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Re: New/Old Member - Andy

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No, I started on 60mg prednisone, 600mg ibuprofen 3x/day. Then when I

started Kineret I was able to start tapering the prednisone. Of course

I'm taking calcium, multivitamins, etc. And while on the prednisone I

used a couple of different sleeping medicines. That's all I have had

to deal with (so far).

> Thanks for the info.

> I may have missed it but where you on anything else in combination

> with the Kineret besides steroids?

>

> ________________________________

>

> To: Stillsdisease

> Sent: Thursday, December 18, 2008 9:56:28 AM

> Subject: Re: New/Old Member - Andy

>

> Hi ,

> I can still hardly believe it (there must be a psychological component

> to this), but I felt different within a few minutes of taking the

> first injection. Within an hour I felt the " brain fog " lifting, and I

> remembered what it was like to feel normal. Of course not every day is

> that good, but in general I am so close to feeling normal again that I

> have to look carefully to be sure if I am noticing a symptom.

>

> Good luck - I hope it works as well for you.

>

>

>

>

> > Hi ,

> >

> > I am new to the group, been here for a couple of weeks. Already

> > found great support and new friends.

> >

> > Do you remember how long the Kineret took for you to start seeing

> > results?

> >

> > I am ready to get it started, many people have said it was what had

> > finally worked for them.

> >

> > Stay well, good luck on your dissertation, I remember those days,

> >

> >

> > ____________ _________ _________ __

> > From: D Prince <bprincerice (DOT) edu>

> > To: Stillsdisease@ yahoogroups. com

> > Sent: Thursday, December 18, 2008 9:32:59 AM

> > Subject: Re: New/Old Member - Andy

> >

> > Hi , hello everyone,

> >

> > I have not posted anything for a while; the good news is that this

> is

> > because I have improved enormously since this summer (when I was

> > diagnosed and joined the group). I have been on Kineret since early

> > July, and have kept improving since I began it. I was able to get

> off

> > prednisone in October, and am now even reducing the amount of

> > ibuprofen I take daily (my creatinine levels were up some at the

> last

> > round of tests, so the doc asked me to reduce it if I can).

> >

> > I have been able to get back to my " job " (I'm a graduate student

> > writing a dissertation right now) this semester, and I was able to

> > complete the semester normally, without having to cut back on what I

> > am doing - except for the days I missed things because I was waiting

> > for Fedex or UPS to deliver Kineret, and they were late showing

> up...

> >

> > To summarize: I am now taking Kineret daily, and 200mg of ibuprofen

> > 3x/

> > day. I have some slight soreness in muscles from time to time, but

> > nothing serious. My labs are all normal, so I suppose I am in (drug-

> > induced) remission.

> >

> > I also wanted to say that I have been reading the posts pretty much

> > every day, even though I have not written back in a while. I want to

> > thank everyone for their messages - even though I am feeling very

> > good, there is still uncertainty about the future, and it is really

> > wonderful to hear from others who are dealing with this and know you

> > are out there.. I wish you all pain-free days and lots of happiness,

> > especially during the holidays.

> >

> >

> >

> >

> > > Hello Group

> > >

> > > My name is Puente and my son Andy has Still's disease. I

> was a

> > > member

> > > of the group a few years ago and some of the old timers may

> remember

> > > me. I

> > > have rejoined in order to learn about new medications and

> treatments

> > > that

> > > people have tried; what worked and what didn't.

> > >

> > > First, for the newer people in the group, as well as updating the

> > > older

> > > members (Cat - sorry about not staying in touch, too much

> happening

> > > with

> > > Andy), let me give you Andy's background. He was diagnosed 14

> years

> > > ago when

> > > he was 25. It was the usual story; admitted to the hospital with

> > > spiking

> > > fevers, he was examined by almost every specialist there is and

> > > given every

> > > test in the book. On the sixth day, a rheumatologist arrived,

> looked

> > > at the

> > > chart, asked two questions, and diagnosed him with Still's. One of

> > the

> > > questions was did you have JRA as a child? The answer was yes when

> > > he was

> > > eight years old. He was treated with six months of aspirin therapy

> > > (30 tabs

> > > of baby aspirin per day) and he went into total remission until

> that

> > > summer

> > > some 17 years later when AOSD struck... Despite all of the drugs

> he

> > > has been

> > > on over the years, his disease continues unabated and is still

> > > ravaging his

> > > body.

> > >

> > > Within 18 months of the onset of the disease he had his first hip

> > > replacement, followed a year later by the second one. Then in

> year 4

> > > he had

> > > his first knee replacement and then his second one sometime later.

> > > He had a

> > > C2-C4 vertebrae fusion, a procedure that requires the head to be

> > > immobilized

> > > with a metal ring screwed into the skull and sleeping upright in a

> > > chair for

> > > 3 months. Both ankles and feet are fused with plates and pins.

> Bones

> > > in his

> > > hands have fused spontaneously and recently he had jaw surgery to

> > > correct a

> > > problem in one of the joints. His shoulders are extremely painful

> > > but he

> > > wants to put off those joint replacements as long as he can.

> > >

> > > He has been on Plaquenil, Methotrexate, Arava, Enbrel, Celebrex

> and

> > > now

> > > Orencia. His pain meds have included over the years: Tramadol

> > > (Ultram),

> > > Oxycodone, and a few others. Prednisone has been his mainstay;

> he is

> > > currently on 15 mg a day, but at times up to 80 mg per day. He

> also

> > > takes

> > > 200 mg of Celebrex 2x daily, Orencia - one infusion per month and

> > > Oxycodone

> > > for pain as needed. He was on Tramadol, but became addicted to it

> > > and had to

> > > go through full-blown withdrawal (sweats, chills, cramps, etc.) to

> > > get off

> > > of it.

> > >

> > > For those of you who are new members and have recently been

> > > diagnosed, I do

> > > not wish to frighten you with all of these details. Andy's case is

> > > very

> > > extreme and it is rare that Stills patients have this many

> problems.

> > > So, it

> > > doesn't mean that your disease will progress in this fashion. I

> list

> > > his

> > > background and his drug regimens here so that people whose joints

> > > are more

> > > affected than others can help me and Andy with some possible

> > > solutions.

> > >

> > > Despite his problems he continues to work full time as a private

> > > school

> > > teacher, has a loving wife, a 2 year old son, and one (a girl) on

> > > the way.

> > > However, his rheumatologist is concerned (and so am I) about the

> > > disease and

> > > its progression. Orencia is not having the desired effect and he

> is

> > > searching for alternatives.

> > >

> > > That's where all of you can help. I would like to hear in some

> > > detail what

> > > has helped you. I know all of the drugs that are on the market

> today

> > > and a

> > > few that are in Phase III testing. What I am looking for is what

> has

> > > worked

> > > for you. The more specific you can be the better I will be able to

> > > assist

> > > Andy and his doctor in looking at what works in Stills patients

> and

> > > what

> > > doesn't. I know that all people are different and what works for

> one

> > > won't

> > > necessarily work for another. Even though Andy has been on a

> number

> > > of the

> > > more powerful drugs that haven't worked, maybe some of you have

> > tried

> > > various combinations that he has not.. I know that his doctor is

> > > struggling

> > > to find a solution. Most rheumatologist don't have that many

> Still's

> > > patients and they are just as eager to hear about possible

> > > combinations that

> > > have worked for other people. Let's face it, there is not much

> > > research

> > > going on about Stills and doctors are left to their own devices to

> > go

> > > through a process of trial and error to find out how the person

> > > responds to

> > > each drug or combination. That is the nature of the beast today.

> > >

> > > Thanks,

> > >

> > >

> > >

> > >

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