

simplygina
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Everything posted by simplygina
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My guess would be they would start with an SSRI. Then likely respirdal. Was it a migraine type thing? Sounds a lot like one. I've noticed that a lot of the kids with PANDAS have migraine type incidents. DS used to have them frequently. When we starting the magnesium supplements and cut out foods known to trigger migraines (for him it was nitrates in food like bacon & salami, others are cheese, & chocolate) they went away. We also realized that too much TV and high action movies (especially in the theater) were triggers for him too. The only one he's had in almost a year was after seeing Avatar in 3D. A lot of times the meds they use don't work well with PANDAS kids. We started with Zoloft before we knew it was PANDAS and a very very small dose does seem to help DS, but the "therapeutic dose" made him so much worse. More tics, manic, couldn't sleep, weight gain, all sorts of problems. And then weaning him off has been an ordeal in itself. The anti-biotics DS has been on the past 3 months have done more for him than we saw the whole year he was taking Zoloft. Improved mood, lowered anxiety, coping skills, flexibility, better relationship skills, more focus. But we did try 3 before finding one that worked well. And the Bontech supplements do help DS's tics, though they don't go away completely. What drives me crazy about the medical field right now is that they still separate mental from physical symptoms. Your brain is an organ in your body. Problems in your brain ARE PHYSICAL. If your brain is sick it will affect they way you think. The baby talk is not an unusual PANDAS symptom. My son did that with his most recent exacerbation in February. Age regression is typical of PANDAS, which is a physical illness. I'm a fan of therapy because our kids need all the tools they can get, but psychiatric drugs will not cure PANDAS. After reading Against Medical Advice I decided that we weren't going to start mixing up chemical cocktails for DS. The side effects are as bad as the problems for most people!
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We've done therapy pretty consistently since DS was diagnosed with OCD 2 1/2 years ago. It definitely has helped. He has worked on some specific issues and over come them. I think the best benefit though has been him learning what it takes to do that. There have been several things lately that he has tackled on his own using the steps he learned. I think regardless of whether it is PANDAS induced OCD or just regular OCD, the steps to overcoming it are the same and CBT and ERP do work if the child is willing to do the work it requires.
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is really watching how much "screen" time he gets. We have discussed the screen time issue at our house as well. Research says you burn fewer calories watching TV than sleeping but the screen time seems to ramp my daughter up too...does anyone know the root cause of this TV/behavior issue? I read that too. That they actually now realize that we can function below our basal metabolic rate, lower than sleeping, which they used to think was as low as it goes. Talk about a negative calorie burn! I've read several different things. One is that the flicker of the screen, especially older TVs is really hard on the brain. There is a documented instance of an episode of Pokemon that caused 750 kids in Japan to all have seizures at once. Something about the frequency of the flashing lights on the screen. Another is that it entrains the brain to focus at whatever wave length the show is, usually kids shows are a really fast nervous pace, so that is the way the brain reacts as well. And for many kids, the whole switching gears thing is hard so asking them to turn it off starts a battle. I don't notice the same issues when we watch a DVD, though I do if it is something they've seen a million times. All I really know is that my kids are nicer to me and each other, less aggressive and argumentative and get tons more exercise when we have the TV put away. And far more creative too. It is just a brain suck. Plus I hate the idea of someone else's agenda being fed into our brains with no input from us. I haven't been able to sit down and watch much TV beyond the occasional PBS show or TV special (and I will admit I do like The Amazing Race, though I barely ever remember to watch it) for the past couple of years. I am painfully aware that I am wasting minutes of my life that I will never get back. Obviously, I'm not a fan of TV can you tell? When we got rid of it last Spring, the kids literally shrugged when I told them it was gone and went out to play. I felt like I was in the Twilight Zone because I had expected such a battle. I would highly recommend doing it in the Spring (like now) if you have ever thought about it. By Winter they were totally used to it. It was DH that went through major withdrawal and would throw a fit from time to time if he was missing some sport event. We got it back for the Olympics (which we both felt were something we enjoyed doing with our family's as children). Now that we have it again, he is the one constantly saying we need to put it away again. I wish we were better at moderation but I'm not very good at remembering to tell them to turn it off. It is just easier not to have to worry about policing it at all. Actually my PANDAS son watches far less TV than his younger brother. He would much rather read. His issue is the games. But the younger one could be a total TV junkie if I let him. This has inspired me. I think I am just going to unplug it tonight after they go to bed and that will be that.
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Extreme irritability was probably the first symptom we ever had and remained pretty constant for about 5 years. Just a total lack of coping and flexibility. The first thing I would add is a high quality omega 3 source. My son tolerates fish oil fine and takes 1000 mg 3 times a day. Some people prefer flax seed oil. We noticed that there was an improvement with 25 mg Zoloft. We started it before we knew it was PANDAS. More introduced a whole new spectrum of issues and less we start to see more crabbiness again. If you want to go a more natural route you could try 5 HTP or St. John's Wort. Eventually I'd like to head that direction but for now I'm not messing with what works. Just a little more serotonin could make a big difference. I know different abx work better for each kid, so Augmentin may be the best thing for your son, but for us it never seemed to completely clear the ears or sinuses for my son. In fact his last exacerbation from an ear infection and sinus infection occurred while he was taking 875 mg of Augmentin twice a day. Omnicef made him an emotional disaster that was truly frightening. Switching to Biaxin made a HUGE difference. HUGE! Within 24 hours I noticed a complete mood change and for the most part it has been sustained for the last 3 months. Is it the Biaxin itself or the fact that for once his sinuses seemed to be totally and completely clear? (I didn't realize they weren't clear until they were). Not sure, but when we tried to cut back to a half dose we noticed the moodiness at about day 4 and DS (age 10) asked to go back to the regular full dose. Within 12 hours he told me he felt a whole lot better and he acted better too. We have to switch to Zith at the end of this month to make sure we don't damage his gut and I'm so nervous. I hope it works as well because I feel like I have my sweet boy back. I don't think he has been this easy going and pleasant since he was about 4. When he does get upset now, instead of immediately becoming mean & rotten, he gets sad. I actually think it is an improvement because it seems like he is dealing with the real emotion instead of masking it with anger to feel more in control. It isn't more often than what I would consider normal. Another thing you might want to pay attention to is his blood sugar. Letting DS get hungry is a big mistake. We try to get some protein in him every time he eats (hard because he doesn't like most protein sources and isn't a big eater in general) and make sure he has a good snack every couple of hours. He keeps some snacks in his backpack and I keep some in the car. I totally second the exercise recommendation as well. DS is on a tournament karate team that practices 6-9 hours a week. He is so much nicer when he comes out of karate than when he goes in! And he works HARD! My boys walk to and from school (just under a mile) for the same reason. Sleep is also a really big factor for him. He needs more than most but sleep has always been difficult for him so I still don't think he gets enough. Melatonin has worked wonders helping fall asleep. He takes 3mg every night before bed. When we are good about making sure he gets 10-11 hours each night he does pretty good. If we don't we notice a pervasive dis-satisfaction in him. But, like so many other things, he is beginning to actually recognize his body's needs (seemed to be so oblivious to his own body for so long!) and will go to bed when he is tired. Last night he came home from karate, told us he was tired and his eye was aching a bit, took his pills and went to bed. I wonder when these little things will stop shocking me! Last, but for us anyway, certainly not least, is really watching how much "screen" time he gets. We went 9 months without a TV and only allowed minimal game and computer time. This was pre-Biaxin. It made a really big difference. Something about both TV and games leaves him agitated and defiant (especially if he has been playing any sort of "fighting" type games). We hooked the TV back up for the Olympics and I feel like we are back to square one there. I just need to unplug it and put it away again! Even with all the progress he has made on the abx, we notice if we let him play games for more than about 1/2 an hour a day, we are going to have issues. When he gets a new game he becomes obsessed and stuck. I am just about ready to declare our home a game free zone. I never thought we'd have a game system but let myself get talked into one a few years ago and I regret it BIG TIME! The hard thing is that both he & his brother have used their own money to pay for several of the games as well as their Nintendo DS systems and games, so I struggle with feeling OK about making them sell them at a loss. I should just do it though. They are convinced they will become social outcasts, but not having a TV didn't make our home any less desirable to their friends. No one seemed to really care beyond the initial shock of learning we didn't have TV. I'm sure it would be the same with the games. Anyway, those are some of the things that have worked for us. Good Luck!
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My son also has trouble with getting stuck on an idea and not being able to let it go. I never thought of it as a Just Right issue though. His Just Right OCD is having to do things over and over until they feel "just right", like touching things or opening and shutting things, etc. though I guess I can see how this would fit in with all of that. Anyway, I read a great book called Magnificent Mind at Any Age by Daniel Amen and he talks about an "inflexible anterior singulate gyrus" in some people, especially those with OCD, though not everyone who has it has OCD. It is the gear shifter in our brains and for some people it just doesn't work well. He give information on behavioral and supplements that help that part of our brain work better. I realized that to some degree, everyone is our family has issues with it. My husband used to get very upset if things didn't go as he had planned in his mind. We missed a plane once and I had to take the kids to another terminal for a bit because he was beside himself. It was a full-on tantrum and I decided to deal with it like I would a toddler and remove the audience. I figured he could be upset, but if I wasn't there to "share" the tantrum, he would probably at least "tantrum" internally. I can't find the book right now, but I do remember he suggest GABA as one of the best supplements to help smooth transitions in the brain. I will try to track it down and see what else he suggests. I approach it as both a physiological issue and a behavioral one because the way we act literally shapes and changes our brains. I know it can be dealt with because my husband is much better than he used to be because he has worked really hard on his inner dialogue and my son is dealing better with it as well. Telling my son that he is getting stuck will often help him work through it. I guess I kind of side with your husband on this one because I've also had to get tough on some things and tell him that I refuse to talk about it anymore because I can't, or won't change it and continuing to talk about it will upset me, then ignore any behavior that is related to it. I've had to go so far as to say that if he brings it up again it will absolutely NOT happen (he gets stuck on wanting to go to the store RIGHT NOW and get something he wants) and then follow through. Once they pass a certain point I think they just have to wear themselves out so there is no point of reasoning with them any longer. It just seems to prolong and fuel it. My son once said, when he was about 6, that sometimes he just had to cry ALL the crying out before he could stop. So after that I would just ask him if he was having one of those times. If he indicated it was I would just tell him he would need to finish the crying in his room. Usually he was willing to do that. He's 10 now and seems to be able to understand that his behavior is a choice and he can usually stop himself, though I can tell it is A LOT of effort for him sometimes. And other times I've just had to be the meanie and stick out him being really upset. We haven't had to deal with rages much for the past couple of years though, so it is easier than when he used to completely flip out. Now he is just more sad. But I do think that at least part of the reason he doesn't completely lose it anymore is that we've spent several years working on taking deep breaths and having him tell himself that he can handle it and he will be OK. And since we started abx, he doesn't seem quite as "stuck" as before. good luck!
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Well here we go again. DS is definitely ramping up and I'm not sure why. Tons of tics in his neck, the most i have ever seen, which are beginning to hurt his poor neck. the epsom salt bath doesn't seem to be cutting it. he's also more emotional volatile again. i guess he broke down in tears at school on friday because he didn't understand the math assignment and the teacher kept telling him to just do his best because it was new material to everyone. then a friend called him a crybaby and he pulled out his scissors and threatened to cut the boys shirt, then realized he was out of line and just put his down on the desk and felt sad. He never used to get so sad, more mad. i'm not sure which i prefer. i don't know what to do with sad, though it seems like a more true emotion and is probably healthier for him in some ways. but most of the time is still pretty happy and definitely more easy going than before the biaxin. I'm wondering if my other son has strep again and I don't know it. He threw up at school on Thursday and came home exhausted. The last two days he has just been really fatigued. His tongue has white spots and little pink swollen taste buds. I've asked his doctor several times about the tongue and he just says it is "geographic tongue" and fairly normal. I'm not sure I believe him. 3 weeks ago he had another strange rash on his bum cheek and down his leg that i thought looked like scarlitina. the instacare doctor gave us Keflex just in case, though didn't want to swab anything because anus itself didn't have the red ring around it. then it did a few days later but it went away in a day or so. i didn't take him back in because if figured they would just give us abx anyway, which he was already taking. right now he is just lethargic and has really swollen glands, so he is fighting something. maybe his brother is reacting to whatever it is and i just have to wait for both of their immune systems to work through it? The only symptoms my PANDAS DS has are the tics and emotional lability, so if it is strep, the abx seem to be working. the obvious thing to do would be to take him to have a swab, but the last few times it has been negative and i'm tired of paying for negative swabs! and the doctors are beginning to think i'm a total wacko. even DH, who has been pretty supportive of all of this, rolls his eyes when i say i think he may have strep again. i need a doctor here that supports me in all of this so i don't feel so weird when i want to have them tested! it's also a full moon, which had me thinking about last month's discussion. and to top it off, it has snowed here all week, which does seem to increase symptoms as well. who knows. just when i think we are making some progress, things fall apart again. i know you all have been there. i'm just feeling tired and sad for all our kids and for us as parents dealing with this. thanks for letting me vent.
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For now we also are just trying to be as "clean" as possible. We cut out as much "fake" food as we can. I've been focusing on preparing whole natural foods with more vegetables and fewer grains. Ideally I would like to eating more salmon, but so far I just haven't been very good at preparing it so that it tastes very good. I do notice a difference in DS's behavior when he has had junk, especially dyes and nitrates. He struggles with wanting to feel better and wanting to be "normal", though we keep talking about the fact that what seems normal now is anything but! We keep saying we are all going to go dairy free for about 3 weeks to see if it helps any of us. I suspect each of us is reacting to dairy in a different way. It is so hard though! I just need to buckle down and do it! Then we would know if it was causing any reactions. One place I am failing miserably and feeling guilty about is school lunch. We've always just done it because it was easier, though I've never felt especially good about it. I just can't manage to get lunches made, and feel really frustrated with thing coming home un-eaten. One more thing I just need to quit thinking about and worrying over and JUST DO IT!!!
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Anyone using Spironolactone?
simplygina replied to Stephanie2's topic in PANS / PANDAS (Lyme included)
OK, that is really interesting! I take spironolactone myself because I tend to have too much testosterone. So they don't worry about giving it to boys that are nearly in or going through puberty? I ask because DS is only 10, but definitely starting. I'd be happy to slow it all down really as long as it was safe for him. -
Can 'exposure' trigger symptoms?
simplygina replied to Lisa1971's topic in PANS / PANDAS (Lyme included)
From experience I would say yes. Last September my son's tics started after his brother came down with the strep the first week back at school. They get better and worse, but we've never been able to get rid of them completely. -
Paranoid mom or should I be looking into this?
simplygina replied to becjonz's topic in PANS / PANDAS (Lyme included)
No wisdom to offer. Unfortunately I'm in the same boat. I see some "interesting" things going on with my 7 year old and wonder if he too has PANDAS. His list of things that make me wonder is very different from his brother's, but that shouldn't surprise me, they are opposites in just about every way. I've decided to get the Cunningham test done for both of them just to see what the results are. I think the age regression could definitely be a sign of PANDAS but the way he is acting it out reflects his feelings about his current life situation. Does that make sense. Maybe it's a little of both? I hope not for your sake. I know how difficult it is for me to watch and wonder. -
I will definitely try that... do you have a specific brand? I looked at the website and there are so many different brands, it's hard to make up my mind. Thanks! We have tried both the Jarrow and the Healthy Origins brands and both seemed to work equally well. Get the powder. To get a dose that is shown to work they would have to take a gazillion capsules. It tastes rather sweet so it is better in some things than others. My son hates it in milk, but doesn't mind it in juice or hot cocoa or kefir. Start with 1/4 or 1/2 teaspoon and increase it slowly each week or so. At one point my son was taking about 18g, and adult dose, which worked out to about 2 t 3 times each day. I took him off of it when he started Biaxin to see if he still needed it, and he did. He is now at 1 t 3 times each day and it seems to be working well. If you start out with too much it can upset the belly or cause an uncomfortable feeling in the throat kind of like heartburn on something is stuck. If that happens, just cut back a bit. I forgot one day that I'd cut back and automatically put 2 t. in his morning drink. He threw up on the way to school. Studies so far have shown that there aren't really any side effects other than that because it is a water soluble vitamin that is excreted in the urine, but why use more than you need I figure.
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I think it's the intrusive thoughts that break my heart the most. It's as if their brain takes on a sinister life of its own and picks the things that mean the most to the child. My son is a big time animal lover. When we got a kitty he was totally in bliss. Then he started to worry that he would kill the cat. It took him a long time to tell me that. He's had other thoughts that he would hurt various members of the family, then end up in jail for the rest of his life. He also really worries that he'll smoke when he hits high school. That one I was almost glad to hear, but it is deadly serious to him. the things we've found that works the best for the thoughts is inositol powder. It doesn't get rid of many of his other compulsions like needing things to be even numbers or having to do certain things until it feels just right, but it definitely works on the thoughts. We've had a few different times we've either decided to stop to see if it really worked, or just got lazy and fell out of the habit of giving in to him and the thoughts have come roaring back each time. He takes about 12 g each day, split into 3 doses. I get it on iherb.com and it is really reasonably priced. Some of the other supps I still don't know if they do much, but this one is absolutely necessary for him.
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May I ask how the dosing would differ for a child with PANDAS? Thanks again all. My son was put on Zoloft in February 2009 before we realized we were dealing with PANDAS. We started with 25 mg and saw a very positive bump in his mood and coping abilities. A month later we decided to move up to 50 mg to see if more would actually help with the OCD. We thought it might be but we were already heading into spring/summer which is generally a better time for him anyway. During the summer we bumped up a few more times times and settled at 100 mg for a few months, still thinking it might be helping, but not sure. When school started we saw a ramp in symptoms, plus he started having tics. They coincided with a strep infection his brother had in September. In October we met with the doctor again and talked about the increase in OCD and the tics. I mentioned PANDAS but his rapid strep test came back normal. I figured this meant it wasn't PANDAS and assumed it was regular OCD and TS. We decided to bump the Zoloft up to 150 mg. I was worried but had also read that it took a higher dose for OCD than it did for depression. Within 2 days I realized the higher dose was making him manic and activating him to almost choreic like movement. He couldn't still still, talked non-stop at an alarming speed, wasn't sleeping well, and was writhing in a way I had never seen before. I asked DH if he thought the Zoloft had helped much and he agreed that he didn't feel it really had after the initial dose. So we slowly began tapering him off. That's when I realized that the 15 lbs he had gained in 6 months was a side effect of the Zoloft, not him eating too much (he was eating like a bird) or not getting enough exercise (he practices karate 6-9 hours each week). I also think it likely sent him into puberty early because at 10 years old he was definitely starting. Once we went back to 100 mg the writhing and mania stopped. At 75 he stopped gaining weight. By Christmas we were down to 25 mg again. And it didn't change the OCD for the worse at all. We have tried several times to get off the last 25 mg but end up with some pretty major withdrawals. I think the 25 mg may be just enough to boost his serotonin without causing problems. We had decided to keep him there for now. A few weeks ago someone posted a study that showed SSRIs actually increase CamKinase II activity, which explains why so many parents have said the SSRIs seem to make their child worse. I read in another book somewhere (sorry, wish I could tell you the name of the book but I don't remember) that small doses seem to work the best, coupled with diet and exercise. So for us, it does seem to help, but the 40 days of Biaxin we've done so far have done everything and more that I hoped Zoloft would do, which was really surprising to me. I thought it would help more with the OCD and tics, which it has to some extent, but the huge improvement is in his mood and coping capabilities. Biaxin was our 3rd abx try. I had read several posts where switching provided a sudden rapid improvement. That certainly was the case for us. Augmentin helped some, but he still got a raging sinus and ear infection while on the full dose for over 3 weeks. Looking back at his medical record I have found several instances where amoxicillan just didn't work for him. We then switched to Omnicef, which cleared the ear infection but not the sinuses but left him an absolute emotional wreck. I was actually really scared for his mental health for the first time. Then we switched to Biaxin and his sinuses cleared right up and within 24 hours I noticed a HUGE mood change. We ran out once for 3 days and saw a definitely backslide. We also tried to cut back to half dose and within a week noticed he was headed downhill again. I don't know how or why it elevates him mood, but it definitely does. We have to switch off Biaxin at the end of this round to avoid complications arising in his gut, which has me worried. We'll be switching to Azith. I hope it has the same effect for him.
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The only place I know that I can spend $100 for half a grocery bag full of stuff! Kills me every time!!!
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I give DS a supplement called Wellness Formula from Source Naturals. It has a whole bunch of herbs that have anti-viral properties. Not really sure if it helps or not, but he hasn't been sick at all since he started taking it about a month and a half ago.
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Pretty common with PANDAS. My son's last exacerbation started with a sudden increase in tics. He always had some tics and some OCD going on, but it is usually very mild and manageable. In February he started exhibiting pretty much every tic he's ever had all at the same time (usually he just has one or two and seems to cycle through them). I didn't know what to think. That was on Saturday. Sunday night he told me his throat and ear hurt. Monday morning we went to the dr. and he had an ear infection and a sinus infection.
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I know how hard it is to wonder about the child that you've thought of as the "non-Pandas" kid is. I've been watching my other son like a hawk, and there are definitely some things there that make me wonder. At least you know there has been a strep infection. My son is totally asymptomatic (normal symptoms anyway) and gets it both in his throat and his bottom. 3 weeks ago he had a rash on his bottom and leg that looked like Scarlitina to me. I took him to the InstaCare and she told me she couldn't swab it. She also didn't swab his throat or his bum and told me she was just going to give me abx anyway. I was glad to get the abx, but I really wanted to know if it was strep! After 3 days on Keflex he ended up with the tell-tale red ring around his anus. I kept giving him the Keflex and it went away in about two days. He has had encompresis since he was 4 but goes through phases with it. The past few months he hadn't been able to go on his own, but wasn't soiling his underwear either. That's just kind of normal for him at this point. Then he started wetting the bed again (always off and on too) and soiling even when he'd had a B.M. that day. A few days on the abx and all of that stopped. 3 or 4 days off and he actually went to the bathroom by himself for the first time in 4 months or so. The past 3 weeks he has been crying a lot, in trouble with his teacher for constantly blurting out answers and talking over her words, even correcting her when she is trying to teach the class! She's at her wits end and I don't know what to tell her. And it doesn't matter how many times he gets in trouble for it, he just can't control it. He has been asking me to come outside with him when he plays, which is totally new because he has never been afraid before. And the past 2 months I've noticed what I think is a head shaking tic. So frustrating and heart-breaking to think that it could be PANDAS with him too! My son also first manifested his OCD with asking for reassurance and checking with me about things over and over. He was also about 4. At the time I knew he had some anxiety so I figured that's what it was. It's only looking back that I realize his OCD started way earlier than I thought. For my "non-Pandas" son I have decided to have his CamKinase II levels tested as well. The titer thing for my older son has never been very helpful. If the Cunningham test comes back in the positive range, then I'll be able to go to his doctor or a specialist with some really useful information.
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Our pediatrician sounds exactly like yours. Skeptical and unwilling to take the time to learn more about it! I want to shake him and say, "THIS IS MORE COMMON THAN YOU THINK! YOU SHOULD BE TRYING TO CONNECT THE DOTS BETWEEN PHYSICAL ILLNESSES AND PSYCHOLOGICAL AND BEHAVIORAL PROBLEMS DAMMIT! IT'S ALL RELATED AND THAT IS PART OF YOUR JOB!" He even gave me the same song and dance about wanting to make sure I don't spend a lot of money on something that hasn't been proven to work. I reminded him that abx aren't generally considered super "alternative" and the cost is cheaper than the SSRI my son has been on. I almost pointed out that they don't really know that OCD is caused by a lack of serotonin, they just assume it is because the SSRI works on many people and questioned him on why he was more than willing to let us go for more than year on that when it obviously wasn't working. I've given him the studies and articles and websites. He told me he had never heard of intra-cellular strep, so I gave him a study. I asked if he thought DS's sinus and ear infections were probably strep, he told me he wasn't sure if strep caused those as well, and anyway they treat with abx so it doesn't matter. But in this case it does matter!!! Especially if he is questioning if my son has enough of a link to his symptoms and strep. Hello! He always promises to learn more and call some of his other doctor friends that might know something about it, but at the next appointment confesses he just didn't have time to get to it. He obviously didn't even go through my son's medical record very thoroughly because when I did it wasn't hard to find the links between strep and his symptoms. And he has fully admitted that my son fits the clinical profile perfectly. He even told me he was going to research Dr. T. to make sure he wasn't a quack. I told him to go right ahead and the next appointment he humbly agreed that he seemed to be a bona fide "expert". And yet I can't get him to prescribe the abx or take the time to help me find a doctor here that can help us with our treatment. Our last appointment I was so disappointed I just decided to cut him out of the loop. I keep thinking I just need to find a new pediatrician, but the idea of finding one that I like, bringing him/her up to speed, seeing how they feel about PANDAS etc. is just a little daunting right now. ok rant over. Just wondering when a child stop going to a pediatrician and starts to see a general practitioner? I know of some good doctors in my town that are more holistic in their practice, they just don't accept insurance.
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Parent's Behavior (alcohol mentioned)
simplygina replied to Suzan's topic in PANS / PANDAS (Lyme included)
I was thinking last night in bed that my son is more of a traffic cop than health monitor! He is always asking me how fast I'm going and commenting if other vehicles speed past us. His brother likes to fool around with the un-used middle seat belt to make him think he's un-done his to watch the freak-out. I used to not allow the Gameboy in the car because I hoped we could have some nice conversation (I've read way too many parenting books I think because it just doesn't happen!) but realized he would just spend the whole ride a nervous wreck so I quickly reversed my ruling on that one! On the up side, I may be delusional, but I don't worry too much about him doing drugs or being much of a party boy. He would never get past the worry and since he confesses EVERYTHING I would know about it right away! He'd probably call me right then to let me know he had a drink and to make sure he was going to be OK! My 7 year old on the other hand is already such a little "dude" I'm going to have to watch him. I do however worry about his driving. I let him drive an ATV at our cabin each summer and I have to say, the kid has NO FEAR when he is the one in control. He's nutso on his bike, scooter and skateboard, but actually has some skill. He is a horrible driver on the ATV. Totally out to lunch and unaware of what else is going on around him. Luckily we have miles of empty soft sand beach for him to ride and practice on. And true to everything else about my kids, his brother is the opposite and a really really good driver! -
Parent's Behavior (alcohol mentioned)
simplygina replied to Suzan's topic in PANS / PANDAS (Lyme included)
Oh yes, my 10 year old son is a rule follower and plans to NEVER drink alcohol! Which is fine by me and I plan to remind him of that every day he is in college! I remind him that alcohol is legal at 21 years of age and is VERY bad for growing bodies. I also showed him a study or two that indicates 1-2 drinks is actually good for an adult. Now if I could get him to realize that soda is far worse for him that a glass or two of wine is for me, I'd be all set! I'm not really a big drinker, half the time I open a beer and leave it sitting somewhere after taking a few sips, but I am a proud member of the Facebook group "OMG I so need a glass of wine or I'm gonna sell my kids" There is something stress relieving to me about pouring the drink, even if I don't end up drinking it and more so if I do! A symbolic act that says, "OK, I'm officially done stressing out!" that helps me get through the rest of the evening. I don't open a drink every night, but there are those days that would drive anyone to drink. He does know that being healthy is really important to me. I work out pretty much every day, work part time at a gym and eat really healthy 90% of the time. I also read a lot of books about healthy living, so I'm often quoting health facts and teaching him about healthy foods and habits. So he doesn't give me too hard of a time these days. Luckily he hasn't asked about the things I did as a teenager yet! I haven't been really "wasted" in years because I can't handle the resulting hang-over, which got so much worse once I hit 30! But if I do think there will be much drinking going on at any given event I find a sitter for the kids. I don't feel having a drink with dinner is a bad example, but I don't want them to see adults "partying" in front of them either. -
Tired of OCD running MY life....
simplygina replied to dcmom's topic in PANS / PANDAS (Lyme included)
Wow! My son and your daughter have so many similar issues! My son has similar issues with his little brother. He admitted that he feels like he is "contaminated". I can tell how well he is doing by the way he treats his brother. There are definitely some things that I am tough about, and others that I let slide until I feel we can tackle it successfully. That said, I refuse to be tapped on! Sleep is one that we've worked on incrementally, but an issue that I refuse to go backward once we've progressed. DS slept in our room from 6 weeks (after spending a week in the hospital with RSV) until he was almost 9. Even as an infant he just slept better with us. But I always insisted that he at least fall asleep in his own bed first. Until he was 3 I would cuddle him until he was asleep. Finally at 3 I told him we would cuddle with him for 2 songs of his lullaby CD, then he was on his own. The first night was brutal and I was in tears, but by the 3rd night he just did it. The hope I had at the time was that once he got used to falling asleep in his bed, he'd stay there. Well, he didn't. He would wander in at some point in the night and climb into bed with us. And I was OK with that. When he was about 7 I decided he was getting too big and just didn't fit in our bed anymore. He also needed to be touching me to sleep and it was beginning to drive me nuts. So I told him he could still come in, he just had to sleep in a sleeping bag on the floor. Every so often he'd try to climb into bed with us but I would tell him no. There were a few tears but he knew I meant it and seemed to accept it. At 9, following his tonsillectomy and a round of abx, he actually slept in his own bed all night a few times. I was so amazingly well rested the following day that I realized I'd been seriously sleep deprived for 9 years! So I told him he had to sleep in his own bed. Of course he tested to see if I was serious, but again, after about 3 nights, he was sleeping all night in his own bed. Usually it goes pretty smooth now, but we've had some rough patches too. He went through a phase last Fall where he was totally freaked out about alien abductions. He just couldn't fall asleep or stay asleep for long. I laid down with him a few nights until he fell asleep but realized we were backsliding. So I told him I wasn't going to do it anymore. That night he kept coming out of his room, pale, wild-eyed, hyper-ventilating and crying. He was obviously in fight or flight. We've read "Up and Down the Worry Hill" so many times he knows it by heart now, so I reminded him that the way to get better was to go through the anxiety and he was just going to have to survive the night because I knew he wasn't going to be abducted. After some hugs and deep breaths together I reminded him that I would never put him in danger and that if I thought there was ANY chance of an alien abduction, I wouldn't LET him sleep in his room. I agreed to stay up until he fell asleep, but told him I wasn't giving in. Every time he would come out I would send him back and remind him to take deep breaths and tell himself he could do it. It was so heart-breaking, but cute to hear him talking to himself. Of course I was in tears again but didn't let him see that. He finally did fall asleep around midnight and was really proud of himself the next day. We also discussed it some more and he agreed that the chances of an alien choosing to abduct him were pretty low. The next night he was still nervous, but far more resolved. By the 3rd night he just did it. 3 nights seems to get us past just about anything! We still have to work on it from time to time, but he knows I'm serious about this one. Last night I heard him get up at 4 am. The rule is he can't come in to cuddle with me until his dad leaves for the gym at 5 am. Every so often he wakes up and wanders in and I have to tell him it is too early. He asks if he can turn on the hall light and I always say he can. Last night I was getting ready to tell him to go back to bed, but instead he used the bathroom, turned on the light, turned on his "falling asleep music" CD and went back to bed. Those are the moments I realize how far we've come and how strong he really is. And he has told me that when he gets through something hard, he is proud of himself and knows he is strong inside. Every book I've read about OCD talks about not enabling it or joining in the rituals. But it is soooo hard when you know they are genuinely struggling and you are exhausted and not wanting to deal with the resulting tantrum. Like I said, there are things I let slide a bit but usually I realize I'm not doing him any favors by expecting less from him. I wasn't making him study his math facts because he was doing OK in math, and I didn't want to deal with him mean, crabby, snappy attitude. But one day he told me he was dumb at math and couldn't learn his multiplication tables. I realized I was fostering a disabling belief in him that wasn't going to help him at all in the long run. So we just studied one number each night for a week. He passed off all the numbers in less than a month and was soooo proud! And he learned that he can do it if he tries. He also learned that his thought about how hard it was didn't match the reality. He also had a tendency to just go through the motions and not really work on improving. I realized that he is quite competitive. I decided to use his defiance and his ego as tools and started to use a little reverse psychology. I didn't say it out right, but I may have suggested that he had fooled his poor math teacher into believing he wasn't very bright. THAT lit a fire under his behind and he's been proving her wrong ever since! Challenging him or betting him he can't do something works well with him. And I'm not above using "incentives". He will do just about anything for money or a new book. He even picked up dog-doo last Saturday for $5. When his dad said "I bet you wouldn't be willing to pick up the yard for $5", I thought, "nice try. no way". To my utter amazement, I looked out and there he was with a shovel and bag. Now he is applying himself more and more and doing his own ERP and CBT. Yesterday he told me he was struggling during a math quiz because he felt like his numbers weren't perfect so he was erasing and then he had to have all the little bits of paper and eraser off the paper before he could move on. When the teacher told them they had 5 minutes left, he looked down and realized he had only done 3 problems out of 20. He decided to just push through the "funny feeling in his tummy" and mentally told OCD to take a hike. Then he raced through the rest of the test and had time to spare. He told me it was because I won't let him go back and erase or rewrite when we sit down to do homework together. He gets mad that I won't, but agreed that the practice helped him realize he didn't HAVE to do what OCD tells him to do. He gets to choose. So I guess I kind of am a proponent of the tough love approach because it works for us. I try to be kind while I'm being firm, but sometimes I'm tired and rotten too. And then he gives me a taste of my own medicine and tells me to work on it! When he starts checking or asking for reassurance, I kindly remind him I already answered the question but that he can tell OCD the answer if it really wants to hear it again. He has a good sense of humor, so being a little silly about it works pretty well. But, If I don't think there is any chance he can be successful doing something, I let it go. During our roughest times I really pick my battles. And I will totally concede that my son has never been so sick that he's been violent or destructive. That would definitely make it harder. -
My son is doing 1000 times better on Biaxin, but his tics still are worse some days and better on others, but the overall trend is considerable improvement. We haven't had a 100% tic free day yet though. He's been taking it for about 2 months now. We tried cutting back to a half dose for a week and things got worse for him on about day 4 so we are back up to the regular dose again and doing better again. I'm planning on it taking quite a while for him to get well. Once their body's immune system is out of whack, lots of things can make things worse, even on the abx. The fact that he did improve initially when starting the abx does point to it being PANDAS though in my opinion. Some things that make things worse for my son are: a viral infection, fatigue, allergies, red dye #40, high fructose corn syrup, nitrates, too much TV and/or video games, being really excited or nervous about something, and gasoline fumes. I would find out as much as possible about his day at pre-school, including what they ate and what activities they did, to see if you can pinpoint a tic trigger. Giving him an epsom salt bath usually helps him if he's having a not so good day. I figure the abx are to give their body a chance to begin healing and give the immune system a chance to reset itself without new infections mucking things up again. I don't think, at least for my son, the abx will fix everything. We're using them as part of an over all plan to clean up his body and stop the process from continuing. We are working on getting as healthy as possible with a healthy whole food diet, enough sleep, daily exercise, avoiding as many toxins as possible in food and the environment & supplementing to help his body heal. Dealing with PANDAS has really changed the way our family does things, but I would have to say that doing them has helped all of us and we continue to get healthier the more we learn.
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I've been reading more and more about this and it all makes sense to me. It really freaks me out and I think that is because it feels so overwhelming and out of our control. I know there are things you can do inside your house to lower exposure, but beyond that there isn't much you can do. and it isn't just people that are being affected. one theory of why we are losing our bee populations is that the radiation is throwing off their systems as well. i would imagine it affects any species that lives around people and populated areas.
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Sounds like our pediatrician. He know what PANDAS is. He's even treated someone with a clear cut first time exacerbation. But he doesn't know enough to help someone like my son, who is 10 and has likely been dealing with this for 5 or more years. He doesn't know enough to feel comfortable prescribing abx, especially for a child that hasn't presented with classic strep symptoms in over a year. He had never heard of intracellular strep. When our titers came back in the normal range he basically decided I was set on something that just wasn't so, even though he did admit that he seemed to fit the clinical picture minus the strep titers. After he refused to prescribe prophylactic abx because he didn't see how abx for a child that didn't actually have strep would help. I gave him papers and websites and he agreed to learn more about it and also wanted to call a friend that is an infectious diseases doctor. He seemed to think that a child would be totally back to normal between exacerbations. I tried to explain that most kids aren't. Mine certainly wasn't. And eventually their systems are so messed up that lots of things become triggers. He wasn't so sure about all that. After seeing him several more times and him not reading what I gave him and not knowing anymore than the last time I left him, I decided I had to find someone else. the kicker for me was when he pulled up something by Dr. Kurlan. He also quoted the NIMH website saying prophylactic abx weren't recommended. The more I tried to give him information about it, the more he seemed to dig into his position. I plan to have the Cam Kinase II test done and he agreed to let me use the lab to have the blood drawn. I e-mailed one specialist who agreed that my son fit the diagnostic criteria. Then I did a phone consult with another one of the specialists, who also agreed that my son definitely fit the profile and prescribed a new abx for us. He's been on it just over a month & the difference has been amazing. I spent a lot of time going back and forth about whether to contact a specialist because of the cost and my son was doing pretty OK. But in February he had his worst exacerbation yet and for the first time I was worried about him totally losing it. Emotionally he was a wreck. I realized that I didn't really know that it would always be manageable and that it was likely that each exacerbation would continue to get worse if we didn't do something. I'm glad I did because he is doing better now than he has in years. And I know who to contact if it gets bad again. You have to be the advocate for your child. The doctor just doesn't have the same priorities you do. It isn't his child, though I'm sure he cares. But he has to think about not getting sued, what the insurance will pay, all the other patients he has to care for, etc. You just have to think about what you can do for your son with the resources you have.
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Allergies without typical allergy symptoms?
simplygina replied to Joan Pandas Mom's topic in PANS / PANDAS (Lyme included)
A great book about allergies is Is This Your Child? by Doris Rapp m.d. My son ALWAYS gets worse in the Fall. Just as school starts. I always thought it was stress about school. This past year was the first year that he actually showed signs of "hay-fever". It also was when he started having multiple tics, including a few vocal ones. Up to that point he had a few behaviors that I couldn't decide if they were OCD or tics but were infrequent and weren't noticeable. The new ones were obvious, like shoulder shrugging, clearing his throat, repeating what he'd said or what someone else had said, etc. When I started looking into TS I found some info about allergies and tics, which lead me to the book. I realized he probably gets worse each Fall because of seasonal allergies, not school, which makes sense because he really likes school. I keep saying I'm going to get him in to get tested for both food and environmental allergies but I'm trying to get all our medical bills paid off before I rack up any more. I'm highly suspicious he has a sensitivity to milk as well but he told me until a Dr. tells him he is allergic he isn't going off dairy. At 10 years old I don't have much control over his diet anymore. I hadn't heard you couldn't test while on abx though. I will have to ask when I call for an appt.