Rheumatic Fever

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I'm new here!

Hi, my name is Sashymish00. I'm looking for guidance because it gets scary and hard to face it alone

#MightyTogether #RheumaticFever

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Am I the only one who gets body aches/rheumatic fever no matter the sickness infected with?

My whole life I’ve always gotten terrible body aches and rheumatic fever when I come down sick with anything from strep throat to a head cold.

I thought every one else did too.

Now I’m learning that it’s quite uncommon in my peers.

I assume it’s because I have an autoimmune neuropathy.

Does anyone else with autoimmune neuropathy get this?

What about if you don’t have autoimmune disease, do you experience this?

#AutoimmuneDisease #AutoimmuneAutonomicNeuropathy
#Strep

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Chasing Ghosts

#MentalHealth #PANSPANDAS #Anxiety #AutoimmuneEncephalitis #Genetics

Our son’s story of finally getting diagnosed with Pediatric Acute-onset Neuropsychiatric
Syndrome (PANS)

It was 2013 when I found myself at the local library thumbing through a book about Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS). I was scanning the pages for a solution on how to “fix” our son but nothing in this story sounded familiar. My husband told me I was chasing ghosts and maybe he was right. But I was still slipping into a yearlong obsession to find answers.
At the time, Chris was six years old and we had already weathered through a handful of disturbances. With little guidance from our pediatrician, all of Chris’s issues had been explained away. The night terrors, the constant infections and fevers since birth - all were “normal”. But it wasn’t normal to us - he was having two or three a night terrors a night and their effects were spilling into his daytime life; he was exhausted, anxious, and started panicking every time I left the house. We were eventually given the anxiety diagnosis and Chris started meeting with a child therapist to learn how to talk down to his “brain monsters” (if only it had been that easy). Our pediatrician also offered an anti-depressant and we declined. He was only six years old and none of this felt right. A final blow, the pediatrician asked the dreaded question, “Does anyone in the family have a history of mental illness?”. I found myself confessing that at the same age, I also had panic attacks and separation anxiety. I explained that it eventually went away, however, as an adult, it morphed into a generalized anxiety that would rear its head during times of high stress and interestingly, during times of illness. In that moment, after I confessed my little secret, Chris’s health issues seemed to be immediately filed under the “Apple doesn’t fall far from the tree” folder or at least that’s how it felt.
Through all of these appointments what was never discussed was Chris’s health history. His actual medical file, if anyone had bothered to look, was full of emergency room visits and hospitalizations. By three weeks old Chris spiked a 104 fever and was rushed to the hospital for a full septic work up. He was admitted for five days until the fever subsided. Bloodwork was inconclusive and we were sent home only to be readmitted four days later when another high fever spiked. No explanation from either hospital stay but now our nerves were rattled. In addition to the random high fevers, Chris’s first year of life was riddled with ear infections; ten in ten months to be exact, and two burst ear drums. By the time he turned three, the high fevers seemed normal to us. And then there was the Cervical Adenitis episode - an infected and inflamed lymph node in the neck. After a CT scan and another scheduled surgery, his lump was eventually drained under anesthesia and we were sent home with a three month supply of antibiotics and zero explanation of how or why this happened.
These medical events from Chris’s infancy and toddler years were never brought up during therapy sessions. And I wanted to know how these awful fevers and infections were related to his night terrors and his growing separation anxiety? These questions wouldn’t leave me and instinct finally started to kick in. I had to stop shying away from pushing the doctors because I was embarrassed about my own history with anxiety. So that’s how I ended up at the library surrounded by medical journals that I barely understood and stories of children with Obsessive Compulsive Disorder (OCD) that came on overnight.
Life marched along for us and we started chalking Chris’s anxieties to him just being “difficult” or “overtired”. However, after Chris’s 11 year old well visit, life as we knew it would be thrown off course for good. This visit included two booster vaccines (DTap and Meningitis) seven antigens at once. The appointment had been on a Friday and by Sunday night Chris was feverish and complaining of a headache. On Monday the school called, Chris was having a full-blown panic attack and I had to come get him right away. I took him straight to the pediatrician and after a quick eyeballing of his state (dark circles under his eyes and ghost white skin) and a glance at his file (you know the one) the pediatrician dismissed us with a “maybe he’s just afraid of shots” comment. This was the norm for us now. Any time I questioned the connection between Chris’s health and his anxiety I was told again and again that “anxiety just runs in families”.
Chris sat on the couch that afternoon and sobbed and sobbed.... for hours! I had never witnessed anything like this and that night he started having night terrors again and every night after that for the next month. The school mornings became torture; we had to scrape him off the floor and wrestle him into the car. This was a new hell for our family, the intermittent night terrors and separation anxiety was one thing to deal with, but this, this was sheer awfulness.
I started chasing ghosts again, but this time I saw them for what they really were; our genetics. With the help of a few selfless academics that took the time to answer my desperate emails I was pointed in the right direction. And that direction was 50 miles north in Boston. The day had finally come and we were seated in front of a doctor that specialized in PANDAS and PANS. He listened to me rattle off Chris’s symptoms, illnesses, lumps, fevers, the whole time he patiently took notes. I had been bracing for the mental illness confession but instead I found myself answering questions about my mother’s sisters that had rheumatic fever as children, my grandmother (their mother) that suffered from debilitating rheumatoid arthritis, and my own mother who had Polymyalgia rheumatica. It was becoming apparent how relevant it was that Autoimmune Disease ran on my side of the family. This doctor discussed with us that Chris most likely had a fever syndrome as an infant and toddler (random fevers and cervical adenitis were hallmarks of an autoinflammatory disorder called Periodic Fever, Aphthous Stomatitis,

Pharyngitis, Adenitis (PFAPA)). We walked away that day with a diagnosis of PANS. The next stop, tonsillectomy and antibiotics. The ghosts had spoken!
Chris had not inherited an anxiety disorder; he had inherited an immune system with a roadmap that had mistakes. Slowly, he started getting better. The night terrors disappeared and along with them, the day time anxieties.
For our son, symptom onset was not overnight. He had so many health issues starting the first few weeks of life, which continued throughout his early childhood. His body was in a near- constant state of infection and inflammation. Add in his medical history to a family history riddled with autoimmune and strep-related health issues and it is no wonder that our son has PANS/PANDAS.
Today we know the flares will come but we now have a plan. We have doctors to call for advice and treatment and we have a village of families just like ours that we can reach out to. Our hope is that all of this hell that Chris has been through has some purpose. I hope his story resonates with a parent out there searching for answers. It took our family 11 years to get Chris diagnosed and on the path to healing. I hope someone reads this and the time it takes to find help is cut in half. Please remember that the ghosts and secrets we carry with us are there for a reason. #Parenting #Gaslighting

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Old arthritic diagnosed in Dec 1957

When my parents approved a biopsy from my 3.0.0.75 year old ankle to differentiate between RA and rheumatic fever, they never explained what lay ahead of me. Not even in my teens when I had a synovectomy of my left knee just prior to senior year in high school did anyone say things would keep going down hill. Probably a good policy as a preschooler but not helpful as a nearly adult woman who saw few limits I. Her future. Hmmm. I don’t blame anyone because looking at possible future “me” might have been too depressing. Fortunately, my father was a street fighter in the sense that he ran away from home in 1925, lives with virtual strangers, and put himself through dental college with minimal help back in Chicago at Loyola Dental School. Even at age 82 he was still climbing onto his roof, albeit a ranch house, to clean gutters and whatever caught his fancy. Terrified my mom, the other rheumatoid arthritic in our tiny family. I have walked away from more physicians than I can recall, concluding that they were more clueless about m condition than I. I am currently searching for another rheumatologist who will write scripts for generic ultracet, a drug I have used for 20* years that is the best option to augment my Xeljanz, Celebrex, and assorted heart medications and antihistamines. Ohio, my current and probable final residence, has a lousy attitude toward low level opioids which is ridiculous in my case. I don’t abuse them. Don’t exceed dosage levels. Don’t request scripts far in advance, a real joke since our drug insurance enjoys sending refills a month or four in advance. I am a good patient. I’ve endured right and left hip replacements in 1986 and 88, an ankle alignment in 2000, bilateral knee replacements in 2006, a left hip revision that required a second surgery a week later when the tip of the new implant popped through the femur in 2011,, aright hip revision in2018, a second right hip revision in 2021…so many incisions and so much fun. I gave up ballet and toe shoes in 1970, piano in 1977, cycling in 1882, walking without a cane in 1887, the list goes on.
It is difficult to accept each physical loss. I still experience enter over the piano and ballet. Of course, using a Rollator now to protect myself from falling makes ballet a joke. I am lucky to walk upright since I have a propensity to fall at odd moments. Some of those stories are hysterical. I had five falls in two weeks after our move to Ohio and loosened screws in my right hip. Yes, just like the ones in my head EXCEPT that one was pressing on my iliac artery to add a bit of drama to that last right hip revision. Scares that surgeon a bit but came through just fine. My wrists barely bend abs my elbows abs shoulders ache to varying degrees daily from use as supplemental legs. Five years after that right ankle surgical fusion my left ankle voluntarily fused itself. So thoughtful to keep both feet at 90 degrees. The list goes on but so do I. I am determined …
#RheumatoidArthritis

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#I would like to talk to any adult who has been diagnosed with Sydenhams Chorea. It's normally a childhood disease that is that follows Rheumatic feveR

Fever. I did have it as a child.
#RareDisease

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Losing a Sibling - My New Solo Journey Through Life

Losing a sibling young is an abomination of the natural order of the universe. Your siblings are, in theory, the only ones who know you your entire life. They share every childhood moment. They watch your children grow up. They help you survive a parent’s demise. At least this is how it’s supposed to be — in theory. Unless you lose your one and only sibling at a young age. Then you effectively become the only one who knows you your entire life.

This is my new solo journey now. My wingman, my partner in crime, my younger brother, was taken from me at the age of 27.

My brother was born the day before my 4th birthday, so I was convinced he was my birthday present. And when he came home, I was convinced he was mine, period. “Don’t touch my baby,” I’d say to anyone who dared to go near him. At night, after my parents went to sleep, I would steal him away and lay him in bed beside me.

And throughout his life, I continued to be the big sister with a vengeance. In my mind, I was his protector, his guardian angel, even when he didn’t really need one. We fought as normal siblings do, but we laughed more. We had that rare sibling relationship where we actually enjoyed spending time together. We were best friends, movie buddies, had the same sarcastic sense of humor.

#RheumaticFever, the doctors said. Irreparable heart damage. My brother spent his 18th birthday in the hospital, and was gifted with a 50/50 chance of living another five years prognosis. He defied them all by living another nine.

Grieving the loss of a sibling while they are still living is one of the most heartbreaking yet valuable lessons one can possibly learn. Knowing my brother was going to die sooner than later forced me to confront the notion of mortality, showed me you must seize every opportunity to live life to the fullest. But mostly it taught me the most valuable things in life are your loved ones, and you must never take them for granted — not for a single second. Because when they are gone forever, all you will have are your memories of your time together. And if you have any regrets at all about how you treated them or how little time you spent with them, they can haunt your soul.

The memories of my final years with my brother will forever burn brightly in technicolor. The trips we took, the birthdays we spent together, the afternoon we just randomly stopped and played a game of catch in the park. Leaving the hospital on the day he died, all I recall is the outside world looked grey, devoid of all traces of those vivid colors. Where had they all gone to?

That first year, I barely slept, rarely left the house, walked around clutching Joan Didion’s “The Year of Magical Thinking.” I was wading through knee-deep snow to place flowers on his grave for his birthday. What little sleep I did manage culminated in dreams about him that caused me to wake up bawling hysterically.

But one particular dream I had was beautiful and gave me much needed peace. In it, we were walking over a bridge together, looking out over a beautiful meadow. In the next instant, he was no longer beside me. I looked over to see him standing in the meadow, arms reaching overhead skyward. Was he trying to send me a message from heaven? Was he trying to tell me that it was OK to let him go?

#Grief completely consumes your life at first, but its almighty power over you gradually subsides. Over time, you are able to laugh again, to look through old photos with a smile instead of through a haze of tears. The color does return, but it will never be as vivid as before.

Someday, I will be the only surviving member of my birth family. My intimate childhood recollections will remain mine alone, as the only other person who shared them with me is missing from the story.

This is not the journey I chose, but I have to somehow make peace with it. Although my brother will no longer be accompanying me on this journey through life, I like to think there will always be a set of invisible footsteps walking beside me.

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