Training the Brain

I was supposed to be sitting with my eyes closed not actively thinking about anything. I would venture to guess I was successful for about a minute before the silent laughter began as I pictured myself looking like a waxy Medusa. I had electrodes hanging from my earlobes and was wearing a nylon skull cap with uniform holes from front to back. Additional electrodes were affixed to pieces of my hair that had been pulled through the holes and dabbed with wax. No, I am not sharing a bizarre dream with you. This scenario is a snap shot of what happened when I got my brain mapped for neurofeedback. (My bizarre dream post can be revisited here if that's what you were hoping for).

It has been eleven months since I made the switch to a doctor who practices functional medicine. Here is a reminder of what the first round of blood work with the new doctor unearthed. On the same day we discussed the blood work results, we also discussed starting neurofeedback once it was established that I could tolerate all of the changes that were about to be made to my treatment protocol. I was so overwhelmed, that I don't even remember discussing neurofeedback. And truth be told, I'm four months into my weekly neurofeedback sessions and I am not sure I can fully explain it. But I'll try, with some help from various websites that offer information about it. It's all very scientific. I'm the opposite of that. 

What is nuerofeedback?

Neurofeedback is a therapy that stabilizes central nervous system function. It literally means “brain” and “input”, where the brain is monitored and input is given instantly.  Neurofeedback specifically monitors brainwaves, looks for irregularities, and then produces a signal that is designed to correct the irregularity and guide the brainwave back into a healthy pattern, allowing the brain to work more efficiently through repetition.  Neurofeedback retrains and rebalances the brain by interrupting the inefficient patterns identified by the brain mapping assessment, and helps the brain establish healthy brain patterns for optimal efficiency. The initial brain mapping of the brain waves helps paint a comprehensive picture of imbalances that may be present, such as areas of the brain running too fast or too slowly.

Neurofeedback targets the four primary brainwaves (Alpha, Beta, Delta, Theta). Each of these brainwaves is responsible for regulating the active and subconscious aspects of your body: 

• Delta brainwaves are associated with deep, dreamless sleep and regeneration. Delta brainwaves occur when you are asleep and are responsible for healing the body. 
• Theta brainwaves are associated with light sleep or extreme relaxation. When your subconscious takes over you start producing Theta brainwaves.
• Alpha brainwaves occur when you are awake but relaxed and not processing much information. When you first get up and right before you fall asleep, you are generating Alpha waves, as well as when you close your eyes to rest.
• Beta brainwaves are associated with the mental state most people are in during the day and most of their waking lives. When you are alert and focused, you are producing Beta brainwaves.

While each of these brainwaves corresponds with different body functions, they all are equally important to your health and well-being. The brain is the command and control center of the body. The brain has over 150 hormones called neurotransmitters which controls the endocrine system (body hormones) and the autonomic nervous system (stress levels, sleep patterns, etc). Correction of brainwave activity causes a whole cascade of events to happen to the autonomic nervous system, the body's hormones and the immune system, especially in it perpetual fight against infections. When the brain is functioning, the immune system is enhanced, and the body responds. Here is a little refresher on the autonomic nervous system if you need one.

Does Neurofeedback Hurt?

No. If it did, I probably would not be doing it! During each 35 minute session the brain is introduced to a restorative brain-wave treatment. The signal source varies based on the system used. At the place that I have been getting my treatment, visual, audio and optic stimulation are used. The treatment is non-invasive and doesn't require any drugs or medication. It requires me to sit and watch a movie while wearing photic glasses, headphones and electrodes while being hooked up to a computerized device that measures brain wave activity. The photic glasses give off a pulsing light throughout the whole session that helps stimulate the desired brain frequencies. The headphones, well those are self-explanatory! 

The Neurofeedback training process involves active sensors (electrodes) that are placed in predetermined location(s) on the scalp to record the brain’s electrical activity. Reference and ground electrodes are placed on the ears, to complete the required electrical circuit. The placement is determined individually through the brain map which provides information and specific protocols to be used in training. For the brain map, there is a specific electrode cap, which is placed on the scalp, and the software captures the electrical impulses in the brain. This method is known as an electroencephalogram (EEG). It takes 15 minutes to complete. The data is then converted into a visual brain map report.

During each session the patient sits quietly and watches a movie through the customized program based on the initial brain map. When the brain wave activity falls within healthy, efficient ranges, the patient can see and hear the movie without interruption. When the brain waves go into unhealthy, chaotic ranges the picture will get dim and the sound will diminish. The brain is trained into the healthy, efficient ranges as it figures out that it is rewarded with an uninterrupted visual and audio experience when it produces more stable, balanced brain wave activity. 

My Experience

Once a week for the past twenty weeks I've gone for a neurofeedback session before work. After arriving at the doctor's office the electrodes are connected to my head and hair, a minute long baseline of my brainwave activity is captured on the computer before the session officially starts, and then I watch a movie for 35 minutes while my brainwaves are mapped. Sounds simple, right? It's not. It's actually exhausting. 

The frequency of the program that was customized for me per the results of my brain map can be adjusted depending on how I am feeling or how I did in a previous session. A higher frequency baseline is easier than a lower frequency. On a good day I don't experience too many visual or sound interruptions during the movie, which is usually linked to a higher frequency session. On all other days, it is harder to follow the movie because of the interruptions in sound and visual, which usually come with a lower frequency session that makes my brain work over time. Here is a list of things I have experienced during the lower frequency sessions: 

• Stuffed up and/or running nose
• A few times my nose started running like a someone had turned on a faucet 
• Burning eye sensation 
• Sometimes I can barely keep them open towards the end of the session 
• Watery eyes
• Much like my nose, steady flow of water coming out of my eyes 
• Increased irritability and anger 
• Inability to pay attention 

I know you are probably very curious about which movies I have watched during my sessions. Before I share the details about two of the most extreme reactions I've had to date during my neurofeedback sessions, I am going to list the movies for you: Despicable Me, Finding Nemo, Date Night, The Incredibles, Wreck It Ralph, Good Will Hunting and Sherlock Holmes. The doctor has a small bin of movies for both adults and children to choose from. Clearly I am an adult fan of animated features. 

One morning based on the success of my three prior sessions my doctor decided to challenge me by lowering the frequency of the program, in addition to placing the electrodes on a different area of my head. Unfortunately for Pixar, these changes caused me to channel a lot of rage toward The Incredibles. From the minute I started watching the movie, I could barely hear or see the movie due to the audio and visual interruptions, which meant I was in a constant state of unhealthy brain patterns and was really straining to concentrate. It made me irritable. Not a little irritable, but INCREDIBLY irritable. I couldn't stand the voices of the characters (when I could hear them). At one point I had to fight the urge to just stand up and walk out of the office. My body straight up rebelled on me. By the end of the 35 minutes I was so angry and annoyed that I wanted to rip the heads off of the characters in the movie. When the doctor came in and stopped the movie I removed the headphones and said "Thank God that is over. I don't think I could have lasted another minute". The tone of my voice was really harsh and I remember thinking to myself, wow, was that me who just said that?  My doctor immediately apologized for working me too hard and assured me that the following week we would go back to the original electrode placement at a higher frequency. For the rest of that day and late into the following day I was engulfed in a cloud of anger which eventually evaporated. I did end up watching the rest of the movie over the next two sessions and I didn't love it, but it wasn't as bad as I remember it being for the first 35 minutes. On a few other occasions I have grown irritable during or after a session, but not to that degree.  

There are a few rules to follow leading up to the weekly sessions. 

• No gluten the day before
• Get a good night’s sleep 
• Eat a breakfast high in protein. 

A few months ago at a retirement party at work in the late afternoon I ate some pretzels. With the use of the word "some" I feel like I am under reporting. It was actually a heaping mound of pretzels. Make that multiple heaping mounds of pretzels. Let me back up for a second. I am usually good about bringing lunch and snacks to work that are suitable for my food restrictions. Every once in a while I miscalculate the amount of snacks that are needed for a day and I come up short. It just so happened, that the day before one of my neurofeedback sessions there was a late afternoon retirement party going on at my office. I attended. I was hungry. And I dove head first into a bag of pretzels from Costco. You know what that means, right? Yes, it was a huge ass bag of pretzels that I could literally dive into. And the crunchy salty goodness was amazing. Sometimes you cannot beat eating a bag of pretzels before dinner. Per my doctor's suggestion I have been gluten free throughout my whole treatment. Not only is a gluten free diet suggested for Lyme disease patients, but in three separate blood tests I have also shown an allergy to gluten and wheat. It is not the kind of allergy that lands you in the hospital after having to use an EpiPen, but the kind that slowly wreaks havoc on your body without you knowing it until somebody tells you to eliminate it from your diet and noticeable changes occur when you try to add it back in. Allow me to clarify once more. For the past 3.5+ years, I have been gluten free 99% of the time. Every once in a while I find myself eating some pizza or munching on some pretzels. 

The morning after my pretzel binge I woke up feeling achy and foggy, ate breakfast and went to my appointment. I can't even remember what movie I was watching on this specific day. I was in a daze and couldn't concentrate at all. I lost interest in trying to follow the movie. It seemed pointless. When the session ended and the doctor came in and looked at my results she was dumbfounded. She couldn’t understand why up until that session I had been so responsive and then suddenly I was not responding at all. After she checked all of the electrical equipment to make sure it wasn’t an error on her part she asked me if I had slept well. At that moment I realized the pretzels were the culprit. I apologized and confessed to eating the pretzels. It didn’t even register while I was snacking that it may impact my session the next day. She laughed at me and asked me if I had a gluten allergy. She nodded like this was not the first time this sort of thing had happened to one of her patients when I answered her. 

While recounting my neurofeedback experience in my co-workers office later that day I explained how my brain waves are mapped through the software, almost like an EKG for the brain, while I watch the movie on the computer during each session. To emphasize how unimpressive my results had been that morning, I channeled the late 80’s war on drug commercial and exclaimed "This is my brain on pretzels", while drawing a flat line in the air. This led to laughter and me wanting to design a t-shirt for myself that reads: "This is my brain on pretzels with two strips of bacon and a piece of toast". I have not participated in any more hard core gluten consumption before my sessions to test the theory that my brain doesn't function well when I eat it, because long before seeing the data from the "Pretzel session" I could have told you that I become sluggish, my intestines get upset and my productivity tanks after consuming food with wheat and/or gluten in them. 

Now would be a good time to share the noticeable improvements I've been benefiting from since starting neurofeedback, but I am not going to do that. Next week marks session 21 and we will be doing another brain map. I will revisit neurofeedback in more detail again in the near future to discuss the results of my brain maps and my progress. 

Over the past couple of weeks I have fallen into a pit of fatigue. Hopefully this is just a bump in the road and not something major.  For the most part I have very positive news to share regarding the past couple of months and I need to be awake and alert to write it all! 

#nopretzels

Lyme Disease: Episode 2 - Good News, Not as Good News and Selfie Sticks

Lyme disease: Episode 2 - Good News, Not as Good News and Selfie Sticks

[Opening Crawl]

A handful of months ago through May 2015, in Washington DC…

LYME DISEASE

Episode 2

Good News, Not as Good News and Selfie Sticks

It is a murky environment in Julie's sinuses. While her main focus has been building up good bacteria in her gut to combat the damage caused from extended uses of antibiotics, it appears that some fungus planned a sneak attack and have taken up residency in her sinus cavity.

Eluding the increased dosages of thyroid medication, Julie's thyroid function is still extremely sluggish and not improving. In addition, she has also been diagnosed with Common variable immunodeficiency (CVID) due to low levels of some of her immunoglobulin (Ig) classes.

The evil tickborne bacteria that have been laying low for the past 5 months have come out of hiding causing some of her neurological symptoms to crop back up. Immunoglublin IV therapy has been dispatched in the hopes to boost Julie's immune system so she doesn't have to go back on antibiotics...

[Camera tilts down through space and focuses on a desk in an office in Washington, DC]

Fall 2014

Julie: Oh one more thing I forgot to mention before I hang up. For the past month or so I have been getting sinus headaches and it is getting increasingly harder for me to do yoga poses that require me to bend over or stand on my head.  My nose isn't stuffy though and nothing is draining.
Doctor: Are you sure this has only been happening for the past month?
Julie: No. But in the past month it has gotten more annoying and worse. And for the past week and a half I have been waking up with purplish/bluish rings beneath my eyes.
Doctor: *Sigh* I wish you had told me this sooner. I can send you for an MRI of your sinuses or you can believe me when I tell you that you have a fungal infection in your sinuses that is severely inflamed at this point.
Julie: I believe you. I also do not want to get an MRI.
Doctor: *soft chuckle* I am calling in a prescription to a compounding pharmacy for you. You will receive a package from them with a powered atomizer, three antifungals and a chelating agent. The atomizer will enable you to administer the antifungals and chelating agent twice daily into your nostrils. There will be detailed instructions for you to read. There is a specific order in which you must use the antifungals and chelating agent. Between each one you need to clean the chamber out in the atomizer with white vinegar and distilled water.  Please call if you have any questions. And one more thing, one of the antifungals is going to cause a burning sensation in your nose when you use it.

This was a nightmare. I have finally recovered enough from the horrors of having to shoot anti-fungals into my nose for 12 weeks to share it with you. Feast your eyes on my atomizer. On the left, it is charging on its base. On the right, you can see the chamber which briefly housed the antifungals and chelating agent in specific order before I would put the top back on, stick the blue tip up one nostril while I held the other one shut, press the blue button and inhale. After each time I inhaled I had to switch nostrils. Each time the chamber emptied I had to clean it out with distilled water and vinegar and then keep moving through the sequence which took about ten minutes. The best part was the searing pain that would rip through my nose if I did a half-assed job cleaning out the vinegar from the chamber before reloading it. There is nothing like inhaling residual vinegar up your nose. It made the one antifungal which caused a burning sensation while using it look like child's play. I already know what your next question is going to be, I will answer it so you don't have to whisper. Yes, this contraption did sound like a vibrator when turned on, but it certainly did not bring pleasure to my nose.

What is a chelating agent? The one that was prescribed to me contained EDTA, which is a chemical that binds and holds on to minerals and metals (chelates). When they are bound to EDTA, the chelates don't have any effects on the body and they are removed. How does this relate to a fungal infection in your nose? When I switched doctors he found high levels of mercury in my system. From what I understand, our blood dumps toxic substances into our tissues to keep them from accumulating in our organs. Our sinuses are lined with tissues. The chelation agent helped dump the toxic metal load in my sinuses quicker once the fungal infection was detected.

April 2015

Doctor: I'm looking at your blood work results here and your thyroid is fine. You are still extremely hypothyroid even though we have doubled your medication over the past few months because your pituitary gland is adjusting your thyroid down. Unfortunately the reason it is doing this is because of the amount of immune stress that it is detecting.
Julie: Oh. Interesting. I guess it is safe to say that it will be tough to put a time frame on when my pituitary gland will allow my thyroid to start functioning again.
Doctor: You are correct. But it doesn't seem to be slowing you down. Based on your blood work you are biochemically hypothyroid. I expected you to tell me that you've been dragging yourself around feeling fatigued and depressed, but from what you have told me, that is the opposite of what you are doing. It is a testament to how spunky you are that you are not letting any of this keep you down.
Julie: The show must go on. How else will I afford my medical bills?
Doctor: *soft chuckle*

Truth me be told, I occasionally get hit with waves of exhaustion but overall the major issue I am having in relation to my secondary hypothyroidism is body temperature control. I guess one other issue, if you want to call it that, is I don't understand how this is going to correct itself. Perhaps I will remember to ask my doctor the next time I speak with him.

September 2014 - Present

In the link I referenced above when discussing mercury, you will also find that I mentioned in that post that my doctor was concerned about my low antibody count and taking me off of the antibiotics. Around the time I switched doctors he gave me an overwhelming amount of information and I must admit I didn't fully understand what a CVID diagnosis meant until this past February when some of my neurological symptoms began to reappear. One of the issues I was having early on in my Lyme experience was foot cramps. I didn't associate the foot cramps with Lyme disease, but as my treatment began and symptoms started clearing up, the foot cramps went away. This past December, they came back. They were the kind that didn't subside after pressure was applied and when they did finally go away the spot would be sore for days after. A few weeks after the foot cramps reappeared, I started losing feeling in my hands and my feet intermittently. And then the brain fog rolled in.

February marked 5 months since I stopped taking 8 out of the 9 antibiotics I was taking when I switched doctors. It was at this point that I started to understand why the low immunoglobulin (Ig) classes were a problem. While all of my Ig classes are not impaired, my ability to effectively fight off the tickborne bacteria is. Because we are still working on healing my gut/intestines/etc from the damage done by the antibiotics, my doctor chose to address the resurgence of my symptoms in a different manner.

Julie: Hi, this is Julie returning your call.
Nurse: Thanks for calling me back Julie. I am the nurse who will be coming to your home to administer the Immunoglobulin IV (IGIV). Have you received all of your supplies?
Julie: Yes.
Nurse: Have you read all of the documentation? Do you have any questions.
Julie: Yes, I have read all of the documentation. I am curious to know how many of the people you have treated have had a severe enough allergic reaction that you have to use the EpiPen that came with all of the supplies.
Nurse: Don't you worry about that. Just take the Benadryl and the Tylenol a half an hour before we are scheduled to start and you'll be fine. While some people get rashes, I have never had to use the EpiPen on anyone. You will get a severe headache, so don't forget that Tylenol.
Julie: Oh great! See you Friday.

Immunoglobulin (IgG) treatment is used to temporarily replace some of the antibodies (immunoglobulins) that are missing or not working properly in people with immunodeficiency. The goal of IgG treatment is to use IgG obtained from normal donor plasma to keep enough antibodies in the blood of patients to fight off bacteria and viruses. My insurance company approved 6 infusions. They take between 4-5 hours per infusion, and the nurse administers them once a month at my home. She takes my blood pressure every half an hour for the first two hours, and then every hour until we are done. Two days before the scheduled infusion, the supplies arrive at my doorstep. The first infusion caused a severe headache that lasted for two and a half days, along with flu like symptoms. I was told this would happen, so it wasn't a surprise. It was very intense, and it knocked me out for a weekend. I have completed four infusions and while I do get headaches during the infusion they normally subside the next day. I still get achy for a couple of days after but not nearly as dramatic as the first time around.

The beauty of the at-home infusion is that once the Benadryl kicks in and I can't keep my eyes open, I can just climb into my bed with the IV bag (no pole for me to cart around) and go to sleep. The infusions are usually uneventful. No rashes, no allergic reactions. But there was a minor incident in March during my second infusion. I was experiencing a bad bout of vertigo and while trying to go to the bathroom I managed to lose my footing and while I was saved from falling on the floor by the toilet I did dislodge the tube from the port in my arm. OUCH. The nurse tried to reconnect the tube but she couldn't. She had to stop the IV drip and remove the IV administration set (for lack of a better term) and insert another one. She tried to do it in my same vein, but it didn't want anything to do with being poked and prodded again. As she was moving the needle around in my arm I felt all of the color drain out of my face and suddenly the nurse said "Oh, don't pass out on me baby girl". As she got the drip up and running in my other arm, I sweated through all of my clothing and got a little dizzy. I drank some water, changed my clothes and then fell asleep for the remainder of the session. Fun times!

  Ready to hear some good news? Here it goes:

I am spunky. It doesn't get much better than that, does it?

Actually it does. Despite everything going on, I am feeling great. This past March I started doing Biofeedback (more on that next time) and I had to fill out an assessment before my first appointment. One of the questions asked me to rate my overall health on a scale from 1-10. I was close to circling 7 until I took a moment to do an inventory on my health issues which included: Bartonellosis, Iron Deficiency, Babesiois, Disseminated Candidiasis, Irritable Colon, Lyme disease, Unspecified Chronic Thyroiditis and CVID. I ended up circling 5, which I admit is perhaps a bit optimistic and based more on how I was feeling in the moment than how my overall health is. It is now end of May and while my iron levels are no longer an issue, everything else on that list still is, and I still feel great!

I am happy to say that after the 12 week treatment for my sinus infection, so far, there is no sign of it creeping back.

About two weeks after the second IGIV session I realized the foot cramps, the tingling in my hands and feet and my brain fog were nowhere to be found.

I have been able to travel twice this year without getting vertigo after flying. The vertigo I mentioned earlier in this blog post was exhaustion induced, not flying induced. (More on that at a later date). This past February I went to visit my sister in Florida. We did a lot of walking on beaches and through swamps. While a diet low in sugar is important for keeping fungal infections at bay, I ate key lime pie every day since I was on vacation. My extreme-desserting caused an incredible amount of intestinal distress for a week or two after I returned home, but I had no regrets and no other issues to report since my sugar binge ended immediately once I left Florida.

This past weekend I was in Phoenix visiting a friend of mine and we went on a 6 mile hike on one of the San Tan Mountain trails and I even jogged a bit while trying to keep up with her dog who set the pace. My hips and knees were a bit sore but overall, I felt pretty good. I also jumped in the pool and swam a few laps for the first time in 3 years or so. It was awesome. I also insisted on eating Mexican food on two different occasions while I was there. Yes, you guessed it... intestinal distress. But it was so good!

Over the past two months I have returned to the gym and have begun light cardio workouts and strength training. Both the working out and trying to figure out what "light exercise is" has been tough. Light exercise was never really part of my repertoire and I am out of shape. As I continue to improve and focus on rebuilding my strength and not injuring myself in my quest to get back into racing, there is one major thing weighing on my mind (well there are a few, but this one I am about to highlight really ties into this post). What is going to happen after the cumulative effects of the infusions wear off after my last one in July? Are my Ig classes going to drop without the infusions? Am I eventually going to have to start taking antibiotics again? Are the neurological symptoms going to come back? Or will I continue to improve because all I needed was an Ig boost to help with my CVID? It all remains to be seen. One thing is for sure, I am going to ride this wave of IGIV awesomeness for as long as I can.

*** Even though these infusions have been approved by my insurance there is still a steep out of pocket cost. I won't be able to keep these up without additional approvals***

Let me guess, you are now probably wondering how selfie sticks factor into all of this. I hope you don't think I asked the nurse to take a picture of me laying in my bed during one of my infusions while I smiled and waved at her.
____________________

Lyme Disease: Episode 1

The Root of the Matter

I left you guys with somewhat of a dentistry cliff hanger that may or may not be related to my current health issue. Please except my apology for taking two months to follow up on my last post. I have thrown too many balls in the air at once. Currently my balls are bouncing all over the place and are totally out of control.

Before I dive into the topic of discussion I want to take a moment to thank all of my readers for your support, encouragement and questions. Two plus years of writing about my three plus years of treatment regarding the controversial topic of chronic Lyme disease is a long time for everyone involved. The process is slow moving and I have no shortage of things to write about. Stay tuned as this year unfolds.

What is integrative dental medicine?

Integrative dentists are traditionally trained dentists who are holistically oriented in their lifestyles and dentistry practice. Dentistry is often the missing link in integrative medicine strategies resolving the root causes of health issues.

Integrative medical dentistry blends traditional dentistry with a biological approach to dental health and healing with the belief that the mouth and all of its structures are intricately connected to the whole body. The teeth, jaw bones, gums and periodontal tissues, and the structural relationship of the jaw to the cranium can often be connected to, or the major root cause of many health issues. Dental problems often contribute to heavy metal toxicity and microbial infection and toxins, dys-regulation and neurological overload resulting in the body not being able to properly regulate (dys-autonomia), and structural dental stress issues. The dental conditions that lead to dys-autonomia are jaw bone infections, root canalled teeth and mercury fillings.

Do you believe all of what integrative medical dentistry is based upon? Once again, I find myself navigating another controversial topic that may or may not be linked to my on-going health journey, which is also controversial. In my last post I made light of the holistic doctor asking questions out loud to my body and using my responses to the muscle testing as the answers. Since then I have taken classes to get certified in reiki and now understand that you can indeed communicate with your cells and it is best to be positive at all times because too much negativity can halt forward progress when it comes to illness. It is very important that I view all of this as my health journey, and not my sucky health problems.

Allergy Elimination Testing Part II

A quick recap of the last questions, answers and final statement which I posed in my previous post: 

Q: What are Gutta Percha and A bak kieferostitis?
A: Gutta percha is a material used for root canals and A bak kieferostitis is a bacteria related to jawbone cavitations in connection with wisdom teeth and root canals.
Statement: I've had all 4 of my wisdom teeth removed and I've had three root canals.

[Gutta percha and A bak kieferostitis were in two of the vials that I stressed to during the allergy elimination testing I discussed last time].

You are probably wondering what a jawbone cavitation is. Well, it looks and sounds disgusting. I don't recommend doing any searches for it. A jawbone cavitation is an unhealed hole in the jawbone caused by an extracted tooth, a root canal or an injury to a tooth. They occur when bone is deprived of its blood supply and dies. A hole in the bone than develops and bacteria migrate into the hole.

After stressing to the Gutta Percha and the A bak kieferostitis I was told it would be a good idea to have a consult with the holistic dentistry office which is affiliated with the practice of the doctor I am getting treated by. The dentist did additional muscle testing on me, and then recommended getting my root canalled teeth extracted. The minute those words left the mouth of the dentist I got really sweaty and started to squirm in the chair. NO WAY MAN is the first thing that ran through my head. I was so busy with the inner monologue in my head I think I missed a few things that were being explained to me. What I did hear was that in addition to the tooth extractions, the dentist wants to treat me with ozone therapy where my wisdom teeth used to be as well as the spots my root canalled teeth currently occupy. Ozone therapy consists of the introduction of ozone into the body, in my case, into my gums. The proposed reason for using it is that the bacteria can't thrive or grow in a high oxygen environment and will die off.

One other thing of note to mention is that all three of my root canals were caused by trauma to my teeth. I love accidents. One of the teeth which is on the chopping block so to speak is a back molar but the other two, are directly to the right of my front teeth. As the dentist was hitting me with a sea of information and I was still trying to get over the initial surprise of the tooth extraction recommendation, I was also told that due to the jawbone cavitations he doesn't recommend dental implants and he would rebuild the front of my mouth with a bridge and veneers and then bleach the rest of my teeth to match the new work.

I was not nearly as enthusiastic as the dentist and his assistant were regarding my mouth, and I declined to make an appointment to get the ball rolling on the extractions, ozone injections, bridge work... etc. This initial dentist appointment was at the end of November and I am still doing research.

In the meantime I have since returned to the holistic practitioner who did the original allergy testing and elimination work on me, and the only thing I am still stressing to from the original results is A bak kieferostitis. Both the holistic practitioner and my doctor refer to it as the "elephant in the room" and are attempting to gently steer me in the direction of tooth extraction.

Research

There is not much out there in the universe regarding research between root canals, jawbone cavitations and Lyme disease, trust me, I have looked for it. By not much, I mean nothing. The information that was given to me by the holistic dentist which doesn't focus on Lyme disease specifically, but chronic illness, makes for great reading about areas of focal disturbance. They are localized areas of autonomic nervous system (ANS) disturbances caused by electrical pathological tissues whose chronic discharge overwhelms the sensory ANS (I discussed ANS last time). They often also contain deposits of toxic metals and chemicals and chronic infestations. The areas of focal disturbances range from scars, chronically infected organs (sinuses, tonsils, appendixes) as well as chronic jaw infections (root canal, dead teeth, jaw cavitations). Root canals and jaw bone infections create toxins. And toxins can create or enhance chronic illness.

While a high percentage of my mind wants to write this all off as gibberish and the convenience of having a holistic dentistry practice attached to the integrative medicine practice I am getting treated at, there are three things that keep running through my head.

• Some of what I stressed to in the muscle testing, matched my blood work results and was an accurate portrayal of the current environment in my body (Not everything I stressed to is testable through blood work, urinalysis, etc).  
• In this post I wrote about a situation that occurred in December of 2013 which involved the most intense headaches I have ever experienced, and ended with the pain shifting from my head into one tooth. I commented on how it was weird that a root canalled tooth from years earlier felt like it had its own heartbeat. My doctor at the time told me it was a herx reaction and I had no reason not to believe him. This was long before I started taking this more holistic approach to my treatment. 
• For every 4 people that tell me the dentist is a quack and I shouldn't pull my teeth, there is one person who sends me information about how root canals can cause chronic pain issues and/or cancer. It is usually someone who has a family member suffering from a chronic illness that can sight medical literature about the danger of root canals and keeping dead teeth in your mouth.

* One thing I must say is that this dentist doesn't recommend that everyone get their teeth extracted if they have had root canals. In fact they perform root canals within this practice on generally healthy clients and they disclose the possible issues that could arise from getting the root canal. If the patient presents with a serious disease/chronic health problem and it turns out they have had root canals in the past, they recommend extracting the teeth. I most definitely have a chronic health problem.

Back to the Lyme

I read a book called "Freedom from Lyme Disease", by Bryan Rosner. I am going to take one small part of what I have read and sum it up, because I think it pertains to my current situation and it is an approach to viewing Lyme disease that I have touched on throughout this blog.

The way each individual case of Lyme disease differs are to numerous to list. Lyme disease affects each person uniquely with different co-infections and co-conditions, and it is important to work with a doctor and for the patient to do their own research to correctly identify the distinct aspects of their unique case. Some Lyme sufferers symptoms are primarily caused by infections, meaning that before getting sick with Lyme disease their bodies were not functioning properly and were burdened by toxins, nutritional deficiencies, etc. There are other patients whose symptoms are primarily caused by non-infectious problems such as hormones, metabolic irregularities, allergies, etc. Many patients have a combination of the two categories I just mentioned. An important part of treatment is realizing the fact that the most pressing need needs to be addressed and that the treatments continually have to change as the needs of the patient change. This is where the analogy of "peeling off layers of an onion" comes from regarding treatment and recovery. The act of peeling off layers of an onion is similar to the act of recovering from Lyme disease. In the beginning of recovery, the treatment focuses on peeling the outer layers off of the onion. As the patient and treatment advance through the recovery process, they encounter and address deeper and deeper layers of the onion. The infections can arrange themselves in layers so treating infection "b" can only be achieved once infection "a" has been removed. The non-infectious health problems also nest themselves in the layers, and can come and go as infections are removed. Some layers can include both infections and non-infectious problems. When are all of the layers of the onion have been removed, the patient has achieved recovery.

Final Thoughts

I put a high value on the conversations and opinions of my family and friends who have engaged in many discussions with me about my experience and treatment, and are just as passionate about my health as I am. Like I mentioned above, I am getting mixed signals about the tooth situation. I am firm in my belief that I do not want to get my front teeth extracted, but I am on the fence about my back tooth which caused me an immense amount of pain over Christmas of 2013. I am now three plus years into this journey and have completely overhauled the way I live my life. I continue to make progress but I still have a ways to go. The tooth situation has been the source of a bit of anxiety for me lately. I can't help but think that this may be one of the layers of my onion which must be peeled off in order for me to make a full recovery.

To extract, or not to extract, that is the question.

Heavy Metala Non Grata

***My spare time has been at a minimum lately, which is why I am now finally getting around to writing about something that occurred in November 2014. I've been focused on integrating my new treatment protocol and continually changing dietary restrictions into my every day activities. It has been time consuming to say the least, but it's all worth it. I am improving every day. Well maybe not everyday. It is still a roller coaster, but I can say my good days are really damn good!***

On November 5th I was introduced to, and participated in allergy elimination therapy for heavy metals. For the next few weeks, I was the recipient of  blank stares and questions about whether or not I still listen to Metallica, Rob Zombie, etc., after mentioning the words heavy metal detox in conversation. I am happy to say that three years into my treatment my appreciation for heavy metal in the musical sense still stands, but the heavy metals that have been hanging out in my body are no longer welcome. I am here to tell you more about this bizarre and somewhat painful experience. One other thing of note, November 25th marked the beginning of year three of my Lyme treatment. Thirty seven months and counting...

Q: What is allergy elimination therapy?
A: I am still learning about allergy elimination therapy. While I am not a holistic/integrative doctor, I can tell you about my experience and share some of what I have read regarding the Autonomic Nervous System (ANS), Autonomic Response Testing (ART), and the Holistic Integrated Map to Health & Healing.

The ANS is our functional nervous system, it is responsible for normal bodily functions and abnormal adaptation to health problems. Detectable problems within the ANS are present in all chronic disease and dysfunction and all chronic disease and dysfunction has a treatable autonomic component to the problem. Not all doctors, both conventional and holistic, understand the role of the ANS in health and healing. Disorders of the ANS can affect any body part or process. Autonomic disorders may result from other disorders that damage autonomic nerves, or they may occur on their own.

The ANS has two main divisions: sympathetic and parasympathetic. After the ANS receives information about the body and external environment, it responds by stimulating body processes, usually through the sympathetic division, or inhibiting them, usually through the parasympathetic division. Many organs are controlled primarily by either the sympathetic or the parasympathetic division. Sometimes the two divisions have opposite effects on the same organ. Generally, the sympathetic division prepares the body for stressful or emergency situations—fight or flight. The parasympathetic division controls body process during ordinary situations.

As my doctor explained, ART is the modern application of the lie-detector. In the beginning of the last century skin electrodes could measure changes in resistivity when the tester lied, the sweaty secretions of the sympathetic nervous system were activated and an ANS stress response is then measured. ART is measuring the same "yes or no" stress response. The ART test must first establish what a "yes" and "no" answer looks like through muscle resistance. Because muscle rigidity against an increasingly controlled force, is under the control of the ANS, an ANS stress response will be result in muscle weakness.

ART uses muscle testing through biofeedback of the ANS to determine disturbances and potential remedies. It is a functional assessment which measures bodily function (or dysfunction), not specific disease.

Dr. Dietrich Klinghardt developed a systematic model of healing in the 1980's which is tied in to all of the work that my current doctor is doing with me. Here is some information worth reading on the model, you will see that ART fits into the second level of the model.

Disclaimer

Prior to my appointment I did a lot of reading, some of which I just shared with you. I am not going to pretend that I understand how all of the information you just read about ANS, ART and the integrative map fit into my experience. Let me start with what I do know. After reviewing the initial results of my blood work in September with my new doctor, which included high levels of mercury in my system, I was told to make an appointment to do allergy elimination therapy in order to free up toxic heavy metals in my body, readying them for excretion. I thought it sounded a bit odd, which is why I didn't call right away to make an appointment.

In the second paragraph of this post, I referred to my experience as bizarre and painful. I want to make one thing clear, ART testing is not painful, and neither is the treatment to desensitize the body to what it stresses to during the testing. Now you are probably thinking that I was being dramatic for the sake of hooking you in to this post. Don't jump to conclusions. I wasn't being dramatic. Keep reading, it will all make sense soon... well about as much sense as Lyme disease makes.

The Appointment

After a brief introduction about how the allergy elimination therapy session was going to work, we got down to business. The holistic practitioner, I will refer to him as HP, did a brief assessment on me to see if he could elicit a fight or flight response, which is necessary for the testing. I was sitting on the exam table facing him with my right arm straight out in front of me at shoulder level. He asked me to resist when he pushed on my outstretched hand with his hand. My hand and my arm did not move. Next he touched the side of my neck with one hand, and pushed on my hand with the other, while asking me to resist again. My arm dropped down toward my leg, and this is what he referred to as a fight or flight response. [I am sure I am probably leaving something out of this description regarding the fight or flight response, but this is how I remember it]. Next he felt my temples, my sinuses and my jaw bone and he told me that I had a weakened jaw. I wasn't exactly sure what he meant by that, or what it had to do with the task at hand but I distinctly remember thinking it sounded like a nutty statement. After the examination of my jaw, the real fun began. Pictured above are various vials filled with different metals and other assorted things. For example, there was a vial labeled "Mercury" with mercury in it, and a vial labeled "Lyme disease" with some liquid in it. Liquid Lyme disease? I didn't quite get that one either.

One at a time, without me seeing the labels, each vial was placed in my left hand. I would make a fist and place it down at my side near my left leg. My right arm would be outstretched like it was during the fight or flight scenario I mentioned above. HP would touch the side of my neck and push down on my right hand, while I resisted. If my body stressed to what was in the vial, my right arm would drop down toward my legs. If the contents of the vial did not stress my body, my arm wouldn't move. Throughout this sequence HP would frequently ask questions out loud to himself, for example, "can this (referring to the vial in my hand that I reacted to) be treated along with the others"? Sometimes I could clearly hear the questions he was asking, and other times he was mumbling. After we got through the vials, we did the same testing with all of the supplements I am currently taking. I was asked to bring one of each to the appointment for testing. I ended up stressing to the following: mercury, nickel, lead, A bak kieferostitis, gutta percha, Lyme disease and iron glycinate (the only supplement I am currently taking that I stressed to).

Next HP put all of the vials, except for Lyme disease, that I stressed too into a mason jar and had me hold the jar in my left hand. He explained that he couldn't desensitize me for the Lyme disease this time around based on feedback he got from my body during the testing.  He then grabbed 9 pair of sunglasses, each with different color lenses, and then tested my arm again with each of the colors to find out which color "made me strong".  The indigo colored glasses were the ones I ended up with. I was given a sheet of paper that matches color associations with emotional issues and on the chart it said:  "Indigo is the color of understanding. Issues of logic and philosophy, issues of inner search, issues of ordered thinking and issues of attention to everyday details of living". I am not exactly sure how the color associations relate to the work I was doing with HP so I don't have much to add about this part except I must admit, I do have issues of logic.

I put the sunglasses on and was instructed to lay down on the exam table while holding the jar. As I was laying there wearing the indigo glasses and holding on to a mason jar with vials of material my body stressed to, I thought to myself, this is weird. And then the allergy elimination therapy began, and everything got even more weird. Tapping, breathing, back stimulation, and lasering acupressure points and some of my organs with an Erchonia laser is what it entailed.

Q: What is an Erchonia laser?
A: It is a certain kind of laser that is used for cold laser therapy; a way to treat pain and range of motion issues, and it can also be used to calm the autonomic nervous system.

Q: What do you mean by tapping?
A: By tapping I mean tapping the pointer finger from my free hand on an acupressure point of the wrist attached to the hand holding the jar with the vials.

I wasn't wearing a watch but I would say the tapping, breathing, back stimulation, acupressure and lasering took 15 minutes or so. The lasering of my acupressure points and some of my organs was the last part of the desensitization session. HP left the room for ten minutes and I just rested and completely zoned out. And then I was done.

Post Desensitization:

Within twenty minutes of getting on the metro to head into my office after the treatment was complete, I started to experience discomfort in my lower back. By the time I left work that day I could barely sit or stand up straight. I had intense pain in my lower back/kidneys, along with my neck and upper back/shoulder area. That night I barely slept because I was so uncomfortable. In my head it made sense that my kidney's were causing me a lot of pain because I had read about how heavy metals that your body can't process and get rid of tend to congregate around your organs. Since HP had used the laser on my back and neck as well, I figured it was all par for the course. I did wonder why the possibility of discomfort wasn't discussed with me during my appointment, but I went about business as usual for the next couple of days slightly hunched over because I truly couldn't stand up straight due to the pain in my lower back. The day after my allergy elimination therapy appointment I made the following comment to a friend. "Wow, something major happened. I am in a lot of pain and there was material evidence in the toilet this morning that my body expelled a lot of junk. It was just like what happens when I have a herx reaction". I can see the pained expression on your face after reading that. Think about it though, when a person experiences die off of tick-borne bacteria (herx reaction) how do you think it exits your body? I hope you are not eating anything while you are reading this. If you are, I'm sorry.

As it turns out, the pain I felt after the allergy elimination therapy had nothing to do with the therapy, and was in fact a herx reaction. I found this out a month later when I spoke with HP again and told him about the intense reaction that I had. He was taken back by the level of pain I described and told me that was not a normal response. He asked me if anything else of note happened, and I mentioned the material evidence in the toilet and that is when he told me that I had a herx reaction.  Did the therapy cause me to have a herx reaction? Possibly, but who really knows? All I know is, I was in a lot of pain.

Q: So exactly how does this work again?
A: I really don't know. At this point I am sure you are hearing ducks quacking in the background. I am going to write more about this soon, because there is additional information that needs to be discussed. For now though, I only have time for one more question.

Q: What are Gutta percha and A bak kieferostitis?
A: I am glad you asked, but technically that is two questions. Gutta percha is a material used for root canals and A bak kieferostitis is a bacteria related to jawbone cavitations in connection with wisdom teeth and root canals. I've had all 4 of my wisdom teeth removed and I've had three root canals.

Now I bet you have even more questions. Till next time...

The New Protocol

Flashback: About four months ago I started experiencing "random itching attacks" which lasted three to five minutes at a time. My nose and the bottoms of my feet would get really itchy, and then my feet would start stinging. Since the majority of the itching occurred mid-morning while sitting at my desk, I was quick to tell everyone that I was allergic to work.

Flash forward (but still a flashback): This past September 11th, while I was discussing the test results that I detailed in my last post with my doctor, I let out a laugh when he started reading the list of foods that I had allergies to and said "What? That is ridiculous. I eat some of those frequently and without issue. I'm not allergic to them." On Friday September 12th as I sat in my office eating almonds, my usual mid-morning snack, I felt a little foolish as my nose and my feet began to itch. List of food allergies: Almond, Banana, Basil, Pinto Bean, Cashew, Clam, Cocoa, Ginger, Gluten, Lettuce, Malt, Cows Milk, Mushroom, Mustard, Nutrasweet, Orange, Peanut, Black Pepper, Black Walnut, Wheat, Bakers Yeast, Brewers Yeast and Yogurt.

Pictured above is my work "kitchen". I know. I know. Before you point your finger at me and tell me that I am THAT health-food nut who has a blender in her office, I would just like to say it is temporary. How temporary? I don't know. I guess it could turn into one of those long-term temporary situations. You've heard of those, right? Stop making fun of me.

Okay, let's start again. Hey, why do you have a blender in your office? I think it is weird but I don't want to jump to any conclusions. Due to my new treatment protocol that I am following I am supposed to consume three protein shakes a day since I am protein deficient due to the maldigestion. Oh wow, that is a lot of protein shakes. Yes it is, and most of the time I only have two. What other changes have you made? Thanks for asking. Here is some more information about the protocol that has imposed an insane amount of structure and planning upon my every day life. Quite frankly I don't care for it:

Supplements: My kitchen counter looks like a bigger pharmacy than it did a few months ago. There are supplements and digestive enzymes that I take 2-3 times per day either an hour before I eat, right before I eat, with meals, after I eat or between meals.  I am constantly packing supplements in plastic containers to take everywhere with me in my purse.

Powders: As if the protein shakes weren't enough, I also have to mix Glutamine powder in water and drink it an hour before I eat, three times a day. Supplements are not the only things packed in plastic containers in my purse. This doesn't look suspicious at all, does it?

Medication: A half an hour before breakfast and lunch, I have to take my thyroid medications, and three times a day, I have to dissolve some rather nasty tasting lozenges in my mouth that I can't eat or drink 15 minutes before or after taking.

I recently got the green light from my doctor to discontinue my antibiotics, and am working on phasing those out! The ones I am still taking all need to be consumed after meals. Since cutting back on my antibiotics I've had a couple of symptom flare ups. My shoulder blades have been feeling rusty, my knees have been very sore and stiff, sometimes I can't make a fist or hold on to anything with my left hand due to thumb joint pain that comes and goes and I experienced a minor occurrence of vertigo a few weeks ago, but it is no longer an issue.

Herbal Supplements: A half an hour before I eat in both the morning and evening I take herbal supplements known as microbials. There are six different herbal supplements I am rotating between, and they target the different tick borne illnesses that I am being treated for. I take two at a time for two month intervals, adding a new one and discontinuing one every two months. The microbials are ingested in 4 ounces of water, and as long as I am tolerating them, I increase the amount daily by a drop each.

Food: I would be remiss if I left out the additional food restrictions I now have. You are probably wondering how a girl who is red meat, gluten, dairy, processed sugar, alcohol and caffeine free could have additional restrictions. I often wonder that myself. For the most part, I am having minor allergic reactions to the food I listed earlier, some of which is food I was eating daily leading up to this point. Due to the leaky gut issue I talked about last time, [WARNING: ABOUT TO GET REALLY TECHNICAL HERE] stuff is getting into places it shouldn't be getting in to and is causing these random reactions. After eliminating the foods mentioned above for awhile, I should be able to reintroduce them back to my diet. There is one more major food related thing I must mention. Due to my fungal issues, I have gone almost completely sugar free. The only thing I eat now with any sort of sugar in it are granny smith apples. Eventually down the road I will be able to eat fruit, dates, honey, etc again, but for now since fungus feeds on sugar, I cannot. I've had to get even more creative in the kitchen, but rest assured I am not starving.

In my quest to kick Lyme disease to the curb I continue to make time consuming lifestyle changes and I often get the "I don't know how you do it" response from my friends and family while discussing new developments. I don't know how I do it either.  I am focused on my recovery and I find a way to do what I need to do, but that doesn't mean that all of this is not absolutely exhausting and frustrating. I struggle from time to time with what seems to be an expanding mountain of stuff that I need to climb to the top of, without any idea of whether the end is in sight. Sometimes I feel like a rusty car sitting in a field of overgrown grass, and other times I feel pretty good, all things considered.

Time for another flashback: In May I wrote about my experiences with reiki and at that point in time I had nothing but relaxing and positive things to share. This past August I had an unforgettable experience that occurred while I was between doctors. I had a bad headache and was feeling very frustrated and uncomfortable when I arrived for my reiki session. It didn't take long before I was sobbing uncontrollably while laying on the table with my eyes closed. The sobbing went on for quite some time. By the end of my treatment I was feeling drained and exhausted and tears were no longer pouring out of my puffy red eyes.

An emotional release is a healing reaction which may occur during reiki sessions. It can present itself in a variety of ways, and it appears to relate to pent-up emotion of the negative kind. These emotions may need to flow to the surface in order to be released for full healing to take place. As the reiki master was explaining to me what an emotional release was, I asked, "are emotional releases supposed to make you feel like you are going to throw up"? As I was driving home a wave of nausea hit me and I contemplated pulling my car over to the side of the road but it passed and I drove on. Around the time I parked my car another wave of nausea came over me and this time I knew it was not going to pass. I concentrated really hard on not throwing up in the street as I hurried towards my building. The minute I hit my driveway I threw up in the bushes. I wish I could say it was a stealth operation. Many thanks to my friend Alexis for making me tea and dinner and for talking through my experience with me after she found me looking pale and slumped up against the side of my building making sure I had nothing left to give to the bushes. This experience did not deter me from continuing my reiki practice, and to date I have not had any more emotional releases.

I feel like I should end this on a non-vomity high note. The other day while I was trying to relax I was feeling very disinterested with being at home and resting and it took me a minute to figure out what was going on. I was bored. I wasn't even tired. I wanted to be outside doing something and I had already had a weekend jam-packed with activity.This particular emotional state is not one that I have registered since my Lyme experience began. I was so excited I almost skipped around my place with my hands above my head yelling "I'm bored", but I didn't (mostly because my shoulder blades felt like they were rusty and my knees and hips were really sore), instead I sat on my couch plotting my return to swimming in 2015. I still have too much discomfort in various body parts to start right now, but I have early spring slated as my goal for getting back in the pool. Watch out boredom, I'm coming to get you.

Search and Discover

Month 34 of my treatment is in full swing and I still have no idea how to answer the "when are you going to get better" question. The review of this book is short and worth the read. It explains, at a high level, why I still can't answer that question. Here are two points that speak to my current situation:

• “You should never believe someone who says, ‘this is the best treatment for Lyme disease, period.’
•  “I have observed that the patients who do the best are those who take control of their own recovery, become educated, and learn to be the captains of their healing ships.”

As I mentioned last time, the new doctor ran a lot of tests in order to figure out what is disrupting the balance of my body. It has been a little over three weeks since my follow up appointment, and to say the results of the testing were a lot to digest would be the understatement of the year. The good news comes in the form of no autoimmune diseases or additional tick borne illnesses on top of what I'm already being treated for. Below is the list of newly discovered issues that are plaguing me:

1. Elevated DHPPA -- I am producing a large amount of DHPPA which led the doctor to tell me that I have "tetanus of the intestines". From what I can understand there is a class of bacteria called anaroebes (which are unfriendly germs which live in the intestines) and they secrete neurotoxins which paralyze the muscles surrounding the intestine and cause constipation. Clostridia bacteria, the tetanus germ, is one of these anaerobic organisms. The germ’s presence is easy to spot in an organic acids urine test through the DHPPA (dihydrophenylproprionic acid) marker. This marker itself is not dangerous but the tetanus germ secretes many other damaging toxins, some of which get to the brain to cause autism and other neuropsychiatric disorders.

2. Thyroiditis -- My thyroid gland is inflamed but it is not autoimmune related and most likely related to the Lyme disease or to the antibiotics I am on, or both. We'll be keeping an eye on my thyroid as my new treatment progresses.

3. Maldigestion -- Maldigestion is the inability of an individual to digest food in the gut. I am not digesting fats or carbs very well and I am also protein deficient. Q: What caused the maldigestion? A: Exposure to mercury. I tested high for mercury, yet I don't eat sushi or tuna or have mercury fillings which are the usual culprits.

4. Amino Acids -- Amino Acids help produce antibodies, among other important things, and the majority of mine are low. Here are a couple of highlights:

• My glutamine is very low. By low I mean depleted. Glutamine helps improve immunity and plays a key role in protein synthesis. 
• My levels of tryptophan and tyrosine are also extremely low. Low tryptophan and tyrosine are markers of depression. But I am not depressed.
• The doctor told me that my body is very economical in the way it is using what is available to it, because it is producing a lot of dopamine and serotonin even though the amino acids I just mentioned are so low. During our conversation he said, "It is actually ridiculous that your body is able to do this. Your body is efficiently using its limited amount of amino acids like you are either a long time athlete or you've been a vegetarian for your whole life". I told him I was a long time athlete on a temporary hiatus. 
• I am waiting for the results of more blood work to see if my body is producing antibodies and how much I have in store. If my stores are low or my body isn't producing them at all I will have to start getting monthly immunoglobulin shots before the doctor will work with me on discontinuing the use of the antibiotics I am on. Fingers crossed that my amazingly efficient body is producing antibodies even though my amino acids are so low.

5. Nitrogen Deficiency -- I am very deficient in nitrogen and my body is trying to hold on to it. The body needs nitrogen in order to make proteins in its muscles, skin, blood, hair, nails and DNA. The body obtains nitrogen from protein-containing foods. The body needs the nitrogen in amino acids from protein foods to make other amino acids it uses to synthesize human proteins.

6. Drug Resistant Bacteria -- I have two different bacterias in my gut that are drug resistant to 4 out of the 5 antibiotics they were tested against and one fungus that is drug resistant to 1 of the 3 antibiotics that it was tested against.

7. Candida -- Overgrowth of yeast confirmed.

8. Leaky Gut Syndrome -- "Leaky gut syndrome" is something of a medical mystery, it is said to have symptoms including bloating, gas, cramps, food sensitivities and aches and pains. Leaky gut syndrome isn't a diagnosis taught in medical school, it really means that you have a diagnosis that still needs to be made. A possible cause of leaky gut is increased intestinal permeability. This can happen when tight junctions in the gut, which control what passes through the lining of the small intestine, don't work properly and allow substances to leak into the bloodstream.

• Here is a list of food that I now have allergic reactions to: Almond, Banana, Basil, Pinto Bean, Cashew, Clam, Cocoa, Ginger, Gluten, Lettuce, Malt, Cows Milk, Mushroom, Mustard, Nutrasweet, Orange, Peanut, Black Pepper, Black Walnut, Wheat, Bakers Yeast, Brewers Yeast and Yogurt

9. Iron Deficiency Anemia-- This is the most common nutritional deficiency in the United States and it causes a lot of fatigue. Fatigue occurs because the body doesn't have enough red blood cells to carry oxygen to its many parts.

10. Etc. -- I also have multiple vitamin and fatty acid deficiencies... no need to bore you with the endless list.

I am not going to lie, I was both overwhelmed and relieved while receiving this information from the doctor. Overwhelmed by the amount of issues discovered, but relieved that none of them were autoimmune diseases. Without a baseline for the majority of the tests that were run, coupled with the fact that I never asked the doctor for his thoughts on cause (like I mentioned, I was overwhelmed), I cannot give you a definitive answer regarding the origins of my numerous maladies. My opinion is that while the majority of this stems from long-term antibiotic use, some of these issues were brewing before my Lyme treatment began and have gotten worse. The one thing I do know is that I am glad that I decided to steer my healing ship in a new direction. 

The "H" Word

The germ theory of disease states that diseases are caused by infectious microbes that impair both the function and the structure of different organ systems. This model is the basis for the use of antibiotics to destroy the invasive microbes, and vaccines with low doses of the microbe to challenge the body’s immune defenses, and thereby prevent systemic infection.

The cellular theory of disease states the importance of balance in the body’s internal environment. The body becomes susceptible to infectious agents only if the internal balance is disturbed. There are billions of microbes and bacteria inhabiting our bodies. When a bacterial or viral infection is being passed around, why do some people get sick while others remain healthy?

On July 22nd I was prepared to voice my concerns with my doctor about the following issues:

Candida - Two weeks prior to my appointment I met with a holistic nutritional counselor who is in remission from Lyme disease. We discussed Lyme treatment and dietary topics, and she voiced concern about the quantity of medication that I have been taking (as have many others including myself). She also spoke about her own experience and told me that I was not going to get better until I got my Candida (yeast) issue under control. This is a post from awhile back regarding my experience with candida when it first appeared in November of 2012. I am way more informed about this topic now and will discuss it in depth at a later date. In the post, I stated that it was my understanding that I wouldn't be able to get rid of the candida until I was off of all my medication. In your head right now please imagine the buzzer and the red "x" that appears on the screen behind the contestants on the Family Feud when someone answers a question wrong.

Toenail fungus - The toe nail that I wrote about in the post referenced above has been continually growing back and falling off due to the never-ending fungal issue. By falling off, I mean I remove it myself. It doesn't hurt. The nail bed and nail are dead. The fungus recently appeared in my other big toe, and that nail has been peeling off in sheets. In what can be viewed as a good news/bad news scenario, the toenail is not completely dead yet. The first time I yanked a portion of my toenail off because it was catching on the inside of my shoe, I saw stars. And then I saw blood. My toenail was bloody and sore for a good month and a half. Thank goodness for band-aids with cartoon characters on them, they have been a staple this summer when I dare to wear open toe shoes.

Gastrointestinal issues - In my previous post I mentioned the situation with my gut. It has been an on-going problem now since March. It fluctuates between me not being able to go to the bathroom, and me not being able to stop going to the bathroom. This past April my doctor told me I had gastroparesis, a condition in which the muscles in your stomach don't function normally which prevents your stomach from emptying properly. A host of medical issues, including extended use of antibiotics, can lead to this condition.

Body temperature regulation - If I am indoors and the AC is on I am freezing. Once the sun goes down if I am outside I get chilled very easily, even if it is 80 degrees out. I have to take an extra later of clothing with me everywhere. 

The first five minutes of my doctor's appointment went well, but when we started discussing my GI issues the conversation took a turn for the worse. I mentioned that I had spoken with a holistic nutrition counselor who is in remission from Lyme and she said that the candida could be the cause of my GI issues. I swear, the minute I said the "h" word, steam started pouring out of my doctor's ears and he became incredibly belligerent with me. Here are some highlights: 

• He was adamant about the fact that I don't have Candida. Please note that I referenced my blood work from November of 2012 which clearly showed that I tested way above normal for an active candida infection. I was only on an anti-fungal for about two months, in addition to the probiotics that I have been taking throughout my whole treatment, which didn't prevent the candida in the first place. I couldn't understand why he was telling me it was not an issue. Five minutes after we had moved on from the candida discussion, he printed out the blood work that I had referenced from November of 2012 and while holding it by the corner of the paper like it was a dirty diaper, he thrust it across the desk at me. He told me he would order a candida test for October.
• He also told me that my toenail fungus issue is not related to Candida, which contradicts what I was told in his office when the issue with my toenail originally started (also mentioned in the blog post I referenced above). 
• He also reiterated that my stomach issue was not from Candida, it was gastroparesis. When I pointed out to him that I had researched it after leaving his office the last time and that I was not exhibiting some of the major symptoms listed,  he snapped at me and told me that those symptoms were only for extreme cases and I definitely had it. 
• After telling him that my body temperature regulation issues were getting worse he showed me my latest blood work and in addition to my T3 being low (which was discovered a few months ago), my T4 was also low. I am now on two thyroid medications. He mentioned that he didn't think I had a thyroid problem per se, he thinks that one of the antibiotics I'm taking is blocking my thyroid from functioning properly.  
• I asked if I could stop taking the medication he thought was affecting my thyroid and he looked at me like I had five heads. Then he proceeded to produce blood work from a year and a half ago, pointed out a protozoa that was detected and then wrote me a prescription for a new antibiotic. While I kept my mouth shut, I really wanted to tell him that we had used a different antibiotic about a year and a half ago to go after it when it first appeared in my blood work and I was never retested to see if it was still there. 
• In the end, he agreed to let me stop taking one of the antibiotics I am on (not the one he thinks is causing my thyroid issue) and he agreed to let me cut back the dosage on two others that I am taking. I did not start taking the antibiotic that he hastily wrote that prescription out for based on blood work from a year and a half ago.
• My blood pressure was so low that he took it three times, but never commented on why he thought it might be lower than usual. By that point, if anything, my blood pressure should have been sky high because I was in a small office with my doctor who was acting like a four year old who had just had his favorite toy stolen on the playground. 

Needless to say when I left that appointment I didn't have a good feeling about what had transpired between me and my doctor. After the discussion with the nutritionist about the candida I spoke with a few other people either in remission from Lyme or other chronic illnesses and they all shared with me that going after the candida was the turning point in  their treatments. Candida overgrowth can cause many medical issues and painful symptoms, and is also another controversial subject in the medical community in regards to how bad it is for your body and how to treat it. 

After a few days of thinking everything through and becoming increasingly disgusted with the way my doctor treated me after learning that I had spoken with a nutritional counselor because I am concerned about my health, I made an appointment with a new doctor whom I'd heard speak about Lyme disease treatment a couple of weeks earlier at a district wellness event. He is of the belief that the majority of illnesses are due to cellular malfunction caused by cellular toxicities and cellular malnutrition, both of which can be avoided and overcome naturally. During his Lyme disease discussion he talked about the importance of keeping candida under control throughout treatment and about how the maintenance of health and prevention of disease involves conscious attention given to factors of life-style, environment, nutrition, exercise and recreation, as well as psychological well-being and spiritual practice. Seeing how I have drastically changed my life-style and nutrition and have taken up yoga, reiki and acupuncture and had just had a major disagreement about Candida with my doctor, I figured it couldn't hurt to make an appointment with this one. While I have made great progress with my current treatment, ignoring the secondary issues that have cropped up would be a recipe for disaster. 

My appointment was 4.5 hours, and I am waiting for the results of my blood
work. While things may be rough as I transition to a new treatment, in the long run I think I am going to benefit greatly from the changes that are going to be implemented. The new doctor and his team were quite thorough and informative. As you can see I had a lot of blood drawn as part of my initial work up. 

At this point you are probably dying to ask me if I almost passed out in the lab due to the fact I had been fasting since dinner the night before and didn't get the blood drawn until the end of my appointment around 11 am.  Well thanks for asking guys, yes, I did almost pass out. You are probably also wondering why the heck I needed to get all that blood drawn if we already know I have Lyme and 3 additional tick-borne illnesses. Once, again, thanks for asking. I am getting tested for additional tick borne illnesses, a few autoimmune diseases and mycotoxins. Did someone just say something? Oh,  you want to know what the new doctor thinks about all of the antibiotics I am currently on? I'll save that answer for next time. 

I am sure you have a lot more questions, but I am running out of time tonight. I also have a lot of questions. Something tells me I will not have a shortage of information to write about in the coming months as soon as the answers start rolling in.