Thursday, 10 October 2013

PANDAS Awareness Day

Great efforts were made by many yesterday - parents and providers - to spread awareness of PANDAS.  It was great to see so many people from all around the world supporting this condition.

Saturday, 10 August 2013

Friday, 3 May 2013

Lost Cat

Part of my son's recovery was thanks to a wonderful kitten called Midnight.  I wasn't sure, with his level of OCD, whether my son would take to a pet - but he immediately did.  Somehow, as the cat was not human, its germs were OK. My son would take it everywhere with him (at one stage my son could not leave the house). 

When my son used the computer, the cat sat on a cushion by the side - great company and they would cat talk to each other.  When my son went to bed, the cat slept on the bed too. The cat calmed down meltdowns.  A great relationship and frindship developed.

Unfortunately, nearly 2 weeks ago Midnight disappeared.  There hasn't been sight of him anywhere and we are so worried.  My son is in deep grief and says things such as 'I wish you hand't got him for me as it hurts too much now'.   Be sure to know that Midnight will always be a part of our family.  That cat singlehandedly turned around my son's life and I will be eternally grateful to him.

He is microchipped - so there is still hope that some kind people have taken him in and are caring for him.  I hope that for him as he was under 2 years old with much life yet to live.  I hate to think of him locked in a shed somewhere and have leafletted the town and put notices up everywhere asking people to check their property.  We still have hope that he will come back and he is still very much needed - but that cat deserves a gold medal for services to humankind.


Saturday, 30 March 2013

Children's Lyme Network - informative site

http://www.childrenslymenetwork.org/

Gunilla Gerland's PANDAS Story - Overview for March Conference in Sweden with Sue Swedo

Personal experiences of PANDAS – Gunilla Gerland



Some of you know may me from the autism field. I was as a young adult diagnosed

with Asperger’s syndrome, a diagnosis which at that point meant a lot for me as it

offered an explanation of why I had been so different growing up. I wrote an

autobiography about my childhood, and with time I started working in the autism

field as a professional. Years went by and I outgrew my diagnosis, that is I did no

longer in my mid-thirties meet the criteria for a diagnosis. How that happened, or

why I could not explain.

Some more years went by and I became a mother. Knowing that autism can be

heredetary of course I watched my son closely. I was not particilarely worried as I did

not feel that Asperger’s syndrome is the end of the world. But still, as a mother, of

course I hoped for him to have a normal development. Well, he met all the milestones

as he should, he was a lot like me as a child but without the problems, you could say.

By this I mean he is quite intelligent (actually more intelligent than I am, I suspect),

he was very early in language-development, learned everything very easy, and could

read at four and write at 5.

He has always had friends and has functioned very well socially both with children

and adults. He was an easy-going happy kid, and I was a happy mother. I mean there

was absolutely nothing about him that signalled autism, or any other psychiatric

problem for that matter. So eventually I stopped looking for autistic traits, of course.

As a single mother I also put an effort in making him quite independent , I mean

although we of course are very close, he had no problem with speaking up for

himself, sleeping over at friend’s, waiting for me while I went for groceries or similar

things.

So last year in March, he was 8,5 years old, and we went for a vacation to the Canary

Islands for a week. At the beginning of the week he was more in the pool than out of

it, and after a day or two he complained about discomfort when urinating and he also

had frequent urges to go. I felt he might have an infection, but since we were abroad,

I decided to just buy some cranbarry juice and see if it would disappear. He wet the

bed two nights in a row.

On Friday March second, we were at the beach, and were done snorkelling. While

waiting to be driven back to our hotel, we went to look for beautiful rocks and shells

on the beach. Suddenly he started crying with an intense anxiety. When I asked him

why he was crying it was because he wanted to take

all the beutiful rocks from the

beach with him and he could’nt carry them. “They are on my brain” he said. “I can’t

let go of them, I have to have them all”.


2

I found this odd, since both the crying, the anxiety and the unreasonableness were so

out of charachter. I finally got him off of the beach and we went for an icecream.

Now he had to to save all the garbage, like the icecreame paper, the straw from the

soda, and during the following night and day it just escalated. I recognised this was

OCD, after all I see OCD on a regular basis in my work, and I began to talk to him

about that the only way of handling this is to try to resist what your brain tells you

you have to do. I used cognitive-behavioral strategies, and got it somewhat under

controll.

But the situation felt absurd, I mean you don’t just get OCD from from nothing like

that at two a clock an afternoon.

Unfortunately he hadn’t

just got OCD, it was about to get worse.

Two days after this he delevoped a separation anxiety, if he couldn’t see me he

thought I had abandoned him.

Then we went back home, and now four days after the first OCD-sign he told me he

was hearing voices, a male voice telling him he must die. He also had visual

hallucinations. He saw arrows pointing him in directions where he should go.

At that point I called child pyschiatry, BUP, which offered me an appointment with an

psychologist within four weeks. That would have seem like joke, if the situation

hadn’t been that serious. I felt my son had to see a neurologist very fast, something

was obviously going on with his brain.

He deteriorated quickly. He now developed paranoia, thinking I was trying to kill

him, and that his cousin was a secret agent. He spotted and reacted to cameras when

we were out in the city. He called this his “suspicions”.

His personality changed so that I did not recognise him anymore. I mean he looked

like himself, but when I looked in his eyes it was as if there was someone else there.

I was terrified. It was the worst nightmare I have ever been through.

His OCD grew from hoarding to intrusive thoughts and anxiety that things might

break. He wouldn’t touch any of his toys, games or computer because they might

break. If something broke – it could be just that I tore open an envelope while

opening the mail – he would fall into tears.

He started chewing his clothes. He had his sleeves in his mouth constantly. He

became motorically restless, and got insomnia, from he would go to sleep normally in

10-15 minutes from turning off the lights, it would now take everything from half an


3

hour to two hours, always with intrusive thoughts about things that might break. He

had burped constantly for some days, and when I told him to stop he said he couldn’t

controll it.

His hoarding started to grow to hoarding things from his own body, he wanted to

hoard his finger nail clippings, the skin he picked of off his fingers etc. I had to

become an authoritarian Cognitive behavioral guard which is far from my normal

parenting style, because I saw a future where he would soon enough want to hoard

his feaces and urine. This was tough. And without my own cognitive behavioral

training I don’t think I could have pulled it through.

Some nights he would twitch in his sleep in a strange way. The symptoms were

constantly changning and as I said I didn’t recognise him. What was the most

heartbreaking part is that you always feel your love for your children is

unconditional, right?

But I realised it is conditioned to “who they are”. That is, the absolute automatic

emotional love I have always felt for my son wasn’t really there anymore, because

this was suddenly another child, it is not that he was a sick child – or yes, of course

he was, but it was as if he was replaced. I know, now it sounds like I was the one with

delusions, and this is difficult to describe, but I would imagine that it is similar to

having a loved one who suddenly develops severe dementia. So I had to love him

“intellectually”, that is to use my will power to love him during this period. And that

was truly one of the most awful experiences I have ever had.

What did others see of this? Well, I did sent him to school most days because he

seemed to be distracted in school showing less symptoms there. His teachers did

however noticed his sudden difficulties with handwriting, with concentration and he

had some severe meltdowns in school which were totally out of charachter. But they

would in the beginning more think of this as behaviour problems, as him being

difficult on purpose.

He was quite god at hiding his severe symptoms from others. I remember a weekend,

I call it the weekend from hell. His OCD was so severe and when I used cognitive

behavioralstrategies his anxiety just peaked and he would go from hitting me,

screaming at me to threatening to kill me, and then to threaten to kill himself. But this

weekend we had some relatives over for lunch and at the moment they entered our

house his OCD-related behaviours just stopped, and he was just as usual, and then the

moment they left it was like he switched it on again. It was bizarre and surreal to

watch. But this also meant that other people did not see all the symptoms I saw.

He would behave childish in a strange way, like a two-year old, you know when you

call their name and they just set off in another direction, laughing. I suddenly found


4

myself chasing him around as if he was a toddler again. He just woudn’t listen. I

couldn’t make contact as I normally do.

He would feel dizzy, have feelings that things were unreal. He for example asked me

many times while watching tv “Mom, is this happening in reality or not?”, something

that had never occurred before PANDAS. He had joint and muscle pains coming and

going.

He did also have manic episodes, and that is usually not considered a symptom of

PANDAS, I know. But he would have huge pupils, he was chatting and laughing as if

he had been drugged with something, and strange enough while these episodes lasted

(before he would just crash in despair and tears over something) he actually wrote

and drew, and performed physically and motorically, better then he normally does. I

am telling you, this is a weird disease!

So, I did what most parents in this situation do. I googled. And googled, and googled.

And finally I found out what it was. I found the NIMH page with dr. Swedos

research, and there it was! He had PANDAS. There was absolutely no doubt in my

mind.

By then I had gotten an appointment with a pediatrician, and I asked her to check him

for strep. She had never heard of PANDAS, but took a throat swab. And yes he was

positive. He was started on Penicillin. This was on March 17, 15 days after his first

symptoms. A week later we saw a neurologist, who confirmed the diagnosis of

PANDAS and prescribed more antibiotics. He improved somewhat, but still had

psychotic symptoms and the personality change was still there. I felt he must have an

immunoglobulin treatment but the referal to the hospital that the neurologist had

written was not accepted by the hospital.

“This was the strangest referal we have ever seen” the nurse said, and told me they

would not admit him. I was desperate. I felt that my son was dying from me. This

may seem overly dramatic, but that is how I felt. He wasn’t dying physically, but he

was dying as the person I knew. I also felt I had his whole future on my shoulders.

This was my son who had, already at three years old explained to me how nuclear

power stations work, who read Stephen Hawkings at six, and has decided to go to

technical university, to become an inventor and then get the Nobel prize. Now he

couldn’t concentrate, had difficulties writing and was anxious about everything. The

voice was there everyday in his head telling, him he was worthless and that he should

die.

He was aware that there was nobody there, and we talked about that his brain is

playing tricks on him. But, as he said, the voice is so loud so it is difficult not to listen

to it. And there I was, trying to not show my son that I myself was falling apart over


5

his sudden illness. I couldn’t work. I cried when he was asleep and I cried when he

was in school, and in between crying I called every contact I had, every doctor I

knew. I couldn’t eat, I couldn’t sleep, and I ended up, I think in a state of extreme

stress which drained me of the energy I needed to help my son.

Of course, him becoming an ingeneer, or an inventor is not important to me, all that

matters is that he is happy. But at this point I could only see a miserable his future as

one of a chronic psychiatric patient. I just felt he HAD to have an immunoglobulin

treatment. And I faught like a lion, and finally we got the right hospital and doctor, a

doctor who listened to us, and beleived in us. At March 30 he was admitted for an

immunoglobulin treatment.

It is given during two consecutive days, at hospital.

When he opened his eyes in the morning the first day after the immunoglobulin

treatment, he was back! It was like magic. I looked him in the eyes and he was

himself again! I can’t really express the releif in this.

Then gradually after the immunoglobulin treatment he got better and better. He

remained on full treatment dose penicillin though, since I noticed that if we just

forgot one dose he would have these peculiar twitches at night again.

By July he had been symtom free for quite a while, and that time when he was so ill

started to feel more and more like just a bad dream.

Without telling him or giving it much thought I decided we probably could go for a

profylactic dose of penicillin, a couple of times per week, so I just didn’t give it to

him. After 24 hours without antibiotics he started to complain that his legs hurt and a

couple of hours later he coulnd’t walk.

We ended up in the ER where – of course – there was nothing detectable wrong with

him. He just couldn’t walk normally. And as a parent it is quite stressful to both deal

with the extreme worry you feel about your child, and all the raised eyebrows from

health care professionals when they seem to think you or your child are simulating. I

don’t have time to tell you all my experiences here but just for short, another doctor,

who did not even see him while he couldn’t walk suggested it was “growth pains”.

Sure, I am the mom who rushes my kid to the Emergency Room for growth pains! I

must say that the parental stress from dealing with this disorder is really truly

much

worsened


by the ignorance from health care profesisonals.

Well, to make a long story short, back on penicillin and with ibuprofen it took five

days and then he could walk again.


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Now it has been a year. He is mainly symptom free but remains on penicillin full

dose. He does get what I would call “mini-exacerbations” when something, like a

virus for example, activate shis immune system. We use ibuprofen for a couple of

days and it goes away. I am not clear how long he will stay on antibiotics, I can only

say that if it saves his life as we know it, and his future as we expect it, if it keeps him

stable, and being able to do well in school and play with friends, then I feel a long

term antibiotic treatment is a small price to pay. And would he ever – god forbid – get

seriously ill again, I will not hesitate to fight for another IVIG.

Finally, back to me and my diagnosis. Going back I see all my own symtoms

interpreted as autistic rituals might have been OCD. I had a severe scarlet fever

(which is strep) at 2 years old. I was later apart from Aspergers syndrome, also

diagnosed with dyscalculia (that is, specific math difficulties a known effect of

PANDAS), and with Fowlers disease, a rare disorder of unknown origin which causes

urinary urges. So what do you think? Did I really have Aspergers and outgrew it, and

my sons PANDAS is totally unrelated. Or did I actually have PANDAS too? I think

the latter is true.

I am in contact with about 60 families in Sweden with children with PANDAS or

suspected PANDAS, and about half of them have recieved diagnosis such as

Asperger’s syndrom, Tourettes syndrome, ADHD etc. although they did not have

these symtoms prior to the PANDAS-onset, so yes, I do think there are quite a few

hidden cases in our country.

And PANDAS is treatable, and the earlier you start treatment, the greater the chance

of full remission it seems. So the medical community has to take a step forward now.

If you feel there is too little research, than now is the time for you to initiate research.

Our children are here now. They can’t be espected to loose their future while we wait

for a handful of dedicated researchers to study and then publish. And although not

conclusive, there is quite an amount of clinical experience with this disorder,

indicating that longterm antibiotics and immunoglobulin treatment is helping. Can

you imagine the frustration parents feel when they are convinced there is a treatment,

their children have all the symtoms of PANS or PANDAS, many times including

confirmed strep infection at onset, and yet their doctors are unwilling to precribe the

treatment - but at the same time, these same doctors are more than willing to

prescribe medications with more potentional side effects for children whose brains

are still in development, such as SSRI’s, anti-psychotics and other drugs.

So again, we are here, our children are here, and I think many of us parents feel we

will let you use our children for research, because we know what hell parents go

through, and if we can prevent that from happening to other families many of us are

happy to help!

Detoxing - informative list

http://www.tiredoflyme.com/detoxing.html#.UUx5FhyG3Qk

GCMAF - educational information

http://www.betterhealthguy.com/joomla/blog/247-gcmaf

This link is for education only.

Friday, 22 March 2013

Wow - big improvement in my son


We plug away with antibiotics in the hope that the final 40% of illness will be recovered in my son - but it is a slow process.  I found out this week that he is positive for Kryptopyrrols and started treating that and I think it has given that extra tweak of health that has allowed for more social improvement.

I employ 2 learning mentors to spend a couple of hours befriending my son each week and - they had a meal out with him.  I thought it might be a step too far, but I peeped through the window into the restaurant and there they were - all 3 sat together around a round table - tucking into food.  My son was eating with his hands - but that was to be expected as that is what he does.  But to be eating with, in front of and able to see others eating - and to be chatting to them - WAS SUCH A BIG STEP.

I am a really happy mother today.

Thursday, 21 March 2013

Pyroluria - testing available in Europe

My son has just tested positive for Pyroluria.  I haven't consulted his doctor yet to know exactly what to do about this - but it probably part explains why his zinc etc  levels are low. 

Below is a link to the company I use for tests for myself.  I have found them very efficient - they quickly email results back.  In addition, they use the Biolab in London which is very reputable.

http://www.smartnutrition.co.uk/health-tests/pyroluria/

Wednesday, 20 March 2013

Moleculera - New PANDAS Web Site from 28 March

Something to look out for will be the new information site that Moleculera will be launching on 28 March.  Great news.

http://www.moleculera.com/

Monday, 18 March 2013

PANDAS Update

My son has progressed really well.  He is now eating home cooked and not mainly packaged food (OCD) and his growth is above average.  In addition, he has made several really big steps - including that he went out in someone else's car the other day.  This quite amazed me and was so pleasing.   I am fighting for a decent educational package and am ready to take this to tribunal - have submitted paperwork.  If I can get education in place, things will be even more more positive.

Sunday, 3 February 2013

Wednesday, 16 January 2013

Sue Swedo PANDAS Q&A, from Feb 2012

http://thebatavian.com/howard-owens/q-dr-susan-swedo-regarding-pandas/30364

Education - lack of

Not only is there a lack of acceptance of appropriate medical care for our children with PANDAS - but accessing education is also made difficult.  We are going to tribunal in a couple of months to try to get the appropriate provision that my son deserves.  I cannot see why it has been made so difficult.  Anyway, I am full of hope that things will change.

PANDAS on TV - Doctors

http://www.thedoctorstv.com/videolib/init/5141

So great to see Sammy looking so well.  We owe him so much for allowing his story to be shared.

Sunday, 6 January 2013

Article about boy with PANDAS in the news

http://www.timesdispatch.com/entertainment-life/health/for-kids-infection-can-spur-deeper-condition/article_dfb62091-5d0f-5fbf-841c-d23866db554a.html

Friday, 4 January 2013

Eosinophilic Gut Disease - report

My son has severe eosinophilic gut disease - here is some info about it.

http://www.hindawi.com/journals/scientifica/2012/682576/

Thursday, 3 January 2013

Radio show discussing MTHFR - excellent

http://www.blogtalkradio.com/mthfrsupport/2013/01/03/mthfr-supports-first-show