The Righterzpen
Jesus is my Shield in any Desert or Storm
- Feb 9, 2019
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What do they think is the cause of this. Do they think it's genetic?yeah I mentioned it earlier, I had it since I was 18, didn't get diagnosed till 26 (cause doctors don't really look for gout in patients who are younger and under 200 pounds), couldn't get it managed with diet or medications until we also found that I had psoriatic arthritis and we targeted treating that and then the gout became managable as well.
I got the tophi at about 30, so I've had it for about 13 years, and it progressively got worse, and really took off after I had to drop the 2 medications that were helping with the psoriatic arthritis. The uloric I take gets my uric acid under 7 which I know under 6 is the goal but nothing has been able to get there except the IV recombinant uricase enzyme which worked for a couple of treatments and then I developed antibodies to it so it was no longer effective, uric acid shot back up to almost 11.
When not trying to manage the gout at all my uric acid is over 12, especially during attacks. With diet changes or medications I can get it down to 8-10. With both, somewhere between 6-8.
They think my son's epilepsy is genetic too; but at current, they haven't found any evidence to substantiate that hypothesis. He also has a cluster of malformed blood vessels in his brain; which has been shown on rare other occasions to cause the same form of epilepsy; although seizure disorders that usually only present with eyelid myoclonus are usually one form of genetic epilepsy. Not always the case but! With him though, because of the type of malformation in his brain (vein) and where it's located (middle of the left temporal lobe) it's basically inoperable without causing serious damage to his speech center.
Epilepsy surgery; (which has good results and is generally very safe) just isn't advanced enough at this point to address his type of issue. And.... I don't know if it ever will be; (n his lifetime) - If we're even here that long? There's a lot about the brain that we just don't know; so, his neurology team in Detroit would rather err on the side of caution than potentially cause devastating damage to his brain. Despite the fact the medication doesn't totally control the seizures.
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