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Flu - tamiflu (Read 14661 times)
PamH
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Re: Flu - tamiflu
Reply #15 - 12/18/12 at 08:56:09
 
I want to thank Lyn for giving us valuable information to make an informed decision.

Unfortunately I am the person you discribed Lyn.  I have studied so much, but with purpose.  I have really helped myself.  I have discovered many of my triggers through research.  I can't depend on my 20 min. doctor visit to do that. My doctor gave me a few papers on things that could be causing my triggers, but honestly I did the research.  He pointed me in the right direction and I had to do the work!  
And yes, my life has been turned upside down, I can't go where I want, I can't use the soap I want, I cant even use toothpaste every day...but I know why because I have read everything I can get my hands on.  I do have to analyze everything I put in my mouth. I hardly ever buy prepackage foods. I also have to analyze my environment. It is truly exhausting!  Hopefully it will not always be like this.
If I have read it once I have read it a 1000 times that we all react differently to different things.  So each of us has to make that decision to get or not get the flu shot.  
Having a mast cell expert tell me to get a flu shot is not going to take away the anaphilaxic reaction once I get it.  I have to do whats best for me.    
You just have to do what best for you.
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Re: Flu - tamiflu
Reply #16 - 12/18/12 at 17:34:14
 
WOW;
Lots of food for thought on this one !  Huh
Lyn; you bring up some very important points re: the flu shot. Sometimes in my masto fog, I don't see the whole picture. Specifically in regard to the flu shots. They are so coveniently provided at pharmacies & even grogery stores now  Roll Eyes.  Would there be someone there who would be able to handle a crises with say oh, a person with masto ? I am allergic to feathers, down, etc. I remember wondering if that would affect me adversely each year before I stood in line for my flu shot administered at school by a nurse (before my diagnosis). Yes, I have asthma. Yes, my former allergist had advised me to get the shot.
Yes, I struggle with the decision every flu season Anyways.  Undecided
Still thinking...
lori
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Joan
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Re: Flu Shot Precautions
Reply #17 - 12/18/12 at 18:03:47
 
I respect the research people on the forum do and have learned a lot from it about how to be safer in my everyday life.   There's no question there are potential hidden dangers for some mast cell patients in vaccines, medicines, cleaning products, etc.  When we take any medicine in any form, it's also important to remember these decisions must be made with risk vs. benefits in mind.  Common sense would be to use all reasonable caution, but not to postpone or refuse a potentially life-saving procedure or medicine because of fear.  The flu shot may not be life-saving for everyone, but it is for some people.  

  Other decisions will need to be made in a variety of situations throughout our lives, including procedures to follow to be safe if a surgery is needed, if radiological studies need to be done, if chemotherapy is necessary.  Unfortunately, we have a disease that can increase our risks to some degree in these and other instances, but it doesn't need to negate the benefits if we're cautious and plan ahead.

  As for the flu, if you've had complications from flu in the past, mast cell-related or not, a shot can be given in a way to minimize risks for many people.  Still, some people may be too reactive to take one.  This should be a decision between doctor and patient.

  I've posted part of this before, but for those who are concerned about the potential health threat from flu and who want to try a flu shot, here are some suggestions that might help you be safer.  The pre-and post-shot medications also apply to other immunizations, but do double check with your doctor.

  • Pre- and post- medicate before and after a flu shot.  The Boston mast cell specialists recommend that MC patients take 25 mg. Benadryl (or equivalent antihistamine), 1 hour before any vaccine and the same dose 6 hours and 12 hours later.  This is in addition to other meds the person normally takes.  If I weren't already taking an H2 antihistamine twice a day, I'd take one of those, too.  (My doctor contacted Dr. Akin and Castells, and this was their pre-medication advice.)


  • Talk with your doctor about your vaccine concerns, and find out whether you can have part of a shot on one day and part on another.  For a number of years, my daughter was given half a flu shot one day and the other half a month later, due to a prior reaction.  As it turned out, she now takes the whole shot at once with no problem.  You might be able to take a small part of a shot, wait an hour to see if you react, and then take the rest if all is well.


  • Obviously, if there are additives to which you react, ask your doctor whether you should still take the shot or if it can be safely taken with additional pre-meds or if you should skip it entirely.


  • There are several versions of the flu vaccine.  It may be safest to take the killed vaccine by injection.  I don't think the inhaled version or other live vaccine would be a good idea for MC people, but an expert (Dr. Akin, Castells, or Afrin, e.g.) can advise on that.  The inhaled one is definitely contraindicated for people with asthma or other lung disease.


  • If it's a pneumonia vaccine, have titers checked before having the shot.


  • Have the shot on a day when you're doing relatively well.  If you are flaring, wait until a day when you feel better.  Never take a vaccine when you are ill.  Be careful to avoid possible triggers before and the day of your shot.


  • If you have had a severe case of the flu in the past, or if you've had severe complications from a mast cell reaction to the flu or vaccine, discuss this with your doctor before you make a decision whether or not to take the vaccination.


  • Remember that meds and additives on lists of mast cell degranulators (foods, too) are specific to individual patients.  What might degranulate me, might be just fine for you, and vice versa.


For more information about Guillain-Barre' Syndrome, which Lynn mentioned, here is a link to the CDC website that explains the syndrome, it's causes and effects.  I haven't seen anything in print that would indicate that mast cell patients are more susceptible to Guillain-Barre' than the general population, however, it's a good question for a mast cell expert.  

 [url]http://www.cdc.gov/flu/protect/vaccine/guillainbarre.htm/url]
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« Last Edit: 12/19/12 at 05:39:08 by Joan »  


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Re: Flu - tamiflu
Reply #18 - 12/19/12 at 01:35:03
 
Excellent post Joan! Would you mind copying this post and starting an additional thread with this post? I think it is so helpful, that we should have this information out there for people to easily see!
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Feel well!
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Joan
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Re: Flu - tamiflu
Reply #19 - 12/19/12 at 05:46:15
 
Thanks!  I made a few additions/alterations and posted it as a new topic under the General Mast Cell Disorder Discussion topic.  If you'd rather have it someplace else, feel free to move it.
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Re: Flu - tamiflu
Reply #20 - 12/20/12 at 17:56:15
 
The British Medical Journal ( BMJ) has alleged that pharmaceutical giant Roche is deliberately hiding clinical trial data about the efficacy of oseltamivir ( Tamiflu) in patients with influenza. The journal says global stockpiling and routine use of the drug are not supported by solid evidence and alleges that Roche concealed neurological and psychiatric adverse events associated with the neuraminidase inhibitor drug.

In an open letter from Fiona Godlee, MD, editor-in-chief of BMJ, to Professor John Bell, FRS, HonFREng, PMedSci, Regius Professor of Medicine at Oxford University in the United Kingdom and a Roche board member, published online October 29, Dr. Godlee reminds Bell of concerns that were initially voiced in 2009 about the reliability of Tamiflu research.

http://www.medscape.com/viewarticle/774548?src=mpnews
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MarciaB
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Re: Flu - tamiflu
Reply #21 - 12/21/12 at 01:48:19
 
It's great that more whistleblowers are coming forward but imho it's not happening fast enough and it's not effective.

I just learned about a book yesterday called "Unaccountable .. ".
It's about the incompetencies in hospitals.  

We need to do something to stop the incompetence in the health field rather than write about these problems.  Based on what I've learned over the last 7 years, I've seen more incompetence than competence in this field.  The info / research on cfs alone could be best summed up on a saturday nite live sketch.

Sure some of this is profit oriented but
some is just from medical professionals allowing themselves to be guided blindly by big pharma or big supplement. Big supplement is just as bad as big pharma only they're not being regulated.

I have to wonder if part of the entrance exam into med school includes having students listen to a lecture that's made up of completely fabricated medical terminology and full of multi syllable words and only those who pass without questioning it get in. Afterall the goal seems to be learning multi syllable words. ; )

Things are definitely getting better tho. The growth of GF industry proves what patients can do just by financially supporting an industry. The move towards integrative / functional medicine is growing.

What's disappointing is that whistleblowers have been around
since the 60's at least and yet our grocery store shelves are lined with toxic foods.

Sorry for the rant  ... Maybe I need to write a book. Lol







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CFS,FM,Celiac,Ataxia,Dysautonomia,Paget's,Seizures,PelvicPain,Hyperinsulinemia ...Responding to Wahls diet, supps and MC meds.. kow ...    
 
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Re: Flu - tamiflu
Reply #22 - 12/21/12 at 10:48:01
 
Marcia I think it is really unfortunate that you have had such negative experiences with health professionals that have left you so cynical and mistrustful. I know many of us have negative stories to tell, but we also have very positive experiences of wonderful doctors who may not have all the answers, but genuinely care and have great compassion and do the best they can. Unfortunately they are human. They are not God, and unfortunately they dont always have the answers we need. I have walked away from numerous doctors in the past few years, regretting yet another waste of time or disappointing consult, and still trying to find answers for my son, but I try not to 'throw  the baby out with the bath water'. I still need the support and expertise that they potentially can give us, and take it gratefully when I find it. Maybe I'm naive but I have experienced many more health professionals, in various contexts, who are remarkable individuals with genuine motivations for doing what they do, as well as brilliant minds and the expertise to make a huge difference in the lives of their patients. I hope you have the privilege of experiencing such caring and competent medical support one day.

Ruth
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Re: Flu - tamiflu
Reply #23 - 12/21/12 at 12:45:19
 
Hi Ruth,

I'm definitely 100 % cynical now but I just learned it over the last 7 years. I was 100 % doctor worshiper for the first 50 years of my life
and it only made me sicker. Not to mention the sarcasm I experienced from my own doctors.

I have had some positive experiences with doctors. I have 4 doctors now that I trust. I was sexually assaulted by one of my doctors when I was younger and had a similiar experience in the last 10 years.  I haven't reported these incidences to any officials yet. Most people who know me know this tho.

I was told that the first dr who did that to me was doing it regularly so it was semi acceptable. And it would ge my word against his. I tried to report the second incidence but
was advised by the local ama to tell this dr that what he did made me uncomfortable. I just hung up the phone in disbelief.

Even after that I trusted doctors as long as there was a nurse in the room. So it's only in the last 7 years after I started learning the truth about our health care system that I became cynical.  

Fwiw tho I probably should've toned down my cynism for this forum.
I suspect those who've been dx with cfs only to find out on their own that they had something else understand where I'm coming from. The official info on cfs is a testimony to the incompetence of those involved. Whoops ... Did it again.  Roll Eyes

I'll try to keep it under control.  Tc ... Marcia

Eta. It just dawned on me that my work background is probably responsible for my lack of sympathy towards incompetence. I was a programmer analyst for years and we had no sympathy for those who repeatedly screwed up.  We all knew who could do their job and who couldn't. I suspect the medical profession is the same and would like to weed out the ones who aren't performing.

This may seem harsh to some people but to me it's just being realistic.  Weeding out the non performers could really open up a healthier environment for medical professionals and patients.




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« Last Edit: 12/21/12 at 14:24:32 by MarciaB »  

CFS,FM,Celiac,Ataxia,Dysautonomia,Paget's,Seizures,PelvicPain,Hyperinsulinemia ...Responding to Wahls diet, supps and MC meds.. kow ...    
 
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Re: Flu - tamiflu
Reply #24 - 12/21/12 at 15:52:15
 
Marcia,
I am so sorry that you were victimized by a trusted medical professional.  This is beyond horrifying, and then have something similar happen to you again.  I am angered on your behalf.  This is enought to rip the trust right from you, yet alone all the struggles you've faced finding a diagnosis.  

I have had caring physicians along the way and only a handful or horrible evil ones.  But I've also taken the long road to understanding what is going on in my own body and long ago stopped blindly trusting that these caring physicians could solve my health woes within the short time allotted to me during my appointment.  As i began racking up major medication adverse reactions, it became easier to see I needed to move away from that paradigm.  I began to take responsiblity in my own hands and started on this long mission of finding health.  On top of the incompetent or incapable physicians, nurses, technologists, technicians and others out there, the entire healthcare system is flawed in the US and this business model makes it extremingly difficult to get adequate (not even stellar) help concering chronic illnesses.  Genuine care and compasison only go so far in a flawed system, where those caring physicians pay a large price to give that compasisonate care with less quota numbers.   And healthcare administrators know it, but the system is too big to change.    

Chronic illness is a business and once I figured that out, I could do a better job advocating for myself.  Marcia, sounds like you are also better able to advocate for yourself than previously.  

I wish you the best,
Lyn
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Re: Flu - tamiflu
Reply #25 - 12/22/12 at 00:51:52
 
Thanks lyn,

While it's difficult to discuss this topic I think it's important for other patients to know that they're not alone. Looking back, I wish I'd pursued legal action with the doctors who took advantage of me but
even today I'm not sure the stress would be worth it. I was too stunned and humiliated to even speak as I left the first doctor's office. And I was too sick with celiac disease and weight loss to fight the second offense. The conversation I had with the representative at the local ama didn't instill a sense of confidence in their commitment to helping patients either. Why would I want to talk to someone who'd just blatantly assaulted me ?

I'm much better prepared to advocate for myself at this point but
find it unnerving to think I have to be prepared to fend off emotionally unstable health professionals.  It's ironic that these professionals want to dx patients with mental illness when they think nothing of physically or emotionally abusing patients.

Back in 2005 when I started by healing journey, like you I had no idea where it was going to lead me. And like you while my current doctors have been unbelievably helpful, I've needed to take the reigns myself. I've realized that even with their advanced medical backgrounds, they can't predict how my body will react
to any foods, meds or supplements.

Good luck with your journey. Imho, we're the lucky ones because we
know about all those toxins in our environment.

Tc .. Marcia
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Re: Flu - tamiflu
Reply #26 - 12/29/12 at 02:23:21
 
I don't want to get too deeply into this and I am indeed sorry for you and anyone who has experience any form of abusive behavior from a physician.  It is a total break of trust in doctors and totally undermines the patient's ability to trust their guidance.   I think that we all have had some kind of encounter, whether it be out and out abuse, or just the disregard of a doctor who is too afraid to admit his/her own humanity of not knowing everything.  Yet, I must say this in defense of physicians around the world.   I am American by birth and lived in the States for 30 years prior to moving to Brazil as a bride.  My experience and cultural upbrinding with doctors is from my birth and youth in the States and so my entire cultural identify as to physicians is American.  According to French anthopologist, Clotaire Rapaille, in his book the Cultural Code, Americans look at physicians as Heroes!!   This is a VERY IMPORTANT viewpoint for when they don't meet up to our expectations, they fall a very hard fall from their pedestal!!   They are human and they err as much as the rest of us and we allow for one another to go OOPS from time to time but we hang physicians from the highest yard arm if they even whisper such a word!!   American doctors are even more on the defense due to the fact that they are so easily sued by patients who don't realize the ramifications of their actions and are only thinking of revenge and greed.   The vast majority of doctors do not intend harm to their patients and they honestly try their very best to do right by their patients within the limits of their knowledge.   This is why some doctors will not refuse a patient whose illness they don't know or they will say "emotional" or "psychsomatic" in order to pass off a patient whose illness they are not able to diagnose or manage.  Why?  Because they are trying to mess up the patient's mind?  NO!  But because most patients will get unreasonably angry if a doctor refuses treatment and they can even be taken to court if the patient were to press charges for I believe doctors are not allowed to refuse a patient by the hipocratic oath, if I'm not mistaken.  But in saying psychosomatic, the patient is then given an option to push on towards a pychologist/pyschiatrist and it will release the doctor from obligation to treat the patient in a manner which puts him at risk if he makes a mistake.  This is why doctors don't often want masto patients cause they don't know masto and it puts them into risk.  If you were a doctor, would you want yourself as a patient?!   I sure wouldn't!!!  I'm a high mantenance patient and I don't even like having to deal with my illness for how complicated it is!!!

Yet, does this excuse of for writing off our all doctors just cause they don't know or some have not treated us the way we need?   NO!!!   I've been through the mill with doctors cause my symptoms came up with a hysterectomy and a great many doctors, almost all males, could not see the symptoms for the hysterectomy and I was accused of serious mental health problems by any doctor who did not understand masto or did not recognize my symptoms or who did not know me prior to the disease coming out of hiding!!!

I could easily have done like Lot, sit down in a pile of ashes, rip my clothes, curse doctors and GIVE UP!!!    Sorry, that's not my style either!!  

So, what did I do?   I got up!  Dusted myself off!  Realized that the guy/girl was a complete JERK and MOVED ON!!!   For every 1 Jerky doctor, I found 10 GOOD doctors and 1 EXCELLENT doctor!!!   I've moved on and found the help I needed and from doctors who have done more to HEAL any wounds my faith in doctors had suffered!!!  

And what about my faith in this situation of vaccinations.   Well, I think you have to deal with this on a very personal manner.   I don't think that we can justify throwing vaccines totally out the door just because there are some things going on.  I think that the long-term track record of saving lives way outweighs any situations which are going on right now.  I've heard some of the conspiracy stories and yes, they totaly undermine our faith in our medical association as regards to vaccinations and I can't help but feel that something is very wrong with these theories!!  The fruit is bad for I can't believe that high level doctors, like Dr. Castells, who is a renoun immunologist would continue supporting for masto patients to be taking vaccinations if she felt that something were wrong with them!!  She personally has too much to put at stake and I've spoken with her a few times, enough to know that she is one of the most caring masto doctors we have out there!!  She has personally fought to get the MCAS diagnosis passed going up for years against the heavy weights who were totally against MCAS!  She's the only female authority we have out there and her heart is for us patients and she's not going to encourage that we face vaccinations if she felt that there was something dreadfully harmful to us.   She knows that some of us do react to the vaccines, but I honestly don't thing that she feels that there is something inherently wrong with the vaccines that we should not be taking them.   And she has said to several of us on this site when questioned, Yes, you should take the flu vaccines.  

Yet, again, this is a personal opinion and a personal situation and I think that if you are personally questioning the medical association itself and have doubts then this is important that you also keep this to yourself due to the damage of undermining the faith of another person.   Again, I've heard enough of the conspiracy theories that yes, I understand the concerns, but this kind of talk, without real proof, is dangerous and affects the lives of others and since none of us are working within the medical associations involved in vaccines, we have no way to know what the real story is nor the truth.  But to undermine the faith of another patient, especially when there is a track record of generations of healthy people who had their lives saved by vaccinations, I don't feel it's right to bring this kind of controversy to the site.  This must remain private.

I hope you all understand.


Thanks!

Lisa

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Don´t forget, there is so much more to life than being sick!
 
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