As I sit and
write this, it is eleven months since I have worked in my job as a Small Animal
Vet. I qualified from the Royal Vet
College in London in the year 2000, and had been working hard and playing hard
ever since. I’d been blessed with good
health and had many opportunities in and out of work – from setting up a
charity abroad to travelling the globe.
I was rarely indoors other than at work.
My life was
toddling along just nicely thank you very much when after a fantastic summer trip
around the UK in 2011, from Scotland down to the Scillys, I started to
experience some problems with my hands. I
had numbness, tingling, some swollen joints and shooting pain. To be honest, I thought I had developed some
sort of repetitive strain injury after all that driving but the pain was severe
and odd so I thought I’d better make an appointment with my GP. By the time I saw her a week or so later, the
same type of pain had hit one of my shoulders and it was presumed that I was
just unlucky, damaging my shoulder due to over compensating for my weak
hands. Operating was put on hold, with
my colleagues bearing the additional work like troopers, my boss being a star. I dictated notes which were written up by my
lovely nurses, the pain so bad I couldn’t press the keyboard without wanting to
vomit in the sink – not an attractive trait for the clients.
As I was
waiting to see a hand specialist, the pain spread. Always running linearly, sharp, shooting,
burning pain which migrated, running along tendons behind my knees, my elbows,
along my Achilles. Driving to and from
work was excruciating. The pain would come
and go, I had never experienced anything like it – it just did not make sense.
It made sense
to one of my great friends and work colleagues however, who kept prompting me
“Are you sure you haven’t got Lyme disease?”.
I had not had a known tick bite or the “classic” bulls eye rash which as
it turns out is the situation of 50% of Lyme disease patients.
Well, nurses
are ALWAYS right – this much I have learnt from my 11 years as a Vet and indeed
she was right on this occasion. After a
few months of hanging out with every flavour of medic, a clinical diagnosis of
Lyme disease was made. This makes it
sound easier than it was – once MS, brain tumours and motor neurone disease
were ruled out, I was on my own. Luckily
I was armed with great training from the RVC which allowed me to ask for the
right tests and seek one of the few people in the UK who have an interest in
tick borne diseases.
High dose
doxycycline was prescribed and I was like a new woman within weeks. I took the pills every day and got on with my
job and my life. A new respect for ticks
and their associated diseases was born and educating clients about tick
prevention took on a whole new meaning.
I thought that was the end of it.
Unfortunately
this was only a preview to the real horror of this disease. In June 2012 I relapsed badly. This time the pain was constant, still
jumping around my body and always severe.
I struggled through work days for another week until I could no longer
work, drive, sit or walk. I was trapped
in the upstairs of my house as the stairs were impossible to negotiate on my
own. Even opiods could not dull the
pain. My boyfriend – of only three
months – had to wash me, help me to the bathroom, change my clothes and prepare
food for me. I was 36 years old.
My cognitive
function deteriorated, I would phase out mid conversation and be unable to
follow a train of thought. If more than
one person was talking it was like white noise and I spent many hours not
knowing whether time was passing or not.
By this time I was experiencing nasty muscle tremors and erratic violent
twitches. I would lie in bed and weigh
up how bad an itch was as to whether it was worth moving to scratch it. I could not sit myself up or lay myself
down. It was like a nightmare.
A PCR sent to
the states confirmed the clinical diagnosis of Lyme disease but I was advised
just to continue the doxycycline and all would be well. This proved incorrect in my case. As the days and agony went on, friends would
taxi me to have acupuncture in a desperate hope that this was where the answer
lay.
My cognitive
function began to improve and with it an ability to use the computer for short
periods of time. It was time to research
how I could get my health back.
As it turns
out, persistent Lyme disease is a massively controversial subject. Too much to go into detail here, but the
important points to know are these.
1-
ELISAs
used are approx. 50% accurate – you essentially may as well toss a coin, they
are no longer used by Lyme Literate Doctors
2-
Even
if you test positive on an ELISA, your Dr may put it down to previous exposure
and not do any further testing
3-
Once
you get a positive result – usually and as in my case by sending your bloods to
one of the biggest labs in the States- most of our GPs, Infectious Disease
Consultants and Neurologists do not have the experience or knowledge to treat
you.
4-
There
is no one size fits all treatment, as up to 60% of people have co-infections
such as Bartonella, Babesia and Ehlichia.
Ticks essentially inject bacterial soup into you when they bite.
Or-
1-
Tests
are inaccurate
2-
UK
knowledge within the NHS and private sector is sketchy at best
3-
There
is no one treatment fits all
Thanks to the
internet I discovered how I would be treated if I was in America and was able
to present information to my GP which she thankfully acted upon.
Within three
days of starting a combination of antibiotics, the horrendous pain I had been
living with for 6 months lessened by 70%.
I was euphoric. Six months away
from the job that I loved, house bound and in financial difficulty, it seemed
that finally the end was in sight.
Well it is
and it isn’t. A profound fatigue has hit
and although I am no longer in so much pain everyday, it is like someone has taken my
batteries out. My heart has been damaged by the bacteria and although not as frequent, muscle tremors and twitches are still a daily occurrence. I need to limit my
activities. If I want a bath, it can
take me a day to recover. Want to see
friends – only possible with good friends as there is a good chance I won’t be
well enough to make it. The good days
are difficult to predict, the bad days come too frequently. I am still unable to drive the car regularly,
I can go out with my dog for a walk once or twice a week.
And sometimes the pain is back and so severe
that I think I cannot bear another second of it.
It is a good job I love my house, but to be
honest, I’m a tad sick of my four walls – although grateful I still have
them!
Instead of
fundraising for our charity in Spain, I now find myself in the embarrassing situation of
fundraising for myself to get treatment abroad. My brother has created an amazing video for the fundrazr site, see below and everyone is behind me so I'm going for it!
Sarahs
fundraising page – https://fundrazr.com/campaigns/eVfHb or search Fundrazr for the “Help cure
Sarah” appeal.
Hi Sarah
ReplyDeleteSo sorry to hear your story, sadly like so many I have already heard. I am pleased to hear you are getting good support with your fundraiser sorry I can't help - there are all too many of us needing help and being ignored by our NHS.
Good to have another blog from a UK patient and hope you are able to spread the word among your veterinary friends who are after all probably the most vulnerable.
I know our local vets in Guildford Surrey have had an increase in the number of pets needing ticks removed although when I asked one of them to test our sick Springer Spaniel dog for Lyme Disease he laughed and said oh we don't have Lyme Disease here - well actually I said we do our GP surgery in Merrow has had several patients test positive now and from local acquired infections. He inquired into the tests and apparently for dogs it is an ELISA they can't do a Western blot due to the Leptospirosis vaccine dogs get - clearly the B41 band would be positive ( flagella) but not sure what other bands would come up positive for Leptospirosis. Anyway with a negative ELISA I couldn't face another medical battle to get what I believed I needed however she responded well to Samento ( suspect more as an anti inflammatory than any real antibiotic benefit) however her arthritis continued and she developed Neuro problems losing the use of her front legs and we had to have her put down. Interestingly the mad aggressive behavior she displayed in the evening resolved whilst on Samento but returned when Samento stopped - all seemed a bit too much like I hear in humans with Lyme and some of my Lyme symptoms too.
I hope you have been following the interesting developments with Bartonella http://www.galaxydx.com/web/our-team/ I think your colleagues will also find this interesting - Cat scratch is usually considered a self limiting illness but clearly Ed Bretscwerdt is finding that it can be the underlying cause of many chronic illnesses - quite fascinating but imagine if Bartonella is passed along with Borrelia as it has been found in so many patients.
An Entomologist I know in Canada was involved with research where they found in two ticks only - 158 genera of bacteria, this is similar to a study in Italy which found 108 genera of bacteria in one tick. Knowing that most of these bacteria originate from vermin is it any wonder we humans can be so sick after a tick bite - but many of us do make a huge improvement on the right treatment so here is wishing you good luck with your treatment.