Guest guest Posted February 3, 2009 Report Share Posted February 3, 2009 Hi El, I'm sorry I didn't reply sooner. I get the daily digest and it can be difficult to weed through all the many posts, as sometimes there are quite a few old replies tagged on to new ones. I thought it might have been Dolores who asked about Lyme cyst treatments and replied to her…apologies for any confusion!!! Dolores was probably scratching her head over that one and wondering if the brain fog had set in again! LOL El wrote: >>>I too have Lyme's which I believed triggered RA. I am most interested in your comment: This is why Lyme docs also employ cyst-busting medication simultaneously with antibiotic therapy. If not too much trouble can you give me examples of cyst busting meds? I would like to discuss with my Dr. on my next visit. I too believe that AP is not enough; it's fabulous and gave me my life back but I suspect the Lyme's is still in there --- waiting----patiently.<<< We're in the same boat, El, as I got Lyme sometime around Labor Day weekend of '06 and, within 2 months, had highly seropositive, swift onset, severe RA. No coincidence there…Lyme was uncovered in Lyme, CT (the state in which I live) in the mid-70s by Polly Murray, a mother who just happened to notice a growing cluster of children in her neighborhood all coming down with JRA-like symptoms!! It's one of the first things any physician worth his salt should suspect, especially in Lyme endemic areas or if someone presents with a Lyme rash and/or tick bite (which not everyone gets or sees either - also all states have reported cases of Lyme now). However, in spite of my two rashes and all the classic early signs of Lyme, I tested equivocal on standard tests and was refused the standard 2 to 4 weeks of treatment. This delay in treating my early symptoms was the undeniable direct cause of my RA. If one suspects Lyme disease, most experienced Lymies and Lyme docs agree that it's imperative to see a Lyme Literate physician (LLMD), because the treatment combos and dosing vary significantly from AP. I'm currently on a low dose combo, as per Dr Brown, but went through my first year of various high dose combinations (to ensure we hit all the coinfections) that included cyst-busters. Cyst-busting medication is considered a given when one has Lyme, because where there are spirochetes, there will be cystic forms. These medications include Flagyl and Plaquenil. My memory fails me here, but I believe there are others and they are often used in combination, but these are the ones that immediately come to mind - see link to Dr B's Lyme treatment guidelines below. Often, the Lyme patients who don't get well on tetracyclines or a penicillin (usually ampicillin) alone will require other combinations, as they are likely coinfected with organisms such as bartonella, babesia (actually a protozoan that is also treated with Flagyl, Plaquenil, Mepron and Zith…babesia is one of the most common coinfections), ehrlichia, tulemaria and various strains of mycoplasma (such as myco fermentens). It's also worth noting that there are over 100 strains of borreliosis in the US, 300 worldwide, and some of these are much more virulent than others. In fact, in the 90s, when they were developing a vaccine for Lyme (which failed and caused " autoimmunity " ), they removed some of the most significant bands from the Western Blot, saying these were statistically insignificant, but were also found to be cross-reactive with the vaccine! Of course, these also happen to include the band that tests for OSPA (outer surface protein A), which can cause some of the worst presentations of Lyme. IGeneX Labs in CA actually includes these removed bands and uses more sensitive testing methods, only requiring 2 bands for a positive (CDC requires 5 bands). However, any sensitivity on any band is said to indicate exposure to Lyme and a negative test should not exclude a diagnosis of Lyme (see example of woman in MA below), if the clinical picture fits for Lyme. By way of example, I spoke with a lady in MA recently, who has had RA since the early 90s. She found a bite with a rash and her doctor told her it was a spider bite and not to worry. Within a short span of time, she too started with severe RA. As serendipity would have it, she bumped into Diane Aronson (RBF Pres and in Brown's book) who told her about AP. She went out to Iowa, saw Dr S and was treated for her RA quite successfully, though never fully found remission and had some nagging residual probs. She then had a major health crisis which required taking immunosuppressive therapy. She got through this crisis, but her RA returned with avengence and AP never quite got her back to her previous state of well-being, was in quite a bit of pain and she felt she was soon going to need knee replacements. She also had a persistently stiff neck and costochrondritis-like pain, both of which are classic for Lyme and babesia. After visiting a very experienced LLMD in NYC, he made a clinical diagnosis of babesiosis and she was immediately put on quite heavy doses of Mepron, Flagyl and Plaquenil, in addition to Minocin. Within a couple of weeks, this lady's symptoms were resolving and she reported that she hadn't felt this well in years and her burning knee pain was pretty much gone, even though she is virtually bone-on-bone! Her IgeneX labs came back a couple of weeks later and her Western Blot was curiously negative for Lyme, but her babesiosis titer was unquestionably positive. So, the logical inference is that this lady was never given adequate treatment for this other coinfection of Lyme. AP, in all likelihood, drove back the borreliosis (though the cystic form was never treated), but without proper treatment of her coinfections, it was not likely that she would reach full remission from her RA. She is now also receiving IVIG to boost immune function and to help her to detox, as well as a number of other supportive oral supps. An open physician may be willing to prescribe the meds needed for Lyme, its cystic form and coinfections, but may not understand the complexity of individualized treatment. So, if Lyme is suspected, it's really a good idea to see a Lyme Literate physician. Here are Dr B's Lyme Treatment Guidelines, which have been recently updated. These guidelines are considered to be the gold standard for Lyme treatments. It's long, so worth printing out to read in its entirety: http://www.betterhealthguy.com/images/stories/PDF/LYMDXRX2008-October.pdf Some other excellent resources include: www.cureunknown.com and highly recommend watching the new movie documentary Under Our Skin: www.underourskin.com Hope this helps some, El. Peace, Maz Quote Link to comment Share on other sites More sharing options...
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