posted
I was really active on this forum when I felt bad. Then, after six years of antibiotics (approx 2 years untreated infected prior to that) I went off them 'cause my doc thought I was doing well. I am only on one antibiotic now and that is from a dermatologist for a resistant staph infection. My problem now, is that I am back to working. That is great, except I have a problem with fatigue. Most days it isn't too bad. They have me on 200-300 mg of Provigil(kind of like an amphetamine). I add some diet coke and coffee and make it through most days ok. Some days, like the last couple of days, the crushing fatigue is back. My brain, the neurons feel like they have to fire through glue. I feel like I have a fever off and on. No amount of stimulants have any noticeable result. I have gone home early the last 2 days and am not going in tomorrow. Today was not as bad as yesterday. I slept 2 hours, then ate dinner and went for another 11 last night.
This is the only thing I have complained about (and I must say, repeatedly)to my doctor for at least the last year. My "blood" always comes back "normal". I am supposed to lose weight, exercise more and "regulate my sleep". My therapist wants me to consider that it is the effects of stress.
Yes, I get depressed and frustrated when these fatigue episodes happen. The last thing I think about is exercise. Yes, I eat to "feel better". I have never tested positive for anything (seronegative, I believe), it was a clinical diagnosis.
What should I expect? Should I be feeling more energetic? If I feel like crap on the bottom of a slug's foot, should I go out and exercise anyways? Working all day and then exercising, gee, that feels like alot.
I know I need to exercise more regularly.
I appreciate you being here for me to vent, if for no other reason. I am just feeling a bit overwhelmed.
Posts: 607 | From (deer tick)Heaven! Angeles National Forest | Registered: Oct 2000
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posted
I would think that anyone who has to be on so many stimulants is not anywhere near well enough to work. Do you have to work? Also, is your doctor an LLMD? In other words, do you still have Lyme or could it be something else?
Have you seen Dr. Paul Cheney's information about the use of stimulants in CFS patients? I am guessing that it would apply to Lymies as well. He believes that these drugs (which include Provigil, also SSRI's) cause he neurons to burn out and thus while they might help you in the short term, they cause more damage in the long run.
CFS patients are also told NOT to do aerobic exercise and only aerobic exercise to tolerance. Is this the same for Lymies?
Have you ever been evaluated for CFS? Especially since your blood work was always negative, it might be worth seeking out a doctor who treats CFS, if nothing else to rule it out.
Are you providing your body with sufficient nutritional support? Have you had nutritional testing done to see if you have any serious deficiencies?
You might want to check out another board also, called Accidental Patient (www.accidentalpatient.com) Most of the members have CFS and fibromyalgia and there is much discussion regarding nutritional and other alternative support and treatments. There are some really bright and well-researched folks over there who could offer you a lot of information and support.
------------------ When I'm old, I don't want them to say of me, "She's so charming." I want them to say, "Be careful, I think she's armed." -G. Stoddart
Posts: 977 | From Austin, TX, USA | Registered: May 2004
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posted
I am really sorry to hear that you are feeling down. Although you do seem to have recovered almost completely from Lyme Disease, cronique fatigue is hard to get rid of.
Remember our bodies have been through a lot. They are tired. Try to take care of yourself and not push yourself too much. I believe stress has a direct correlation to this and should be avoided as much as possible.
I recommend you lay low on excercise and only do that which relieves stress. You may think of taking on yoga, or swimming in the evenings. Personally, I enjoy taking walks. Most of the time after the sun has set, the heat during the day only makes me feel worse.
Good Luck! Hang in there! And let us know how you are doing!
Posts: 712 | From Ottawa, ON, Canada | Registered: Sep 2002
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treepatrol
Honored Contributor (10K+ posts)
Member # 4117
posted
Get rest and bcomplex's
Posts: 10564 | From PA Where the Creeks are Red | Registered: Jun 2003
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posted
Hi BugBarb, I remember you well. Good to hear from you but not under these circumstances. I feel very well these days myself but I check in here every once in awhile to see if there's anything new.
If a patient goes off of abx, my LLMD will say "at the FIRST sign of relapese, let me know and we'll put you back on abx". You sound like you are having a blatant relapse. You describe a brain fog and tremendous fatigue . . . this is classic lyme! Especially the brain fog. However, keep in mind that at this point, the abx you are taking may be making you herx and sleep. This is a good indication that you NNED abx.
Stimulants are not a great idea IMHO. They will force your body to do something that is not natural energy causing the underlying problem to get worse.
Lyme can go in remission and become dormant for many years and then suddenly flare. It sounds like the abx really helped you but you've got a flare. Were you checked for co-infections? Epstein Barr can flare too, many things like Babesia and Ehlichia can go undetected at first but with each test you increast the possibility of finding them.
If I read correctly, you never test + for lyme. I strongly suggest you get a Bowen Test and settle this once and for all. The Bowen has gained respect in the lyme community and with more and more doctors. It is on it's way to FDA approval which will make it the ONLY FDA approved test for lyme.
When someone backslides, lyme will pick other areas to "bug". (no pun intended) :-). After I went off abx my lyme went in the ears and gave me tinitus . . . my hair thinned alot. . . is yours thinning at all? You don't need new lyme problems.
Your doctor is not talking like a LLMD. This concerns me greatly. I would RUN, not walk, to the closet LLMD.
TheCrimeOfLyme
Frequent Contributor (1K+ posts)
Member # 4019
posted
CFS? Why
In my humble and blatant opinion, CFS is a crapshot diagnosis that HAS an underlying cause, such as lyme.
Ya dont have CFS.
It does sound like you need more antibiotics, but perhaps the right ones. I dont know what you took, or your history or anything.. you know what I mean? I mean perhaps you have a coinfection that was never treated and is really holding you back, etc. ( Even IF you tested negative you can still have them and be treated likewise)
Im sorry to see you back here though darnit!
I hope you get on the right track.
Posts: 3169 | From Greensburg, Pennsylvania | Registered: Jun 2003
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posted
I agree with 90% of what you guys said. Chronic Fatigue is a garbage can term for fatigue the doc can't find a cause for. Same for fibromyalgia. Don't get me wrong they are real illnesses. I feel that I do need to be treated for the underlying cause of my fatigue. Stimulants, while effective most of the time, are a potent and at best a short term solution. oops got to work
Posts: 607 | From (deer tick)Heaven! Angeles National Forest | Registered: Oct 2000
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Sue vG
Frequent Contributor (1K+ posts)
Member # 3143
posted
Barb,
I'm sorry you're not feeling 100%.
I'll just reply to the part about your brain and glue. That's exactly how I feel when I ingest MSG, aspartame, and other excitotoxins.
Please, stay away from aspartame, as in diet sodas. The stuff is neurotoxic.
posted
Ok, now that I am home and not sneaking email time on my work compuer.... I have been with this doctor for close to 6 years. He was the only one to believe in me and treat me when all others told me I was nuts, or had an undiagnosable condition. He treated me long term with combo's of antibiotics. I am kind of disappointed that he has taken this attitude after this many years of good doc-patient relations. I keep thinking that he just doesn't understand or that maybe he is right and I am wrong.
I tried to go without my provigil this morning. Man, I was a cognitive fogged yawning mess.... until I took the 200mg along with, yes, the dreaded diet cola. Only then, was I able to be a moderately productive employee.
Since I have returned to work, we have become dependent on my income. At least my job pays for most of my medical costs. I have contemplated changing my schedule...get to work earlier or later...It is hard figuring out things.
I am much better today after sleeping most of yestereday and 12 hours last night. I'll go to bed by 11 and get up at 8 in the morning for a good 9 hours tonight. Really looking forward to the weekend of three days of sleep on my schedule. May go up to my cabin (pre-lyme heavenly home, where I was infected) and get some truly restful and at least refreshing ot my soul time.
Posts: 607 | From (deer tick)Heaven! Angeles National Forest | Registered: Oct 2000
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Long time no see! Nice to hear from you! Sorry you are having struggles!
Sorry I don't have any magical answers...... we are still here after 4 years, too..... Yet, my daughter is doing a tiny bit better! Still a long way to go though......
posted
I agree with the others that it sounds like a relapse. I also agree that at the first sign of a relapse, go back on ABX and stop the spread of borrelia.
However, have you read about how candida and metals can help create a relapse? We all know that the bug can lie dormant, but what in our body and our immune system allow it to make a comeback and effectively take over the way it used to?
In some cases, it may be metals and candida. Lyme patients who have used long term ABX should treat for candida, and test for metals.
posted
I agree with the others also it soundslike a relapse, try not to keep pushing it can be harmful i relapsed in 2002 went on antibi. for 10 weks eneded up with an infection in my blood went to an infect. disease md who said i did not have lyme took me off antib. for 6-8 months disease had a hay day with me i now have cns lyme and am unable to work at all, i also pushed myself with my job working mega hrs. it really doesn't pay in the end, so please be very careful and listen to your body also my bowen test was positive with a 1:128 which is the highest you can get, when i was off antib. my family thought i was going to die, it was like i had a massive stroke. hope you feel better and please get the bowen test.
karen
------------------ waiting and praying for a miracle
Posts: 106 | From south western new york | Registered: May 2004
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posted
I am feeling better. It has taken about a week. Over the holiday weekend, I didn't take my "perky pill", the provigil. Consequently, I slept the majority of all three days away. But, it felt right.
I am back to my usual level of functioning. 200 mg of provigil and a cup of coffee to start the day and 2-3 diet/regular cokes during the day to maintain.
I have been loading up on the vitamins, b, multi, b12, whatever I can find around the house. Have lots of different ones. have bought vitamins many times and never finish the bottle. That is except for the policosanol, niacin, fish oil I take for cholesterol and triglycerides. And I found a killer deal on 5 boxes of Emergen-C...usually sells for 8-12 bucks each, got them for a buck each.
Posts: 607 | From (deer tick)Heaven! Angeles National Forest | Registered: Oct 2000
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posted
Update I am still on Provigil. 3-400 mg on work days I skip it on days when I don't need to be productive
The days when I take it and it feels like it does nothing, I now have learned from experience, I am sick. I need to rest. I need to stay home and sleep.
I have been on this for a long time. When I stop for a few days, there is no withdrawal. Only a slow return to sleepier yawnieness.
The extended use does not seem to have any bad effects.
I realize provigil is not a cure all. It is only a treatment for the symmptoms. The fatigue may be related to lyme brain damage and family genetic tendency on my dad's side to be sleepy people.
-------------------- Lyme is like the flu. You can get it and recover, but you can always get it again. Posts: 607 | From (deer tick)Heaven! Angeles National Forest | Registered: Oct 2000
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Monica
Frequent Contributor (1K+ posts)
Member # 224
posted
I'm glad you are feeling somewhat better, but a cautionary tale ..
I was treated for 7 years by my PCP who is a great guy and willing to help, but didn't have the know how to treat this disease. As a result I was on and off antibiotics which I believe just eliminated the weak bacteria, and made the stronger ones stronger.
So here I am approaching my 18th anniversary of infection and I started all over again with an LLMD 10 months ago.
This is my best chance for recovery, I believe.
You don't say much about your doctor, but it sounds as if he had the good intentions of my PCP. I would suggest that you find an LLMD whose experience matches his desire to help.
Posts: 1757 | From Somerset County, NJ | Registered: Oct 2000
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riversinger
Frequent Contributor (1K+ posts)
Member # 4851
posted
Barb, in addition to the Lyme, it sounds like you need a thorough evaluation of your thyroid. Lyme can damage the thyroid, and many of us need thyroid support, even when the labs look "normal."
Thyroid treatment is almost as poorly undertsood as Lyme treatment, and it can be very hard to find a doctor who knows how to treat. I know that for me, having my thyroid properly managed is critical for the kinds of symptoms you are describing.
A T3 and T4 medication may be what you need, rather than provigil and diet coke. If so, it will help with any weight issues, as well.
lymeHerx001
Frequent Contributor (1K+ posts)
Member # 6215
posted
All I needed to do was read what your response was about using stimulants.
THATS ME>..
Years of excess caffeine and epherine abuse which is similar to METH..... burned out my neurons!!!!!
Now im still a coffee adict but am cutting down.
The stimulants hurt me in the long run.
Do a search and read my story. Its a compelling one as is many peoples stories on this board.
Oh yea,,, I stay away from cannabis too!!! All that did was mask my mood and pain. All the drugs hurt in the long run except for the anti-biotics.
They are keeping my infection at bay.
Posts: 2905 | From New England | Registered: Sep 2004
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caat
Frequent Contributor (1K+ posts)
Member # 2321
posted
hey Barb,
Were you evaluated for co-infections? Could very well be you've gotten rid of the lyme but are left with one or several co-infections.
I think that's where I am.
Also something to consider, some of the co-infections could be viruses. Olive leaf might help if one of them is viral.
Posts: 1436 | From Humboldt county ca usa | Registered: Mar 2002
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treepatrol
Honored Contributor (10K+ posts)
Member # 4117
posted
Maybe and I am not a big proponet of this but could it be the aspartine in diet soda??
-------------------- Do unto others as you would have them do unto you. Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.
posted
Hi Fevers could be the sign of an inadequately treated co-infection/s returning...you should check in with a knowledgeable LLMD and get some tests run.
Stimulants and caffeine are really bad for Lyme patients, you need to stop taking these as they will be making symptoms worse.
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