Guest guest Posted February 9, 2005 Report Share Posted February 9, 2005 HI EMILY- IVE BEEN READING THIS WEBSITE FOR ABOUT A MONTH AND WE HAVE A 4 YEAR OLD WE ARE HAVING TESTED FOR APRAXIA, THE LATE TALKER BOOK AND THIS WEBSIGHT HAVE HELPED US ENORMOUSLY- CHARLOTTE HENRY Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 19, 2005 Report Share Posted February 19, 2005 Hello Dana. I live in Warren County, NJ, and our son, will be 3 in June. We were concerned with 's speech delay, but our family and worst of all, pediatrician kept advising us to wait until he got a little older to really start worrying. Needless to say, I ran into a woman in Hackettstown Hospital who was bringing her 4 year old son there for outpatient speech therapy. She also had a daughter who was a little younger than . That woman told me about the Early Intervention Program, and that she wished she never waited to start evaluating her son, because now he's in therapy and it's extremely expensive. Anyway, started working with a wonderful speech therapist, through Early Intervention, at the end of October. When he started with his ST, he said about 10 words. He will be " aging out " of the program in June and we had the transition meeting with our district's CST on February 10th. He has about 30 - 50 words (most of them sounding the same), but other than his speech, his other skills are fine. Now before our transition meeting, we were warned that our district is very difficult but I was never more floored with their immediate decision! The CST psychologist was very arrogant and blantantly said that she felt that she spoke for the rest of the CST that they should not even do their evaluations for because he wouldn't qualify, because he needed " two disabilities " and he only had one. My ST and service coordinator insisted they do the evaluations, but I just know that they're going to turn him down for the disabled preschool program. I questioned ...how can he learn if he cannot communicate? I didn't get an answer. My ST is leaning towards Apraxia and has been since before Christmas, but she doesn't really want to jump the gun. She said that if got a diagnosis of Apraxia, they'd have to take him into the program. He also had some hearing loss due to fluid in his ears, so we're having him re-evaluated by an ENT on 2/23 and as horrible as it is, I'm hoping he still has a slight hearing loss, just so he'd get the help he needs. Know what I mean? He's a great little boy, a little aggressive and he too, gets extremely frustrated because we don't understand him most of the time. I always look to my husband for translation and 7 times out of 10, we get it wrong. Most of his words sound the same. You mentioned Dr. Laveman. Where is he located? I'm wondering if I should just bring him to a neurologist myself, especially since I don't need a referral from my primary doctor. This is my first time writing anyone on this site, but I've been reading everyone's posts and it's been helpful to know that isn't alone. Any additional feedback is welcomed. Thanks! Priscilla [ ] new member Hello I am from County NJ, and I have a son who just turned three on Feb. 10th.Our son is diagnosed with moderate/severe verbal dyspraxia. He was in early intervention and private speech therapist since 2 years 7months old, and now he is in a pre-school disabled program 5x a week from 8:30am to 11:15am. He gets speech therapy 3x a week inschool with another child for 30minutes. I do not feel that it is enough or if he should be having speech alone. The therapist at his school said they pair up the students so they learn to communicate with each other, but in my son's case he does communicate but not much makes sense and he gets frustrated when we don't understand him. He has about 5o-60 intelligible words and he uses the PEC system and sign language, he uses them when he gets really frustrated because we do not understand him. He does have a lot of tantrums and has behavior issues because people do not understand him example ( hitting, punching, excessive crying if he's frustrated) I was wondering if anyone has any proven therapies that work, info on EFA's and Names of good Developmental Pediatricians. We do have an appointment in May with Dr. Larry Laveman, If anyone has seen him please let me know. I appreciate reading all the posts about your children I pray that they will all turn out to be wonderful public speakers one day. Thanks so much, Dana Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2005 Report Share Posted February 20, 2005 Pricilla and Dana. You are both very fortunate to be in NJ -because you are surrounded by other families just like you -and a huge amount of ethical, knowledgeable and awesome professionals. Just a few quotes of yours Pricialla. " Anyway, started working with a wonderful speech therapist, through Early Intervention " " Now before our transition meeting, we were warned that our district is very difficult but I was never more floored with their immediate decision! The CST psychologist was very arrogant and blatantly said that she felt that she spoke for the rest of the CST that they should not even do their evaluations for because he wouldn't qualify, because he needed " two disabilities " and he only had one. " " My ST is leaning towards Apraxia and has been since before Christmas, but she doesn't really want to jump the gun. She said that if got a diagnosis of Apraxia, they'd have to take him into the program. " How does that song go again? " One of these things just doesn't belong here -one of these things just isn't the same... " (Actually - more than one!) First of all (where do I start?!) 1. Say " that's interesting. Can you put that in writing for me? " for statements from the school professional like " ...wouldn't qualify, because he needed two disabilities and he only had one. " And, from now on tape all meetings and document them as a follow up in writing. " Dr. Mrs. " Blatantly Arrogant " , (your words -but they work) My child's EI therapist suspects my son ____ who will be turning 3 on ___ has apraxia. I was under the impression that with his documented severe ____% delay in speech, that he will qualify for our town's Federally funded Early Intervention preschool program. As the school psychologist when you say that my verbally impaired child won't qualify because he needed " two disabilities " that struck me as odd because my friend has a child who is ___ (hearing impaired, visually impaired, etc.) , just " one " disability, who is receiving appropriate services funded by our town's Federally funded preschool program. So why again won't my son's " one " disability qualify again? " And tell her you are thinking of moving to Ghana " There are various spectra of disabilities which may lack attention from our educational domain. For example; children suffering from dyslexic, dyspraxia, attention deficit, autistism, behavioural problems and others which may be caused by traumatic births, are not picked up at an earlier stage to get the treatment needed for them to reach their potential in life. " http://www.ghanaweb.com/GhanaHomePage/NewsArchive/artikel.php?ID=75690 Or don't say anything and just call me at 772 335 5135. I have someone who's job is looking for schools doing things like this that are against an adult's or child's civil rights for you to report this to. Let's see how " blatantly arrogant " this person is then. We go through enough in having a child with special needs -how dare she act that way anyway to parents -who gave her the right (or job?) 2. And I'm not letting your child's SLP off the hook here either! Nice means nothing when it comes to people helping your child -and you just proved it. What does " My ST is leaning towards Apraxia and has been since before Christmas, but she doesn't really want to jump the gun. She said that if got a diagnosis of Apraxia, they'd have to take him into the program " mean?! Did you ask her to remind you of the downside? Ten years from now your son will be your son and you may never see that EI SLP again (unlike me who really did have an awesome EI therapist Zimet who used to also be out of NJ but is now with EI in Georgia -and I'm sure can help you too. is still and I hope always part of our life.) And if apraxia is suspected you should see a neuroMD (developmental pediatrician or pediatric neurologist) Dr. Laveman diagnosed Stacey's son http://www.cherab.org/information/familiesrelate/staci.html and he used to do outreach online here. Like most professionals however that post here -they get flooded with 30 50 emails a day and it's hard to keep up. (some ask me to post for them -some answer privately -and some do post here direct -thank you) Another good neuroMDs in NJ is Dr. Cargan http://www.drcargan.yourmd.com/ who I've heard great things about, and Dr. Ming http://www.umdnj.edu/njmsweb/neuroscience/faculty_bio/old%20bios/Xueming.htm And in the " NJ area " -Dr. Agin of course! (my child's neuroMD) And there are many great SLPs in NJ -some post here to help (thank you) The rest can be answered in this archive from a new member post for both you and Dana What type of apraxic like speech behaviors are you seeing that makes you and the SLP suspect your child has apraxia vs. a simple delay in speech? Is your child talking at all yet? At your child's age - without speech, it's difficult to diagnose verbal apraxia -they could " suspect " verbal apraxia and begin treatment just in case, which wouldn't hurt your child if he ended up just having a simple delay. Just a few questions before we could provide more accurate answers: Does your child have signs of oral apraxia? (for example, can he on command smile, imitate funny faces, blow bubbles...if you put peanut butter anywhere around his mouth can he lick it off no matter where it is?) http://www.cherab.org/information/speechlanguage/oralapraxia.html Does your child have any neurological " soft signs " such as hypotonia or sensory integration dysfunction? http://www.cherab.org/information/speechlanguage/parentfriendlysoftsigns.html Who else evaluated your child? Was it only the SLP through your town school or was he also in Early Intervention through the state? (birth to three) Was he evaluated by both a speech pathologist as well as an occupational therapist? Was/were they knowledgeable about apraxia? (If your child wasn't diagnosed by an occupational therapist as well and professionals suspect apraxia -I highly recommend you request that too either through both the school as well as private through insurance for many reasons) To answer any questions you may have about taking your child to see a neurodevelopmental MD if he has not yet been to one and apraxia is suspected... in one word - " Yes!!! " I would have your child diagnosed (private) by a neurodevelopmental medical doctor (developmental pediatrician or pediatric neurologist) who is knowledgeable about apraxia and other neurologically based multi-faceted communication impairments for numerous reasons. Reasons include (but not limited to) *having a " hero " on the outside of the school who can assist in a therapeutic plan and oversee your child's development over the years *advocacy support with the insurance company * ruling out or confirming any neurological soft signs or any other reasons for the delay in speech *help those that ask " why isn't he talking yet " understand this is a medical condition -and has nothing to do with your child's cognitive ability. (if in your child's case it doesn't. Apraxia in itself does not affect a child's cognitive ability -and speaking early or late is no indication of a child's intelligence. Also contrary to popular belief -most who have speech impairments have average to above average intelligence) I would also have at least one private " out of pocket " (if possible) exam with a knowledgeable speech pathologist as well. This SLP can coordinate with your child's MD, and school therapist and other professionals, and again be there to assist in a therapeutic plan, help set goals and oversee your child's development over the years if needed. Networking with parents of other speech-impaired children is also possibly one of the best moves you could make in your child's recovery. Others will steer you to the " right " professionals and programs in your area -and you won't feel so alone. I would HIGHLY recommend joining a whose goal is to unite parents and professionals. This group / is through CHERAB http://www.cherab.org The speechville website also has message boards so that you can talk to other parents on particular topics. http://www.speech-express.com/boards/ Check your state resources at Speechville to find local support groups and resources. http://www.speech-express.com/regional-resources.html http://www.speech-express.com/communication-station/regional-support-groups.html (BTW -for anyone who is either running or starting a support group - due to The Late Talker book and the many who will see your group, please make sure your info is up at this website and accurate) For all your other questions including what type of testing -just read " The Late Talker " . (Nike said 'Just Do It!' -I say 'Just Read It!') At Amazon.com you can even start today and read sample pages of the book online! " The first book to show parents how to tell whether a child has a speech delay -or a more serious speech disorder Every parent eagerly awaits the day his or her child will speak for the fist time. For millions of mothers and fathers, however, anticipation turns to anxiety when those initial, all-important words are a long time coming. Many worried parents are reassured that their child is " just a late talker, " but unfortunately, that is not always the case. Co-author Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 20, 2005 Report Share Posted February 20, 2005 Hello Priscilla, I thank you for writing back to me about your son . It is a shame that your school district is so tough to give the help that your son needs. Jefferson Township said that since my son was in early intervention that they usually take kids from EI into the preschool-disabled program. I would go to a private developmental pediatrician to get a formal evaluation so that you can approach the CST with documents showing what's wrong. My concern as well was how is he suppose to do well in a regular preschool if no one can understand him, and like your son, my son also gets very aggressive if we don't understand him, and I feel that will cause more problems in the long run. My son has an appointment with Dr. Laveman on May 4th. I just called the office this past Friday, and that's the earliest they have. He has three offices but the one closest to us is in Sparta NJ, we live in Lake Hopatcong so his office is only 15 min. from our home. I would make an appointment with him just to have extra info. on your son for CST meetings. If you need his number or his other offices, either look on the Cherab website or email me back. I hope all works out for you and your son, it's so frustrating as a parent watching them struggle. By the way how far is Warren County from Lake Hopatcong? Talk Soon, Thanks, Dana Millar > > > To: <mailto: @gr oups.com> > Sent: Friday, February 18, 2005 1:26 PM > Subject: [ ] new member > > > > > > Hello I am from County NJ, and I have a son who just turned > three on Feb. 10th.Our son is diagnosed with moderate/severe verbal > dyspraxia. He was in early intervention and private speech therapist > since 2 years 7months old, and now he is in a pre-school disabled > program 5x a week from 8:30am to 11:15am. He gets speech therapy 3x > a week inschool with another child for 30minutes. I do not feel that > it is enough or if he should be having speech alone. The therapist > at his school said they pair up the students so they learn to > communicate with each other, but in my son's case he does communicate > but not much makes sense and he gets frustrated when we don't > understand him. He has about 5o-60 intelligible words and he uses > the PEC system and sign language, he uses them when he gets really > frustrated because we do not understand him. He does have a lot of > tantrums and has behavior issues because people do not understand him > example ( hitting, punching, excessive crying if he's frustrated) I > was wondering if anyone has any proven therapies that work, info on > EFA's and Names of good Developmental Pediatricians. We do have an > appointment in May with Dr. Larry Laveman, If anyone has seen him > please let me know. I appreciate reading all the posts about your > children I pray that they will all turn out to be wonderful public > speakers one day. Thanks so much, Dana > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2005 Report Share Posted March 5, 2005 In a message dated 3/5/2005 3:29:36 PM Eastern Standard Time, docsmith@... writes: This shows you that even physicians get PA and do not know what to do. Good luck to all of you in the battle against this condition. You are not alone. I really feel for you. I had to quit nursing school about 3 years ago and was only a few credits away when this happened. I could not limp around the hospital when in clinical anymore. I am 51 and have been in the medical profession since I was 21. For years I was a medical assistant in an internal medicine practice. I diagnosed myself with PA about 15 years ago when one rheumatogist said it was OA. I did not agree with him however I only had mild pains at that time and accepted it. Only 3 years ago when I deteriorated is when I was diagnosed. I have tried double and single doses of HUmira and Enbrel along with all the NSAIDS and when my foot was the size of a bologna a few weeks ago my present rheumy said he did not know what else to do. I walked out of his office and will not see him again. Then I went to a doc who believes in a more natural approach. I have been eliminating night shades, preserved foods, salt and carbs and he also gave me drops sublingually to desensitize myself from yeast and 5 bacteria's. Next time he will test foods and viruses. This was less then 3 weeks ago and the pain level has gone from 10 to about 3 or 4. I wish you luck. I also need to find another rheumy. Lord knows I tried the meds so now I am going to stick to a more natural approach. Janet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2005 Report Share Posted March 5, 2005 One thing you mention is lack of regular sleep. > > > I have been a new member for a week or two. I am discouraged about > the lack of success in the treatment of PA. This is especially true > since I am a physician. (I am a 58 year old male) > I made the diagnosis of PA on myself about 5 years ago. It started > with psoriasis then slowly my joints of my hands, low back, and knees > became very painful. I am on my fourth rhemnatologist. The first one > moved. The second one was at the University. I was seen by med > students and never got to see the doc myself. I knew more about PA > myself. The third was pretty good but didn't take my insurance. Yes, > even " rich " doctors worry about insurance. The fourth and last > rheumatologist is great. We are getting nowhere, however. To date I > am on MTX 25mg a week. It took the psoriasis away but has not helped > my joints. I have had no side effects from MTX. I have tried Arava and > later cyclosporin with no help. I have been on remicaid, and enbrel > with no help with the fatigue and joint pain. I have taken my second > Humira injection and so far no help. I also take NSAIDs. The only > thing I have found that helps is a 7 to 10 course of prednisone. That > really helps, but as you all know, I cannot keep doing that forever. > My biggest problem is fatigue and joint pain. I am an Ob/Gyn doctor > so I am up at nights and the fatigue is killing me. Also I do a lot > of surgery and my hands are so painful I worry about my skills. I > have thought of applying for disability but I love my profession and > do not want to quit. If I sound discouraged, I am. This shows you > that even physicians get PA and do not know what to do. Good luck to > all of you in the battle against this condition. You are not alone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2005 Report Share Posted March 5, 2005 Hi Janet Would you be willing to keep a journal of the specific dietary changes you have made and I am also quite interested in the sublingual preperation you are using to desensitize for yeast and 5 bacteria. Do you know what bacteria are suspect? I would like to know everything about this Doctor's approach to your case because it sounds like he/she may be testing for things that I have been thinking about. Orin In a message dated 3/5/05 9:19:23 PM Central Standard Time, fam24@... writes: I went to a doc who believes in a more natural approach. I have been eliminating night shades, preserved foods, salt and carbs and he also gave me drops sublingually to desensitize myself from yeast and 5 bacteria's. Next time he will test foods and viruses. This was less then 3 weeks ago and the pain level has gone from 10 to about 3 or 4. I wish you luck. I also need to find another rheumy. Lord knows I tried the meds so now I am going to stick to a more natural approach. Janet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2005 Report Share Posted March 5, 2005 Dear Dean, I could have written your email, except for the doctor profession. My husband and I own an insurance company and we used to work side by side. I got hit with PA about 5 years ago, but I think it might have even been earlier. It hit me first in my jaw and by the time, we had a diagnosis my right condlye was totally degraded. My jaw is ankylosing together and yet even with the chronic facial spasms it’s not my worst place for pain these days. Like you, I went through my share of doctors. I know you probably hear a lot about bad doctors, and I’ve seen a lot of doctors in my life due to other health problems. I do think though that rheumatologists, as a whole are really hard to deal with. I find them set in their ways, and very judgmental. If you don’t fit into their description of what a PA patient should look like, then most of them won’t diagnosis you. (I actually had one doctor tell me I couldn’t have RA because I didn’t have blonde hair. My hair is brown, but that one was news to me…lol.) I finally went to a teaching University and found a doctor who diagnosed me with PA, RA, Osteoarthritis, Osteoporosis, Facets disease, spondylitis, lumbar disc disease, fibromyalgia, and stenosis. Before I saw him, I was only told I had asthma and fibromyalgia. So my joints aren’t in very good shape right now. I will turn 50 in June. Like you, very few medications have helped me. I tried all the new ones and the old ones on the market. Some made me seriously ill, like Humira, which left me with a chest infection that lasted for almost 5 months. I ended up on 60mg of predinsone and still am on 12mg everyday. I’ve had to take it now for over 3 years and I’ve hated every minute of it. I know what it can do to me, from watching my parents taking it every day with emphysema. Yet the once I get below 10mg, I usually end up unable to walk on my feet within a week of lowering the dose. So I am dealing with Cushing’s as well now. I personally would do what ever I could to keep my job and my career going if it’s that important to you. Retiring early always sounds great but the problem is if you are like me, you don’t feel good enough to do anything anyway. If you could work part-time that might work out if you health doesn ’t improve. You are at a point that a lot of us have to face, life changing decisions…and it isn’t fun and can be very life shattering. One book I would suggest you read is called “The Anatomy of Hope by Dr. Groopman. He is a cancer specialist and at first I thought the book would be depressing, but I’ve read it twice now and it really has inspired me to hold on to hope. He is a wonderful person, if he is half the person he writes about in the book, and it might inspire you as much as it has me. * All I can really say is welcome to our little piece of the world. The people here are amazing. They are bright, creative and caring beyond words. I’ve learned more from this group than my doctors have ever had the time to tell me about my disease. Not to mention the companionship and friendship I’ve made in the past few years, when otherwise, I’m home most of the day alone. (Of course, my two little dogs keep me company and brighten my day as well.) I hope you are one of the lucky ones who go into remission and don’t have many problems in the future. We are here for you no matter what your future holds. Take care and let us know how you are doing. Fran * * PS I’ve had more luck with Pain management for treatment, than any other doctor so far. I have been a new member for a week or two. I am discouraged about the lack of success in the treatment of PA. This is especially true since I am a physician. (I am a 58 year old male) I made the diagnosis of PA on myself about 5 years ago. It started with psoriasis then slowly my joints of my hands, low back, and knees became very painful. I am on my fourth rhemnatologist. The first one moved. The second one was at the University. I was seen by med students and never got to see the doc myself. I knew more about PA myself. The third was pretty good but didn't take my insurance. Yes, even " rich " doctors worry about insurance. The fourth and last rheumatologist is great. We are getting nowhere, however. To date I am on MTX 25mg a week. It took the psoriasis away but has not helped my joints. I have had no side effects from MTX. I have tried Arava and later cyclosporin with no help. I have been on remicaid, and enbrel with no help with the fatigue and joint pain. I have taken my second Humira injection and so far no help. I also take NSAIDs. The only thing I have found that helps is a 7 to 10 course of prednisone. That really helps, but as you all know, I cannot keep doing that forever. My biggest problem is fatigue and joint pain. I am an Ob/Gyn doctor so I am up at nights and the fatigue is killing me. Also I do a lot of surgery and my hands are so painful I worry about my skills. I have thought of applying for disability but I love my profession and do not want to quit. If I sound discouraged, I am. This shows you that even physicians get PA and do not know what to do. Good luck to all of you in the battle against this condition. You are not alone. .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2005 Report Share Posted March 5, 2005 Hi Dean(docsmith), welcome to our group. yes...the pa can sure be discouraging. Hope humira will be at least a partial answer for you. I know several people here are helped by it. Are there consulting options available for you if you choose not to apply for a whole disability? I went out of work slowly...worked part time, then changed the part time job and finally could not work at all although I am still hoping to return to part time work. best, marti Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2005 Report Share Posted March 6, 2005 In a message dated 3/6/2005 8:12:00 AM Eastern Standard Time, orinok@... writes: I would like to know everything about this Doctor's approach to your case because it sounds like he/she may be testing for things that I have been thinking about. Orin Just got your messsage Orin and yes, I will definitely do that for you and it would be good for myself as well. I have downstairs a list of 5 types of yeast and 5 bacterias which I will post as soon as I go down and come up here again. The doc called the bacterias, arthritis bacteria which if you have a high numbers can cause joint pain. I also tested the highest to candida albicans which the diet will help eliminate. I bought a store made barbqued chicken yesterday for dinner and noticed a little more achey today. Then I read the ingredients and saw preservatives. I have to stay away from these. He said the carbs really feed into this yeast thing also. I never thought I would follow a diet for arthritis and I am off all meds except some Naprosyn a few days a week. I still ache all over but it is not the intense pain I was experiencing. I will send more later. Janet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2005 Report Share Posted March 6, 2005 Thanks for the reply. I am hoping I can continuing delivering babies and surgery, but if Humira doesn't help I've tried about everything. I may have to quit Ob and just do an office practice of Gyn. It might help the PA if I am not so fatigued. I still would have to do surgery and that will be difficult if my hands get any worse. What a delema. [ ] Re: New Member Hi Dean(docsmith), welcome to our group. yes...the pa can sure be discouraging. Hope humira will be at least a partial answer for you. I know several people here are helped by it. Are there consulting options available for you if you choose not to apply for a whole disability? I went out of work slowly...worked part time, then changed the part time job and finally could not work at all although I am still hoping to return to part time work. best, marti Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2005 Report Share Posted March 6, 2005 Thanks for your reply. We do have a lot in common. This group has been helpful to me. Misery loves company. Is there anybody out there that has encouraging news? RE: [ ] New Member Dear Dean, I could have written your email, except for the doctor profession. My husband and I own an insurance company and we used to work side by side. I got hit with PA about 5 years ago, but I think it might have even been earlier. It hit me first in my jaw and by the time, we had a diagnosis my right condlye was totally degraded. My jaw is ankylosing together and yet even with the chronic facial spasms it's not my worst place for pain these days. Like you, I went through my share of doctors. I know you probably hear a lot about bad doctors, and I've seen a lot of doctors in my life due to other health problems. I do think though that rheumatologists, as a whole are really hard to deal with. I find them set in their ways, and very judgmental. If you don't fit into their description of what a PA patient should look like, then most of them won't diagnosis you. (I actually had one doctor tell me I couldn't have RA because I didn't have blonde hair. My hair is brown, but that one was news to me.lol.) I finally went to a teaching University and found a doctor who diagnosed me with PA, RA, Osteoarthritis, Osteoporosis, Facets disease, spondylitis, lumbar disc disease, fibromyalgia, and stenosis. Before I saw him, I was only told I had asthma and fibromyalgia. So my joints aren't in very good shape right now. I will turn 50 in June. Like you, very few medications have helped me. I tried all the new ones and the old ones on the market. Some made me seriously ill, like Humira, which left me with a chest infection that lasted for almost 5 months. I ended up on 60mg of predinsone and still am on 12mg everyday. I've had to take it now for over 3 years and I've hated every minute of it. I know what it can do to me, from watching my parents taking it every day with emphysema. Yet the once I get below 10mg, I usually end up unable to walk on my feet within a week of lowering the dose. So I am dealing with Cushing's as well now. I personally would do what ever I could to keep my job and my career going if it's that important to you. Retiring early always sounds great but the problem is if you are like me, you don't feel good enough to do anything anyway. If you could work part-time that might work out if you health doesn 't improve. You are at a point that a lot of us have to face, life changing decisions.and it isn't fun and can be very life shattering. One book I would suggest you read is called " The Anatomy of Hope by Dr. Groopman. He is a cancer specialist and at first I thought the book would be depressing, but I've read it twice now and it really has inspired me to hold on to hope. He is a wonderful person, if he is half the person he writes about in the book, and it might inspire you as much as it has me. * All I can really say is welcome to our little piece of the world. The people here are amazing. They are bright, creative and caring beyond words. I've learned more from this group than my doctors have ever had the time to tell me about my disease. Not to mention the companionship and friendship I've made in the past few years, when otherwise, I'm home most of the day alone. (Of course, my two little dogs keep me company and brighten my day as well.) I hope you are one of the lucky ones who go into remission and don't have many problems in the future. We are here for you no matter what your future holds. Take care and let us know how you are doing. Fran * * PS I've had more luck with Pain management for treatment, than any other doctor so far. I have been a new member for a week or two. I am discouraged about the lack of success in the treatment of PA. This is especially true since I am a physician. (I am a 58 year old male) I made the diagnosis of PA on myself about 5 years ago. It started with psoriasis then slowly my joints of my hands, low back, and knees became very painful. I am on my fourth rhemnatologist. The first one moved. The second one was at the University. I was seen by med students and never got to see the doc myself. I knew more about PA myself. The third was pretty good but didn't take my insurance. Yes, even " rich " doctors worry about insurance. The fourth and last rheumatologist is great. We are getting nowhere, however. To date I am on MTX 25mg a week. It took the psoriasis away but has not helped my joints. I have had no side effects from MTX. I have tried Arava and later cyclosporin with no help. I have been on remicaid, and enbrel with no help with the fatigue and joint pain. I have taken my second Humira injection and so far no help. I also take NSAIDs. The only thing I have found that helps is a 7 to 10 course of prednisone. That really helps, but as you all know, I cannot keep doing that forever. My biggest problem is fatigue and joint pain. I am an Ob/Gyn doctor so I am up at nights and the fatigue is killing me. Also I do a lot of surgery and my hands are so painful I worry about my skills. I have thought of applying for disability but I love my profession and do not want to quit. If I sound discouraged, I am. This shows you that even physicians get PA and do not know what to do. Good luck to all of you in the battle against this condition. You are not alone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2005 Report Share Posted March 6, 2005 Thanks for your reply. Being a physician doesn't make us immune to problems. We know just enough to be dangerous. Often times we try to treat our selves and have a fool for a patient. Re: [ ] New Member In a message dated 3/5/2005 3:29:36 PM Eastern Standard Time, docsmith@... writes: This shows you that even physicians get PA and do not know what to do. Good luck to all of you in the battle against this condition. You are not alone. I really feel for you. I had to quit nursing school about 3 years ago and was only a few credits away when this happened. I could not limp around the hospital when in clinical anymore. I am 51 and have been in the medical profession since I was 21. For years I was a medical assistant in an internal medicine practice. I diagnosed myself with PA about 15 years ago when one rheumatogist said it was OA. I did not agree with him however I only had mild pains at that time and accepted it. Only 3 years ago when I deteriorated is when I was diagnosed. I have tried double and single doses of HUmira and Enbrel along with all the NSAIDS and when my foot was the size of a bologna a few weeks ago my present rheumy said he did not know what else to do. I walked out of his office and will not see him again. Then I went to a doc who believes in a more natural approach. I have been eliminating night shades, preserved foods, salt and carbs and he also gave me drops sublingually to desensitize myself from yeast and 5 bacteria's. Next time he will test foods and viruses. This was less then 3 weeks ago and the pain level has gone from 10 to about 3 or 4. I wish you luck. I also need to find another rheumy. Lord knows I tried the meds so now I am going to stick to a more natural approach. Janet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2005 Report Share Posted March 7, 2005 Hello Dean ... I am from Michigan and have a very good rheumy. Just thought maybe you are the same Dean that is a physician in the GR area. If you would like my rheumy's name and address and phone number, please feel free to email me privately. Good luck. sharsackett@... [ ] New Member I have been a new member for a week or two. I am discouraged about the lack of success in the treatment of PA. This is especially true since I am a physician. (I am a 58 year old male) I made the diagnosis of PA on myself about 5 years ago. It started with psoriasis then slowly my joints of my hands, low back, and knees became very painful. I am on my fourth rhemnatologist. The first one moved. The second one was at the University. I was seen by med students and never got to see the doc myself. I knew more about PA myself. The third was pretty good but didn't take my insurance. Yes, even " rich " doctors worry about insurance. The fourth and last rheumatologist is great. We are getting nowhere, however. To date I am on MTX 25mg a week. It took the psoriasis away but has not helped my joints. I have had no side effects from MTX. I have tried Arava and later cyclosporin with no help. I have been on remicaid, and enbrel with no help with the fatigue and joint pain. I have taken my second Humira injection and so far no help. I also take NSAIDs. The only thing I have found that helps is a 7 to 10 course of prednisone. That really helps, but as you all know, I cannot keep doing that forever. My biggest problem is fatigue and joint pain. I am an Ob/Gyn doctor so I am up at nights and the fatigue is killing me. Also I do a lot of surgery and my hands are so painful I worry about my skills. I have thought of applying for disability but I love my profession and do not want to quit. If I sound discouraged, I am. This shows you that even physicians get PA and do not know what to do. Good luck to all of you in the battle against this condition. You are not alone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2005 Report Share Posted March 7, 2005 dear dean, i would like to thank you for such an honest, frank and heart-felt message... i am so sorry you are having such an awful time of it and i can very well appreciate the angst you must feel when you weigh the pros and cons of continuing in your profession, while having a debilitating disease. (i sure wish i was 'bewitched' and could wave a magic wand and we'd all be well again)... it must be extremely frustrating for you because of course, in a physical sense, your hands are so important, and as well, the fatigue must be so hard (babies, after all, don't care what time of day or night it is when they decide it's 'time'...). i can only say i sincerely hope you are going to soon find the proper cocktail that will help you. please don't give up - every day is a new one, and one of these days it will hopefully be a great one.... (for each of us). kindest regards, karen > > > I have been a new member for a week or two. I am discouraged about > the lack of success in the treatment of PA. This is especially true > since I am a physician. (I am a 58 year old male) > I made the diagnosis of PA on myself about 5 years ago. It started > with psoriasis then slowly my joints of my hands, low back, and knees > became very painful. I am on my fourth rhemnatologist. The first one > moved. The second one was at the University. I was seen by med > students and never got to see the doc myself. I knew more about PA > myself. The third was pretty good but didn't take my insurance. Yes, > even " rich " doctors worry about insurance. The fourth and last > rheumatologist is great. We are getting nowhere, however. To date I > am on MTX 25mg a week. It took the psoriasis away but has not helped > my joints. I have had no side effects from MTX. I have tried Arava and > later cyclosporin with no help. I have been on remicaid, and enbrel > with no help with the fatigue and joint pain. I have taken my second > Humira injection and so far no help. I also take NSAIDs. The only > thing I have found that helps is a 7 to 10 course of prednisone. That > really helps, but as you all know, I cannot keep doing that forever. > My biggest problem is fatigue and joint pain. I am an Ob/Gyn doctor > so I am up at nights and the fatigue is killing me. Also I do a lot > of surgery and my hands are so painful I worry about my skills. I > have thought of applying for disability but I love my profession and > do not want to quit. If I sound discouraged, I am. This shows you > that even physicians get PA and do not know what to do. Good luck to > all of you in the battle against this condition. You are not alone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2005 Report Share Posted March 7, 2005 dean, you have a sense of humour too! that's wonderful. i'm very glad you have found this wonderful board and i hope it will be a two way street of us all helping each other. i know, for me, knowing there is a safe place to come where everyone understands makes living with this disease so much easier to deal with. i hope that you, as well as all of the recent newbies, feel the same way and will get as much from this site as i do. take care, karen > > Thanks for your reply. Being a physician doesn't make us immune to problems. We know just enough to be dangerous. Often times we try to treat our selves and have a fool for a patient. > Re: [ ] New Member > > > > > In a message dated 3/5/2005 3:29:36 PM Eastern Standard Time, > docsmith@s... writes: > > This shows you > that even physicians get PA and do not know what to do. Good luck to > all of you in the battle against this condition. You are not alone. > > > I really feel for you. I had to quit nursing school about 3 years ago and > was only a few credits away when this happened. I could not limp around the > hospital when in clinical anymore. I am 51 and have been in the medical > profession since I was 21. For years I was a medical assistant in an internal > medicine practice. I diagnosed myself with PA about 15 years ago when one > rheumatogist said it was OA. I did not agree with him however I only had mild > pains at that time and accepted it. Only 3 years ago when I deteriorated is > when I was diagnosed. I have tried double and single doses of HUmira and > Enbrel along with all the NSAIDS and when my foot was the size of a bologna a few > weeks ago my present rheumy said he did not know what else to do. I walked > out of his office and will not see him again. Then I went to a doc who > believes in a more natural approach. I have been eliminating night shades, > preserved foods, salt and carbs and he also gave me drops sublingually to > desensitize myself from yeast and 5 bacteria's. Next time he will test foods and > viruses. This was less then 3 weeks ago and the pain level has gone from 10 to > about 3 or 4. I wish you luck. I also need to find another rheumy. Lord > knows I tried the meds so now I am going to stick to a more natural approach. > Janet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2005 Report Share Posted March 8, 2005 Dear . Thanks for your reply. I too wish we had a magic wand to make us all better. I feel better knowing there are others who are struggling with PA. Maybe the right " cocktail " is right around the corner. [ ] Re: New Member dear dean, i would like to thank you for such an honest, frank and heart-felt message... i am so sorry you are having such an awful time of it and i can very well appreciate the angst you must feel when you weigh the pros and cons of continuing in your profession, while having a debilitating disease. (i sure wish i was 'bewitched' and could wave a magic wand and we'd all be well again)... it must be extremely frustrating for you because of course, in a physical sense, your hands are so important, and as well, the fatigue must be so hard (babies, after all, don't care what time of day or night it is when they decide it's 'time'...). i can only say i sincerely hope you are going to soon find the proper cocktail that will help you. please don't give up - every day is a new one, and one of these days it will hopefully be a great one.... (for each of us). kindest regards, karen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2005 Report Share Posted March 8, 2005 Shar. Thanks for the reply. I am not the Dean you are thinking uf. I live in Utah. Michigan would be quite a trip to see even a great rheumy. If I know he could help me, I'd probably be there pronto. [ ] New Member I have been a new member for a week or two. I am discouraged about the lack of success in the treatment of PA. This is especially true since I am a physician. (I am a 58 year old male) I made the diagnosis of PA on myself about 5 years ago. It started with psoriasis then slowly my joints of my hands, low back, and knees became very painful. I am on my fourth rhemnatologist. The first one moved. The second one was at the University. I was seen by med students and never got to see the doc myself. I knew more about PA myself. The third was pretty good but didn't take my insurance. Yes, even " rich " doctors worry about insurance. The fourth and last rheumatologist is great. We are getting nowhere, however. To date I am on MTX 25mg a week. It took the psoriasis away but has not helped my joints. I have had no side effects from MTX. I have tried Arava and later cyclosporin with no help. I have been on remicaid, and enbrel with no help with the fatigue and joint pain. I have taken my second Humira injection and so far no help. I also take NSAIDs. The only thing I have found that helps is a 7 to 10 course of prednisone. That really helps, but as you all know, I cannot keep doing that forever. My biggest problem is fatigue and joint pain. I am an Ob/Gyn doctor so I am up at nights and the fatigue is killing me. Also I do a lot of surgery and my hands are so painful I worry about my skills. I have thought of applying for disability but I love my profession and do not want to quit. If I sound discouraged, I am. This shows you that even physicians get PA and do not know what to do. Good luck to all of you in the battle against this condition. You are not alone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 9, 2005 Report Share Posted March 9, 2005 Hi Dean, Just wanted to belatedly welcome you to the group. I am sorry that your condition meant that you had to seek us out but glad you found us. I hope the Humira can help you over time. It is still early days for that. This is a great group for info, support, a place to vent and we even attempt to cheer each other up at times. lol I look forward to hearing more from you. Take care, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 11, 2005 Report Share Posted March 11, 2005 hi bill, welcome! how wonderful to meet someone who is also from BC - i live just east of vancouver in the fraser valley (7 miles east of mission). you didn't mention if any of your joints are ever swollen, warm to the touch and pink... has that ever happened to you? another thing that is quite common for pa is inflamed achilles tendons. at any rate, one suggestion would be to search the internet - there are many wonderful sites that have information to help. with respect to the fatigue, yes, it can be quite overwhelming, can't it. i'm so sorry you are feeling so rough. my name is karen, i am 52 and i have pa (4 years), p for about 15 or 20 years, fibro for 30 years and newly diagnosed (2 wks ago) with sjogren's... this is a wonderful wonderful place full of really nice people who truly understand each other because we are all going through the same thing. i'm sorry you are feeling so badly but glad you found us because it really helps to have a support group that will allow you to vent, share, joke with occasionally, and become friends with. so once again, welcome. take care - karen > > > Hello: > I am a 57 yr old retired Father of one son who is very fortunate to > have the best Wife I could wish for. We've been together for 35 > years. We live in British Columbia Canada. > > I hadn't heard of Psoriatic Arthritis until yesterday, however, > after reading Atwood-Stack's letter, it seems a strong > likelihood. I've been diagnosed with psoriasis 5 years ago. Three > doctors have diagnosed Sjogrens but another doesn't think so. The > past 10 years have contained regular frequent episodes of very > strong joint and muscle pain. Numerous blood tests have failed to > show arthritis. The pain has been so strong that i've had to take > opiates. However, the most difficult problem has been to function > with the fatigue. Some days I just do not have the energy to put > one foot in front of the other. Maybe I do have Psoriatic Arthritis? > > I also have 2 or 3 very ichy sores on the back of my scalp which > subside at times and then come back full force whenever I'm tired. > Is this common? > > As well I have two knuckles which have formed what seems to be many > flaky thickening layers with large cracks through them. Is this > common? > > Thank-you in advance for any light you might be able to shine on > these symptoms. > Bill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 12, 2005 Report Share Posted March 12, 2005 Hi : Thank-you for the welcome, it is much appreciated. Mission eh, I don't know much about Mission, just that it is near Abottsford(sp?) and the Airshow. We live in Kamloops. Very interesting about the achilles tendons. A couple of years ago I could hardly walk with first one then the other achilles tendon. They felt like they were going to detach from my heel. I didn't mention it to any Drs. it just seemed another one of " those " things. Going up and down stairs is still difficult in the morning until the tendons stretch-out/warm-up. It's nice to know what was going on there. Do PA people also have heel troubles too? I'm just getting over about 6 months of hardly being able to put any weight on my heels? I do have swollen joints regularly, but, that part hasn't been too troublesome. I seem to sprain easily. For example, 4 months ago I popped a tendon in my wrist for no reason and it still isn't totally healed? As well, do you know if PA people have problems with their jaw popping and locking? Thanks again for the welcome Bill <missionblondie@...> wrote: hi bill, welcome! how wonderful to meet someone who is also from BC - i live just east of vancouver in the fraser valley (7 miles east of mission). you didn't mention if any of your joints are ever swollen, warm to the touch and pink... has that ever happened to you? another thing that is quite common for pa is inflamed achilles tendons. at any rate, one suggestion would be to search the internet - there are many wonderful sites that have information to help. with respect to the fatigue, yes, it can be quite overwhelming, can't it. i'm so sorry you are feeling so rough. my name is karen, i am 52 and i have pa (4 years), p for about 15 or 20 years, fibro for 30 years and newly diagnosed (2 wks ago) with sjogren's... this is a wonderful wonderful place full of really nice people who truly understand each other because we are all going through the same thing. i'm sorry you are feeling so badly but glad you found us because it really helps to have a support group that will allow you to vent, share, joke with occasionally, and become friends with. so once again, welcome. take care - karen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2005 Report Share Posted March 13, 2005 Hi Bill, Welcome to the group. I guess you will already have had some replies telling you that it does sound like PA. Can you get them to refer you to a Rheumatologist or maybe you can just go see one, depending on where you are. I think a few of us went through the same type of scenario. Your first time hearing about it is when you find out you might be suffering from it. If you do have PA though, this is a good group to have found, filled with a lot of knowledgeable and caring people. So, any questions you have, ask away. There's bound to be someone who can give you an answer. Hope to hear from you again soon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2005 Report Share Posted March 14, 2005 Hi Bill, Sounds like a good possibility that you could have PA. You should see a rheumatologist as soon as possible. There are several viable treatments, It may be trial & error to see what works best for you. Learn as much as you can about each, weigh your options. Methotrexate, Enbel, Humira all have good results for most folks, but each seems to have drawbacks and may not work for everyone. Stay Well, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2005 Report Share Posted March 14, 2005 Hi Bill, Yep, My PA started on my left heel. Thought it was a running injury until I couldn't shake it off. In my early years of PA, I could hardly walk because of it when it went to the other heel too. I have had the jaw popping too. I went through a short period when it was very painful but it didn't last too long before easing off. It left me unable to open my mouth quite as far. (Right!!!!!! I heard you all!.............Who said thats a good thing? lol) It still pops but doesn't lock. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 14, 2005 Report Share Posted March 14, 2005 hi bill, after reading your new e-mail - everything you said leans towards having pa... your heels - definitely a sign - it's called plantar fasciitis and many of us have/are suffering from it. with respect to your jaw, that's a 'yes' as well. it is called TMJ - about 2 years ago i had pa in my jaw for weeks and could open my mouth just barely wide enough to put a fork in my mouth to eat... my jaws 'crack' all the time. these are things i would definitely mention to your dr. next time... for sure - they are all indicative. kamloops hey? what a wonderful city. i love the interior and spent a weekend in kamloops a year ago this may.... i hope we don't have draughts again this year.... i'm nervous about the forest fire situation we may have again.... anyhow, that's off topic but it's so nice to 'meet' you. and mission is on the north side of the fraser river, abbotsford is on the south of the river - the distance between the two cities is about 10 km. take care bill. if you ever want to talk off line, please feel free to e-mail me any time. love, karen > > Hi : > > Thank-you for the welcome, it is much appreciated. > > Mission eh, I don't know much about Mission, just that it is near Abottsford(sp?) and the Airshow. We live in Kamloops. > > Very interesting about the achilles tendons. A couple of years ago I could hardly walk with first one then the other achilles tendon. They felt like they were going to detach from my heel. I didn't mention it to any Drs. it just seemed another one of " those " things. Going up and down stairs is still difficult in the morning until the tendons stretch-out/warm-up. It's nice to know what was going on there. > > Do PA people also have heel troubles too? I'm just getting over about 6 months of hardly being able to put any weight on my heels? > > I do have swollen joints regularly, but, that part hasn't been too troublesome. I seem to sprain easily. For example, 4 months ago I popped a tendon in my wrist for no reason and it still isn't totally healed? > > As well, do you know if PA people have problems with their jaw popping and locking? > > Thanks again for the welcome > Bill Quote Link to comment Share on other sites More sharing options...
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