Friday, December 9, 2011

The Mighty Mito ~ Part 2

As promised, I have an update from my visit with Dr. Kendall, a mitochondrial specialist.  In my last post, my husband accused me of writing for Wikipedia, saying it was pretty boring.  Well, it is sort of hard to make Mitochondrial Disease sexy and exciting, but I will see what I can do.

I really like Dr. Kendall and I definitely feel I have come to the right place for answers.  She strongly believes I have Mitochondrial Disease based on my own medical history and that of close family members.  She said I have too many “red markers” for Mito to ignore it.   We are going forward with the extensive testing, which includes a buccal swab test for mtDNA and blood/urine tests.  We have opted not to do the muscle biopsy (a common diagnosing tool) at this time.  We both would rather avoid something so invasive, since my body has had slow healing time after other minor injuries.  There are currently 1500 genes involved in the mitochondrial process, and with current technology, only 40% can be studied.  She stated that no matter what the test may or may not show, she has no doubt I have Mito, and the problems could very well lie in the 60% of the genes they can not yet study.  I could possibly have both forms of it, genetic (based on family history) and toxic (caused by the Levaquin).  The combination of the two may explain why I am no longer making improvements. During her exam, she also reconfirmed dysautonomia and gastroparesis.  I am to have a gastric emptying study to learn more about the gastroparesis. 

In our further discussions, she asked me a little about the FQ support groups in which I am involved.  I gave her an overall synopsis of the symptoms people seem to suffer after an adverse reaction to a Fluoroquinolone Antibiotic.  She has seen others affected by Levaquin, and said for the most part; those with “true” toxic Mito seem to improve.  She has however, seen a few that seem to get “stuck” in their recovery for whatever reason.  She does believe that in general, those that have a Mito toxic reaction to medications most likely had a genetic mutation which allowed the medication to affect them.  There are varying degrees of this problem, so I would assume that would account for the multitude of ways people are affected.  

So, in a nutshell, I have been diagnosed with Mitochondrial Disease.  It will take until March to get all of the labs back.  There is no cure, especially if there is indeed a genetic component.  However, there is treatment to help encourage the cells to function at their maximal potential.  In the meantime, I will start on the “Mito Cocktail” once all labs have been drawn.  It seems this cocktail varies person to person with which supplements are used and the amount given.  I am sure mine could change based on what the findings are. 
 
I do believe I have found my answer to why Levaquin affected me the way that it did. I don’t necessarily think this is true for everyone who has been affected by FQ antibiotics.  I have always jokingly said that my family would make a great medical research study because of all the rare disorders present.   I think in a way, this is what my testing may in fact do.  In this process, I could also be inadvertently helping other family members get long awaited diagnoses.    I am sure I am just beginning to learn what all this diagnosis will entail for me.  

I will periodically update my blog to give the status of how the cocktail is going, and to also let you know what my labs indicate.  I can’t promise I will do it often.  I just haven’t had the energy for it lately.  I realize I did not follow through with my promise at the beginning of this post.  So, for my husband……Once upon a time, there was very sexy, exciting  mitochondrion that was stalked by a dark, deadly Fluoroquinolone Antibiotic…….Well, you know the rest.

Thanks for reading!

I have added a page tab for mitochondrial disease which includes many links.

7 comments:

Jacquelin Matthews said...

wow!! what a very informative article! I am glad you are getting some of your answers and pray for your continued healing.

Anonymous said...

I liked the article especially the last part that was not boring.

Anonymous said...

Awesome post, Lori! Thanks for sharing this valuable info. You're lucky to have such a good doc near you. Although I've found a couple nearby who are not "deniers", neither are well-versed in Mito issues (which I'm 99% sure is the basis of all our symptoms). Looking forward to hearing about your "cocktail" and if it helps. Good luck,
Greg

Rosemary said...

My MITO symptoms reached a critical point after Angioedema caused by Valtaren Gel. I was diagnosed with Mitochondrial Myopathy based on my muscle biopsy. I have not had any genetic testing.

Anonymous said...

Hello, I live in north Atlanta. This very same thing happened to me in 2007 with Simvastatin cholesterol medicine. Your list of sudden issues is much like mine was, except in the first 4 months my docs (all the way to the king neuro at Emory) all said it was in my head, so I gave up and did not get any care beyond that.

Looking back now, I can see why most of what you listed would have occurred if every cell in ones body is suddenly able to do less and produce less peak energy (and also maybe is building up oxidation waste products).

You may already know all of this, but I wanted to let you know that there may be some more supplements that you might look at. I got most of them out of the statin damage recovery forum at www spacedoc net - people who had lasting statin-induced neuromuscular damage. A small list includes:

Triacetyluridine (TAU - this is getting more and more attention for neuro issues; I recommend you look into this heavily.

L-Carnitine and Ubiquinol not just CoQ10 (this is the reduced highly available form of CoQ10, especially if you are over 40). Muscle energy helper.

NADH - energy/metabolism helper.

Lots of antioxidants (too numerous to list), with the assumption that the crippled metabolism is causing high oxidation.

And believe it or not, caffeine. I think I read it assists in part of the recycling of one of the energy production molecules, ADP. Huge diffference maker.

Question for you also - if I may ask, who were the other docs in Atlanta who were helpful since this started? I am sorry if I missed an earlier post if you already covered this.

Anonymous said...

Whoops, sorry I just read your post more closely and you are already getting into these same things that I just wrote about...sorry for the wasted comment by me just now.

I would, however, ask Dr. Kendall about the TAU. I have not seen it mentioned much on the mito sites, but I and some of the other statin recoverers think it has made a marked difference.

lmccand said...

Hi, if you send me a private message via my email mcclorik@gmail.com, I will be glad to send you a list of doctors that have helped or believed the damage was caused by the Levaquin.