Showing posts with label Lyme Disease. Show all posts
Showing posts with label Lyme Disease. Show all posts

18 August 2011

Marvelous Results

Though Lyme treatment may be a marathon instead of the sprint we would like it to be, sometimes good results come more quickly than anticipated.

Yesterday I received Thane's lab results. I was overjoyed! His liver enzymes that had been horribly elevated are now back in the normal range- in fact low normal to mid normal. Some of his enzymes are even lower than pre-Doxy including one of the elevated ones. Its a very good feeling amidst the upheaval of Lyme disease that has dramatically changed our life and eliminated our summer adventures.

I know that I can not get complacent because of the good that has taken place though. The mere fact that a drug reaction could bring with it such an assault. He will continue to receive the Milk Thistle just as before to prevent any setbacks in the road through Lyme. Honestly I now look at that reaction to Doxycycline that he had, as devastating and hard to deal with as it was, as a good thing. If it had not been for that reaction, I would not have learned about his liver difficulties going on so quickly and the turn around might have taken a much longer path to resolve.

Today I am happy though for good reason.

Thane had a good day today so we did an errand in town. It was nice to get some walking in with him as well as to realize that sometimes his goofing off is more about boredom of the route than anything else. I let him choose a route to come home and he excelled so well. My back wasn't thrilled at the horrible sidewalk surface. It seems there will have to be a law before people take their sidewalk upkeep responsibilities seriously. In some places in our town, it'd be easier if it was just a dirt or gravel path than the sidewalks that are there. Up town where I live takes it more seriously for some reason, but not so much the case down town. Thane was enjoying himself and working exceptionally so I put up with it for a while. Now my back is yelling about that decision- but hey, sometimes a girls gotta give her guide some variety!

09 August 2011

Living and Working with Fluctuations of Lyme Disease and its Treatment

It has been a while since I did an update, so thought I would take a down day to do just that. Thane and I have had some good days this week. He has a real gusto about his job again- about wanting to Go, Go, Go smile Though there are some really great things taking place- more calmness in harness pull, ability to take in some distance, better focus with each passing day, and great attention to what I am needing at the moment- there are also the tough aspects of living with and working through Lyme. The aspects especially of how the disease has its good and bad times, much like living with MCS does.

There are the appetite issues, the constant reminder of the disease as you dose supplements and meds, the moments when you realize you were right all along about Denosyl causing problems, the bad decisions in terms of work that left your guide overdone and needing to take steps back.

I have to remind myself every once in a while that though I have baptized myself in knowledge about this disease; about how it works- I also have to give myself a break when I make a bad decision. In other words, I need to forgive myself for when I chose a course of action that was not the right one.

Today is a down day after two shopping days. The freezer and cupboards are full enough that anything we need can wait until we both bounce back.

I had tried Denosyl a second time. I did so because I could not be positive that either Tripett or the higher probiotics dose played some role in the GI symptoms. I also could not be positive that the chewing the first time was not done out of boredom or stress or even aspects of the Lyme spirochets. The change in his appetite, I was seriously attributing to the disease itself. The sudden increase in sound reactivity, I was uncertain of the cause initially when I first tried Denosyl as the disease could be at play there.

After some tweaking of supplements for a few days I tried again. After three doses it was pretty clear I had been right to blame the Denosyl.

-Thane's appetite had tapered off a lot, but usually I did manage to get him to consume most his food by days' end.
-Yesterday Thane was back to multiple bowel movements[ one where he was working in harness and before I knew it he was pooping. For those reading this who may not know, a guide is trained to go on command rather than to just choosing to go when they want. At least he pulled into some dirt before going smile
-His heightened sound reactivity made it picture clear that there was a big problem with Denosyl when my smoke detector decided it was time to warn of low battery. Oh so perfect timing NOT! I change them every year before my section 8 inspection, but those did not last a year! While we were out shopping, better batteries designed specifically for smoke detectors were installed, thanks to my Dad. There were other issues with sensitivity while we were out, but overall he worked pretty good as long as we took our time at things.
-Lastly I had noticed that Thane was squatting to pee more often. When he did not raise his leg on his potty station, a place he always raises his leg, I knew something was up. He laid under the desk either chewing at his knee or resting- not wanting to play much and when he did play he did not run for the ball, but walked. It was clear he was hurting- whether from the use of Denosyl, from the disease, or from over-doing I can't be sure, but since he is dramatically improved 24 hrs after pulling the Denosyl, I suspect it was at least partially responsible in this area as well.

The moral to all of this is despite what Nutramax says about Denosyl only having one rare side effect of vomiting, there can be many other side effects dependent on the dog. The only place one finds information on this is through the manufacturer. There are no alternative resources and they were the only ones involved in its testing and marketing. This is not to say that it's a bad supplement. After all for most dogs there may really be no side effects. If you have a sensitive dog though where synthetic drugs and supplements are an issue, there's reason to be cautious with this supplement and start with a lower dose and work up rather than starting with the recommended dosage.

I asked for Denosyl because I wanted to offer Thane the very best in liver healing after the damage that Doxycycline had done to his liver. I just wanted to help him the best I knew to. For now, I will continue with the two doses a day of his Milk Thistle Complex that includes  other liver friendly herbs and ingredients.

If I allow it to, this could be beyond overwhelming for me to have to constantly question whether Thane is up for working in any given situation. A high drive dog is going to act high drive often times when they are not up to the task. It will take great skill in evaluating what we can and can not do- a big learning curve for sure.

Denosyl a third time.

Hopefully when we wake up tomorrow, it will be a good day for both of us- a chance to get out again. If its not the case, we will roll with the punches.

04 August 2011

Let the Good Times Roll

Today was another really good day, for those keeping score. smile I was not sure after such a big day yesterday if we should head out today or not. Other than not eating much which isn't uncommon to have a couple days a week of that caliber these days, Thane was really lively this morning.

We took our long walk to the bus since the errand had very little walk requirements once we got off the bus. During the walk, some sound reactivity spiked with a roofing project, but other than wanting to put us into Indy 500 speed (just kidding), we managed to make it through that PHEW! He still has some sound reactivity issues from the Lyme itself so this is to be expected.

It was actually fun to be working. The weather was beautiful and he was much more focused than the previous week. Our trip was longer on the bus than off, but he is just glad to be working again. I am really feeling the pain from not using all these muscles as much as we had been before he got sick. This is not a good thing so I hope it like, gets used to it already pretty soon.

From the medical perspective of things, today Thane's bowels were back to normal in both consistency and how many times he needed to go. He also has chewed so little (if at all), that his coat is without the dried clumps that I was frequently brushing out. His skin is looking really good as well. It's hard to know if it's the antibiotics, the probiotics, the miniscule amount of Pet-Go I added in, or the dying off of some of the invaders- whatever the reason, it is good to see him relatively free of this demon no matter what brought forth the relief (temporary as it might be).

Each good day we have, makes me feel more optimistic about Thane's future and our partnership.

03 August 2011

Working Through Lyme Literally

Today was a beautiful day! The sun was shining, Thane ate well, and we headed out the door for our first real serious work day since Thane collapsed. Though the first leg of the journey from home to bus had its flaws, from the bus on was mostly really good.

There are some issues to contend with- one being how quickly I got out of shape from not working Thane in harness. Oh my am I ever sore! There are the issues we encounter anytime Thane takes meds to contend with, but overall I would rank this day as a very positive one- one that is giving me hope. Oh there are the aspects that make me feel more like I am working a *green* dog as opposed to a seasoned one, but even the quirky curbs, we worked on perfecting this past spring, were performed in great form today.

I was a bit nervous about taking Thane on such a long errand, but made the decision that if he was not alright that we would just come home and I would return to do it another day solo. Though we needed to take a little rest each direction on the walking leg of the journey and the temperature was warm for Thane, he did really well considering what he has been through. Interestingly, he also has not chewed since we came home either- though I made sure to really wash him down well as soon as I removed his harness. I put his swamp cooler on him right away as well to help him in the cooling down process.

There were some not so great things that took place: one being a second unexpected poop that was still loose right on the cement (whoops). This pretty much tells me the loose additional poops are not Denosyl. We picked up a good supply of ground meat today so I will be able to use it instead of Tripett to see if it plays any role in that side of things. Chances are it's just about the long term antibiotics and in that case it will just become a *slippery elm to the rescue* scenario.

To me, Thane is smelly. I noticed him being horribly smelly when he was on Doxy, but once it was pulled and a bath done it disappeared. It just started up again last week, but not nearly as potent as before. To me, this smell reminds me of yeast, but when he had staph he also smelled like this only much stronger. There's no indication of staph so I am leaning towards the former cause since it's so common in antibiotic use- especially long term use. It's also possible that my bionic nose is at play here again and others may barely smell it, if at all.

This brings us to quite a predicament. Service Dogs need to be clean and not smell. We are only in month one of a minimum four month run of antibiotics. We have no shower until the replacement handheld shower unit arrives, and we have errands to be doing when Thane is up to them. I am brushing him daily which definitely has helped dissipate this odor. The couple times I washed him up with a couple drops of shampoo, it helped initially, but did not last all day. It would help long enough to pull off our errands though, if brushing and wet towel wash downs are not enough.

I am thinking more though about the impact for him systemically. I know how bad systemic yeast can get. I experienced it go out of control with Met and that is the last thing Thane needs. He is taking probiotics daily already, but may up them to twice daily if need be. It's a balancing act for sure as extra probiotics can also lead to loose stools- see the pattern here? shaking my head

But overall, the drug induced issues, harder harness pull at times, and miscellaneous issues associated with Lyme's and/ or its treatment- they are things we can deal with. It's just good to be back in the saddle even if it requires a day by day analysis of well being before the decision is made to embark on a trek out.

31 July 2011

Resenting Lyme

Lyme is a roller coaster ride. If anyone tells you differently they are fooling themselves and you. It is a roller coaster ride of waxing and waning- not just in symptoms but in emotions as well. These yoyoing emotions also are not just for the one suffering from the disease, but for their caregivers too.

Though I know people who have had Lyme or who presently do, I was never right there in their daily life and struggles to experience any of this first hand. It's all especially hard if the individual with the disease also happens to be one that you rely upon- like a service animal.

I'm no stranger to chronic health difficulties- not for myself and not for my service dogs. That said, I have grown accustom to being able to rely upon Thane as a *healthier* service dog- to help me at home from retrieves, to door tugs, and  to nudging doors open or closed, to turning out the light, to helping me undress. I have become even more accustom to him in public though- his guide work impeccable, his boredom games something that has made me grow as a trainer and handler- but above all I never felt so resentful about anything, not even in Met's life. Don't get me wrong I  DO NOT resent Thane, it's the Lyme Borreliosis spirochetes that has my focus of resentment for all its taken from us.

I love Thane with all my heart. It hurts though deep in my soul that I can not snap my fingers and return him to health. Though Thane is doing better and needs his exercise and even outings, he is not the dependable perfection in guiding and decision-making I had come to expect. Now the mini guide has become a *must have* tool for not just street crossings where it has been invaluable, but to the entire trek we make from the time we leave our walkway to the time we enter our apartment on the return. This is sad to me. I feel almost lost in a maze by what the disease has done; has taken from us.

There are things that just impact our work. I want to have the memories in real life again and yet I have to wonder when, if ever, that will happen again.

When Thane is given drugs, Thane is different. I never noticed it when he was given antibiotics before so I did not expect it now. That said, his antibiotics are not the only new thing he is taking- he has been on milk thistle twice a day and had Denosyl added a couple of days ago.

Border Collies or at least my Border Collies have needed to keep to routine. If Met missed more than two or three days of walks or outings, it was as though I was working a green dog until he got settled into routine again. Thane has not been quite as bad as that, but still a week seems to be his top before I feel like I have a green dog at my side again. When you add drugs to the mix and up the ante from a week to nearly a month with a dog recovering from the implications of a severe drug reaction and a history of  weak blood brain barrier symptoms- my gosh!

Thane has always had a specific type of response to chemical drugs like Capstar. It's bizarre, but he is less clear headed and has this absolute necessity to follow the sidewalk or floor path edge. Its not just walking on the edge of the sidewalk or along a wall, but an actual weaving aong the sidewalk edge, trees, obstacles etc. I feel like I am doing weave poles when these reactions hit. When he needs Capstar, it's short lived and followed by two or three doses of milk thistle since weak blood brain barrier symptoms can merely be due to a slower drug clearance. The key here is that it is short lived because it is not needed every single day.

Right now I have no idea what the trigger really is for his reaction which appears magnified at least four times that of how he responds on Capstar. It could be the amoxicillin, it could be the milk thistle, it could be the Denosyl, or it could be non-med or supplement based and be tripett or liver clearance for everything due to his liver involvement that followed the use of Doxycycline, or an unrelated issue altogether that just becomes apparent when drugs or less tolerated supplements are in use, or a symptom of the disease itself  (hard to accept that latter possibility though).

It's understandable that I should be frustrated right now, but resentful- I can't get my head around this. That tick did not know it was sick It did not necessarily do this to us on purpose other than taking a blood meal is how it survives, but it happened nonetheless and I am left to work through what emotions I have from one day to the next.

Yesterday I was full of optimism, today I just want whoever left me with a faulty replica of Thane, to return the original- it's not funny any more!

30 July 2011

Finding Peace

Life has been tumultuous at best since that day back on June 25th when Thane's labs were faxed to me confirming that he indeed had Lyme Disease. I struggled with the diagnosis. With my good friend Sharon at After Gadget blog living with chronic Lyme Disease, I knew all too well how devastating a disease it can be. As a friend from a distance away, I could only imagine how much worse the struggle really was for her. Then Lyme became, not just Sharon's daily struggle, but mine as well.

I was grateful in a sense to finally have a diagnosis for Thane, but at the same time petrified for what may come about. When Thane collapsed pre-meds though is when the nightmare as I have come to call Lyme Disease, really began. You all know the rest of that story- from his collapse, to the meds, to the reaction, to the new drug that is finally helping him.

Over the last few days, I have experienced a *sort of* renewal in Thane. Don't worry, I am not deceiving myself. I know we have a long journey back. That said, I began to realize that this journey for Thane and I post diagnosis isn't that much different than it was pre-diagnosis. I mean sure, its entered a point in which daily treatment is essential. I have also come to think about how he is doing before deciding if we can do something. It is no different to me though than working with my previous service dog Chimette. Well, I take that back because in the early stages of Met's disease, I had very little opportunities to discover real bone fide answers. A lot has changed in the decade between my boys.

There is a change in me too- even a change from two weeks ago to now. I have in a sense taken the bull by the horns and chosen within myself to not let it win in the sense of the emotional and stress filled roller coaster I lived on with Met. Don't get me wrong here. There are the moments when you wonder why this happened AGAIN. Why you have not had the luxury so many have of living and working with a perfectly healthy service dog. Truth be told, I really wonder how healthy all those healthy dogs really are.

Knowledge is power though. I think for me, with my mind that just devours the biological information, understanding the disease has been a source of release for me. Of course its easier if I don't think about it all in terms of Thane, but rather thinking about it in the same way I did my anatomy and physiology, geology, or even chemistry (blah) texts as imparting myself with knowledge.

Between Sharon's awesome support and information, including the recommendation for the book Healing Lyme, I have been able to impart the knowledge I craved, to find a sort of peace within myself, for this new *Adventure* if you will. Its not the kind of adventure I would choose for us on this beautiful sunny summer day, but it certainly has imparted to me a new perspective about the red and white boy I share my life with now.

I am obviously having one of those optimistic mindset days. Though I know times like today can be fleeting moments in the course of this marathon, I felt it good for you to see all the process we take along our journey *home* .

I guess though the point I am trying to make is that I don't have to let Lyme do to me what vaccinosis did. When I think of what Met and I had before things turned upside down, I sometimes wonder what hampered us from having that through vaccinosis and my MCS. The difference was me, my mindset, and my inability to find peace with the disease. For Thane, I want different. I am setting the goal to find and keep peace with this disease. I know it won't be easy, but I also know that for me the knowledge I have gained in understanding how Lyme Borreliosis spirochetes work is one gigantic step towards some level of peace for me.

Thane has shown me very loud and clearly that he needs his job so nothing will stop us from being the team we have been up until now. Its been a team of Thane guiding the way amongst toppled carts, garbage, uneven sidewalk pathways, unimaginable obstacles, and especially the reckless bicyclists or motorists. Afterall, Thane has had this disease for two years and I did not think then about the big *R* word during any of that time. It'd take a lot for me to have the mindset that only a dog in perfect health can do this job. If I were not more sedentary than most, I might have to consider other options, but I don't- isn't that great!

29 July 2011

Appalling Misinformation on Screening

I follow some blogs on the net that have topics that appeal to me. Most are friends blogs from the service dog community, but I also follow the Dogs Naturally Magazine blog. Usually they have really great incites from the contributors there. Posts from folks such as Catherine O'Driscoll author of What Vets Don't Tell You About Vaccines and Shock to the System.

Imagine my frustration when I read Their piece on Canine Ehrlichiosis which basically says that testing the asymptomatic dog for TBD's is not warranted.

Perhaps if testing was more universally thought of as important in all areas not just endemic ones, we would not have stories like Thane's to write about. Since so many people share the link for this blog in forums where individuals want good hard truths and alternative options, it makes me sick to know that in areas where it truly is warranted to hit a disease hard and fast and hopefully before its hitting multiple systems, people will be listening to more of the propaganda about Lyme that adds to why it so difficult to conquer and as a result is being one of our nations biggest medical hurdles.

In Healing Lyme by Stephen Harrod Buhmer, there is one portion when he talks about its difficulties in the diagnosis and treatment where he compares it to the early years of the AIDS epidemic. I could definitely relate to what he was saying, having had a boyfriend with AIDS from tainted factor VIII during those earlier years, it was as maddening as what I have learned about Lyme- both through vets, this book, and my dear friend Sharon at After Gadget blog who is another example of just how bad Lyme can get if we DON'T SCREEN EVERYONE!

I will test Thane every year when we beat this demon and I will also test any future dog every year. My mind is made up. It is not worth the heart break, the immune dysfunction, the loss of a partner (even temporarily) to a guide dog team. While I get that antibodies could mean a dog has beat the disease and had an effective response, there are other more sophisticated tests like the IDEXX C6 that can be more conclusive about disease versus immune response.

If I had it to do all over again, I'd have listened better to Sharon's insights and tested Thane long before I did. When I think about how many health hurdles we could have avoided by this one simple test it makes it hard to swallow. I will have to take this as a lesson learned from my inaction. Don't let your dog walk in Thane's pawprints because a natural health blog says that screening is not warranted.

27 July 2011

The Meaning Behind, Guiding Through Lyme

I meant to write this first and forgot. I wanted to share why I chose the name I did for this blog- what it means to me.

Guiding Through Lyme has a dual meaning to me. One of course will be the path that Thane's particular course with Lyme takes us in. We've already seen that his course is not going to be a typical one after he reacted to Doxycycline. This is a disease though that will have ups and downs and Thane himself will guide what path we must take.

The second meaning of the blog has to do with our working partnership. It has to do with working as a team while living with chronic Lyme Disease. I've got experience working with a service dog who had chronic health needs already so that won't be new to me. This disease is different and as such I know it is going to govern just how much and what Thane can do for a while, but it will be good for me (and you) for this blog to not be just about the bad days, but that you see the days when Lyme does not feel like it owns us.

I know how bleak it can be, but I also know of those who have triumphed and won so its important to share the wins along the way too. Don't you think? smile

26 July 2011

Answers

There are times when we get answers that resolutions can be swift as a result. When I set my mind on testing Thane for Lyme disease, I thought I was doing it as a *preventative* measure for not leaving stones unturned that could cause problems in the health and longevity of a team, but I certainly was not of the belief that he had it.

At that point, I was being a good owner and handler providing my dog with the very best in prevention and health maintenance. It was not until later that I would remember the strange dark bump on Thane's abdomen that was later replaced with the hive like reaction common in most after a tick has detached.

I pursued testing because of the proactive stand my friend Sharon at the After Gadget blog has held. Through her fight with Lyme and other co-infections as well as Gadget's experience with Lyme, she has done an awesome job in showing us that Lyme is not just a North East/ East coast  thing, but that it can be wherever you live.

It was hard for me to digest when my vet said that Thane's newer symptoms were leading her to believe that TBD (tick borne disease) might actually be his problem, but she continued by saying that our ticks are not generally diseased.

Thane blew that out of the water when his tests came back with a diagnosis of Lyme disease. By the time the drugs were here (needed a compounder) Thane had begun to enter a collapse. I was unaware how bad off he was and as a result we barely made it back home. It was heart-breaking and scarey, but having a friend who knew what I was going through truly made all the difference in how I handled the next week with Thane.

One of the hardest things was to put Thane in his crate and head out with my guide cane and mini-guide to do my shopping errands alone. To say I got a real lesson in just how much Thane does would be a huge understatement. It was not easy, but someone had to get food in our house if we wanted to eat. grin

It's been hard for me to deal with other things too though- summers are when Thane and I head off for adventuring. Its a time of just really trying new things that make me trust in him completely. Its a time when our bond and teamwork are magnified because of the experiences we have together in parts unknown. This year however, between the ridiculous nature of the weather and Thane's health, the furthest we have gone is New Seasons and in doing that trip, we barely made it home.

Summers are my lifeline to surviving the nine to ten months of rain and mud and trials of trying to ride public transit amidst that kind of weather. I rely on the pick-me-up I get from our sun filled days of adventure to carry me through until the next summer surfaces. Now, this year, I'm supplementing with Vitamin D because as much sun as I get when taking Thane busy or for walks when he is able just aint going to cut my needs.

Despite all of this, I felt like I was doing OK. That is until Thane crashed again. Though its turned out alright now, the experience of him reacting to Doxycycline (and me suspecting the drug, but being told to continue its use) will haunt me for a while. Thankfully we saw a specialist the very next day who suspected the same, pulled the drug, and placed him on Amoxicillin instead. I am cautiously optimistic with the path of the past week on this drug.

During the crash Thane experienced, I received some hurtful emails amidst some really supportive ones. You know who you are- the people who carried me through. I can't thank you enough for helping me take a step back from those whose views were essentially that of blame instead of support. You carried me through some of the most tumultuous days I have experienced since the passing of Met. For that I am most grateful.

I know there will be ups and downs along the road back for Thane and I. I also know that Thane is not going to get better in a week or a month- afterall the spirochets have had two years to wreak havoc without being stopped. I am trying not to live with regrets. I can't go back and change that fateful day in June 2009 when I felt a weird bump on Thane and told myself to keep an eye on it. I'd personally never seen what an attached tick looked like on a body part even when I was sighted (though the vet found one on Met when I had him only two weeks, he removed it without me seeing it on him) so blaming myself for this isn't going to help me and it certainly won't help Thane.

On the positive side, I kept looking for answers to his ever changing symptoms from skin and coat, to symptoms that appeared hormonal, to musculoskeletal, to neurological. I am glad that I stuck with it and did not come to a place where I just blew it off because nothing ever panned out. Some people think my search for answers to be a desire to find something wrong. That could not be the furthest thing from the truth. By sticking with it, I found that Thane had his own journey to walk- a journey to teach me and others that Lyme is in fact here in the Pacific NorthWest.