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View Full Version : Significant Other in Colorado Wife has WG



Skicpa
01-26-2011, 12:49 PM
Hi all. My wife has WG. She was diagnosed in 1995, after wasting a year with her GP and being treated for a sinus infect. She's currently having a flare in her kidney's and on 850mg IV cytox once per month, and 60mg pred daily. She suffered a stoke likely caused by hormonal replacement therapy given to her by a gyno who likely did not understand vascular disease, back in 1999. She goes into "remission" but seems to flare every once and a while. This last remission lasted only two years, this time it came back worse with 3500 mg protein dumped instead of 1700-1800 in 2008. We have been to Cleveland a couple of times and saw Gary Hoffman, last time in 2003. She was being treated by a rheumy in Denver since 1995 but he seemed to be getting too busy and testing too much (hand x-rays every year, labs for Sjorgens syndrome every month?) so we switched later last year. The new one took her off pred and then bam, a flare. It could be coincidental, who knows. She tolerated pred much better when she was younger. Now, when on 60mg she develops psychosis, confusion, doesn't eat, loses weight of all things. She is tested to death. During her last flare, in 2008-09, she had 25 doctor visits/tests from December 08 to May 09. She saw every type of doctor from a gastroenterologist to an oncologist to a hematologist to pulmonolgist to an ENT to a rheumy to a nephrologist to a psychiatrist to a neurologist to a urologist, and every one said that outside of the WG she was fine. The testing, it seems, is far worse for us than the treatment. Because of the constant testing she is unable to work, and I am barely able to, being her driver and caregiver. We recently moved to the city from the mountains, where we had lived for 22 years, to be closer to her docs and live where it's more affordable. The travel time back and forth was literally killing us. I70 is not our friend.

I would like very much like to discuss her treatment with others, and maybe even trade notes on docs. I am curious if others are subjected to so much testing, much of it seems unnecessary to us outside of ENT, rheumy and nephrologist and annuals. We have lost everything financially because of the testing and the time it took from us, not the actual treatment. She just had a kidney scan, then a biopsy. The biopsy showed inflammation in two of 17 samples. She was uninsured for many years, on the state Cover Colorado program, and that helped wipe us out too. She finally got SSDI at the end of 2009, but our AARP supplemental insurance for her is almost $500 per month and that takes most of it.

I am a CPA, as you might guess, but only part time now with all of the medical stuff we go through. I am afraid we may have been subjected to medical malpractice of sorts, too much medical care if that's possible. Anyway, a long and winding story that I hope to sort out better as we get familiar here. I think it is time to take her to a vascular center so if anyone has experience with Utah that might work for us. Not sure I want to put her on a plane right now. She did pentamidine after chemo two weeks ago, but still trying to keep her away from germs.

I hope to share our experiences with everyone and I am never too busy to do so, please feel free to PM me.

pberggren1
01-26-2011, 01:01 PM
Welcome to the Forum Skicpa.

I will say that IV Cytoxan is not nearly as effective and safe as oral. Getting to a Wegs specialist is paramount. I'm not sure how good the new Vasculitis Clinic is in Utah, but another member on here is going there soon, vdub. So maybe give him a message and see what he thinks. The next best place would probably be Mayo or Cleveland Clinic. You would think that Denver would have a good Rheumatologist, etc. to treat Wegs. I have personally known people to go to Mayo to get diagnosed for various ailments and diseases. The latest was my cousin who was diagnosed with Giant Cell Arteritis. So Mayo definitely has a good reputation and so does Dr. Specks and his team there. I'm not sure what else to say except I hope you can get to a good doc who is a Wegs specialist soon.

Phil

Skicpa
01-26-2011, 01:11 PM
Thanks. I was told by our nephrologist that recent studies indicate IV is safer than oral I questioned him on that. I feel our current docs are competent and they have other WG patients. Our nephrologist has been with us 15 years. It was the old rheumy that went overboard on the testing and ruined our finances. I should offer some cheese with my whining.

elephant
01-26-2011, 01:50 PM
You need to have a Wegeners specialist because they know what they are doing. Everyone evenually should get one and see them or have your doctor talk with a WG specialist. I go to Cleveland Clnic and felt that they did not over treat and they are on the ball.
Sorry to hear all that stuff that happened to your wife.

Sangye
01-26-2011, 04:27 PM
Hi skicpa, welcome to the group. I agree with Phil and Elephant that your wife really needs a Wegs specialist. And just as important as a Wegs rheumy to oversee her care, she needs other specialists who really know Wegs. Overtreatment is very common with Wegs.

Her increased sensitivity to pred is understandable as the hormone imbalances it creates become deeper and deeper the longer it's used. That includes brain chemistry as well. I suggest you find a psychiatrist who understands pred and chronic illness. It sounds like she needs something to help deal with the imbalances caused by pred. Many people are on a mood stabilizer and/or antidepressant due to pred.

Skicpa
01-26-2011, 04:51 PM
Thank you Sangye, Phil and Elephant. I would really like to try the Utah center, as it's very close and we can easily drive over. If anyone has any comments on docs in the west who see lots of WG please let me know. Thanks again.

ScreaminMeanie
01-27-2011, 05:13 AM
Thank you Sangye, Phil and Elephant. I would really like to try the Utah center, as it's very close and we can easily drive over. If anyone has any comments on docs in the west who see lots of WG please let me know. Thanks again.

Hi Skicpa, I'm in Durango and have what I think is a great doctor, but she is not a Wegs specialist. For being in such a small town, she has seen a surprising number of Weggies, and I am very comfortable with her; however, I have a very limited version of WG and so far am responding very well to treatment. In addition, I would imagine it is almost as long a drive to SLC as it is to here for you. Especially when the passes are closed!

In any case, I agree with the others that your wife really needs to see a WG specialist. She has a much more severe form of the disease than I do, and needs someone who really, really, really knows what they're doing. I hope you can get her to SLC very soon. Big hugs to both of you!

vincelv
01-27-2011, 06:25 AM
i see dr koeing here in utah..he is supposed to be the best on the western side of the us..im lucky im living close to the center..its at the university hospital..