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Ian Privett
04-08-2012, 04:44 AM
Hi, I'm Ian. I have just recently found this site, and saw an opportunity to meet other great people who share the same disease as I do. Anyway, here's my story.

In the summer of 2011, I started getting skin legions, fatigue, frequent nosebleeds, and headaches. Mostly concerned with the skin legions, since i thought the fatigue was from playing tennis so much, i went to see the dermatologist. They said i probably had a mild case of eczema, saying it will just go away if i didn't continue to itch it and used some cream they supplied me with. Feeling better, the days passed on until late August, when my junior year of high school began. Around that time, i started feeling some severe chest pain, getting worse by the day. At first, i thought it was just a pulled chest muscle from playing tennis too much, though eventually it was to the point where every time i inhaled i basically curled up on the floor in pain. On September 4th, a Saturday night, i went to a clinic complaining about the chest pain. They took an X-ray, and came back with some bad news; I had 2 unknown masses in my upper left chest, right below my collar bone. Being rushed over to my community hospital that same night, a CT scan was done, coming up with no new results. Fearing that i had cancer, i was sent to Children's Memorial Hospital in Chicago, about an hour away from where i lived. Arriving there at about 1 in the morning, i got into my bed, and fell asleep.
After a couple days passed of blood results revealing higher levels of some liver enzymes and so forth, a lung biopsy was called for to see what these masses were. Having agreed to do the biopsy, I was put out by the a anaesthesiologist. I woke feeling groggy, and wondering what would come of the results. A day or two past, and in came my doctor with some news; apparently i have this disease called Wegener's granulomatosis. The doctor told me that he's never seen this disease in someone as young as I am (As it is a rare disease, it's even more rare in children). This was confirmed by the ENT specialist who also did a biopsy of my nose, throat, and mouth, seeing as i had gained some rather painful sores in my mouth to the point my only intake of food was chocolate milkshakes. Days past, and now they are wanting a liver biopsy since it is about twice the size it should be. But instead of going directly over the liver for a biopsy, they needed to go through my inferior vena cava (the jugular) for the biopsy since a direct biopsy would be extremely risky due to its inflamed state. My parents and I said no, since we didn't like the idea of a needle to retrieve a liver sample go down my neck and through my body like a snake crawling through the african plains. So they started me on the steroid prednisone, a chemotherapy called retuxinab once a week for 4 weeks to reduce my white b-cells, bactrim as an antibiotic, as well as calcium, vitamin d, and a nasal ointment called bactriban. After being home for the first time in 12 days, i realize I've lost some weight as long as several things in school.
The school work was a pain, the fact being i was in all honor courses and 2 AP classes. I ended up dropping an AP class and getting some tutoring, while immediately returning back to school half a day almost everyday to not fall even more behind than I already was. Being back in class made me feel normal again, even though some students thought i had moved or transferred schools. Besides that, there was the chemotherapy and 2 doses of salumedrol once a week. I was on 30mg of prednisone a day, along with the other medicine I've already listed.

But wait, my liver and spleen are still enormous! Which is why i eventually did get the liver biopsy after my liver and spleen weren't really returning back to their normal state. But this time, they could do a direct biopsy since it was a little better than before. Days later, when the results had come back, it turned out my liver ducts were scarred from PSC liver disease. This is where I start taking a bile thinner called Ursodiol for probably the rest of my life. A couple weeks later, I went in for an MRCP scan to see what ducts were damaged. Luckily, they were mostly smaller ducts, and not the larger ones. I also went in for an Upper and Lower Endoscopy, but thankfully, it revealed nothing abnormal.
This was all about 7 months ago, but then came another trip back to the hospital. Over my winter break, on December 17th, 2011, i went back since I had a horrible cough. Another Lung biopsy revealed that my granulomas on my chest were getting smaller and hollow, but also infected with some bacteria, just like my lungs. This turned out to be a pneumonia, and some antibiotics cleared that up. After 6 more days in the hospital, being release a couple days before Christmas, and I was happy to be back out in the world again.
So far, there hasn't been any flare-ups (to my knowledge), and life has been pretty smooth. I definitely see things different now, and hope the best for everyone with hardships. For those who are newly diagnosed with WG, all i can say is the earlier they can catch it, the better of a chance they have to fix it.
Mostly, however, I'm extremely grateful for all the love and support I have received and still am to this day. From my family, from my friends, doctors/nurses, and even teachers for being so helpful with getting back to school. Without them, I'm sure I would have lost hope before I even began to climb this mountain of a disease

watersedge
04-08-2012, 07:26 AM
Hello Ian, you sure have been through a tough time. You are so young and it is so unfair that somebody your age has to deal with this horrible disease. You seem to be so mature for your age, I suppose when something like this crosses your path you have no choice but to be. I hope that life continues to be smooth for you. It seems that you have good parents who are watching your back. Hope life gets back someway normal again for you and you get to catch up on school and things.

dutch
04-08-2012, 08:24 AM
Hello Ian,
My son Michael, 20, was diagnosed last summer, too. It really stinks to have to be a patient at your age. But as you said, it does put things in perspective. You are blessed to have lots of support and seem to be getting great care. (We live near Chicago, too!)

Let you mom or dad know they can contact me if they want to talk. I am going to attend the Vasculitis Foundation seminar at Rush in Chicago in 2 weeks. Maybe they are going?

Take care. I will be praying for all of you young (and older) Wegs patients!

Karen

pberggren1
04-08-2012, 10:31 AM
Welcome to the Forum Ian. You are very well spoken for 16 and have an awesome attitude. It seems like the Rituxan worked well for you.

I'm curious as to how much pred you are on now?

Dryhill
04-08-2012, 10:32 AM
Ian, welcome to the Forum, I am glad you found us but sad that you needed to. It is good to hear that you have a great support group helping you through this illness, it is times like this that you realise how much family and friends mean to you.

Jim

mishb
04-08-2012, 12:07 PM
Hi Ian and Welcome.

I was happy to read that you are feeling a bit better now and that you were able to get back to school.
I'm glad you have great family, friends and even teachers that are helping along your new journey.
I hope this rollercoaster ride is a smooth one for you.

Take care and as always .........

Ian Privett
04-08-2012, 01:57 PM
Thanks everyone for all of the support, it really means a lot. As for the amount of prednisone I'm on currently, it's 10 mg every other day, so it's much lower than what i was initially on.

drz
04-08-2012, 02:09 PM
Welcome to our forum. Sorry you needed to find our group but it is the best internet group for support and info for our dreaded disease. I was told shortly after my diagnosis, that 'if you can survive the treatment, things get better, but that first year can be pretty rough". I think yours has been rougher than most but you sound like you are coping well on this tough roller coaster ride of treatment and recovery. Things do generally get better but it can take awhile and unfortunately relapses or flares are common so good monitoring is important to minimize the damages from any, but we can hope you are one of the lucky ones who doesn't have any more serious problems since you have had your share already.

pberggren1
04-08-2012, 03:52 PM
Thanks everyone for all of the support, it really means a lot. As for the amount of prednisone I'm on currently, it's 10 mg every other day, so it's much lower than what i was initially on.

Why are you taking the pred every other day instead of each day?

Do you see a Wegs specialist? By the sounds of your pred dosing you don't. It is better to take the pred each day, unless you get down to a very low dose and have trouble tapering.

Ian Privett
04-08-2012, 04:15 PM
No, I see my rheumatologist every month or so for check ups. According to him, my condition is improving and the dosage can be lowered to 10 mg every other day.

mishb
04-08-2012, 04:54 PM
Wow, when I was at 10mg I forgot to take it at the normal time and 4 hours later was feeling lousy and remembered I hadn't taken it.
I couldn't imagine going 24 hours without taking it and still feeling okay.
That seems like a really strange dose to me. If you can go every other day, maybe they should be slowly reducing it more.....but on a daily basis.
Good luck to you

pberggren1
04-08-2012, 05:27 PM
No, I see my rheumatologist every month or so for check ups. According to him, my condition is improving and the dosage can be lowered to 10 mg every other day.

I hate to be a nag Ian but.........PLEASE GET A WEGS SPECIALIST INVOLVED IN YOUR CASE ASAP!!!!!!

It is very important to do so. Wegs is a nasty disease that can turn sideways very fast. And dosing pred like that just does not make sense.

Ian Privett
04-09-2012, 03:00 AM
Ok, thanks for the advice, I had no idea that 10 mg every other day was such an awkward amount. My family and I will be looking into WG specialists in our area for more help and advice.

Palmyra
04-09-2012, 06:32 AM
Hi Ian,

I am really glad you found us! I agree with everyone that you are very well spoken.

I am on this site because my daughter also has Wegener's. She was first diagnosed with Crohn's disease at the age of 14, then developed Weg at the age of 20. She too has had problems with her liver and her pancreas. She had a procedure done on her pancreas called an ERCP, that opened up her blocked pancreatic ducts. The surgeon went in through her mouth with a tiny scope and put in some even tinier drains called stents. It worked great.

I wish you all the best with school. It was sometimes hard for Alison because she couldn't continue with some of the activities she had previously enjoyed. She missed many days of school. She was given some special help to keep up with her work. The good news is she has found new activities she can enjoy that are not hard on her body.

I know of some other kids with Weg, as I participate in another support forum for parents of kid's with Wegener's. If you think your folks would be interested in information on that site, just let me know.

I look forward to seeing you on the site! Welcome

Jane, mom of Alison

Palmyra
04-09-2012, 06:41 AM
Hey Phil,

It could be that, as he was treated very recently, and his initial pred was likely very high (like a blast dose), with no intent for a prolonged duration.He was treated concurrently with RTX. RTX takes only a short time to zap the Weg beast in many cases, so a long duration of pred may not be needed, and at this stage his adrenals aren't affected either.
I have seen record of newbies treated with a blast, followed by Rituxan, with no prolonged pred hang time. The goal is to stabilize until the RTX kicks in, with as little pred as possible. My daughter was initially treated with RTX as well, and she didn't have that long careful taper of pred. She went into a great initial remission, (no meds other than bactrum) for 18+ months.

That said, I second your advice for Ian to see a Vasculitis expert.
Why are you taking the pred every other day instead of each day?

Do you see a Wegs specialist? By the sounds of your pred dosing you don't. It is better to take the pred each day, unless you get down to a very low dose and have trouble tapering.

AmyA
04-09-2012, 08:32 AM
Hi Ian, welcome to the group. I am also a new member. Dx in June 2011, but only joined the group last month. I went through some heavy duty stuff right in the beginning but am doing much better now. I find this forum very helpful. It's great to read others stories and know that you are not alone. I am often relieved to find others who suffer from even the same mild symptoms as I do. I hate that you were dx so young. I was 28 when dx, and many doctors kept telling me I was too young for this and couldn't quite understand how it got so bad. I guess on the other hand, better to get treatment started right away. I pray that you have many healthy years ahead of you. This is a great site and the best place to get real answers. Amy

pberggren1
04-09-2012, 12:39 PM
Hey Phil,

It could be that, as he was treated very recently, and his initial pred was likely very high (like a blast dose), with no intent for a prolonged duration.He was treated concurrently with RTX. RTX takes only a short time to zap the Weg beast in many cases, so a long duration of pred may not be needed, and at this stage his adrenals aren't affected either.
I have seen record of newbies treated with a blast, followed by Rituxan, with no prolonged pred hang time. The goal is to stabilize until the RTX kicks in, with as little pred as possible. My daughter was initially treated with RTX as well, and she didn't have that long careful taper of pred. She went into a great initial remission, (no meds other than bactrum) for 18+ months.

That said, I second your advice for Ian to see a Vasculitis expert.

For sure. This could very well be the case. But I would still question the dosing of it EOD.

annekat
04-10-2012, 06:45 AM
Welcome, Ian! I echo the sentiments of everyone who has already commented. And I'll add that this forum is the best possible resource that anyone with Wegener's could hope for. I hope you continue to improve steadily and that the liver and spleen problems are resolved. For a change of pace, you might check in on the live barn owl and eagle web cams we've been watching.... the thread is titled Live Barn Owl Web Cam. Both nests have baby chicks in them now.

Al
04-10-2012, 07:54 AM
Sorry I missed your introduction earlier, Ian. It always pains me, as an old geezer, when anyone so young has this to contend with in what needs to be the prime of life. I agree with all the other posters. And I, too, do not understand prednisone every other day. That would leave your body without any steroids--either from external or internal--for up to 24 hours at a time. This is not a good thing. Please let us know how this resolves itself.

Al

annekat
04-10-2012, 08:07 AM
For sure. This could very well be the case. But I would still question the dosing of it EOD. I think if it was me, at this point, I'd just go ahead and split the 10mg. pill and take 5mg. a day. If indeed that's the overall dosage you should be on.

pberggren1
04-10-2012, 08:57 AM
I think if it was me, at this point, I'd just go ahead and split the 10mg. pill and take 5mg. a day. If indeed that's the overall dosage you should be on.

I would think that would be the case as well if he is able to cope with 10 EOD.

Palmyra
04-10-2012, 10:40 AM
For sure. This could very well be the case. But I would still question the dosing of it EOD.

You are right Phil, every other day simply does not make sense....Alison was on RTX with a pretty fast taper (within 6 weeks), but it was never EOD.

Jaha
04-11-2012, 12:53 AM
Ian,

Glad to here you got a dx so quickly, getting the proper tx fast is very important. Welcome to the group, sorry you had to go thru all that at such a young age. It seems that you are wise beyond your years. Best wishes to you for future wellness.
Jana

sue7211
04-11-2012, 08:16 AM
Hi Ian,

My son was diagnosed 2 years ago when he was 15. He had a lot of kidney damage, missed a lot of school and it took him a year to get back to normal with school and activities. It's great that you are already back at school and doing so well. You mentioned tennis several times in your post. My son plays baseball. He had to work really hard but he was able to get back into shape and does play on his high school team. You are correct that this disease is very rare in kids...I read that statistically there are 150 kids in the US with it. Sorry that you have to be one of them.

A great resource and a good place to find a vasculitis expert is the Vasculitis Foundation website. Someone mentioned their symposium that is happening in Chicago this month. The speakers are great and the information for someone who has been diagnosed in the last year or so is terrific.

Good luck to you!

Sue

Elena
04-11-2012, 08:31 AM
Hi Ian. I, too, was diagnosed at 16. This was almost exactly 3 years ago (I'm 19 now), and though taking almost as long getting to full remission, I have been functioning normally for almost a year and a half now. I'm currently studying for a Bachelor degree in business administration and economics.

Good luck, I hope you get lots and lots of years with no flares :) And that you'll be one of the lucky ones that don't have much symptoms between flares.

Sangye
04-18-2012, 03:04 AM
Hi Ian, welcome to the group. You're a talented writer. I can see why you're in several AP classes! It broke my heart to see that you had to drop one. My favorite line in your original post was the comparison of the liver biopsy to a "snake in the African plains." LOL

So-- you've been through a lot already. Let's hope that you'll have smooth sailing from here on. To second (or third, I forget) the idea: you definitely need a Wegs specialist. Check out Mayo in Rochester or Cleveland Clinic in Ohio. Those are the closest to you. Worth the trip!

Alternating the 10mg and zero days is not the typical way to taper but I've seen it done before, particularly with kids. Basically, if you're feeling fine then it's working fine. If you're more wiped out on the afternoon of the zero day (or have an increase in other symptoms), then it's not working and you'll need to be on a daily dose. Please do NOT change the dose or the way you take it without your doctor's instruction. Pred is a very dangerous drug to mess with.

Zoe
05-14-2012, 09:11 PM
Hey Ian, I'm Zoe
I was diagnosed at 15 and also recently found this site. It sounds like you have had a lot to deal with! It's great that your friends have supported you through this, I think it can be hard for people our age (or any age for that matter) to understand just how much there is to deal with on top of school etc.
I hope you are feeling well and continue on the long road to remission.
Your weggie from New Zealand
Zoe

Ian Privett
05-22-2012, 08:32 AM
Thanks for all the advice and support, everyone. I'm now down to 5mg of prednisone every other day, as they are tapering me off slowly. And it's really exciting to meet other people around my age with Wegener's. I hope the best for you and everyone out there.

Dryhill
05-22-2012, 12:15 PM
Ian I like the quotation by Bill Keane, but for me it does need a little alteration:-

Yesterday is history: Unfortunately I have got to that age when yesterday is a mystery ....... I know I had my keys because how did I get in the house, so what did I do with them?

Today is a gift of God: True, but it is also a mystery. Will I have enough spoons to get through the day? Will I get through a day without someone saying "Oh youi do look well"? Will I murder the latter person?

Jim

Palmyra
05-22-2012, 01:14 PM
Hi Ian....my daughter was diagnosed at the age of 20, after previously being diagnosed with Crohn's at 14. Per this post...I heartily endorse and second all said by Sangye! Get thee
to a vasculitis center. You will not regret that decision. Not ever!


Hi Ian, welcome to the group. You're a talented writer. I can see why you're in several AP classes! It broke my heart to see that you had to drop one. My favorite line in your original post was the comparison of the liver biopsy to a "snake in the African plains." LOL

So-- you've been through a lot already. Let's hope that you'll have smooth sailing from here on. To second (or third, I forget) the idea: you definitely need a Wegs specialist. Check out Mayo in Rochester or Cleveland Clinic in Ohio. Those are the closest to you. Worth the trip!

Alternating the 10mg and zero days is not the typical way to taper but I've seen it done before, particularly with kids. Basically, if you're feeling fine then it's working fine. If you're more wiped out on the afternoon of the zero day (or have an increase in other symptoms), then it's not working and you'll need to be on a daily dose. Please do NOT change the dose or the way you take it without your doctor's instruction. Pred is a very dangerous drug to mess with.