DOM'S NEWSLETTER 
June 12, 2007
www.fms-help.com
 
A compassionate, informative newsletter for people with FMS/CFIDS/ME.
 
TOPICS ARE IN PURPLE.  MY COMMENTS ARE IN TEAL. 
Would anyone like to comment (anonymously) about Topic 18, Abuse & FMS? - Dominie dombush@bellsouth.net
 

 
1. READERS WRITE 
 
"There is not a whole lot of information out there for us. I search and search. Your newsletter www.fms-help.com/newsletters.htm was the first thing I have come upon that actually had some helpful information in it."
 
"Just wanted to say thank you for your wonderful educational and comforting website www.fms-help.com on this difficult disease. You are a true hero for providing us with a sense of empowerment that FM often takes away. I often refer to your site for answers and the hope to keep going when I want to give up. (Your "medical disclaimer" actually gives you even more credibility.) Your support, tips and encouragement are priceless and so appreciated." 
 
"I have all of the newsletters on my computer. Thank you so much for all of the work you put into this."
 
"My friend recommended I subscribe to your free newsletter via email on Fibromyalgia as I am a newly diagnosed sufferer."
 
 
2. WORN OUT FEELING & TIGHT MUSCLES  
From a reader--
"Does fibro make you feel so worn out? I went to the family doctor today and he could not believe how tight my muscles were in my legs, shoulder area, etc.  I just feel so I can't even explain it.  My husband says it is all in how you think.  I try to think positive but it doesn't seem to matter.  My husband just doesn't understand me at all."
[Yes...it is really hard, if not impossible, for people who do not have this illness to understand what it's like.  Educating those around us is not an easy thing to do, because our suffering is hidden.  I remember one time when I had to wear a neck brace for 2 weeks, because of a neck sprain.  Everyone was trying to help me carry groceries, etc., but I had received no sympathy for almost 20 years with fibro pain which was incredibly worse.  So I know that people don't mean to be uncaring--they just can't see the suffering we go through.  This illness can strain the best of marriages.  Thinking positive has nothing to do with overcoming fibro pain.  These pages may be helpful in dealing with friends and family who don't understand:
 
"My Name is Fibromyalgia" by Terri Been: www.fms-help.com/mnif.htm
 
Dealing with skeptics who say it's all in your head: www.fms-help.com/neuro.htm
 
Imagine what it's like having fibromyalgia: www.fms-help.com/imagine.htm
 
Relationships & fibro: www.fms-help.com/relationships.htm
 
Letter to the healthy world from the land of chronic pain and fatigue: www.fms-help.com/healthy.htm
 
What it's like to live with a neuro-endocrine-immune disorder: www.fms-help.com/neuro.htm
 
Lack of energy: www.fms-help.com/energy.htm
 
Autonomic nervous system dysfunction & fibro: www.fms-help.com/autonomic.htm
 
Central nervous system abnormality & fibro: www.fms-help.com/nervous.htm
 
Dominie's Fibromyalgia Story: www.fms-help.com/fibro.htm
 
Hope these articles give you some support in dealing with family and friends who don't understand this illness...not yet, anyway...]

 
 
3.  GOOD PAGE ABOUT CFS
From Dr. Murphree--
http://www.drmurphreestore.com/cfs.html
 
 
 
4. NEUROTRANSMITTER PROTOCOL
From a reader--
"I wanted to let you know that I stopped the Neurotransmitter Treatment Protocol that I was doing for several months.  It was getting quite expensive, plus it didn’t seem to be working like I had hoped.  Maybe I didn’t give it enough time, but the finances were a concern for me.  I am now starting to have some difficulty with sleeping
 
 

5. FIBROMYALGIA, THE MISUNDERSTOOD DISEASE
Good article from a reader--
http://www.sciencedaily.com/releases/2007/06/070601182522.htm
 
 
 
6. YOUNGER PEOPLE  WITH FMS
I asked a very dear "non-fibro" friend who lives in the dry Southwest (U.S.) if there is much incidence of fibro in her are of the country. This was her reply (and later my comments)--
"I'm not in the circle of FMS, but I have to say I don't hear of it that much.  From my observation it appears that the majority of FMS is from stressed out overachiever perfectionists, type AAAAA people who end up with this form of debilitating burn out.  We have plenty of those."
Well, that describes me to a "T" psychologically.  However, although my FMS began at age 30 www.fms-help.com/fibro.htm, since birth I had poor health, lots of upper respiratory infections, and then hormonal weird stuff and a sleep disorder that began in my teens, so I wonder how much of FMS/CFIDS is genetic (not caused by emotional or psychological factors)?  I do know that severe stress or abuse can bring it on.
 
I just heard from a reader (age 60 female) whose FMS began in childhood.  I have a page on my site about children and teens with FMS www.fms-help.com/teens.htm.  Understandably, parents get REALLY concerned when their kids are disabled so much that they can't go to school or out with friends! 
 
I also hear from the early-20-something crowd who have FMS/CFIDS.  Their lives are devastated!  Instead of college, career, dating or marriage, they are housebound, ridiculed and barely functioning.  Awful!!   No fun at any age.  Also, the moms with FMS/CFIDS who have young children to care for - well, it's almost an impossiblity!  This is where it is vital to have an understanding, helpful spouse. 
 
Check out my 100 Tips for Coping with Fibromyalgia and Insomnia at www.fms-help.com/tips.htm.  I also have lots of helpful links on my homepage www.fms-help.com.  Now that the human gene code has been mapped, it will probably be just a few years before they can pinpoint the gene that causes our illness.  However, finding the gene and finding a cure are two different things.  Meanwhile, let's all stick together and share our information.  The only people who truly understand FMS/CFIDS are those of us who have it.
 
 
 
7. RELIEF FROM SYMPTOMS
From a male reader with FMS/CFS--
"As an executive of a fortune 100 company, I was diagnosed with Fibromyalgia and CFS and had to leave work. After going to many doctors who only said it was in my head, lack of nutrition or exercise, I finally had enough. Having been an athlete in many sports from climbing to cycling, I was always in the prime of health. I sought out the best doctors in the field of Fibromyalgia and have now been able to manage the disease. Each person’s metabolism is different, so increases or decreases in dosages may be warranted. Check with your doctor. I was in extreme pain until I found the correct doctors.
 
THIS MAY HELP SOMEONE GET BACK THEIR LIFE! THIS LIST BELOW IS WHAT THE DOCTORS ARE PRESCRIBING FOR ME. THEY ARE RATED THE BEST IN THEIR FIELDS FROM NEUROLOGY, INTERNAL MEDICINE, AND ENDOCRINOLOGY TO RHEUMATOLOGY.  I SPENT A CONSIDERABLE AMOUNT OF MONEY, TESTING AND TIME TO ACHIEVE THESE RESULTS WITH THE HELP OF THESE LEADING DOCTORS IN THEIR FIELDS OF STUDY, ALL BOARD CERTIFIED--

JOINT PAIN - THIS HAS ELIMINATED MY PAIN AS LONG AS I DO NOT ENGAGE IN PHYSICAL ACTIVITY - GABAPENTIN 300MG 2 CAPS MORNING, 2 CAPS AFTERNOON AND 2 CAPS EVENING;  TRAMADOL HCL 50 MG 2 TABLETS 4 TIMES A DAY

MUSCLE PAIN - METHOCARBAMOL 500 MG TAKEN AT BEDTIME FOR MUSCLE PAIN; TIZANIDINE HCL 4MG 1 OR 2 TABLETS NIGHTLY FOR MUSCLE CONTRACTION AND KNOTTING OF MUSCLES

ENERGY - ADDERAL 20 MG WHICH CAN BE INCREASE UP 100MG. I FOUND THAT IT WAS THE ONLY DRUG THAT REALLY OVERCAME MY CHRONIC..I CALL IT EXHAUSTION NOT FATIFUGE…THROUGHOUT THE DAY. I TRIED PROVIGIL BUT IT WORKED SPORADICALLY IF NOT AT ALL.

ANXIETY - ALPRAOLAM ONE MG TAKEN TWICE A DAY

DEPRESSION  - WELLBUTRIN HCL 100 MG TWICE DAILY AS THIS EMOTIONAL ROLLCOASTER OF REMISSION AND RELAPSE IS EMOTIONALLY DRAINING AND THIS HELPS STABILIZE MY SEROTONIN LEVELS WITH FEW SIDE EFFECTS.

SO FAR THINGS ARE IMPROVING AS I GOT MY JOINT AND MUSCLE PAIN UNDER CONTROL. THE EXHAUSTION IS SHOWING INCREDIBLE PROMISE AND I AM STILL WORKING WITH MY DOCTOR ON THE CORRECT DOSAGE.  FOR THE FIRST TIME IN 6 YEARS I SEE HOPE AND PROMISE AGAIN OF LIVING A NORMAL LIFE." 
[A list of things I currently use--both prescription meds and nutritional supplements--is at www.fms-help.com/what.htm.  Sure wish there was just one single "magic bullet" that would help us all.]
 
 
 
8. GENETICS & FMS
From a reader--
"I noticed the question about gene research in the last newsletter.  I'm just a 2nd year graduate student in neuroscience...I'm not an expert in genetics...but from what we learned in our cellular/molecular classes during my first year, individual gene chip assays that look for individual genes being abnormally upregulated or downregulated (that would indicate a predisposition to a certain disease or point directly to a specific disease like FMS), like doing this in your doctors office, is still a few years away.  The technology is definitely here at this point....gene chips as they are called are routinely used in labs....my genetics classmates do that stuff all the time in their labs....but from what I understand, the holdup in doing it for all people in their doctors offices is the expense.  I recall the head of the NIH genome project saying that in a few years the cost will be down to around $1000 per test and then it will be feasible to do it for everybody. 
 
And, yes, absolutely, that person is right about looking for genes common to FMS people!  It's a very exciting prospect!  It's absolutely doable.  In fact I wouldn't be surprised if a group was out there doing that right now, either in industry or in academia.  They do that for all other kinds of diseases like cancer for instance.  A few years ago we did that exact thing for idiopathic (unexplainable) lower back pain, except for proteins in spinal fluid instead of DNA (genes), called proteomics.  (DNA/genes are converted to RNA, then RNA is converted to protein) 
 
If you want keep up with the research, just go to Pubmed...you can just go to Google and type in Pubmed...that's what I do.  That's where all scientific biological papers are published.  Some things to search for in the search box are "fibromyalgia, chronic pain, gene chips, assays" or "fibromyalgia, differentally regulated genes" or "fibromyalgia, genetics"... things like that.  Most (almost all) of the papers have freely available abstracts, but if you want the full text, you'll need to go to a University that subscribes to the journal.  (Subscriptions are very expensive.)"
 
 
 
9. PREGNANCY AND FMS
From a reader--
"I've noticed that my FMS got better while I was pregnant and it's gotten worse since having the miscarriage.  (Mainly the overall achiness/pain)  Maybe it's something about the high levels of progesterone and all the other pregnancy hormones?  I think I will mention it to my doctor."
[Look up Relaxin using the Google search box at the end of this page. Relaxin is a hormone that increases during pregnancy.]
 
 
 
10.  VITAMIN C FOR VIRAL SYMPTOMS
From a reader--
"I suffered with CFS for 17 years now.  The past 2 years I have been doing considerably better.  I took Vitamin C for all of the viral symptoms (about 3 grams a day in divided doses of 500 mg.every hour or two).  I also return to this regimen when I feel under the weather.  My daughters have learned to take at least a couple of tablets a day when they start to feel like they are coming down with something.  It either stops the infection in its tracks, or shortens the duration.  If there are other symptoms of infection, my children take Echinacea and I take Golden Seal.  As a result, we take very few trips to the doctor's office.   I found it to be very helpful and Vitamin C tablets are pretty cheap at Walmart.  It helped with my allergy symptoms considerably and I haven't been plagued with them much at all lately. (This has been a bad pollen year in Pennsylvania.)"
 
 
 
11. HYPOTHYROIDISM & FMS
From a reader--
"I have noticed recently that most, if not all of the CFS symptoms are also found in hypothyroidism.  We seldom get treated for such because our bloodwork does not reveal a thyroid problem.  However, the Fibromyalgia and Fatigue Centers routinely do a trial of thyroid medication with most of their patients and state that most CFS patients are low thyroid.  (Check out their website for more information on this).  I have been doing well on the thyroid medication.  I find myself active up until about an hour before bedtime and I only take 15 mg. 2x a day. I keep a regular sleep schedule, even when I don't sleep well, and miraculously haven't been feeling the usual effects of interrupted sleep I think my hormones are finally correcting themselves. I handle work stress much better, have less brain fog, feel less chilly, and the achiness has disappeared almost entirely.  I think it is well worth a try if you can find a doctor to give you a trial of thyroid medication.  Again, this medication is quite inexpensive-$16 a month at most if you pay full price. Diet-wise, I eat several small meals a day focusing on protein, fruit, whole grains and vegetables.  I still cheat with the junk food, but I usually feel worse afterwards.  (You would think that would discourage me from doing it, wouldn't you?!!.. Yeah, right.)   I take a multi-vitamin and a flaxseed oil tablet and seem to do well with just these, even though I tried many others in the past.  The only other thing I do is try to get some fresh air everyday and do as much light exercise as I can, which is probably a total of about 4 hours a week.  (All these years of fatigue have left me a little lazy.)  As I show more improvement, I plan to increase my activity very gradually. Everything I have suggested has been easy, with the exception of finding a doctor who will treat me for hypothyroidism.  There are two good books that might give you some guidance in finding a doctor, if your doctor won't go along with it.  They are Living Well with Hypothyroidism and Thyroid Power.  Each book contains actual patients whose symptoms will sound very familiar to you!"
 
 
 
12.  THE BATTLE GOING ON BEHIND THE SCENES
From a reader--
http://www.walkingintruth.org/Walkingintruth/devotions/june_2007/wit060407.htm
[This was greatly encouraging to me!]
 
 
 
13.  PROVIGIL
From a reader--
"I know that I read something on one of your newsletters about Provigil.  Do you remember which one it may have been?  My doctor gave me this over a year ago.  I put it aside and really only tried one or two.  I had it refilled a couple of months ago because I did not have the energy to get off of the couch.  My family and I were moving into a new home and I had to get up and get going.  For the past few weeks after starting on the Provigil I have gotten a lot more energy and a lot of things done in our new home.  I even get outside and walk!!  I have done things with my 13 year old daughter that before I could not do.  Anyway I called for a refill on the provigil (I had 2 refills left).  Out of the blue my insurance denied the refill. Their reason was that provigil is not an FDA approved drug for the treatment of FMS.  I know that!  I was not taking it to treat my FMS.  I was taking it so I could stay awake in the daytime and have the energy to get up and help my family.  My husband and daughter said that I was like I used to be.  But now I am back to barely having the energy to get out of  bed.  I thought I read something about this."
[You can find information from past newsletters and my entire FMS/CFIDS/ME site by using the Google search box below.]
 
 
 
14. WEATHER & FMS 
From a reader--
"This muggy hot weather has really been taking a toll on me.  I find myself having even less energy than usual and I am battling a terrible cold.  People have asked: 'How come you keep getting sick in this beautiful warm weather?'  Aw, the perks of having a damaged immune system!"
[Know what you mean!  I live in Florida, it's muggy and hot most of the year.  Humidity bothers me more than temperature (hot or cold).  Dampness--and also darkness (like dreary overcast days)--make me feel worse....also depressed.  How are my readers doing in the sunny Southwest, such as Arizona?  Wondering if we all need to move to that area of the country!  I was in the UK for 4 months many many years ago and didn't see but one or two sunny days the whole time!  I noticed that many of my newsletter readers live in the UK.  I'm not surprised....I think weather has a lot to do with our symptoms, maybe because of the effect on our pineal gland (?)  See my 100 Tips for Coping with FMS at www.fms-help.com/tips.htm - this is from the perspective of a fellow sufferer, not a medical expert.]
 
 

15. EPSOM SALT BATHS
From a reader--
"I met someone last Sunday in church who has had M.E. and we had a really great chat. It has served as an encouragement for me as she could identify with so much of what I said and she gave me advice she'd received from an M.E. specialist. One of the interesting things is taking a bath 2 or 3 times a week and putting Epsom Salts in the water. It eases muscle aches and pains. I've tried it and it actually seems to work!"  
 
 
 
16. HYPOTHALAMUS
  From a reader--
"I recently had my doctors test my thyroid (again) and the tests came back contradicting one another;  they did more tests and some study and research and found that my hypothalamus is abnormal....also that I had inflammation of the heart.  Together, they feel this will lead to something else.....I BELIEVE it will just point to M.E. I do have a thyroid nodule and I am on armour thyroid after having tried synthetic thyroid and am doing better on the REAL thing;  however, my tests always come out questionable because of the hypothalamus."
 
 
 
17. EFFEXOR VS. CYMBALTA
From a reader--
"I've been taking Effexor for years.  My shrink says it's basically the same as Cymbalta but the manufacturers haven't spent the money to do the studies that would enable them to advertise that it helps with FM.  So I haven't bothered to change meds."
 

18.  ABUSE & FMS/CFIDS
From Dr. Murphree's latest newsletter--
"Retrospective studies show that the stress of emotional, physical, or sexual abuse  during childhood increases the future risk of developing certain symptoms or illnesses. These illnesses include many of the same symptoms associated with fibromyalgia , including chronic pain , chronic viral infections, anxiety, and depression . Apparently, for some children and adolescents, too many traumatic or stressful events decondition their normal homeostatic stress-coping abilities.  Thus, stress and particularly traumatic stress, early in life, may alter the set point of the stress response system, rendering these individuals prone to stressful events later in life. This most likely occurs from over-stimulation and depletion of certain stress-coping hormones including serotonin, norepinephrine, cortisol, and DHEA.

Research shows that patients with fibromyalgia or CFS may have genetic tendencies that cause them to be more sensitive to the ups-and-downs of stress. Fibromyalgia patients are also more likely to report a history of emotional, physical, or sexual abuse during childhood and adulthood, compared to other patient subgroups. Sadly, I do find that many of my fibromyalgia and CFS patients have experienced physical, emotional or sexual abuse as a child." 
[Comments, anyone?  Please write me at dombush@bellsouth.net.]
 
 
 
19. NEW "INVISIBLE CHRONIC ILLNESS" BLOG
From a reader--
"I'm blogging at www.theiciexperience.blogspot.comCheck it out.  Sign up for the RSS feed if you want to get the blog "The ICI Experience" [ICI stands for Invisible Chronic Illness] every time it gets updated."
 
 
20.  MULTIPLE CHEMICAL SENSITIVITIES (MCS)
From a reader--
"My tale of woes started with a surgery.  Then I was poisoned with formaldehyde, mercury from fillings, and DMPS (a chemical mercury chelator).  My endocrine system and liver practically stopped functioning so had pain in every part of my body, MCS really bad, and almost died.  The main problems are the toxins which cause candida and parasites in various glands and organs (and brain too probably).  I juiced twice a day (Green Star juicer), and then rubbed the oils on the bottom of my feet.  It took 2 years, but I am healed."
[I have info on essential oils.  Gotta admit they are amazing! Write me at dombush@bellsouth.net for info.]

 
21. CAN'T TAKE STRESS - TRY MANUAL LYMPH DRAINAGE (MLD)
This was an incredibly insightful response I received from an Australian reader about my chest tightness and inability to travel.  Thank you!  Thank you!--
"I think people with CFS & fibro have an extreme problem dealing with any stress.  The attendance at a function and the body having to deal with extremes (or even slight differences) seems to push us over the edge, being border line and not being able to cope with life in general.  These conditions are only mild to an ordinary healthy person but to a fibro sufferer they are extreme.  It has taken me a while to admit to the fact that I am not operating with a full deck of cards, it was alway they can do it, why can't I?  I am now more accepting, and am aware of the toll different things take on my body.  Heat and cold sometimes place more stress on your body than it can handle and can cause me a relapse.
 
I think all parts of the body are affected in fibro via the central nervous system, hypothalimus just one of them.  Adrenals, thyroid, hormones etc.  The list goes on and it can be different for each individual.
 
With regards to your chest tightness, I too had extremely tight chest, pain when deep breathing but no cough.  I had my heart tested each time these episodes came but nothing showed up.  It was very distressing.  These symptoms I attributed to the tightening of all the muscles in upper body and surrounding the chest.  On episodes of fibro these would tighten up so much they obstructed normal movement and were very painful.  I helped my symptoms by having Myofascial trigger point injections (pioneered my Dr Janet Travell).  This involves injecting into the trigger point of offending muscles a mild anaesthetic to help the muscle regain its original elasticity.  This helped enormously but didn't cure and as it was quite expensive you may find if it is muscular even massage may help.  (If you havent already tried this).
 
The most I have been helped so far though has been the Manual Lymph Drainage  that I originally read about on your website.  This has been amazing.  The difference in me is amazing.  It is so simple but so effectiveI no longer feel like I have been "poisoned" and slowly my symptoms are continuing to improve.  I don't feel I can no longer cope with life and feel like maybe Im going to get a second chance.  I was able to travel 2500 kilometres on holiday without nearly dying with pain, which is a miracle, never thought I would be able to travel again. A good pair of polaroid sunglasses was essential for this though, light and glare can cause devastating symptoms while travelling.  Its not a miracle cure and you have to work at it, you do 10 minutes of MLD 4 times daily but this drains the toxins out of your system, helps repair tissue and slowly improve central nervous system.   
 
When I first started this the lymph drainage site at the top of nose on the brow line was so sore I could hardly touch it.  This could be a good way to identify if your lymph wasnt draining properly.  Just apply pressure there and see if its tender."
[Check out this link http://www.positivehealth.com/permit/Articles/Bodywork/eidelson71_p.htm - and there are many others online about MLD too.  Here's a quote from this site: "MLD involves light, rhythmical massage that aids the body in collecting and moving lymphatic fluid, which plays a key role in delivering nutrients, antibodies and other immune constituents to the tissue cells of the body and removing debris such as toxins, cell waste and dead particles which are then cleansed by clusters of lymph nodes. MLD also works on the nervous system, lowering blood pressure, reducing stress and improving sleep patterns."  That sure sounds good to me!]
 
 
22. DOM'S UPDATE
Hurray!   I had 4 good days last week!  I've gone back to using something I've tried many years ago and it seems to be helping again!  Ever notice how this illness jumps around a lot?  You can use something successfully for 3 months or even 3 years and it works great, then for some strange reason it stops helping and you have to try something else, then something else, and then maybe return to the first thing again.  Whew!  FMS/CFIDS/ME bodies can't maintain homeostasis. 
 
Have you noticed that sometimes exercise makes things worse instead of better?  I think it stirs up the dormant virus.  (Just guessing - I'm not a doc.)  Sometimes we have chronic infections that our immune systems are battling and that causes the abysmal fatigue.  Who knows?!  FMS/CFIDS/ME is such a complicated illness! 
 
Getting over my recent "flare/crash" and enjoying 4 good days has been wonderful!!  Life would be so easy if every day were like those!  Now I know how normal people feel and how they can go to work every day and achieve so much. 
 
I hope to write a new page soon for my site at www.fms-help.com about managing flares.  Lots of readers who are writing in have been flaring and crashing lately.  Of course, there are 100 Tips for Coping with Fibromyalgia and Insomnia at www.fms-help.com/tips.htm, but I do hope to write the "emergency" page soon.  Will keep you posted!
 
 
Dominie Soo Bush
dombush@bellsouth.net
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DISCLAIMER: I am not a medical doctor. I am a fibromyalgia / chronic fatigue syndrome survivor. The purpose of this website is not to diagnose or cure any disease or malady, but is presented as food for thought.  This information cannot take the place of professional medical advice. Any attempt to diagnose and treat an illness should come under the direction of a physician. No guarantees are made regarding any of the information in this website.