Guest guest Posted February 16, 2006 Report Share Posted February 16, 2006 Not to worry, . We've all been there. When we feel rotten, things are harder to deal with. Cheers. susan smith <bizzare48@...> wrote: I would like to say I am sorry to everyone in the group for my fight with Jim and Tim, I Just don't like it when people think they know everything. But for my part it is over. won't go there. So maybe I can blame it on the weather, really strange here today, snow with thunder and lightening. Some areas around us got up to 12 inches of snow. Luckily we are near a lake, and lake effect kept our snowfall down to a couple of inches.'It is going to be really slippery in the morning though as there is slush under the snow. In WI --------------------------------- What are the most popular cars? Find out at Autos Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 I " m new here and a parent to a 10 year old Aspie and I wanted to comment on this issue. I say sorry a lot. I'm actually trying to work on this but I use it as a form of " Know I'm thinking of you and here to support you. " Rather than I'm sorry in the traditional sense. Just to point out another side. Your friend might not have meant it in a that's terrible way. I understand your feeling on it though. I wouldn't have my Aspie any other way. Tiff http://www.xanga.com/neuroticfitchmom ( ) " Sorry " > Today a friend of mine told me that she was sorry I believed two of my > children have Asperger's. It struck me oddly. I thought " What is there > to be sorry about? " It doesn't change anything. They are exactly the > same as they were before I thought they had Asperger's. The issues and > difficulties are just the same and so are the quirks and cuteness. I > think getting a diagnosis will be a blessing, so I can better learn to > help my kids get where they need to be and help their teachers learn > to deal with their issues better. > > It's just funny that nobody expresses " sorry " to you because your kids > are difficult or seem to be misbehaving, but the minute they hear the > label, they're so " sorry. " > > I am not sorry, and I don't feel like I've lost something or been > burdened. Sure, it might not be as easy to raise my kids as it is for > some people to raise theirs, but then there are other kids who don't > have Asperger's who have their own issues. All kids have issues. We're > just lucky that there's a name for our kids' struggles and that there > is a body of research and experts we can turn to for help. > > I feel sorry for all those parents who can't get that help because > their kids' behavior doesn't fit into any cateogry. > > Cat > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 It's funny, I feel the same way you do. I am new to the group, and my 4 year old son was recently diagnosed with Aspergers. I felt so relieved to put a name to it and to be told that he was eligible for services through the county. I had this tremendous relief that his behavior was not because I am a bad mother, and that there are things we can learn to help him improve his behavior and help him relate better with people. I guess those who say they are sorry mean that they are sorry that the child has to have these issues in the first place, and they have never had the experience of feeling so helplees to help your child, as we did before we got the diagnosis. Therese > > Today a friend of mine told me that she was sorry I believed two of my > children have Asperger's. It struck me oddly. I thought " What is there > to be sorry about? " It doesn't change anything. They are exactly the > same as they were before I thought they had Asperger's. The issues and > difficulties are just the same and so are the quirks and cuteness. I > think getting a diagnosis will be a blessing, so I can better learn to > help my kids get where they need to be and help their teachers learn > to deal with their issues better. > > It's just funny that nobody expresses " sorry " to you because your kids > are difficult or seem to be misbehaving, but the minute they hear the > label, they're so " sorry. " > > I am not sorry, and I don't feel like I've lost something or been > burdened. Sure, it might not be as easy to raise my kids as it is for > some people to raise theirs, but then there are other kids who don't > have Asperger's who have their own issues. All kids have issues. We're > just lucky that there's a name for our kids' struggles and that there > is a body of research and experts we can turn to for help. > > I feel sorry for all those parents who can't get that help because > their kids' behavior doesn't fit into any cateogry. > > Cat > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 I guess people just don't know what to say and " sorry " seems the easiest. I too was relieved to have a " label " because it meant I could do something about it. I asked my son if he could have someone take the Aspergers away, would he want them too. He said no, because it is just who I am. So that made me feel better. And I just can't imagine him without his quirks. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2007 Report Share Posted January 16, 2007 > Hi, I'm new here too. I didn't mean that I thought badly of my friend for saying it, only that I realized there really isn't anything to be sorry for or about, because there's nothing there now that wasn't there before. Part of me feels like I should be more quiet here, since I don't even have an official diagnosis. Really I just wanted to see what others had to say about their kids, too, and see if that did sound like what I am experiencing. But I've already learned a lot; someone mentioned sensory processing disorder, which I was unfamiliar with and then that night another friend who is a teacher gave me a book on it because she thought it described my son, which is what the other mother here said. So everyone is very helpful! Cat > I " m new here and a parent to a 10 year old Aspie and I wanted to comment on > this issue. I say sorry a lot. I'm actually trying to work on this but I > use it as a form of " Know I'm thinking of you and here to support you. " > Rather than I'm sorry in the traditional sense. Just to point out another > side. Your friend might not have meant it in a that's terrible way. I > understand your feeling on it though. I wouldn't have my Aspie any other > way. > Tiff > > http://www.xanga.com/neuroticfitchmom > ( ) " Sorry " > > > > Today a friend of mine told me that she was sorry I believed two of my > > children have Asperger's. It struck me oddly. I thought " What is there > > to be sorry about? " It doesn't change anything. They are exactly the > > same as they were before I thought they had Asperger's. The issues and > > difficulties are just the same and so are the quirks and cuteness. I > > think getting a diagnosis will be a blessing, so I can better learn to > > help my kids get where they need to be and help their teachers learn > > to deal with their issues better. > > > > It's just funny that nobody expresses " sorry " to you because your kids > > are difficult or seem to be misbehaving, but the minute they hear the > > label, they're so " sorry. " > > > > I am not sorry, and I don't feel like I've lost something or been > > burdened. Sure, it might not be as easy to raise my kids as it is for > > some people to raise theirs, but then there are other kids who don't > > have Asperger's who have their own issues. All kids have issues. We're > > just lucky that there's a name for our kids' struggles and that there > > is a body of research and experts we can turn to for help. > > > > I feel sorry for all those parents who can't get that help because > > their kids' behavior doesn't fit into any cateogry. > > > > Cat > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2007 Report Share Posted February 3, 2007 I HAVE A 16 YEARS ASPIE, AND LIVE IN MISSISSIPPI! CALL ME SOMETIME, WE CAN HELP EACH OTHER. ROBIN-MADISON, MS. 601-605-6030 OR 862-9800 " Ms. Mississippi " <neuroticfitchmom@...> wrote: I " m new here and a parent to a 10 year old Aspie and I wanted to comment on this issue. I say sorry a lot. I'm actually trying to work on this but I use it as a form of " Know I'm thinking of you and here to support you. " Rather than I'm sorry in the traditional sense. Just to point out another side. Your friend might not have meant it in a that's terrible way. I understand your feeling on it though. I wouldn't have my Aspie any other way. Tiff http://www.xanga.com/neuroticfitchmom ( ) " Sorry " > Today a friend of mine told me that she was sorry I believed two of my > children have Asperger's. It struck me oddly. I thought " What is there > to be sorry about? " It doesn't change anything. They are exactly the > same as they were before I thought they had Asperger's. The issues and > difficulties are just the same and so are the quirks and cuteness. I > think getting a diagnosis will be a blessing, so I can better learn to > help my kids get where they need to be and help their teachers learn > to deal with their issues better. > > It's just funny that nobody expresses " sorry " to you because your kids > are difficult or seem to be misbehaving, but the minute they hear the > label, they're so " sorry. " > > I am not sorry, and I don't feel like I've lost something or been > burdened. Sure, it might not be as easy to raise my kids as it is for > some people to raise theirs, but then there are other kids who don't > have Asperger's who have their own issues. All kids have issues. We're > just lucky that there's a name for our kids' struggles and that there > is a body of research and experts we can turn to for help. > > I feel sorry for all those parents who can't get that help because > their kids' behavior doesn't fit into any cateogry. > > Cat > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Hi , Don't be sorry. I think you *can* bring up what is happening to you. I must admit I haven't followed the previous topic very much at all, assuming it was the " -5 months post op " thread. That being said, discussing what's on your mind is almost always encouraged. You may not always get the reaction you wanted, but that may not be bad either. I just went back and reread the topic. I really didn't notice anything that, discussion-wise, was bad. I also don't see anything that could be taken as " you shouldn't be talking about this " . So, post away!!! :-) > > I am sorry I brought up the whole thing about pain medication. I was > only trying to see if somebody could tell me they experienced the same > thing, so I would not feel so terrible. Thank you . I guess I > was wrong about this group that you can share what is happening to you, > I feel worse now, now I feel like I shouldn't have gotten off the pain > medication and I feel like I should not have any pain at all. That I am > just laying around with pain. thank you for your honesty and I > will follow your wisdom. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 , I remember being on Oxycontin/codone. Yes, they are powerful meds and made me feel " safe " (meaning, I wasn't hurting all the time and I could have a life thinking of other things than pain). I weaned myself off under my ortho's instructions, but it took awhile. I was out of work for seven months with my last fusion, so if you're still having difficulties at five months, don't feel bad. Since constipation was mentioned, I must also say I tolerate opioids better than some in this group. With the Oxy, hydro, and even morphine, I don't seem to have any major constipation issues. These meds also don't make me loopy to the point of being non-functional. I get a bit tired and sometimes a bit spacey (as my wife would tell you), but overall, I can function somewhat normally. -- In , " astreeff " <astreeff@...> wrote: > > I am sorry I brought up the whole thing about pain medication. I was > only trying to see if somebody could tell me they experienced the same > thing, so I would not feel so terrible. Thank you . I guess I > was wrong about this group that you can share what is happening to you, > I feel worse now, now I feel like I shouldn't have gotten off the pain > medication and I feel like I should not have any pain at all. That I am > just laying around with pain. thank you for your honesty and I > will follow your wisdom. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2007 Report Share Posted October 25, 2007 Dear , Of course this is the place to discuss issues following surgery. Pain med's sometimes can be a touchy topic. I was lucky following both of my revisions to get off pain med's fairly quickly, stepped off the really stong stuff by about 2 months and Vicodin by three, but that was only because I didn't need them. I must also say that my doc isn't big on giving pain med's out, did that influence my moving off them fairly quickly, maybe, but for the most part I just was doing better. I'm sure if I needed pain med's long term, I would have been sent to pain Mgt. Also for years(pre Flatback surgery) while dealing with my ever increasing disability and pain I never used more than Tylenol, and Motrin, and Feldene(till I gained 20 lbs while on it), so I never got used to med's stronger than that. I don't know what you were on pre-revision, but I think that can play a part in trying to whind down off med's, tolerance and your body being used to it. Peggy described well her feeling following her going down and getting off the med's, as she had some of the same symptoms you did. I truly didn't have that experience, so since I couldn't add much to the discussion, other than now to be of a support. For post op pain I was on a Fentanyl patch, so I didn't have the oxy experience. The Fentanyl patch did a number on my digestive track, vomitting and severe constipation, really awful, but as a bonus I lost forty much needed pounds( no way to loose it). I wish I could remember my patch levels, but went home on one strength and stepped down at three weeks, and went off completely due to the vomitting at six weeks to Vicodin. I did experience exhaustion, was it due to changing the med's, maybe, the weight loss, maybe, or peri-menopause I was sent into big time( Flashing all the time and night sweats). Doc's did say not to go off quickly or abruptly, weaning down under a doc's supervision was key, and I did follow that. In a group like ours, with our varying spines and complexity, outcomes of course will vary, as will recoveries. My recovery will probably not be like anothers, might have some similarities, but was truly mine. Back when I started my surgical journey to get my Flatback fixed in 2000, finding online groups about Flatback scared the living hell out of me, there truly no good outcome stories on the board. Back in 2002 when my surgeries were over and I was doing well( Three surgeries to get me where I am, a decompression, and two full revisions in 24 months, over 24 hours of surgery time), and I expressed my joy at my good outcome, I had people kinda express that I must be lying since I claimed to be pain free. I was, and am. Blessed, truly, and just why I came out this way and others don't, who knows. I'm good now, and hope I'll always be, but if things go south, and they can, I'm lucky to be here to lean on the wisdom of members here who have dealt with continuing pain. So we have to walk the path of giving people hope of a painfree existance, but tempered with the knowledge that some will need continuing pain mgt to get a the best quality of life they can. I in my messages am very careful to temper things. While there are some like me who have found revision got rid of our pain, there are others who won't have that but such a reduction, that life is more manageable. Also getting upright has a big benefit to not only our backs but other areas of the body aren't as strained. So while there is no way to judge why some of us come through this easier than others, we have to be mindful that there is so much differing in our spines( even though we have a Flatback diagnosis) that painfree may not be possible for all. I truly went into my revisions looking for a reduction in pain, Kumar thought that would be the best I would get due to the level of arthritis I had, but I got the whole shebang, painfree land. Not a day goes by that I'm not thankful for my outcome, and I truly wish everyone going through this had the same. I'm going to really step out and say that dropping off med's should be done very carefully, especially if you have been on them long term. I'm not a doc, follow instructions carefully, and if you are having such terrible reactions to stepping down or completely off, get to a medical provider ASAP. There are ways to do it more prudently than going as you put" Cold Turkey" as that can have bad reactions in many of your bodily systems, and can be down right dangerous. Like my pain control after surgery Fentanyl cannot be left by going off it suddenly, dangerous. If your surgeon is less than helpful transistioning off med's, or you need more long term pain control ask for a pain mgt referal, especially those who go with doc's out of state from them. Surgeons are good cutters, not necessarly good with pain issues. Some will have to move on to doc's that deal with pain fulltime, for continuing long term pain control. Bonnie is a good resource to speak to someone who deals with continuing pain, but is still thankful for her revision. We have to balance and be mindful that all of us will come out of this experience differently. I'm painfree sure, but have a ream of challenges physically that others here do and don't have. Does this make my outcome better than someone who has some pain that is managed, maybe not. By going to the retreat this year I was able to see just what others can do physically, some things that I just can't do. Jealous, sure, but my body is that, mine. I'm fused very high, T1 and to the sacrum, so the majority of my spine is fused, so sure there will be some difference between me and others who aren't fused as high. I have a boat load of hardware, and a weird configuration to it, and that does limit movement for me. And while I wish I had the movement that say Kam has, I'm me and the totality of just me, so while Kam and I both had revision, my surgery was mine, as my recovery was mine, and while it all falls under revision, it can vary. So to end this rambling message, know we are there to support you, whether or not you need pain med's to deal with your post-op pain. Know recovery rates vary a lot, quite a lot need pain med's for upwards of a year just from the surgery and the adjustment to your NEW body stance. You may find that other body parts will revolt to you being upright, my shoulders and then my elbows gave me fits, some others find their knees painful. I don't know if you were pushed to get off your meds the way you did it, or you just wanted off them, but take it easy on yourself, reducing and allowing your body to adjust, then reducing some more, allows your body not to have that awful shock, and for you to build up your strength accordingly, without the whammo affect. Know that while the pain will reduce for most of us after surgery, the exhaustion continues for a good long while. I tired easily at first and while it got progressively better, it took 18 months for me to feel like I had my old energy level back. For me the exhaustion was always worse than the pain post op, that feeling like I'd never be my old self. Thats why we are careful to let you guys know going into surgery that this is a LONG recovery, and the more time you get away from surgery you'll realize just how long it is. You are you, and you can't judge yourself by what another revisee is doing at the same month level in recovery you are at, it's apples and oranges. So take it one day at a time, time will always be your friend, and alas it just takes time! [ ] Sorry I am sorry I brought up the whole thing about pain medication. I was only trying to see if somebody could tell me they experienced the same thing, so I would not feel so terrible. Thank you . I guess I was wrong about this group that you can share what is happening to you, I feel worse now, now I feel like I shouldn't have gotten off the pain medication and I feel like I should not have any pain at all. That I am just laying around with pain. thank you for your honesty and I will follow your wisdom. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2007 Report Share Posted October 25, 2007 Thank you for your words of wisdom, I think I was on a self pity trip when I wrote the message, I have been real hard on myself lately. The reason I got off pain medication was that I was tapering down and the less I took the more my body wanted it oxycontin that is I started off at 80mg twice a day, which I found out recently is a very high dose. I was only on vicodin pre surgery for about a couple of months so I had build a tolerence level at least that is what the doc said and me having pneumonia after surgery they put me on a high dose to control the pain. Anyways I was on 80mg twice a day till about August when I started the tapering, it was not working for me, so I had to make a big decision I had to go cold turkey of course my doctor was not happy and of course it should not be done but I had no choice in my mind I was taking to many and that was not good. A friend who also is a nurse has been helping the last couple of weeks during detox said that oxycontin gave me a sense of well being and that is why I was able to acomplish alot. So of course I wanted to take more so I could do more, well I hit rock bottom as they say. Now I feel like I am back to the beginning and struggling to go to work, I am hurting all the time, the doc says it could be because I went cold turkey who knows. The reason I am saying all this and the reason I brought it up was because I wanted to let anybody know that they may not be alone if this happened to them. Anyways I went to work and that is a good day for me > > Dear , > > > Of course this is the place to discuss issues following surgery. Pain med's sometimes can be a touchy topic. I was lucky following both of my revisions to get off pain med's fairly quickly, stepped off the really stong stuff by about 2 months and Vicodin by three, but that was only because I didn't need them. I must also say that my doc isn't big on giving pain med's out, did that influence my moving off them fairly quickly, maybe, but for the most part I just was doing better. I'm sure if I needed pain med's long term, I would have been sent to pain Mgt. Also for years(pre Flatback surgery) while dealing with my ever increasing disability and pain I never used more than Tylenol, and Motrin, and Feldene(till I gained 20 lbs while on it), so I never got used to med's stronger than that. I don't know what you were on pre-revision, but I think that can play a part in trying to whind down off med's, tolerance and your body being used to it. Peggy described well her feeling following her going down and getting off the med's, as she had some of the same symptoms you did. I truly didn't have that experience, so since I couldn't add much to the discussion, other than now to be of a support. > > For post op pain I was on a Fentanyl patch, so I didn't have the oxy experience. The Fentanyl patch did a number on my digestive track, vomitting and severe constipation, really awful, but as a bonus I lost forty much needed pounds( no way to loose it). I wish I could remember my patch levels, but went home on one strength and stepped down at three weeks, and went off completely due to the vomitting at six weeks to Vicodin. I did experience exhaustion, was it due to changing the med's, maybe, the weight loss, maybe, or peri- menopause I was sent into big time( Flashing all the time and night sweats). Doc's did say not to go off quickly or abruptly, weaning down under a doc's supervision was key, and I did follow that. > > In a group like ours, with our varying spines and complexity, outcomes of course will vary, as will recoveries. My recovery will probably not be like anothers, might have some similarities, but was truly mine. Back when I started my surgical journey to get my Flatback fixed in 2000, finding online groups about Flatback scared the living hell out of me, there truly no good outcome stories on the board. Back in 2002 when my surgeries were over and I was doing well( Three surgeries to get me where I am, a decompression, and two full revisions in 24 months, over 24 hours of surgery time), and I expressed my joy at my good outcome, I had people kinda express that I must be lying since I claimed to be pain free. I was, and am. Blessed, truly, and just why I came out this way and others don't, who knows. I'm good now, and hope I'll always be, but if things go south, and they can, I'm lucky to be here to lean on the wisdom of members here who have dealt with continuing pain. > > So we have to walk the path of giving people hope of a painfree existance, but tempered with the knowledge that some will need continuing pain mgt to get a the best quality of life they can. I in my messages am very careful to temper things. While there are some like me who have found revision got rid of our pain, there are others who won't have that but such a reduction, that life is more manageable. Also getting upright has a big benefit to not only our backs but other areas of the body aren't as strained. So while there is no way to judge why some of us come through this easier than others, we have to be mindful that there is so much differing in our spines( even though we have a Flatback diagnosis) that painfree may not be possible for all. I truly went into my revisions looking for a reduction in pain, Kumar thought that would be the best I would get due to the level of arthritis I had, but I got the whole shebang, painfree land. Not a day goes by that I'm not thankful for my outcome, and I truly wish everyone going through this had the same. > > I'm going to really step out and say that dropping off med's should be done very carefully, especially if you have been on them long term. I'm not a doc, follow instructions carefully, and if you are having such terrible reactions to stepping down or completely off, get to a medical provider ASAP. There are ways to do it more prudently than going as you put " Cold Turkey " as that can have bad reactions in many of your bodily systems, and can be down right dangerous. Like my pain control after surgery Fentanyl cannot be left by going off it suddenly, dangerous. If your surgeon is less than helpful transistioning off med's, or you need more long term pain control ask for a pain mgt referal, especially those who go with doc's out of state from them. Surgeons are good cutters, not necessarly good with pain issues. Some will have to move on to doc's that deal with pain fulltime, for continuing long term pain control. Bonnie is a good resource to speak to someone who deals with continuing pain, but is still thankful for her revision. > > We have to balance and be mindful that all of us will come out of this experience differently. I'm painfree sure, but have a ream of challenges physically that others here do and don't have. Does this make my outcome better than someone who has some pain that is managed, maybe not. By going to the retreat this year I was able to see just what others can do physically, some things that I just can't do. Jealous, sure, but my body is that, mine. I'm fused very high, T1 and to the sacrum, so the majority of my spine is fused, so sure there will be some difference between me and others who aren't fused as high. I have a boat load of hardware, and a weird configuration to it, and that does limit movement for me. And while I wish I had the movement that say Kam has, I'm me and the totality of just me, so while Kam and I both had revision, my surgery was mine, as my recovery was mine, and while it all falls under revision, it can vary. > > So to end this rambling message, know we are there to support you, whether or not you need pain med's to deal with your post-op pain. Know recovery rates vary a lot, quite a lot need pain med's for upwards of a year just from the surgery and the adjustment to your NEW body stance. You may find that other body parts will revolt to you being upright, my shoulders and then my elbows gave me fits, some others find their knees painful. I don't know if you were pushed to get off your meds the way you did it, or you just wanted off them, but take it easy on yourself, reducing and allowing your body to adjust, then reducing some more, allows your body not to have that awful shock, and for you to build up your strength accordingly, without the whammo affect. Know that while the pain will reduce for most of us after surgery, the exhaustion continues for a good long while. I tired easily at first and while it got progressively better, it took 18 months for me to feel like I had my old energy level back. For me the exhaustion was always worse than the pain post op, that feeling like I'd never be my old self. Thats why we are careful to let you guys know going into surgery that this is a LONG recovery, and the more time you get away from surgery you'll realize just how long it is. You are you, and you can't judge yourself by what another revisee is doing at the same month level in recovery you are at, it's apples and oranges. So take it one day at a time, time will always be your friend, and alas it just takes time! > > > > > > > [ ] Sorry > > > I am sorry I brought up the whole thing about pain medication. I was > only trying to see if somebody could tell me they experienced the same > thing, so I would not feel so terrible. Thank you . I guess I > was wrong about this group that you can share what is happening to you, > I feel worse now, now I feel like I shouldn't have gotten off the pain > medication and I feel like I should not have any pain at all. That I am > just laying around with pain. thank you for your honesty and I > will follow your wisdom. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2007 Report Share Posted October 26, 2007 , I did respond privately to our last email. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 26, 2007 Report Share Posted October 26, 2007 Hi Everyone, Ok, , I'll chime in. I've been waiting to, trying to find the right words. For those who don't know me too well, I had my H-Rod surgery in 1977 and my revision surgery with complete removal of the H-Rod and a thoracotomy, rods, screws, cages, and fusion from T-4 to S-1 with Dr. Boachie in Dec.1997, almost 10 years ago. After surgery, I wound up on MS Contin, a morphine derivative, for six months and had no trouble at all slowly weaning off it. I'm now 66 years old. I think I am doing very, very well, but I've been left with probable arachnoiditis, a very messy SI Joint on the right side and a so-so one on the left, scar tissue and a bit of nerve damage. As a result, I walk with a cane because of balance issues due to the nerve damage and I take 5 mg of Methadone twice a day for pain, mostly for pain due to the deteriorating SI joints. Occasionally, I use a cream composed of a combination of drugs including an anti-inflammatory and an anesthetic. The drugs are prescribed by a pain management doc. I've also been helped tremendously by acupressure and cranial-sacral therapy. Now this may sound like one heck of a mess to live with, but instead, this regime has given me a good life style and I am very grateful for the surgery and for my wonderful pain doc and therapist. What concerned me about 's email about her cutting out Oxycontin cold turkey, is that doing so is, I believe, is contrary to medical advice, for many reasons. Also, regardless of 's intent, the message that came across, to me anyway, was 's belief that being on narcotics at her stage of recovery is wrong. I feared that some members, newbies in particular, would get the impression that stopping cold turkey is the way to go, when clearly, it is not, and that it is wrong to be on narcotic meds at four months post op, which is not true, either. As Cam mentioned, that kind of message could set back the cause of adequate pain control for everyone. , I am not saying that you should not have written about what you were doing, but for the sake of newbies and others who may not be very knowledgeable about meds, it would have been very helpful to clearly point out that your view, even if it works for you, is not the standard of care. I believe you know that. If weaning off Oxycontin was not working for you, my suggestion would have been to let your doctor know, rather than just deciding your only choice was to go cold turkey. A good doc would have had ideas of how to handle your problems with weaning. The point I am trying to make is, while venting about anything is perfectly acceptable, we each need to keep in mind who our audience is. I think it would have been helpful to mention that while you wanted off Oxy no matter what, there is no rule about when everyone should stop taking heavy duty meds. I don't want anyone to feel guilty about needing meds for pain control at four months post op. Also, to and everyone else in recovery mode or about to have surgery or even thinking of it, I don't understand why some of you feel the need to rush the recovery period. I certainly understand the desire to be over it all, but you have to give yourselves a break. Look at all the years of pain and aggravation you've spent getting to this point. Put it in perspective: compared to all the years it took to get to this point, what's another few months for more recovery? It takes some folks much, much longer to recover than others. That's ok. You'll get there. And if you need meds to function during recovery, so what? That's what they're there for. Pain cures nothing. You'll likely recover faster if your pain is well controlled during the recovery period. I haven't been posting much lately, but to all of those who do, please know that I read all your messages and I hope and pray that each of you get what you want out of this journey. It's very hard. I know how you feel. You're in my thoughts. Bonnie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2007 Report Share Posted October 28, 2007 , I just got back from yet another trip and see that you had a better day toward the end of last week and I hoped that things have kept up for you this weekend. I also hope you talked to your doctor about getting yourself comfortable again. I hear what you are saying that you maybe felt too good and did too much before because the meds were masking your pain a little too well. Perhaps you can find a happy medium...because usually for most patients moving around a bit really is good too...just not too fast or too intense...just following whatever walking goals, or other rehab goals, your doctor gave you. Don't be too hard on yourself. These are early days in your recovery and expecting too much too soon will only lead to dissapointment. Slow and steady winds the race! Take Care, Cam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2007 Report Share Posted November 13, 2007 Bonnie, Hi, I am glad you are back. I didn't realize you responded to this message. I am sorry you took the message the wrong why I never said it was wrong to be on pain medication at 5 months out, that was never my intent. All I was trying to do was one find advice and second to see if anybody was going thru the same thing as I was, I did find some but we had to email privately because of the way some reacted to the subject and that is a shame. I never ever said cold turkey is the why to go I clearly stated I was going against medical advice. I am sorry you misunderstood the subject matter and I don't think any newbie is going to think that is the way to go or that they have been on pain medication for to long.......that is my opinion. I do think that two people in this group (me included) found each other and now we don't feel like we are alone. So know I feel good........ Also one more thing I would like to mention that things have changed when it comes to recovery, I may have come across as I was in a hurry I am not sure but if I did I am sorry. But like I said things have changed and my doctor released me of any kind of restrictions and I am only 6 months out. So its not that I am in a hurry but that My DOCTOR is excepting me to be more active and I was feeling bad. That is again me and that is not always the case all of us are different and our doctors have different views on the recovery process. That is what is so great we all have a different stories to tell and I was just telling mine and it would have been nice to have known going into revision that depression and other things could happen other then the healing process, so that is what I think. Sorry if you misunderstood my message > > Hi Everyone, > > Ok, , I'll chime in. I've been waiting to, trying to find the right words. > > For those who don't know me too well, I had my H-Rod surgery in 1977 and my revision surgery with complete removal of the H-Rod and a thoracotomy, rods, screws, cages, and fusion from T-4 to S-1 with Dr. Boachie in Dec.1997, almost 10 years ago. After surgery, I wound up on MS Contin, a morphine derivative, for six months and had no trouble at all slowly weaning off it. I'm now 66 years old. I think I am doing very, very well, but I've been left with probable arachnoiditis, a very messy SI Joint on the right side and a so-so one on the left, scar tissue and a bit of nerve damage. As a result, I walk with a cane because of balance issues due to the nerve damage and I take 5 mg of Methadone twice a day for pain, mostly for pain due to the deteriorating SI joints. Occasionally, I use a cream composed of a combination of drugs including an anti-inflammatory and an anesthetic. The drugs are prescribed by a pain management doc. I've also been helped tremendously by acupressure and cranial-sacral therapy. Now this may sound like one heck of a mess to live with, but instead, this regime has given me a good life style and I am very grateful for the surgery and for my wonderful pain doc and therapist. > > What concerned me about 's email about her cutting out Oxycontin cold turkey, is that doing so is, I believe, is contrary to medical advice, for many reasons. Also, regardless of 's intent, the message that came across, to me anyway, was 's belief that being on narcotics at her stage of recovery is wrong. I feared that some members, newbies in particular, would get the impression that stopping cold turkey is the way to go, when clearly, it is not, and that it is wrong to be on narcotic meds at four months post op, which is not true, either. As Cam mentioned, that kind of message could set back the cause of adequate pain control for everyone. > > , I am not saying that you should not have written about what you were doing, but for the sake of newbies and others who may not be very knowledgeable about meds, it would have been very helpful to clearly point out that your view, even if it works for you, is not the standard of care. I believe you know that. If weaning off Oxycontin was not working for you, my suggestion would have been to let your doctor know, rather than just deciding your only choice was to go cold turkey. A good doc would have had ideas of how to handle your problems with weaning. The point I am trying to make is, while venting about anything is perfectly acceptable, we each need to keep in mind who our audience is. I think it would have been helpful to mention that while you wanted off Oxy no matter what, there is no rule about when everyone should stop taking heavy duty meds. I don't want anyone to feel guilty about needing meds for pain control at four months post op. > > Also, to and everyone else in recovery mode or about to have surgery or even thinking of it, I don't understand why some of you feel the need to rush the recovery period. I certainly understand the desire to be over it all, but you have to give yourselves a break. Look at all the years of pain and aggravation you've spent getting to this point. Put it in perspective: compared to all the years it took to get to this point, what's another few months for more recovery? It takes some folks much, much longer to recover than others. That's ok. You'll get there. And if you need meds to function during recovery, so what? That's what they're there for. Pain cures nothing. You'll likely recover faster if your pain is well controlled during the recovery period. > > I haven't been posting much lately, but to all of those who do, please know that I read all your messages and I hope and pray that each of you get what you want out of this journey. It's very hard. I know how you feel. You're in my thoughts. > > Bonnie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2007 Report Share Posted November 13, 2007 You may know that people who have open heart surgery are very susceptible to depression. I am very glad to be forewarned that depression is also a possibility post revision. Anyone who has dealt with depression before in their life would welcome a heads up so that they can be prepared. -- > > > > Hi Everyone, > > > > Ok, , I'll chime in. I've been waiting to, trying to find the > right words. > > > > For those who don't know me too well, I had my H-Rod surgery in > 1977 and my revision surgery with complete removal of the H-Rod and a > thoracotomy, rods, screws, cages, and fusion from T-4 to S-1 with Dr. > Boachie in Dec.1997, almost 10 years ago. After surgery, I wound up > on MS Contin, a morphine derivative, for six months and had no > trouble at all slowly weaning off it. I'm now 66 years old. I think > I am doing very, very well, but I've been left with probable > arachnoiditis, a very messy SI Joint on the right side and a so-so > one on the left, scar tissue and a bit of nerve damage. As a result, > I walk with a cane because of balance issues due to the nerve damage > and I take 5 mg of Methadone twice a day for pain, mostly for pain > due to the deteriorating SI joints. Occasionally, I use a cream > composed of a combination of drugs including an anti-inflammatory and > an anesthetic. The drugs are prescribed by a pain management doc. > I've also been helped tremendously by acupressure and cranial- sacral > therapy. Now this may sound like one heck of a mess to live with, > but instead, this regime has given me a good life style and I am very > grateful for the surgery and for my wonderful pain doc and > therapist. > > > > What concerned me about 's email about her cutting out > Oxycontin cold turkey, is that doing so is, I believe, is contrary to > medical advice, for many reasons. Also, regardless of 's intent, > the message that came across, to me anyway, was 's belief that > being on narcotics at her stage of recovery is wrong. I feared that > some members, newbies in particular, would get the impression that > stopping cold turkey is the way to go, when clearly, it is not, and > that it is wrong to be on narcotic meds at four months post op, which > is not true, either. As Cam mentioned, that kind of message could > set back the cause of adequate pain control for everyone. > > > > , I am not saying that you should not have written about what > you were doing, but for the sake of newbies and others who may not be > very knowledgeable about meds, it would have been very helpful to > clearly point out that your view, even if it works for you, is not > the standard of care. I believe you know that. If weaning off > Oxycontin was not working for you, my suggestion would have been to > let your doctor know, rather than just deciding your only choice was > to go cold turkey. A good doc would have had ideas of how to handle > your problems with weaning. The point I am trying to make is, while > venting about anything is perfectly acceptable, we each need to keep > in mind who our audience is. I think it would have been helpful to > mention that while you wanted off Oxy no matter what, there is no > rule about when everyone should stop taking heavy duty meds. I don't > want anyone to feel guilty about needing meds for pain control at > four months post op. > > > > Also, to and everyone else in recovery mode or about to have > surgery or even thinking of it, I don't understand why some of you > feel the need to rush the recovery period. I certainly understand > the desire to be over it all, but you have to give yourselves a > break. Look at all the years of pain and aggravation you've spent > getting to this point. Put it in perspective: compared to all the > years it took to get to this point, what's another few months for > more recovery? It takes some folks much, much longer to recover than > others. That's ok. You'll get there. And if you need meds to > function during recovery, so what? That's what they're there for. > Pain cures nothing. You'll likely recover faster if your pain is > well controlled during the recovery period. > > > > I haven't been posting much lately, but to all of those who do, > please know that I read all your messages and I hope and pray that > each of you get what you want out of this journey. It's very hard. > I know how you feel. You're in my thoughts. > > > > Bonnie > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2007 Report Share Posted November 13, 2007 Thank you for expressing that > > > > > > Hi Everyone, > > > > > > Ok, , I'll chime in. I've been waiting to, trying to find > the > > right words. > > > > > > For those who don't know me too well, I had my H-Rod surgery in > > 1977 and my revision surgery with complete removal of the H-Rod and > a > > thoracotomy, rods, screws, cages, and fusion from T-4 to S-1 with > Dr. > > Boachie in Dec.1997, almost 10 years ago. After surgery, I wound > up > > on MS Contin, a morphine derivative, for six months and had no > > trouble at all slowly weaning off it. I'm now 66 years old. I > think > > I am doing very, very well, but I've been left with probable > > arachnoiditis, a very messy SI Joint on the right side and a so- so > > one on the left, scar tissue and a bit of nerve damage. As a > result, > > I walk with a cane because of balance issues due to the nerve > damage > > and I take 5 mg of Methadone twice a day for pain, mostly for pain > > due to the deteriorating SI joints. Occasionally, I use a cream > > composed of a combination of drugs including an anti-inflammatory > and > > an anesthetic. The drugs are prescribed by a pain management doc. > > I've also been helped tremendously by acupressure and cranial- > sacral > > therapy. Now this may sound like one heck of a mess to live with, > > but instead, this regime has given me a good life style and I am > very > > grateful for the surgery and for my wonderful pain doc and > > therapist. > > > > > > What concerned me about 's email about her cutting out > > Oxycontin cold turkey, is that doing so is, I believe, is contrary > to > > medical advice, for many reasons. Also, regardless of 's > intent, > > the message that came across, to me anyway, was 's belief that > > being on narcotics at her stage of recovery is wrong. I feared > that > > some members, newbies in particular, would get the impression that > > stopping cold turkey is the way to go, when clearly, it is not, and > > that it is wrong to be on narcotic meds at four months post op, > which > > is not true, either. As Cam mentioned, that kind of message could > > set back the cause of adequate pain control for everyone. > > > > > > , I am not saying that you should not have written about what > > you were doing, but for the sake of newbies and others who may not > be > > very knowledgeable about meds, it would have been very helpful to > > clearly point out that your view, even if it works for you, is not > > the standard of care. I believe you know that. If weaning off > > Oxycontin was not working for you, my suggestion would have been to > > let your doctor know, rather than just deciding your only choice > was > > to go cold turkey. A good doc would have had ideas of how to handle > > your problems with weaning. The point I am trying to make is, > while > > venting about anything is perfectly acceptable, we each need to > keep > > in mind who our audience is. I think it would have been helpful > to > > mention that while you wanted off Oxy no matter what, there is no > > rule about when everyone should stop taking heavy duty meds. I > don't > > want anyone to feel guilty about needing meds for pain control at > > four months post op. > > > > > > Also, to and everyone else in recovery mode or about to have > > surgery or even thinking of it, I don't understand why some of you > > feel the need to rush the recovery period. I certainly understand > > the desire to be over it all, but you have to give yourselves a > > break. Look at all the years of pain and aggravation you've spent > > getting to this point. Put it in perspective: compared to all the > > years it took to get to this point, what's another few months for > > more recovery? It takes some folks much, much longer to recover > than > > others. That's ok. You'll get there. And if you need meds to > > function during recovery, so what? That's what they're there for. > > Pain cures nothing. You'll likely recover faster if your pain is > > well controlled during the recovery period. > > > > > > I haven't been posting much lately, but to all of those who do, > > please know that I read all your messages and I hope and pray that > > each of you get what you want out of this journey. It's very > hard. > > I know how you feel. You're in my thoughts. > > > > > > Bonnie > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2007 Report Share Posted November 13, 2007 I just saw your message > > Hi Everyone, > > Ok, , I'll chime in. I've been waiting to, trying to find the right words. > > For those who don't know me too well, I had my H-Rod surgery in 1977 and my revision surgery with complete removal of the H-Rod and a thoracotomy, rods, screws, cages, and fusion from T-4 to S-1 with Dr. Boachie in Dec.1997, almost 10 years ago. After surgery, I wound up on MS Contin, a morphine derivative, for six months and had no trouble at all slowly weaning off it. I'm now 66 years old. I think I am doing very, very well, but I've been left with probable arachnoiditis, a very messy SI Joint on the right side and a so-so one on the left, scar tissue and a bit of nerve damage. As a result, I walk with a cane because of balance issues due to the nerve damage and I take 5 mg of Methadone twice a day for pain, mostly for pain due to the deteriorating SI joints. Occasionally, I use a cream composed of a combination of drugs including an anti-inflammatory and an anesthetic. The drugs are prescribed by a pain management doc. I've also been helped tremendously by acupressure and cranial-sacral therapy. Now this may sound like one heck of a mess to live with, but instead, this regime has given me a good life style and I am very grateful for the surgery and for my wonderful pain doc and therapist. > > What concerned me about 's email about her cutting out Oxycontin cold turkey, is that doing so is, I believe, is contrary to medical advice, for many reasons. Also, regardless of 's intent, the message that came across, to me anyway, was 's belief that being on narcotics at her stage of recovery is wrong. I feared that some members, newbies in particular, would get the impression that stopping cold turkey is the way to go, when clearly, it is not, and that it is wrong to be on narcotic meds at four months post op, which is not true, either. As Cam mentioned, that kind of message could set back the cause of adequate pain control for everyone. > > , I am not saying that you should not have written about what you were doing, but for the sake of newbies and others who may not be very knowledgeable about meds, it would have been very helpful to clearly point out that your view, even if it works for you, is not the standard of care. I believe you know that. If weaning off Oxycontin was not working for you, my suggestion would have been to let your doctor know, rather than just deciding your only choice was to go cold turkey. A good doc would have had ideas of how to handle your problems with weaning. The point I am trying to make is, while venting about anything is perfectly acceptable, we each need to keep in mind who our audience is. I think it would have been helpful to mention that while you wanted off Oxy no matter what, there is no rule about when everyone should stop taking heavy duty meds. I don't want anyone to feel guilty about needing meds for pain control at four months post op. > > Also, to and everyone else in recovery mode or about to have surgery or even thinking of it, I don't understand why some of you feel the need to rush the recovery period. I certainly understand the desire to be over it all, but you have to give yourselves a break. Look at all the years of pain and aggravation you've spent getting to this point. Put it in perspective: compared to all the years it took to get to this point, what's another few months for more recovery? It takes some folks much, much longer to recover than others. That's ok. You'll get there. And if you need meds to function during recovery, so what? That's what they're there for. Pain cures nothing. You'll likely recover faster if your pain is well controlled during the recovery period. > > I haven't been posting much lately, but to all of those who do, please know that I read all your messages and I hope and pray that each of you get what you want out of this journey. It's very hard. I know how you feel. You're in my thoughts. > > Bonnie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 2008 Report Share Posted September 5, 2008 Cooky, Â it's true, the news brought it out. Â Eva From: C Stonkey <cookee1@...> Subject: rheumatic sorry " rheumatic " <rheumatic > Date: Friday, September 5, 2008, 3:40 PM I guess I should read all my emails before responding. I apologize for telling all of you again about embrel etc causing fungal problems. Cooky Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 2008 Report Share Posted September 5, 2008 Dear Cooky, After reading the link you provided on Enbrel and associated drugs and their connection to fungal problems and then the link to the Mayo Clinic site about histoplasmosis (sent by ) , I'm so glad all of this has come to the foreground. I found out years ago that I had congenital toxoplasmosis which is very similar to histoplasmosis. A doctor told me back in 1979 that the difference was moot. Recently my rheumatologist prescribed Lyrica to treat me for fibromyalgia symptoms. Knowing now what I know about the other anti-inflammatory drugs and fungal infections, I am going to ask my rheumy what he thinks about this. Of course, I will be very wary of any signs that something is going wrong! Thanks again to you and and anyone else who provided information about this. Ellen rheumatic sorry I guess I should read all my emails before responding. I apologize for telling all of you again about embrel etc causing fungal problems. Cooky Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 5, 2008 Report Share Posted September 5, 2008 Oh Ellen I didn't send the link someone else did I just wrote that I had heard about it before I read that link someone sent. But my mind was in the right place :-) :-) Yes my doc wanted to give me Lyrca too but I read all the " minor " problems with it and decided not to go there! I have no joint problems but that darn fibro is still giving me problems. cooky Dear Cooky, After reading the link you provided on Enbrel and associated drugs and their connection to fungal problems and then the link to the Mayo Clinic site about histoplasmosis (sent by ) , I'm so glad all of this has come to the foreground. I found out years ago that I had congenital toxoplasmosis which is very similar to histoplasmosis. A doctor told me back in 1979 that the difference was moot. Recently my rheumatologist prescribed Lyrica to treat me for fibromyalgia symptoms. Knowing now what I know about the other anti-inflammatory drugs and fungal infections, I am going to ask my rheumy what he thinks about this. Of course, I will be very wary of any signs that something is going wrong! Thanks again to you and and anyone else who provided information about this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 hi ellen can you elaborate? i didn't know there was any connection btwn. NSAIDs and fungus?? thanks monique Recently my rheumatologist prescribed Lyrica to treat me for fibromyalgia symptoms. Knowing now what I know about the other anti-inflammatory drugs and fungal infections, I am going to ask my rheumy what he thinks about this. Of course, I will be very wary of any signs that something is going wrong! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 Thanks anyway, Cooky! I'm curious to know what were the " minor problems " with taking Lyrica? Ellen RE: rheumatic sorry Oh Ellen I didn't send the link someone else did I just wrote that I had heard about it before I read that link someone sent. But my mind was in the right place :-) :-) Yes my doc wanted to give me Lyrca too but I read all the " minor " problems with it and decided not to go there! I have no joint problems but that darn fibro is still giving me problems. cooky Dear Cooky, After reading the link you provided on Enbrel and associated drugs and their connection to fungal problems and then the link to the Mayo Clinic site about histoplasmosis (sent by ) , I'm so glad all of this has come to the foreground. I found out years ago that I had congenital toxoplasmosis which is very similar to histoplasmosis. A doctor told me back in 1979 that the difference was moot. Recently my rheumatologist prescribed Lyrica to treat me for fibromyalgia symptoms. Knowing now what I know about the other anti-inflammatory drugs and fungal infections, I am going to ask my rheumy what he thinks about this. Of course, I will be very wary of any signs that something is going wrong! Thanks again to you and and anyone else who provided information about this. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 I refused to take Lyrica because my cousin and a friend of mine stopped taking it and had bitter stories. It made people very sleepy, they gained lots of weight, and they became so constipated that the friend had a fecal impaction. Now I do know someone else who took it for a few months, had trouble, and then went off it when her back was better. On Sep 6, 2008, at 3:36 PM, Ellen McCool wrote: > Thanks anyway, Cooky! I'm curious to know what were the " minor > problems " with taking Lyrica? > Ellen > > RE: rheumatic sorry > > Oh Ellen I didn't send the link someone else did I just wrote that I > had > heard about it before I read that link someone sent. But my mind was > in the > right place :-) :-) > > Yes my doc wanted to give me Lyrca too but I read all the " minor " > problems > with it and decided not to go there! I have no joint problems but > that darn > fibro is still giving me problems. > > cooky > > Dear Cooky, > > After reading the link you provided on Enbrel and associated drugs > and their > connection to fungal problems and then the link to the Mayo Clinic > site > about histoplasmosis (sent by ) , I'm so glad all of this has > come to > the foreground. I found out years ago that I had congenital > toxoplasmosis > which is very similar to histoplasmosis. A doctor told me back in > 1979 that > the difference was moot. > > Recently my rheumatologist prescribed Lyrica to treat me for > fibromyalgia > symptoms. Knowing now what I know about the other anti-inflammatory > drugs > and fungal infections, I am going to ask my rheumy what he thinks > about > this. Of course, I will be very wary of any signs that something is > going > wrong! > > Thanks again to you and and anyone else who provided > information about > this. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 ellen these drugs that they warn of are called biologics or anti-TNF meds. their names are enbrel remicade humira - i am presently forgetting the 4th name. they have nothing to do with NSAIDs. NSAIDs are meds like voltaren naprosyn mobicox and celebrex. i don't beleive lyrica is an NSAID and it is not a biologic either. monique Ellen McCool wrote: > , just below your question about NSAIDs and fungus I've pasted > in the contents of an email from Beckman. If I'm wrong, and > none of these drugs (Enbrel, et al) is a NSAID, then I guess I've > confused everyone with MY question about it! I'm taking Lyrica for > fibromyalgia and was worried about the fungus thing; maybe it isn't a > NSAID. Also, anyone taking these drugs may have to have another > disease (histoplasmosis) in order to be at risk for the fungus. Not > sure. Have I succeeded in confusing you even more? So sorry! > > Ellen > > * rheumatic Here's the article > > > > FDA orders stronger warnings for 4 arthritis drugs > Associated Press/AP Online > > By RICARDO ALONSO-ZALDIVAR > WASHINGTON - The Food and Drug Administration ordered stronger > warnings Thursday on four medications widely used to treat rheumatoid > arthritis and other serious illnesses, saying they can raise the risk > of possibly fatal fungal infections. > > The drugs - Enbrel, Remicade, Humira and Cimzia - work by suppressing > the immune system to keep it from attacking the body. For patients > with rheumatoid arthritis, the treatment provides relief from swollen > and painful joints, but it's " a double-edged sword, " said the FDA's > Dr. Siegel. That's because the drugs also lower the body's > defenses to various kinds of infections. > > Siegel, who heads the office that oversees arthritis drugs, said the > FDA became concerned after discovering that doctors seemed to be > overlooking a particular kind of fungal infection called > histoplasmosis. Of 240 cases reported to the FDA in which patients > taking one of the four drugs developed this infection, a total of 45 > died - about 20 percent. > > The infection, which mimics the flu, is prevalent in much of the > middle part of the country. It can have particularly grave > consequences if it isn't caught early and spreads beyond the > respiratory system to other organs of the body. > > Siegel said the investigation began with a single case of a woman > taking one of the drugs who died of histoplasmosis. Delving into the > case, doctors at the FDA found that the woman had been sick with the > fungal infection for a long time. " This case led us to be concerned > that there may be other situations in which physicians may not > recognize histoplasmosis, " said Siegel. > > FDA officials searched the agency's database and found the 240 cases > of patients taking the medications who had also developed the fungal > infection. Of those, at least 21 appeared to involve a late > diagnosis, > and 12 of them - more than half - ultimately died. > > Siegel said the FDA's order Thursday means that the risk of > histoplasmosis will be flagged in a " black box, " the strongest > warning > information in a drug's prescribing literature. The four medications > already have black box warnings about the risk of infections, but the > language varies from drug to drug. > > Patients should call their doctors if they develop persistent fever, > cough, shortness of breath or fatigue, which can be signs of the > fungal infection. > > And the FDA is also urging doctors to consider aggressive use of > antifungal drugs in patients who develop such symptoms, even if the > infection has not been confirmed by a laboratory test. Siegel said > such a decision should not be taken lightly, since antifungal drugs > can also have dangerous side effects. Doctors should consider > stopping > treatment with the immune-suppressing drugs if patients develop > infections. > > The four drugs belong to a class known as TNF-alpha blockers, and are > considered a mainstay for treating rheumatoid arthritis, a disabling > disease in which the immune system attacks the joints. They are also > used to treat Crohn's disease, juvenile arthritis, certain types of > psoriasis, and other immune system disorders. All are taken by > injection. > > Separately, the FDA is investigating a possible link between the four > medications and cancer in young patients. The agency said earlier > this > year it has received 30 reports of cancers, mainly lymphomas, in > patients who began taking the medications when they were 18 or > younger. That investigation is expected to take the rest of the year. > > Three of the drugs, Enbrel, Humira and Remicade, are considered > blockbusters, with sales of over $1 billion annually for each. Cimzia > is newer and less widely used. > > Humira is sold by North Chicago, Ill.-based Abbott Laboratories Inc; > Cimzia by Belgium-based UCB; Enbrel by Thousand Oaks, Calif.-based > Amgen Inc. and Madison, N.J.-based Wyeth; and Remicade by Horsham, > Pa.- > based Centocor, a unit of & , and Kenilworth, N.J.- > based Schering-Plough Inc. > > > > Recently my rheumatologist prescribed Lyrica to treat me for > fibromyalgia symptoms. Knowing now what I know about the other > anti-inflammatory drugs and fungal infections, I am going to ask my > rheumy what he thinks about this. Of course, I will be very wary > of any > signs that something is going wrong! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2008 Report Share Posted September 6, 2008 just said it best!! Weight gain was my biggest nono. I am 4 ft 7 inches and 5 pounds is like 15 on a taller person. Besides my mom dies of kidney failure due to diabetes. cooky _____ From: rheumatic [mailto:rheumatic ] On Behalf Of Ellen McCool Sent: Saturday, September 06, 2008 3:36 PM rheumatic Subject: Re: rheumatic sorry Thanks anyway, Cooky! I'm curious to know what were the " minor problems " with taking Lyrica? Ellen ,_._,___ Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.