Your Treatment Is Over

I’m not even sure what to think or what to say at this point. While it was certainly in the back of my head that this day could be coming soon (especially after I pissed her off when asking about cysts), I wasn’t expecting this today. She caught me completely off guard.

I went in today and it seemed it would be like any other appointment. The nurse assured me she had my blood test results this time so there would be no more sticking me! And then the doctor came in. She said well, your tests look good so you’re done with treatment! I don’t even think I responded when she said that – I just sat there with my mouth hanging open.

This is the moment I’ve been dreading since I found out about all of the controversy surrounding Lyme. The moment when my doctor would say “see ya” even though I was still having symptoms. Once I realized what was happening, I started firing off questions. I asked her what happened to treating for 3-6 months and she said my blood tests showed it wasn’t necessary, which is complete BS as there is no test that shows when Lyme is gone.

I asked to see my results and she gave them to me. I was only showing positive for IgG band 41, which could indicate a past or current infection (I know this, she didn’t say it). She said I was cured. I asked why I was still having symptoms if the bacteria was all gone and she said it was because of inflammation. I looked down at my results and noticed my SED rate was 4. So I asked why my SED rate was so low if my symptoms were due to inflammation. The she said symptoms can take months to years (yes, with an “s” on years) to go away and I just need to be patient.

At this point, I was starting to get mad but I was still in shock that this was actually happening. I told her I was scared and I didn’t want to stop treatment if I was still having symptoms. I reiterated again that I thought I was suppose to be treated until I didn’t have symptoms anymore and she just kept saying my treatment was over. She actually told me to do puzzle books to help my neurological symptoms.

PUZZLE BOOKS.

I’ve just had almost $90,000 worth of treatments and now you’re telling me I can be cured by doing puzzle books? WHAT?!

She told me to follow up in a few months if I wanted to. I asked her what I was suppose to do if symptoms come back in a big way when I stop medication and she said to just take it again for 2-3 weeks if I flared up. Well, being that I flare up every 25 days or so, when exactly will I not be taking medication?

I guess I’ll stop for good when I run out. I think I have enough refills left to keep me at 400mg for another two months. Then what?

I don’t know what to do. I don’t know where to turn. Everything I’ve read and every patient I’ve talked to has said to treat for two months beyond symptoms or with the same time period with zero improvement after throwing everything at it (which I haven’t).

How can she just drop me like that? She’s left me with no where to turn. What happens when I’m out of medication if I’m not better? I’ve read stories of people who have ended up using a cane or bedridden or in a wheelchair. People have died – not from the Lyme itself but from the complications from all the damage it’s done.

And she just dropped me. See you later. Good luck in life. Dropped me.

I held it together until I got back to my desk at work. Someone came over to ask me how the appointment went and I just lost it. I broke down in tears and just cried. I’m terrified of what this is going to mean for my future. What is this going to do to my family? How are we going to find another doctor? And if we can find one, how are we going to be able to pay for it plus the rest of my treatment?

I feel so alone and so abandoned. I just don’t understand how someone who took an oath to do no harm can just drop a patient in the middle of treatment. It was less than three weeks ago when I had my worst day ever since treatment started. And now I’m suddenly cured?

I told her about my reaction to gluten and she said it’s probably Lyme related. I said well it’s gotten much worse in the past few weeks so if I’m cured, why is it getting worse? She just shrugged and said it would take time.

I don’t know what I’m going to do now. I’ve posted on several Lyme groups asking for opinions and recommendations for other doctors but I know I won’t find someone else who will take insurance. But I can’t stop treatment. I can’t end up like these people who have to go on disability because they can’t work any longer. I can’t lose the progress I’ve made because my treatment was ended too early.

But I also can’t put my family through all of this either. And I certainly can’t take everything we have financially to try to pay for treatment.

I just feel helpless.

Your Test Was Canceled

So last week, the lyme doctor said she wanted to redo my blood tests to see how aggressively she could treat me. I went back on Friday to have my blood drawn. The nurse, in all her infinite wisdom, stuck me on the inside of my wrist to draw blood. It hurt!! I know I don’t have great veins but I’ve never been stuck there….ever. At that point, I was starting to miss my PICC!

I went back today expecting to get my results. When I got there, the nurse said that she couldn’t find them. Come to find out, she didn’t draw the blood in the right tubes so the lab canceled the order when they received it. Nice.

So I had to have blood drawn again – this time she went in my hand. It hurt as well but not near as bad as the underside of my wrist (which is still bruised!).

The doctor stuck her head in briefly and asked how I was doing. I told her I wasn’t feeling that great and my knee is really bothering me. Most people have joint problems as a major symptom of Lyme but my knees haven’t bothered me in a long time. She didn’t seem to care and just kind of nodded. The nurse said she wasn’t charging me for a visit so I guess that’s why the doctor didn’t say much to me.

Now, I have another week of waiting to get results. The good news is that the increase in the doxy hasn’t caused any major nausea yet or a big herx reaction. I did take two long naps last weekend but I think that was from being exposed to gluten when I went to eat lunch on Saturday.

I went to the mall after lunch and literally within a matter of minutes, I went from feeling okay to feeling like I had the flu. I had ordered a bowl of gluten free soup but when it arrived, it had several tortilla strips on top (which are not gluten free because of cross contamination). I didn’t think much of it and just fished them out. Well, I will never do that again!

I barely made it home and then fell asleep for several hours. And I’m not a napping person. Unless I’m incredibly sick, I don’t sleep during the day or in the car or anything like that. I doubled up on my probiotics and drank a ton of water for several days to try to flush it out. I have no idea if that really works but I feel better than I did on Saturday.

So from now on, I will be very careful about what I eat and any potential cross contamination issues. Eating out was already difficult but now it will be near impossible. Oh well, we’ll save money, right?

Hopefully my blood tests won’t be canceled again and next week I’ll actually have results to report!

Questioning Lyme Doctor About Cysts

So this last week has been absolutely horrible. Monday was the worst day I’ve had since I started treatment. And with it following a time period where I felt so good, I think it just made it seem that much more extreme.

I was confused about what was going on because I typically flare up around the same time as my period (about every 25 days or so). This time it started much earlier but then I got a surprise on Monday when my period started (day 21). That was also my worst day so it’s doubtful that’s a coincidence.

The brain fog and other neurological symptoms have been bad. I’m slurring words, saying the wrong word and just mixing things up. I put something in the pantry that was suppose to go in the fridge and vice versa. I’m typing stuff on the computer at work and then going back to read it again to not even be able to make sense of it. I’m using the wrong words when I type (I’ll have to proof this post really well after I write it – if it’s screwed up as you’re reading it, just ignore please). My brain just isn’t working right.

On Monday, my husband came to take me to lunch. I was not feeling good at all and contemplating going home from work. But I hate leaving halfway through the day because it feels like a waste of vacation/sick time. As we were sitting there eating, I suddenly got this feeling like I was watching things through a filter or it was a dream. It’s like I was witnessing everything but not really there. I wanted to reach out to him and just pull him back towards me. It is the weirdest feeling ever. It’s only happened to me a few other times and it was very early in my treatment.

When I went in today, I told the doctor about it and she said what I was describing was referred to as depersonalization and it can be a part of Lyme. Well, I want NO part of it. It’s a horrible feeling and there’s nothing to do but wait for it to pass.

I told her how good I felt for the two weeks but that it all went down hill in the past week. She was disappointed to hear it and told me to increase the Doxy back to 400mg. She also wants to redo my blood tests to see what bands are showing up and make sure we haven’t missed a coinfection. She said it would tell her if she can treat more aggressively. I’m hoping she doesn’t use it as an excuse to write me off because I think I may have made her mad today.

Since I started feeling bad again, I have started doing a lot of research about why I’m not feeling better yet. I did a webinar with a Lyme doctor on the west coast a few days ago. He said that I haven’t been treated for the cyst (also referred to as round body) form of Lyme and until I treat that, I won’t get better. He said it can be done with grapefruit seed extract if I can’t get anything else but ideally it would be done with a prescription medication such as Flagyl. There are also herbal medications that can be used in place of prescription antibiotics.

Now, the idea of a cyst form of Lyme is highly debated and is one of the controversies surrounding the disease. There are some studies that show that Doxy drives Lyme into the cyst form which essentially makes it dormant and the antibiotics can’t penetrate it. The theory is as soon as the antibiotics go away, the Lyme comes out to play again and wreaks havoc.

So I found several articles about this from medical journals and publications as well as several different treatment guidelines that have been published online by two different doctors about it. I went in with all of this today prepared to have a discussion with her about it and get her opinion.

If you remember, the NP and MD have disagreed on a lot. The NP told me a long time ago that the cyst form doesn’t exist. Until today, I hadn’t asked the MD about it. And I kind of wish it was still that way but too late now.

She basically told me that it didn’t exist and if I wanted that kind of treatment for what I believed to be true about some “cyst” form, then I needed to find another doctor. I quickly backed down and told her I didn’t want another doctor and let’s continue treatment as is. It was obvious she was upset. So hopefully this doesn’t come back to bite me in the butt.

I may try to add the grapefruit seed extract on my own but I haven’t made up my mind yet. There are some reports about GSE being toxic so I certainly don’t want to make the problem worse. I need to do some more research into that before I strike out on basically treating myself.

For now, I just want to get back to where I was when I was feeling good. It’s almost cruel to give me that glimpse and then take it away again. I have certainly improved since this past Monday but I still don’t feel good. The headaches have been pretty much constant and my head is so fuzzy.

I go back tomorrow to have blood drawn and I’ll also increase my Doxy dosage tomorrow as well. I hope tapering up the dose will keep the nausea away.

It Was Nice While It Lasted…

For nearly two weeks, I have felt great. In fact, the past four or five days, I have felt normal. As in before Lyme normal. It has been absolutely amazing. I haven’t really even said anything to anyone because I didn’t want to jinx myself with it. But it has been really great to get a glimpse back at what normal is.

Many times when I would go to the doctor for check-ups, she would ask me how I felt as a percentage in relation to how I was before I got sick. And I would always come up with some random number. But I felt like I didn’t really know what normal was anymore so it was hard for me to judge.

Now I remember. And when you feel good again, even if it’s for a short bit, you realize just how bad you actually felt before. And it was bad.

Yesterday, I didn’t feel quite as great. Not bad, but not as good as I had been feeling. Today, it hit me full force again. The brain fog came rolling back in and the headaches started again. It has been quite some time since I’ve had a headache. Before my treatment started, I was having headaches daily every afternoon without fail. So that is certainly an unwelcome return.

I’m hoping it’s just a fluke with today because this isn’t even going along with the cycle of my period (I’m on day 17 of my cycle). So I don’t really know what is going on but I’m hoping for the best. I don’t go back to see my Lyme doc until the first week of May.

Fingers crossed….

PICC Free & Feeling Good

Even after finding out last week that someone stole my social security number to file their taxes, I’m still feeling pretty good! I mean, what can you do? I followed all of the steps for identity theft and now I just wait. Getting upset won’t accomplish anything and is just more likely to make my Lyme flare-up so I’m trying to stay calm about it. I’m almost scared to throw this out into the universe but how much more can be piled on me?!

I’ve been without my PICC for right at a week now and it feels SO GOOD! After a lot of finagling and phone calls last Tuesday, I finally was able to get the nurse out here to pull it for me on Tuesday night. I was really nervous about having it taken out but it was no big deal. So we took a nice little picture of me holding the line (with my arms outstretched – it was long!!) and said goodbye to that thing for good!

I had to leave it bandaged up for two more days after it came out since I was going to be flying. They were a little concerned about the air pressure on the plane and then of course all of the germs. So I kept it covered while I was gone.

It was funny though what I did. While the PICC was in, I didn’t get it wet a single time. A lot of people take chances with it by covering it with saran wrap and taking a shower. I was too scared to do that so I always took a bath with my arm propped up on the side of the tub. My left arm was washed with baby wipes for 12 weeks!

When I was in the hotel when I was out of town, I climbed into the bathtub and the first thing I did was stick my left arm under the water. It still had the bandage on it and I kind of freaked when I did it. Luckily I had another bandage so I just switched it out. The only thing I can think is that the tub was reversed from the one in our bathroom so instead of my left arm being up against the wall, it was towards the bathroom. I couldn’t believe I did it though!

It was SO nice to be able to take a shower and wash my own hair! I have tried not to claw at my skin too badly. It is still very irritated from the adhesive and I bet it’s going to be red for a while.

But overall, I actually feel good. It scares me a little bit to say that because I’m kind of waiting for the bottom to drop out. For about two days after I started the Doxy and the PICC was stopped, I felt about 50% of “Lyme normal”, not “normal, normal” if that makes sense to anyone but me?! But then it was like everything just started looking up.

And my boss agreed to buy me an air purifier for my desk so it is on order now too. I’m hoping that will help, even if it’s just a placebo effect with it!

I’m hoping I have turned the corner and this is the beginning of very good things!

First Lyme Doc Appointment Without a Gallbladder!

So back to the Lyme doctor today. She said I was only her second patient to lose their gallbladder during treatment. Not exactly the kind of record I want to set! She also said I’m her ONLY patient to not have neurological symptoms clear on 12 weeks of Rocephin. Lovely.

Why do I always have to be the person who is outside the norm?

I did tell her that my head was very clear in the hospital after surgery so she said maybe it was due to the stress dose of the cortisol for my adrenals. She thinks it’s possible that my adrenals are playing a bigger role in making me feel badly. Maybe she’s right but sometimes I think she’s just trying to find an excuse! But I get all of the results from that soon (they’re suppose to be in the mail) so we’ll see what they say.

Regardless, my PICC line comes out next Tuesday. I will do my last treatment on Monday and then the home health nurse can come by to pull it out on Tuesday. I will be so happy to have this thing out of my arm. For one, I want to be able to take a shower again and wash my own hair! And two, I want to just sit there and scratch my arms for hours! haha

After the PICC comes out, I go back on Doxycycline and I can expect to be on it for three to six months before she tapers me off. We are going to start at 200mg and see what happens. She told me to expect to feel badly for the first week or so after the PICC comes out because of coming off of that medication and starting another so I’m bracing for that.

She also wants me to continue with B12 shots weekly and add Ginseng and Gingko Biloba as well as doubling my CoQ10. So another trip to the vitamin shoppe. They should put up a statue in my honor in that place!!

I don’t go back to see her for a month so it will be nice to have a little break from the doctor’s visits!

 

Another Lyme Follow-Up

Well, luckily for me she at least told me today that I don’t have to come back for two weeks! These weekly follow-ups are a little tough to schedule and I would LOVE to have just one week where I can say I don’t have ANY doctor appointments!

Anyway, she received all of my testing from the cardiologist and she does not agree with him that it isn’t Lyme related. Lovely. I told her I followed up with the thyroid doctor and he doesn’t think it’s my thyroid either. So I guess we have 2 out of 3 votes for Lyme. And being that I didn’t like the cardiologist or anyone in his office, I’m more inclined to side with them. Regardless, unless there’s a block, they can’t do anything about it. We just have to treat the Lyme.

The good news is that all of my other blood tests are showing perfectly, even with the increase in Rocephin. Everything with my liver, kidneys and CBC is spot on. So at least that’s one thing that’s perfect! Crazy though that these tests can look so good when I feel so bad!

I told her the chest pain was continuing and is mainly at night. She doesn’t seem too concerned with it since my heart tests were normal. I asked about my gallbladder but she said that if it was my gallbladder, the pain would be on the right. I’ve seen some people who said their pain was on the left with it too. But she’s the doctor so I guess I’ll trust what she’s saying.

As for treatment, I think I mentioned before that it looks like I’ll be going the full 12 weeks. May as well at this point, just about another month to go! She said after my IV treatment ends, I’ll be going back on oral meds. She mentioned I may go back on the Doxy or she sometimes uses Zithromax. So I guess we’ll see about that when the time comes.

TWO whole weeks without a doctor’s appointment now! I hardly know what to do with myself! 🙂

Doubled Rocephin Dosage

Well, as I predicted, it was a huge pain to get her office to call in the doubling of my medication. I called the pharmacy last week to let them know to expect the order. And in the past, they’ve just sent me my meds anyway (apparently her office is notorious for this lack of follow-up). But because this was increasing the dosage, they couldn’t do it without an order.

When I went to the cardiologist office last Friday afternoon, I stopped in to ask them to please fax the order so I could start doubling my medication. It just so happened that the doctor was standing there in the hall. She looked up at me and smiled and then asked what was wrong?

I told her I was on my way to the cardiologist but her office hasn’t faxed in my orders so now it would probably be Monday before I even get my medication. She was mad! And told them to fax it right now.

The NP also happened to be standing there and she didn’t even acknowledge my existence. So I’m not sure if she’s mad I switched to the doctor or if the doctor said something to her about the heart issue that has been missed. Whatever, I really don’t care.

The pharmacist himself called me on the way home from the cardiologist appointment and was talking about how frustrating it was that I needed the medication but they couldn’t get her office to respond. I told him I had just personally gone to the office to check on it and he said he would start calling again first thing Monday morning.

Well around mid-morning on Monday, the pharmacy called to let me know they had the order. So I was able to do Monday’s dosage and Tuesday’s dosage (1 gram each) together last night. It took about an hour to do 2 grams. Once I get this new shipment today, it will at least be easier because I won’t have to do the sterilizing, etc between switching out the medication.

After doing the doubled dosage last night, I definitely felt it in my head. MAJOR brain fog. I’m sure this will last for a few days as my body adjusts to the new dosage. Hopefully it will only be a few days – I’m still trying to save my sick and vacation days.

I Made It To Vegas

When the possibility of having a PICC line was first brought up, I didn’t want it (I still don’t). But the one thing I said was I just need to be able to hold out until after my conference in Vegas.

Well, I made it. But the nausea is just completely beyond ridiculous. I called the doctor’s office twice asking for more Zofran and nothing has been called in. I have been babying these last few pills I have.

The food choices in our hotel were so limited, we didn’t have a car and the hotel was off the strip. So I finally just gave in and started adding a few veggie carbs (potatoes, beans, etc). It seemed to help my stomach some so I at least could keep my antibiotics down. I don’t know why they’re not calling in my prescription for the Zofran. I’m freaking out a bit about adding the carbs since it’s not part of the Lyme diet but I figured it’s more important to be able to keep my medication down.

It’s been 8 weeks since I started the antibiotics so technically only four weeks to go before they end my treatment. I keep asking her what happens if I’m not better and she keeps saying that some damage is permanent and you just have to learn to live with it. That terrifies me. I ask every time I go in hoping for a different answer but it’s always the same.

Everything online says that you should continue treatment for 2 months past the last symptoms. I haven’t had two days without symptoms so I don’t know what I’m going to do if she just pulls the plug on treatment. I sincerely hope that isn’t why I haven’t received a call back from her.

I am so stressed out over the possibility of them ending treatment before I’m better and having to switch to a doctor who is self pay. I have no idea how we will be able to afford that. But if I don’t get better, I won’t be able to work at all and then we won’t be able to afford anything! And of course, stress isn’t good for Lyme so then I’m stressing out because I’m stressing out!

One thing I have noticed is that my symptoms seem to be coming in flare-ups every 3-4 weeks and it coincides with my period. I’ve never had any PMS type symptoms so I know it’s not that. And my symptoms aren’t gone the rest of the month but I can basically count on being knocked on my butt during that time period.

I’m really nervous about going back next week. I feel like I’m starting to go backwards. The floaters are getting worse and the brain fog is really bad. I’m mixing up words and forgetting things so much that I just try not to get involved in a lot of conversations at work. I write down every single thing someone says to me at work so I won’t forget.

I just don’t know if I can tolerate another four weeks of these oral meds with my stomach the way it is. I’m down a total of 50 pounds now – granted, part of that was intentional, but lately it has not been.

I guess we’ll see what she says when I go on the 15th. Also, on the 14th, I go to the thyroid doctor (finally!) who is covered by insurance and highly recommended by people on a thyroid forum that I found. So hopefully he is going to help me as well and not freak out that I have Lyme.

Oh, I don’t think I shared that story yet. I went back to my primary doctor for a totally unrelated issue and in the middle of the appointment, I mentioned that the integrative doctor she sent me to had found what was wrong  – I have Lyme. She looked up at me, closed her laptop and walked out the door without saying a word. I sat there for a minute waiting and then figured out she wasn’t coming back. So I went to the front to get my prescription and left.

Bizarre! And the perfect example about how controversial Lyme treatment is! I will be requesting another NP or the MD when I go back to that office!

Last Appointment of 2012

I’m beginning to wonder if I’m really going to make it without the IV antibiotics. She did agree to give me another round of Doxy today so I have enough in prescriptions to do the full 12 weeks now.

But the nausea is getting worse. I tried to eat something with wheat in it a few days ago and that did not go well at all. I asked today if there is a connection between gluten and Lyme. She said there’s not an official one but because the immune system is involved with both, it wouldn’t be surprising.

Lovely. I mean I was already staying away from gluten but when I’m this nauseous, I just want to eat something to help settle my stomach….and meat and veggies don’t really have that effect.

Good news is I’m off work right now so I’m getting in lots of rest and relaxation, just as the doctor ordered.

See you in 2013….

Oh and I can’t forget it’s the end of the month, so:

The Tally…

This doesn’t include pharmacy charges or supplements and goes back to the first doctor’s visit when I started trying to get diagnosed in August.

As of today, the total billed is $7,113.80. My insurance has covered all but $1,281.