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Me & Sarcoidosis: A Lifetime Partnership/ Gilbert Barr Jr.
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Deb Grabetz
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Joined: Fri Mar 9th, 2007
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 Posted: Sat Mar 27th, 2010 13:38

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Saved from the Living Dead...

From our last chapter, Gilbert is getting ready to see another new doctor, this one an endocrinologist that came highly recommended.  Gilbert writes, I have to admit that I was a real jerk my first appointment until he earned my respect and I had to apologize.  This doctor was ordering the same test again, that Gilbert had had over and over...yet this time around, Gilbert gets his answer!

Gilbert at this point had to stop playing basketball, between throwing up and being extremely weak, he could no longer keep up.  This seemed very disheartening.  Yet he says the primary way he would deal with his mental stress was his faith in God.  After a bad day I would try to clear my ind and meditate or pray.  Just ie on the couch and forget what I was going through for a few minutes, if possible.

His next appointment finally came and he wondered what new excuses he was going to hear this time or what new test were needed.  It was now April 1991 and Gilbert had been dealing with some type of health issue since late 1986.  At this poing he was both mentally and physically drained. 

After a long wait, his endocrinologist finally came into the room and started by saying he had gotten all of the test results and it was exactly as he suspected.  I thought to myself, "Maybe an actual answer this time."  He went on to say what I had was a disease called sarcoidosis, which consists of small lumps called sarcoid granulomas inside my organs.  The sarcoidosis was basically spreading throughout his body; killng the cells it came in contact with. It seemed to start inside his lungs then spread to lymph nodes and liver.  Then it spread to his pituitary gland where the life and death situations occurred, be he told Gilbert he knew exactly what to do.

In 1991 the medical community was just acknowledging that sarcoidosis even ixisted.  In the United States it was most commonly found in Black women and for a White male in his thirties to have it was extremely rare or acknowledged.  To this day doctors use this as an excuse when explainng why other doctors don't find this disease sooner. 

Gilbert writes:  The following is from the Sarcoidosis Symposium 2000 regarding sarcoidosis. 

"The proposed cause include the possibility that there is an infectious agent or agents, that there are environmental exposures and that thtere is probably an important genetic component at least for a subset of patients."  Many of you saw many different doctors before a diagnosis was finally made.  Other names were given to your diagnosis and so there's a lot of misclassification.  Part of this stems from the fact that this disease has such a varied presentation and the lack of specific and sensitive diagnostic testing that allow you to have a blood test drawn for example that comes back in two days and your doctor can say "aha, you have sarcoidosis, we have a definite diagnosis."  Yes, sounds all too familiar?!

For Gilbert the real issues were coming from the pituitary gland, which conrols the endocrine system.  When the sarc hit his pituitary it would kill the cells it came in contact with therefore killing the function those cells provided to my body.  This is one reason why I was always tired and slept.  He writes here, there was no way to bring the cells back to life.

Footnote from Deb:  I found this part very interesting because for those of us who have been on the MP and progressed we have seen healing, in other words we have experienced cell repair, an opposite of what Gilbert was told many years ago.

He continues, The sarc caused an abnormal reaction within my immune system, which cause a variety of problems fighting infection.  My thyroid gland was not functioning in the manner it was supposed to causing problems such as mood swings, depression, lack of energy, cramps, skin color issues, bulging eyes and holding in heat, to name a few.  I was not producing the testosterone needed and also had diabetes insipidus.

At this point he puts Gilbert in the hospital to run more tests and to put him on some meds to make him more comfortable.  Since his sarcoidosis were dead cells on the outside of his lungs, they looked terrible in the xrays.  His lungs were the first place the sarc hit so it had been like this for awhile, which is why he becomes so angry.  If my lungs looked so damaged then why didn't any of the previous doctors notice them when they did a chest X-Ray? 

One of the medications that Gilbert was started on was 80mg of prednisone to be taken throughout the day.  He was told this was to "put the sarcoidosis in remission along with many other purposes like provide energy, help his immune system and his lungs." 

Footnote by Deb:  Interesting that he is told this will help his immune system, when we know steroids "shut the immune system down".

Gilbert was also given synthroid for his insufficent thyroid and DDAVP for diabetes insipidus.  A depo-testosterone injection every four weeks. 

Thoughts After a Final Answer:
  • Worth repeating is to follow any success you have with a doctor by asking for referrals.  Once I had a successful result from the chiropractor the cycle for me started.  He teamed with the next doctor who put me in contact with my endocrinologish.  All were positive for me.
  • Never be afraid to speak your mind to anyone especially to those close to you.  There comes a time in everyone's life where you are in a situation with a person close to you who might be causing you unjust physical or mental harm.  Say out loud what people let go unsaid.  Sometimes things need to be said, not assumed.  If the relationship is real and built on love then although there might be some anger, disagreement or resentment at first, the relationship will survive.
  • We need to find a way to check for sarcoidosis just as we check for other factors when doing routine tests.  Doctors ust not be afraid for egotistical reason to say that they do not understand and ask for assistance when needed.  They must be willing to step out of the box sometimes when they run into a dead end.  Just imagine how my life would be different if just one of those earlier doctors I was personally involved with had done anything other than just say "sinus problems".  I still feel so bitter when I think of those situations; it's so hard to believe it happened to me!
  • A way to improve your relationships with your medical professionals is for  you to take the extra step to be nice and courteous to those helping you.
  • If you know someone or have someone close to your going through a health condition show your support.  Whether it is just being there when needed or spending time with them, it will make a world of difference.  But you must be sincere and remember you there to help them not yourself.  If you aren't sincere, then just stay home!



____________________
Sarcoidosis/lungs, lymph,liver, GI, neuro, D12542, Ph17/07, MPh2 9/07, B12, cover up, NoIRs,return to work after 2 years off- 4/07D2511
5/09 D25<4

Deb Grabetz
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 Posted: Fri Apr 2nd, 2010 23:44

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I'm going to warn you...this is going to be a long post.  This chapter Gilbert talks a lot about his treatment and the way it all is affecting him physically.  So many of us will see similarities of what we have all experienced at one time or another!:(

Is A Normal Life Possible?

Gilbert writes...Normal as desribed by Webster states a) according with, consituting, or not deviating from a norm, rule or principle b) conforming to a type, standard or regular pattern c) free from mental disorder.  Whatever that may mean?  To me normal was being the thin, full of energy, always on the go, full of confidence, basketball playing young man I once was.  But who describes normal?  My definition for myself was about to change forever.

At this point in the book Gilbert started off on 80mg of prednisone a day.  Possible side effects to prednisone include but aren't limited to appetite increase, weight gain, round face, mood or emotional changes, swollen legs or feet, muscle cramps or weakness and insomnia.  He experienced all of these.  Appetite increase was a primary side effect for Gilbert even though at last he was able to eat and enjoy food again, not only because of the prednisone but also because he was taking DDAVP and not constantly thirsty as before.  To give you an idea of what he ate, he could finish off a whole frozen personal pizza and then go out for a full dinner and head straight for the fridge when he would get home. 

He went from 130# to 180# in a months time.  Plus the round face side effect was taking place.  Gilbert talks about how weird it was the way people would react to him and being overweight.  He says that no other group of people with any other type of situation have to constantly hear negative comments on a daily basis along with having people laught at those comments while in their presence. 

He also talks about people (even though he would tell them that he was not contagious) who did not want to get too close to Gilbert.  He says that one about his condition was that it is hard to explain without a long conversation.  Footnote from Deb:  I think we could all relate to this.  I feel like when I want to talk about my sarc and treatment, there is never an easy place to start...I need to work on simplifying this myself!

Gilbert makes note of something here that I found odd...Even if I just say I have sarcoidosis, no one understands, plus sarcoidosis is not my actual life threatening problems, just the cause. 

Gilbert also writes about mood swings but says he can't really put his finger on this since he has always considered himself a very moody guy.  Prednisone does affect your mood but I can't put all of my different moods on the drug.  I have been able to tell I am a lot more emotional, sometimes unprovoked, since starting the prednisone.  I amade a committment to myself at this time that no matter what;I would do everything in my power not to blame my actions on my medication. But reality is reality!

Footnote from Deb:  I personally feel fortunate that I reacted so violently to prednisone. Had it "agreed" with me in some way, in other words helped me I would never have pursued healing with the Marshall Protocol and would now be battling more health issues from the prednisone.  Prednisone caused my blood pressure to spike on a daily basis well into the 180-190/130's range.  I was terrified of having a stroke.  My heart rate would shoot up so fast and so strong that I could feel my heart pounding out of my chest.  Since I have had cardiac IP, my guess is that it was putting a strain on my already challenged heart.  My entire personality went rabid!  I am on the norm and always have been a very passive, calm and patient person for the most part and this changed with prednisone.  I remember one incident in particular where my brother swears my head spun I became so aggravated.  It is funny to talk about now but being in that body at the time was no joke.  I knew prednisone was trouble and for me the happiest day of my life was having weaned off of it.  Thank you MP!:D

Gilbert continues...One of the main changes from my normal life was the lack of energy.  This comes from several areas including not having the steroid that produces energy anymore, an insufficient thyroid, lack of producint the proper levels of testosterone and just being short of breath, along with other various reasons.  It was so strange because my mind would be functioniong perfectly, telling myself to get up or do this or do that.  By my body wouldjust laugh and reply, "I ain't doing nothing" and my body would win out every time.  Still does!  It is extremely fr4ustrating to know what you need to do and want to do but you just physically can't.  I'm talking about simple things like just getting up in the morning or walking a few blocks to the store or just getting out of a chair to go to the kitchen.  There have been so many mornings where I just layin bed trying to get up for work but physically can't move. 

This is a strain on me mentally.  It is so hard for me because I have always been so active and had a hard time just relaxing.  Now I do not have the enrgy to do much of anything.  One positive change was that I wasn't falling asleep constantly, but in the same tone it was part of the frustration.  I was told before taking my morning medications my energy levels after a good night sleep are about equal to a normal person's levels when they go to bed after a long day.  Nothing seems to give me back the energy I had.

Footnote from Deb:  This really hit  home with me because I think this is one of the most frustrating things we go through with these illnesses.  People expect us to try harder, when in reality we are putting forth more energy than our bodies are even allowing us...sheer grit!  That's what I always called it.  In my case for months I even lacked the ambition to move from point A to B, it wasn't even in my head to want to do anything.  Returning ambition is a wonderful thing, even on the days when our bodies still fight us in doing them! 

Gilbert continues...I was trying to walk every day for about fifteen minutes to get back into shape.  I was the first patient my endocrinologist told not to exercise at first then only fifteen minutes of walking.  He is a strong believer in exercise but becasue of myunique condition, right now it would have been dangerous to overdo it...Rest in other words as we so often hear on the MP! 

It was about this time that Gilbert moves Ma-Shelle and her daughter in to live with him and soon after they are married.  Gilbert signed up with MedicAlert and wore a necklace or bracelet along with carrying a wallet card he created which described his condition and medications.  The came in handy he writes more than a few times.  You must always be aware of your health condition and be honest about it, for your own sake. 

Footnote from Deb:  I found this very important to print off the emergency letter that is on the MP and gave to different members of my family.  Although a doctor will still look at you with that unknown look with these papers, at least it makes them more cautious!  I keep these papers in my purse at all times!  Information for emergency [highlight= #88ffff]room personnel

Gilbert continues that as his doctor is now telling him the prednisone will put his *sarc into remission* he is looking forward to getting back to a normal life again, not understanding the reality of his situation.  At this time Gilbert is only 33 years old.  Gilbert talks often about his sarc being in remission and I'm unable to understand his thought process here, since he is having so many physical and mental symptoms. He never really states in this chapter, maybe it is some reduced inflammation from the prednisone, or a change in his x-rays that causes him to believe that he is in remission.  Sadly, this has been the thought process that steroids would bring remission.  How far from reality!

Points from this chapter:

Lessons Of a Normal Life:
  • The first noticeable difference aside from feeling better was my weight blew up from the prednisone.  It becamse a struggle to do the normal things Iused to take for granted such as putting on my shoes.  Being overweight is neither pleasant nor comfortable and we should be more considerate of those in this condition, especially the ones who can't help it.
  • I changed my career and got out of management because I felt my health would keep me from being available to my employees, as I should.  As you will later read a good manager makes all of the difference in the world to an employee dealing with personal issues.  Personally I must be able to look myself in the mirror and ask the question, "Could I work or do business with myslef?"  If the answer is no then it's time I get out.
  • I experienced my most dramatic mental blow when I was told my basketball days were over.  This had and still has a major effect on my life.  Basketball was more than a game to me but a way of life. Having a health condition alters our lives in ways that are mentally hard to accept.  The mental battles are probably the hardest part of a chronic health condition.  You tell yourself you can do normal activities but when you can't having to accept that fact is hard.  I know because I still wish I could get ont eh court and play basketball.  It actually makes me angryinside when I realize I can't do what is normal for me, even today.  A chronic health condition changes everyone's definition of normal!:X



____________________
Sarcoidosis/lungs, lymph,liver, GI, neuro, D12542, Ph17/07, MPh2 9/07, B12, cover up, NoIRs,return to work after 2 years off- 4/07D2511
5/09 D25<4

eClaire
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 Posted: Fri Apr 2nd, 2010 23:52

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Regarding prednisone... someone I knew ended up in the psych ward the same night she got a prednisone shot (or some such steroid shot).  Personally, I always felt exuberant, euphoric and full of energy. 

Claire



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42mo on MP; CFS FMS MCS COPD hypermob IBS/GERD osteopor; 125D48 25D<4;
NoIRs during most daylight outings; Ph1.Dec06 * ModPh2.Jun07 * AbxBrk.Mar-May08
* Ph2.Oct-Nov08 * Ph1.Jan09 * Olm.alone.Jun10
Freddie Ash
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 Posted: Sat Apr 3rd, 2010 00:23

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HI CLAIRE

This is Fred in WV.  On the prednisone, when I was put on then (and I had shots and pills at one time or other), I was in a mental hospital for 3 weeks.  The doctors were trying to figure out what was the matter with me to be this way. So they decided it was the prednisone that caused it.  Now on doctor wants to give any prednisone.  I am glad for that because I told the doctos I could not see any different on or off the prednisone.  It never seemed to help me.

Remember, we are all in this together and I am pulling for us.

Your friend in Sarcoidosis
Freddie



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Freddie: dx-sarc 2/82 lymph; skin, eyes, joints, esophagus, intestines, spleen, heart,lungs-meds digitek, L-thyroxine, nexium, furosemide, nattokinase36mg,eat cinnamon w/meals,25D-7; 125-D43
Sallie Q
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 Posted: Sat Apr 3rd, 2010 02:07

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Hello Fred
maybe you could add to the new thread on Schizo Bipolar and other mental disorders [in MP/general Qs] with a bit about your admission
Sallie (again)



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MP Sept'08 | Sjogrens; b.cancer '90; childhood postviral fatigue (CFS): 25D=7ng/ml@Jly'10
Deb Grabetz
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 Posted: Sat Apr 3rd, 2010 22:58

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Fred,

I can surely understand this because I turned a bit demonic on that stuff...it was THE most terrible experience I have had in my life.  From it I realized how awful it must be to live with a mental disorder and to wake up to life this way.  Egads, still a bad memory!  Funny how that helped neither one of us!



____________________
Sarcoidosis/lungs, lymph,liver, GI, neuro, D12542, Ph17/07, MPh2 9/07, B12, cover up, NoIRs,return to work after 2 years off- 4/07D2511
5/09 D25<4

Deb Grabetz
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 Posted: Wed Apr 28th, 2010 12:43

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An Insurance Mandate

Gilbert writes that at the end of 1994 his health insurance changed to an HMO.  In other words he neede a referral from a primary to see his endocrinologist.  He talks about how frustrating this is to have to change doctors from one that he trusted.  *This hit home as I have watched so many on the MP struggle with insurance just to try to find a doctor who they can use and it is even worse in many countries outside of the U.S.

His new PCP was a woman and although he writes that he was *uncomfortable switching to a woman doctor* in time he found her to be very sympathetic and easy to talk with. This doctor also eventually became his stepdaughter Ra-Shelle's doctor, so Gilbert had become very comfortable with this new doc!  He says one of her best qualities, aside from her knowledge, was her ability to really listen to what he was telling her and react in his best interest.  She was his PCP until 2001 when she left to work with a free clinic in the inner city.

Given our current situation with Obama's health care plan, Gilbert had already foreseen...he writes, "we as current and future health care patients, must keep a close eye on the health care insurance industry".  He's right!  As an average person who used a lot of health care benefits and depended on them to stay alive, he had plenty of questions about the future of insurance. I have felt this very same way with this current administration. 

Gilberts points from this chapter:

Nothing You Can Do
  • I was blessed to have this doctor for approximately six years as my PCP.  She is a perfect example of a true doctor who is in the business of helping people and I'm proud of what she is doing for the inner city residents of Detroit.  Although I must admit for selfish reasons I wish she had stayed where she was it is good to see people reach for their dreams.  That is something all of us can learn from.  One good thing from a personal prosepetive and although it might sound craxy, I'm sincere.  If my wife and I ever lose our jobs along with our benefits (which in the twenty-first century is a daily fact of life) then aat least I know there is a place I can get good medical care from someone who knows my unique case.
  • In today's world the insurance industry controls our health care options.  If you have insurance then you must abide by what your plan mandates that  you do.  If you don't have insurance then you aren't going to get health care paid services except at maybe a free clinic.  It is your responsibility to educate yourself on how the insurance process works in order to get proper service and receive what your plan states you can have.  Learn to question all bills, find out ahead of time if a procedure is covered or what you have to do to get it covered.Be patient and follow up yourself with the insurance company instead of depending on someone else.  Most of all don't be afraid to ask questions until you understand the answer, no matter how many times or how many people you have to ask.  Our employer is actually the one who determines what coverage we can receive because the insurance companies will cover whatever you are willing to pay for.   The real driving force in our health care is the bottom line ($$$) and that is wrong, no matter how you try to justify it!
  This chapter was interesting from a standpoint of having a chronic illness is a bit more demanding from an insurance standpoint than just going to your PCP for the occasional cold or illness.  It can be frustrating to deal with all of this, especially when a person is so ill they are barely functioning.  I know for myself, I could spend an entire days energy just dealing with a simple insurance issue when I started the MP.  As of late because my energy is so improved and I am able to accomplish many tasks in a day as compared to nil, it is something that I have thought less about.  Just the other day, when I went to refill my Benicar, my copay had jumped $60.00.  Still a deal as compared to when I was paying out of pocket, yet it took me over a half hour on the phone with my insurance company to confirm that yes, this was a policy change as of January 1.:X

A couple of years ago, that half hour would have landed me in bed for the day.  Must be a better way!

 

 

 



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Sarcoidosis/lungs, lymph,liver, GI, neuro, D12542, Ph17/07, MPh2 9/07, B12, cover up, NoIRs,return to work after 2 years off- 4/07D2511
5/09 D25<4

Deb Grabetz
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 Posted: Fri May 7th, 2010 03:01

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The Conditions Add Up

Gilberts next chapter jumps to ten years later in his life.  He notes that he has developed several additonal conditions that required continued medication. 

He notes that he began feeling unusally tense and on edge all of the time and light headed like he would pass out.  All of his life he was a cool and calm person in stressful situations.  At work he would be the one to deal with what others would consider unreasonable customers. 

He had his blood pressure checked and it was a little high but he didn't put much thought into it.  His blood pressure continued to go up and he began taking 10MG of monopril.  Even on the monopril it was 180/120.  Monopril was doubled to 20MG and then four years later doubled again to 40MG.  Gilbert writes at this point "This is a common occurrence with sarcoidosis".  In his next sentence he points out that the effects from the prednisone are a major factor of the hypertension. 

Footnote by Deb...My BP was always low, even after being dx'd with sarcoidosis.  My BP shot up over 180/132 when I began steroids----more of a causative than to do with the disease itself.

A500MG Tnother condition developing was severe acid reflus.  He would have severe pain just behind the sternum and experience this daily.  This severe type of pain is so extreme that it is often mistaken for a heart attack.

At this point Gilbert chose to add prescription pepcid, 20MG at night before going to bed to help with the acid reflux.  The prevacid also helped with the minor ulcers that he also had.

He experienced severe cramps, in his hands, under his arms and in his jaw, serious muscle cramps as he descripes them.  The kind that athletes come limping off fields with.  He says that he learned to live with the cramps but each night took over the counter extra strength 500MG Tylenol. 

Footnote from Deb:  I have read many articles recently about Tylenol and taking this much every night is not recommended and is now found to be quite unsafe.  Search Tylenol safety online if interested in reading more on this.

Gilbert notes that he had constant daily pains in his legs and feet.  Ranging from a tingling feeling in his feet like tingling to ache.  Sometimes even sensitive to the touch.  It is compared to that pounding feeling you get right after you do a few reps on the weight machine or after walking a few hours.    He also lost most of the hair on his calves, always having hairy legs for most of his adult life. 

He experienced bone spurs in his heels on a few occasions.  He notes that his legs and feet became one of the most frustrating things he dealt with.  Along with his eyes which became a problem due to the sarcoidosis, the prednisone and the diabetes that he had accquired.    Gilbert talks about going out in the sun and having his eyes react so extremely to the sunlight.  Teary and red and would start to swell and close.  He talks about how this happened when he was driving and the dangerous situations he put himself and others in by driving this way.  His eyes were more often red than not. 

This eye trouble continued to get worse with the light sensitivity and being unable to see things clearly.  He says at some point he was not able to see the clock on the VCR.  His vision had changed from 20/20 to barely being able to read.  The good news was there were no cataracts at this point.  Glasses seemed to help. 

Nosebleeds were another problem, especially his right nostril.  His memory was worsening.  This was around the age of thirty to fourty.  This seems to be a common complaint among people this age.  Does make one wonder about Th1 and what the connection is at this particular age.

In 1994, Gilbert experienced pleurisy.  (Pleurisy is an inflammation of the Pleura).  He was prescribed some type of abx and told to some time off and rest. 

Another symptom was feeling hot on the insie of his body.  He considered that this may be from having thyroid problems, which can cause you to hold heat in your body; diabetes insipidus, which does not allow the body to sweat out the heat. 

Footnote by Deb:  Something I noted after being on the MP for a couple of years was perspiring, a small amount but much more than is usual for me.  My hubby would always tease me about not perspiring but he thought it was because I wasn't working hard enough!  Where he on the other hand, looks like he just stepped out of the shower when working. 

Points that Gilbert makes from this chapter:
  • It is a daily struggle to deal with all of the additional conditions and ever changing circumstances in my health life.  With sarcoidosis on his lungs, liver, lymph nodes and pituitary gland, this caused Gilbert to have additional conditions continuously occurring.  Although the sarcoidosis has been in remission for years Gilbert writes, the additional conditions from the efects of the sarcoidosis on his organs continued to affect and alter his life.  This was not only difficult to deal with physically, but even more so mentally.
Footnote from Deb:  This is what troubles me when I read so many sites, including so called knowledgeable sites on sarcoidosis, that give a patient the impression that sarcoid "goes away on its own".  I have a very difficult time understanding this ignorance after what I myself have experienced and what I have followed here on the MP with so many others health history.  Sarcoidosis does not go away on its own! 



____________________
Sarcoidosis/lungs, lymph,liver, GI, neuro, D12542, Ph17/07, MPh2 9/07, B12, cover up, NoIRs,return to work after 2 years off- 4/07D2511
5/09 D25<4

Liopluridon
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 Posted: Mon May 10th, 2010 19:08

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When they put me on 60mg of pred a day, yeah, I saw the energy thing but @ 3am? lol
The bad part is, it killed my leg strength. One day when I went to run up some stairs I found that my legs would not do what I wanted them to and almost fell flat on my face. My hands shook too. I even had an appt @ USC with Dr. Sharma who said that was the only think that could help and walked out.
Horrible stuff.

Last edited on Mon May 10th, 2010 19:11 by Liopluridon

Deb Grabetz
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 Posted: Mon May 24th, 2010 12:02

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My apologies for being away from this book for a couple of weeks...my beautiful daughters wedding is happening in 2 1/2 weeks!  ...so of course the mama is busy!

Chapter 16  The Effects of Medications 

Gilbert writes that he still experiences the same side effects from pred and synthroid that he wrote about earlier.  His doses changed throughout the years based on problems he experienced.   He notes taking additional prednisone when feeling sick or with any type of possible infectious situation.  Other situations such as additional stress, surgery, weight gain, requires an increase in prednisone.  He mentions that these situations are tricky because of *needing the additional prednisone* because his immune system is not combating the situation. 

Footnote from Deb:  This was an interesting statement because as I have learned from the MP when I started weaning, the prednisone IS shutting down the immune system to begin with.

So he finds himself on this merry go round of having to recognize when his body is in serious trouble, in order to increase his prednisone.

He is also taking DDAVP and notes the symptoms as dry nose from using the spray in the same nostril, sometimes a nose bleed.  He takes this for his diabetes insipidus.  Like all medications, he reminds us that these are manmade and subject to human inconsistencies.  To be extra safe he always carried extra medication with him.  *I find this myself, it seems I have a little bit of Benicar "everywhere".  I learned this lesson the hard way.  My daughter and I were on our way to an out-of-town heading to a wedding and had to turn around.  Needless to say we almost missed the ceremony.  I would suggest keeping a spare bottle with a few tabs in your car, just as I would suggest keeping $5 hidden above your visor  :0  ICE!

Gilbert writes that the meds he really has the most side effects from is the testosterone.  The main reason he took this med was due to the fact that his body no longer produced the appropriate amounts of testosterone as sarcoidosis affected his pituitary gland.  (Was it the sarc or did prednisone aggravate the already threatened gland??? Deb)

This causes problems with weak bones, weak muscles and not being able to hold an erection. Which in turn there is also no energy production.

Mood swings with depression, also another side effect.  Every day is different.  It was once referred to Gilbert as the "Male PMS" due to the inconsistencies.  When the hormones are high you feel very aggressive and on edge at times.  The bottom line is you are responsible for your actions, no excuses accepted, he writes.

Another side affect he notes, is his skin breaking out.  "I will get bumps on different parts of my body and they are extremely painful.  It hurts just to have my clothes rub up against them.  They never go away but instead just take turns being active.  Just before my injection is due, my chest will get rashes on it.  I'll put different kinds of creams and sometimes it helps. My longtime PCP suggested I try using Head & Shoulders shampoo. 

At the end of the year 2000, Gilbert writes that he tried another product called Androgel.  It is a gel that is rubbed on the stomach, except it never worked for him.  He realized this as his beard was now thinning, an obvious sign that levels were low.

*Footnote from Deb.  Hair is a good indicator.  I noticed my hair thinning a few months before I became sick this last time and also now notice the affects of it becoming healthy again.  In fact in recent pictures, I noticed a "lot of hair"..."big hair"  lol!

Gilbert sums up this chapter:

Remembering the Effects:
  • An important fact to remember in regards to your medications is the insurance policies you have.  I can't stress the importance of learning how your insurance olicy works and ask questions to your doctor, your pharmacist and if needed call the insurance company customer service directly.  It's your responsibility to learn what you are entitled to because it's doubtful anyone else is going to tell you or even know what to tell you!  It's your policy!
  • Be aware there are inconsistencies within medications from one bottle to another.  Two good examples of this in my case are my DDAVP and depo-testosterone because the effects are immediate when they do not work.  Synthroid has been in the news regularly regarding inconsistencies.  (Note: Written back in early 2000)  If you travel take a bottle of medication you have already opened and used before you leave, just to be safe.  You don't want to get away from home then discover you got a bad bottle.  Please remember that medications are man made and like anything man made are subject to error!
  • Do everything in your power to understand the side effects of your medications and do not use them as an excuse to act supid or take out your frustrations on others who are just trying ot help you.  This is hard to do and takes a lot of inner strength, but must be done however you can find to achieve it.  Note:  I found this interesting as we also do this same thing with IP as it affects us. 
  • In addition know what your medication looks like because pharmacist are human too and even though there are many checks and balances during the process, mistakes do happen.  Always check your medication before you take it; but most importantly take it!!!
Ahhh, Gilbert writes, most importantly take it.  This reminds me of my Benicar schedule.  I learned to become very, very consistent with my Benicar and I'm sure it has been a big factor in my health improvements.  My cell phone alarm is set and it is rare that I ever get off schedule.  When my IP heightened a few months ago, I added a 2a.m. dosing and although at the time seemed inconvenient, it has become a way of life and no doubt helped my progress.  It is easy to stray and especially as we start getting well, because our bodies are not "craving" it as badly, in other words the IP is not as high, but eventually without a schedule, we pay the price.  :cool:

 



____________________
Sarcoidosis/lungs, lymph,liver, GI, neuro, D12542, Ph17/07, MPh2 9/07, B12, cover up, NoIRs,return to work after 2 years off- 4/07D2511
5/09 D25<4

Joyful
Foundation Staff


Joined: Sat Jun 9th, 2007
Location: USA
Posts: 797
Status:  Offline
 Posted: Tue May 25th, 2010 09:10

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Deb Wrote:
" I learned to become very, very consistent with my Benicar and I'm sure it has been a big factor in my health improvements. "

I couldn't agree more. I read it on people's progress reports frequently. And it is true for me too. :cool:



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