Since I began displaying symptoms of CDIP in April
1999, I've been receiving IVIg almost every month, at an average rate
of 120g per treatment. Plasmapheresis 10 sessions, twice a week, after
overcoming a tetraplegia. Some worked for about one month only, seemingly
less than the effect of immuneglobulin.
Since September 2000, I have also been taking azathioprin
225mg (Imurek + 20-05mg corticoids). Unfortunately my GBS-situation
hasn't changed since May 2001. I receive monthly infusions of 16 bottles
immunglobulins, i.e. 4 days x 4 bottles à 10 grams in 200ml
solution. Besides, 225mg azathioprin and 5mg of cortison per day.
(1 bottle costs 1.500 DM at the hospital and about 2.000 DM on the
free market!).
I have recently begun trying to teach part-time while
receiving regular treatment at the Allgemeines Krankenhaus Harburg
(General Hospital of Harburg) hospital. My physician there is the
Honorable Prof. Dr. Eberhardt Schneider, neurologist, specialized
in Morbus-Parkinson.
In addition to working, I am also trying to get acquainted
with the facts of this disease: Is there hope of overcoming the
disease?
Learning about this is difficult, as I do not have any training or
theoretical introduction to medicine/therapeutics in general or more
specifically, to GBS.
My problem is two-fold: on one hand, exchange of information
with physicians is difficult, due to my being a layperson. On the
other hand, there is my lack of knowledge of recent developments in
science and research on GBS.
I have been trying to find out about research on
GBS without much success. The publications of the main GBS association
of Germany help, but don't offer a thorough and precise overview.
Besides, patients and medical knowledge seem to be rather atomized
in Germany (lack of global strategies). Access to the GBS-scenarios
in France, Great Britain, the US and other countries is difficult.
I am presently trying to find out more about steroids and GBS.
I have found a study by E.E. Baulieu, France: "The use of Progesterone
on rats for the regeneration of myelin sheaths". Is there anybody
who can suggest ways to find out more about this?
I have put together the following questions that
I feel concern all patients of GBS:
- What is the actual medical/pharmaceutical research
situation regarding the practical therapeutical use of progesteron
in human GBS patients, and what are the chances of it speeding up
recovery?
- Does demyelinisation, such as in GBS, occur in
other diseases?
- Do researchers studying these diseases pool their
resources and share results?
- Who is who for these questions? (neurologists,
immunologists, virologists, interdisciplinary teams, institutes,
projects, etc.?)
- Are any global strategies against the atomisation
of GBS patients regarding i.e. randomized studies, therapy centers
and so on? (blue prints of supranational health organisations, European
Union, international NGO foundations, experts in the fields of science...?)
The idea behind these questions is based on the presumption
that:
- There are few GBS-patients, more or less scattered
all over the world.
- Existing laywomen/men -organisations haven't much
lobbying power.
- Science might not be sufficiently interested in
the growing importance of aging, interrelated diseases, in cooperation
with basic research, etc.
- The pharmaceutical industry isn't keen on GBS-research,
which is considered a non-profit undertaking. It should be persuaded
to change its attitude (lobbying, public support and funding...
).
Meanwhile, my pain seem to slowly destroy my personality
and my drive to be of further use to society and to have creative
ambitions. There's a big black hole in front of me.
Staying at the hospital and teaching in spite of illness
prevents normal life and normal functions, such as answering mail
and other business promptly.
As my personal situation (GBS patient undergoing treatment)
does not permit me to undertake a deeper questioning of GBS, I appreciate
your offer of a forum in which to ask these questions of those it
may concern, and thus advance the unity of GBS patients a little,
many of whom are desperate and feel very isolated and helpless vis-à-vis
the medical world.
Best regards,
Konrad Tiburzy
11.2001
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