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Dear Cooky, You are in my prayers. But I am waiting to hear from Ethel or

as you said. to decide whether you are in a TERRIBLE herx or

slipping. Will be sending you warm fuzzies and I am so sorry for your

pain. Love,

cooky wrote:

> Well I really hate to tell you all this but its been two minths and I'm

> sure now.My symptoms are retuning by leaps and bounds. At first I

> thought it was from wellbutrin that I started to take and then stopped

> (more on that later, I am on nothing now). Then I thought it was from

> the oral HGH i started taking (not taking it now). But my left wrist and

> hand and fingers are getting worse. Stiffness and pain in the middle

> nuckle of the middle finger mostly. Left knee feels like broken glass

> and all my muscles hurt. Shoulders feel out of joint. There is no

> swelling thou, but never was any before. I loose my balance at times

> again and my eyes water really bad again. Ankles are stiff and loose all

> at once. Funny pains are moving around the joints of my body just like

> when this first started.

>

> I am still on Minocin 100mgms MWF twice a day. And Clindy IV's weekly.

> I'm not taking any NSAIDs but lots of supplements that I won't go into

> here. Acidophilis definately along with diflucan and grapefruit extract

> if necessary. I never stopped any of my meds. If this is a flare it

> sure is lasting a long time and really feels like its just starting

> instead of a year into remission. I have been on AP 3 years this October

> 19th and in remission since last September. I have never followed the

> diet very closely but I do try to watch sugar, chocolate and birthday

> cake. Had none of these when it started.

>

> Needless to say I am scared and would love any input especially from

> Ethel or Chris.

>

> cooky

>

>

> To unsubscribe, email: rheumatic-unsubscribeegroups

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Cooky.....I know we can all sympathize with you and hurt for you too. What

does your doctor have to say about this? Just curious.

Maybe it IS a herx...that's always a possibility. Hang in there (I know

easier said than done)...if you were in remission once for that long, it CAN

happen again.

Judy (Keels)

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Cooky,

I'm so sorry to hear that you are having such a bad time--it must be

extra-hard after feeling so good. Remember that we with RA are more

susceptible to septic arthritis? I am thinking of how you had some surgery

done a few months ago. Surgeries and the possibility of iatrogenic

infections always scare me...I know they can develop up to a year after

joint surgeries, but am not sure if this applies to other surgeries. One

possibility to ask the doc about. I would also ask the doc about the

possibility that the anti-depressants kicked something off. Wasn't there

some info posted recently from Dr. Nicolson' ssite about how these meds can

interfere with the antibiotics?

Have you ever been on a higher dose of minocin? Ever tried one of the

other antibiotics?

I hope you find some answers soon. {{{{{{{{{{{Cooky}}}}}}}}}}} Liz G

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Dear Cooky,

I'm sorry you're feeling lousy. It could be a 'two steps backwards'

but here is list of things to check at this point:

a) run your lab tests again and see if there is any improvement - if so,

your symptoms will probably improve again.

B) it might be time to switch antibiotics.

c) try one antibiotic in the morning and a different one at night, or

sequence them taking one for six weeks and then switching to another for

six weeks.

d) look for other infections in the sinuses, allergies, root canals,

intestinal tract, etc. that may be impeding your progress and must be

addressed. Can you have a candida and leaky gut test done again? Leaky

gut, which often causes backsliding, can be treated with l-glutamine.

e) have you had a recent ASO test done for streptococcus? The organism

tends to reoccur and needs to be eradicated.

f) you might need intravenous immunoglobulin.

g) have you had the complete panel done for all mycoplasma?

h) diflucan is pretty toxic stuff if you're taking it regularly and might

be contributing to a gut problem. Olive leaf and grapefruit seed extract

are better choices.

See if you can find anything in the list that you can check. I know how

you feel as Janene slid backwards at about the same point as you are. She

ended up staying on minocycline and swapping the clindamycin IVs

for oral clarithromycin on Dr. Chiu's suggestion. I'm not suggesting that

is the answer for you, but some adjustment of the therapy might be needed

at this point.

Let us know how you get on and I hope you feel better soon,

Chris.

On Mon, 2 Oct 2000, cooky wrote:

> Well I really hate to tell you all this but its been two minths and I'm

> sure now.My symptoms are retuning by leaps and bounds. At first I

> thought it was from wellbutrin that I started to take and then stopped

> (more on that later, I am on nothing now). Then I thought it was from

> the oral HGH i started taking (not taking it now). But my left wrist and

> hand and fingers are getting worse. Stiffness and pain in the middle

> nuckle of the middle finger mostly. Left knee feels like broken glass

> and all my muscles hurt. Shoulders feel out of joint. There is no

> swelling thou, but never was any before. I loose my balance at times

> again and my eyes water really bad again. Ankles are stiff and loose all

> at once. Funny pains are moving around the joints of my body just like

> when this first started.

>

> I am still on Minocin 100mgms MWF twice a day. And Clindy IV's weekly.

> I'm not taking any NSAIDs but lots of supplements that I won't go into

> here. Acidophilis definately along with diflucan and grapefruit extract

> if necessary. I never stopped any of my meds. If this is a flare it

> sure is lasting a long time and really feels like its just starting

> instead of a year into remission. I have been on AP 3 years this October

> 19th and in remission since last September. I have never followed the

> diet very closely but I do try to watch sugar, chocolate and birthday

> cake. Had none of these when it started.

>

> Needless to say I am scared and would love any input especially from

> Ethel or Chris.

>

> cooky

>

>

>

> To unsubscribe, email: rheumatic-unsubscribeegroups

>

>

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  • 9 years later...

There is a new type of MRI technology that seems to be all the buzz on

PubMed. This particular article can be downloaded for free:

1: Isr Med Assoc J. 2009 Mar;11(3):144-6.

MRI, not CT, to rule out recurrent cholesteatoma and avoid unnecessary

second-look mastoidectomy.

Migirov L, Tal S, Eyal A, Kronenberg J.

Department of Otolaryngology, Sheba Medical Center, Tel Hashomer and Sackler

Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. sabim@...

BACKGROUND: Aural cholesteatoma is an epidermal cyst of the middle ear or

mastoid

that can be eradicated only by surgical resection. It is usually managed with

radical or modified radical mastoidectomy. Clinical diagnosis of recurrent

cholesteatoma in a closed postoperative cavity is difficult. Thus, the accepted

protocol in most otologic centers for suspected recurrence consists of

second-look procedures performed approximately 1 year after the initial surgery.

Brain herniation into a post-mastoidectomy cavity is not rare and can be

radiologically confused with cholesteatoma on the high resolution computed

tomographic images of temporal bones that are carried out before second-look

surgery. OBJECTIVES: To present our experience with meningoceles that were

confused with recurrent disease in patients who had undergone primary

mastoidectomy for cholesteatoma and to support the use of magnetic resonance

imaging as more suitable than CT in postoperative follow-up protocols for

cholesteatoma. METHODS: We conducted a retrospective chart review of four

patients. RESULTS: Axial CT sections demonstrated a soft tissue mass in the

middle ear and mastoid in all four patients. Coronal reconstructions of CT scans

showed a tympanic tegmen defect in two patients. CT failed to exclude

cholesteatoma in any patient. Each underwent a second-look mastoidectomy and the

only finding at surgery was meningocele in all four patients. CONCLUSIONS:

Echo-planar diffusion-weighted MRI can differentiate between brain tissue and

cholesteatoma more accurately than CT. We recommend that otolaryngologists avoid

unnecessary revision procedures by using the newest imaging modalities for more

precise diagnosis of patients who had undergone mastoidectomy for cholesteatoma

in the past.

PMID: 19544702 [PubMed - indexed for MEDLINE]

For other interesting abstracts of new articles use this as your search query in

PubMed:

" MRI AND cholesteatoma " (without the quotes).

To get to PubMed:

http://www.ncbi.nlm.nih.gov/sites/entrez?db=PubMed & itool=toolbar

If they can show that this is just as accurate as a second-look surgery, imagine

not having to have a second-look surgery, eh? We may just have our first winner

of an award from the " Intergalactic Group of Cholesteatoma Haters! "

Matt

gingertosser23@... wrote:

>

>

> I have been told my Cholesteatome has grown back after 5 years, had a

> CT scan, radiologist wants me to have a MRI scan before surgery can go

> ahead, he is concerned about it being deep inside my inner ear. Anbody

> had a MRI before to see Cholesteatoma?

>

>

--

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MRI scan is normal, I had one prior to get my cholesteatoma removed and what you see if MRi's performed on TV they overate it, its basically the same as getting any other scan/x-ray.cholesteatoma From: gingertosser23@...Date: Wed, 7 Oct 2009 21:12:02 +0000Subject: Its back

I have been told my Cholesteatome has grown back after 5 years, had a CT scan, radiologist wants me to have a MRI scan before surgery can go ahead, he is concerned about it being deep inside my inner ear. Anbody had a MRI before to see Cholesteatoma?

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