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Waiting and Researching in Colorado (Read 2507 times)
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Waiting and Researching in Colorado
08/20/11 at 06:04:44
 
I apologize for the long post, but the more I read the more my past adds up.

After 20 years of lumbar pain and recent shoulder pain and loss of range of motion in my shoulder I've bucked up and gone to see some docs.  

Both diagnosed osteoarthritis (and disk degeneration in my back) and both noted my bones were "weird" and referred me to the same metabolic bone specialist who is supposed to be tops..

He rans a slew of tests (but of course tryptase was not one of them) and due to high histamine and lord knows what else, he believes I have masto and is scheduling a bone biopsy for mid October.  My bone density scans (normal 0 to osteoperosis -3) I have scored a +7.

He has told me that if my bones were losing density that there would be a treatment, but as my bones were getting more dense that there was not.  

My research is telling me that this is not so, and instinct is telling me that my specialist is looking at the disease purely from a skeletal point and not systematically.  

I was referred to Dr. Castells who agrees with my assessment, and to Dr. Dreskin here in Colorado, whom Dr. Castells knows well and will work my case with.

I thought my bone and joint pain was related to these back problems and just getting older.  Alhtough I cannot remember a time when I did not have them, I blamed them on the humid/hot and damp/cold NJ weather when I was younger.  Any the hot flushing I blamed on being pre-menopausal.

The other symptoms came sporadically and seemed unrelated so they either went without DX or I payed them little mind.

As a teen I remember getting sent by the teacher to the nurse's office as school because of getting red and blotchy.

In my twenties I had a few fainting spells that had apparently, according to Dr,  happened because of gastro issues she insisted I was having.. I was not.

I had always had slightly lower BP 100-110/60, which I am now thinking is the cause of my fainting.   In recent years my BP has increased, doc thinks that 50lb weight gain from quitting smoking is the culprit.  I've lost 30 and it has not changed so we shall see, but I no longer get light headed or dizzy upon standing and very rarely other times.  Moving to Colorado as a smoker, the altitude proved to bring my asthma to light, but quitting the cigs has seemed to right that most of the way.  But had a terribly scary  spell after exercise a few months back and I no longer had my inhalers..

was DX with diverticulosis after a terrible gastro spell a few years ago, and Mitral Valve prolapse which is supposedly the cause of my sometimes chest pain.

In the past 2 years I have developed a sweating/hot faced reaction to ketchup and salsa.  and will now be paying attention to other triggers (this morning I noticed I became very itchy after eating strawberries - and my face was very hot.  And i seem to get a slight nausea at least once or twice a week these days.

I've also had palpitation spells over the years, about once a year.  And just feel exhausted all the time, but even worse in the afternoons when the brain fog settles in.  8-9 hours of sleep still leaves me tired in the am, when I can get it and not sit up half the night.

For now I will continue to try to find my triggers, but my reactions seems very mild, so I will really need to pay attention.

I am not on any meds as I have no diagnosis yet, except for anti-inflammatory for the back and accutane for my cystic acne.  Haven't tried any anti-histamines and not sure if I should until I complete testing.

Anyway.. thanks for listing, and thanks for all of the great information, courage and support you all give..

Cindy
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Re: Waiting and Researching in Colorado
Reply #1 - 08/21/11 at 07:30:21
 
The waiting for a diagnosis is awful! I have been struggling actively for two years with this....going from doctor to doctor. When I think back I could probably go back close to eleven years when I thought I had become lactose intolerant. Of course I no longer feel that was my problem as now there are way more symptoms.
Don't give up on your search for answers. I know how difficult it can get but you will learn so much along your journey (from both personal and medically speaking)! Plus having the proper diagnosis will help you reach a better treatment program.

Kim
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Re: Waiting and Researching in Colorado
Reply #2 - 08/21/11 at 08:28:29
 
Thanks Kim,

Sometimes is really does help just to vent.  Especially to those who understand...  Smiley
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Joan
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Re: Waiting and Researching in Colorado
Reply #3 - 08/21/11 at 16:30:34
 
Hi A,

  Welcome to the forum!  It sounds as though you have a lot going on and now need someone to put the puzzle together.

  I also live in Colorado and see Dr. Dreskin.  He's very straightforward and is good at stabilizing people with medicines.  If it were I, I'd ask him if he knows any hematologists who can do both the bone biopsy and the bone marrow biopsy at once.  You should be sure to be pre-medicated according to the REMA protocols before any procedures.  Those are a combination of antihistamines and steroids that keep people from reacting in surgery and other procedures.  There's more info on http://www.tmsforacure.org  

  Sadly, the one doctor at CU Med Center who was interested in mast cell disorder patients died last year.  I ended up flying out to Stanford on the advice of Dr. Akin, and saw Jason Gotlib there for my BMB and extensive testing.  

  With the excess density, it would be good to know exactly what's going on.  I have osteosclerosis, which is high density, but low bone mineralization.  They think it's related to SM.  It was diagnosed with a chest CT (without contrast) and a bone survey (xrays).  There were several things they needed to rule out before making that diagnosis, and I don't know what you've been tested for so far, but a hematologist would probably be the best choice for that.

  The reactions to salsa and ketchup could have been because those contain tomato, and tomato products can be high in histamine.  There are other foods you might want to avoid if you already have too much histamine and might have a mast cell disorder.  This link is to a post of the low histamine diet:  

http://www.urticaria.thunderworksinc.com/pages/lowhistamine.htm

The diet might look daunting at first, so focus on the things you are allowed to eat.  If it helps you feel better, it won't take very long to adjust to it.  You won't want to eat foods that make you feel bad!  On the positive side, some of us found that our aches and pains went away when we found the proper doses of H1 and H2 antihistamines.  If you're to be allergy tested, you won't be able to take antihistamines for 5-7 days before the tests.  Otherwise, you can check with Dr. Dreskin's or Dr. Castells offices and see what they say about an initial visit.

I'm glad Dr. Castells will be consulting for you.  Everyone at CU Med Center and at National Jewish (where I also went) were really nice and helpful, but I didn't think they're as current on all of it as Dr. Castells.

Good luck to you!  If you find out any treatment for your bone density issues, I'd be interested to hear about it, as I can't find any for mine.  I'll be curious to hear what Dr. Castells has to say about it.
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Re: Waiting and Researching in Colorado
Reply #4 - 08/21/11 at 17:48:56
 
Hi Cindy,
Im sorry its been so confusing for you, we certainly understand that. You have seen the DR that most of us would sell our first child to see lol..  You are so lucky to have seen her! Have faith in DR Castells opinion. She might not have a warm bedside manner but I would rather have her intelligence
You need to be on some meds and quickly. Lucky for you most of the ones you will need are over-the-counter and you can start quickly. You will need a combo of H1 and H2 blockers, proton pump inhibitors, mast cell stabilizers, leukotriene inhibitors too.

You need to start a daily diary of what you eat, how you feel, what type of activity you do and how it makes you feel, what exposures to triggers you have, etc.  

Many of the symptoms you mention are very common to us and the meds you should start will help with those symptoms. You should never stop your meds when testing for any reason. You need to do a lot of reading and studying so start soon!! The good news is, you arent alone anymore, but youre with us .
Great to have you here:)
hugs
Ramona
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~~~Count  Your Blessings!~~~
 
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Re: Waiting and Researching in Colorado
Reply #5 - 08/22/11 at 04:36:21
 
Thank you Ramona & Joan,

Ramona, thanks for the diary tip...  I've started to keep track, so we shall see..never had to watch what I eat so this will be a little weird.. I identified strawberries this weekend.. then when short on time this morning grab some nutritious pop tarts (LOL) on my way out the door and wondered why I'm sitting here itching...DUH..

Looking for an app to help (I'm an IT geek), found a great one for iPhone but none yet for droid.

And I haven't yet seen Dr. Castells but have been emailing a bit.. I am at the very very beggining of this so in a couple of months when I get in to see the doc here, she will work with him on whatever they find.  I feel greatful to have gotten that set up early.

Joan,

Thanks for the info in Dr. Dreskin... I'm not yet on any meds at all (cause my bone doc says there is no treatment anyway).  but I will definatley be asking about the bone & marrow, I would hate to go thru that twice.  

I will take a look at the pre-medication info at the link you sent too.. as dont have a diagnosis yet, that wasn't even a thought...

Did you have a bone density scan to determine your density or if it's localized or systemic?  and What do they mean by low bone mineralization?  I came to my bone doc with xrays and MRIs, he did a localized hip & lumbar bone scan then sent me for a full body with contrast, which only showed that the localized score they had was accurate and systemic.  He also did a 24hr urine histamine, and pretty full blood workup (but not tryptase) but I haven't had any other testing.  

so I'm just waiting, but it looks like it will be November or December before I know anything else, so trying to figure out what to do in the meantime.. As I won't be put on any meds anytime soon.






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Cindy
 
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