I have been feeling really run down lately. The current cycle of abx consists of: Two IV Abx b.i.d (2x a day) on Tues./Friday and Lactated Ringers qD (1x a day) Wed./Fri./Sun. We are on abx for one week and then take two weeks off of the abx. LR’s are done every week. It wasn’t as bad as the last cycle mostly because we upped my pain management plan. We went from 25mcg of Fentanyl to 100mcg and we replaced the Darvocet N 100 with Morphine Sulfate 15-30mg to control my break through pain. These two changes have made a big difference. I hope that reducing the intensity of the cycle will help as well. Monday will be my 3rd week. I am not sure how long we’ll keep this cycle before we change things up but overall it has been manageable. I still have the seizures but I think they are as under control as we can get them. My liver and spleen have been very painful and swollen and I am still struggling with the back pain because one of the abx penetrates the into spinal fluid to treat any bugs living in my brain. This is the reason I have had so much trouble with this drug in the past, it is hitting my most effected area and it exacerbates all of my neurological symptoms. I have been on treatment using IV abx for over a year now and before that I spend 6 months on orals. I am not a typical case, I am the top 10% of the worst cases my doctor has seen. We don’t have a set time line anymore for my treatment, because when we began we thought it would be 6-8 months on IV and we have surpassed that. I will not try to estimate how much longer I will be on IV and cannot begin to guess how long I’ll have to be on oral abx after that. I do know that I will be fighting this illness for the rest of my life in some form or another and that is a somber thought.
I haven’t really been able to get out of bed much, not so much because of the pain. It’s the exhaustion and fatigue that are keeping me down. I know that the depression at this point is doing quite a lot of damage to my body and my ability to get out of bed. This is no small depression, it is the deadly kind, it has complete control of my body and emotions. It’s very miserable. I believe that it is partly due to the drug that is treating the bugs in my brain, if it is causing neurological symptoms, I do not doubt that it can intensify my depression as well. I have just recently made the connection that my depression has been considerably worse since we started this drug. My mood is greatly effected as well, usually I stay in the worst mood but every once in awhile I’ll swing upwards. It feels like the depression maybe passing but by the next day or two I find myself at the bottom again. I have extreme anxiety when it comes to change. When things are out of place I get upset. I get very anxious when I have to leave the house. I have severe anxiety of people, even people that I am very close to. This makes it hard to want to go out or to have people over because I know it will be one big panic attack for me. I have growing trust issues and I think that any moment my world could collapse. I need to speak to somebody because a) I need somebody to talk to b) I need to have this documented and be monitored and c) the better the documentation the better chance that I may actually get disability that I have been fighting to get for 2 years or so. It’s so hard to answer that question that people always ask, “how are you?”. My honest answer can vary from day to day but most days, if I can be honest with myself-I don’t feel like being alive or fighting anymore. I know that the medication/abx can contribute to this and the depression that I have had my entire life is a huge contributing factor. Understand that this is different than being suicidal, atleast it is for me. Feeling like you do not want to be alive and actively wanting to kill yourself are two very different things. I’m sure a psychiatrist would think otherwise but I have felt both and at this present moment I do not have the desire to kill myself, I have before and I have made attempts to do so and they did not end well. I just feel like I have run out of the will to more forward and as cowardly as that maybe, I feel like it is a feeling that I have every right to feel at this or any point in this process.
It has been mentioned that late last summer a lot of my vocabulary started to return and that maybe that was due to the times when my brain got erased (retrograde amnesia) and that the new pathways that were created somehow opened up the vocabulary that I once had. I sound like I’m more put together because I can say big words but I feel that my articulation is just as poor as it ever was. I have a hard time expressing myself when speaking to other people and I often feel that I never really get across what I am trying to say. People are always asking if I have made any progress and if I was to honestly answer I would say that we now have a better arsenal of medicine to keep my symptoms under control. We won’t really know the extent of my progress until I can start to drop the medications that I am on and I’m actually off abx.
No great plans for the summer. The only thing set in stone is that in July we are going to spend a week near Atlanta, GA, just to get away. There are several other things that I’d like to do but I don’t know if they are possible because my health is so unpredictable. I hope to make it to my birthday in August but I don’t look that far on a daily basis, it would be too miserable. I just think about the next few minutes and control what I can and try to let go of what I cannot. As I mentioned above, I would like to actually see a therapist, that is something that I hope I can start this summer. I also hope that we can finally get a court date and get moving on this disability because there is no promise that I will be improving. There’s nobody saying that I won’t either, but my condition is not going to improve rapidly and even if things turn out of the best I may be left with damage that is just irreversible at this point. At this point, it’s all a mystery.
May 31, 2009
Categories: Babesiosis, Bartonella, Bb, Borrelia Burgdorferi, Ehrlichiosis, IV treatment, Lyme Borreliosis Complex, PCP, antibiotics, clarithomycin, co-infections, disease, doctor (s), doubts, erythema migrans, flagyl, health, herx, herximeir reaction, illness, infusion, insomnia, life, lyme disease, lyme testing, medical, picc line, seizures, spirochete, suppliments, thoughts, tick bite, treatment, undiagnosed, zithromycin . . Author: tomcollins . Comments: Leave a Comment