Agnes26

Absolutely. What a mess, and this poor girl is trapped in the middle.

I don't really know a ton about steroids as we didn't do the "confirming" burst for diagnosis. Dr. K diagnosed my daughter. He was worried she had a current infection, so he skipped the steroids and put her on antibiotics. Hopefully, someone else can answer your questions.

mpatti, so sorry he didn't have positive response to the steroids. Hang in there. Jenann, yes Augmentin ES is a suspension and is dosed 2x day.

Good luck. I hope it helps.

Dr. M had our DD on a pretty hefty dose of Augmentin 600 ES at 55 lb., but I can't tell you what would be right for your kiddo. As far as the taper would go, Dr. M's advice was to stay on the abx until symptoms remitted and then wait until summer break to begin scaling back on the dose. Dr. M has written a ton of medical papers. Have your doctor read those. There's also more info on PANDAS Network you can arm yourself with. http://pandasnetwork.org/treatments/antibiotics/

She is wrong. Dr. M tapers. Our ped has had my daughter on Augmentin for more than a year per Dr. M's counsel. I would fight like crazy to keep your kiddo on antibiotics and at a minimum run myco titers.

Our doctor did for my daughter. Her clock had everything jammed on the right.

Absolutely.

Get your doc to watch the grand round video!!It is meant for doctors anyway. Offer to pay him for an hour of his time to watch it! Excellent idea. Thank you. Tried to message you, but seems your mailbox is full?

We have used Clonidine for sleep with much success. ADHD meds (before PANDAS dx) were an unmitigated disaster.

It strikes a cord with me. Definitely. My daughter had a month where she alternated between a catatonic-like state and being feral. It was so bad, we didn't leave the house. She stopped talking, eating, bathing. She would cry over everything and nothing. IVIG brought her out of it. Afterward, she seemed weak and almost infantile like. If we went anywhere, I had to push her in a stroller. She was 7 at the time. She also drew a clock like Susannah. Immunomodulating treatments (IVIG and steroids) definitely help her, but they never last. Pow Pow, if I want to rule this out, what should I do? Call Duke? I've already implored our local neuro. We'll see if I get anywhere with that.

Great advice above. Hang in there kc35.

DD8 completed three weeks of intensive ERP at Rothman last fall with great results. She got the flu last spring, and after treating it medically, we have some residual OCD to knock out. I can't find anyone local, so back to Rothman we go. If you've done an intensive tune-up at Rothman, how many sessions did you do and how effective was it? Thanks!

Glad I'm not the only one who doesn't understand the flipping back the pages. I looked for it with HD IVIG #1 and never quite got a handle on what it meant exactly or if we were experiencing it. DD seemed much better on day 1, but not as great on day 2. Then seemed pretty good for a while until we dropped her abx down to prophylactic dose, at which point she tanked. With HD IVIG #2 it was immediate, noticeable improvement. We're about two weeks out. I have no idea what accounts for the difference. It was a higher dose 2 g/kg over two days versus 1.5, she has been on tx dose of Augmentin for a year, and we're pumping her full of ibuprofen. Hang in there.

I had my tonsils out this summer and couldn't take narcotics. They gave me panic attacks. Tylenol didn't touch the pain. My doctor OK'ed ibuprofen and it was a Godsend. It was a full two weeks of pretty intense pain, though. Keep your fluids up. I ate a lot of crushed ice. Good luck with your upcoming appointment.