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The significant points from your post are:

1) problems since birth

2) yeast infection at 4..........what explanation for that?

was it systemic??

3) appendectomy at 10........... was that organ infected????

there should be a pathology report.

4) at puberty she started to experience a myriad of symptoms.

IMO, this history seems could implicate impaired immunity.

Or an occult infection at birth that wasn't caught (How's her

CBC/Blood chemistry?)

Hows her spleen?

Even in this day and age - what happens in the spleen is still

mostly a mystery. That's the organ that repairs and sorts RCBs

and researchers aren't even sure how that's accomplished... as and far

as I know- unless a spleen is enlarged, there are no tests for

function.

I had impaired immunity because of asplenia -

and didn't find that out for 50 years... untill I had a torso ring

CTSCAN looking for something else. (It's a congential birth defect,

actually affecting several organs, but my heart seems to be OK).

So.. a picture being worth a thousand words.. I'd probably spend the

2K for a look inside to make sure everything's there and where it

should be.

Barb

re's the story, and I'm hoping for your insights.

My daughter has had debilitating symptoms since she

was 13. Prior

to that, she'd had gastro symptoms since birth,

cognitive/emotional

stuff best described in retrospect as brain fog, yeast

infections

dx'd first at age 4. At age 10, she had an emergency

appendectomy

(nothing burst) that went south with post-operative

internal

bleeding that resulted in her having 4 pts of blood

transfused from

unknown sources. At 12 (Dec), she began reporting

dizziness. At

13, she had a hard fall on a gym floor that cracked

her coxxyx and

increased the dizziness intolerably (Dec the next

year). She began

having migraines, and was out of school for 6 weeks

with one that

couldn't be controlled until she was hospitalized in

May for

ergotamine, morphine, and who knows what else.

Migraines were

intermittent that summer, dx'd with orthostatic

intolerance in

Sept. In Oct, she developed intractable neck and back

pain, and our

PCP first said " fibromyalgia " to us in Nov. Subsequent

symptoms

have included excessive fatigue, poor sleep, IBS, VV -

the gamut.

We're in central PA, so there have been plenty of

opportunities for

Bb exposures. Naturally, nothing has come back

positive on the

normal tests run or mildly positive test results (e.g.

TSH) haven't

led to anything. Mild improvements associated with

guaifenesin.

So, we had a first visit to a Fibromyalgia and Fatigue

Center in

Pittsburgh today. These are the blood tests the dr.

there ordered:

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Exiled-

Both my daughter and myself are being treated at the

Cleveland Fibromyalgia and Fatigue Center, so have

been through their slew of tests. When you get back

the results you'll see that a number of them are

actually done at outside specialty labs, not at the

main Quest lab. But, as they are sent and billed via

Quest, my insurance has paid for them because Quest is

an accepted contractor! They might not have paid for

many of these tests if the doc had sent them directly

to these specialty labs. This is especially true when

the tests are more experimental in nature, eg the

L-Rnase. So don't assume the Western Blot is the

standard Quest one.

Digging through my own tests these are some of the

" outside " labs used by Quest:

NK Cell activity, Rnase-L activity-- Immunosciences

lab

Thyroid assay-- Associated Reggional University

Pathologists, Utah

IGF Binding Protein-3; Herpes virus 6--- Nichols

Institute

Interferon Alpha, EIA; sackie virus; Echo virus;

Polio virus--- Focus Technologies Inc.

I can't tell from the report who the Lymes tests are

done by, since a lot of this is printed out from a

Quest report. The Fibro and Fatigue Center Inc.

appears to have contracted with Quest to do tests

through labs that they (F & FC) approve of, so there

seems to be some selectivity being done here, picking

and choosing more obscure tests not done or not done

adquately by Quest central.

My daughter is younger than yours, 14, but a very

similar picture. Being home tutored, mostly brain

fogged and zombified by fatigue. Her tests came up

with low cortisol, thyroid, two Lyme's specific bands

on the WB, low lymphocytes and globulins, and some

other stuff. She only did the initial

vitamin/glutithione IV which didn't seem to help her.

Her treatment overall has so far not helped and we are

consulting the " Big Cheese " medical director (Ken

Holtorf) to review the case and see what they are

missing. It's one advantage of their system that they

have consultation available. It's helping me

personally, having picked up the Cpn infection.

I would note that, while their approach is thorough

and covers a lot of ground, and they have a systematic

model to work from, you still have to keep up on your

own knowledge base so you know the questions to ask.

They also have a lot of info to track about a lot of

patients, and some things can get buried in the chart

if you don't keep up after them. Most of the doc's are

new to this complex approach and know some areas of

treatment better than others. For example, it was my

own research that found the Wheldon regime to treat my

Cpn. Their standard approach to Cpn was to continue on

tetracycline alone, which was helpful but, as all of

Stratton's research shows, is inadequate to get at the

cryptic phases of this vicious bug.

The good news is that they (or at least my doc at the

Cleveland Center, Felicitas Juguilon MD) are very

patient-oriented and willing to keep trying and

retesting, or expanding the range of tests and

treatments in order to get you well, and don't have an

attitude of labeling you if their first cut at it

doesn't work as well as they hope. This is no small

thing for those of us who have seen doc's who avert

their eyes and their efforts if we don't fit in their

current box.

Keep at it,

Jim

Message: 3

Date: Thu, 24 Mar 2005 04:01:17 -0000

From: " exiled2 " <exiled2@...>

Subject: feedback, please

Here's the story, and I'm hoping for your insights.

My daughter has had debilitating symptoms since she

was 13. Prior

to that, she'd had gastro symptoms since birth,

cognitive/emotional

stuff best described in retrospect as brain fog, yeast

infections

dx'd first at age 4. At age 10, she had an emergency

appendectomy

(nothing burst) that went south with post-operative

internal

bleeding that resulted in her having 4 pts of blood

transfused from

unknown sources. At 12 (Dec), she began reporting

dizziness. At

13, she had a hard fall on a gym floor that cracked

her coxxyx and

increased the dizziness intolerably (Dec the next

year). She began

having migraines, and was out of school for 6 weeks

with one that

couldn't be controlled until she was hospitalized in

May for

ergotamine, morphine, and who knows what else.

Migraines were

intermittent that summer, dx'd with orthostatic

intolerance in

Sept. In Oct, she developed intractable neck and back

pain, and our

PCP first said " fibromyalgia " to us in Nov.

Subsequent symptoms

have included excessive fatigue, poor sleep, IBS, VV -

the gamut.

We're in central PA, so there have been plenty of

opportunities for

Bb exposures. Naturally, nothing has come back

positive on the

normal tests run or mildly positive test results (e.g.

TSH) haven't

led to anything. Mild improvements associated with

guaifenesin.

So, we had a first visit to a Fibromyalgia and Fatigue

Center in

Pittsburgh today. These are the blood tests the dr.

there ordered:

ACE

ACTH

Aldosterone

Angiontensin II

AST/SGOT

B12

Cardio CRP

CBC w/diff

CMP

Cortisol Free

Cortisol Total

DHEA-S

Fibrinogen

Heave Metals Panel

Meoglobin

IGF-1

Insulin

Lipid Panel

Lipoprotein

Magnesium, RBC

NK Cell activity

Pregnenolone

PTT

Reverse T3

SHGB

T3, free

T4, free

Testosterone F & T

Thrombotic Marker Panel

Thyroglobulin

Thyroid Peroxidase AB

Total IGG/IGM/IGA

TSH receptor AB

TSh

Vitamin D Panel

Estradiol

FSH

LH

Progesterone

Prolactin

Somatostatin

Anti T3 AB

Anti T4 AB

Anti-TSH AB

RNASE-L Act

IGFBP-d

Babesia

Candida IgG/IgM/IgA

Chlamydia Pneum

CMV

CMV IgM

EBV early antigen

EBV panel

HHV6

Lym Disease IgG/IgM

Lyme Disease WB

Mycoplasma IgG

Mycoplasma IgM

He prescribed Xyrem and Nystatin for now, based on

symptoms. Gave

her an IV colloidal silver infusion, an IV cocktail

comprised of

unknown goodies, and an injection primarily of B12,

glutathione, and

other stuff.

She's in surprisingly good shape tonight, considering

the long drive

to get to Pitt from home and what she went through

today. He's

familiar with the MP. He's looking for Igenex Western

Blot results

before going to samento. Based on her symptoms, he's

especially

looking for her thyroid info.

So, does this seem to y'all as complete as it does to

me?

Thanks,

Val in PA

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