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I did not have a herxheimer reaction. I think because

I caught mine very early. I have been on Cipro. I

started with doxy and then switched to Cipro. I did

see more improvements with Cipro. I have also been on

Maxaquin (same family as Cipro) and saw even more

improvements.

I'm currently on Biaxin and 98% my oldself. I

improved after switching to each of these.

I did try erthromycin and zithromax - neither of these

worked well for me.

B.

--- leslie@... wrote:

> I have been diagnosed over 5 years ago with

> psoriatic arthritis, and have

> been experiencing all the strange and perplexing

> array of its symptoms for

> over 10 years. I have tried everything, except

> minocin, including bee stings!

> I do not have the psoriasis that goes with the

> arthritis and look good on paper.

> I have had lots of intestinal problems, including

> amoebic dysentery, and other

> types of bacteria like klebsiella.

> I started on the minocin protocol about a month ago.

> Immediately my morning stiffness seemed to worsen,

> and the joint in my foot that had been swollen since

> May got intolerably swollen. Whereas I was getting

> relief from acupuncture

> treatments right into the affected toe, now the

> acupuncture was worsening my

> condition.

> My question is: Is this all to be expected with a

> herxheimer, or maybe I'm

> coincidentally getting worse. Has anyone had any

> experience with acupuncture

> worsening the herxheimer reaction?

> Also, I read on the website an interesting story by

> Kinghorn. He used

> Cipro with better results than tetracycline. Does

> anyone have any experience

> with this, and when would this be called for?

> Glad to be part of this support community.

>

>

<HR>

<html>

>

=====

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Hello ,

Your story is interesting. I have a couple of thoughts, and that is all

they are, so take for what they are worth. One is, what are they doing to

treat your amoebic dysentery which is a VERY serious infection indeed?

Also, what are they treating the other bacteria with????? There's no way

acupuncture is going to kill these very bad bacteria. And you may need to

find the best doc you can to treat these infections, as they are not common

in the US. My Mom developed Amoebic Disentery while living in Lima, Peru.

There were not many docs in the US who knew how to treat it.

My other comment is that tetracycline is NOT effective at all against

mycoplasma. Minocyn is not the same as tetracycline. As to Cipro, yes, it

very possibly would be more effective for some of us, as might a newer

antibiotic such as Zithromax or sparfloxacin. The trick is to take an

antibiotic that can get at infections which live INSIDE cells and to which

the bug has not grown resistant.

I hope this is helpful. Remember I don't know all you are taking, so I

could be offbase here.

a C.

> From: leslie@...

>

> I have been diagnosed over 5 years ago with psoriatic arthritis, and have

> been experiencing all the strange and perplexing array of its symptoms for

> over 10 years. I have tried everything, except minocin, including bee

stings!

> I do not have the psoriasis that goes with the arthritis and look good on

paper.

> I have had lots of intestinal problems, including amoebic dysentery, and

other

> types of bacteria like klebsiella.

> I started on the minocin protocol about a month ago. Immediately my

morning stiffness seemed to worsen, and the joint in my foot that had been

swollen since

> May got intolerably swollen. Whereas I was getting relief from

acupuncture

> treatments right into the affected toe, now the acupuncture was worsening

my

> condition.

> My question is: Is this all to be expected with a herxheimer, or maybe

I'm

> coincidentally getting worse. Has anyone had any experience with

acupuncture

> worsening the herxheimer reaction?

> Also, I read on the website an interesting story by Kinghorn. He

used

> Cipro with better results than tetracycline. Does anyone have any

experience

> with this, and when would this be called for?

> Glad to be part of this support community.

>

>

>

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Yet, I thought Dr. Brown originally treated with tetracyclines and had quite

a bit of success. Maybe they've lost their effectiveness over time?

Mark

Re: rheumatic Herxheimer

> From: a Carnes <paulajeanne@...>

>

> Hello ,

> Your story is interesting. I have a couple of thoughts, and that is all

> they are, so take for what they are worth. One is, what are they doing to

> treat your amoebic dysentery which is a VERY serious infection indeed?

> Also, what are they treating the other bacteria with????? There's no way

> acupuncture is going to kill these very bad bacteria. And you may need to

> find the best doc you can to treat these infections, as they are not

common

> in the US. My Mom developed Amoebic Disentery while living in Lima, Peru.

> There were not many docs in the US who knew how to treat it.

> My other comment is that tetracycline is NOT effective at all against

> mycoplasma. Minocyn is not the same as tetracycline. As to Cipro, yes,

it

> very possibly would be more effective for some of us, as might a newer

> antibiotic such as Zithromax or sparfloxacin. The trick is to take an

> antibiotic that can get at infections which live INSIDE cells and to which

> the bug has not grown resistant.

> I hope this is helpful. Remember I don't know all you are taking, so I

> could be offbase here.

> a C.

>

> > From: leslie@...

> >

> > I have been diagnosed over 5 years ago with psoriatic arthritis, and

have

> > been experiencing all the strange and perplexing array of its symptoms

for

> > over 10 years. I have tried everything, except minocin, including bee

> stings!

> > I do not have the psoriasis that goes with the arthritis and look good

on

> paper.

> > I have had lots of intestinal problems, including amoebic dysentery, and

> other

> > types of bacteria like klebsiella.

> > I started on the minocin protocol about a month ago. Immediately my

> morning stiffness seemed to worsen, and the joint in my foot that had been

> swollen since

> > May got intolerably swollen. Whereas I was getting relief from

> acupuncture

> > treatments right into the affected toe, now the acupuncture was

worsening

> my

> > condition.

> > My question is: Is this all to be expected with a herxheimer, or maybe

> I'm

> > coincidentally getting worse. Has anyone had any experience with

> acupuncture

> > worsening the herxheimer reaction?

> > Also, I read on the website an interesting story by Kinghorn. He

> used

> > Cipro with better results than tetracycline. Does anyone have any

> experience

> > with this, and when would this be called for?

> > Glad to be part of this support community.

> >

> >

> >

>

>

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>

> > From: MHOLMES@... (HOLMES, MARK T.)

> >

> > Yet, I thought Dr. Brown originally treated with tetracyclines and had

> quite

> > a bit of success. Maybe they've lost their effectiveness over time?

PJ replies:

> Yes, this is what I have read. When they test tetracycline against

> mycoplasma it is no longer effective. MInocyn is from the same family.

Also

> minocyn crosses the blood/brain barrier better. Many or most of us with

FMS

> or CFS have brain dysfunction which would suggest the infection is in our

> brain. So the minocyn makes sense for us. It is also the antibiotic

which

> has been used by the mainstream rheumatologists in research. I think

this

> is why so many of you with RA are being given minocyn while those of us

with

> FMS or CFS tend to be given a newer drug such as the cipro or zithromax.

> Just my guess on this.

> a C.

>

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Hi ,

I did Accupuncture before being diagnosed with RA. I actually started

with symptoms in th wrist he aways put the needle in an I thought accup

caused it.

As I started to treat with accup I noticed I was getting worse and the

needled hurt worse than ever. At one point I cried all during the

treatment because it hurt so bad. The doc suggested I might lay off a

few days. I think I scared him.

After I started to go into remission (1year later)) I went back for

aspecific neck pain and didn't feel the needles at all and had success

with the treatment.

cooky

leslie@... wrote:

>

> From: leslie@...

>

> I have been diagnosed over 5 years ago with psoriatic arthritis, and have

> been experiencing all the strange and perplexing array of its symptoms for

> over 10 years. I have tried everything, except minocin, including bee stings!

> I do not have the psoriasis that goes with the arthritis and look good on

paper.

> I have had lots of intestinal problems, including amoebic dysentery, and other

> types of bacteria like klebsiella.

> I started on the minocin protocol about a month ago. Immediately my morning

stiffness seemed to worsen, and the joint in my foot that had been swollen since

> May got intolerably swollen. Whereas I was getting relief from acupuncture

> treatments right into the affected toe, now the acupuncture was worsening my

> condition.

> My question is: Is this all to be expected with a herxheimer, or maybe I'm

> coincidentally getting worse. Has anyone had any experience with acupuncture

> worsening the herxheimer reaction?

> Also, I read on the website an interesting story by Kinghorn. He used

> Cipro with better results than tetracycline. Does anyone have any experience

> with this, and when would this be called for?

> Glad to be part of this support community.

>

>

>

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>> I have been diagnosed over 5 years ago with psoriatic arthritis, and have

>> been experiencing all the strange and perplexing array of its symptoms for

>> over 10 years. I have tried everything, except minocin, including bee

>> stings! I do not have the psoriasis that goes with the arthritis and look

>> good on paper. I have had lots of intestinal problems, including amoebic

>> dysentery, and other types of bacteria like klebsiella

:

I don't believe you can by definition have psoriatic arthritis if you don't

have psoriasis. Reactive arthritis and psoriatic arthritis can be very

similar in their musculoskelatal manifestations, but ReA is caused by

urinary or intestinal infections SUCH AS THE ONES YOU MENTION! If you still

have those active infections, they must be treated. If they don't any longer

show up on stool tests, they may still be around but undetectable.

I have had ReA 11 years, and have been on mino 5 weeks. I have only had mild

flares popping up in different spots, not a major Herx. I am generally

feeling better already.

I would guess your flares are Herx reactions, and the acupuncture is just

provoking even worse Herxing.

Dr. Brown used ice to help with increased swelling during the Herx period,

the rheumatic.org site has more suggestions, esp. baths with peroxide and

Epsom salts.

It sounds like the minocin is kicking in, but I am concerned that all the

gut bugs you have had may still need to be addressed. If mino alone doesn't

do it, you may need to have additional antimicrobials.

Jean

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>My other comment is that tetracycline is NOT effective at all against

>mycoplasma.

I have to question this statement as tetracycline made some very definite

improvements for me in the first year. I have not had the mycoplasma PCR

tests, due to financial/insurance problems, but definitely had some in vivo

results in my own case in symptoms that had been troubling me for most of my

lifetime. Some strains may have developed resistance, and I have not had

complete, sustained remission, but I feel personally that it can be

effective to some degree. Check out the article I posted on Sunday from a

Medline search for some more detailed info on antibiotic sensitivities.

What works for one, may not work for all, but I would be cautious of

making sweeping generalizations that may discourage others from trying a

treatment that may hold benefits from them. I was not able to afford

minocin when I first started this treatment, and when later I did have the

funds to try it, I was not able to take it because of a sensitivity. If I

had believed that the tetracycline held no benefits, I may not have tried it

at all, and would still be plagued by 3-hour long morning stiffness, extreme

fatigue, severe sleep disturbance, and pain in all the joints of my feet and

hands, lower back and neck, and hips. I still have all of these symptoms,

but in far fewer joints than before, and the systemic symptoms to a much

lesser degree. Simple tetracycline hydrochloride may not have offered me a

complete remission, but I am very grateful for the relief it did bring, and

am able to work a little part-time form home, which was impossible for me

before. It also gave me several months of the best time, quality of life

and health-wise, in my life!!-before the benefits seemed to plateau. Keep in

mind also that the tetracyclines, specifically doxycycline, have been shown

in studies to be helpful in preventing cartilege degradation which is

important to those of us with arthritis, as well.

I hope I can get the more expensive antibiotics, if I can get my doctor

and government insurance to go along with it, to try and wipe out the

remaining disease activity. Nonetheless, though, I am VERY grateful to Dr

Brown for his work with tetracyclines, and the benefits it has brought to my

life, and would urge anyone who cannot get or afford the other antibiotics

to give it a try to see if it helps you. Sincerely, Liz G

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Sounds like its probably a herxheimer. I got really worse too when I

started. I think the road back website has info on herx vs. flare. You

might check it out.

I hope you feel better soon, and congrats on starting.

We're rooting for you.

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And yet there are many people here with severe RA, psoriatic arthritis etc.

using tetracycline because it is cheaper and who are doing very well.

Minocycline is generally preferred, however, because it has better

cell-penetrating capabilities and stays in the tissues longer - minocycline and

doxycycline are also tetracyclines, later versions - all work for this therapy.

Chris..

> Yes, this is what I have read. When they test tetracycline against

> mycoplasma it is no longer effective. MInocyn is from the same family.

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thanks for this note. I am wondering who on the list is actually

using tetracycline? Many have said they are using doxycycline and

minocycline. Is anyone taking actual orginal tetracycline?

a C.

> From: cadlard@...

>

>

>

> And yet there are many people here with severe RA, psoriatic arthritis

etc.

> using tetracycline because it is cheaper and who are doing very well.

> Minocycline is generally preferred, however, because it has better

> cell-penetrating capabilities and stays in the tissues longer -

minocycline and

> doxycycline are also tetracyclines, later versions - all work for this

therapy.

>

> Chris..

>

>

>

> > Yes, this is what I have read. When they test tetracycline against

> > mycoplasma it is no longer effective. MInocyn is from the same family.

>

>

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  • 1 year later...

Dear Friends,

What have been your experiences with herxes, and how long do they last?

What do you do to feel better and to cope?

For a little over a week I got off the two-abx combo (erithro and doxy)

and stayed on the erithro w. plaquenil, but, after feeling a little

better, my symptoms basically didn't change. Two days ago my non LLMD

primary care doc said to go back on the doxy, since that's what the LLMD

had said to do. I am going back on it at half strength and building up.

I feel like a truck hit me; muscle aches; headache; weakness. I am

also very, *very* pale all the time (unusual). I've had this since Nov. 9

when I added the doxy to my erithro/plaquenil. My primary care doc

decided this was NOT the flu, but a " flare " of my underlying condition.

He didn't seem too familiar w. herxes, though.

What do you do to get thru it? How long does it last? Also, do you start

feeling blue? I can't tell if I feel blue bec. of feeling sick, or if it

is part of the herx.

Thank you for your response and support. Healing to all.

Sincerely,

Marie

ill since 1994

dxed CFS

dxed Lyme Dec. 1999

been on plaquenil and erithro

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  • 4 years later...
Guest guest

I vote that we stick to the official definition of herx, as Barb

often cites. Perhaps she could put it in the files section for us.

It's a specific reaction that occurs when gram negative bacteria

die. It usually occurs within a certain time frame. She posts it all

the time, but people disregard it and continue to call every kind of

adverse symptom and reaction a " herx " .

This word is quickly gaining mass acceptance, even as it's being

used incorrectly. Personally, I think it's dangerous to call

everything a herx and believe we should find some better, more

accurate way to describe various reactions, because if we don't,

some people could die thinking they're having a " herx " , rather than

getting to the doctor or hospital where they belong.

Generalized definitions lead to sloppy analysis of what's really

happening to us. It's become very popular, in the mainstream, to

call everything a " herx " , but it's not the case in the scientific

literature with full time researchers or infectious disease

specialists.

penny

> Herxheimer or not herxheimer ?

> Mayby tony has a point here.

>

> The name is not a very productive name when trying to figure out

what happens.

> People can die of a herxheimer, and you can't cure a herx.

> Or you just get a red mark on the upperpart of the body....

whatever.

>

> If you do an abx and recognize that you get reaktions and call

that a herx, what is that meaning ?

> When is a herx a mere reaktion and when is it life treatening ?

>

> I suggest our discussions here require a more pricise language !

> I don't have any answer what to use, maybe Tony has some ideas.

>

> --

> Per Sjöholm

> Stockholm, Sweden

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Guest guest

Maybe it IS a herx, and, maybe it ISN'T a herx, but what does it

really matter? Many here (myself included) started out fighting our

disease with cell wall synthesis inhibiting abx, which did

absolutely NOTHING. It was not until it was realized that we must

take the other kind of abx(protein synthesis inhibiting)did we make

any kind of progress at all. And it must be long term. The fact is,

if you take a cwi abx and don't feel a thing or any kind of

improvement, your not hitting anything. But, if you take psi abx and

feel explosions, HELLO, you're hitting something. For instance, I

went in to see my doctor after taking mino for two months. I told

her about all the excacerbated pain at the infection focal point

about an hour or two after each dose. Her response was, " we're

hitting SOMETHING " ! Some herxes won't show up until many months

later. After taking psi abx for about 7 months, I started having

post dosage pain in my right shoulder. It was the same type of pain

I had endured for months in my left should and that had gone away-

cured on that side. The excact pain pattern is occurring on the

other side, but took longer to begin. Only explanation, disease was

likely more longstanding on the other side.

> Herxheimer or not herxheimer ?

> Mayby tony has a point here.

>

> The name is not a very productive name when trying to figure out

what happens.

> People can die of a herxheimer, and you can't cure a herx.

> Or you just get a red mark on the upperpart of the body....

whatever.

>

> If you do an abx and recognize that you get reaktions and call

that a herx, what is that meaning ?

> When is a herx a mere reaktion and when is it life treatening ?

>

> I suggest our discussions here require a more pricise language !

> I don't have any answer what to use, maybe Tony has some ideas.

>

> --

> Per Sjöholm

> Stockholm, Sweden

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Guest guest

I feel I missed part of the main point, which is when a alleged herx

is life threatening. Whether the life threatening symptom is a herx

or a reaction to medication, they would both be a result of the

medication. How can the difference be found? If the answer was

known, what would it matter. The patient should be quickly taken off

of the medicine anyway. Another medicine could be resumed, if the

same thing occurs, the same actions must be repeated. Resumtion can

then be made with either drug at lower doses. Something similiar

happened to my wife. We took her to the emergency room for heart

pain. She was on doxy. In this case it was determined at the

hospital that her severe heart pain was NOT due to the heart being

in distress. We were told that she was in great health and they

didn't know why she had pain. They scoffed at the doxy/herx theory.

I felt like a dumbshit for even suggesting the theory, and got

plenty of looks like " who are you, we're the docs? " . When she

stopped the doxy the pain stopped. I think I read somewhere that the

first major area of herxing can be in the heart. I had heart pain

very early in my treatment, and it was over rather quickly, which

only makes sense as there is a lot of blood flow there and mic would

tend to be high there.

> > Herxheimer or not herxheimer ?

> > Mayby tony has a point here.

> >

> > The name is not a very productive name when trying to figure out

> what happens.

> > People can die of a herxheimer, and you can't cure a herx.

> > Or you just get a red mark on the upperpart of the body....

> whatever.

> >

> > If you do an abx and recognize that you get reaktions and call

> that a herx, what is that meaning ?

> > When is a herx a mere reaktion and when is it life treatening ?

> >

> > I suggest our discussions here require a more pricise language !

> > I don't have any answer what to use, maybe Tony has some ideas.

> >

> > --

> > Per Sjöholm

> > Stockholm, Sweden

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Guest guest

It does matter.

Because if it's true herx, as accepted by the definition, it means

the immune system has all systems GO. The immune system is reacting

violently, to the huge immediate influx of toxins gievn off when

gram negative bacteria die. It can be life threatening. And it only

happens when a gazillion bacteria die and it's a systemic response.

I think there just isn't a word or definition for what happens

when locally (meaning not a many localtions at once) dieing gram

neagtive bacteria given off LPS, and the immune system responds

locally. You can have localize die-off, and they body responds to

that, and you may feel bad (i.e. head ache, gut ache, joint pain -

but the other components are missing.. i.e. high fever indicating

the body's reacting systemically.

Previous posters are very correct when they say most Drs. do not

understand herx- nor will they ever see a case, and probably if they

did they would not recognize it.

And I think (and I'm interpreting again here) that Tony disregards

it, becuase the response doesn't clear the bacteria.. well.. the

response isn't to live bacteria- or to clear the live bacteria it's

chemicals made by the immune system to dead and dieing bacteria's

chemicals and the products they produce as they're dieing en masse.

(If a large load of Candia die- we feel crappy- but threat of death

insn't in the equation - and that's called die-off response-not

herx.)

As far as the localized die-off response in Lyme (what ever we

decide to call it) I always still pulled back the abx and let it die

down... We don't keep driving our cars till they break- letting the

oil get sludgy or ignoring squealing break pads.

..... and if we're wrong in our assessment- and it's a drug adverse

response- or drug drug adverse reaction, I'd think you'd want to

correct that also.

I guess the whole point of this discussion is 2 fold- what's herx

and what isn't- and do you tough it out when on abx or multiple abx-

and grit your teeth and bear it, or do you back off and regroup when

the couch starts looking like where you'll end up.

I think there's enough people on these lists to realize that there

are plenty of people who've been on various abx for months running

and have not gotten better. That's why we're here, and that's why we

try different protocols.

And finally - IMO there is a difference in the way we wage war on

these bugs to take back our bodies - on whether the majority of bugs

are gram positive, fast replicating, fast mutating, and fast in

building resistance, whether they're in the blood or intrcellular and

Gram neative bacteria, which replicate much slower, can evade the

immune system, can go dormant for long periods of time and also

whether they're incracellular... and probably how robust (or not) our

immune systems are.

Good discussion though, because I think some where some time-

someone will name and recognize the response we're talking about -

maybe it'll be called peri-herx.

Barb

> > > Herxheimer or not herxheimer ?

> > > Mayby tony has a point here.

> > >

> > > The name is not a very productive name when trying to figure

out

> > what happens.

> > > People can die of a herxheimer, and you can't cure a herx.

> > > Or you just get a red mark on the upperpart of the body....

> > whatever.

> > >

> > > If you do an abx and recognize that you get reaktions and call

> > that a herx, what is that meaning ?

> > > When is a herx a mere reaktion and when is it life treatening ?

> > >

> > > I suggest our discussions here require a more pricise language !

> > > I don't have any answer what to use, maybe Tony has some ideas.

> > >

> > > --

> > > Per Sjöholm

> > > Stockholm, Sweden

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Guest guest

> It does matter.

> Because if it's true herx, as accepted by the definition, it means

> the immune system has all systems GO. The immune system is

reacting

> violently, to the huge immediate influx of toxins gievn off when

> gram negative bacteria die. It can be life threatening. And it

only

> happens when a gazillion bacteria die and it's a systemic response.

Herx vs an incompetent detoxification system....I also " react " to

most antibiotics and so have been trying to figure this one out.

I believe I found the following in an FAQ section of Roadback or

Rheumatic (), anyway, measurements to differentiate:

Herx:

increased WBC

Increased ESR

increased gamma globulin

increased total globulin

decreased serum albumin

decreased hct

Flare:

decreased WBC

increased ESR

Allergy:

increased eosinophils

" The above Herx indicators reflect increased intense reaction pattern

to anti-L substances. Dying gram -ve bacteria produce LPS

(lipopolysaccharides) which trigger cytokine production causing

symptoms. LPS is fat soluble, glutathione detoxes LPS to water-

soluble form, allowing excretion by the kidneys. If LPS is not

eliminated, it is then recycled causing a continuous cytokine

cascade. "

robyn

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A sticking point:

By " sticking to the official definition " of reactions when gram neg

bacteria are killed, you run into a wee problem. Namely, you omit

the J-H reaction WELL DOCUMENTED IN THE LITERATURE with regard to

both syphillis and Bb. Spirochetes can't be gram-stained.

> > Herxheimer or not herxheimer ?

> > Mayby tony has a point here.

> >

> > The name is not a very productive name when trying to figure out

> what happens.

> > People can die of a herxheimer, and you can't cure a herx.

> > Or you just get a red mark on the upperpart of the body....

> whatever.

> >

> > If you do an abx and recognize that you get reaktions and call

> that a herx, what is that meaning ?

> > When is a herx a mere reaktion and when is it life treatening ?

> >

> > I suggest our discussions here require a more pricise language !

> > I don't have any answer what to use, maybe Tony has some ideas.

> >

> > --

> > Per Sjöholm

> > Stockholm, Sweden

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Guest guest

Barb

when you suffer from fibromyalgia and hit the hospital; system

violently ill 50 times you like to actually get a very good

understanding of what is going on. Also having done 20 plus blood

cultures you realise this suffering maybe has nothing to do with

gram negatives-you will also find the gram negative bacteria can be

harder to kill. You have pseudonomads a gram negative that is

resistant to about 90 out of the 100 antibiotic groups.Doing correct

therapy covering all your pathogens see's NO SURPRISE REACTIONS.

Piddling around with single therapy see's hundreds of reactions that

absolutely fit the criteria of herx yet they get stopped when you

introduce more drug. I'm sorry I was fortunate to have the

antibiotics to experiment with but feeling shocking on mino and

adding another to stop the bad feeling needs explanations. 2 hours

later the herxing process would start again add another mino and the

process would stop.

The other irony is that we lost focus on inflammation, we all got a

better understanding of suffering out of control inflammation and we

have become another same old same old forum focusing on the wives

tales stuff and pumping out the literature rehatched many times over.

I was graphing my swings in my blood counts and actually working

with my doctor on this simple correct science to say this is an

infection and this is the infective agent.When you red cells reach

low levels this can mean this, this, and this.I have no problem

getting anything from my doctor because I practise

commonsense.Unfortunately because he kmnows the system sucks he

can't scream and yell at his colleagues to treat me against the

grain of medicine.

tony

-- In infections , " Barb Peck "

<egroups1bp@y...> wrote:

> It does matter.

> Because if it's true herx, as accepted by the definition, it means

> the immune system has all systems GO. The immune system is

reacting

> violently, to the huge immediate influx of toxins gievn off when

> gram negative bacteria die. It can be life threatening. And it

only

> happens when a gazillion bacteria die and it's a systemic response.

>

> I think there just isn't a word or definition for what happens

> when locally (meaning not a many localtions at once) dieing gram

> neagtive bacteria given off LPS, and the immune system responds

> locally. You can have localize die-off, and they body responds to

> that, and you may feel bad (i.e. head ache, gut ache, joint pain -

> but the other components are missing.. i.e. high fever indicating

> the body's reacting systemically.

>

> Previous posters are very correct when they say most Drs. do not

> understand herx- nor will they ever see a case, and probably if

they

> did they would not recognize it.

>

> And I think (and I'm interpreting again here) that Tony

disregards

> it, becuase the response doesn't clear the bacteria.. well.. the

> response isn't to live bacteria- or to clear the live bacteria

it's

> chemicals made by the immune system to dead and dieing bacteria's

> chemicals and the products they produce as they're dieing en masse.

> (If a large load of Candia die- we feel crappy- but threat of

death

> insn't in the equation - and that's called die-off response-not

> herx.)

>

> As far as the localized die-off response in Lyme (what ever we

> decide to call it) I always still pulled back the abx and let it

die

> down... We don't keep driving our cars till they break- letting

the

> oil get sludgy or ignoring squealing break pads.

>

> .... and if we're wrong in our assessment- and it's a drug adverse

> response- or drug drug adverse reaction, I'd think you'd want to

> correct that also.

>

> I guess the whole point of this discussion is 2 fold- what's

herx

> and what isn't- and do you tough it out when on abx or multiple

abx-

> and grit your teeth and bear it, or do you back off and regroup

when

> the couch starts looking like where you'll end up.

>

> I think there's enough people on these lists to realize that

there

> are plenty of people who've been on various abx for months running

> and have not gotten better. That's why we're here, and that's why

we

> try different protocols.

>

> And finally - IMO there is a difference in the way we wage war

on

> these bugs to take back our bodies - on whether the majority of

bugs

> are gram positive, fast replicating, fast mutating, and fast in

> building resistance, whether they're in the blood or intrcellular

and

> Gram neative bacteria, which replicate much slower, can evade the

> immune system, can go dormant for long periods of time and also

> whether they're incracellular... and probably how robust (or not)

our

> immune systems are.

>

> Good discussion though, because I think some where some time-

> someone will name and recognize the response we're talking about -

> maybe it'll be called peri-herx.

>

> Barb

>

>

>

> > > > Herxheimer or not herxheimer ?

> > > > Mayby tony has a point here.

> > > >

> > > > The name is not a very productive name when trying to figure

> out

> > > what happens.

> > > > People can die of a herxheimer, and you can't cure a herx.

> > > > Or you just get a red mark on the upperpart of the body....

> > > whatever.

> > > >

> > > > If you do an abx and recognize that you get reaktions and

call

> > > that a herx, what is that meaning ?

> > > > When is a herx a mere reaktion and when is it life

treatening ?

> > > >

> > > > I suggest our discussions here require a more pricise

language !

> > > > I don't have any answer what to use, maybe Tony has some

ideas.

> > > >

> > > > --

> > > > Per Sjöholm

> > > > Stockholm, Sweden

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Using the right term is VERY important.

And I AM talking about sticking to the J-H definition. Most aren't,

that's the problem, and as a result, we see people suffering through

all kinds of things that may have nothing to do with a Herx.

This became glaringly apparent with a recent protocol where people

were being told they were " herxing " , when in fact, they were having

severe reactions that have nothing to do with the J-H definition, OR

they were having completely unrelated health issues, which may or

may not have been triggered by the protocol they were trying

desperately to stick with.

This idea is promoted heavily that the only way people can gauge

improvement is if they " herx " With no idea of what that means,

because the term is used incorrectly. People seem to think it means

feeling really crappy for a long time, which isn't right. So people

who are suffering and sick are still reporting " great effects " of

various protocols simply because they feel crappy, when they don't

know for certain if they're responding well or actually responding

badly. And then other people sign on, because someone feels like

crap on a protocol??? What's wrong with this entire scenario?

I was on months of i.v. abx. I either felt nothing, or I felt

massive improvements (with minor discomfort) or I had very bad

reactions to certain drugs, one of which I'm positive was simply a

bad drug reaction (identified side effects), not a " herx " . Even if

it were in fact a " herx " , the drug felt like it was going to kill

me, so I had to stop it.

This idea that proliferates across these boards, that you're doing

the right thing ONLY if you're " herxing " (i.e. feeling really bad)

is very misleading, and could be dangerous to people's health.

penny

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Dura:

If you research what is known about Bb you'll find it's classified

as a gram negative bacteria, although yes- it's also does also have

the properties of gram positive..

When ever I have talked about Herx in the past (and maybe you

weren't on line then) I have have compared out of control herx (and

it's subsequent chemistry) to sepsis, and there can be sepsis with

either Gneg and Gpos. Spesis is another immune response you can die

from.

Medicine is an INexact science- and for most terms there is always

an exception to the rule. I'm not defending convention medicine

(although I'm chuckling a bit here as I say this- it sounds like I

am )

but there are groups of symptoms (with CBC diff data) that

are 'named' in the literature.

The definition of herx is one I happen to think is correct.

The definition of 'infection' is another I think is correct.

Now.. if we were talking about Lupus/Sarc/alzheimers/ALS I'll

probably take the position they are not diseases, but symptoms of

infection.. and I'll have a passel of people arguing with me

on that.

I have read a very good paper that presents data that opsA in late

Lyne can cause a localized inflammtion in an already systemically

inflammed body... say a joint.. But I don't call that pain a herx.

I am perfectly willing to change my mind if someone presents

some data the challenges the accepted definition of the

JH reaction.

Barb

An example course the autoimmune diseases are 'names' for symptoms

too..

> > > Herxheimer or not herxheimer ?

> > > Mayby tony has a point here.

> > >

> > > The name is not a very productive name when trying to figure

out

> > what happens.

> > > People can die of a herxheimer, and you can't cure a herx.

> > > Or you just get a red mark on the upperpart of the body....

> > whatever.

> > >

> > > If you do an abx and recognize that you get reaktions and call

> > that a herx, what is that meaning ?

> > > When is a herx a mere reaktion and when is it life treatening ?

> > >

> > > I suggest our discussions here require a more pricise language !

> > > I don't have any answer what to use, maybe Tony has some ideas.

> > >

> > > --

> > > Per Sjöholm

> > > Stockholm, Sweden

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Robyn just posted the type of information information I'm

requesting. Robyn's information bloster's my view.

Let's see some information that argues that herx is occurring

when they have a low body temp, instead of a fever, and they have

suppressed WBCs, and not a count off the charts.

Barb

> > It does matter.

> > Because if it's true herx, as accepted by the definition, it means

> > the immune system has all systems GO. The immune system is

> reacting

> > violently, to the huge immediate influx of toxins gievn off when

> > gram negative bacteria die. It can be life threatening. And it

> only

> > happens when a gazillion bacteria die and it's a systemic

response.

>

> Herx vs an incompetent detoxification system....I also " react " to

> most antibiotics and so have been trying to figure this one out.

>

> I believe I found the following in an FAQ section of Roadback or

> Rheumatic (), anyway, measurements to differentiate:

>

> Herx:

> increased WBC

> Increased ESR

> increased gamma globulin

> increased total globulin

> decreased serum albumin

> decreased hct

>

> Flare:

> decreased WBC

> increased ESR

>

> Allergy:

> increased eosinophils

>

> " The above Herx indicators reflect increased intense reaction

pattern

> to anti-L substances. Dying gram -ve bacteria produce LPS

> (lipopolysaccharides) which trigger cytokine production causing

> symptoms. LPS is fat soluble, glutathione detoxes LPS to water-

> soluble form, allowing excretion by the kidneys. If LPS is not

> eliminated, it is then recycled causing a continuous cytokine

> cascade. "

>

> robyn

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Spirochetes are neither gram neg nor gram pos which is partly the

point I was making as correctly noted. The other aspect that I

was raising is that in the " standard " definition of J-H, it is the

endotoxin/LPS that *purportedly* plays a key role in the reaction in

the first place (in the case of truly gram neg bacteria).

Spirochetes don't have that LPS. Anyway, there is a fair amount of

controversy in the lit regarding the exact mechanism and cascades

involved in a J-H reaction -- part of that may arise from the fact

that spirochetes and gram neg bacteria differ in the LPS, and you

will be looking at somewhat different mechs in those two cases.

That is separate from the distinction between " herx " used by so many

folks to describe any crappy feeling they have in response to

antibiotics which is simply inaccurate.

> > > > Herxheimer or not herxheimer ?

> > > > Mayby tony has a point here.

> > > >

> > > > The name is not a very productive name when trying to figure

> out

> > > what happens.

> > > > People can die of a herxheimer, and you can't cure a herx.

> > > > Or you just get a red mark on the upperpart of the body....

> > > whatever.

> > > >

> > > > If you do an abx and recognize that you get reaktions and

call

> > > that a herx, what is that meaning ?

> > > > When is a herx a mere reaktion and when is it life

treatening ?

> > > >

> > > > I suggest our discussions here require a more pricise

language !

> > > > I don't have any answer what to use, maybe Tony has some

ideas.

> > > >

> > > > --

> > > > Per Sjöholm

> > > > Stockholm, Sweden

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<spam-barb@c...> wrote in part:

> Spirochetes are neither gram neg nor gram pos which is partly the

> point I was making as correctly noted. The other aspect that I

> was raising is that in the " standard " definition of J-H, it is the

> endotoxin/LPS that *purportedly* plays a key role in the reaction in

> the first place (in the case of truly gram neg bacteria).

> Spirochetes don't have that LPS. Anyway, there is a fair amount of

> controversy in the lit regarding the exact mechanism and cascades

> involved in a J-H reaction -- part of that may arise from the fact

> that spirochetes and gram neg bacteria differ in the LPS, and you

> will be looking at somewhat different mechs in those two cases.

Yes... to oversimplify and bracket out a bunch of unknowns that I am

not familiar with, I beleive LPS is thought to signal largely thru

binding to the human protein TLR-4, and spirochetal lipoproteins thru

binding TLR-2.

" In vivo, however, the absence of TLR2 does not prevent mice from

developing acute arthritis after infection with B. burgdorferi "

pubmedid=15155621

Anyways, the pathways downstream of there could be similar or broadly

overlapping. I dont know of evidence that the downstream immune

activation phenomena are significantly different, tho it certainly

could be so.

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Per

The week before you showed your pictures of your blood I was

describing how can your immune system work when on the freeway you

have a multicar pile up similar to your clumping red cells.The

ambulance can't get to the victims. I can't understand why people

don't just pay credit to facts like this which occur in many.Instead

they come out with 1000 reasons why our immune system isn't

working.add this take this away more of this less of that 5 years

and everyone puts there finger on a deficiency and it's supposed to

cause auto immune.

I believe that bacteria make adhesions for themselves to stick to

your cells and unfortunately when you have slime on one side of your

sinus there's no reason the disease doesn't also go inwards into

your bloodstream filling it with similar bacterial byproducts.Hence

red cell clumping in the presence of slimy by product.

Something to munch on. tony

> Herxheimer or not herxheimer ?

> Mayby tony has a point here.

>

> The name is not a very productive name when trying to figure out

what happens.

> People can die of a herxheimer, and you can't cure a herx.

> Or you just get a red mark on the upperpart of the body....

whatever.

>

> If you do an abx and recognize that you get reaktions and call

that a herx, what is that meaning ?

> When is a herx a mere reaktion and when is it life treatening ?

>

> I suggest our discussions here require a more pricise language !

> I don't have any answer what to use, maybe Tony has some ideas.

>

> --

> Per Sjöholm

> Stockholm, Sweden

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Penny wrote:

Even if it were in fact a " herx " , the drug felt like it was going to

kill me, so I had to stop it.

Penny, that is most unfortunate. Not that it felt like it was going

to kill you, but that you had to stop. I'm sorry, but I can't help

but wonder if you were turning off an excellent opportunity to herx

big rather than saving your life from an adverse reaction. Quite

possibly the big herx's would be the eventual life savers. I know

it's a difficult thing to do, and I may not know excactly how bad

you felt, so I won't pretend to know. I do know I read that the

worse the herx, the better your chances of getting better, so I

guess eventually you may have no other choice than to go ahead with

the extreme herx and hope that's what it is. When I took the large

doses of flagyl, I felt like I was burning myself up. I would do

this until my stomach could not hold it, and throw up. I was popping

3 milk thistle a day and drinking lot's of water and acidophilous

too. It's funny, because at the time I was convinced I was fighting

with an amoeba that doctors didn't know how to detect. Whatever it

was, it probably wasn't much different (as detectability goes).

About what I thought were herx's: my face and back would begin to

sweat, headache, dizzy, nauseous, severe pain. At my worst point, I

would pop a little extra antibiotic and an aspirin as an " in-your-

face " gesture to the bugs. I am very stubborn and defiant. All the

while calling on God for help. That can only help. The way I saw it,

if not here, then after I was dead.

> Using the right term is VERY important.

>

> And I AM talking about sticking to the J-H definition. Most

aren't,

> that's the problem, and as a result, we see people suffering

through

> all kinds of things that may have nothing to do with a Herx.

>

> This became glaringly apparent with a recent protocol where people

> were being told they were " herxing " , when in fact, they were

having

> severe reactions that have nothing to do with the J-H definition,

OR

> they were having completely unrelated health issues, which may or

> may not have been triggered by the protocol they were trying

> desperately to stick with.

>

> This idea is promoted heavily that the only way people can gauge

> improvement is if they " herx " With no idea of what that means,

> because the term is used incorrectly. People seem to think it

means

> feeling really crappy for a long time, which isn't right. So

people

> who are suffering and sick are still reporting " great effects " of

> various protocols simply because they feel crappy, when they don't

> know for certain if they're responding well or actually responding

> badly. And then other people sign on, because someone feels like

> crap on a protocol??? What's wrong with this entire scenario?

>

> I was on months of i.v. abx. I either felt nothing, or I felt

> massive improvements (with minor discomfort) or I had very bad

> reactions to certain drugs, one of which I'm positive was simply a

> bad drug reaction (identified side effects), not a " herx " . Even if

> it were in fact a " herx " , the drug felt like it was going to kill

> me, so I had to stop it.

>

> This idea that proliferates across these boards, that you're doing

> the right thing ONLY if you're " herxing " (i.e. feeling really bad)

> is very misleading, and could be dangerous to people's health.

>

> penny

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