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Re: Being a good patient

Posted: Mon Oct 19, 2009 3:51 pm
by moi621 (imported)
Try these tricks

1) Bring in a, short, list of questions and give the doc a copy.

Answer to 1, 4 and 6 may be the same. He can organize his response.

2) Write down his instructions.

3) If you have an intellectual disagreement, find a new doctor.

4) If your diagnosis is related to a chronic viral condition, take responsibility.

Chicken Soup, Bedrest, no exhaustion. This may take months as you have

worked hard to ignore this approach and have some degree of immune suppression not nutritionally related.

G'Luck

Re: Being a good patient

Posted: Tue Oct 20, 2009 3:02 am
by curious_guy (imported)
moi621 (imported) wrote: Mon Oct 19, 2009 3:51 pm 3) If you have an intellectual disagreement, find a new doctor.

How many different doctors should I go to before I should give up?

Re: Being a good patient

Posted: Tue Oct 20, 2009 4:24 am
by curious_guy (imported)
moi621 (imported) wrote: Mon Oct 19, 2009 3:51 pm 4) If your diagnosis is related to a chronic viral condition, take responsibility.

Chicken Soup, Bedrest, no exhaustion. This may take months as you have

worked hard to ignore this approach and have some degree of immune suppression not nutritionally related.

G'Luck

I have tried for many years to get as much rest as possible. I am not rich. I can not hire someone to shop, cook and clean for me.

I have not been "diagnosed" with a chronic viral condition. Most of the doctors I have been to have REFUSED to test me for any viruses except for HIV and hepatitis A B and C.

Back in 1992 I was tested for other viruses.

My cytomegalovirus IGG AB by EIA was 2.06. (1.15 or greater was considered high.)

My cytomegalovirus IGM AB by IFA was <1:8 (normal)

My Epstein-Barrr-Virus capsid antibodies by IFA was

viral capsid AG IGG >1:640 (high)

viral capsid AG IGM <1:10 (normal)

I was referred to an infectious disease specialist. Without seeing me or even speaking to me on the phone, he "diagnosed" me with depression.

I was told that if I accepted treatment for depression and the treatment did not help me, I would get more evaluation for viral infections. This was a LIE of course. The depression treatment made me worse.

Then, I was told that the viral tests just meant that I was exposed to the viruses in the past and that it was IMPOSSIBLE to tell if I had a chronic infection. They said that there were no tests that could distinguish between a past infection and a chronic infection.

If rest is all that is needed to cure all chronic viral infections, why do HIV drugs exist?

Re: Being a good patient

Posted: Thu Oct 22, 2009 11:33 am
by transward (imported)
In today's New York Times is an article relevant to your situation.

http://www.nytimes.com/2009/10/21/opini ... ?th&emc=th

"EARLIER this month, a study published in the journal Science answered a question that medical scientists had been asking since 2006, when they learned of a novel virus found in prostate tumors called xenotropic murine leukemia virus-related virus, or XMRV: Was it a human infection? XMRV is a gammaretrovirus, one of a family of viruses long-studied in animals but not known to infect people. In animals, these retroviruses can cause horrendous neurological problems, immune deficiency, lymphoma and leukemia. The new study provided overwhelming evidence that XMRV is a human gammaretrovirus — the third human retrovirus (after H.I.V. and human lymphotropic viruses, which cause leukemia and lymphoma). Infection is permanent and, yes, it can spread from person to person (though it is not yet known how the virus is transmitted).

That would have been news enough, but there was more. XMRV had been discovered in people suffering from chronic fatigue syndrome, a malady whose very existence has been a subject of debate for 25 years. For sufferers of this disease, the news has offered enormous hope. Being seriously ill for years, even decades, is nightmarish enough, but patients are also the targets of ridicule and hostility that stem from the perception that it is all in their heads. In the study, 67 percent of the 101 patients with the disease were found to have XMRV in their cells. If further study finds that XMRV actually causes their condition, it may open the door to useful treatments. At least, it will be time to jettison the stigmatizing name chronic fatigue syndrome.

The illness became famous after an outbreak in 1984 around Lake Tahoe, in Nevada. Several hundred patients developed flu-like symptoms like fever, sore throat and headaches that led to neurological problems, including severe memory loss and inability to understand conversation. Most of them were infected with several viruses at once, including cytomegalovirus, Epstein-Barr and human herpesvirus 6. Their doctors were stumped. The Centers for Disease Control and Prevention, the nation’s presumed bulwark against emerging infectious diseases, dismissed the epidemic and said the Tahoe doctors “had worked themselves into a frenzy.” The sufferers, a C.D.C. investigator told me at the time, were “not normal Americans.”

When, by 1987, the supposed hysteria failed to evaporate and indeed continued erupting in other parts the country, the health agency orchestrated a jocular referendum by mail among a handful of academics to come up with a name for it. The group settled on “chronic fatigue syndrome” — the use of “syndrome” rather than “disease” suggested a psychiatric rather than physical origin and would thus discourage public panic and prevent insurers from having to make “chronic disbursements,” as one of the academics joked.

An 11th-hour plea by a nascent patient organization to call the disease by the scientific name used in Britain, myalgic encephalomyelitis, was rejected by the C.D.C. as “overly complicated and too confusing for many nonmedical persons.”

Had the agency done nothing in response to this epidemic, patients would now be better off. The name functioned as a kind of social punishment. Patients were branded malingerers by families, friends, journalists and insurance companies, and were denied medical care. (It’s no coincidence that suicide is among the three leading causes of death among sufferers.) Soon the malady came to be widely considered a personality disorder or something that sufferers brought upon themselves. A recent study financed by the C.D.C. suggested that childhood trauma or sexual abuse, combined with a genetic inability to handle stress, is a key risk factor for chronic fatigue syndrome.

Many people don’t realize how severe this illness can be. It is marked by memory and cognition problems, and physical collapse after any mental or physical exertion. The various co-infections that occur only make matters worse. Many patients are bedridden. And recovery is rare. A significant number of patients have been ill for more than two decades.

Dr. Nancy Klimas, an immunologist at the University of Miami School of Medicine who treats AIDS and chronic fatigue syndrome, remarked in The Times last week that if given the choice she would prefer to have AIDS: “My H.I.V. patients for the most part are hale and hearty,” she said, noting that billions of dollars have been spent on AIDS research. “Many of my C.F.S. patients, on the other hand, are terribly ill and unable to work or participate in the care of their families.”

Congress has appropriated money for research on chronic fatigue syndrome, too, though in far smaller amounts, but the C.D.C. has seemed unwilling to spend it productively. A decade ago, investigations by the inspector general for the Department of Health and Human Services and what was then called the General Accounting Office revealed that for years government scientists had been funneling millions meant for research on this disease into other pet projects.

As public health officials focused on psychiatric explanations, the virus apparently spread widely. In the new study, active XMRV infections were found in 3.7 percent of the healthy controls tested. Roughly the same degree of infection in healthy people has been found in the prostate research. If this is representative of the United States as a whole, then as many as 10 million Americans may carry the retrovirus.

It is estimated that more than a million Americans are seriously ill with the disease. (Not everyone infected with XMRV will necessarily get chronic fatigue syndrome — in the same way that not all of the 1.1 million Americans infected with H.I.V. will get AIDS.)

Hints that a retroviral infection might play a role in chronic fatigue syndrome have been present from the beginning. In 1991, Dr. Elaine DeFreitas, a virologist at the Wistar Institute in Philadelphia, found retroviral DNA in 80 percent of 30 chronic fatigue patients. The C.D.C. went so far as to try to replicate her effort, but refused to follow her exacting methods for finding the virus. In addition, the centers’ blood samples became contaminated, and some people at the agency said that administrators ended the research prematurely. Rather than admit any such failure, the C.D.C. publicly criticized Dr. DeFreitas’s findings.

That episode had a chilling effect on other researchers in the field, and the search for the cause was largely abandoned for 20 years.

Now, Judy Mikovits, the retrovirus expert at the Whittemore Peterson Institute, in Reno, Nev., who led the recent study, has revisited the cold case. Not surprisingly, the institute is private, created by the parents of a woman who suffers from chronic fatigue syndrome. But Dr. Mikovits collaborated with scientists at the National Cancer Institute and the Cleveland Clinic.

When she began her work on this disease in 2006, Dr. Mikovits, a 22-year veteran of the National Cancer Institute, knew little about chronic fatigue syndrome. But she was intrigued that an unusually high number of patients being followed by a Nevada doctor were suffering rare lymphomas and leukemias; at least one had died. And she was also impressed that the doctor, Dan Peterson, had built an extraordinary repository of more than 8,000 chronic fatigue syndrome tissue samples going back as far as 1984.

“My hypothesis was, ‘This is a retrovirus,’ and I was going to use that repository to find it,” Dr. Mikovits told me.

What she found was live, or replicating, XMRV in both frozen and fresh blood and plasma, as well as saliva. She has found the virus in samples going back to 1984 and in nearly all the patients who developed cancer. She expects the positivity rate will be close to 100 percent in the disease.

“It’s amazing to me that anyone could look at these patients and not see that this is an infectious disease that has ruined lives,” Dr. Mikovits said. She has also given the disease a properly scientific new name: X-associated neuroimmune disease.

For patients who have been abandoned to quackish theories and harsh ideologies about their illness for 25 years, the dismantling of “chronic fatigue syndrome” can’t come soon enough."

Transward

Re: Being a good patient

Posted: Thu Oct 29, 2009 7:10 pm
by curious_guy (imported)
speedvogel (imported) wrote: Mon Oct 12, 2009 7:07 pm This is almost brutal and I hesitate to say it. Since you, deep down in your heart and soul, know you will not get disability, pull yourself up, find a job you can do and become a semi-functioning part of society. You will feel better, and possibly some of your symptoms will ease up a bit and you can make some progress. I am not trying to be mean, but from a long distance, this is the best advice I can give.

Speed

This is why I am sure that I cannot possibly work enough to support myself:

I first became ill in the spring of 1972. In the spring of 1978 a friend of mine convinced me to help him paint a house. I was able to work for six hours the first day. I was only able to work three hours the second day. On the third day, it was 1.5 hours. On the forth day I was only able to work for 45 minutes.

In the fall of 1978 I attended community college. About two weeks after I started, I collapsed in class and had to be taken to a hospital. In the hospital, a doctor tried to measure my blood pressure. Normal blood pressure is about 120/80. Mine was 78/unmeasurable.

In the early 1980's I applied for vocational rehabilitation After an evaluation, the department of rehabilitation decided that I was too disabled to get services from them.

In 1984 I had a hernia operation. The operation was done under local anesthesia. Twenty eight hours after the surgery, the nurses had me sit in a chair while they changed the bed. I passed out and slid out of the chair. The surgeons who ran the ward thought that I was so weak that I should go into a nursing home instead of back to my apartment.

In 1995 I had a tilt table test. I passed out and had no detectable pulse or blood pressure. The cardiologist said the test was "markedly positive." I was put on 0.2 milligrams of Fludrocortisone and got another tilt table test. This time it took me one minute longer to pass out. My Fludrocortisone dosage was increased to 0.5 milligrams and I was put on a beta blocker. I got much worse and by the time I stopped taking the Fludrocortisone I had several enlarged lymph nodes in each armpit.

On October 31, 2000, I went to an appointment at the County Hospital. The appointment was in the afternoon when I normally slept. They did not give me any choice of appointment time. They kept me waiting for almost five hours. I had a VERY severe relapse. When I would type, I would get doubled letters in almost every word because my fingers were trembling. I never really recovered from that relapse.

My brother and I try to eat out every Wednesday. When we go out, my brother drives and I recline the passenger seat as far as possible. For the last several months, I have been too ill to go out with him more than half the time. For the last several months, I have had tendinitis like pain around the right side of my pelvis. I watch TV, use my computer and read laying down only. I eat two thirds of my meals laying down.

If what I have written it true, (it is) what jobs do you think I can do? The unemployment rate in my area is 12.7%. I am 56.5 years old and have not worked in more than 35 years. Who do you think would hire me?

Re: Being a good patient

Posted: Fri Oct 30, 2009 6:33 am
by SexlessC23 (imported)
I want to put in a plug in defense of physicians. They are not God. They are human. They can get just as frustrated as anyone especially when faced with a condition they can't or are ill-equipped to diagnose. They can make (shock! horror!) mistakes. And they can have the pants sued off them, which makes them less than keen to take risks, especially with lopping off healthy balls & dicks.

I too have a medical condition that generated vague and seemingly unrelated complaints. It was finally diagnosed a few years ago, treated successfully, now I'm in maintenance treatment, and I feel great, I have been able to resume many of the activities I had given up, and my worst symptoms are at least 80-90% better. PM me for more details. The symptoms were very similar to those above (aches, pains, deep fatigue, digestive complaints, low libido, erectile dysfunction, etc).

Re: Being a good patient

Posted: Tue Jul 19, 2011 6:28 am
by curious_guy (imported)
curious_guy (imported) wrote: Tue Oct 20, 2009 3:02 am How many different doctors should I go to before I should give up?

No one has replied to this post. I recently read about a woman with my illness who went to 200 different physicians. When none of them were willing or able to help her, she killed herself.

Is that what I should do? Should I go to 200 different physicians? If none of them are willing or able to help me, should I kill myself?

Re: Being a good patient

Posted: Tue Jul 19, 2011 6:41 am
by Paolo
Have you tried a devout, long-term, elimination of certain food groups from your diet?

My first bit of advice is to kick all grain products and start snarfing saturated animal fats: pork chops, bacon, cheap(Fat) hamburger, etc. Your brain and body have to have fat to function; in fact, it's the #1 preferred source of energy. I can't tell you how much better I feel with a no-grain, gluten free diet.

And no, don't kill yourself!

Re: Being a good patient

Posted: Tue Jul 19, 2011 8:14 am
by janekane (imported)
In the late spring of 1989, a sequence of "medical diagnostic blunders" had led to my being medicated for conditions I never actually had; the effect of the medications was behavior changes which were initially misinterpreted (I did not "fuss" as much about what seemed awry in my life) as indicating that the medications were appropriate. Alas, I eventually developed an "oriented times zero" dementia, which led to my being taken off all the psychotropic medications, and my tested IQ leaped from perhaps 10 or less to around 70, and I was able to return home. No rehab program to which I had possible access would accept me, and I had to devise my own rehab program, which, a year later, got me into the Mensa range.

Rare conditions are difficult for physicians to diagnose because the conditions are rare.

What kept me going, when I was oriented times zero was simple. It had to be simple, or it would have been impossible. I decided to accept whatever I could do as being good enough, because it was what I could do. I simply lowered my expectations, standards, and goals until what I was actually able to do adequately met those lowered expectations, standards, and goals.

And, to the limit of practicality, I kept looking for a physician who might be able to make some useful sense of what was happening to me. I never quit looking.

And, I am here.

Re: Being a good patient

Posted: Tue Jul 19, 2011 10:02 am
by curious_guy (imported)
janekane (imported) wrote: Tue Jul 19, 2011 8:14 am And, to the limit of practicality, I kept looking for a physician who might be able to make some useful sense of what was happening to me. I never quit looking..

Did you ever find one? If you did, how many physicians did you have to go to before you found one?