QUOTE (cross18 @ Nov 16 2009, 12:00 AM)

Avi,
I know you're trying to be helpful -- and you have been -- and I also know that Lyme is horrible. (Yes, I've seen Under Our Skin). But Lyme affects everyone a little differently and I trust my doctor. He has been treating Lyme patients for years in several states and has now joined one of the best practices of lyme literate doctors in Northern CA..
He thinks that I had a pretty bad case, but also that I am very, very sensitive to medications and he is concerned that he doesn't want to push me over the edge. I have taken both Mepron and Levaquin, and both my doctor and his colleagues have consulted and agreed that I can't tolerate them very well, and my reactions were not herx related but adverse reactions to the meds.
While I do believe that the Lyme initially is what made me really sick, I think it is the peri-meno stuff that has been the worst. The combination, coupled with with the stress I've been under (horrible divorce, my house burned down, living with my elderly mother, not having a steady income, worry I can't support my son, etc., etc.) led to a complete nervous breakdown. I do think that the medications that I took helped tremendously with the derealization, but now I think I just need to get my hormones stabilized so I can start coping better and rebuilding my life.
I'm now back to work (three part time jobs) and as crazy as it may sound, I'm better now that I have something to focus on again other than how miserable I've been. I also -- please don't be judgmental -- in consultation with my doctor, have started drinking a little bit of alcohol. And while I realize that may not be for everyone, for me it works far better than benzos or ADs to have a glass or wine or half a beer every few days.
Cindy
PS Dee, you started this thread, but I haven't heard from you for a while. How are you? What's up???
Cindy:
It is great that you have a doc that you feel you can trust..but, and this is a big but, it still sounds to me like you are very symptomatic..which is what I am trying to respond to. Again, certainly peri/meno and stress can cause a lot of what you, I, Dee, and the person that started this thread have suffered..BUT stress and excess stress hormones and their effect on the immune system can also kick off a latent Lyme or other infection. For me, at least, treating the infection was and is paramount..hormones too are a part of what Vliet calls the "the three legged stool". And, it is not just female hormones..thyroid, adrenal hormones (DHEAs, cortisol), testosterone, aldosterone, AND, in some cases vasopressin and glucose control issues are in play as well..
I'm not sure how you/your doc have determined what is adverse reaction and what is herx, but certainly I can sympathize with being VERY med sensitive..I, along with my doc, have had to find the meds that keep me "just this side of trouble" and I had to kiss a lot of frogs before I found something I could take. Even so, my herxes have consisted of near seizures, temps of over 103, SEVERE headaches, SEVERE cartodidynia, SEVERE depression, near Addisonian level cortisol readings, severe pain, and more..I had to tell myself every day that this was indeed a war and while fighting the enemy with a different weapon was an option, retreating absolutely was not.
I also can sympathize with the severe stress that you went through prior to the "breakdown" (I call mine the crash of '04). In addition to severe marital stress(husband had emot'l affair, became first verbally and then physically abusive) job stress, severe Hashitoxicosis/Graves episode, breast cancer scare, uterine cancer scare (including exploratory surgery), placing my MIL in nursing home, immediate family issues, a dear aunt being diagnosed with Lou Gehrigs, tripling of property taxes, loss of my own job (voluntarily initially due to illness the first time and through corp merger/cutbacks the second time), loss of two of my husbands jobs, pet losses (including my own horse getting hit by lightning and the loss of my little Sheltie who was my right arm), knowing I was very ill and going undiagnosed for such a long period of time and the battle that entailed and more. which included the fear, shame, and sadness that went along with feeling that I was losing my mind..
I am still struggling with the hormonal piece..I no longer feel I need estrogen for mood or DP/DR, BUT I have severe osteoporosis in my hips as well as parathyroid issues and am going to HAVE to have the E for bone loss; adding in E is problematic for me and results in elevated testosterone, cortisol and TSI (Graves) antibodies and a feeling I like to call "racing" (feeling of too much adrenaline, high BPs, pulse...). so, still trying to get to the bottom of THAT.
So..I know this dark maze of a forest, this extremely dark night of the soul...I know it well...I don't want anyone here to think that I don't know the absolute worst of the suffering peri and chronic illness and stress can entail. Quite frankly, when I look back on it all, I still don't know how I kept going; just dogged determination to LIVE and to try to find a way to use my experience to help others. I don't come to P-S often and have not ever, I don't think, detailed the horrific hell that I went through from '04 to '09 until now and I'm still not all the way out of the wood. And, granted, not everyone's "way out" will be the same..but I spent 3 years overfocusing on the hormonal part and never received much relief until Lyme treatment..I serve on our state's Lyme Disease board currently and I continue to be stunned at the severity of Lyme and co-infections. I also serve as a co-mod on a women's internet health/hormone Yahoo group and have studied/researched hormones, DP/DR for years now so I also well know how severe hormonal imbalances can be..what I want to make sure you understand is that they are not mutually exclusive..one can aggravate the other. Take my expereince and advice and use it if you want and know that I did not even begin to recover until I "accidentally" received antibiotics for first a respiratory infection and then, a tooth that kept trying to abscess..my first clue that infection of some sort played a major role in the way I was feeling.
Let me know if you have any more questions. I sincerely wish you health, ease of being, happiness, and peace.
Avi