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We are trying very hard to get this done at our Children's hospital. I

serve on the Family Centered care Committee there and hopefully in a few

months this will be the reality. I am sure that once we have it done there

would be no problem sharing it with others. Anne

----------

>

> Dear Anne,

> Again, more great ideas. Thanks. Maybe we could make up a prototype and

> give it to hospitals, regional centers, etc to give to patients who have

been

> newly diagnosed with chronic disorders. This way, other parents don't

have

> to reinvent our wheel!

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Ruth,

Don't feel inadequate. Most of these things came for me out of

necessity, not because I was creative or anything. Caitlin's early

years were quite complicated with many hospitalizations and many

emergencies, including trips to the hospital. It didn't take me long

to realize that life was so much simplier having all this done.

Jeannine

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Ruth,

Don't feel inadequate. Most of these things came for me out of

necessity, not because I was creative or anything. Caitlin's early

years were quite complicated with many hospitalizations and many

emergencies, including trips to the hospital. It didn't take me long

to realize that life was so much simplier having all this done.

Jeannine

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-

These are the medications that I have listed. The list grows as they discover

new meds that are not mito

friendly. There also may be others, but this is what I have listed:

Depakote (anticonvulsant)

Phenobarbital (anticonvulsant)

Chloramphenicol (antibiotic)

Tetracycline family (antibiotics)

Erythomycin, Biaxin family (antibiotics)

Propofol (anesthetic)

Amino glycosides (not sure what class these fall into)

Depolerizing muscle relaxants such as succinylcholine (anesthetic)

Holothane (anesthetic)

Enthrane (anesthetic)

Trovan (not sure on this one either)

The booklet " Mitochondrial and Metabolic Disorders, A Parent's Guide " is a

collection of the three

articles that appeared in Exceptional Parent. The other booklet is

" Mitochondrial and Metabolic

Disorders, A Primary Care Physician's Guide " . Hacker is the editor of

Exceptional Parent. I just

wrote to her and asked her for a copy of each. The address for Exceptional

Parent is 555 Kinderkamack

Road, Oradell, NJ 07649.

I hope this info is of use. Never hesitate to ask questions. We were all new to

all the mito stuff at one

time. We also still have questions too.

Laurie

Gee, I'll bet you all get *so* tired of repeating yourselves! But, I'm

> taking the risk here and asking: what are the Exceptional Parent booklets??

> I have recently subscribed but have no idea about the booklets.

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These are the medications that I have listed. The list grows as they discover

new meds that are not mito

friendly. There also may be others, but this is what I have listed:

Depakote (anticonvulsant)

Phenobarbital (anticonvulsant)

Chloramphenicol (antibiotic)

Tetracycline family (antibiotics)

Erythomycin, Biaxin family (antibiotics)

Propofol (anesthetic)

Amino glycosides (not sure what class these fall into)

Depolerizing muscle relaxants such as succinylcholine (anesthetic)

Holothane (anesthetic)

Enthrane (anesthetic)

Trovan (not sure on this one either)

The booklet " Mitochondrial and Metabolic Disorders, A Parent's Guide " is a

collection of the three

articles that appeared in Exceptional Parent. The other booklet is

" Mitochondrial and Metabolic

Disorders, A Primary Care Physician's Guide " . Hacker is the editor of

Exceptional Parent. I just

wrote to her and asked her for a copy of each. The address for Exceptional

Parent is 555 Kinderkamack

Road, Oradell, NJ 07649.

I hope this info is of use. Never hesitate to ask questions. We were all new to

all the mito stuff at one

time. We also still have questions too.

Laurie

Gee, I'll bet you all get *so* tired of repeating yourselves! But, I'm

> taking the risk here and asking: what are the Exceptional Parent booklets??

> I have recently subscribed but have no idea about the booklets.

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Laurie,

The trovan is liver toxic, even to healthy folks without mito it can cause a

problem. I also wondered if

there was something else about it that was bad for mito, as I had a very bad

experience with it, but I don't

have clarification on that.

amino glycocides are antibiotics I believe.

and one question for you: what have you heard about erythromycin? I hadn't

heard that.

I have heard to avoid gentamycin because of the potential for neuromuscular

blockade in susceptible

individuals.

I also heard that the part of augmentin that makes it last longer - the

clauvenic (sp?) acid, causes some

mito problems in some people.

Thanks for posting the list,

Jeannine

Laurie wrote:

> These are the medications that I have listed. The list grows as they discover

new meds that are not mito

> friendly. There also may be others, but this is what I have listed:

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Laurie,

The trovan is liver toxic, even to healthy folks without mito it can cause a

problem. I also wondered if

there was something else about it that was bad for mito, as I had a very bad

experience with it, but I don't

have clarification on that.

amino glycocides are antibiotics I believe.

and one question for you: what have you heard about erythromycin? I hadn't

heard that.

I have heard to avoid gentamycin because of the potential for neuromuscular

blockade in susceptible

individuals.

I also heard that the part of augmentin that makes it last longer - the

clauvenic (sp?) acid, causes some

mito problems in some people.

Thanks for posting the list,

Jeannine

Laurie wrote:

> These are the medications that I have listed. The list grows as they discover

new meds that are not mito

> friendly. There also may be others, but this is what I have listed:

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Anne-

Dr. Cohen added these to my list when I saw him. Of course, he was talking about

me and not others and I

have already had a bad reaction to the depolerizing anesthetics.

Thanks for reminding us that sometimes there aren't any choices and that some

people will be able to

tolerate them just fine.

Laurie

> Just food for thought but in serious infections you often can not get away

> without using the aminoglycosides. Typically when they figure out what

> bacteria a person is dealing with there is a list of a few antibiotics

> that it is sensitive to. Usually the doc will start with the least risky

> and work up.

>

> I know you all know this but I just wanted to remind that sometimes the

> choices are hard. We should have the knowledge of these drugs and their

> affect on mitochondria but also have to look at the situation and pick the

> " lesser of 2 evils " and the best course for our child/self/loved one.

>

> Same with propofol - our anesthesiologist bans it for my kids based on

> their individual issues, (lactic acidosis, receive intralipids) but he

> cautions us not to go around saying it is not good for people with Mito as

> the risk is virtually nil especially in less than 90 minute procedures.

>

> Anne - mom to Brittany, 12, Zachary, 7, Abigail, 6, and , 26 months

> mitochondrial encephalomyopathy - complex 1 and 4 RCD

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Anne-

Dr. Cohen added these to my list when I saw him. Of course, he was talking about

me and not others and I

have already had a bad reaction to the depolerizing anesthetics.

Thanks for reminding us that sometimes there aren't any choices and that some

people will be able to

tolerate them just fine.

Laurie

> Just food for thought but in serious infections you often can not get away

> without using the aminoglycosides. Typically when they figure out what

> bacteria a person is dealing with there is a list of a few antibiotics

> that it is sensitive to. Usually the doc will start with the least risky

> and work up.

>

> I know you all know this but I just wanted to remind that sometimes the

> choices are hard. We should have the knowledge of these drugs and their

> affect on mitochondria but also have to look at the situation and pick the

> " lesser of 2 evils " and the best course for our child/self/loved one.

>

> Same with propofol - our anesthesiologist bans it for my kids based on

> their individual issues, (lactic acidosis, receive intralipids) but he

> cautions us not to go around saying it is not good for people with Mito as

> the risk is virtually nil especially in less than 90 minute procedures.

>

> Anne - mom to Brittany, 12, Zachary, 7, Abigail, 6, and , 26 months

> mitochondrial encephalomyopathy - complex 1 and 4 RCD

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Anne-

Dr. Cohen added these to my list when I saw him. Of course, he was talking about

me and not others and I

have already had a bad reaction to the depolerizing anesthetics.

Thanks for reminding us that sometimes there aren't any choices and that some

people will be able to

tolerate them just fine.

Laurie

> Just food for thought but in serious infections you often can not get away

> without using the aminoglycosides. Typically when they figure out what

> bacteria a person is dealing with there is a list of a few antibiotics

> that it is sensitive to. Usually the doc will start with the least risky

> and work up.

>

> I know you all know this but I just wanted to remind that sometimes the

> choices are hard. We should have the knowledge of these drugs and their

> affect on mitochondria but also have to look at the situation and pick the

> " lesser of 2 evils " and the best course for our child/self/loved one.

>

> Same with propofol - our anesthesiologist bans it for my kids based on

> their individual issues, (lactic acidosis, receive intralipids) but he

> cautions us not to go around saying it is not good for people with Mito as

> the risk is virtually nil especially in less than 90 minute procedures.

>

> Anne - mom to Brittany, 12, Zachary, 7, Abigail, 6, and , 26 months

> mitochondrial encephalomyopathy - complex 1 and 4 RCD

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