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My daughter, , has systemic and was diagnosed at age 3 yrs. old (she's

now 7). Prior to the first visit to the ped. rheum. my husband and I

educated ourselves on the disease and the medications used for this disease.

Naturally, was started on the naprosyn and then graduated thru many

hard times to MTX. When we confronted her ped. rheum. about steroids he

" refused " putting her on any and at that time the disease was very out of

control. He explained the side effects of steroids were not good and he

dosen't agree with them-at not least where was concerned. I trusted

our doctor's judgement even if I didn't agree. Still, I'm not sure why he

refused to put her on them. What are steroids used for?

She has been on MTX for several years now and will hopefully be coming off in

4/2002. This has been the only drug that she has been on to conquer this

disease and celebrex for the inflammation (after trying MANY other meds.).

I know this is a crazy question to be asking, but I've been reading many

questions and concerns that you all have about growth/steroids-it has made me

think.

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Hi :

I'm no expert, but i know one of the big concerns many of the doctors have

with using steroids is that it is SOOO hard to get kids (anyone) off of

them. They replace - or make up for a lack of - a naturally occuring

substance in the body. Once the body gets used to an outside supply of

steroids, the harder it is to get the body to start producing it on its own.

It's a simple name, but I have a raging headache today and for the life of

me can't call it up to mind. Cortisol! It's something called Cortisol (I

think). Then there are all the side effects. Stunted growth being one, at

higher doses. Cushings syndrome ( a swelling of the face, " moon-face " ),

abnormal hair growth on the body - Mickey has a lot of hair on her back, and

her neck - uh, there are lots of others. BUT - I know they felt they had no

choice about putting Mickey on it. She'd had the high fevers and rash for

almost a year before they finally diagnosed her with arthritis and her sed

rates were REALLY high, lots of extreme inflammation. She was terribly

anemic, and that was apparently a big worry to the doctors at the time. The

steroids helped get a lot of the symptoms under control. But if you can

control the symptoms of the arthritis without it - that's really preferable.

It's so hard to get them off of the steroids.

Hope this helped.

Lynn

Mother of Mickey, 7, systemic, diagnosed at 3.

From: KAmitchemalways@...

Reply-

Date: Tue, 1 May 2001 09:51:27 EDT

Jra-list

Subject: A Question About Steroids

My daughter, , has systemic and was diagnosed at age 3 yrs. old (she's

now 7). Prior to the first visit to the ped. rheum. my husband and I

educated ourselves on the disease and the medications used for this disease.

Naturally, was started on the naprosyn and then graduated thru many

hard times to MTX. When we confronted her ped. rheum. about steroids he

" refused " putting her on any and at that time the disease was very out of

control. He explained the side effects of steroids were not good and he

dosen't agree with them-at not least where was concerned. I trusted

our doctor's judgement even if I didn't agree. Still, I'm not sure why he

refused to put her on them. What are steroids used for?

She has been on MTX for several years now and will hopefully be coming off

in

4/2002. This has been the only drug that she has been on to conquer this

disease and celebrex for the inflammation (after trying MANY other meds.).

I know this is a crazy question to be asking, but I've been reading many

questions and concerns that you all have about growth/steroids-it has made

me

think.

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,

Steroids are one of the worst drugs for long term side affects. It is not

uncommon for those on Steroids for over 6 months to develope Diabetese or

Avascular Necrosis (death of smaller blood vessels) later. These drugs also

cause emotional rollercoaster, stunted growth and " Cushingoid " appearance

(weight gain in the face, tummy and at the base of the neck). There are many

other negative side affects.

However, when a particular case becomes very very bad there is currently nothing

that works so fast to controll the pain, fever and inflamation. Most Arthritis

sufferers are on Steroids at some time in their life and ALL are trying to get

'weaned' off them for the reasons listed above.

~

A Question About Steroids

My daughter, , has systemic and was diagnosed at age 3 yrs. old (she's

now 7). Prior to the first visit to the ped. rheum. my husband and I

educated ourselves on the disease and the medications used for this disease.

Naturally, was started on the naprosyn and then graduated thru many

hard times to MTX. When we confronted her ped. rheum. about steroids he

" refused " putting her on any and at that time the disease was very out of

control. He explained the side effects of steroids were not good and he

dosen't agree with them-at not least where was concerned. I trusted

our doctor's judgement even if I didn't agree. Still, I'm not sure why he

refused to put her on them. What are steroids used for?

She has been on MTX for several years now and will hopefully be coming off in

4/2002. This has been the only drug that she has been on to conquer this

disease and celebrex for the inflammation (after trying MANY other meds.).

I know this is a crazy question to be asking, but I've been reading many

questions and concerns that you all have about growth/steroids-it has made me

think.

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from my point of view and my experience with steroids

i dont like it but if it came down to it i would have no choice

also the dr is probably trying to use it as a last resource

melissas dr would put my son on the steroids for his asthma

and has put melissa on it for a week for her asthma

the side effects sometimes out weigh the giveing it

or takeing it is very much needed because of this JRA

i know the inhaler steroids gives a coat on the lungs to help with

inflammation

asthmatics get and it takes up to 2 weeks to help

the pills work faster and are given 5 pills for first day 4 for the 2nd day

3 for the 3rd day 2 for the 4th day then 1 for the 5th day each pill is

20mgs so your looking at 100mgs then down to none

but with treating JRA its in some cases is different

the dr also looks at family history on steroids treatment

but if the dr sees its a resource for now i would still ask him questions

about it

i dont know much on MTX but some in the group do

and some know more about the steroids than me in the group

hope i helped someway

Robbin

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Hi :

I was wondering where you go the 6 month time line for the steroid/diabetes

link? This scares the s*** out of me, as mickey has been on reasonably high

doses for going on 4 years now. I'm sure the docs must have mentioned these

complications/risks on various occasions - I wonder if I block out

remembering or thinking about it too much because at this point they can

find nothing else that controls her symptoms. And they always seem to

emphasize what will/could happen if we take her off them. The anemia was

particularly threatening. Sometimes this is all pretty overwhelming. Not one

of my good days for looking on the bright side, she has been up sick most of

the night with the flu. Not even sleep to summon up optimism today. I need

to compile a list of all my concerns, all these side effects to question the

docs about May 22.

Thanks for the info,

Lynn

From: " V. " <chivalry@...>

Reply-

Date: Tue, 1 May 2001 11:01:31 -0700

< >

Subject: Re: A Question About Steroids

,

Steroids are one of the worst drugs for long term side affects. It is not

uncommon for those on Steroids for over 6 months to develope Diabetese or

Avascular Necrosis (death of smaller blood vessels) later. These drugs also

cause emotional rollercoaster, stunted growth and " Cushingoid " appearance

(weight gain in the face, tummy and at the base of the neck). There are

many other negative side affects.

However, when a particular case becomes very very bad there is currently

nothing that works so fast to controll the pain, fever and inflamation.

Most Arthritis sufferers are on Steroids at some time in their life and ALL

are trying to get 'weaned' off them for the reasons listed above.

~

A Question About Steroids

My daughter, , has systemic and was diagnosed at age 3 yrs. old

(she's

now 7). Prior to the first visit to the ped. rheum. my husband and I

educated ourselves on the disease and the medications used for this

disease.

Naturally, was started on the naprosyn and then graduated thru many

hard times to MTX. When we confronted her ped. rheum. about steroids he

" refused " putting her on any and at that time the disease was very out of

control. He explained the side effects of steroids were not good and he

dosen't agree with them-at not least where was concerned. I trusted

our doctor's judgement even if I didn't agree. Still, I'm not sure why he

refused to put her on them. What are steroids used for?

She has been on MTX for several years now and will hopefully be coming off

in

4/2002. This has been the only drug that she has been on to conquer this

disease and celebrex for the inflammation (after trying MANY other meds.).

I know this is a crazy question to be asking, but I've been reading many

questions and concerns that you all have about growth/steroids-it has made

me

think.

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,

I have a love hate relationship with steroids. My daughter Abbie (11,

systemic) was diagnosed in Feb. 2000. She has been on steroids since getting

sick in October 1999. She has suffered many side effects, such as mood swings

('roid rage), weight gain, inability to sleep, round face. . .the list could

go on and on. But she has been on some pretty high doses, up to 50 mg/day at

times. Not to mention the pulse doses given by iv in the hospital.

The positive side is that in the beginning the steroids were the only thing

that got her out of bed. She spent 5 weeks in bed before anything worked,

including aspirin therapy (4000 mg/day worked for 3 days). However, if we had

it all to do over again, I think (now that I am more educated about this

disease) that I would have pushed for other treatments first. She is

currently working down (12.5 and 7.5 mg/day every other day). She has never

been below 5mg, so we are getting close.

She is also on 25 mg mtx injections once a week, 100 mg celebrex twice daily,

and folic acid. We are currently discussing enbrel with her doctor. He is

concerned that if she has another flare, either that or remicaide are our

choices. And the enbrel might be hard to come by. But I am hearing so much

through this group about other options. Our greatest concern with Abbie right

now is not joint stiffness, so much as rash. The mtx seems to take care of

everything but that. Does anyone have any suggestions?

Christy

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Scares me too Lynn as Skyler has been on it for a year and a half.

I gleaned this information after compiling a series of reports from Georginas

database in the last year for the court case we were to go through. I have been

reminded that it is not a guarantee, but rather an increased possibility that

these side affects can occur.

We need to be informed, but not let fear rule us on things like this.

What you can do is press them for a more effective and less dangerous long term

medicine, hoping to reduce the pred to bare minimum. We are finally down to

just 4 mg daily and he is now starting to grow again and has lost the steroid

moon face and tummy bloating.

We went through extreemly bad anemia, to the point that his body was unable to

produce hemoglobin and was depleating what he did have. We were down to

dangerous levels and had to go on ferrous sulfate in strong doses. We got back

to proper levels but he is dropping again and we need to restart the ferrous

sulfate.

Keep your head up Lynn and know you are a wonderful parent. It takes a special

parent to care for a special child. Vent all you need. lord knows I have shed

more tears than I can recall here on the list.

Our prayers go out to you.

& Skyler

A Question About Steroids

My daughter, , has systemic and was diagnosed at age 3 yrs. old

(she's

now 7). Prior to the first visit to the ped. rheum. my husband and I

educated ourselves on the disease and the medications used for this

disease.

Naturally, was started on the naprosyn and then graduated thru many

hard times to MTX. When we confronted her ped. rheum. about steroids he

" refused " putting her on any and at that time the disease was very out of

control. He explained the side effects of steroids were not good and he

dosen't agree with them-at not least where was concerned. I trusted

our doctor's judgement even if I didn't agree. Still, I'm not sure why he

refused to put her on them. What are steroids used for?

She has been on MTX for several years now and will hopefully be coming off

in

4/2002. This has been the only drug that she has been on to conquer this

disease and celebrex for the inflammation (after trying MANY other meds.).

I know this is a crazy question to be asking, but I've been reading many

questions and concerns that you all have about growth/steroids-it has made

me

think.

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Dear and all on the JRA list,

I have been a " silent " member lately as we are now back to the undiagnosed

stage. Right now it is being tossed back and forth between Systemic JRA,

or a new periodic fever syndrome. After 4-1/2 years, I feel like we

are at the same point we were when we started. Anyway, , you made an

interesting comment about steroids.

Kelli's fevers get to 107+ all the time, but only come every 3 weeks. She

also gets a myriad of other symptoms that come and go. The " ONLY " effective

treatment for her that anyone in this whole US has found is steroids. The

good thing about her case is that I only have to give her one dose every 3

weeks (the real bad fevers hit every 21 days like clockwork). The down side

to it is that I have to give her a 40 mg dose when the fever gets above 104.

Without the steroids, she goes to and stays at 107+ and not even alternating

Motrin and Tylenol will bring it down, they both have become ineffective.

I have asked on another board, but no one there had experienced it, but you

made mention of the " moon face " and " stomach bloat " . I have noticed that

after the last dose (18 days ago) she has had a chronic distended belly.

She looks like one of the (pardon the pun) " starving African children " with

their poor belly pooched out so far. She even has a hard time bending over.

We have taken her to the doc, but he says it is not a " surgical " belly.

Should I be really concerned about this? She is still have normal bowel

movements and when he suggested Milk of Mag, it made her stools like sand

(sorry to be so graphic but this has been bugging me). I know that for her

weight, 40 mg is the max dose for her system so I don't know what to do at

this point. Does anyone else experience this???

Sorry to ramble but you are all an inspiration to me and I at least can cope

better with our 4-1/2 years and no diagnosis after reading all of your

wonderful posts.

Thanks!!!

Angie

Re: A Question About Steroids

>Scares me too Lynn as Skyler has been on it for a year and a half.

>I gleaned this information after compiling a series of reports from

Georginas database in the last year for the court case we were to go

through. I have been reminded that it is not a guarantee, but rather an

increased possibility that these side affects can occur.

>We need to be informed, but not let fear rule us on things like this.

>What you can do is press them for a more effective and less dangerous long

term medicine, hoping to reduce the pred to bare minimum. We are finally

down to just 4 mg daily and he is now starting to grow again and has lost

the steroid moon face and tummy bloating.

>We went through extreemly bad anemia, to the point that his body was unable

to produce hemoglobin and was depleating what he did have. We were down to

dangerous levels and had to go on ferrous sulfate in strong doses. We got

back to proper levels but he is dropping again and we need to restart the

ferrous sulfate.

>

>Keep your head up Lynn and know you are a wonderful parent. It takes a

special parent to care for a special child. Vent all you need. lord knows

I have shed more tears than I can recall here on the list.

>Our prayers go out to you.

> & Skyler

> A Question About Steroids

>

>

> My daughter, , has systemic and was diagnosed at age 3 yrs. old

> (she's

> now 7). Prior to the first visit to the ped. rheum. my husband and I

> educated ourselves on the disease and the medications used for this

> disease.

> Naturally, was started on the naprosyn and then graduated thru

many

> hard times to MTX. When we confronted her ped. rheum. about steroids he

> " refused " putting her on any and at that time the disease was very out

of

> control. He explained the side effects of steroids were not good and he

> dosen't agree with them-at not least where was concerned. I

trusted

> our doctor's judgement even if I didn't agree. Still, I'm not sure why

he

> refused to put her on them. What are steroids used for?

> She has been on MTX for several years now and will hopefully be coming

off

> in

> 4/2002. This has been the only drug that she has been on to conquer this

> disease and celebrex for the inflammation (after trying MANY other

meds.).

> I know this is a crazy question to be asking, but I've been reading many

> questions and concerns that you all have about growth/steroids-it has

made

> me

> think.

>

>

>

>

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Angie,

Regarding the poochie tummy ~ if there is no medical problem with her - such as

constipation, inflamed liver/kidneys/etc. or problematic water retention, then

it is probably just the side effects of the pred.

Skyler was the same for a time and it was a concern for us due to the odd

appearance. But as we have lowered the dosage for extended time, the

" cushingoid " appearance (as the Dr's call it) has substantially subsided. His

tummy is normal again.

I hope this is all you are seeing and I am certain the Dr's are correct on this.

~ { & Skyler]

A Question About Steroids

>

>

> My daughter, , has systemic and was diagnosed at age 3 yrs. old

> (she's

> now 7). Prior to the first visit to the ped. rheum. my husband and I

> educated ourselves on the disease and the medications used for this

> disease.

> Naturally, was started on the naprosyn and then graduated thru

many

> hard times to MTX. When we confronted her ped. rheum. about steroids he

> " refused " putting her on any and at that time the disease was very out

of

> control. He explained the side effects of steroids were not good and he

> dosen't agree with them-at not least where was concerned. I

trusted

> our doctor's judgement even if I didn't agree. Still, I'm not sure why

he

> refused to put her on them. What are steroids used for?

> She has been on MTX for several years now and will hopefully be coming

off

> in

> 4/2002. This has been the only drug that she has been on to conquer this

> disease and celebrex for the inflammation (after trying MANY other

meds.).

> I know this is a crazy question to be asking, but I've been reading many

> questions and concerns that you all have about growth/steroids-it has

made

> me

> think.

>

>

>

>

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Christy,

Thanks for the insight on steroids. One other question, why is the embrel

hard to come by? I've seen many comments about the embrel having a shortage

or something of that nature. My daughter was suppose to be put on it, but

the doctor changed his mind before we could make the drive back home (5 hrs.

to her doctors office). Now we have a " very expensive " drug just sitting

in our fridge and we don't know whether to dispose of it, or keep it for that

" just in case " . Oh well.....

Once again, thanks for helping me to understand.

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Angie,

Chrissy also experiences alot of the stuff in your

letter. Can I ask how old kelly is. Chrissy is

twelve and her symptoms seem to break through every 3

weeks like clockwork. Then they do an IV pulse on

her. She started this flare January 8th and is

becoming resistant to all the meds. We are climbing

the ladder quickly. January 7th Chrissy started her

first menstration, with the 21 day breakthroughs I

can't help but wonder if it is related to her cycle.

I was just curious about .

I am going to start a journal (something I suggest

every parent do from the beginning,) and try to see if

there is a connection. I wish I would have started it

from the onset of the disease.

Chrissy is also showing the moon face and the chubby

tummy, not to mention the black hair all over from the

steroids. She seems to really swell up after the IV

pulses.

Just wanted you to know you are not alone, and I am

interested in knowing your daughters age

suzie

--- Angie <atm87@...> wrote:

> Dear and all on the JRA list,

>

> I have been a " silent " member lately as we are now

> back to the undiagnosed

> stage. Right now it is being tossed back and forth

> between Systemic JRA,

> or a new periodic fever syndrome. After 4-1/2

> years, I feel like we

> are at the same point we were when we started.

> Anyway, , you made an

> interesting comment about steroids.

>

> Kelli's fevers get to 107+ all the time, but only

> come every 3 weeks. She

> also gets a myriad of other symptoms that come and

> go. The " ONLY " effective

> treatment for her that anyone in this whole US has

> found is steroids. The

> good thing about her case is that I only have to

> give her one dose every 3

> weeks (the real bad fevers hit every 21 days like

> clockwork). The down side

> to it is that I have to give her a 40 mg dose when

> the fever gets above 104.

> Without the steroids, she goes to and stays at 107+

> and not even alternating

> Motrin and Tylenol will bring it down, they both

> have become ineffective.

>

> I have asked on another board, but no one there had

> experienced it, but you

> made mention of the " moon face " and " stomach bloat " .

> I have noticed that

> after the last dose (18 days ago) she has had a

> chronic distended belly.

> She looks like one of the (pardon the pun) " starving

> African children " with

> their poor belly pooched out so far. She even has a

> hard time bending over.

> We have taken her to the doc, but he says it is not

> a " surgical " belly.

> Should I be really concerned about this? She is

> still have normal bowel

> movements and when he suggested Milk of Mag, it

> made her stools like sand

> (sorry to be so graphic but this has been bugging

> me). I know that for her

> weight, 40 mg is the max dose for her system so I

> don't know what to do at

> this point. Does anyone else experience this???

>

> Sorry to ramble but you are all an inspiration to me

> and I at least can cope

> better with our 4-1/2 years and no diagnosis after

> reading all of your

> wonderful posts.

>

> Thanks!!!

>

> Angie

> Re: A Question About Steroids

>

>

> >Scares me too Lynn as Skyler has been on it for a

> year and a half.

> >I gleaned this information after compiling a series

> of reports from

> Georginas database in the last year for the court

> case we were to go

> through. I have been reminded that it is not a

> guarantee, but rather an

> increased possibility that these side affects can

> occur.

> >We need to be informed, but not let fear rule us on

> things like this.

> >What you can do is press them for a more effective

> and less dangerous long

> term medicine, hoping to reduce the pred to bare

> minimum. We are finally

> down to just 4 mg daily and he is now starting to

> grow again and has lost

> the steroid moon face and tummy bloating.

> >We went through extreemly bad anemia, to the point

> that his body was unable

> to produce hemoglobin and was depleating what he did

> have. We were down to

> dangerous levels and had to go on ferrous sulfate in

> strong doses. We got

> back to proper levels but he is dropping again and

> we need to restart the

> ferrous sulfate.

> >

> >Keep your head up Lynn and know you are a wonderful

> parent. It takes a

> special parent to care for a special child. Vent

> all you need. lord knows

> I have shed more tears than I can recall here on the

> list.

> >Our prayers go out to you.

> > & Skyler

> > A Question About Steroids

> >

> >

> > My daughter, , has systemic and was

> diagnosed at age 3 yrs. old

> > (she's

> > now 7). Prior to the first visit to the ped.

> rheum. my husband and I

> > educated ourselves on the disease and the

> medications used for this

> > disease.

> > Naturally, was started on the naprosyn and

> then graduated thru

> many

> > hard times to MTX. When we confronted her ped.

> rheum. about steroids he

> > " refused " putting her on any and at that time

> the

=== message truncated ===

__________________________________________________

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Suzie,

Kelli will be 5 in August and we have been keeping a journal since this

whole thing started (December 4, 1996). We did have a GI doctor once tell

us that he had a theory (though never medically proven according to him)

that even though the girls are young, they still have cycles of hormones

even at a very early age. We too have often wondered if it wasn't all

somehow related.

We are at Day 21 right now and all the signs are there, the fever just has

not hit yet. I guess we will just be anxiously waiting.

E-mail me anytime if you want to " talk " .

Angie

Re: A Question About Steroids

>>

>>

>> >Scares me too Lynn as Skyler has been on it for a

>> year and a half.

>> >I gleaned this information after compiling a series

>> of reports from

>> Georginas database in the last year for the court

>> case we were to go

>> through. I have been reminded that it is not a

>> guarantee, but rather an

>> increased possibility that these side affects can

>> occur.

>> >We need to be informed, but not let fear rule us on

>> things like this.

>> >What you can do is press them for a more effective

>> and less dangerous long

>> term medicine, hoping to reduce the pred to bare

>> minimum. We are finally

>> down to just 4 mg daily and he is now starting to

>> grow again and has lost

>> the steroid moon face and tummy bloating.

>> >We went through extreemly bad anemia, to the point

>> that his body was unable

>> to produce hemoglobin and was depleating what he did

>> have. We were down to

>> dangerous levels and had to go on ferrous sulfate in

>> strong doses. We got

>> back to proper levels but he is dropping again and

>> we need to restart the

>> ferrous sulfate.

>> >

>> >Keep your head up Lynn and know you are a wonderful

>> parent. It takes a

>> special parent to care for a special child. Vent

>> all you need. lord knows

>> I have shed more tears than I can recall here on the

>> list.

>> >Our prayers go out to you.

>> > & Skyler

>> > A Question About Steroids

>> >

>> >

>> > My daughter, , has systemic and was

>> diagnosed at age 3 yrs. old

>> > (she's

>> > now 7). Prior to the first visit to the ped.

>> rheum. my husband and I

>> > educated ourselves on the disease and the

>> medications used for this

>> > disease.

>> > Naturally, was started on the naprosyn and

>> then graduated thru

>> many

>> > hard times to MTX. When we confronted her ped.

>> rheum. about steroids he

>> > " refused " putting her on any and at that time

>> the

>=== message truncated ===

>

>

>__________________________________________________

>

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Hi Angie,

Well Holly and like to do the same things still i guess. Holly's

belly is the same, she has been on every other day steroids since september,

her longest time ever i think. WE have been trying to taper cause she has

had such a big weight gain, she has gained like 10 lbs since september.

Anyway, her belly looks like kelly's very distended, she has a really hard

time finding clothes to fit, if they fit her belly, they are about a mile too

long. Thank goodness its summer, hopefully we will have better luck with

shorts. She tends to where them kind of around her hips. She has never liked

anything tight around her belly, i think its because her spleen has always

been big. I will try and find some pictures and email them to you, so you can

see the difference between last summer and this summer.

Things have to get easier for you sometime soon hon, i will be praying

for you and kelly and family :-) Email me anytime, i miss you so much!!!!

Aj

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Hi AJ,

We have always said that Holly and Kelli do sound a lot alike. I miss you

too. I have just been on the e-mail long enough to catch up on the posts

for both lists I am involved in and don't take much time to catch up with

other friends. I need to stop and do that more often.

Kelli too has put on some weight in the last 6 months. I am not complaining

too much because there for a while, she was stuck and even losing weight.

She lost a total of 13 pounds in less than a years time. It is just that

her belly is so miserable right now and she wears her pants in the same

place Holly does. It really worried me at first, but we have a fantastic

family doctor and he looked at Kelli, felt her belly and said " Don't worry

Mom, I really think it is just the steroids and slow gut (things not moving

thru the GI system quite as fast as they should because of the steroids). "

He keeps an eye out for her and talks about her case all the time.

How is Holly doing??? Our new Rheumatologist pulled Kelli's Systemic JRA

diagnosis in December, because she has had arthralgia but not arthritis and

because of some of the numerous other symptoms she has had. He has even

seen the bright red and swollen joints, and doesn't feel comfortable

diagnosing her with the Systemic. He said probably any other Rheumatologist

would, but that doesn't mean it would be the proper one. I do have to admit

that I get frustrated, but I also want to be patient (Oh how I hate that

word) because he has steered us in the right direction up to this point. He

is also in close contact with the NIH and has her DNA tested for any and all

new periodic fever " diseases " that are being discovered. There is one we

are now looking at and will be sending her labs for within the next week or

so. It is called Mevalonic Kinase Deficiency Associated Dutch Periodic

Fever. Unfortunately, all of the things they are looking at have a

kazillion names attached with them.

I just wish all our kids didn't have to suffer, but I also know they are

lucky to have us as parents. I see kids every day who are borderline abuse

cases and realize that they wouldn't survive if they dealt with a chronic

illness, because they have uninvolved, uncaring parents.

So sorry to ramble. Take care and I will talk to you soon.

Angie

Re: A Question About Steroids

>Hi Angie,

> Well Holly and like to do the same things still i guess. Holly's

>belly is the same, she has been on every other day steroids since

september,

>her longest time ever i think. WE have been trying to taper cause she has

>had such a big weight gain, she has gained like 10 lbs since september.

>Anyway, her belly looks like kelly's very distended, she has a really hard

>time finding clothes to fit, if they fit her belly, they are about a mile

too

>long. Thank goodness its summer, hopefully we will have better luck with

>shorts. She tends to where them kind of around her hips. She has never

liked

>anything tight around her belly, i think its because her spleen has always

>been big. I will try and find some pictures and email them to you, so you

can

>see the difference between last summer and this summer.

> Things have to get easier for you sometime soon hon, i will be praying

>for you and kelly and family :-) Email me anytime, i miss you so

much!!!!

> Aj

>

>

>

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Guest guest

Angie, I believe your doctor has something. For

over a year ever time I would menstrate christine

would cramp severely that was before her own cycle

started. Her old pediatricain dismissed it but as a

mother even though she was 10 at the time I knew it

was a sign that she was getting ready. Her current

doctors believe that the case also. I wonder how long

she was having them before I noticed the pattern???

my id is suzzzies2000 if you would like to add

me to your friends list and we can hopefully chat

sometime.

suzie

--- Angie <atm87@...> wrote:

> Suzie,

>

> Kelli will be 5 in August and we have been keeping a

> journal since this

> whole thing started (December 4, 1996). We did have

> a GI doctor once tell

> us that he had a theory (though never medically

> proven according to him)

> that even though the girls are young, they still

> have cycles of hormones

> even at a very early age. We too have often

> wondered if it wasn't all

> somehow related.

>

> We are at Day 21 right now and all the signs are

> there, the fever just has

> not hit yet. I guess we will just be anxiously

> waiting.

>

> E-mail me anytime if you want to " talk " .

>

> Angie

> Re: A Question About Steroids

> >>

> >>

> >> >Scares me too Lynn as Skyler has been on it for

> a

> >> year and a half.

> >> >I gleaned this information after compiling a

> series

> >> of reports from

> >> Georginas database in the last year for the court

> >> case we were to go

> >> through. I have been reminded that it is not a

> >> guarantee, but rather an

> >> increased possibility that these side affects can

> >> occur.

> >> >We need to be informed, but not let fear rule us

> on

> >> things like this.

> >> >What you can do is press them for a more

> effective

> >> and less dangerous long

> >> term medicine, hoping to reduce the pred to bare

> >> minimum. We are finally

> >> down to just 4 mg daily and he is now starting to

> >> grow again and has lost

> >> the steroid moon face and tummy bloating.

> >> >We went through extreemly bad anemia, to the

> point

> >> that his body was unable

> >> to produce hemoglobin and was depleating what he

> did

> >> have. We were down to

> >> dangerous levels and had to go on ferrous sulfate

> in

> >> strong doses. We got

> >> back to proper levels but he is dropping again

> and

> >> we need to restart the

> >> ferrous sulfate.

> >> >

> >> >Keep your head up Lynn and know you are a

> wonderful

> >> parent. It takes a

> >> special parent to care for a special child. Vent

> >> all you need. lord knows

> >> I have shed more tears than I can recall here on

> the

> >> list.

> >> >Our prayers go out to you.

> >> > & Skyler

> >> > Re: A Question About Steroids

>

=== message truncated ===

__________________________________________________

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Hi again angie,

I was just reading your letter and although i should be sleeping, lol, i

am up reading my mail, lol, i wanted to say something about the " slow gut "

like i said in the previous letter to laura, hollys gi doc is thinking ibs,

and put her on bentyl, and the other part that goes along with adding that

med, is that she has to have 12-15 mgs of fiber a day, to get things moving

in that oh so healthy direction, you may want to watch and see how much fiber

kelli gets on a daily basis, i was kinda suprised at how little fiber my

kiddos get, so now we are all trying to increase the daily fiber content in

our own diets, lol. Also on another tangent, calcium is important too, the

rheumie would like 1200-1500 of calcium, we usually can get that much pretty

easy, and i try and be pretty on top of it as well as holly has bone loss in

her wrists already.

Talk to you soon, AJ

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,

The Enbrel is in short supply because it is difficult to make. They

are currently building new plants to make Enbrel. I have also

heard they are starting to take new patients again. As far as

how long it will keep, there is an expiration date on the box.

The Ebrel I picked up last week as an expiration of December

of 2002.

Thanks, Jana

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Suzie,

Sorry I haven't been back to you, but we had a horrible episode Monday May

7th, and we had to do steroids and now we have all the " wonderful " side

effects from them. Oh well, they at least brought the fever from 106+ to

normal within a matter of hours.

Please e-mail me anytime, I would love to chat more about our kiddos!

Angie

Re: A Question About Steroids

>> >>

>> >>

>> >> >Scares me too Lynn as Skyler has been on it for

>> a

>> >> year and a half.

>> >> >I gleaned this information after compiling a

>> series

>> >> of reports from

>> >> Georginas database in the last year for the court

>> >> case we were to go

>> >> through. I have been reminded that it is not a

>> >> guarantee, but rather an

>> >> increased possibility that these side affects can

>> >> occur.

>> >> >We need to be informed, but not let fear rule us

>> on

>> >> things like this.

>> >> >What you can do is press them for a more

>> effective

>> >> and less dangerous long

>> >> term medicine, hoping to reduce the pred to bare

>> >> minimum. We are finally

>> >> down to just 4 mg daily and he is now starting to

>> >> grow again and has lost

>> >> the steroid moon face and tummy bloating.

>> >> >We went through extreemly bad anemia, to the

>> point

>> >> that his body was unable

>> >> to produce hemoglobin and was depleating what he

>> did

>> >> have. We were down to

>> >> dangerous levels and had to go on ferrous sulfate

>> in

>> >> strong doses. We got

>> >> back to proper levels but he is dropping again

>> and

>> >> we need to restart the

>> >> ferrous sulfate.

>> >> >

>> >> >Keep your head up Lynn and know you are a

>> wonderful

>> >> parent. It takes a

>> >> special parent to care for a special child. Vent

>> >> all you need. lord knows

>> >> I have shed more tears than I can recall here on

>> the

>> >> list.

>> >> >Our prayers go out to you.

>> >> > & Skyler

>> >> > Re: A Question About Steroids

>>

>=== message truncated ===

>

>

>__________________________________________________

>

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Hi Angie,

I hope everything has settled down by now. At least for the time being.

How's Kelli doing?

Aloha,

Georgina

>

> Sorry I haven't been back to you, but we had a horrible episode Monday May

> 7th, and we had to do steroids and now we have all the " wonderful " side

> effects from them. Oh well, they at least brought the fever from 106+ to

> normal within a matter of hours.

>

> Please e-mail me anytime, I would love to chat more about our kiddos!

>

> Angie

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Georgina,

Thanks for asking, Kelli is doing much better. We just came back from her

Preschool graduation and I'm happy she was having a good day.

Talk to you soon.

Angie

Re: A Question About Steroids

>Hi Angie,

>

>I hope everything has settled down by now. At least for the time being.

>How's Kelli doing?

>

>Aloha,

>Georgina

>

>>

>> Sorry I haven't been back to you, but we had a horrible episode Monday

May

>> 7th, and we had to do steroids and now we have all the " wonderful " side

>> effects from them. Oh well, they at least brought the fever from 106+ to

>> normal within a matter of hours.

>>

>> Please e-mail me anytime, I would love to chat more about our kiddos!

>>

>> Angie

>

>To manage your subscription settings, please visit:

>

>

>For links to websites about JRA:

>http://www.geocities.com/Heartland/Village/8414/Links.html

>

>

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