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Thanks Liz, yes I am still on prednisone.. I am back on 5mgs. I go back to

the rheumy on Tuesday.. So I will wait and see what happens with my results

from the blood that I had done yesterday..

Kelley in Colorado

Kelleyak31@...

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Behave isn't in my dictionary, Liz. I think Superman had better get going

and teach us other " Army " words. We've rucked ruck to death and need a new toy

now.

I think you're right about my WBC being high because of my surgery. At least

I hope that's the reason. I'll know in a month when I go for another lab

test. I keep losing weight for no rhyme or reason. Almost 20 pounds since we

returned from California and I think I'm eating normally and maybe a little

over normal. I'm wondering if it's because I'm almost off of my Prednisone and

back now to my fighting weight. Prednisone made me eat like a pig and look

like one also. It's nice not to have the fat face anymore. Has anyone else

lost

weight when they've really lowered their Prednisone dosage?

xxoo,

Carmen

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  • 2 years later...
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Hi my name is , and I just joined the group. was

diagnosed with Pfapa a month ago. She now has her first fever since

the diagnosis. The doctor gave us a prescription for steroids but I

did not use them because of some the things I have read on here. I

also did not bring her in to the doc this episode. She does have the

mouth sores and also talks like her throat hurts, but when I ask her

if it hurts she says no. I still am having a really hard time

believing this is real. I do have one question. Has anyone else had

a high white count with these episodes. It seems like always

has an elevated white count and the doctor wants to treat it with an

antibiotic. The specialist told me not to let them treat her for

anything unless they know exactly what they are treating. I dont even

want to go to the doctor anymore. I feel exasperated and helpless.

Can they diagnose Pfapa with a blood test or is it just a guess when

they cannot find anything else???? T

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,

Hi my name is and yes my daughter has high white blood counts also. She

has been tested 4 times and all 4 times her count is high. My daughter is 21/2

and we['ve been doing these high fevers for 2 years now. I know what you mean

by feeling helpless. But really, my specialist just said to give her Motrin

every 6 hours and don't rotate Motrin and Tylenol on account of too much Tylenol

can cause Kidney Failure. He said to keep them as comfortable as possible until

next dosage of Motrin is do. He said that having a fever is not entirely bad

for them. My daughter also gets mouth sores and she really doesn't complain

that anything hurts either. I'm sure that is because she's loaded with Motrin

though.

white count

Hi my name is , and I just joined the group. was

diagnosed with Pfapa a month ago. She now has her first fever since

the diagnosis. The doctor gave us a prescription for steroids but I

did not use them because of some the things I have read on here. I

also did not bring her in to the doc this episode. She does have the

mouth sores and also talks like her throat hurts, but when I ask her

if it hurts she says no. I still am having a really hard time

believing this is real. I do have one question. Has anyone else had

a high white count with these episodes. It seems like always

has an elevated white count and the doctor wants to treat it with an

antibiotic. The specialist told me not to let them treat her for

anything unless they know exactly what they are treating. I dont even

want to go to the doctor anymore. I feel exasperated and helpless.

Can they diagnose Pfapa with a blood test or is it just a guess when

they cannot find anything else???? T

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Hi,

It is extremely common to have an elevated WBC during fever episodes.

As for Prednisone, it does work well and with just one dose for a few of the

children. If it works like that it may be worth a try. If you see an

increase in episodes ... stop it.

As for not seeing a doctor... depending on how experienced you are with

and with diagnosing... I urge all parents especially with YOUNG

infants and toddlers to bring their child in to MAKE sure you are NOT

missing anything else. Rarely with these children, another virus or

bacterial infection just may sneak in.... Just be careful. You would not

want to miss a walking pneumonia... a real strep infection which could lead

to heart problems or a meningitis... Just a word of caution.

I am not a pusher of steroids in any way... but for some people here who

have had a really good response with a relief of fever and no increase in

frequency... it may be a good thing.

Also... don't forget Cimetidine... may also be worth a shot.

Has your child had genetic studies??

God Bless

Fran

Fran A Bulone

Mom to ph 6 yrs old

Waxhaw, NC

Owner & Moderator Group

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>>> He said that having a fever is not entirely bad for them.>>>

This is ABSOLUTELY NOT true and I would LOVE to discuss this with this

physician. If the doc is ONLY talking about your child that is one thing...

HOWEVER

A child with or other fever disorders may run up to 108... and only

come down a degree or two for up to 4 days of a fever episode. These

children who have the more severe spectrum of this disorder will get severe

febrile seizures... Fever is good when it is working to fight an infection

and sending the white blood cells off to do their duty. But with these

children... who get extreme fevers... if you HOLD Tylenol in between Motrin

doses... they can BECOME EXTREMELY ill with seizures and organ failure.

Tylenol must be given at the appropriate dose NOT to damage organs. Same

with Motrin. But with children who get extreme fevers the parents and the

physicians need to weigh the pros and cons...

If a parent gives the medication every 6 hrs during the height of the

febrile episode it is MUCH safer than allowing the temps to go up to

104-108.

Fran

Fran A Bulone

Mom to ph 6 yrs old

Waxhaw, NC

Owner & Moderator Group

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Fran,

You are more than welcome to cotact him. His name is Barson, a

specialist at Children's Infectious Disease Department in Columbus, Ohio. He

said that as long as you keep them comfortable as far as luke warm baths and

cool packs, whatever you perfer the child will not go into febrile seizures. My

daughter does get these fevers, granted her highest has ONLY been 105, but they

last 4-6 days like that and just recently I have been doing the rotation, she

has had no seizures and she has had them for 2 years now every 4 week on the

day. I do know what it is like to spend a half hour in the shower with lukewarm

water running over us, it is not fun and I have done this at 2-3am in the

morning, having sleepless night after night and then going to a physically

stressful job and returning to do it all over again for 6 nights straight. So

for me to finally get some answers from a SPECIALIST that I like and I trust

because I believe he DOES know what he is talking about, I do believe that

having the fever for the time that they do have them between doses of Motrin is

ok for them because a fever is obviously trying to fight of an infection. He

said that in the American Pediatrics Association that iit is listed that you

should rotate Tylenol and Motrin/Advil, BUT RECENT studies have shown that this

could cause more damage than good.

If you would like to discuss this with him his name is Barson @

(614)722-4450/4459. We just spoke with him yesterday.

RE: white count

>>> He said that having a fever is not entirely bad for them.>>>

This is ABSOLUTELY NOT true and I would LOVE to discuss this with this

physician. If the doc is ONLY talking about your child that is one thing...

HOWEVER

A child with or other fever disorders may run up to 108... and only

come down a degree or two for up to 4 days of a fever episode. These

children who have the more severe spectrum of this disorder will get severe

febrile seizures... Fever is good when it is working to fight an infection

and sending the white blood cells off to do their duty. But with these

children... who get extreme fevers... if you HOLD Tylenol in between Motrin

doses... they can BECOME EXTREMELY ill with seizures and organ failure.

Tylenol must be given at the appropriate dose NOT to damage organs. Same

with Motrin. But with children who get extreme fevers the parents and the

physicians need to weigh the pros and cons...

If a parent gives the medication every 6 hrs during the height of the

febrile episode it is MUCH safer than allowing the temps to go up to

104-108.

Fran

Fran A Bulone

Mom to ph 6 yrs old

Waxhaw, NC

Owner & Moderator Group

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Sorry to say it is UNSAFE NOT to medicate a child who runs temps over 104

and who do not drop more than a degree or two. It is dangerous to make a

blanket statement.

There are probably 60 percent of the kids in this group who spent nights in

tepid baths... cool rooms, cloths on their foreheads and neck.... HOWEVER,

their temps STILL do not respond.... UNLESS you alternate the medications.

You were lucky that your blessed little one did not get seizures and

responded without complications.

After running this group and working in a hospital trauma unit, I do know of

children who (including my own) who continue to get febrile seizures...

continue to drop just one or two degree's with the Ibuprofen.... and hover

between 104-108 during the height of their event....

We have and continue to .... spend night after night with our children

awake... for a week at a time...

All I am saying is there is NO blanket statement with these children... and

many of the children definitely NEED to be medicated every 3 hrs alternating

the antipyretics AROUND the clock for 3-5 days.

Your doctor may know what he is doing for your child... and I am sure his

statement is being taken out of context. Sorry if I offended you in any

way... However I do not want people to be MIS-Informed.... about giving the

Tylenol during peak febrile days.... every 6 hours.

God Bless

Fran

Fran A Bulone

Mom to ph 6 yrs old

Waxhaw, NC

Owner & Moderator Group

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Guest guest

My daughter has also seen the all of the Doc's at Childrens in Columbus Ohio and

my daughters pediatriction sent us to Cincinnati to see more Docs. They told me

my daughter was not being harmed by the fevers as well. However I do not

believe that to be true.

Mom to Kiara 2 1/2 possible , Brady 4, and Chloe 6

Dublin Ohio

__________________________________________________

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Guest guest

>

> Hi,

> It is extremely common to have an elevated WBC during fever

episodes.

>

> As for Prednisone, it does work well and with just one dose for a

few of the

> children. If it works like that it may be worth a try. If you see

an

> increase in episodes ... stop it.

>

> As for not seeing a doctor... depending on how experienced you are

with

> and with diagnosing... I urge all parents especially with

YOUNG

> infants and toddlers to bring their child in to MAKE sure you are

NOT

> missing anything else. Rarely with these children, another virus or

> bacterial infection just may sneak in.... Just be careful. You

would not

> want to miss a walking pneumonia... a real strep infection which

could lead

> to heart problems or a meningitis... Just a word of caution.

>

> I am not a pusher of steroids in any way... but for some people

here who

> have had a really good response with a relief of fever and no

increase in

> frequency... it may be a good thing.

>

> Also... don't forget Cimetidine... may also be worth a shot.

>

> Has your child had genetic studies??

> God Bless

> Fran

> Fran A Bulone

> Mom to ph 6 yrs old

> Waxhaw, NC

> Owner & Moderator Group

>

>

>

>

>

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Guest guest

>

> Hi,

> It is extremely common to have an elevated WBC during fever

episodes.

>

> As for Prednisone, it does work well and with just one dose for a

few of the

> children. If it works like that it may be worth a try. If you see

an

> increase in episodes ... stop it.

>

> As for not seeing a doctor... depending on how experienced you are

with

> and with diagnosing... I urge all parents especially with

YOUNG

> infants and toddlers to bring their child in to MAKE sure you are

NOT

> missing anything else. Rarely with these children, another virus or

> bacterial infection just may sneak in.... Just be careful. You

would not

> want to miss a walking pneumonia... a real strep infection which

could lead

> to heart problems or a meningitis... Just a word of caution.

>

> I am not a pusher of steroids in any way... but for some people

here who

> have had a really good response with a relief of fever and no

increase in

> frequency... it may be a good thing.

>

> Also... don't forget Cimetidine... may also be worth a shot.

>

> Has your child had genetic studies??

> God Bless

> Fran

> Fran A Bulone

> Mom to ph 6 yrs old

> Waxhaw, NC

> Owner & Moderator Group

>

>

>

>

>

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Guest guest

I have not posted lately because well to be honest work is crazy(I'm a sped

teacher) and BReana is not doing well.

While as parents we must all make our own decisions about medications and these

can be very hard to make. I highly encourage parents to 'piggyback' Tylenol and

Motrin when there child is fevering. High fevers can do more organ damage that

the week of piggybacking the meds! Also I caution the use of the tub if your

child's fever is very high as that could send him/her into shock if the water is

to cool! be sure it is somewhat tempered!

Also every time these kids fever they loose precious time socially and

cognitively interacting with those around them. How can a child who is fevering

every say 26 days and on the 'couch for 7 days' keep up socially emotionally and

academics without a struggle????? Maybe some children can, but the fevers

EFFECT THE CHILD in more ways than medical!

I believe and so do Breana's doc's that yes the fevers can injure not just the

organs but also the brain if left untreated. Breana can go to 107.8(last week)

in 30 minutes or less. She has not had a febrile seizure BUT has been

undergoing testing for seizures(without fever present).......Yes Breana has Nero

issues not related to pFAPA and these issues could have been from an

inflammation of the vessels in her brain which occurred in NOv. 04. What

caused that It is unknown is it related to her CLINICAL TRAPS we do not now

which is why we shall be spending at least one week at NIH next month.

Ok just my thoughts

From: C

Sent: Wednesday, May 03, 2006 7:47 PM

Subject: Re: white count

My daughter has also seen the all of the Doc's at Childrens in Columbus Ohio

and my daughters pediatriction sent us to Cincinnati to see more Docs. They

told me my daughter was not being harmed by the fevers as well. However I do

not believe that to be true.

Mom to Kiara 2 1/2 possible , Brady 4, and Chloe 6

Dublin Ohio

__________________________________________________

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