otherwise… My husband went with me for the first time to my dr visit. I told him I thought this was for our benefit and for the drs. I explained (or so I thought) that given this change in the doctor it would help my health care by my husband explaining my symptoms from his point of view and how they affect our lives.  He says to people we know that most days he feels like he can’t touch me without my giving a sign of pain especially in my spine…. Well, what he did was not the above, instead he decided what would be most helpful is if he told the doctor that I drink several cokes a day and like chocoloate and said nothing else of what goes on at home. What shocked me about this is that, he has to take up so much slack for me at home and he didn’t talk about it? I admit (and did in fact share this with my rhuemy on my last visit) that cokes and chocolate are not good for me or my health I know this. According to my Dr. or Oncology and Nurtrional Science that is very common with people who have chronic illness and pain. The point is I have no problem with my husband bringing this up, if it is important to him then he should, BUT WHAT IS DRIVING ME CRAZY AND HURTS BEYOND BELIEF is that he said nothing of all the symptoms and negative impact my illnesses have on our lives???????? It was like I was sitting in a good old boy meeting and I was a child being discussed. They (the dr and my husband) that if I stopped drinking cokes and eating sugar, I would be essentially cured? My symptoms to include extreme shortness of breath and mouth ulcers as well as many others were dismissed. They also decided that the Dr. of Oncology and Nutrion did not know what he was talking about and that I should instead follow the Atkins diet instead of the diet perscribed to me by the nutrional specialist. Some of you may feel that I am over reacting but I am crushed by this. I felt betrayed by the one person that could help this disability feared dr see the light – failed completely in his task My heart is broken and I feel like I have been sent back to start with my health care. There is obviously more to this story but the highlights have been covered. Have any of you experienced this with your spouse or dr? One more thing, my dr. actually made fun of lupus support groups and said they were not helpful???????? Confused and sad. Nicole C. in Austin

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Question:

– Hide quoted text — Show quoted text – Hi all—just found this group tonight, and hoping for a little cheerful group commiserating…are there any others dealing with peripheral neuropathy?  I have neuropathy in my hands and feet, with both feet affected by charcot joint syndrome, and am finding myself less and less able to cope, and less and less able to adjust to the idea that I will live the rest of my life like this, with only the possibility/probability that it will worsen.  I am a nurse, and having to quit my job in the newborn intensive care unit to do a ‘desk job’ because i can no longer tolerate being on my feet and am not able to hold/grip/open etc with my hands…i’m becoming disabled, and i don’t like that feeling… I’ve also just been diagnosed with retinopathy in my left eye, and am terrified of becoming blind…with a six month waiting list to be seen at my local eye clinic for evaluation regarding laser surgery, i am getting frantic… More and more things are going wrong, and I need a little encouragement…please… thanks in advance, Anna

I know nothing of your problems and can only guess at what you might be going through in your mind. But – one thing is clear, from what you say it is clear that you are not short of the greu stuff<G otherwise you wouldn’t be in the job you are in. A year ago I couldn’t even begin to imagine what it must be like to be disabled let alone become so, after haveing good health for as long as I have. Now I can see clearer because I am heading down that road myself, albeit slowly. It is very hard to adjust but as you well know from your work, the human mind and body are wonderful at adapting and human ingenuity is exceptional. You have it in you to get through this, it won’t be easy but then nothing worthwhile is. The thin that I think is the most terrifying is the massive lifestyle changes that might be ahead. But they won’t all have to be made in an instant and things will change slowly. If you learn to adjust at the same pace you might be surprised at what you can do. You just need to accept that things will never go back to the way they were. What might help is if you try to discover something you can focus on. Like a new vocation or interest which you might like to have a go at and which will alow you to do or participate in in spite of the disabilities that are creeping up on you. Your ingenuity and imagination are tools that will make all the difference. My mother at 80 is virtualy crippled and housebound. She does not look her age and though badly overweight, is still not bad looking. I don’t see her as often as I like but when I go over to visit, we sit for hours yakking about anything and everything. She has a good memory and intellect and sometimes I am amazed at the things she says. One day I said that she ought to write down some of her memories and observations as well as some of the poems she infrequently writes. That was a few years ago now. Last year she beamed with pride as she showed me a few pages of a magazine article that had been pulled out by my ex-sister in law and taken around to her. "Is this you" my sister in law enquired. The article was quite long and was a narative about her daily life, what she does and thinks. I read it as my sister in law nattered on, clearly impressed. I cannot begin to explain what I felt after reading the very personal account of a lonely old womans life. But I was very very proud and impressed. My mum said that the money the publishers sent to her was used to get my last birthday present – as well as pay off a few bills. I wish she would continue to write but she says that she does not have the patience with herself. I asked her what prompted her, was it me mentioning it? No, she decided she was bored and fed up with her life and all the dificulties and one morning [03:00 am] set about writing it all down to get it out of her system. Perhaps your experience would be of value to others who might be in a similar situation and just as frightened as you are. I am sure you have hidden talents that so far have not shown through for one reason or another. Perhaps there is an opportunity in the offing here for them to see the light of day. Cheer up chuck…..for every piece of crap life throws at you there is a little bit of good fortune around the corner. This is just another of lifes little exams and you have to study and pass them. You have done it before and you can do it again. Pete Pete – Diagnosed 20/03/03 Type II D&E + Gliclazide

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– Hide quoted text — Show quoted text – Hi all—just found this group tonight, and hoping for a little cheerful group commiserating…are there any others dealing with peripheral neuropathy?  I have neuropathy in my hands and feet, with both feet affected by charcot joint syndrome, and am finding myself less and less able to cope, and less and less able to adjust to the idea that I will live the rest of my life like this, with only the possibility/probability that it will worsen.  I am a nurse, and having to quit my job in the newborn intensive care unit to do a ‘desk job’ because i can no longer tolerate being on my feet and am not able to hold/grip/open etc with my hands…i’m becoming disabled, and i don’t like that feeling… I’ve also just been diagnosed with retinopathy in my left eye, and am terrified of becoming blind…with a six month waiting list to be seen at my local eye clinic for evaluation regarding laser surgery, i am getting frantic… More and more things are going wrong, and I need a little encouragement…please…

Hi Anna, sorry you have to be here :(  The only thing encouraging I can say is that the closer our bg’s are to normal non diabetic numbers, the better our chances of avoiding complications. Neuropathies can often be reversed or greatly lessened just by gaining control.  Retinopathy can be prevented from progressing.  Please forgive me if you already have control, I am only speaking from the collective experiences of those I know in the diabetes groups. This group & alt.support.diabetes misc.health.diabetes There is a high volume of problems talked about in all these groups, people share their experiences and what helps them, perhaps you would like to post to all 3 groups for maximum chances of advice.  In misc.health.diabetes for instance, there is an endocrinologist and a number of extremely knowledgeable people who have researched diabetes at much higher levels than the average googler. The following link is to the FAQ’s of misc.health.diabetes: — http://www.faqs.org/faqs/diabetes/ This is a cheerful group but you will hear some straight talking too.

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Sorry to hear your news Anna. What are the symptoms of the Charcot syndrome ?

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Sorry to hear your news Anna. What are the symptoms of the Charcot syndrome ?

Hi, and thanks all who wrote—sometimes it helps just to know others are out there who, while they may not "know" you, do actually care. Peter—I can only speak for myself, but it seems a pretty typical presentation that I went through: I started off with a pain in my usually vaguely numb left foot, and was diagnosed with heel spurs.  My foot progressed to becoming warm to touch, red, swollen and seemed, over time, to get ‘flatter’ and lose its shape.  The swelling went up to about my knee, and I have a photo of my leg that looks like a beached whale next to my right one.  No real pain involved, but the numbness grew worse, and it felt like I was wearing a very tight sock (probably because of the swelling, that never went down, even at night…).  I was sent from pillar to post of health care—orthopedics, rheumatologists (told I had arthritis AND lupus), and finally to a vascular surgeon for evaluation for amputation. Thank God he referred me to a foot specialist who put me in plaster for 5 months, changing the cast every 3-5 days, saving my leg, even though my foot is grossly deformed.  I got married the day after the cast came off, in a double-upright metal brace, clumping down the aisle like the bride of frankenstein—LOL. Apparently the way charcot works is the neuropathy allows micro-damage to the foot bones; you can’t feel the bumps and bangs, so your foot takes a greater beating than it would normally.  This sets off an inflammatory response, that, because of the neuro damage, is exaggerated.  The inflammatory response actually leads to the destruction of the bones–makes them soft and powdery, and they break.  The treatment is non-weightbearing, immobility—in the case of my first foot (in the USA), plaster casts changed frequently to match the reduction of swelling, and for the second foot (in the UK), an air cast (definitely not ideal since it comes off; not good for non-compliant people like myself…sigh…)  It seems in the UK they don’t reccomend braces for day to day use, and I have shoes from the surgical appliance department.  My days as a foot model and ballerina are over!  LOL Am I really the only one on this list with this condition?  One for the text books, me….LOL Cheers, Anna

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Thanks for that Anna. You are very brave. I have troublesome feet but nothing like you have lived with.

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Hi all—just found this group tonight, and hoping for a little cheerful group commiserating…are there any others dealing with peripheral neuropathy?  I have neuropathy in my hands and feet, with both feet affected by charcot joint syndrome, and am finding myself less and less able to cope, and less and less able to adjust to the idea that I will live the rest of my life like this, with only the possibility/probability that it will worsen.  I am a nurse, and having to quit my job in the newborn intensive care unit to do a ‘desk job’ because i can no longer tolerate being on my feet and am not able to hold/grip/open etc with my hands…i’m becoming disabled, and i don’t like that feeling… I’ve also just been diagnosed with retinopathy in my left eye, and am terrified of becoming blind…with a six month waiting list to be seen at my local eye clinic for evaluation regarding laser surgery, i am getting frantic… More and more things are going wrong, and I need a little encouragement…please… thanks in advance, Anna

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Question:

I have had very severe vasculitis in my hands and feet during the 1980 so it involved swelling and pain in my toes and fingers. on the whole it resolved when my lupus was treated at that time prednisolone was the treatment used .It consisted of red painful lumps, which leads to numbness in the feet and hands eventually. It is not pleasant ,but can lead to cerebral involvement  which can lead to strokes which did happen in my case , so it should not be taken lightly . Warmest wishes Erina

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Erina, I’m sorry to hear that you have vasculitis.  Did I read correctly that you did have a stroke?  I feel for you as strokes have run in my father’s family as well as My wife’s family. My wife, Kelley (43), has been battling both SLE and DLE throughout her system since Apr01.  It has now turned on to her kidneys, heart and caused vasculitis in her brain among a host of symptoms.  Both we and her doctors at Walter Reed are very concerned.  We don’t know what her longterm prognosis will be (hopeful, but realistic too), but Kelley gave me a bad scare over the holidays as her kidneys and bowels shut down for several days as a result of severe dehydration due to catching the flu.  Unfortunately, I was the culprit that brought it home to her.  10 days at Walter Reed got her up and going again thank God.  Neither of us is ready for my to be a single parent of our 3-year old daughter, Kelsey (who is currently staying with my sister for the next 2 months while Kelley recuperates). Kelley finds herself being forced to face this head on now as she was in denial for a long time.  It is hard for me as her caregiver as I feel that I’m standing on the sidelines only offering comfort, but it is the best that I can offer. regards, Daniel "Erina" <er…@btinternet.com> wrote in message

news:bu8in2$dq5$1@hercules.btinternet.com… – Hide quoted text — Show quoted text -> I have had very severe vasculitis in my hands and feet during the 1980 so it > involved swelling and pain in my toes and fingers. on the whole it resolved > when my lupus was treated at that time prednisolone was the treatment used > .It consisted of red painful lumps, which leads to numbness in the feet and > hands eventually. > It is not pleasant ,but can lead to cerebral involvement  which can lead to > strokes which did happen in my case , so it should not be taken lightly . > Warmest wishes > Erina

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<Antonso…@comcast.net> wrote in message

: Erina, : I’m sorry to hear that you have vasculitis.  Did I read correctly that you : did have a stroke?  I feel for you as strokes have run in my father’s family : as well as My wife’s family. : My wife, Kelley (43), has been battling both SLE and DLE throughout her : system since Apr01.  It has now turned on to her kidneys, heart and caused : vasculitis in her brain among a host of symptoms.  Both we and her doctors : at Walter Reed are very concerned.  We don’t know what her longterm : prognosis will be (hopeful, but realistic too) : Kelley finds herself being forced to face this head on now as she was in : denial for a long time.  It is hard for me as her caregiver as I feel that : I’m standing on the sidelines only offering comfort, but it is the best that : I can offer. : regards, : Daniel Oh Daniel that is just wonderful ! …. I mean the fact that you can and are offering her comfort and support! That is so much more than alot of the members here have in their court and it says alot about your character as well as the obvious fact that you love her! I wish you both tremendous good luck and an excellent prognosis which finds you both doting on each other in your ‘old age’! <g> Hugs from Shelagh

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Daniel I have survived 22 year since my stroke but I am considerably dis disabled now.      I have had to fight my Drs all along the way. Offering comfort is very valuable to the patient. It is the small  things that are often appreciated most in life because they show you care and love them, Warmest wishes Erina "Shelagh" <tidering…@shaw.ca> wrote in message

news:c52Ob.137433$ts4.101422@pd7tw3no… – Hide quoted text — Show quoted text -> <Antonso…@comcast.net> wrote in message > : Erina, > : I’m sorry to hear that you have vasculitis.  Did I read > correctly that you > : did have a stroke?  I feel for you as strokes have run in my > father’s family > : as well as My wife’s family. > : My wife, Kelley (43), has been battling both SLE and DLE > throughout her > : system since Apr01.  It has now turned on to her kidneys, heart > and caused > : vasculitis in her brain among a host of symptoms.  Both we and > her doctors > : at Walter Reed are very concerned.  We don’t know what her > longterm > : prognosis will be (hopeful, but realistic too) > : Kelley finds herself being forced to face this head on now as > she was in > : denial for a long time.  It is hard for me as her caregiver as > I feel that > : I’m standing on the sidelines only offering comfort, but it is > the best that > : I can offer. > : regards, > : Daniel > Oh Daniel that is just wonderful ! > …. I mean the fact that you can and are offering her comfort > and support! > That is so much more than alot of the members here have in their > court and it says alot about your character as well as the > obvious fact that you love her! > I wish you both tremendous good luck and an excellent prognosis > which finds you both doting on each other in your ‘old age’! <g> > Hugs from Shelagh

Response:

Hi Daniel, I was glad to see you back here again. I am so sorry to hear that Kelley has had such a bad time. It sounds best that Kelsey be with her auntie for a while. There is no way either of you could handle looking after her right now. The focus has to be on Kelley’s recovery. I don’t know what to say, really. Things can turn around suddenly and Kelley could find herself doing much better. Even so, she will have an uphill climb. I know how long it can take to come back from a lengthy flare. I am glad that she has you for support. I hope you have someone with whom you can share your emotions. All this is hard on the caregiver too. We are here, whenever you need to talk. I wish you and your family all the best. I will keep you in my thoughts. BJ-Sk. Canada <Antonso…@comcast.net> wrote in message

news:iZqdndL074QGPpXd4p2dnA@comcast.com… – Hide quoted text — Show quoted text -> Erina, > I’m sorry to hear that you have vasculitis.  Did I read correctly that you > did have a stroke?  I feel for you as strokes have run in my father’s family > as well as My wife’s family. > My wife, Kelley (43), has been battling both SLE and DLE throughout her > system since Apr01.  It has now turned on to her kidneys, heart and caused > vasculitis in her brain among a host of symptoms.  Both we and her doctors > at Walter Reed are very concerned.  We don’t know what her longterm > prognosis will be (hopeful, but realistic too), but Kelley gave me a bad > scare over the holidays as her kidneys and bowels shut down for several days > as a result of severe dehydration due to catching the flu.  Unfortunately, I > was the culprit that brought it home to her.  10 days at Walter Reed got her > up and going again thank God.  Neither of us is ready for my to be a single > parent of our 3-year old daughter, Kelsey (who is currently staying with my > sister for the next 2 months while Kelley recuperates). > Kelley finds herself being forced to face this head on now as she was in > denial for a long time.  It is hard for me as her caregiver as I feel that > I’m standing on the sidelines only offering comfort, but it is the best that > I can offer. > regards, > Daniel > "Erina" <er…@btinternet.com> wrote in message > news:bu8in2$dq5$1@hercules.btinternet.com… > > I have had very severe vasculitis in my hands and feet during the 1980 so > it > > involved swelling and pain in my toes and fingers. on the whole it > resolved > > when my lupus was treated at that time prednisolone was the treatment used > > .It consisted of red painful lumps, which leads to numbness in the feet > and > > hands eventually. > > It is not pleasant ,but can lead to cerebral involvement  which can lead > to > > strokes which did happen in my case , so it should not be taken lightly . > > Warmest wishes > > Erina

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>Subject: Re: Vasculitis >From: "Erina" er…@btinternet.com >Date: 1/27/2004 3:21 AM Mountain Standard Time >Message-id: <bv5e33$53…@sparta.btinternet.com> >Doe, I am treated at St. Georges hospital now but by Dr. Axford , the >rheumatologist and immunologist. I also trained there years ago >Warm wishes >Erina

Seems to me the name Oliveira DB rings a bell ..? Is she the same person who ‘rang the alarm’ as to the persecution she encountered when she ’stepped up’ and attempted to ‘discuss’ the problems she found with the trials of the iron binder / chelator desferrioxamine .. ? She is heavily into the iron studies and she might not be adverse to attempting to understand the implications of too much iron in the body .. which leads to a depletion of ‘anti’oxidants. Vasculitis has been recently SHOWN to be implicated in the SAME syndrome .. iron overload. **For the first time, we present one patient with vasculitis of the central nervous system associated with systemic hemochromatosis in superficial siderosis. Therapeutic approach included immunosuppressive therapy and venupunctures in the patient with vasculitis and hemochromatosis, and symptomatic treatment with chelating agents and antioxidants. The patient remained clinically stable for the follow-up period of up to 2 years. CONCLUSIONS: Our case underlines the pathogenetic heterogeneity of superficial siderosis and favors the early diagnosis for prompt initiation of therapy. Besides treatment of the underlying condition, antioxidants and radical scavengers may be effective in halting the progression of the disease** Acta Neurol Scand. 2003 Jan;107(1):54-61. Related Articles, Links Superficial siderosis of the central nervous system: pathogenetic heterogeneity and therapeutic approaches. Leussink VI, Flachenecker P, Brechtelsbauer D, Bendszus M, Sliwka U, Gold R, Becker G. Department of Neurology, University of Wurzburg, Germany. verena.leuss…@mail.uni-weurzburg.de OBJECTIVE: Superficial siderosis of the central nervous system (CNS) is a rare chronic progressive disorder caused by chronic subarachnoid hemorrhage. We present four patients with superficial siderosis of the CNS to describe the characteristic symptoms, and to discuss the pathogenetic heterogeneity and possible new therapeutic approaches. RESULTS: The causes of chronic subarachnoid bleeding in superficial siderosis were different. In two patients surgical treatment of ependymoma or cerebral cavernomas were the underlying diseases. No cause was detected in one patient. For the first time, we present one patient with vasculitis of the central nervous system associated with systemic hemochromatosis in superficial siderosis. Therapeutic approaches included exstirpation of cavernomas as the source of chronic bleeding in one patient, immunosuppressive therapy and venupunctures in the patient with vasculitis and hemochromatosis, and symptomatic treatment with chelating agents and antioxidants. The patients remained clinically stable for the follow-up period of up to 2 years. CONCLUSIONS: Our cases underline the pathogenetic heterogeneity of superficial siderosis and favor the early diagnosis for prompt initiation of therapy. Besides treatment of the underlying condition, antioxidants and radical scavengers may be effective in halting the progression of the disease. PMID: 12542514 [PubMed - indexed for MEDLINE] ————————————————————————– —— – Hide quoted text — Show quoted text ->"doe" <ironjust…@aol.comdoe> wrote in message >news:20040126112217.12748.00000855@mb-m29.aol.com… >> >Subject: Vasculitis >> Int Immunol. 2002 Mar; 14(3): 267-73.  Related Articles, Links >> Antioxidants inhibit mercuric chloride-induced early vasculitis. >> Wu Z, Turner DR, Oliveira DB. >> Division of Renal Medicine, St George’s Hospital Medical School, Cranmer >> Terrace, London SW17 0RE, UK. z…@sghms.ac.uk >> PMID: 11867563 [PubMed - indexed for MEDLINE] >> ————————————————————————–

Who loves ya. Tom Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com Man Is A Herbivore! http://pages.ivillage.com/ironjustice/manisaherbivore DEAD PEOPLE WALKING http://pages.ivillage.com/ironjustice/deadpeoplewalking

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While vasculitis secondary to some primary autoimmune disease such as lupus may respond to prednisolone alone, primary autoimmune vasculitides do not all go into remission on a corticosteroid alone.  A number of the primary autoimmune vasculitides require more aggressive treatment. Bruce

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>Subject: Vasculitis

Int Immunol. 2002 Mar; 14(3): 267-73.  Related Articles, Links   Antioxidants inhibit mercuric chloride-induced early vasculitis. Wu Z, Turner DR, Oliveira DB. Division of Renal Medicine, St George’s Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK. z…@sghms.ac.uk In the Brown Norway (BN) rat, mercuric chloride (HgCl(2)) induces a T(h)2-dominated autoimmune syndrome which includes an early phase of mast cell-dependent vasculitis. We have shown in vitro that oxidative stress up-regulates IL-4 in mast cells and predisposes to degranulation. The aim of this study was to determine whether administration of antioxidants inhibits HgCl(2)-induced early vasculitis in vivo, and, if so, to examine whether modulation of the oxidative/antioxidative balance influences IgE and IL-4 expression by mast cells in situ. Groups of rats were given HgCl(2) + saline, HgCl(2) + N-acetyl-L-cysteine (NAC), saline + saline or saline + NAC respectively and blood was taken and animals killed 48 h later. NAC significantly reduced both HgCl2-induced early vasculitis and HgCl(2)-enhanced IgE expression on mast cells with a trend to a decrease in HgCl(2)-enhanced IL-4 expression in these cells. In addition, there was an increased rat mast cell protease (RMCP) II concentration in the serum after HgCl(2) injection and the elevated levels of RMCP II stimulated by HgCl(2) were totally abolished by the administration NAC in the HgCl(2) + NAC group. However, there was no significant change in serum total IgE concentrations between the HgCl(2) + saline group and the HgCl(2) + NAC group. The non-sulphydryl-containing antioxidants desferrioxamine and pyruvate demonstrated a similar effect in inhibiting HgCl(2)-induced early vasculitis. Our data show that administration of an antioxidant to BN rats reduces HgCl(2)-induced early vasculitis, suggesting that oxidative stress plays a role in the pathogenesis of HgCl(2)-induced early vasculitis. This finding may have implications for the understanding of the initiation in this experimental model of T(h)2 cell-driven autoimmunity and possibly of analogous human diseases. PMID: 11867563 [PubMed - indexed for MEDLINE] ————————————————————————– —— Who loves ya. Tom Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com Man Is A Herbivore! http://pages.ivillage.com/ironjustice/manisaherbivore DEAD PEOPLE WALKING http://pages.ivillage.com/ironjustice/deadpeoplewalking

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Doe, I am treated at St. Georges hospital now but by Dr. Axford , the rheumatologist and immunologist. I also trained there years ago Warm wishes Erina "doe" <ironjust…@aol.comdoe> wrote in message

news:20040126112217.12748.00000855@mb-m29.aol.com… – Hide quoted text — Show quoted text -> >Subject: Vasculitis > Int Immunol. 2002 Mar; 14(3): 267-73.  Related Articles, Links > Antioxidants inhibit mercuric chloride-induced early vasculitis. > Wu Z, Turner DR, Oliveira DB. > Division of Renal Medicine, St George’s Hospital Medical School, Cranmer > Terrace, London SW17 0RE, UK. z…@sghms.ac.uk > In the Brown Norway (BN) rat, mercuric chloride (HgCl(2)) induces a > T(h)2-dominated autoimmune syndrome which includes an early phase of mast > cell-dependent vasculitis. We have shown in vitro that oxidative stress > up-regulates IL-4 in mast cells and predisposes to degranulation. The aim of > this study was to determine whether administration of antioxidants inhibits > HgCl(2)-induced early vasculitis in vivo, and, if so, to examine whether > modulation of the oxidative/antioxidative balance influences IgE and IL-4 > expression by mast cells in situ. Groups of rats were given HgCl(2) + saline, > HgCl(2) + N-acetyl-L-cysteine (NAC), saline + saline or saline + NAC > respectively and blood was taken and animals killed 48 h later. NAC > significantly reduced both HgCl2-induced early vasculitis and HgCl(2)-enhanced > IgE expression on mast cells with a trend to a decrease in HgCl(2)-enhanced > IL-4 expression in these cells. In addition, there was an increased rat mast > cell protease (RMCP) II concentration in the serum after HgCl(2) injection and > the elevated levels of RMCP II stimulated by HgCl(2) were totally abolished by > the administration NAC in the HgCl(2) + NAC group. However, there was no > significant change in serum total IgE concentrations between the HgCl(2) + > saline group and the HgCl(2) + NAC group. The non-sulphydryl-containing > antioxidants desferrioxamine and pyruvate demonstrated a similar effect in > inhibiting HgCl(2)-induced early vasculitis. Our data show that administration > of an antioxidant to BN rats reduces HgCl(2)-induced early vasculitis, > suggesting that oxidative stress plays a role in the pathogenesis of > HgCl(2)-induced early vasculitis. This finding may have implications for the > understanding of the initiation in this experimental model of T(h)2 cell-driven > autoimmunity and possibly of analogous human diseases. > PMID: 11867563 [PubMed - indexed for MEDLINE] > ————————————————————————– > —— > Who loves ya. > Tom > Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com > Man Is A Herbivore! http://pages.ivillage.com/ironjustice/manisaherbivore > DEAD PEOPLE WALKING

http://pages.ivillage.com/ironjustice/deadpeoplewalking – Hide quoted text — Show quoted text –

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Hello friends! Could someone please explain what this disease is(Vasculitis) andor post links that would help me to find out. TIA Hugs, Susan

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To learn about vasculitis, try these urls: http://vasculitis.med.jhu.edu/ http://www.blackandwhite.org/savvy/vascu.html http://www.medscape.com/2906.rhtml —

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Vasculitis is inflammation of the blood vessels, and such inflammation can lead to features detectable in the skin. Cutaneous vasculits needs agressive treatment. These lesions often appear as red or black dots or hard spots and are painful.  If untreated cutaneous vasculitis can result in breakdown of the skin. Do you have The Lupus book By Dr Daniel Wallace..I suggest if not then you get it.  It has been a great help to me.  A whole section on vasculits in it.  Get both books the Revised Edition too… You can maybe get it in the library.  But I suggest you buy it.  I did on line at Amazon.com and it was cheaper.  Sent it right to me in 2 days… Also you may want to go to theses sites. KCat http://www.ghg.net/schwerpt/mypage.htm http://www.ghg.net/schwerpt/aslfaq20.htm . Lupus Foundation of America (Lots of current information and support groups.) http://internet-plaza.net/lupus/ Lupus Around the World (ONE OF MY FAVORITES!  Great search function, Ask a Doc, and support groups.) http://www.mtio.com/lupus North East Lupus Group Homepage (Andy Taylor’s Page)  (One of the best lupus websites around.)    http://www.kitzbuhel.demon.co.uk/lupus/index.htm About.com (Literally tons of information and links on many other topics as well.) http://lupus.about.com/health/lupus/ Hope this helps……Janers

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Thanks Janers, your a very sweet, helpful person!! Hugs, Susan

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I have had vasculitis 3 times.  All three times in my toes, and once it also involved my leg.  The most painful was the toes.  The treatment was prednisone for a week.  I had it the first time 25 years ago.  Then, in March 2002 I had it again.  (This time they diagnosed it, where 25 years ago they were puzzled.)This is when blood tests were done and I was referred to the internist here who specializes in Lupus treatments.  Since going on plaquenil, I’ve only had it once more, this past March.   If the places on your toes go from red to dark (like blood blisters), then eventually crack open, don’t be alarmed.     On Mon, 28 Apr 2003 13:42:33 GMT, "Kimby" <Kimd…@adelphia.net> wrote: – Hide quoted text — Show quoted text ->I wonder if anyone can answer my question about Vasculitis (spelling?).  My >Rheumatologist suspects this on my toes and is sending me to a >dermatologists. What on earth is it and what can I do for it ?   Any >information you may have would be helpful.  Kim

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In article <ddara.5643$hT2.3262…@news2.news.adelphia.net>, Kimby <Kimd…@adelphia.net> wrote >I wonder if anyone can answer my question about Vasculitis (spelling?).  My >Rheumatologist suspects this on my toes and is sending me to a >dermatologists. What on earth is it and what can I do for it ?   Any >information you may have would be helpful.  Kim

Try http://vasculitis.med.jhu.edu/ which is Johns Hopkins Vasculitis Center — Andy [Chair, N E Lupus Group] See http://www.kitzbuhel.demon.co.uk/lupus for more!

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Kim.. vasculitis is not a specific disease, but inflammation of the blood vessels due to infection, trauma, or an autoimmune dysfunction. It’s likely if you have lupus that your vasculitis would be an autoimmune disease. The treatment for most autoimmune vasculitis includes prednisone for an indeterminate time, and very often a strong immunosuppressive such as cytoxan, methotrexate, etc. A new class of drugs, the monoclonal antibodies, are being used successfully to treat some autoimmune diseases, for example, Enbrel, Remicade, Humira, Rituximab, Zenapax, etc. See the info on vasculitis at two medical clinics: Cleveland Clinic Center for Vasculitis http://www.clevelandclinic.org/arthritis/vasculitis/default.htm Johns Hopkins Vasculitis Clinic http://vasculitis.med.jhu.edu/ Autoimmune vasculitis usually requires early and aggressive treatment to   minimize long term damage to organs. For a table showing various autoimmune vasculitides, see Section 32, Table 7 of my web page on Wegener’s granulomatosis at pws.chartermi.net/~blader Good luck,  Bruce

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I wonder if anyone can answer my question about Vasculitis (spelling?).  My Rheumatologist suspects this on my toes and is sending me to a dermatologists. What on earth is it and what can I do for it ?   Any information you may have would be helpful.  Kim

Response:

 vasculitis is inflammation of the blood vessels. "Vasculitis" is a general term for a group of diseases that involve inflammation in blood vessels. Blood vessels of all sizes may be affected, from the largest vessel in the body (the aorta) to the smallest blood vessels in the skin (capillaries). The size of blood vessel affected varies according to the specific type of vasculitis. http://vasculitis.med.jhu.edu/ HTH Nicole "Kimby" <Kimd…@adelphia.net> wrote in message

news:ddara.5643$hT2.3262586@news2.news.adelphia.net… – Hide quoted text — Show quoted text -> I wonder if anyone can answer my question about Vasculitis (spelling?). My > Rheumatologist suspects this on my toes and is sending me to a > dermatologists. What on earth is it and what can I do for it ?   Any > information you may have would be helpful.  Kim

Response:

Question:

Here are some of the benefits you get from taking Coral Calcium: – high blood

   I’d like to have high blood.  Some days it never    gets above the neck and I can’t think straight [1]    But I don’t want my feet to tingle from not enough    low blood. – pressure

No thanks.  Being unemployed, I have enough pressure already. – arthritis – lupus – chronic fatigue syndrome – cancer

No, I don’t want any of these either.  . . just name the illness!

At the moment, I can’t think of one.  Wait, maybe sickle-cell anemia, which could protect me from malaria? MAF Anti-Spam ID: 20030112100945O5c4DqB6

Methinks a few accounts won’t exist much longer….. [1] Perhaps that’s what happened to whoever posted the spam.

Response:

<spam snip Here are some of the benefits you get from taking ‘Spam’: – high blood pressure – arthritis – lupus – chronic fatigue syndrome – cancer . . . just name the illness!

thanks but no thanks… having diabetes is quite sufficient for me David_G

Response:

is where complaints about this asshole should be sent enclose full headers – Hide quoted text — Show quoted text – Hi This product is being marketed on TV, and people are going crazy about it. Customers are giving their testimonials on how it improves their health, and also their life quality. Here are some of the benefits you get from taking Coral Calcium: – high blood – pressure – arthritis – lupus – chronic fatigue syndrome – cancer . . . just name the illness! "Coral Calcium Supreme produces the chemical and electrolyte balance within the body so that the body heals itself." http://bestbizwebhost.com/FCC.htm You also have the opportunity to get it free, by just sharing the good news with only 2 people. In addition, you can buy the product directly from the webpage, at an whole sale price, and save some good dollars on it Have a great day, and let me know if you have any questions! Sincerely Andreas Dahl http://bestbizwebhost.com/FCC.htm — MAF Anti-Spam ID: 20030112100945O5c4DqB6

Response:

Hi

Hi? How about FUCK OFF?

Response:

- Hide quoted text — Show quoted text – Hi This product is being marketed on TV, and people are going crazy about it. Customers are giving their testimonials on how it improves their health, and also their life quality. Here are some of the benefits you get from taking Coral Calcium: – high blood – pressure – arthritis – lupus – chronic fatigue syndrome – cancer  . . just name the illness! "Coral Calcium Supreme produces the chemical and electrolyte balance within the body so that the body heals itself." http://bestbizwebhost.com/FCC.htm You also have the opportunity to get it free, by just sharing the good news with only 2 people. In addition, you can buy the product directly from the webpage, at an whole sale price, and save some good dollars on it Have a great day, and let me know if you have any questions! Sincerely Andreas Dahl http://bestbizwebhost.com/FCC.htm — MAF Anti-Spam ID: 20030112100945O5c4DqB6

Response:

Hi This product is being marketed on TV, and people are going crazy about it. Customers are giving their testimonials on how it improves their health, and also their life quality. Here are some of the benefits you get from taking Coral Calcium: – high blood – pressure – arthritis – lupus – chronic fatigue syndrome – cancer . . . just name the illness! "Coral Calcium Supreme produces the chemical and electrolyte balance within the body so that the body heals itself." http://bestbizwebhost.com/FCC.htm You also have the opportunity to get it free, by just sharing the good news with only 2 people. In addition, you can buy the product directly from the webpage, at an whole sale price, and save some good dollars on it Have a great day, and let me know if you have any questions! Sincerely Andreas Dahl http://bestbizwebhost.com/FCC.htm — MAF Anti-Spam ID: 20030112100945O5c4DqB6

Response:

My question is simple – what right do you think you got to come here and spam us? Huh? — Al, Melton Mowbray, uk, LADA dx Jan97 Control basal/Insulatard bolus/Novorapid

Hi This product is being marketed on TV, and people are going crazy about it. Customers are giving their testimonials on how it improves their health,

and also their life quality. Here are some of the benefits you get from taking Coral Calcium: – high blood – pressure – arthritis – lupus – chronic fatigue syndrome – cancer  . . just name the illness! "Coral Calcium Supreme produces the chemical and electrolyte balance

within the body so that the body heals itself." http://bestbizwebhost.com/FCC.htm You also have the opportunity to get it free, by just sharing the good news with only 2 people. In addition, you can buy the product directly from the webpage, at an

whole sale price, and save some good dollars on it – Hide quoted text — Show quoted text – Have a great day, and let me know if you have any questions! Sincerely Andreas Dahl http://bestbizwebhost.com/FCC.htm — MAF Anti-Spam ID: 20030112100945O5c4DqB6

Response:

Question:

It’s about time – they should have allocated one *billion*, though. "Janers" <rojak…@bright.net> wrote in message

news:hJN8a.222$I_1.51985@cletus.bright.net… – Hide quoted text — Show quoted text -> Sorry this is same thing for those who can not open attachments.. > janers > CONGRESS FUNDS NATIONAL LUPUS PATIENT REGISTRY, > CALLS FOR CREATION OF FEDERAL WORKING GROUP ON LUPUS, > AND PROVIDES MORE FUNDS FOR NIAMS > LFA Chapters, members, and volunteers can take great pride in recent > legislative developments that will have a significant impact on lupus > research, awareness, and medical services.  Thanks to your efforts, > Congress has taken action that will benefit the 1.5 million Americans with > lupus.  By participating in Advocacy Day and other LFA awareness programs, > you helped promote lupus as the prototypical autoimmune disease, and a > significant health issue for women, especially young women on color. > The LFA is pleased to announce that, through your efforts and those of > others members of the lupus community, Congress provided funds to establish > a National Lupus Patient Registry, recommended the that the Department of > Health and Human Services create a Federal Working Group on Lupus, and > allocated additional federal dollars to support the work of the National > Institute for Arthritis, Musculoskeletal, and Skin Diseases (NIAMS). > Congress provided $1 million to establish a population-based National Lupus > Patient Registry.  The registry will collect data for follow-up studies > regarding the prevalence and incidence of lupus, as well as the social and > economic impact of the disease. The National Center for Chronic Disease > Prevention and Health Promotion, part of the U.S. Centers for Disease > Control and Prevention, will implement the registry. The Lupus Foundation > of America (LFA) will work closely with the Center to promote the registry, > and educate the public and the lupus community about its operation. > In addition, Congress included language in the report for the 2003 > appropriations bill that encouraged the Secretary of Health and Human > Services to establish a Federal Working Group on Lupus. The Federal Working > Group on Lupus will be comprised of representatives from all relevant > agencies of the Department of Health and Human Services and other Federal > Departments having an interest in lupus. The Working Group will coordinate > research within branches of the National Institute of Health, as well as > other federal agencies conducting studies on lupus. Through coordination > and the exchange of information, these organizations can take advantage of > new scientific opportunities in the search for safer and more effective > treatments for lupus, and ultimately find a cure. > The Working Group also will exchange information and collaborate on > programs of education awareness, social, and medical services that are > vital to supporting individuals and families affected by lupus. Federal > agencies and departments providing services to people with lupus include: > the National Institute of Health, Department of Health and Human Services, > Office on Women’s Health, Centers for Disease Control and Prevention, Food > and Drug Administration, Social Security Administration, Department of > Defense, and the Department of Veterans Affairs. > Congress also increased funding that will aid in the study of lupus. NIAMS, > the leading federal institute supporting research into the causes, > treatment, and prevention of lupus, received a substantial increase of $41 > million dollars, bringing its total budget to $489 million. This increase > will enable NIAMS to increase its support of research, professional > training, and clinical studies on lupus. > These are exciting developments in which all of you played an important > role.  However, our job is not finished. We will have new objectives for > Advocacy Day this year, which will be held May 7, 2003. Your participation > is very important and helpful to achieving LFA legislative goals.  You help > put a face on lupus and serve as the voice for others affected by lupus. > ****************************************************************** > Duane Peters – pet…@lupus.org > Vice President for Advocacy & Communications > Lupus Foundation of America National Office > 1300 Piccard Drive, Suite 200, Rockville, MD 20850-4303 > 301-670-9292, ext. 17 – fax 301-670-9486 > website www.lupus.org > ******************************************************************

Response:

Sorry this is same thing for those who can not open attachments.. janers CONGRESS FUNDS NATIONAL LUPUS PATIENT REGISTRY, CALLS FOR CREATION OF FEDERAL WORKING GROUP ON LUPUS, AND PROVIDES MORE FUNDS FOR NIAMS LFA Chapters, members, and volunteers can take great pride in recent legislative developments that will have a significant impact on lupus research, awareness, and medical services.  Thanks to your efforts, Congress has taken action that will benefit the 1.5 million Americans with lupus.  By participating in Advocacy Day and other LFA awareness programs, you helped promote lupus as the prototypical autoimmune disease, and a significant health issue for women, especially young women on color. The LFA is pleased to announce that, through your efforts and those of others members of the lupus community, Congress provided funds to establish a National Lupus Patient Registry, recommended the that the Department of Health and Human Services create a Federal Working Group on Lupus, and allocated additional federal dollars to support the work of the National Institute for Arthritis, Musculoskeletal, and Skin Diseases (NIAMS). Congress provided $1 million to establish a population-based National Lupus Patient Registry.  The registry will collect data for follow-up studies regarding the prevalence and incidence of lupus, as well as the social and economic impact of the disease. The National Center for Chronic Disease Prevention and Health Promotion, part of the U.S. Centers for Disease Control and Prevention, will implement the registry. The Lupus Foundation of America (LFA) will work closely with the Center to promote the registry, and educate the public and the lupus community about its operation. In addition, Congress included language in the report for the 2003 appropriations bill that encouraged the Secretary of Health and Human Services to establish a Federal Working Group on Lupus. The Federal Working Group on Lupus will be comprised of representatives from all relevant agencies of the Department of Health and Human Services and other Federal Departments having an interest in lupus. The Working Group will coordinate research within branches of the National Institute of Health, as well as other federal agencies conducting studies on lupus. Through coordination and the exchange of information, these organizations can take advantage of new scientific opportunities in the search for safer and more effective treatments for lupus, and ultimately find a cure. The Working Group also will exchange information and collaborate on programs of education awareness, social, and medical services that are vital to supporting individuals and families affected by lupus. Federal agencies and departments providing services to people with lupus include: the National Institute of Health, Department of Health and Human Services, Office on Women’s Health, Centers for Disease Control and Prevention, Food and Drug Administration, Social Security Administration, Department of Defense, and the Department of Veterans Affairs. Congress also increased funding that will aid in the study of lupus. NIAMS, the leading federal institute supporting research into the causes, treatment, and prevention of lupus, received a substantial increase of $41 million dollars, bringing its total budget to $489 million. This increase will enable NIAMS to increase its support of research, professional training, and clinical studies on lupus. These are exciting developments in which all of you played an important role.  However, our job is not finished. We will have new objectives for Advocacy Day this year, which will be held May 7, 2003. Your participation is very important and helpful to achieving LFA legislative goals.  You help put a face on lupus and serve as the voice for others affected by lupus. ****************************************************************** Duane Peters – pet…@lupus.org Vice President for Advocacy & Communications Lupus Foundation of America National Office 1300 Piccard Drive, Suite 200, Rockville, MD 20850-4303 301-670-9292, ext. 17 – fax 301-670-9486 website www.lupus.org ******************************************************************

Response:

Question:

Hello all..:o) I had a great weekend. I took a chance and went all out this weekend. First of all I went to a college football game, it rained and stormed, but you know what this crazy girl and her crazy hubby just stood out it the stuff and had a ball. Then today got up and went to the state fair. I bought tickets for my 6 year old to go see Toy Story 2 on ice at the fair. Just the delight in his eyes this afternoon was the best medicine of all. I now hurt all over and I am very very tired. I am functioning on pain killers and pop (for my tummy) but I don’t regret one moment at all. I might pay for it all week, but I had fun!!! While I was at the fair, my hubby found a Lupus foundation booth  and when me and the kiddo was finished with the show he took me over there. I was hesitant about approaching the booth at first, but then I said oh what the heck these people know what it is like to have this and they might have something worth  finding out about. Well, they did. They asked me if I knew anyone that had Lupus. I said yeah …me. It took everything I had to keep from welling up with tears. I was thinking there are actually other people out there that is going through the same darn thing I am. I guess realizing that I am not the only one is slowly hitting me. Finding out in March that I had Lupus was the beginning of  steps in dealing with my illness. Now I find myself going back and forth on the staircase of coping. Anyways, they asked me if I had a book on Lupus and I have yet to buy one. So, they were generous to give me one . Mind you it is a pretty informed one. I guess my question involves methotrexate and wanting to know if anyone knows about where I can find medical info about it. The book had limited information about liver damage that methotrexate can do to a person. I want to find out more about it. I really want to thank everyone here. You guys are my support group. I know I am going to get through this, and it has alot to do with the people here! Now it is time for me to drape myself on the couch for the week..lol…I had my fun and now I have to pay the piper. I hope everyone else had a great weekend and enjoyed beautiful weather. See ya’ll soon, RhondaM

Response:

Hi Rhonda. WebMD is a good source for basic info. I’ve been seeing a naturopath as well as a rheumy and my regular doc, and he says he’d rather have me on methotrexate than prednisone or plaquenil or anything else. Says that, all told, methotrexate isn’t too bad. Of course since it’s not too bad for you, I had a rare severe allergic reaction after several weeks and now have to take the nasty P&P, but still… (I would take my dose Sunday night and wake up Monday morning with hives.) It did give me a metallic taste in my mouth and killed my appetite, which was great — I lost back some of this wretched prednisone weight and have managed to keep it off. It didn’t make my hair fall out. Did give me a bit of a sick feeling all the time. You might also check with your local chapter of the Arthritis Foundation. I did a lupus workshop through them a few years ago, and the big resource binder they give out had some pretty good info on the various medicines commonly used for lupus. Even in a city the size of Denver, I haven’t met another loopy, so this group is a real blessing. Hang in there… Rebecca

Response:

The fair seems to be a ok, ,I am so used to the "old" fairs of a few years ago. I think they have changed it way too much. We did have fun though. The OU game was fabulous! Hubby and I hid out under the stadium until the storm passed. That was the highlight of the weekend. I made sure to take extra pain meds when I went so I could enjoy myself without pain. At least this year we didn’t have to walk it from the stadium back to the Lloyd Noble center were we parked. I heard something about a Lupus event this weekend at the capitol. They looped the capitol for Lupus on saturday morning. I would have loved to be there. Anyways keep in touch send me an e-mail I will send you back my phone # if you want. "Cindy Mathes" <cmath…@cox.net> wrote in message

news:utsh9.42211$3k4.28760@news1.central.cox.net… – Hide quoted text — Show quoted text -> Hey Rhonda, > How is the fair this year? You know I was a little dissappointed with it > last year. > We will go next week. I guess with your belly not feeling well, you probably > didn’t get a corn dog.  Or a Indian Taco.As far as the rain went, we were > working the parking lot at the Civic Center.  Sopping wet and wondering if > we were gonna get hit by lightening. > I am glad you had a wonderful time, but I hope that you will recover from > overdoing it. Also, how was the Toy Story thing? My grand babies went to see > that today. > Well Just had to ask about the fair, as last year just wasn’t the same. > Cindy > "RhondaM" <woo…@intcon.net> wrote in message > news:1032153278.932337@localhost.localdomain… > > Hello all..:o) > > I had a great weekend. I took a chance and went all out this weekend. > First > > of all I went to a college football game, it rained and stormed, but you > > know what this crazy girl and her crazy hubby just stood out it the stuff > > and had a ball. Then today got up and went to the state fair. I bought > > tickets for my 6 year old to go see Toy Story 2 on ice at the fair. Just > the > > delight in his eyes this afternoon was the best medicine of all. I now > hurt > > all over and I am very very tired. > > I am functioning on pain killers and pop (for my tummy) but I don’t regret > > one moment at all. I might pay for it all week, but I had fun!!! > > While I was at the fair, my hubby found a Lupus foundation booth  and when > > me and the kiddo was finished with the show he took me over there. I was > > hesitant about approaching the booth at first, but then I said oh what the > > heck these people know what it is like to have this and they might have > > something worth  finding out about. Well, they did. They asked me if I > knew > > anyone that had Lupus. I said yeah …me. It took everything I had to keep > > from welling up with tears. I was thinking there are actually other people > > out there that is going through the same darn thing I am. I guess > realizing > > that I am not the only one is slowly hitting me. Finding out in March that > I > > had Lupus was the beginning of  steps in dealing with my illness. Now I > find > > myself going back and forth on the staircase of coping. Anyways, they > asked > > me if I had a book on Lupus and I have yet to buy one. So, they were > > generous to give me one . Mind you it is a pretty informed one. I guess my > > question involves > > methotrexate and wanting to know if anyone knows about where I can find > > medical info about it. The book had limited information about liver damage > > that methotrexate can do to a person. I want to find out more about it. > > I really want to thank everyone here. You guys are my support group. I > know > > I am going to get through this, and it has alot to do with the people > here! > > Now it is time for me to drape myself on the couch for the week..lol…I > had > > my fun and now I have to pay the piper. > > I hope everyone else had a great weekend and enjoyed beautiful weather. > > See ya’ll soon, > > RhondaM

Response:

Hey Rhonda, How is the fair this year? You know I was a little dissappointed with it last year. We will go next week. I guess with your belly not feeling well, you probably didn’t get a corn dog.  Or a Indian Taco.As far as the rain went, we were working the parking lot at the Civic Center.  Sopping wet and wondering if we were gonna get hit by lightening. I am glad you had a wonderful time, but I hope that you will recover from overdoing it. Also, how was the Toy Story thing? My grand babies went to see that today. Well Just had to ask about the fair, as last year just wasn’t the same. Cindy "RhondaM" <woo…@intcon.net> wrote in message

news:1032153278.932337@localhost.localdomain… – Hide quoted text — Show quoted text -> Hello all..:o) > I had a great weekend. I took a chance and went all out this weekend. First > of all I went to a college football game, it rained and stormed, but you > know what this crazy girl and her crazy hubby just stood out it the stuff > and had a ball. Then today got up and went to the state fair. I bought > tickets for my 6 year old to go see Toy Story 2 on ice at the fair. Just the > delight in his eyes this afternoon was the best medicine of all. I now hurt > all over and I am very very tired. > I am functioning on pain killers and pop (for my tummy) but I don’t regret > one moment at all. I might pay for it all week, but I had fun!!! > While I was at the fair, my hubby found a Lupus foundation booth  and when > me and the kiddo was finished with the show he took me over there. I was > hesitant about approaching the booth at first, but then I said oh what the > heck these people know what it is like to have this and they might have > something worth  finding out about. Well, they did. They asked me if I knew > anyone that had Lupus. I said yeah …me. It took everything I had to keep > from welling up with tears. I was thinking there are actually other people > out there that is going through the same darn thing I am. I guess realizing > that I am not the only one is slowly hitting me. Finding out in March that I > had Lupus was the beginning of  steps in dealing with my illness. Now I find > myself going back and forth on the staircase of coping. Anyways, they asked > me if I had a book on Lupus and I have yet to buy one. So, they were > generous to give me one . Mind you it is a pretty informed one. I guess my > question involves > methotrexate and wanting to know if anyone knows about where I can find > medical info about it. The book had limited information about liver damage > that methotrexate can do to a person. I want to find out more about it. > I really want to thank everyone here. You guys are my support group. I know > I am going to get through this, and it has alot to do with the people here! > Now it is time for me to drape myself on the couch for the week..lol…I had > my fun and now I have to pay the piper. > I hope everyone else had a great weekend and enjoyed beautiful weather. > See ya’ll soon, > RhondaM

Response:

Cindy Mathes wrote: > Hey Rhonda, > How is the fair this year? You know I was a little dissappointed with it > last year. > We will go next week. I guess with your belly not feeling well, you probably > didn’t get a corn dog.  Or a Indian Taco.As far as the rain went, we were > working the parking lot at the Civic Center.  Sopping wet and wondering if > we were gonna get hit by lightening. > I am glad you had a wonderful time, but I hope that you will recover from > overdoing it. Also, how was the Toy Story thing? My grand babies went to see > that today. > Well Just had to ask about the fair, as last year just wasn’t the same. > Cindy

With my tummy, I don’t even *want* to know what an "indian taco" is!  lol -Sharon — Clear your mind, relax and float downstream. To email me, remove NOSPAM

Response:

Yep they are from our local chapter. I eat too. Just yesterday I was living on the meds and pop. I am eatibng right today.. in fact chicken breast and a baked potato for lunch. I even choked down a glass of milk( I am not a fan of milk). I think I am going to go to the library today to search for a med book about meds. Thanks for the help "J" <jwoot…@execulink.com> wrote in message

news:3D85E7BB.9B3F1386@execulink.com… – Hide quoted text — Show quoted text -> Hi Rhonda, > It can’t be too healthy just on pop and pain killers.  Hope you can figure out > how to eat healthy. > Very important for your liver (since you asked) and general health. > I don’t think there is a book on meds (specifically methotrexate ) and the > liver. > Two urls > http://www.orthop.washington.edu/arthritis/medications/methotrexate/03 > http://www.merck.com/pubs/mmanual/section4/chapter43/43d.htm > They’re supposed to take bloodwork and monitor your liver enzymes, aren’t they? > There are so many other factors involved in liver damage: other meds, estrogens, > alcohol history (past, present, future), hereditary.  So there’s no way to > predict and if that’s the best med to give you symptomatic relief and quality of > life… > What was the Lupus book that these kind folks gave you?  Were they from the > local Lupus Foundation chapter? > If so, might be good to get involved in a local support group too. > Hugs > J > RhondaM wrote: > > Hello all..:o) > > I had a great weekend. I took a chance and went all out this weekend. First > > of all I went to a college football game, it rained and stormed, but you > > know what this crazy girl and her crazy hubby just stood out it the stuff > > and had a ball. Then today got up and went to the state fair. I bought > > tickets for my 6 year old to go see Toy Story 2 on ice at the fair. Just the > > delight in his eyes this afternoon was the best medicine of all. I now hurt > > all over and I am very very tired. > > I am functioning on pain killers and pop (for my tummy) but I don’t regret > > one moment at all. I might pay for it all week, but I had fun!!! > > While I was at the fair, my hubby found a Lupus foundation booth  and when > > me and the kiddo was finished with the show he took me over there. I was > > hesitant about approaching the booth at first, but then I said oh what the > > heck these people know what it is like to have this and they might have > > something worth  finding out about. Well, they did. They asked me if I knew > > anyone that had Lupus. I said yeah …me. It took everything I had to keep > > from welling up with tears. I was thinking there are actually other people > > out there that is going through the same darn thing I am. I guess realizing > > that I am not the only one is slowly hitting me. Finding out in March that I > > had Lupus was the beginning of  steps in dealing with my illness. Now I find > > myself going back and forth on the staircase of coping. Anyways, they asked > > me if I had a book on Lupus and I have yet to buy one. So, they were > > generous to give me one . Mind you it is a pretty informed one. I guess my > > question involves > > methotrexate and wanting to know if anyone knows about where I can find > > medical info about it. The book had limited information about liver damage > > that methotrexate can do to a person. I want to find out more about it. > > I really want to thank everyone here. You guys are my support group. I know > > I am going to get through this, and it has alot to do with the people here! > > Now it is time for me to drape myself on the couch for the week..lol…I had > > my fun and now I have to pay the piper. > > I hope everyone else had a great weekend and enjoyed beautiful weather. > > See ya’ll soon, > > RhondaM

Response:

Hi Rhonda, It can’t be too healthy just on pop and pain killers.  Hope you can figure out how to eat healthy. Very important for your liver (since you asked) and general health. I don’t think there is a book on meds (specifically methotrexate ) and the liver. Two urls http://www.orthop.washington.edu/arthritis/medications/methotrexate/03 http://www.merck.com/pubs/mmanual/section4/chapter43/43d.htm They’re supposed to take bloodwork and monitor your liver enzymes, aren’t they? There are so many other factors involved in liver damage: other meds, estrogens, alcohol history (past, present, future), hereditary.  So there’s no way to predict and if that’s the best med to give you symptomatic relief and quality of life… What was the Lupus book that these kind folks gave you?  Were they from the local Lupus Foundation chapter? If so, might be good to get involved in a local support group too. Hugs J – Hide quoted text — Show quoted text -RhondaM wrote: > Hello all..:o) > I had a great weekend. I took a chance and went all out this weekend. First > of all I went to a college football game, it rained and stormed, but you > know what this crazy girl and her crazy hubby just stood out it the stuff > and had a ball. Then today got up and went to the state fair. I bought > tickets for my 6 year old to go see Toy Story 2 on ice at the fair. Just the > delight in his eyes this afternoon was the best medicine of all. I now hurt > all over and I am very very tired. > I am functioning on pain killers and pop (for my tummy) but I don’t regret > one moment at all. I might pay for it all week, but I had fun!!! > While I was at the fair, my hubby found a Lupus foundation booth  and when > me and the kiddo was finished with the show he took me over there. I was > hesitant about approaching the booth at first, but then I said oh what the > heck these people know what it is like to have this and they might have > something worth  finding out about. Well, they did. They asked me if I knew > anyone that had Lupus. I said yeah …me. It took everything I had to keep > from welling up with tears. I was thinking there are actually other people > out there that is going through the same darn thing I am. I guess realizing > that I am not the only one is slowly hitting me. Finding out in March that I > had Lupus was the beginning of  steps in dealing with my illness. Now I find > myself going back and forth on the staircase of coping. Anyways, they asked > me if I had a book on Lupus and I have yet to buy one. So, they were > generous to give me one . Mind you it is a pretty informed one. I guess my > question involves > methotrexate and wanting to know if anyone knows about where I can find > medical info about it. The book had limited information about liver damage > that methotrexate can do to a person. I want to find out more about it. > I really want to thank everyone here. You guys are my support group. I know > I am going to get through this, and it has alot to do with the people here! > Now it is time for me to drape myself on the couch for the week..lol…I had > my fun and now I have to pay the piper. > I hope everyone else had a great weekend and enjoyed beautiful weather. > See ya’ll soon, > RhondaM

Response:

Question:

thanks duckie, it is 130am and I am on my way to the site.I need to find anything to help .He is relly suffering and it is taking its toll on my health also.I have lupus and the doc says avid stress ha ha ha thanks michelle

Response:

thanks for the note,I am getting some help info on sites,I also have lupus so I know how much pain and frustration he is feeling .It is hard to see you child deal with such tuff stuff.   thanks again   michelle

Response:

Michelle, You may want to stick around here to share and unload about your lupus as well as your childs jra.  You may also want to check out http://www.arthritisinsight.com to read up about both the jra and the lupus.  Arthritis insight also has message boards specifically for both jra and lupus so this may be of great help to the both of you and all the stress you are under!!!   Another place you may want to check out is http://www.arthritis.co.za.  Hope this helps! Donna G

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Donna  thanks for the support,I am going to stick around I am getting some helpful info michelle

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hi michelle!  welcome to ASA.  (((((hugs and prayers)))))  i pray you find all the support and ideas that you need to help your son and yourself through this difficult time.  there are many here with wisdom and knowledge to offer.  i hope you join us often here, whenever you need to/want to, though i’m sorry you have lupus and your son has RA.  it is a great group, filled with loving, caring and supportive people.

– Hide quoted text — Show quoted text – hello,  I have a 17 year old who is really suffering and I am out of ideas.I also suffer from lupus so this a real struggle between use both .Looking to talk to anyone in similar situation.Thanks for the help.    thoughts and prayers to all

Response:

hello,  I have a 17 year old who is really suffering and I am out of ideas.I also suffer from lupus so this a real struggle between use both .Looking to talk to anyone in similar situation.Thanks for the help.    thoughts and prayers to all

Hello, I noticed you suffer from Lupus, and wanted to suggest a lupus support ng to you.  I have found wonderfully supportive friends over at alt.support.lupus, and maybe you would like to visit.  I hope you find the help you need to get through your rough times. -Sharon — Clear your mind, relax and float downstream.

Response:

thanks I will check it out       michelle

Response:

Hello and welcome to ASA.  I would like to suggest that you check out Arthritisinsight.com.  There you will find a whole community dealing with JRA. Both parents of children and adults who started out with JRA. Sorry you need to be here.  Glad you found us. Char "Remember, I’m pulling for ya’.  We’re all in this together."  Red Green

Response:

Don’t have JRA but others here do so they may be along soon and say hello. You might look at the following web site. http://arthritisinsight.com/ One of our own is the author and they not only have a section for JRA but a whole site dedicated to it http://jraworld.arthritisinsight.com/ What exactly is the struggle you are having with both of you. We are a nosey bunch and very willing to listen. Hugs Duckie – Hide quoted text — Show quoted text – Organization: AOL http://www.aol.com Newsgroups: alt.support.arthritis hello, I have a 17 year old who is really suffering and I am out of ideas.I also suffer from lupus so this a real struggle between use both .Looking to talk to anyone in similar situation.Thanks for the help. thoughts and prayers to all

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thatnk you,I will try that.I am glad I found you guys,hard feeling alone   michelle

Response:

Hi, Just to let you know I read your post and I am sorry you both are suffering. I hope someone familiar with JRA will be by to give you some support. debbie m. www.angelfire.com/ga2/angels1/

– Hide quoted text — Show quoted text – hello,  I have a 17 year old who is really suffering and I am out of ideas.I also suffer from lupus so this a real struggle between use both .Looking to talk to anyone in similar situation.Thanks for the help.    thoughts and prayers to all

Response:

hello,  I have a 17 year old who is really suffering and I am out of ideas.I also suffer from lupus so this a real struggle between use both .Looking to talk to anyone in similar situation.Thanks for the help.    thoughts and prayers to all

Response:

Question:

Hi, My friends sister has lupus, I don’t know much about it. If anyone can offer good information and advice…. I would be extremely grateful… I want to offer my friend the best information and support… Help please David

Response:

Hello David, If you want to be helpful to your sister’s friend, you might want to help her to access this newsgroup. If you want a book, get The Lupus Book (second edition) by Dr Daniel Wallace. http://www.kitzbuhel.demon.co.uk/lupus/ http://www.ghg.net/schwerpt/aslfaq30.htm http://www.lupuscanada.org/ http://www.lupus.org/ Some of the above, you can contact to get print materials. (local Lupus and/or Arthritis Foundation) Lupus is the disease of 1,000 faces and each person (here at least), seems to have different (sets of) problems with it. While some people are severely afflicted by Lupus, many others (especially if careful of themselves) can live virtually normal lives. As KC said earlier I think, you might find some of the more severe ones here, so at first glance (as someone on another NG said), some of the posts might be worrisome to a newby or "reader", but it’s a great bunch of people, supportive, caring and helpful. If you have specific questions/concerns, let us know. HTH J – Hide quoted text — Show quoted text -Jean-MichelJarre wrote: > Hi, > My friends sister has lupus, I don’t know much about it. > If anyone can offer good information and advice…. > I would be extremely grateful… > I want to offer my friend the best information and support… > Help please > David

Response:

On Tue, 9 Jul 2002 02:14:07 +0100, "Jean-MichelJarre" <feedb…@inethealth.fsnet.co.uk> wrote: >Hi, >My friends sister has lupus, I don’t know much about it.

J. covered most of the salient points. I’d like to add that being the support person can be draining and to make sure that you take care of yourself through this too.  Recognize that her perception of her pain is the only perception that counts. IOW, don’t try to minimize her pain with well-meaning comments such as "you need to get more exercise/rest/vitamins" and so on.  I imagine you are not the sort of person to do that – but it is a human gut response to do so. anyway – there’s so much info in what J. wrote so I’ll leave it at that and again, if you have any questions let us know. someone can either point you in the right direction or have direct experience. Take care and bless you for being a concerned friend. Kcat KCat – I am not a medical professional.  The contents of this post are based soley on my experiences and opinions http://www.ghg.net/schwerpt/mypage.htm http://www.ghg.net/schwerpt/aslfaq30.htm   ("`-”-/").___..–”"`-._   (`6_ 6  )   `-.  (     ).`-.__.’`)    (_Y_.)’  ._   )  `._ `. “-..-”   _..`–’_..-_/  /–’_.’ ,’ (()),-”  (()),’    (((.-’

Response:

In article <agddcu$de…@news5.svr.pol.co.uk>, Jean-MichelJarre <feedb…@inethealth.fsnet.co.uk> wrote >Hi, >My friends sister has lupus, I don’t know much about it. >If anyone can offer good information and advice…. >I would be extremely grateful… >I want to offer my friend the best information and support…

See <URL:http://www.kitzbuhel.demon.co.uk/lupus> Also, judging by your headers you are probably in UK – ring up Lupus UK on 01708 731 251, say where you live, and they’ll put you (or her) in touch with a telephone contact. — Andy [Editor, Austrian Philatelic Society] For Austrian philately <URL:http://www.kitzbuhel.demon.co.uk/austamps> For Lupus <URL:http://www.kitzbuhel.demon.co.uk/lupus> For my other interests <URL:http://www.kitzbuhel.demon.co.uk>

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Question:

"Shelagh" <valleylu…@telus.net> wrote in message

news:bRPL8.97$gZ3.20825@news2.telusplanet.net… > HI, > http://www3.telus.net/valleylupus/children.html   and > http://www3.telus.net/valleylupus/aardahints.html > or  GO TO this link  http://www3.telus.net/valleylupus/index.html > and hit on the directory links: >   ‘CHILDREN AND LUPUS ‘ >   ‘AARDA TEEN DIAGNOSTIC HINTS’ > They should give you some insight into lupus and kids all ages. > Good luck to you and I hope you find nothing relative to your two > children! I was traced, through my history taking rheumy,  to having > lupus as early as 11 years old!! I wouldn’t wish it on any young child > as I recall wondering if ‘everyone felt so sore all the time’ and > thinking that maybe it gets better when you grow up!! > RIGHT!!!! <G> ;)

The infamous "growing pains" that were so horrid for me as a youngster were actually Lupus.  Too bad no one knew.

Response:

Yeah had those bad as a kid, *growing pains*. My 7 year old son has them now in his legs … they wake him up at night. Sal

Response:

HI, http://www3.telus.net/valleylupus/children.html   and http://www3.telus.net/valleylupus/aardahints.html or  GO TO this link  http://www3.telus.net/valleylupus/index.html and hit on the directory links:   ‘CHILDREN AND LUPUS ‘   ‘AARDA TEEN DIAGNOSTIC HINTS’ They should give you some insight into lupus and kids all ages. Good luck to you and I hope you find nothing relative to your two children! I was traced, through my history taking rheumy,  to having lupus as early as 11 years old!! I wouldn’t wish it on any young child as I recall wondering if ‘everyone felt so sore all the time’ and thinking that maybe it gets better when you grow up!! RIGHT!!!! <G> ;) — from Shelagh  <:)  valleylu…@telus.net Lupus – Invisible in Plain Sight   AT http://www3.telus.net/valleylupus/index.html or  GO TO above link and hit on the directory links: ‘CHILDREN AND LUPUS ‘  ’AARDA TEEN HINTS’

Response:

ROTFL well they tested my mom each year for lupus and thats how they said it was not transmitable. When she came up pos they went DIGGING thru her family tree to find SOMONE that had it just so they can still say its not transmittable. Go Figure!! But also most of our family showed symptoms into early childhood, but thats my family right? I would believe almost anything at this point! thanx for the laugh! Paula from AL – Hide quoted text — Show quoted text -> From: "Nicole H" <nhightowerREM…@bak.rr.com> > Organization: RoadRunner – West > Newsgroups: alt.support.lupus > Date: Tue, 04 Jun 2002 03:11:36 GMT > Subject: Re: Pediatric lupus > all these people in your family have lupus?  WOW!  I laugh that you say it’s > not sexually transmitted… I didn’t get sick until after I married my > husband…. and my father in law’s wife is sick w/fibro, chronic fatigue, > etc… she didn’t get sick until after they married (9 yrs ago).  We’ve > discussed that the real issue could be our husbands. > Take care > Nicole > "Paula Love" <paulalo…@comcast.net> wrote in message > news:B9213ADB.8A97%paulalove3@comcast.net… >> You know I see this and wonder what in the world happened with my > family??? >> For those that dont know– >> My great grandfather >> My grandmother >> My father >> My mother (just confirmed two months ago) >> My sister >> My half-sister >> My 3 uncles >> My niece (age 10) >> My nephew (age 8) >> My son (age 5) >> and of course theres ME >> now I dont want the newbies and lurkers to panic, they did prove with out > a >> doubt that lupus is NOT sexually transmittable. They found a great aunt on >> my moms side that died of lupus. None of the rest of the family will be >> tested. And to explain something. Me, My mom, My sister, and two uncles on >> my moms side all have the Heridtary Hemochrostasis (sp?) OH some of you >> remember that one I told you you were scaring me with!!! >> OH and the list above is all from my dads side of the family. >> Go figure! >> Paula from AL >>> Will children of people with lupus get lupus? >>> Because so many genes are involved in the development of the disease >>> (only half of which are inherited by a child from one parent with >>> lupus), and because environmental triggers have to occur during the life >>> of the individual to make the disease appear, it is not common for the >>> children of people with lupus to have lupus. Most studies have shown >>> that about 1 in 20 people with lupus will have a close relative (mother, >>> aunt, sister, brother; less often father or uncle) with lupus. >>> — >>> Andy [Editor, Austrian Philatelic Society] >>> For Austrian philately <URL:http://www.kitzbuhel.demon.co.uk/austamps> >>> For Lupus <URL:http://www.kitzbuhel.demon.co.uk/lupus> >>> For my other interests <URL:http://www.kitzbuhel.demon.co.uk>

Response:

In article <81945691.0206030951.10a64…@posting.google.com>, Darlene Miglorie <miglo…@aol.com> wrote >Hello.  

Hi! >My name is Darlene.  I am 36 and have had systemic lupus for >over 10 years now.  I am currently feeling great.  I have two >daughters who are 8 and 4.  My concern is with them.  What are the >symptoms of lupus in children?  What tests should I have done for them

General view is *none* – there is no test which says "you will definitely at some future time get lupus". There’s no need to watch over them more than any other mother would. >and what should I be watching for through the years?

From <URL:http://www.kitzbuhel.demon.co.uk/lupus/hughfaq.htm> Teenage ‘growing pains’: Growing pains, at least in the UK, is a label widely used for joint pains in teenagers and seems to cover a spectrum of rheumatology from arthritis variants through to lupus. Teenage migraine: Headache, cluster headache and migraine can be encountered and a strong history of teenage migraine may be of lupus significance, either at that time or subsequently. Teenage ‘glandular fever’: Prolonged teenage glandular fever is a label which crops up time and time again in lupus patients and prolonged periods off school in many SLE patients is a recurrent theme. > Thank you.

From one of the Lupus UK factsheets on my site: Will children of people with lupus get lupus? Because so many genes are involved in the development of the disease (only half of which are inherited by a child from one parent with lupus), and because environmental triggers have to occur during the life of the individual to make the disease appear, it is not common for the children of people with lupus to have lupus. Most studies have shown that about 1 in 20 people with lupus will have a close relative (mother, aunt, sister, brother; less often father or uncle) with lupus. — Andy [Editor, Austrian Philatelic Society] For Austrian philately <URL:http://www.kitzbuhel.demon.co.uk/austamps> For Lupus <URL:http://www.kitzbuhel.demon.co.uk/lupus> For my other interests <URL:http://www.kitzbuhel.demon.co.uk>

Response:

all these people in your family have lupus?  WOW!  I laugh that you say it’s not sexually transmitted… I didn’t get sick until after I married my husband…. and my father in law’s wife is sick w/fibro, chronic fatigue, etc… she didn’t get sick until after they married (9 yrs ago).  We’ve discussed that the real issue could be our husbands. Take care Nicole "Paula Love" <paulalo…@comcast.net> wrote in message

news:B9213ADB.8A97%paulalove3@comcast.net… – Hide quoted text — Show quoted text -> You know I see this and wonder what in the world happened with my family??? > For those that dont know– > My great grandfather > My grandmother > My father > My mother (just confirmed two months ago) > My sister > My half-sister > My 3 uncles > My niece (age 10) > My nephew (age 8) > My son (age 5) > and of course theres ME > now I dont want the newbies and lurkers to panic, they did prove with out a > doubt that lupus is NOT sexually transmittable. They found a great aunt on > my moms side that died of lupus. None of the rest of the family will be > tested. And to explain something. Me, My mom, My sister, and two uncles on > my moms side all have the Heridtary Hemochrostasis (sp?) OH some of you > remember that one I told you you were scaring me with!!! > OH and the list above is all from my dads side of the family. > Go figure! > Paula from AL > > Will children of people with lupus get lupus? > > Because so many genes are involved in the development of the disease > > (only half of which are inherited by a child from one parent with > > lupus), and because environmental triggers have to occur during the life > > of the individual to make the disease appear, it is not common for the > > children of people with lupus to have lupus. Most studies have shown > > that about 1 in 20 people with lupus will have a close relative (mother, > > aunt, sister, brother; less often father or uncle) with lupus. > > — > > Andy [Editor, Austrian Philatelic Society] > > For Austrian philately <URL:http://www.kitzbuhel.demon.co.uk/austamps> > > For Lupus <URL:http://www.kitzbuhel.demon.co.uk/lupus> > > For my other interests <URL:http://www.kitzbuhel.demon.co.uk>

Response:

Hello.  My name is Darlene.  I am 36 and have had systemic lupus for over 10 years now.  I am currently feeling great.  I have two daughters who are 8 and 4.  My concern is with them.  What are the symptoms of lupus in children?  What tests should I have done for them and what should I be watching for through the years?  Thank you. Darlene

Response:

Question:

"Paul Jones" <jones.p…@btconnect.com> wrote in message

<snip> | I suspect we’ll never know for sure whether interferon beta | really delays conversion to SPMS, but you’d want to take it | just in case it does. Trouble is, the drug companies are playing on that very real fear. Given how unpredictable relapses are, and how the shift to SPMS is variable, how the heck would anyone ever know whether the ABCs do any good other than relieve us from the burden of one in three relapses.  It’s just like trying to chew on cotton wool, only with worse consequences. Rgds

Response:

"David SH" <whitepjsREMOVE_T…@aol.com> wrote in message

news:abd9q2$3sv$2@newsg2.svr.pol.co.uk… – Hide quoted text — Show quoted text -> "Paul Jones" <jones.p…@btconnect.com> wrote in message > <snip> > | I suspect we’ll never know for sure whether interferon beta > | really delays conversion to SPMS, but you’d want to take it > | just in case it does. > Trouble is, the drug companies are playing on that very real fear. Given how > unpredictable relapses are, and how the shift to SPMS is variable, how the > heck would anyone ever know whether the ABCs do any good other than relieve > us from the burden of one in three relapses.  It’s just like trying to chew > on cotton wool, only with worse consequences. > Rgds

Response:

"> Trouble is, the drug companies are playing on that very real fear. Given how > unpredictable relapses are, and how the shift to SPMS is variable, how the > heck would anyone ever know whether the ABCs do any good other than relieve > us from the burden of one in three relapses.  It’s just like trying to chew > on cotton wool, only with worse consequences. > Rgds

You said it!   That’s why the ABC’s are a  pharmaceutical company’s wildest dream come true.   There is no way of telling if they are really working for any given individual or what the future might hold.  The uncertainty and fear of  future keeps us playing the only game in town.  You just have to hope they do something for you.

Response:

Roarke wrote: > Hi Guys – thanks for this fabulous input.  Yes, what I was getting at is > whether all the steroids and interferons are really just treating the > symptoms, while the actual disease process is unchecked and is actually > allowed to ravage more freely by our attempts to reduce the protective > effects of inflammation.  Does sound ominously like this may be the case.

It’s only hypothesis that inflammation is neuro-protective – it’s really not known. Inflammation can certainly cause neurological symptoms without causing lasting damage but whether that’s a good, bad or neutral thing in terms of progression is an extremely open question. However, it might explain why short-term oral prednisolone actually increases the risk of further attacks of optic neuritis (Optic Neuritis Treatment Trial) but it wouldn’t explain why short-term IVMP reduces the risk. Actually, I don’t believe either of these – they’re based on fairly low significance levels. Personally, I think that both have no effect on future events. The only things I believe from the ONTT are that steroids reduce the severity of attacks and hasten recovery and that they have no effect on vision in ON, but that’s just my *opinion. That said, like Bob, I think treating inflammation is probably not treating the underlying problem. Think about this: Taking long-term high-dose anti-inflammatory steroids is too dangerous to try so nobody does it. An alternative is to try some other long-term anti-inflammatory – say interferon beta. Now if you’re taking this all the time you might expect minor relapses never to get started and more severe relapses to appear less-severe simply because you’re taking the drug right from the outset of the relapse. Is hiding relapses is all interferon beta does? Well it reduces burden of disease under MRI (T2 hypo-intense lesions) but we all know that burden of disease under MRI means very little – perhaps it’s just a bit of scar tissue showing up that has little or no effect on neurologic dysfunction. The key seems to me to be whether interferon beta delays progression. The available data is not very clear – there is some indication that it does but it’s not a terribly strong effect. There are also difficult to solve experimental issues here – how remitted are the volunteers when you do the neurological tests? It’s hard to tell. What we need are long-term studies measuring time taken to convert to secondary progressive. These have to be very long-term (50% of RRMS go SP 10 years from outset) so you need voluteeers who are prepared to use a placebo for years. I suspect we’ll never know for sure whether interferon beta really delays conversion to SPMS, but you’d want to take it just in case it does. Roll on something really good! Take care, Paul All About MS – the latest MS News and Views http://www.mult-sclerosis.org/ Si hoc legere scis nimium eruditionis habes

Response:

Roarke wrote: > Hi Guys – thanks for this fabulous input.  Yes, what I was getting at is > whether all the steroids and interferons are really just treating the > symptoms, while the actual disease process is unchecked and is actually > allowed to ravage more freely by our attempts to reduce the protective > effects of inflammation.  Does sound ominously like this may be the case. > Roarke

I’m not sure I would characterize inflammation in quite the way you did above (at least not the type of inflammation we are talking about).  I think the "normal" inflammation that people with healthy immune systems have is one thing, but the behavior of the inflammation process seen in MS, arthritis, lupus, etc.  is abnormal, out of control, and can result in severe tissue damage, often times more damage than its "repair aspects" can cope with.  In these cases, minimizing this type inflammation would seem to be indicated whenever possible so as to reduce the risk of permanent tissue damage would seem prudent.  For us, inflammation takes on more of a "Jekyll & Hyde" character. However, I tend to agree with your other point about our treatments being questionable at best in doing much for the underlying disease process. Inflammation may be considered a "symptom" of the whole nasty process,  but it is also a process responsible for doing a lot of permanent damage (disability) on it’s own too. Bob

Response:

But if inflammation is potentially good, does it then follow that trying to prevent relapses is a  bad thing? And therefore all efforts, both dietary and medicinal, to do that are misguided? What I’d be curious to know is whether PwMS are really any better off long term now than they were prior to the discovery of the so-called disease modifiers.  As you say, when the drugs are out of patent there won’t be so much weight of money to prove it (incidentally when is that). Rgds "Paul Jones" <jones.p…@btconnect.com> wrote in message

news:3CD89375.97916327@btconnect.com… | Aleric wrote:

| > | >  Don’t know the answer to your specific question, but it is my understanding | > that "inflammation" is an important and necessary immunological function | > (just not in the CNS, if one can help it).  Nevertheless,  it is a critical | > part of the body’s tissue repair process (at least certain components of the | > process serve that function). | > | > I was also under the impression that CNS inflammation is not a major | > component in PPMS.  Rather,. some other, still unknown process is going on | > with that particular disorder. Also, with SPMS, since it is essentially a | > more advanced stage of RRMS, the inflammation component is reduced relative | > to RRMS. | > | > Unfortunately, most of our current MS therapies, from steroids to the ABCR’s | > are designed to either mitigate inflammation once it occurs, or to reduce | > the frequency and severity of  inflammatory events (exacerbations and the | > formation of lesions).  Therefore,  most of these therapies are not as | > effective with the progressive forms of MS. | | Absolutely! In fact, I wonder how effective they are even in | RRMS. Relapses are very unpleasant but looking at what I | want and what, from surveys, most PwMS want, are treatments | that address ongoing permanent disease progression. It seems | to me that most of us would be prepared to tough out | relapses if it meant getting real reduction in disease | progression. | | I saw a graph by Hillitch <?sp> of disease progression over | time from RRMS disease onset through advanced SPMS. Overlaid | was a graph of relapses. Relapses went up and down, more | frequently at the beginning of the disease and eventually | petering out during SPMS. The underlying permanent damage | rose steadily but slowly during RR and rising more quickly | during "worsening RRMS" and steepening still more during | SPMS. SP is when the disease really bites. | | One conclusion might be that disease progression is | inversely proportional to relapse rate, which I think is one | reason why some people think inflammation might have a | neuro-protective effect. I’ve yet to be convinced but I | agree whole-heartedly that treating inflammation (i.e. | relapses) is placing too much emphasis on the wrong thing. | | It’s known that steroids don’t work at all for SPMS and | IFN-b doesn’t work very well for that form. I think that the | one study that showed it to be very modestly effective was | only so because the people with early SPMS were still having | a number of relaspes. It’s yet to be proved that ABCRs delay | the onset of SPMS. Delaying SPMS is much more important, in | terms of disablity, that reducing relapse rate by the very | modest amounts that they do. | | Let’s not forget that 90% of people with RR go SP withing 25 | years and of the remaining 10%, many of those will go SP | eventually – even most of those with benign MS. | | Because both steroids and IFN-b are demonstrably effective | for inflammation, a huge body of work has been and is being | done on them. In my opinion, it’s high time people moved on. | It’s just not addressing what we want addressed. Axonal | damage is the key – why, how and what to do to stop it | happening. I look forward to the ABCRs going out of patent | because then they’ll no longer be any financial gain in | proving their efficacy. | | To answer Roarke’s question (or rather not to), I have to | say that I don’t know why PwPPMS don’t get much inflammation | associated with their disease. | | Take care, | Paul | All About MS – the latest MS News and Views | http://www.mult-sclerosis.org/ | Si hoc legere scis nimium eruditionis habes

Response:

Hi Guys – thanks for this fabulous input.  Yes, what I was getting at is whether all the steroids and interferons are really just treating the symptoms, while the actual disease process is unchecked and is actually allowed to ravage more freely by our attempts to reduce the protective effects of inflammation.  Does sound ominously like this may be the case. Roarke "David SH" <whitepjsREMOVE_T…@aol.com> wrote in message

news:abashj$emh$1@news8.svr.pol.co.uk… – Hide quoted text — Show quoted text -> But if inflammation is potentially good, does it then follow that trying to > prevent relapses is a  bad thing? And therefore all efforts, both dietary > and medicinal, to do that are misguided? > What I’d be curious to know is whether PwMS are really any better off long > term now than they were prior to the discovery of the so-called disease > modifiers.  As you say, when the drugs are out of patent there won’t be so > much weight of money to prove it (incidentally when is that). > Rgds > "Paul Jones" <jones.p…@btconnect.com> wrote in message > news:3CD89375.97916327@btconnect.com… > | Aleric wrote: > | > > | >  Don’t know the answer to your specific question, but it is my > understanding > | > that "inflammation" is an important and necessary immunological function > | > (just not in the CNS, if one can help it).  Nevertheless,  it is a > critical > | > part of the body’s tissue repair process (at least certain components of > the > | > process serve that function). > | > > | > I was also under the impression that CNS inflammation is not a major > | > component in PPMS.  Rather,. some other, still unknown process is going > on > | > with that particular disorder. Also, with SPMS, since it is essentially > a > | > more advanced stage of RRMS, the inflammation component is reduced > relative > | > to RRMS. > | > > | > Unfortunately, most of our current MS therapies, from steroids to the > ABCR’s > | > are designed to either mitigate inflammation once it occurs, or to > reduce > | > the frequency and severity of  inflammatory events (exacerbations and > the > | > formation of lesions).  Therefore,  most of these therapies are not as > | > effective with the progressive forms of MS. > | > | Absolutely! In fact, I wonder how effective they are even in > | RRMS. Relapses are very unpleasant but looking at what I > | want and what, from surveys, most PwMS want, are treatments > | that address ongoing permanent disease progression. It seems > | to me that most of us would be prepared to tough out > | relapses if it meant getting real reduction in disease > | progression. > | > | I saw a graph by Hillitch <?sp> of disease progression over > | time from RRMS disease onset through advanced SPMS. Overlaid > | was a graph of relapses. Relapses went up and down, more > | frequently at the beginning of the disease and eventually > | petering out during SPMS. The underlying permanent damage > | rose steadily but slowly during RR and rising more quickly > | during "worsening RRMS" and steepening still more during > | SPMS. SP is when the disease really bites. > | > | One conclusion might be that disease progression is > | inversely proportional to relapse rate, which I think is one > | reason why some people think inflammation might have a > | neuro-protective effect. I’ve yet to be convinced but I > | agree whole-heartedly that treating inflammation (i.e. > | relapses) is placing too much emphasis on the wrong thing. > | > | It’s known that steroids don’t work at all for SPMS and > | IFN-b doesn’t work very well for that form. I think that the > | one study that showed it to be very modestly effective was > | only so because the people with early SPMS were still having > | a number of relaspes. It’s yet to be proved that ABCRs delay > | the onset of SPMS. Delaying SPMS is much more important, in > | terms of disablity, that reducing relapse rate by the very > | modest amounts that they do. > | > | Let’s not forget that 90% of people with RR go SP withing 25 > | years and of the remaining 10%, many of those will go SP > | eventually – even most of those with benign MS. > | > | Because both steroids and IFN-b are demonstrably effective > | for inflammation, a huge body of work has been and is being > | done on them. In my opinion, it’s high time people moved on. > | It’s just not addressing what we want addressed. Axonal > | damage is the key – why, how and what to do to stop it > | happening. I look forward to the ABCRs going out of patent > | because then they’ll no longer be any financial gain in > | proving their efficacy. > | > | To answer Roarke’s question (or rather not to), I have to > | say that I don’t know why PwPPMS don’t get much inflammation > | associated with their disease. > | > | Take care, > | Paul > | All About MS – the latest MS News and Views > | http://www.mult-sclerosis.org/ > | Si hoc legere scis nimium eruditionis habes

Response:

> Absolutely! In fact, I wonder how effective they are even in > RRMS. Relapses are very unpleasant but looking at what I > want and what, from surveys, most PwMS want, are treatments > that address ongoing permanent disease progression. It seems > to me that most of us would be prepared to tough out > relapses if it meant getting real reduction in disease > progression.

No disagreement here!   As with the ABCRs,  they don’t seem to know much about steroids either –how they work exactly or what their long-term impact is on the disease.  All they know is they have a tendency to help relieve symptoms from exacerbations and help "kick" you into remission sooner.  At least they have that effect on me, but people’s response to them vary greatly and there is a tendency for them to lose their efficacy with use as time goes on.  Yes,  we need much more help with our disease, but that’s all they have at the moment.  The trial drug, Antegren, would seem to have a similar impact on inflammation in the way its being used.  I consider it closer to steroids than the ABCR drugs in its purpose/activity.  Again, for the same reasons I stated before, I have concerns as to how effective it will be with the progressive forms of MS.   At least, they are including *some* SPMS folks on the phase III trials.  That’s good news. > I saw a graph by Hillitch <?sp> of disease progression over > time from RRMS disease onset through advanced SPMS. Overlaid > was a graph of relapses. Relapses went up and down, more > frequently at the beginning of the disease and eventually > petering out during SPMS. The underlying permanent damage > rose steadily but slowly during RR and rising more quickly > during "worsening RRMS" and steepening still more during > SPMS. SP is when the disease really bites.

This seems to be the natural course of the disease –very active in the beginning with frequent exacerbations and eventually burning itself out towards the SPMS  phase. > One conclusion might be that disease progression is > inversely proportional to relapse rate, which I think is one > reason why some people think inflammation might have a > neuro-protective effect. I’ve yet to be convinced but I > agree whole-heartedly that treating inflammation (i.e. > relapses) is placing too much emphasis on the wrong thing.

   True.  Better to treat the underlying cause of the disease than the secondary ’symptom of inflammation’. > It’s known that steroids don’t work at all for SPMS and > IFN-b doesn’t work very well for that form. I think that the > one study that showed it to be very modestly effective was > only so because the people with early SPMS were still having > a number of relaspes. It’s yet to be proved that ABCRs delay > the onset of SPMS. Delaying SPMS is much more important, in > terms of disablity, that reducing relapse rate by the very > modest amounts that they do. > Let’s not forget that 90% of people with RR go SP withing 25 > years and of the remaining 10%, many of those will go SP > eventually – even most of those with benign MS.

Those are the stats.  Not good. But, as you point out, it is still unknown how the ABCR’s will impact these long term stats. It’s still too early since they haven’t been out long enough.  Preliminary studies *suggest* they may help slow the progression to SPMS, or perhaps forestall it all together for some. The studies that show the reduction in the rate of brain atrophy (Biogen) was a good indication of what the long term effects of the ABCR treatments can offer beyond simply their effect on inflammation and exacerbations. Gray matter is being preserved too. > Because both steroids and IFN-b are demonstrably effective > for inflammation, a huge body of work has been and is being > done on them. In my opinion, it’s high time people moved on. > It’s just not addressing what we want addressed. Axonal > damage is the key – why, how and what to do to stop it > happening. I look forward to the ABCRs going out of patent > because then they’ll no longer be any financial gain in > proving their efficacy.

I agree here too. I don’t think too much more time and expense should be spent on  these *older* therapies (but it’s their money, <sigh>).  While they may not know *how* they work exactly, at least they have a pretty good idea of how *well* they work and what their limitations are. That’s the important thing for us… We do need much more.  They are only a temporary stop-gap to help us save  some myelin until the next-gen therapies arrive. Some of these drugs might be useful in combination with other therapies in the future.  The price would need to come down though.  Insurance companies probably won’t put up with too much more covering additional expensive drugs to treat MS.  We are lucky to have them cover the high price of one drug! Example: the trials on combo A & C and B & C are very intriguing, but how many could get coverage for both drugs if the combo treatment really worked well?   I wonder if we will ever see the results of those studies.. A couple have been going on for some time now. Regards, Bob

Response:

 Don’t know the answer to your specific question, but it is my understanding that "inflammation" is an important and necessary immunological function (just not in the CNS, if one can help it).  Nevertheless,  it is a critical part of the body’s tissue repair process (at least certain components of the process serve that function). I was also under the impression that CNS inflammation is not a major component in PPMS.  Rather,. some other, still unknown process is going on with that particular disorder. Also, with SPMS, since it is essentially a more advanced stage of RRMS, the inflammation component is reduced relative to RRMS. Unfortunately, most of our current MS therapies, from steroids to the ABCR’s are designed to either mitigate inflammation once it occurs, or to reduce the frequency and severity of  inflammatory events (exacerbations and the formation of lesions).  Therefore,  most of these therapies are not as effective with the progressive forms of MS. Aleric "Roarke" <mr.roa…@ntlworld.com> wrote in message

news:WrTB8.9372$LI2.2067788@news6-win.server.ntlworld.com… – Hide quoted text — Show quoted text -> I’ve been thinking about the excellent background info Paul Jones gave us on > inflammation and the disease process in PPMS.  Presumably PwPPMS do have > normal inflammatory response to other things ? So why is there none in PPMS > ? > Of interest here is the number of people who go from RRMS to SPMS, where > presumably the inflammatory response also declines. > Thinking out loud here really, but Paul’s suggestion that the inflammation > process may actually be protective against the underlying disease did ding > some dongs. > Any other thoughts ?? > Roarke

Response:

- Hide quoted text — Show quoted text -Aleric wrote: >  Don’t know the answer to your specific question, but it is my understanding > that "inflammation" is an important and necessary immunological function > (just not in the CNS, if one can help it).  Nevertheless,  it is a critical > part of the body’s tissue repair process (at least certain components of the > process serve that function). > I was also under the impression that CNS inflammation is not a major > component in PPMS.  Rather,. some other, still unknown process is going on > with that particular disorder. Also, with SPMS, since it is essentially a > more advanced stage of RRMS, the inflammation component is reduced relative > to RRMS. > Unfortunately, most of our current MS therapies, from steroids to the ABCR’s > are designed to either mitigate inflammation once it occurs, or to reduce > the frequency and severity of  inflammatory events (exacerbations and the > formation of lesions).  Therefore,  most of these therapies are not as > effective with the progressive forms of MS.

Absolutely! In fact, I wonder how effective they are even in RRMS. Relapses are very unpleasant but looking at what I want and what, from surveys, most PwMS want, are treatments that address ongoing permanent disease progression. It seems to me that most of us would be prepared to tough out relapses if it meant getting real reduction in disease progression. I saw a graph by Hillitch <?sp> of disease progression over time from RRMS disease onset through advanced SPMS. Overlaid was a graph of relapses. Relapses went up and down, more frequently at the beginning of the disease and eventually petering out during SPMS. The underlying permanent damage rose steadily but slowly during RR and rising more quickly during "worsening RRMS" and steepening still more during SPMS. SP is when the disease really bites. One conclusion might be that disease progression is inversely proportional to relapse rate, which I think is one reason why some people think inflammation might have a neuro-protective effect. I’ve yet to be convinced but I agree whole-heartedly that treating inflammation (i.e. relapses) is placing too much emphasis on the wrong thing. It’s known that steroids don’t work at all for SPMS and IFN-b doesn’t work very well for that form. I think that the one study that showed it to be very modestly effective was only so because the people with early SPMS were still having a number of relaspes. It’s yet to be proved that ABCRs delay the onset of SPMS. Delaying SPMS is much more important, in terms of disablity, that reducing relapse rate by the very modest amounts that they do. Let’s not forget that 90% of people with RR go SP withing 25 years and of the remaining 10%, many of those will go SP eventually – even most of those with benign MS. Because both steroids and IFN-b are demonstrably effective for inflammation, a huge body of work has been and is being done on them. In my opinion, it’s high time people moved on. It’s just not addressing what we want addressed. Axonal damage is the key – why, how and what to do to stop it happening. I look forward to the ABCRs going out of patent because then they’ll no longer be any financial gain in proving their efficacy. To answer Roarke’s question (or rather not to), I have to say that I don’t know why PwPPMS don’t get much inflammation associated with their disease. Take care, Paul All About MS – the latest MS News and Views http://www.mult-sclerosis.org/ Si hoc legere scis nimium eruditionis habes

Response:

I’ve been thinking about the excellent background info Paul Jones gave us on inflammation and the disease process in PPMS.  Presumably PwPPMS do have normal inflammatory response to other things ? So why is there none in PPMS ? Of interest here is the number of people who go from RRMS to SPMS, where presumably the inflammatory response also declines. Thinking out loud here really, but Paul’s suggestion that the inflammation process may actually be protective against the underlying disease did ding some dongs. Any other thoughts ?? Roarke

Response: