riffleshell Posted November 10, 2013 Author Report Share Posted November 10, 2013 Thanks so much for the many helpful comments. I so much appreciate the advice I have gotten. Quick update: I took him back to his doctor 10 days ago and it turned out he did still have an active strep infection so we got a stronger antibiotic and just finished that up. His behavior is dramatically improved -- no more crazy fears, sleep programs, anger, clinginess, etc. The only remaining symptom are just that he seems a little less mature, more forgetful, more emotional and seems to have a harder time concentrating. All in all he's just more ADHD than he was before. But it isn't something that is terribly obvious to others like it was before. (He very likely always has had ADHD but I have never sough a diagnosis for him because he's such a sweet awesome kid most of the time. Since I didn't want to medicate him I didn't see the need to a doctor to tell me what I already knew.) At any rate, we see a pediatric neurologist on Friday. He is apparently knowledgeable about PANDAS. My pediatrician got us bumped up the priority queue, apparently otherwise it would have taken months to see him. We will see. Thanks all. Link to comment Share on other sites More sharing options...
Mommy2MCL Posted November 10, 2013 Report Share Posted November 10, 2013 Good luck and keep us posted. If you find this dr. not to be knowledgeable in PANDAS or you aren't happy keep fighting... Or at least a blood test. My understanding of this is if he were to present again with another infection it could get worse and harder to recover from. Good luck with the Dr... Link to comment Share on other sites More sharing options...
riffleshell Posted January 13, 2014 Author Report Share Posted January 13, 2014 I just wanted to update this thread and let folks know that we got a conclusive PANDAS/PANS diagnosis back in December. The doctor believes that he is on his way to recovery, but he is not all the way there yet. Link to comment Share on other sites More sharing options...
nicklemama Posted January 13, 2014 Report Share Posted January 13, 2014 Great news. Link to comment Share on other sites More sharing options...
Rachel Posted January 13, 2014 Report Share Posted January 13, 2014 Thanks for bumping this post up. My son has never been diagnoised with OCD but has the antibodies according to the Cunningham Panel. My son saw Dr. Rao in Plano, Texas this last December. He was diagnosied with Unspecific Encephalities. I'm learning so much so quick and so glad I found this forum. Rachel Link to comment Share on other sites More sharing options...
jferinga Posted January 14, 2014 Report Share Posted January 14, 2014 We were recently at the NIH and met Swedo and several other doctors on her team. They provided clarification on the antibiotic use (propylaxis). They stated that the initial round of antibiotics should be strong enough to rid the body of antibiotics. The propylaxis antibiotics are to prevent reinfection (reinfection was the key) so the body can heal the damage from the autoimmune process. We have explained it in this manner to others and they finally understand. Our PED didn;t like propylaxis abx however did understand the reasoning. We mentioned, do the propylaxis or do ivig/pex. You choose. Link to comment Share on other sites More sharing options...
JoyBop Posted January 15, 2014 Report Share Posted January 15, 2014 jferinga, did dr swedo say there was a choice? I was told to stay on abx long term either with or without the IV Ig. Perhaps every case is different. Link to comment Share on other sites More sharing options...
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