GH

Your Replies

  • GH
      April 13, 2017 at 7:14 pm

      Bryan, prednisone certainly has to be tapered down, eventually to zero. You don’t ant to take it forever even if it helps. In my case, I was prescribed mycophenolate mofetil at the same time. As it was explained to me, MM takes awhile to take effect. By the time I was off prednisone, the MM replaced it. After another year or so, I started tapering down the MM and I am now off everything.

      GH
        April 13, 2017 at 1:51 pm

        Sandra, treatment varies for CIDP because we don’t all respond to treatment for our disorder in the same way. It is not unusual for treatment regimens to be revised in an attempt to improve results.

        Parry and Steinberg do not discuss using prednisone with IvIg but do not rule it out. This report indicates that using them together may give better results:

        https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3487533/#!po=3.40909

        My primary treatment was plasma exchange, after IvIg seemed to be ineffective. I also took prednisone and continued it for about a year after PE in periodically reduced dosages as I transitioned to mycophenolate mofetil. I never had side effects from the prednisone that I noticed. It isn’t necessarily bad for everyone and it may lead to good results. My results were good, in any case.

        GH
          April 13, 2017 at 12:51 pm

          This site is not about anorexia and cannabis is not medicine for the disorders discussed here.

          GH
            April 9, 2017 at 9:40 pm

            Yours is a relatively mild case. During recovery, you do need to get regular exercise but must pace yourself. Don’t get to the point of exhaustion. That won’t make your recovery any faster and might set it back.

            GH
              April 1, 2017 at 10:14 pm

              Bryan, for me, immune suppression (following my primary treatments) was a two-part treatment. I started on prednisone, but this is not intended for long-term use because of side effects. I also was prescribed mycophenolate mofetil (Cellcept). The latter does not take effect right away, so I continued it at full strength while the prednisone was tapered down to zero over the course of about a year. After several months without prednisone and no signs of relapse, the mycophenolate was tapered down. Eventually, I was off the mycophenolate altogether and I now take nothing for my neuropathy.

              GH
                April 1, 2017 at 1:04 pm

                Do you mean Human Stem Cell Treatment (HSCT)? The stem cell clinical trials have been discussed on this web site and some participants reported good results. Your link, however, appears to be to some sort of self-promoter so I would view it skeptically, if at all.

                Your conspiracy hypotheses get no traction with me. The entire medical profession, including pharmaceutical manufacturers, want to find the best treatments for human disease. Your reference to oil companies gives you away. My current vehicles get the best mileage of any I have ever owned. There is no 100 mpg carburetor, and by the way, carburetors have been obsolete for a long time due to their inefficiency.

                GH
                  March 31, 2017 at 11:28 pm

                  The one year (or more) refers to nerve healing. Exercize will not promote nerve healing but it will strengthen muscles when the nerves have done all the repair that can be done.

                  GH
                    March 31, 2017 at 11:25 pm

                    Recovery typically takes one to three years to reach maximun. Myelin damage heals relatively quickly and axonal damage takes longer. The rate of recovery slows over time. Axonal damage may never be completely healed, leaving you with some disability.

                    In my case, I definitely continued healing over a two-year or more span. I think I gave up my cane after about a year and a half out of hospital.

                    GH
                      March 30, 2017 at 6:35 pm

                      Any therapist who would suggest that you not see a neurologist and interfere to the extent that yours did does not sound like a legitimate PT to me. What were her credentials, exactly?

                      All of my PTs (I had several) worked well with my neurologists (I had two).

                      GH
                        March 29, 2017 at 6:15 pm

                        A physical therapist does not treat neuropathy, she treats the muscle weakness and contraction which is caused by the neuropathy. My therapists were, for the most part, very good at dealing with my condition even though I was an unusual case. I referred one group of therapists to the booklet for therapists available on this site when I thought they needed the information in it.

                        GH
                          March 12, 2017 at 11:44 pm

                          Neuropathies are sometimes difficult to diagnose, so it is not unusual for there to be some confusion at times. You won’t get a better diagnosis here, but if you can’t a solid diagnosis from those neurologists you have seen so far, you should try to get to a Center of Excellence in neuropathy for diagnosis.

                          https://www.gbs-cidp.org/support/centers-of-excellence-2/

                          GH
                            March 11, 2017 at 10:27 am

                            My suggestion is to take your doctors’ advice rather than to advise your doctors. I took a couple of supplements when I was in recovery and I just asked my neurologist if it were ok. In your case she gave you guidelines, so follow them.

                            GH
                              March 9, 2017 at 9:49 pm

                              Since the condition is classified as chronic, many who have it never really get over it. I’m not sure if “relapse” is the right word. Also, there is a lot of individual variation.

                              Here is a study related to that question which might interest you:

                              Long term prognosis of chronic inflammatory demyelinating polyneuropathy: a five year follow up of 38 cases:

                              https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2117396/#!po=23.6842

                              GH
                                March 9, 2017 at 9:04 am

                                Since she can’t talk, you need a system to communicate. If she is alert and can signal a yes or no response, then you can use a set of cards to select letters to spell words. I don’t have any direct experience with this method, though, as I could always talk.

                                GH
                                  March 9, 2017 at 8:55 am

                                  Your case sounds similar to mine except that I was not on long-term IvIg. During my recovery I was taking immune suppressant drugs only. Now, six years out, I take nothing.

                                  I don’t know why you would blame a PT for your paralysis. I, too, was paralyzed from the neck down. That’s what CIDP and GBS do.