Treatment Update

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It’s time for a yearly brain dump, hopefully keeping my heart in the right place (2 Corinthians 4:20) as I do so!

The last Treatment Update was quite bleak and posted when bedridden most days of the week.  I am grateful to report that it is no longer true!  As I described briefly in the About Julie page accessed in the side bar of this website, in January of 2016 I did proceed with the treatment of neuro-Lyme disease with 3x/weekly IV infusions of Rocephin (aka ceftriaxone), initially administered daily for 2 weeks.  Insurance stopped paying for the treatment after the first 28 days so I quickly transitioned to home infusions via a home health agency.  My time has been consumed managing the medications, supplies, scheduling, set-up/laundry tasks, and more required in having these and other treatments right here in our living room.  I also started full spectrum infrared sauna treatments 1-2 times per week.  The ongoing expense is tremendous and frankly has depleted most of our available resources.

But has it helped?  Yes:  I am doing better than I noted on November 11, 2015.  Except for a recent increase in symptoms (suggesting treatment resistance and a need for a change in medications), I am no longer having convulsive episodes 2 to 5 hours per day with one day exceeding 12 hours about every 2 weeks.  I am no longer bedridden most days of the week.  Most weeks I can get out for essential errands such as grocery shopping and gratefully I was able to paddle our outrigger canoe or more stable kayak 5 times this past year.  I praise the Lord for this progress!  My reactivity to noxious stimuli and mold has diminished about 30% allowing me to participate in a social function about one time per month without a marked increase in symptoms.  I attribute a good part of this progress to my work with brilliant naturopathic physician and genetic coach, Dr. John Catanzaro, of Health Coach 7.  There is more work to do however.  Progress remains slow.

After much struggle, prayer, and perhaps a leading of the Holy Spirit, I consulted with my Lyme Literate Medical Doctor (LLMD) earlier this week regarding a change in my treatment plan.  He has decided to change my medication to a combination of IV Rocephin/Zithromycin regime for Bartonella:  a co-infection that often accompanies borrelia burgdorferi (which is the primary bacteria of Lyme disease).  Bartonella is often associated with seizures, peripheral neuropathy and some lesser symptoms that are a part of my clinical picture.  Oral antibiotics of minocycline and Plaquenil may follow; it is common to use multiple antibiotics currently for Lyme disease when chronic with neurological complications.  There are ongoing supplements for treating biofilms (ie. the mucous membranes in which the organisms hide), detoxification, and nutritional goals as well.  The new treatment plan begins tomorrow . . .

I am required to have the first dose of the new medication administered in a medical facility before it can be administered by my infusion nurse in home health care.  So tomorrow I will re-visit the outpatient clinic of our local hospital where this phase of treatment began earlier.  I have come a long way since then!

Starting an IV or accessing my power port used to trigger up to 20 minutes of violent convulsive episodes every single time!  Sometimes I had to be accessed in more than one peripheral site due to the collapsing of my veins, hitting the valve of a blood vessel, or the pain/severity of the procedure.  The started isolating me in a private room due to the concurrent involuntary screaming episodes!  That is no longer the case.  Also, the entire infusion appointment used to require me to be at the hospital up to SIX HOURS before I was stable enough to walk out the door.  The nurses in the outpatient clinic left at 5:00 p.m. so they would transition my care to the staff who worked until 8:00 p.m. so I could sit alone in the quiet, deserted treatment rooms until the post-treatment episodes resolved.  Again, this is no longer as severe.  I do miss watching the remodeling shows on HGTV during the treatments, however.  We don’t have cable TV at home!

The journey has been long and difficult:  October 11th marked 5 years since I got sick with viral hepatitis after kayaking in the Cedarville Reservoir near our home and November 20th marks 5 years since the first seizure attack episode.  I have cried many grievous tears for so many different experiences of loss and incredible suffering.  There have been 3 minor surgeries with only 1-2 days of pain medication each time; the number of convulsive episodes is in the thousands.  I have now had counseling to cope with the trauma of this extended illness and to prepare me for the day when I will recover, return to life.  By the grace of God I have been able to complete the continuing education credits needed to keep my occupational therapy license active although I have not been able to work since February of 2012.  My husband and I have faced unbelievable stress, the depths of heartache together.  And even so, we are hopeful that someday I will recover fully.

Our Lord, Jesus Christ, has stated that those who believe in Him will have strife in this world but to not lose heart:  He has overcome the world (John 16:33).  He has been the strength that both Steve and I have needed to endure and overcome the worst hours of torment (Psalm 73:26).  He sent His son so that we would not die in our sins of the consequences of living in a sinful, fallen world but have everlasting life (John 3:36).

This means that my life will go on beyond these struggles, this suffering that I have endured and one day be with Him without the tears of this whole ordeal (Revelation 21:4).  That special kind of joy and peace shining in my heart even now will blossom into all joy and dancing as I trust in my Lord and Savior through it all (Deuteronomy 31:8).  I have cried out to Him on my bed of sickness (Psalm 41:3) and He has led me by His Holy Spirit time and time again (Mark 13:11) as He did the disciples before there time of unimaginable persecution.  My suffering, our suffering pales in comparison to that which persecuted Christians endure every day for their faith.

Thank you Lord for helping me and Steve to endure this illness.  We are encouraged for my progress and sense that it has not been wasted:  I raise this testimony up to you that Your glory may be revealed in our lives.  (Romans 8:18)  To You alone be the glory.  Please bless the Gentle Reader reading this today.  Thank you for loving us and bringing us together (1 Corinthians 5:4).  In the name of Jesus Christ I pray.  Amen.

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No Worries Here

In Philippians 4:6-7 Paul writes, “Be anxious for nothing, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, shall guard your hearts and your minds in Christ Jesus.” Our anxiety and worry is distrust and disbelief in God, and it weakens us for His service. The Word tells us that we are to pray about the things that are troubling us, giving us anxiety, or weighing heavily on our hearts. Make these requests known to God.

“Cast all your anxiety on Him because He cares for you.” (1 Peter 5:7) This is the peace of God; knowing that He is sovereign and that He cares for us, that we have been reconciled to God because of what Jesus did on the cross, and we have the hope of heaven and enjoyment of God forever. This peace will keep our hearts and minds through Christ Jesus.

“Thou wilt keep him in perfect peace whose mind is stayed on Thee, because he trusteth in Thee.” Isaiah 26:3  (from Patrick Klein and the online newsletter of Vision Beyond Borders, June 28, 2013).

These are my hopes and prayers of today, to keep me focused on that which matters most.  The relatively little stuff of my Sunday cannot compare to the riches in heaven, the rewards of the faithful, the promise of eternity with the Lord Jesus Christ.  Translated in Julie terms:  the noxious stuff will pass.  This is but a season of trials.  And so I pray:

“I lay these at Your throne of grace my King for your care, mercy, and grace.  I trust that You see me.  I trust that You hear me.  I trust that You care for me on my bed of sickness (Psalm 41:3).  I trust that You are my strength when I am weak and will sustain me, prepare me for the tasks ahead (Psalm73:26).  I trust that you will guide my beloved husband and me in Your ways to fullness of joy (Psalm16:11).  In these promises I rest.  In Christ’s name, amen.

Try a Gentle Approach

The late humorist Erma Bombeck published a book entitled, If life is just a bowl of cherries then why am I in the pits?  In her writings she had a lighthearted way of dealing with the unfair, confusing, satirical, unexpected, and simply crazy stuff of ordinary life and the people that can be responsible for it.  Oh to have the gift of humor!  Yeah that one eludes me a lot of the time these days when my world does not make sense.

Another author, Sarah Young encourages us in her book, Jesus Calling,  to let the Lord envelop our outreach to others when times are tough.  His love is infinite and transcends the strength and limited wisdom of our tiny brains, our earthly experiences.  This is a better approach and moves me in the right direction. 

But perhaps the place to find the best advice comes directly from God’s word.  The opposite of weakness is strength.  Searching for the word “strength” in the Bible yields 232 references!  Wow.  Finding this makes me realize that this must be something important to our God.  He must want us to seek Him first in dealing with the people and situations we face in our lives or He wouldn’t have inspired men to write it down for us that many times!  It makes sense:  as Creator of all things He is the ultimate source for the power to overcome the stuff of this world.  My favorite verse that helps me in my own times of weakness is Psalm 73:26:

26 My flesh and my heart may fail, but God is the strength of my heart and my portion forever.

Today the infilling of the Holy Spirit and His power helped me to do what I could not have done by myself.  The task was relatively simple:  make dinner for my husband and his good friend.  After all, we had made most of the items yesterday and offered to have his friend over last weekend and it didn’t work out.  All I had to do was tidy up a bit, set the table, make a salad, and put it all together.  The only problem was that my husband called me to confirm that his friend was coming as I was waking up from a recovery nap just after noon.  Nope, I wasn’t at church again today.  I was feeling very beat up from a total of 11 hours of seizure attacks the night before that woke me up several times overnight and early this morning.  My brain was still numb.  The number of attacks were too many to count.  I had wrenched my back in the process of involuntary shaking; the headache and back pain were piercing my frame.   The last thing a gal wants to do when her face is swollen, brain foggy, body hurting and running through hot-n-cold sweat episodes is entertain!  But if I did say yes, it would get me out of bed and going for the day.  A voice inside me somewhere agreed to the plan.  What?

As it turns out, everything came together regardless of how I was feeling.  I got to have a normal experience after an abnormal, nightmarish one.  I called upon the Lord and He sustained me, strengthened me for the task at hand.  The food was great and fellowship meaningful.  There was time to rest afterwards and take a call from another dear friend who understands what this journey through chronic illness is really like.  After eating lunch and taking two Tylenols, I felt better by about 4:00 p.m.  Whew.  At least the whole day wasn’t wasted!

The “gentle approach” I usually need is the one I must take with myself.  I must gently lay myself before the Lord at His throne of grace and let his love and strength wash over me.   When I am weak, when I am unable, when I lack a humorous approach to cope, He is able.  He is my Lord this day and always, my Emmanuel.   I don’t have to control anything or make anything happen in whatever shred of strength I may have at any moment.  He goes before me and it is always good.  Today I could even taste it!

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As an aside, today is Mother’s Day in the United States.  While many call it a Hallmark or greeting card holiday, it was actually signed into law after a woman wanted a woman in the role of motherhood to be recognized within her own family at least one day per year.  The Lord did not grace me with the role of “mother.”  Technically I am a step mother however that is not a title my husband’s adult children choose for me at this time.  They are adults and I am cool with this.  Recently I offered to adopt my husband’s grandchild as my own and was warmly received by the parents.  I am humbled and joyful for this gift of a grandson!  He now has five grandmothers and in time will see the benefits of the love and prayers of all of them.  The Lord guided me in not forcing the issue of being recognized as a step mother or grandmother.  Here we go again:  sometimes a gentle approach is best.  To Him be the glory in Christ Jesus when I do get it right.  I could not do it without You!