Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Thank you Deepta, and , and Debbie. This is part of what I'm trying to say, and hopefully someone else will say it better. The incidence of duel diagnoses in Charge is 'statistically insignificant' from the known data. However, there can be a significant number of the properties of other diagnoses that do manifest in some Charge individuals, directly impacting their lives. Just because a child does not present with sufficient markers to be awarded a cocurrent diagnosis (lets say 8 out of 10 markers wins the diagnosis), and a child presents with only 6 markers, if we let that be the final word, we run the risk of closing the Big Door to a whole world of treatment modalities that could significantly improve the quality of life of our children. If someone saw these posts and said " Oh, I don't need to read that, my child doesn't have that " , they may just miss some important elements of allergy, digestion, and immune function that could be looked at and treated. And the REALLY BIG PAYOFF- is that effective treatments in these areas result in improved behaviors, for the very reasons Tim said. By eliminating the pain, the discomfort, the dis-ease in the physical body, the behaviors improve. Anyone who has ever been constipated even once in their lives knows that. ;-), and I don't even know how extreme a behavior might result from an ever-present antigen in the body. Information is our gate-way. The Charge profile isn't shrinking, it's expanding. And I believe we need to expand our knowledge base along with it. Every experience that every Charge family has ever had-good, bad, or indifferent; inside or outside the current definition of Charge, holds potential, immeasurable value. I totally don't understand how we find Charge in all its glory along with an intact CHD7. God love geneticists-what an incredibly complex and challenging science. I just hope and pray that we can talk about anything related to our children, and in depth, for the potential benefit of all. in Ma. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Hi, Here's is some interesting info about the JRA atleast in Amita's case.Amita is now 8 yrs. she was diagnosed when she was 3.5 and pretty much much in remission by 4.5 and weaned off meds soon after that. She was started on methotrexate/naproxen since the JRA had hit six joints and was fairly severe. She had lost movement in some. Amita had severe dairy allergy since birth but it was manifesting internally as hives in her eosophagus and mild ulcers and mild bleeding in her stoolswhich we missed. We had her on nutramigen and later pediasure but she was still allergic to the hydrolysed casein (in both of these), we did not know that.Anyway, I believe (not the doctors)that her system was fighting these allergies so hard all the time that slowly it turned on itself and manifested as JRA (autoimmune disease). Anyways, the naproxen she had with the methotrexate aggravated her ulcers (due to pediasure) bleeding and her hemoglobin dropped drastically. At that point I stopped all medication and we did a lot of tests etc.. long story longer a look in her eosophagus to see where the ulcers were showed the hives and a biopsy of the hives showed they were allergy hives and nothing else and that pointed to her diet as the meds were stopped. Changed her diet and back on metho minus naproxen and JRA was gone in a matter of months. She still has problem rotating her wrists etc all the way but the swelling etc.are gone. horrible that she had to undergo so much to find this simple allergy out.However, the docs still think that the metho was the magic for her but I strongly believe that figuring out the allergy was the key.she still gets checked for jra every year and her eyes (uveitis)every 4 mos just in case.Hope this info helps. Deepta > > Deepta: > > I've forgotten how old Amita is now. When was she diagnosed? And what > other meds did you attempt before settling with the methrotrexate? What was > their reasoning in starting that vs something like ibuprofen? They have not > wanted to use that with yet. She seems to be fairly controlled in > her JRA with just ibuprofen (400mg 3 times daily) so we are continuing that > avenue of treatments. We just started with a new Rheumatologist (first > appointment was Tuesday) and he seemed really pleased with the results of > the prior Rheuma. so far. There was no evidence of additional degeneration, > etc. based on xrays taken. He was going to order copies of her bloodwork > from the prior doc that was done in June. I haven't seen that report copy. > I did ask, and this doc stated that since ibuprofen is an NSAID medication, > it should halt the degenerative aspects and felt no need for another type of > medication/treatment. > > > > Friends in CHARGE, > > Marilyn Ogan > > Mom of (14 yrs, CHARGE+ JRA) > > Mom of Ken (17 yrs, Asperger's) > > Wife of Rick > > oganm@... > > _____ > > From: CHARGE [mailto:CHARGE ] On Behalf Of > deepta_69 > Sent: Thursday, January 04, 2007 4:49 PM > To: CHARGE > Subject: Tim Re:Antipsychotic Drugs > > > > Hi, > Can I ask you to post a link or details about the article linking > jra and charge. Amita has both,jra is under control for now.Changing > her diet along with some methrotrexate dramatically brought the jra > under control really fast.she is no longer taking any jra meds. > Thanks, Deepta > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Deepta: Wow! You are right: Certainly that was a lot to go through to find an allergy. I wonder if has any allergies we are not aware of? She doesn't seem intolerant of milk, and asks to have it all the time. In fact, she is drinking much more milk now than her Boost supplement. (We have that because of protein issues.) and I both fight sinus problems - not always an infection, but often swelling and pressure. I will state that both seem better since moving to the new house (May '06) and sometimes wonder what might have been in the house we rented prior to that. Interesting that Amita's JRA is considered in remission. I didn't realize it could actually be " gotten rid of " like that. Hopefully it will never return. 's rheumatologist mentioned having her eyes checked for irisitis. We have an appointment at the ophthalmologist soon, so will add that to the requests. I think I'll take a google at uveitis, too. Friends in CHARGE, Marilyn Ogan Mom of (14 yrs, CHARGE+ JRA) Mom of Ken (17 yrs, Asperger's) Wife of Rick oganm@... _____ From: CHARGE [mailto:CHARGE ] On Behalf Of deepta_69 Sent: Friday, January 05, 2007 9:34 AM To: CHARGE Subject: Tim Re:Antipsychotic Drugs/jra/rick Hi, Here's is some interesting info about the JRA atleast in Amita's case.Amita is now 8 yrs. she was diagnosed when she was 3.5 and pretty much much in remission by 4.5 and weaned off meds soon after that. She was started on methotrexate/naproxen since the JRA had hit six joints and was fairly severe. She had lost movement in some. Amita had severe dairy allergy since birth but it was manifesting internally as hives in her eosophagus and mild ulcers and mild bleeding in her stoolswhich we missed. We had her on nutramigen and later pediasure but she was still allergic to the hydrolysed casein (in both of these), we did not know that.Anyway, I believe (not the doctors)that her system was fighting these allergies so hard all the time that slowly it turned on itself and manifested as JRA (autoimmune disease). Anyways, the naproxen she had with the methotrexate aggravated her ulcers (due to pediasure) bleeding and her hemoglobin dropped drastically. At that point I stopped all medication and we did a lot of tests etc.. long story longer a look in her eosophagus to see where the ulcers were showed the hives and a biopsy of the hives showed they were allergy hives and nothing else and that pointed to her diet as the meds were stopped. Changed her diet and back on metho minus naproxen and JRA was gone in a matter of months. She still has problem rotating her wrists etc all the way but the swelling etc.are gone. horrible that she had to undergo so much to find this simple allergy out.However, the docs still think that the metho was the magic for her but I strongly believe that figuring out the allergy was the key.she still gets checked for jra every year and her eyes (uveitis)every 4 mos just in case.Hope this info helps. Deepta ___ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 OK, after googling, I see that iritis (I spelled that wrong in my last posting) is one form of uveitis. Uveitis was defined as any inflammation of the parts of the eye. (per my search on www.healthline) Friends in CHARGE, Marilyn Ogan Mom of (14 yrs, CHARGE+ JRA) Mom of Ken (17 yrs, Asperger's) Wife of Rick oganm@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Marilyn, My rheumatologist told me several years ago that RA goes into remission for some people up to 10years at a time and that for 50% of people it goes into remission ³forever². So...I guess there are always those possibilities and hope! Mine has definitely changed and he and I both consider it in remission because so many symptoms are just gone. Methotrexate? Yes, but I think the RA itself has changed, too pam > > > > > Deepta: > > Wow! You are right: Certainly that was a lot to go through to find an > allergy. I wonder if has any allergies we are not aware of? She > doesn't seem intolerant of milk, and asks to have it all the time. In fact, > she is drinking much more milk now than her Boost supplement. (We have that > because of protein issues.) and I both fight sinus problems - not > always an infection, but often swelling and pressure. I will state that > both seem better since moving to the new house (May '06) and sometimes > wonder what might have been in the house we rented prior to that. > > Interesting that Amita's JRA is considered in remission. I didn't realize > it could actually be " gotten rid of " like that. Hopefully it will never > return. > > 's rheumatologist mentioned having her eyes checked for irisitis. We > have an appointment at the ophthalmologist soon, so will add that to the > requests. I think I'll take a google at uveitis, too. > > Friends in CHARGE, > > Marilyn Ogan > > Mom of (14 yrs, CHARGE+ JRA) > > Mom of Ken (17 yrs, Asperger's) > > Wife of Rick > > oganm@... <mailto:oganm%40insightbb.com> > > _____ > > From: CHARGE <mailto:CHARGE%40yahoogroups.com> > [mailto:CHARGE <mailto:CHARGE%40yahoogroups.com> ] On Behalf > Of > deepta_69 > Sent: Friday, January 05, 2007 9:34 AM > To: CHARGE <mailto:CHARGE%40yahoogroups.com> > Subject: Tim Re:Antipsychotic Drugs/jra/rick > > Hi, > Here's is some interesting info > about the JRA atleast in Amita's case.Amita is now 8 yrs. she was > diagnosed when she was 3.5 and pretty much much in remission by 4.5 > and weaned off meds soon after that. > She was started on methotrexate/naproxen since the JRA had hit six > joints and was fairly severe. She had lost movement in some. > Amita had severe dairy allergy since birth but it was > manifesting internally as hives in her eosophagus and > mild ulcers and mild bleeding in her stoolswhich we missed. We had > her on nutramigen and later pediasure but she was still > allergic to the hydrolysed casein (in both of these), > we did not know that.Anyway, I believe (not the doctors)that her > system was fighting these allergies so hard all the time that > slowly it turned on itself and manifested as JRA > (autoimmune disease). Anyways, the naproxen she had > with the methotrexate aggravated her ulcers (due to > pediasure) bleeding and her hemoglobin dropped > drastically. At that point I stopped all medication > and we did a lot of tests etc.. long story longer a > look in her eosophagus to see where the ulcers were > showed the hives and a biopsy of the hives showed they > were allergy hives and nothing else and that pointed > to her diet as the meds were stopped. Changed her diet > and back on metho minus naproxen and JRA was gone in a > matter of months. She still has problem rotating her > wrists etc all the way but the swelling etc.are gone. > horrible that she had to undergo so much to find this > simple allergy out.However, the docs still think that the metho was > the magic for her but I strongly believe that figuring out the > allergy was the key.she still gets checked for jra every year and > her eyes (uveitis)every 4 mos just in case.Hope this info helps. > Deepta > ___ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Hi Marilyn, Uveitis is more correctly defined as inflammation of part or all of the " uvea. " So what exactly is the uvea? Think of the eyeball as having 3 layers. The outer layer is made of connective tissue, and includes the cornea and sclera. The inner layer is neural and is the retina. The middle layer is the uvea--it includes the iris, the ciliary body (produces the fluid which circulates inside the eye and is a muscle that controls focusing), and a highly vascular tissue called the " choriocapilaris " that's purpose is to nourish the outer retinal layers. Depending on which parts of the uveal tract is affected, there are different names. " Iritis " is inflammation localized to the iris, if the iris and cilliary body are affected then it's " iridocyclitis, " if just the choriocapilaris is inflammed it's " posterior uveitis, " if the entire uveal tract is affected it's called " pan uveitis. " Uveitis (often a specific type) is frequently seen in many different systemic inflammatory diseases--JRA, lupus, Chron's disease are just a few--so if a person has more than one episode of uveitis a blood work-up is done to rule these out. (mom to Evan 17.5 months, and an optometrist) Rick wrote: OK, after googling, I see that iritis (I spelled that wrong in my last posting) is one form of uveitis. Uveitis was defined as any inflammation of the parts of the eye. (per my search on www.healthline) Friends in CHARGE, Marilyn Ogan Mom of (14 yrs, CHARGE+ JRA) Mom of Ken (17 yrs, Asperger's) Wife of Rick oganm@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Pam: I thought I vaguely remembered you stating before that your RA was also “changed” or in remission. Glad to hear that. The problem we find with ’s JRA is that (and I guess this is typical of the juvenile variety) it is transitional or “moves” to different joints. We can never pinpoint exactly where she is effected at any one time until she has the inflammation/pain. One time it is her fingers. Another time it is her elbows or shoulders. Yet another time it is her toes. (Still waiting on the foot xray result to see if she might have – or had at some time - a fracture. The top of her left foot is always the first she complains about consistently if we miss any doses of ibuprofen or are late with it. I used to think it was her shoes and growth, but we have tried all types of shoes and try to stay on top of the need for bigger sizes.) She always gets the full look-over during any checkups. The rheumatologist noted (last Tuesday) that did have some stiffness in her ankles. That hasn’t been anything she’s complained about before, nor been noted on prior exams. No other clinical findings, so the ibuprofen appears to be helping overall. I guess we just keep treating it as we are – and not miss any doses! Wouldn’t it be nice to be in that 50%!?!?! I so wish that for you, Amita and . It would be nice if there was one less issue to cause pain. Friends in CHARGE, Marilyn Ogan Mom of (14 yrs, CHARGE+ JRA) Mom of Ken (17 yrs, Asperger's) Wife of Rick oganm@... _____ From: CHARGE [mailto:CHARGE ] On Behalf Of Pamela Sent: Friday, January 05, 2007 11:49 AM To: CHARGE Subject: Re: Tim Re:Antipsychotic Drugs/jra/rick Marilyn, My rheumatologist told me several years ago that RA goes into remission for some people up to 10years at a time and that for 50% of people it goes into remission ³forever². So...I guess there are always those possibilities and hope! Mine has definitely changed and he and I both consider it in remission because so many symptoms are just gone. Methotrexate? Yes, but I think the RA itself has changed, too pam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2007 Report Share Posted January 6, 2007 Marilyn, mine is the travelling kind, as well. The doctor calls it " pallindromic rheumatism " --pallindromic for " pallindrome " (words that are spelled the same back and forward). To be asssociated with RA it is because, for me, the pains starts in the right ankle, goes to the right knee, the right hip, the right shoulder, elbow, wrist, fingers then to the left side in the same pattern. Occasionally it starts in my big toe and/or bunion. The ankles have always been the starting point and in fact, were the diagnosing points. Each point gets red and hot and hurts to touch--not pleasant!!!! I use hot baths with epsom salts for relief as well. pam Re: Tim Re:Antipsychotic Drugs/jra/rick Marilyn, My rheumatologist told me several years ago that RA goes into remission for some people up to 10years at a time and that for 50% of people it goes into remission ³forever². So...I guess there are always those possibilities and hope! Mine has definitely changed and he and I both consider it in remission because so many symptoms are just gone. Methotrexate? Yes, but I think the RA itself has changed, too pam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2007 Report Share Posted January 6, 2007 Pam: Other than always complaining about the left foot, there doesn't appear to be a pattern to where/how it manifests. Good to know about the Epsom salt baths for relief if it gets really bad at times. Friends in CHARGE, Marilyn Ogan Mom of (14 yrs, CHARGE+ JRA) Mom of Ken (17 yrs, Asperger's) Wife of Rick oganm@... _____ From: CHARGE [mailto:CHARGE ] On Behalf Of pamela.ryan@... Sent: Friday, January 05, 2007 8:05 PM To: CHARGE Subject: RE: Tim Re:Antipsychotic Drugs/jra/rick Marilyn, mine is the travelling kind, as well. The doctor calls it " pallindromic rheumatism " --pallindromic for " pallindrome " (words that are spelled the same back and forward). To be asssociated with RA it is because, for me, the pains starts in the right ankle, goes to the right knee, the right hip, the right shoulder, elbow, wrist, fingers then to the left side in the same pattern. Occasionally it starts in my big toe and/or bunion. The ankles have always been the starting point and in fact, were the diagnosing points. Each point gets red and hot and hurts to touch--not pleasant!!!! I use hot baths with epsom salts for relief as well. pam Quote Link to comment Share on other sites More sharing options...
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