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Medical Forum / Diseases and Disorders / Lupus / October 2003

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Mair's trip to the Doc

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Mair - 07 Oct 2003 23:29 GMT
Well, I made it down to see the Doc.  His chart said I had not been down
since February!  I guess I lost some time somewhere...

Long story short:  He wants me on less than the 15mg pred that I am now on.
He drew every [pertinant] test in the book, and will have the results in
about 10 days.  When he sees what my body fluids are up to, he said he will
probably put me on Methotrexate three times a week.  Wowee!  I took it
before at one time a week.  It was helpful to me, and I had no stomach
upset.  I hope my stomach will cooperate this time around...

Oh.  He also said that he will refer me to a doc down in San Bernardino.  I
was so relieved about that.  My doc is the Reigning King of Rheumatology, a
tall, thin, encyclopedia of a man.  He usually refers me to doctors he has
trained himself, since he teaches as well as treats.

That's the dope on me.  My fantasy creatures now eagerly await my
attentions.  We are all going to take a bit of a "siesta" together.  zzzzzzz

Mair zzzz Dotes

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stingo2@earthlink.net
http://radio.weblogs.com/0114986/

J - 08 Oct 2003 10:28 GMT
Your rheumy sounds very good Mair.
This'll give you time for the med change(s) and stabilize things before your
anticipated move.
So everyone in it's time eh?
Hugs
J

> Well, I made it down to see the Doc.  His chart said I had not been down
> since February!  I guess I lost some time somewhere...
[quoted text clipped - 20 lines]
> stingo2@earthlink.net
> http://radio.weblogs.com/0114986/
jakeofvt - 23 Oct 2003 21:47 GMT
My sister has systemaic lupus.Due to meds shes gained about 150
lbs.Anyone experience this & found a way to lose it?

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**************************************************************
Jake Jacobsen
[ICQ-#1519089]-NetscapeIM-MSNMessenger-YahooMessenger[jakeofvt]
Vermont,USA......Vietnam '66-'68 [6th Air Commando Sq-Pleiku,SVN]
* Co-Founder of VVA,Chapter # 1
* Life Member;ACA...DAV...VVA
* Helping America....one person at a time
~ Loyalty Above ALL......Except HONOR !! ~
**************************************************************

kcat - 23 Oct 2003 23:22 GMT
>My sister has systemaic lupus.Due to meds shes gained about 150
>lbs.Anyone experience this & found a way to lose it?

I assume she is on steroids.

unfortunately, she's fighting a very tough battle - the drugs make you
crave foods, weaken muscle tissue and create fat deposits in certain
areas.  The disease makes it hard to move around and get enough
exercise sometimes.

Not everyone responds this way to steroids but probably most do.
there are some forms of exercise that are helpful without being too
painful (for most of us) which include yoga and water aerobics.  Other
than that, as long as she has to be on the meds, she will have to
fight the craving as best she can.  I've been on drugs that induce
such cravings (tricyclic anti-depressants used for sleep or pain
reduction) and it is very tough thing to cope with.

My best to you and to her.  I hope you get more concrete answers.
Perhaps there is some advice on the Lupus Foundation's web site?

http://www.lupus.org
Sherry - 24 Oct 2003 04:43 GMT
Jake,
Welcome home!  Never too late to tell a Vietnam Vet that.

I think that many of us have expeerienced the weight gain with the meds they
give us to "help" with the SLE.  As Kcat said there really isn't much that
can be done other than try to control the cravings and do as much excercise
as one can tolerate.  I have found water excercise classes the easiest on my
body.

Sherry

> My sister has systemaic lupus.Due to meds shes gained about 150
> lbs.Anyone experience this & found a way to lose it?
herbwormwood - 24 Oct 2003 14:21 GMT
Hi,

There are certain foods that it is okay to eat  a lot of.
Most fruit and vegetables are fine and are low calorie.

Not very exciting I supppose but when she is hungry she may not mind. Also
avoid salt.

> Jake,
> Welcome home!  Never too late to tell a Vietnam Vet that.
[quoted text clipped - 12 lines]
>>> Loyalty Above ALL......Except HONOR !! ~
>> **************************************************************

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mair - 24 Oct 2003 20:37 GMT
Yeah, those steroids make you crave fatty foods and proteins.  It is like a
prescription for weight gain:  eat fatty foods and then go lie on the bed!
It is not her fault, I hope she knows this.  We live in such a cruel world.
I have been on prednisone for over a year.  I gained 50, but I am extremely
short.  But I stopped the gain there... and have actually lost 4 pounds
while still on pred (kind of unheard of in my life).  Steroid play havoc
with the emotions, too, so it can become a desperate thing to look in the
mirror and see the facial chubbiness happening there.

Be supportive in any way you can. Please remind her that it is just a phase;
that we with lupus, are lucky in that we do have remissions and better
periods in our lives.  I am waiting for my next "good time" Myself!

Best regards

Mary

> Hi,
>
[quoted text clipped - 20 lines]
> >>> Loyalty Above ALL......Except HONOR !! ~
> >> **************************************************************
Jake - 28 Oct 2003 22:01 GMT
Thanks for the info all.....the "Welcome Home" was a nice
touch.....thank you.

> Jake,
> Welcome home!  Never too late to tell a Vietnam Vet that.
> Sherry
Signature

**************************************************************
Jake Jacobsen
[ICQ-#1519089]-NetscapeIM-MSNMessenger-YahooMessenger[jakeofvt]
Vermont,USA......Vietnam '66-'68 [6th Air Commando Sq-Pleiku,SVN]
* Co-Founder of VVA,Chapter # 1
* Life Member;ACA...DAV...VVA
* Helping America....one person at a time
~ Loyalty Above ALL......Except HONOR !! ~
**************************************************************

Nina Bergstrand - 08 Oct 2003 13:23 GMT
> Well, I made it down to see the Doc.  His chart said I had not been down
> since February!  I guess I lost some time somewhere...
[quoted text clipped - 5 lines]
> before at one time a week.  It was helpful to me, and I had no stomach
> upset.  I hope my stomach will cooperate this time around...
[...]

Mair, your dr is probably thinking about having you on a higher (as in the
higher end for autoimmune diseases) dose, say 8-10 pills, and therefor
splits it in three smaller doses. You'd then take one dose, for example,
Monday morning, the other 12 hours later, Monday evening, and the last one
12 hours after that, Tuesday morning.

Have never been on the split dose schedule myself, but I've heard some
people tolerate Methotrexate better that way. Anyway, good luck!

Nina
Marg Watson - 08 Oct 2003 23:00 GMT
That sounds like a good dose that Nina mentioned, Mair.  At least it
would be over with in 36 hours & you wouldn't have to remember to take
it every two days or so.  I get so confused when my pred goes down every
other day.  It's so hard to keep up with all the meds & doses.

Nina, did you start the MTX injections yet?

Hugs,
Maggie

 
NW - 09 Oct 2003 23:25 GMT
> That sounds like a good dose that Nina mentioned, Mair.  At least it
> would be over with in 36 hours & you wouldn't have to remember to take
> it every two days or so.  I get so confused when my pred goes down every
> other day.  It's so hard to keep up with all the meds & doses.

You should get one of those little pill boxes! Mine has the days marked and
four trays for each day, so you just load the box with pills once a week. If
it weren't for my pill box, I'd probably either forget taking half of my pills
or take them several times a day.

> Nina, did you start the MTX injections yet?

Not yet -  but I will soon.  It's gonna be interesting to see if raising the
dose from 20 to 25 and to injection will make any difference. How is your MTX
nausea doing?

Nina
Marg Watson - 10 Oct 2003 19:40 GMT
Hi Nina!  

Thanks for asking!  I am quite a bit better.  I decided to watch the fat
intake & eat smaller portions of protein--spread throughout the day--on
the day before my shot as well as the 2 days after.  The liver has a
hard time dealing with fat & protein, especially organ meats, when it's
not working properly.  I am also prone to nausea.  I was a nauseated
child. LOL!

I think you'll see a big difference in the injections. My doc told me
that the body only absorbs about 17.5mg when taking pills, so if that's
the case then you'll be taking an extra 7.5mg.  I do like the MTX.  I
took Imuran before & compared to it, the nausea is nothing.  That stuff
about killed me at one point!  Let us know how it goes, k?  You may even
see a difference fairly soon as the MTX is already in your system.

Hugs,
Maggie
 
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