Wednesday, October 9, 2013

PANDAS Awareness Day 2013, One mothers story

 
Today is the First Ever PANDAS/PANS Awareness Day, and even though I don't get the time I would like to keep up with my blog, I can not let this day go by with out a post. 
PANDAS is one of the reasons, my blog time is a thing of the PANDAS..  because it has steeled way a normal childhood from my children.   I don't have the time right at the moment to share our story with PANDAS.  I'm hoping to find  time later today, fingers crossed..
I do however have permission to share one mothers story with you all... and If you lucky I"ll be able to share a lot more with you as I find time though out the day..

Here is her story.
PANDAS AWARENESS DAY…..this is Gianna’s Story

I share our struggle, so that others will not have to struggle.

When Gianna was 1 yr old, Gracie had strep 4 times, Skyler 3 times and I had it 3 times that year. We never swabbed Gianna for strep because the doctor said children that age rarely have strep and she showed no classic strep symptoms. However, she chronically had a fever spike that year of 101.8F. The fever would lower to 99.8F, go away briefly and return a few days later. She almost never had a normal body temperature. At the same time, her neutrophil counts (her immature white blood cells) were at a chronic scary level…just above leukemia levels which had us seeing a hematologist/oncologist for months. We now know she has neutropenia, so when she comes in contact with an infection, her body cannot make neutrophils fast enough to replace the ones her body is using causing illnesses to linger for long periods of time. A compromised immune system was building and creating the perfect storm for PANDAS.

Just before 2 yrs old, Gianna became very sick and a few days later her personality changed far beyond the typical toddler behaviors. She was always such a sweet, loving toddler. However, she turned into a raging, frustrated animal with blank stares and an inability to learn colors, letters, or retrieve words. I remember crying as I laid in bed asking Christian, “What am I doing wrong? I am parenting her the same as Gracie and Skyler, and they were always so sweet, compliant, and likable. I dread getting up every day knowing how difficult Gianna will be. It is like she changed overnight. I guess this is what the terrible 2’s look like. I guess I was blessed to have never gone through that with Gracie and Skyler.” I was heartbroken and exhausted.

Things calmed down between 2 1/2 and 4 yrs old, and I had no answers as to what changed her personality overnight and what brought my sweet little girl back…until Monday, Dec 10, 2012. You see…PANDAS parents can often tell you the day and exact moment they lose their child to PANDAS. She woke in a pee soaked bed. I knew something was wrong because from the moment I put big girl underwear on this child, she never had the slightest accident. Within minutes, I realized she had a fever of 101.9F. She was off…almost mute, stuttering, unable to find the words in her head. Her look was blank. The color in her eyes had disappeared…all that was left were BIG BLACK PUPILS. She sat watching TV while drinking a bottle and in a panic said, “Mommy, I can’t see. I can’t see.” I went to her and placed my hand on her leg so she knew I was there. “Mommy, I can’t hear you.” Pure panic…was my daughter having a stroke? In 2 minutes, her vision and hearing returned.

Off we went to the doctors, MRIs, EEGs, blood work and lots of worry. I came home from all of this to a phone call from my sister. “Jack just tested positive for strep. I just wanted you to know for Gracie’s sake since the kids were all together Saturday.” My heart sank…another child with PANDAS. This cannot be possible. It is supposed to be rare!

The weeks that followed brought me back to the Terrible 2’s Phase. She was totally non-compliant…down right defiant, but with a totally blank stare. She could not process anything we were saying to her. She was no longer behind those big black eyes. This was NOT my Gianna. She did not speak much except to tell me not to step on cracks (OCD), she had to wash her hands because they felt germy (OCD), she could not eat that food because it felt or looked weird (sensory issues), she was scared and could not sleep (anxiety), she was not hungry (anorexia), or she peed her pants (urinary frequency). And to voice these needs was a struggle…each word was lost in her brain which was literally on fire (Learning Impairment) and she spoke like a baby (Age Regressive Behaviors).

With a 30 day course of antibiotics, Gianna slowly returned as her immune system quieted down and stop attacking her brain instead of her infection. That is what PANDAS does. The immune system confuses the basal ganglia in the brain for the same type of cells as strep bacteria; thus, the immune system launches a full blow attack on your brain cause inflammation and neuropsychiatric symptoms.

Knowing the symptoms can change the outcome! Please, share the PANDAS awareness information I have posted today. 10 friends who have 10 friends share the information means 1000’s of  friends will become aware. You will touch a child’s life who is struggling right now, and the parents are sitting crying wondering where their child has gone.




I thank this mother very much for allowing me to share this with you... there are so many children struggling and so many parents wondering what is going on, what happened to my child, who is this child standing in front of me, why is my child acting this way... 

Folks we need to bring awareness to parents, to schools, to those in the medical community.  If you know the symptoms you can change the outcome.  
You can learn more about the signs and symptoms HERE

Help us pass the word along..  There is help for these children if they get the right treatment, but most children are getting incorrect Dx, they are being labeled according to the symptoms and not the cause. 

Wednesday, February 13, 2013

Neuro Film Festival.

If I could ask you for your help..
There is a PANS/PANDAS Awareness video entered in the Neuro Film Festival.
Would you all please take a minute or two out of your day today to head over HERE  and vote for the PANS/PANDAS Awareness video and help spread the word about PANDAS.

Thank you for your help.

Thursday, October 11, 2012

Another message for Boston Children's Hospital

Just got done posting this over at the Boston Children's Hospital Facebook Page..  It is so very important that they start listening and start learning how to treat children with this disorder.
This is my 13 year old son, getting the RIGHT kind of treatment for PANDAS/PANS
Last year at this time, my sons world was ripped away from him when he got a strep throat infection. My perfectly happy, healthy starting lineman for the school football team woke up one morning, deadly afraid if he played football he would die, until that morning football was his life his most favorite thing in the world. But at the mention of football, he was hiding under a blanket crying uncontrollably, along with that came other fears, and two days after that he had a blinking eye tic, the next morning after that his head was turning to the side and a should shrug tic came also. He was also running a fever so into the doctors we went and he tested Positive for strep that day... They treated the strep but it wasn't enough to stop the immune reaction he was having to the strep.
This last year has been a roller coaster ride of doctors and hospitals and improvements in his conditions only for him to be exposed again to make things worse..
Unlike with my daughter who had PANDAS for a few years now, antibiotics alone wasn't getting his life back for him.. Steroids helped a lot but it was only a short term fix. So in July 2012 he had high dose IVIG done at Children's Hospital of Michigan in Detroit.
BCH Please Please Please.. educate yourself, learn about PANDAS/PANS what it can do to a child, and what is the RIGHT kind of treatment that can help and heal a child... Do not let another child suffer from the wrong treatment.

Rally To Support Family who lost Parental Rights over Sick Child to Boston Children's Hospital

Thanks to Athanasius Kircher who read one of my earlier post about Elizabeth Wray over at my Mindlesschatterofabusymom blog.. I just received this Media Advisory. I knew about the Rally and was planning on going until there was a death in the family and my plans changed.. but I had never seen the Media Advisory.. This is Excellent. Thank you Lynn Johnson.. you are an amazing PANDAS/PANS warrior mom.



October 11, 2012 CONTACT: Lynn Johnson
PANDAS Resource Network
757.642.8700


** MEDIA ADVISORY **

Rally to Support Family who lost Parental Rights over
Sick Child to Boston Children’s Hospital

Oct. 11 – 13, Blackfan Circle and Longwood Ave. Boston
Supporters working to return Elizabeth Wray to the care of her parents are holding a 3 day demonstration at Boston Children's Hospital to protest a lack of proper treatment for Wray's autoimmune disease Pediatric Autoimmune Neuropsychiatric Disorders (PANS). Boston Children's Hospital blocked Elizabeth's parents from seeking treatment at a different facility by having their custody taken away and placed with the Commonwealth of Massachusetts. They and their lawyer are currently under a gag order at BCH's request.
What: A rally to return Elizabeth Wray to her parents for proper care and ask that Boston Children's Hospital recognize PANS for the legitimate medical condition that it is, and stop treating it is a psychiatric disorder.

When: Oct. 11, 12, 13 2012, 8am-3pm

Where: Blackfan Circle and Longwood Avenue across from Boston Children's Hospital


Elizabeth Wray Story: http://www.fightingpandas1.blogspot.com/

The PANDAS Resource Network represents 4,000 families affected by this little known disorder.

Lynn M. Johnson
Executive Director
PANDAS Resource Network
www.PandasResourceNetwork.org
757.642.8700
lynnj0750@msn.com

Tuesday, October 9, 2012

Hoping this will help them see the light.

I posted this today over at the Boston Children's Hospital Facebook Page.
This is my Daughter.. In January 2013 she will be 11 years old. When she was 7 years old PANDAS changed her life.. If I would have taken her to BCH I fear They would have placed her in a locked
  psych ward and would have drugged her up on Psych drugs that would have done my daughter more harm then already was done. They would have let her symptoms get worse by not treating the problem, she never would have healed. She would have had to live her life every day with OCD, fears, high anxiety, sensory issues and an eating disorder... all because they want to close their eyes to the fact that PANDAS is real and it is caused by infections that can be treated with antibiotics. With antibiotic treatment my little girl is able to live her life... Unlike the children who go to this hospital for help and end up being ripped from their families and kept away from the treatment they so desperately need.
BCH Please PLEASE please.. educate yourself on PANDAS and the real treatment that has helped so many children with this disorder.. Don't let anymore children suffer at your hand with the wrong treatment.. Please stand by your statement "Till Every Child is Well" Learn and offer the correct treatment for PANDAS/PANS

Thursday, October 4, 2012

Boston Children's Hospital You are still wrong.

This is a facebook status that the Boston childrens Hopsital put out in responce to the PANDAS commuity telling them they are wrong and this poor little girl needs to be returned to her parents.

"Providing safe and appropriate care in a safe and protective environment is the paramount priority for Boston Children's Hospital. Boston Children's is dedicated to the care of each and every one of our patients. We evaluate every patient carefully and thoroughly to be sure they get the treatment they need.

Federal regulations do not allow Boston Children's or any health care provider to comment on the specific care of a minor without consent of the minor's custodial guardian.

Recent online activity has suggested that Boston Children's does not consider Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) to be legitimate medical disorders. Boston Children's takes every patient care situation very seriously and provides a careful and thoughtful diagnosis based on clinical evidence so that every patient gets the treatment he or she needs. This includes diagnosing and treating conditions such PANDAS/PANS."  if you would like to read this off there facebook you can find it HERE


Well here is my responce to them.
This may be the worst attempt at trying to cover your backside I have ever seen.
"Recent online activity has suggested that Boston Children's does not consider Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) to be legitimate medical disorders." Not once in here did you say you do consider it a legitimate disorder.. "This includes diagnosing and treating conditions such PANDAS/PANS." Such as PANDAS/PANS or do you treat PANDAS/PANS.. and if you do say your treating it, how??? are you just treating symptoms which could make the child worse or are you treating PANDAS/PANS the way it should be treated, with Antibiotics, Steroids and if it comes to it IVIG or PEX?? Yeah from what I have been reading and hearing your hospital doesn't have the 1st clue how to treat PANDAS/PANS... So how can you state your "Providing safe and appropriate care" when you don't even know what appropriate and safe care is for a PANDAS/PANS child..
To those who have posted who are not PANDAS parents and who BCH has saved your childs life.. I'm am very thankful you were able to find the care you needed for your children. That is what the Wray family was trying to do for there child also.. They already knew what she had, they were not looking for this hospital to tell them what was wrong with their child, they just needed some help with treating some of her symptoms that came on from the auto immune disorder.. A hospital can be very good at one thing but not so knowledgeable or still in the stone age in another area. Last year I found myself in a spot like that at a well known children's hospital in Ohio. This hospital was a hospital I trusted, when my youngest son was 4 days old and extremely sick, they saved his life and I'm very thankful for that, But last year when my oldest son got hit hard by PANDAS and our doctor didnt' know what to do, they admitted him to this same hospital where the doctors wouldn't listen to me at all. You see my youngest daughter was Dx with PANDAS 2 1/2 years before my son was hit with it.. and I knew my son's case was a classic PANDAS.. OCD, fears, anxiety and a tic and movement disorder all showed up overnight and at the same time he tested Pos for strep.. I mean that is a clear a cut case you can get.. Pos strep infection in hand at the onset of the overnight change and symptoms... yet This hospital sat there telling me it is not PANDAS even while they were holding high ASO titers in hand.. They called in Psych and wanted to put him on psych meds and told me and my husband this was all because we were pushing him too hard to play football(which was never the case my son loved football until he woke up with PANDAS then the OCD thinking told him over and over in his brain if he played football something bad would happen) Thankfully the Akron Children's Hospital didn't call CPS on me for refusing to accept what they were telling me.. and I looked right at the doctors and told them they were wrong, and handed them all the updated paper work and research I could get my hand on about PANDAS. and I took my son out of that hospital and got him the care he needed to get better. That is all this poor family is wanting to do, they know the doctors at BCH are wrong and they need to get there daughter help, and BCH is harming this poor little girl by not treating her the way this disorder needs to be treated... not to mention that separation anxiety is a big PANDAS/PANS symptoms.. When my youngest daughter came down with PANDAS she would have a complete mental breakdown fit if I stepped more then two steps away from her.. It would be extremely scary and heartbreaking for any child to be away from their parents, but for a PANDAS/PANS child it is 1000% worse.. the stuff going on in there little brains that they have no control over it's awful.
at my daughters onset and worst of it all.. she refused to eat, she couldnt' wear cloths due to sensory issues from PANDAS along with the extreme seperationanxiety.. when I sought help from the Pedi he Dx her with OCD, high anxiety and a conversion disorder(his reason for the sensory stuff) a few weeks after that all heck broke loose... she stopped eating all together, stopped sleeping, did nothing but scream and cry while she sat naked in the middle of my bed rocking back and forth she couldn't lean back on the couch or chair cuz she said it felt like people were stabbing her with a knife(though at the time she wasn't telling me this stuff just screaming her head off in pain) she couldn't sleep because laying down on the bed sheets put her in pain also.. she sat with her arms around her knees rocking back and forth just crying till she would get so tired she would pass out and fall over, only it would only be for a bit because falling over waking up and feeling the stuff touching her had her screaming and rocking again... My husband wanted to rush her to the ER. he was worried she was going to dehydrate.. I fought with him, because I already had one doctor her Pedi trying to get her in with a psychiatrist, I just had this sick gut feeling if I took her in to the hospital in this state they would think she was crazy and want to admit her into the psych ward and I didn't want that for her.. so I fought with my husband... I was worried if they did that they would make me leave her and she was already having complete melt downs if I took two steps away from her, I couldn't do that to her.. Only after 3 days of this I was getting worried also and was trying everything to get something into her.. on day 3 of this.. she fell asleep.. it was only for 30 mins but it was sleep after 3 days of none(for both of us) when she woke up she was running a fever.. So I did get her into the pedi's office.. which was no easy task for a child who wouldn't put cloths on and I had to force cloths on her(even through they were way to big on her hung like tents on her she was still screaming they were too tight, get them off me they are killing me) she screamed for 2 hours non stop in the office jumping up and down biting and tearing at the cloths, rolling on the floor, standing on chairs screaming at the top of her lungs that they are killing her while trying to rip the cloths in half. That day she tested pos. for strep.. We saw an NP that day.. it took 5 adults to hold down my at the time 8 year old 30 some pound daughter and 1 to pry her mouth open to get the strep swab. I looked at the NP.. and I said.. can you please call her Pedi and tell him about this right away.. this is the stuff I was telling him about that he didn't see when I brought her in.. That night her Pedi called me and told me he had good news and bad news.. Good new he no longer thought it was a conversion disorder, Bad news he thought she had something called PANDAS.. later I found out that when the NP called the Pedi, she told him "this child doesn't need a doctor she needs an exorcist. I think back to those time with my daughter and I can see how this could be us in this same spot. That all was 3 years ago, and with long term antibiotic the girl I just told you about is in school straight A's, on the 5th grade football cheerleading squad, on the volleyball team and plays travel softball. BUT none of this would be true IF SHE DIDN'T GET THE RIGHT TREATMENT.... Psych meds would not have helped. My sons case was not as easy, antibiotics alone was not enough.. and steroids helped but only for a short time.. He had IVIG this summer and is now doing so much better. If I would have listened to the doctors at the Akron Hospital my son would be on Psych meds trying to treat a conversion disorder and tourettes and not a one of those medications would have helped him he would have just kept getting worse and worse.
Elizabeth needs to be returned to her parents so she can get the treatment she needs. BCH You are doing more harm to this poor child who is suffering so much already.

This is just so WRONG.

Yesterday on my mindless chatter of a busy mom blog, I posted about a little girl with PANDAS whose family took her to Boston Children's hospital for care, was told PANDAS was not real and then the Hospital called CPS on the parents and the girl is now in state custody..  Today I gave an update with more of the story.  It hit me at that time that I should be posting this over on this blog which is my PANDAS blog.    So here is what I wrote today.

This is just so wrong and makes me sick to think about. :( Here is more news on the story I posted yesterday about the girl with PANDAS taken fro her parents, if you didn't get to read it you can do so HERE ... this is an email I got from on of the PANDAS support groups I'm part of. Beth Maloney is Lawyer for the family, also a PANDAS mother and author of the book Saving Sammy
Here is the email.

For those of you who don't get Beth Maloney's emails, but want to know what you can do to help in the Boston case, this is from Beth. I think these people need national media exposure - NOW. I just cannot fathom that they have to wait 3 weeks for another hearing.



Things are not good with Elizabeth. She remains at Boston Children's Hospital. BCH still refuses to recognize that its "treatment" is a complete failure. She continues to decline. She can no longer walk. She barely speaks. Earlier this evening, I listened to her screaming and wailing in the background from her bed as her brokenhearted father tried to bring me up to date.

There will be a piece in the Boston Globe Magazine about PANDAS within the next three weeks. They contacted me directly as a result of your efforts...someone posted or blogged regarding my earlier emails and that is how the Globe found the story and me. Based on my interview today, which lasted for over an hour, I expect this situation will receive a great deal of attention. Keep posting. Keep blogging. It makes a difference.

I want to be 100% clear that these parents did NOTHING wrong. They took the exact same steps that you or I would have taken to help our children. This could have happened to any one of us. They are living every parent's nightmare...losing custody of their child for trying to do the right thing. And these parents need your help.

The Wrays have given me written permission to share the following information with all of you and the media.

Briefly, Elizabeth was diagnosed with PANDAS by two doctors in NY February 2012. It first showed up as trouble eating. Blood work showed mycoplasma and Lyme. With antibiotic treatment she improved and did well over the summer. But she took a dive in early September. Her parents took her to a hospital near them, but the hospital felt she needed more than it could offer. There were two possibilities suggested: Rochester and Boston Children's. The parents wanted her to go to the first place that had a bed; that was at Boston Children's so she went there. BCH immediately decided that Elizabeth's issues were all psychiatric and not medical, not PANDAS. They have refused to introduce antibiotics. And although she was on a gluten & dairy free diet, BCH immediately introduced both. She has had a spinal tap, EKG, EEG, MRI and many, many other tests. The parents were never given any test results. They were told there were "irregularities" in some tests, but they have not been informed what those irregularities are so they still have no idea. Last Thursday and Friday, the hospital told Jay that Elizabeth was cleared to transfer. He was actively working with Dr. Geller, Dr. Jenike, the OCD Foundation and Rogers Hospital to figure out where would be best for Elizabeth to go. As far as Jay knew, BCH was on board and helping him figure this out. Then on Monday evening at about 5:30 pm he was told to be at Court the next morning when the State would attempt to take custody based on allegations made by BCH. We were in Court Tuesday morning.

The State has been placed in charge of Elizabeth’s care (because it has custody), but the Judge specifically instructed that she may not be moved to the hospital's locked psych unit. I do not fault the Judge for his decision on temporary custody. It's hard to explain in a few sentences... but when a Judge is confronted with the kind of accusations that were leveled against the Wrays, it would have been very difficult for him to simply dismiss the petition (although I tried to get him to do that). He heard me though, and he protected her as much as he felt that he could - given the circumstances - by specifying that she should not be moved pending his final decision. We are scheduled to go back to court on October 23rd. Her parents are in agony knowing that she may suffer for another three weeks at BCH.

Below is the list of the names I was given by the State of those at BCH who spoke with Child Protective Services about having the State of Massachusetts take custody of Elizabeth away from her parents. I have provided as much contact information as possible. Call them. Email them. Make them understand that there are thousands of parents standing behind the Wrays. You may want to begin by sending to this email which is a general for the hospital but I want you to do more http://childrenshospital.org/email.cfm?s=1394&c=7&u=webteam

I want you to call the hospital and ask for these people. I want you to leave voicemails if you don't reach them. They need to know that this movement is only going to grow. Will you do that for us? The general number at the hospital is 617-355-6000. I want the switchboard jammed. Begin every call with “I’m calling about Elizabeth Wray. Please connect me to ...” I want your voices to be so strong and so many that - maybe - then they’ll begin to get it. I want them to know that parents are not longer going to bring their children to BCH. And I want them to know that they cannot hide behind the cloak of the State.

As far as emails, from the few that I know it appears that the pattern is first.last@childrens.harvard.edu

Here are the specific people I was told that the State spoke with:
Dr. Othman Mohammad
Dr. Simona Bigourno
Dr. Gary Gosselin gary.gosselin@childrens.harvard.edu fax 617-730-0917
Dr. Lydia Shrier 617-355-7181
Elizabeth Holleran, child abuse social worker
Deb Sorentino, child protection team
Ellen Rothstein, Esq. Associate General Counsel Ellen.Rothstein@childrens.harvard.edu

Others to contact would be:
James Mandell, Chief Executive Officer
Sandra Fenwick, President & Chief Operating Officer
Stuart Novick, General Counsel 617-355-4937 Stuart.Novick@childrens.harvard.edu

This is a link to the entire leadership team http://www.childrenshospital.org/about/Site1394/mainpageS1394P4.html

Many of you have asked if you can help with a donation. Jay wants to be clear that he is, "not the type to ask for money," but if you want to help he will gratefully accept. He is the family breadwinner and is presently on medical leave from his job where he has worked for the same employer in customer service for fifteen years. His family home is more than five hours from Boston. His family has living expenses in Boston, a huge liability for all the "co-pays" that will be charged for hospital stay, legal fees, expenses at home to manage, and no end in sight. He asks that checks be made to “Beth Maloney Esq. Trust Account” and indicate "for Elizabeth Wray" on the check. The mailing address is Beth Maloney, Esq., P.O. Box 468, Kennebunkport, ME 04046

I wish I could write more. I am so exhausted that can only imagine how the family feels. I keep picturing Sammy in that hospital bed, unable to walk, screaming as they try to force food down his throat.

Be our voice.

Beth

Tuesday, July 10, 2012

been so long Update

It has been forever since i wrote on any of my blogs..  But this would be the week for me to update here at the PANDAS blog. 
Things with Sweet Pea are ok.  Not 100% but what has become the norm.  She goes up and down depending on what her immune system is doing..  Mostly she is good, but she has little flare up of PANDAS symptoms every time she is exposed to anything.   She is still on daily antibiotics 250 mg of Keeflex once in the morning and  once at night..  But she is living a normal life for the most part.  she will be entering the 5th grade in the fall and made the 5th grade football cheer leading.  She is still playing softball and Volleyball and just having fun.. today she is having a mild PANDAS flare with alot of crying and moodiness..  She spent last week with my parents and my sister and all her cousins.. and I think my nice might have been sick.. because Sweet Pea has been having mild flares every day since being home. 

BUT now for the big news which i haven't blogged about..  Mr Man.. our 12 year old has PANDAS Also.   His is really bad.  He has been dealing with it for the last 10 months.   it came on after having his 12 year vaccines.. a few weeks later he got sick.  I thought it was strep because his throat was killing her he ran a super high fever and Because Sweet Pea was reacting badly to it.  Got him into the doctors the 1st day of the fever.. They did a rapid strep it came back neg they didn't treat him just sent us home calling it a virus.  He was sick for the whole week with the fever and just feeling awful with his throat killing him..  Two weeks later like over night.. He was having major fears and anxieties and a few days after that he started ticking started with eye blinking and head turning ticks..  I got him into the doctors thinking it was PANDAS but they wanted to rule  out other things because he was in football at the time and had taken some helmet to helmet hits..  the day of his EEG his ticks became so much worse and he started running a fever.  Got him right back to the doctors and that day he tested Pos for strep...  you think with me already having a PANDAS child and Mr Man having PANDAS symptoms and Strep at the same time this would be a no brainer for the doctors but that isn't the case... they wouldn't call it PANDAS.   Long LONG story short it took us 3 months and Mr Man getting worse for them to start treating him with antibiotics and steroids.. which helped alot..  didn't get him back to normal though..  by December 2011 he couldn't sit up he couldn't walk, he laid around flopping around like a fish out of water.. that is when they started treating PANDAS...  it got him to walking playing, back to living but at a different level then he was...  He still had anxiety and OCD fear issues, just not as  bad as they were, he still had none stop movements and tics.. just Not as bad as they were..   they would get him Alot better then he would be exposed to something and they would get worse again.. 
At this point in time.. he is left with intrusive thoughts and fears, tremors in his hands and his head jerks backward every so many mins..  He hasn't been able to attend school since oct 2011 and is on home bound schooling with a tutor even though the summer since Oct- Jan he was unable to do that, he is doing summer school so he can move on to the next grade with his class.

AT this point in time.. the doctors feel he needs IVIG..  and He will be having that this Friday and Saturday  July 13 and 14, 2012..

I will try to remember to keep the blog updated with how this goes.. and also keep updating on Sweet Pea as well.

That is 2 of my 4 kids who have dx for PANDAS and we feel that our youngest Little Man also has PANDAS.. He gets mild PANDAS symptoms every time he is sick, but since he hasn't had anything Major the doctors won't listen to me(well the doctors here around us) the PANDAS experts I'm working with in NJ(Dr T) thinks I'm right but doesn't feel he needs treatment for it yet.. I just need to watch him and get him to the doctors right away and get him on antibiotics at the 1st sign of him being sick. 

So that is where we are at this time on this journey into the world of PANDAS.

Saturday, January 22, 2011

need to make note of this.

Back in May 2010 I wrote this post in it I mentioned this rash Sweet Pea seems to break out with when her cloths were hurting(symptoms flaring) here, even before I knew of PANDAS..
Well since then I have notice that on her bad symptom days that rash seems to always be there...
I have pointed it out to her doctor a few times who tells me it's nothing..
BUT I really REALLY think there is something to this rash, sort of reminds me of a lesser version of a scarlet fever rash.. I just don't know how to get her doctor to listen to me on this..
Last night Sweet Pea came to me and said "mommy that rash is back on my legs" and sure enough it was.. Right back in the same spot it always is when she is having her symptom.. he doctor called it eczema last time I showed it to him(I don't think it looks like any pictures I have ever seen of eczema it looks like a scarlet fever rash to me just alot lighter in color)
This picture here is a picture of a scarlet fever rash I took off google.
These next two picture are of the rash Sweet Pea gets. These pictures were taken in May, but the rash she had lastnight looks the same as these picture.. but I found it doesn't show up as well in pictures as it does looking at it with just your eyes but you can still sort of see it here. I don't' get it.... Why does she only have it when her symptoms are flared up???
It was on her thighs, her back and a little on her belly again last night.. the same places I have seen them EVERY TIME she is having lot symptoms over the last two year.. I wish there was someone I could give this information to who would know what to do with it. Not that the rash is hurting her, sometimes it itches but doesn't really hurt her... but what is the connection with this rash and her symptoms?????
I don't have a clue what this means.. but I wanted to make note of it anyways..

The Right Thing or Not????


On Tuesday Jan 18,2011 Sweet Pea went back to the Children's Hospital to the immunologist for the results of the immune testing.
I had totally had it in my mind that they were not going to find anything, after talking with alot of PANDAS parents most of the kids did not have any immune issues, just the auto immune response of PANDAS. And they sort of thought of PANDAS as an over active immune system not a immune deficiency. So I had prepared myself to hear that all was well with Sweet Pea.

ONLY that is NOT what they told me.. they said while most of her test came back normal that there was a problem with her IgG. The S Pneumo IgG antibodies numbers were all wrong.. I don't fully understand what all that means..
but the 1st thing they wanted to do to treat it was to give her a booster immune shot of Pneumoccal Polysaccharide(PPSV). The part that raised the big red flag for me was the S part of all of this.. S= Strep.
I questioned the doctor if this was the right thing to do, seeing how she has PANDAS and it's strep antibodies that attack her brain.
She told me that She said Dysregulation of the immune system can result in autoimmune responses(which PANDAS is) Her hopes are that they introduce her body to this again and it kicks her immune system in gear and that her body will start remembering and creating the right sort of antibodies to fight the right thing. This booster shot is the 1st step.

I went ahead an let them give it to her, even though i am still questioning myself on if it was the right thing to do.. seeing how they were putting strep into her body.. UGH UGH UGH..
She was already having milder symptoms from when we all had the strep throats in the house.. and now she has a live virus running though her... Her symptom are ramped up at the moment.. We are doing alot of Motrin to keep the inflammation down and that helps a bit.. but the symptoms are in a flare right now.
Also it doesn't help that we have just lowered her antibiotic back to a prophylactic state. of 250 mg twice a day over the 500 mg twice a day.

Anyways we will have another lab done after Feb 15,2010 to see if her body is remembering the antibodies and if she can create the right ones.
If she does I do not know what that means as far as the PANDAS goes.. but as far as her immune system goes it means that they will then just keep an eye on it to make sure it keeps working correctly ... and if it does it should mean she stop catching everything under the sun.
Basically the IgG are one of main antibodies in the immune system. I'm just going to explain it as I understand it..
Once your body has been exposed to something the body builds antibodies to fight the infection, virus, whatever.. the IgA antibodies fight off the infection once you get sick, but the IgG antibodies are made and are to remember what it was they were made to fight against, So that when you are exposed a 2nd time to it as soon as they see that virus,bacteria whatever in your system they are sent out to kill it quickly before you become sick and also trigger the right sort of antibodies to be made to kill off whatever it was you have been exposed to.
In Sweet Pea's case, the IgG's are messed up, and are not creating the antibodies , which in return her body doesn't remember she has had this or that infection before so she keeps getting sick with the same thing over and over again, which explains all the time she gets strep, ear infections and flu's and viruses and pretty much anything under the sun because the S Pneumo IgG antibodies are to fight off like 23 or 28(i don't remember) or so different types of bacteria including those most likely to cause serious disease.

So like i was saying I don't know what it means if her body starts to respond correctly with this booster shot. I think they just watch her and maybe give her a booster every 5 years.. and I'm not 100% sure if this will help with the PANDAS autoimmune disorder or not.. but in my mind it makes sense that if the immune system starts working correctly that there is a good chance that the mix up with the antibodies fighting the wrong things will stop also (but no one has come right out and said that)..

On the other hand.....
If this shot does not fix the IgG problem and when they do the test again if the test still shows that her body isn't doing what it should, Then they will label Sweet Pea as having an immune deficiency which most people would NOT want... but I don't know which way to hope this goes...
Because treatment for immune deficiency is IVIG(click HERE if you would like to know what IVIG is)
IVIG is also one of the best treatment for PANDAS... ONLY for PANDAS it is not covered by insurance because they consider it experimental. IVIG itself is extremely expensive. I have not looked into IVIG with Sweet Pea yet because there are other treatments that have worked and I sort of took the approach of start with the less invasive and if it doesn't work work up to the big guns.. Though there are some doctors out there who are PANDAS experts that don't bother messing with antibiotic or steroid treatments and goes right to IVIG.. I have emailed both kinds of PANDAS doctors. Dr T. in NJ starts small and works his way up. Dr K in IL goes right to IVIG.
In any case.. if they label Sweet Pea as being immune deficiency she will be able to get the IVIG all covered by insurance for the immune deficiency and it will treat the PANDAS as well. Everyone I have spoken with who has gone the route of IVIG has had success with it. some of them needed two rounds of IVIG but the PANDAS is gone.

So I ask you all to Pray God's will in this matter... be it that her immune system kicks in and turns the auto immune response of PANDAS around so it stops happening and she can go back to her normal self with the added benefit of not getting sick so often, Or That she labeled with having an immune deficiency and that the treatment for it will also be what heals her from the PANDAS.

Monday, January 17, 2011

update on all the sickies.

It's been about 10 days.. Everyone is finishing up their antibiotic, and they all seem to be feeling better.. They go back to the doctor on Thursday the 20th.
I want to ask the doctor to retest them for strep.. Whoever it is they see I'm sure is going to look at me like I'm crazy.. Since never in my 15 years of being a mom have they ever retested one of my kids for strep after they had just treated for it.. But I'm worried.. what if the antibiotic didn't kill it all, and there is some strep in there still hanging on, just waiting to wreck havoc on them and have it mess up Sweet Pea as well.

Mr Man got a secondary strep infection and I had him back at the doctors last Monday because somehow the strep throat moved though his boy and started affecting his joints(in this case his right knee) The Doctor called it post secondary strep. At the time he said we would just finish the treatment of the strep and if it is still there at the end of the antibiotic Mr Man was on, we would need to do more treatment. At the moment the pain seems to be gone from it, so I don't' think we will need to treat more.. It's just that strep is a very tricky thing and I just need to be sure IT'S GONE.....

Sweet Pea even keeping her away from home and all the sickness for 48 hours still got very symptomatic.. Nothing Major.. Just alot of little OCD stuff, having to eat the same thing for breakfast in the same way every day.. Moody.. Obsessive thinking and thoughts, crying.... but no major crying fits, no major melt down.. but alot of snapping at those around her and tears.

Saturday, January 8, 2011

A house full of Strep

Had my doctors appt Friday, Yesterday Jan 7,2011
Sure enough I tested Pos. for Strep also.. They started me on a z-pack and we are getting DH started on antibiotics also..

so everyone in our family are now on antibiotics.. hopefully we will kill it off quickly the 1st time round..

Sweet Pea is still at my grandmas not to be exposed to all of this strep. Tonight around 6pm everyone will have been on antibiotic for 24 hours so it might be safe for her to come home.. I just don't know..
if she wants to come home I'll bring her home.. but if she is willing to stay one more day away from this sick ward called our home, might not be such a bad idea for her..

Thursday, January 6, 2011

Sweet Pea's a Strep detector.

Sunday Little Man & Sweet Pea got sick with a tummy bug.. puking and the other end..
ONLY even while sick Sweet Pea was her sweet normal happy love able little self..
I kept them both home from school Monday just to be on the safe side that they
were well enough to go to school.

Tuesday I sent them both well all 4 of the kids to school.. Tuesday night..
Mr Man was complaining about not feeling well.. Said his belly hurt really bad.. I
figured stomach bug that the younger two had.. but nothing came of it.. as far
as stuff coming out of him..
BUT...........
Sweet Pea was having PANDAS symptoms.. really moody, yelling at everyone crying at
a drop of a hat.. and mostly very hateful anytime her and Mr Man were in a room
together.. In my mind I was thinking.. Dang it the girl went to school and was
exposed to strep.. Shoot..

Wed.. Little Man woke up complain his belly hurt.. but nothing was coming out of him
so I sent him to school(oh also no fever) Mr Man was still complaining an awful
lot about his tummy but no fever and nothing coming out so I sent him to
school.. BUT Princess was sick with the stomach beg stuff and hers was coming out
the bottom end of things.. So she stayed home from school.. while the other 3
went..
Sweet Pea after about an hour of being home was very PANDAS crying, mood swing,
OCD

Today Little Man woke up not looking well at all.. didn't really have a fever per
say but was 99.9, complaining that his belly hurt really really bad, I let him
stay home.. though out the day he kept saying his throat was starting to get
sore, and he felt like he was going to throw up only he never did that and that
his head was killing him.. around 3pm he said his neck was really stiff and
sore.. something clicked in my head that those all could be signs of strep..
even though this whole week I was thinking virus because that is what Rhett and
Sweet Pea had earlier and Princess sort of had it too.
Little Man woke up today saying he didn't feel well but once again I sent him to
school.. he came home from school tugging at his ear and his ear bright red,
complaining that his belly hurt real bad and that his "brain" hurt so i figured
he had a headache..
Picked Princess up from school today... she didn't even know Mr Man was home sick
yet alone what his symptoms were... but as soon as she got in the car she
raddled off a list of things that was still bugging her when I asked how she
felt.. sore throat, stomach pains, neck sore and head killing her..

Sweet Pea came out of school today, skipping, all smiles, no signs of PANDAS
symptoms.. She went right from school to rollerskating, from rollerskating to
gymnastics and when I got her home from gymnastics it was time for me to take
Princess,Mr Man and Little man to the doctors so I picked them off and lefter her with
DH... She wasn't around the other 3 all days long and NO PANDAS symptoms to speak of...

Mr Man, Princess and Little Man all tested Pos for strep tonight.. :-(
Little Man on top of it has an ear infection and Princess on top of it still has the
UTI.

Here I knew Sweet Pea had been exposed to strep due to the symptoms it just didn't
hit me she was being exposed to it at home and not at school..

BUT!!!!!!!!!!!!!! it was thanks to her that I took the other 3 in.. just having
a slight sore throat, and tummy pains never would have had me running them to
the doctors.. I mean there is a bad stomach virus going around here, and they
were not running fevers... It was her having PANDAS symptoms that had me
thinking of different signs of strep and her symptoms was what made me take them
in.. I really thought the doctor might LOL at me bring kids who biggest
complaint really only complaint was that there tummy hurt into the doctors when
they weren't even running fevers...
but they didn't and they tested them for strep and they all test post.

I'm making myself an appt tomorrow cuz I have been having the tummy pains and a
slight sore throat and my head has been killing me also.. and chances are good
with 3 cases of it in the family that I could use an antibiotic also.

Sunday, January 2, 2011

NO posts... that is good news..

When I go MIA here.. 9 times out of 10 it is because there isn't much in the way of PANDAS going on..
which is GOOD news..
Sweet Pea has been doing great, still pretty much symptom free.. a few tiny flares here and there but all mild and goes away either with nothing or with a bit of Motrin..

She had her immune testing done on Dec 22,2010
we go back to the children's hospital on Jan 13 for the results of that..

I'm to see the child psychiatrist on Jan 11 2011 but I'm going to cancel that and make it for after I have the immune results.

Christmas was good and you can view pictures from that over at my main blog
HERE...

That's all I have for now..

HAPPY NEW YEARS .. here is to a healthy 2011

Saturday, December 18, 2010

Something i want Sweet Pea to Know

Really it is something I want all my kids to know and remember..

Psalms 139:14a
I will praise thee; for I am fearfully and wonderfully made:


The eternal God, infinite in his wisdom and perfect in his love, personally made you and me. He gave you your body, your mental abilities, and your basic personality because that's the way he wanted you to be—and he loves you and wants to glorify himself through you.

Psalms 72:18
Blessed be the LORD God, the God of Israel, who only doeth wondrous things.

Tuesday, December 14, 2010

Been a few weeks.

It has been a few weeks since I posted last, and I'm happy to report things are getting better.. The PANDAS symptoms are not an every day thing now and when they come it comes only in a mild form of OCD and anxiety and out burst. Nothing too major and nothing that is keeping her from her every day life, friends or school. Bedtimes are no longer bad and neither is getting her up and dressed in the morning.. Normally if we are going to have any issues at all it is right after school in the 1st hour after being home.. which could just be a normal brother and sister thing because it it's all 3 of my younger kids bickering then.. but normally started by Sweet Pea telling everyone to stop talking that the noise is bugging her.. but it's all good, much much better then it was a few weeks ago..

She is still on the 500mg of duricef.. At least until the end of this month when I think the doctor is wanting to lower her dose.

Last week on Dec 7,2010 we had the 1st visit with the child psychiatrist, She listened to everything I had to tell her and also got to talk with Sweet Pea alone.
It was a good day for Sweet Pea a non symptom day.. which was good because it meant that she was willing to go and talk with the doctor. In the end the Psychiatrist agreed that this is PANDAS but also gave her the diagnosis of OCD, She would like to treat with an SSIR Zoloft to which I said no thank you not at this time..
We go back to see her pedi at the end of this month he is not going to be too happy that I turned the Zoloft down again,since he has been pushing for it since Oct..
But I don't think it would help, I feel like it could do more harm then good, and at this point she really doesn't need it..

Every bad flare up of symptoms she has ever had has come on right before we found out she had an infection.. and all her little symptoms I can pin point them to her being around someone who is sick.. I just can't see how Zoloft is going to help that.. If her OCD symptoms were coming outside of her having an infection or being around those who do.. like there was no reason for a PANDAS flare of OCD and yet she was still having alot of OCD I would think strongly about Zoloft I have heard good things about it.. but when antibiotics take he symptoms of PANDAS/OCD away and makes her better.. I don't understand the push for Zoloft except for that is the go to treatment for OCD..

The one thing good that has come out of this though is that the psychiatrist given Sweet Pea's medical history thinks it would be extremely helpful to have immunology testing done on her and see if there is anything going on with her immune system other then PANDAS which leaves her prone to all these viruses and infections. I was to have that testing today at the Akron Children's Hospital but that is a good long drive away from us and we had a big snow storm so it has been pushed back to next week.
I found out that with PANDAS it's the immune system working over time.. that will not show up in the immunology testing.. but they can see if her immune system is low or what not which might explain why she got strep infections, ear infections, Mono, swine flu, viruses and abscesses all the time.. and if we can build up her immune system to stop the infections, that could stop the trigger which produces the antibodies, which attack her brain. So while she is NOT looking forward to this testing.. I'm sort of excited to see if anything is going wrong in there that can be treated.. and yet still hoping nothing is wrong and that all is healthy in there.. it's hard to say which way to pray.. if something is wrong it can be treated, if it's well we are at the same spot we were.. So I"m just praying Gods will be done.

So that is where we are at medical wise at the moment.. But she is doing well for the time being..