mepron


Recovery Update – May 2009

An absurdly long time since I’ve posted.

Partly because a lots been going on, but also because not much has been happening. I’ve been too busy for small updates and nothing major has happened with my health to warrant me sitting down and writing. But now it’s Memorial Day and I’m just sitting here in Cape Cod watching the tide ebb out of Town Cove. Thought I’d type up an update.

Antibiotic treatment continues

Of course it continues… seems like it’s never going to end. I’ve more or less abandoned the IV idea for now. At the very least until the summer is over. My LLMD agrees. I was denied outright by my insurance company (Aetna) and don’t have the mental energy to fight with them over it right now. If I was suffering horribly and/or bed ridden then I might have at them, but with the way life’s going right now I’m cool with letting it ride on the orals.

Instead of the IV, I’m sticking with the new coinfection regimen of Rifampin, Mino, Zith and Mepron along with Diflucan for yeast (and maybe Lyme). I herxed my head off when first switching to the Rif. It’s a wicked drug. In the first week or so of taking it there were times when I felt utterly and completely out of my mind. I experienced dramatic shifts in my emotional state on almost a continual basis. An hour of fierce anxiety and worry would blend into two hours of intense, almost manic attention on something. When I was focused on work it was a good thing, but when my brain decided it was time to, say, organizing my closet it was a fruitless and frustrating time suck.

It was as if my id sent my ego and superego on vacation. He kicked back, opened up a cold one and grabbed the controller of the PS3 that is my life. My usual laid back attitude was replaced by a pushy determination to get what I wanted. I feuded with store clerks, flogged a customer service representative and pretty much hated on everything my wife did. I don’t know how she put up with me.

I also found it almost impossible to stick to any sort of plan or schedule. My brain just took my body wherever it wanted to go regardless of how many to do lists I made. I would be fully aware of the fact that I had something to do, but if my id wasn’t interested enough to take action, we’d end up doing something else. I know this sounds pretty idiotic, but it’s true.

Luckily, this behavior faded after about two weeks. I’d have moments of anxiety or manic feelings, but they’d pass. Now, after about seven weeks it’s all settled down into a seemingly cyclical series of herxes. It’s too soon to nail it all down, but I seem to feel something every two weeks or so.

Smile, Bart! You’re on candid camera!

One major turn of events occurred last week when I went to see my LLMD. He’d sent some blood off to Fry for Bart and Babs testings during my previous visit. The results were back and I got a nice little photo of one of my red blood cells harboring some Bart — or “bart-like organism” as they seem to be being called these days.

This was kind of epic in a way. Even after all this time I’ve really only been 80% sold on the whole Lyme and friends diagnosis. I don’t exactly know what else it would be, but since I (A) never saw a tick (B) never saw a rash (C) have never been that sick other than the first 2 weeks of illness and (D) haven’t had any dramatic improvements after a year of treatment, the whole thing has been a little hard to buy into 100%.

When my LLMD handed over the page with the photo on it was like everything else just stopped. He kept talking, but I couldn’t hear anything. Meeting the little dark squiggle inside my red cell was like meeting the psychopath that had murdered my family. For a brief second time slowed waaaaay down. I was emotionally torn between shredding the paper with my hands or crying into it. It was unnerving. I just kept staring at it and thinking, “you little motherfucker.”

Anyway…the picture sold me. I’m 100% sold on the idea of some sort of tick born infection. I finally feel comfortable that I’m on the right track to getting healthy again. I still wouldn’t be totally surprised if something else came up down the road, but for now, I’m comfortable with the path I’m on. I’ll post the picture later in the week when I get back to Brooklyn.

That’s all I got for now. There’s some more (good) news about training and such. I’ll make another post about that later.

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Back In The Saddle Again

I wasn't planning on posting again until it got things sorted out with the IV one way or the other. I felt I needed a break from talking about Lyme for awhile. However, in the last couple of days I've had several people email me to see how I'm doing so I thought I'd just give a quick update.

Back in the saddle again

I'm back on the abx. My vacation lasted just about a month… and February is the shortest. For the first week I felt the same as when I was on abx, but then, around the 2nd and 3rd weeks I started to feel that toxic feeling lift. I can't specifically say that my symptoms were improved, but I just felt "clean" and more like myself.

During this time I got in an 11 and 9 mile run on consecutive Sundays and probably peaked out at around 22-25 miles a week. Nothing hard, and the miles weren't always non-stop. Often times when I'm coaching it's a lot of run ahead, wait for the back of the group, run ahead again, wait, repeat. Still, I felt pretty good about getting out there and once again finding that "zone" that only a long run can provide.

Sadly, at about the 4th week, I started to go downhill fast. All of my symptoms came rushing back and then some. I picked up a few new ones too. Mainly Babesia type stuff — tightness across the chest, pain in the soles of my feet, headaches, heart palpitations and strong fatigue. I've had vague Babesia syptoms in the past, but never this bad. Though I tested negative for all co-infections via IGeneX my LLMD suspects that I have Babs (but probably not Bart). That's why I've been on Mepron/Zith/Mino for so long.

So, I've been back on all of the above mentioned meds for almost 2 weeks now (I never stopped the Diflucan or Welbutrin). I started with just the Zith/Mino for a week and then this week added in the Mepron. Getting back on the drugs made me feel even worse so I'm feeling pretty shitty this week.

Bummer, dude

While the middle weeks of my vacation did show me some light at the end of the tunnel, I feel like I've just had a cave in and my way out is blocked. It's very discouraging and I've been pretty down about my situation this week. I'm hoping that I'll be able to quickly climb back up to my pre-vacation level of "wellness" soon. It was frustrating that I wasn't moving beyond the plateau, but it was far better than what I feel now.

What's next?

As for the big question of the IV… I'm STILL waiting for the insurance company to sort it out. The 3rd party that manages things between my LLMD and the insurance company screwed up and we had to resubmit everything. They said doing this would add another 7-10 days to the process. This coming Friday (the 20th) will be 10 days so I guess I'll know next week.

I started a thread on LymeNet to inquire about life with a PICC and exercise. It revealed some things to me that I didn't know so if you're researching the topic you might want to look here.

That's all I got for now. Thanks to everyone who's been in touch. It means a lot to know that friends and strangers alike are pulling for me. I'm pulling for all of you too.

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Recovery Update – November 2008

Alright… November.

What a roller coaster month. So much happened it seemed two months long. The summary in my November chart is almost a post in itself, but let me break it down here.

OMG… this neuropathy is diving me crazy!

The month started out with an upswing in the tingling and weird muscle sensations I've been having up and down my right side since the beginning. Only this time they were making guest appearances on the left side. This had never happened before and it really started to freak me out. Anything new that effects me physically sends me off the deep end with worry. I keep thinking I have MS or ALS or some other devastating autoimmune acronym.

This combined with the fact that my LLMD told me a few months back that he thought I'd "be off antibiotics by December" really confused me. So much, in fact, that I really sort of lost it. I was ready to drop my LLMD, move to a dark cabin above the tree (and tick) line in the mountains and start the Marshall Protocol or some other equally wacked out treatment.

Luckily I talked myself off the ledge and, with the help of a friend, set up an "emergency" meeting with my LLMD and his physicians assistant.

Hey doc, can I have some of that crack you're smoking too?

In the meeting with my LLMD I laid it out for him; essentially, the recovery picture he'd been painting for me was not matching the reality I was experiencing. He'd told me in August that he thought I was doing pretty well and that I'd be off antibiotics by December (now). I explained to him that not only was I not feeling that significantly better, but some of my symptoms, namely the neuropathy, was worse. What the hell's going on?

Well, it turns out that it was my level of exercise that threw him. When I originally went to see him in May 2008 I told him that I was not doing any exercise. He jotted down something like, "Athlete not exercising" in his notes under the assumption that I was unable to do any. The truth was that I was voluntarily not doing anything because I thought it was detrimental to my over all health picture. I did explain this in the initial meeting, but he must have omitted writing that part down.

In this same meeting he told me that it was okay to workout and that I should do as much as I can manage. I think I went for a run that afternoon.

Several weeks passed and we again discussed my level of exercise. I told him I was back to running 15-20 miles a week with my coaching and biking 30 or so. He jotted this down too and then compared it to his previous notes. To him it seemed as if he had taken me from couch surfing to running/biking 50 miles a week in just a couple of months. Not bad, and I don't blame him for jumping all over this. Unfortunately, it wasn't true. I probably wouldn't have been able to do as much as that upon my first meeting with him, but it's likely that I could have managed half that effort/distance.

So, after a long discussion and clarification session about what he was thinking and what I was experiencing we finally came to a place of mutual understanding. This was a big relief for me and somewhat of a recovery breakthrough. To organize and rally my LLMD, his PA, my wife and myself together in the same room and clearly articulate what was going on and get us all headed in the same direction was very fulfilling. One of the few times that I've felt in control of my life in the last year or so.

To IV or not to IV, that is the question

After all of the hugging and hand-holding was over we discussed what to do next about my treatment. My LLMD seems to think that I'm no longer absorbing the oral antibiotics. We talked about what's involved with a PICC line and  the pros and cons. We also discussed intramuscular (IM) Bacillin shots. Both of these get around the digestive system and get right into the bloodstream resulting in a more effective attack on the spirochetes.

The jury is still out on what to do. I'm seeing my LLMD again in a week and we're going to take up this topic then. Stay tuned.

Dear Mepron. You Suck

I continued back on the Mepron after my short-lived rash issue when initially starting it. I think it's helping. I no longer have the palpitations that I lead me to start taking it and for that I'm glad. Still, there are random days when it makes me feel like crap. I'll take it and then 30-45 mins later suddenly, wham! Brutal stuff.

Happy Thursday the 13th

For some reason on the 13th I felt great. Not 100%, but really pretty good. I felt positive and my brain fog, though still there, wasn't in the way of things. I was hoping that it would continue for a few more days, but it didn't last. Everything slowly returned to "normal" over the next 2 days. Lame, but a sweet reminder of what's (hopefully) down the road for me.

Run Forrest… run!

Speaking of the road… after over a year of non-competition I did my first road race in Central Park. I covered that in a post here. An awesome experience considering there was a time that I thought I'd never wear a race number again.

Chinese medicine and acupuncture

This deserves it's own post, but I started seeing a Chinese medicine practitioner. So many people say that herbs have helped them as much as drugs. I figure it's just another piece of the puzzle.

Thankful for Thanksgiving

I use holidays and other milestone dates to compare back and see what kind of improvements I'm making. We were in Atlanta again for Thanksgiving this year with my wife's family. Thinking back, I was pretty worthless last year. I recall having to take a nap almost every day and being generally lethargic the entire time we were down there. This year I was pretty engaged — took the niece and nephews to the aquarium, played some basketball, cooked a Mexican dinner for 11 people and generally hung out. Not bad.

On the down side, I tried to stick to my diet, but it was all but impossible. Not having a fridge stocked with exactly what I need combined with the fact that I've been urgently trying to keep my weight up and I simply couldn't manage. I stayed away from the obviously bad things like soda, sugary cereals and such, but I couldn't resist my Mother-In-Law's homemade apple pie. I gained 5lbs!

To sum up…

Like I said, a lot of stuff happened. The first part of the month was horrible, but the latter half was pretty good. I try to remind myself of this fact on days when I feel bad. The good days are coming (they are, right?). I just need to wait for them.

My November chart looks pretty similar to October's and the averages at the top correspond to the overall visual. They're down, but not significantly. Interestingly though, it's very different from September's chart and the averages are way down when compared to it. So, in the glacial speed of Lyme treatment, I guess that's significant progress.

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Recovery Update – October 2008

I totally forgot to post an update for October.

I've been really busy with work and family stuff. I've also been trying in general to think less about Lyme and more about getting on with my life. That's not to say that I feel significantly better and don't think (obsess?) about it every day. I just decided to not spend so much time trying to solve what seems to be an unsolvable problem. If I get better, great. If not, so be it. There's really nothing more I can do.

Anyway, back to October… Saw Dr. R on the 15th and we talked about Babesia. I've been having some shortness of breath (like being at altitude), occasional heart palpitations and some pain in my feet. I'd read that these were symptoms of Babs and Dr. R agreed. He put me on Mepron and Zithromycin which seems to be the default combo for this.

I started it, but about 10 days in I developed this itchy, blotchy rash all over my chest, arms, legs, feet; basically anywhere my clothes rubbed my skin. At first I thought maybe my wife had switched up the laundry detergent, but no. I called Dr. R's office they told me to stop all meds until things cleared up. I did and about 4 days later I was fine. They couldn't tell me if it was an allergic reaction or a reaction from the Babs, but I asked around on LymeNet and several people had had simliar experiences with Mepron. By the end of the month I was back on it and have not had any further rash issues, however, I think I'm having absorption issues. More on that next month.

In addition to starting the Mepron/Zith I started to really ramp up the herbal stuff. I've been really interested in better incorporating herbal Lyme treatments as well as immune-support and detox helpers into my regimen. It's all fantastically confusing and I haven't the patients for it, but I've learned quite a bit from reading online and emailing with other sufferers who've worked with them. I think I've mentioned them before, but Grapefruit Seed Extract and Samento seem to be at the heart of treatment for most people going the herbal route. I've been toying with them, but through the latter half of October I really started to take it all seriously.

Over a period of 3 weeks I worked my self up to about 13 drops of GSE and Samento once a day. This is somewhat faster than they recommend, but I'm not very patient. I think I started at 5 drops and then added a drop each evening until I started to really feel bad (herxing?) and then left it there. I was getting ready to start splitting up the dosage and begin to take it in the morning and the evening, but then the Mepron rash hit me and I decided to stop everything.

Sadly, I've yet to get back to it even now in mid November. However, I did go to see a specialist in Chinese medicine last week and expect to be taking more herbs soon. Check back next month for more details.

Sorry for the lame-ass update, but that's about all I can recall. Will do better in November.

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