I wonder if the longer we are ill the more damaged our immune system gets or infections go deeper, which is why people who take antivirals early on with cfs seem to have a higher success rate closer to the 95-100% then someone who started avs several years after having cfs, improvements still occurr but the 95-100% is alot more rare. Also being younger seems to have a better recovery too??
soc how long did your daughter have cfs before starting av's? Her immune tests will be interesting, will she be getting an nk function test as well??
cheers!!!
I wonder the same thing, heaps. My daughter and I make for an interesting case study. We came down with the same very sudden onset flu-like illness within a week of each other. While I "recovered", I had frequent bouts of what I would now call PENE. Daughter, on the other hand, appeared normal except for big crashes a couple times a year probably associated with viral infections. We would not have recognized them as part of ME/CFS if we weren't knowledgeable from my experience. Dr Lapp saw her while she was in a remission period and agreed that she has ME/CFS.
I was probably continuously sick from shortly after the initial infection, although I kept operating (or trying to) normally for a couple of years, so I've been continuously sick for about 8 years -- 6 years prior to Valcyte.
Daughter was largely in remission for about 5 years until pre-college vaccinations. We're guessing the live virus chicken pox (HHV-3) reactivated HHV-6 and Epstein-Barr (HHV-4). After that she was continuously ill for 1 year before Valcyte. Dr L seems to count from how long a patient is continuously ill, not from first time one was ill when considering recovery possibility.
Daughter has now been in full remission (and off Valcyte) for 9 months. She still takes Valtrex which may be preventing the once or twice a year crashes (reactivations?) she used to have.
Why did 18 months of Valcyte put her in full remission while I'm still largely housebound after more than 2 years of Valcyte? Length of continuous illness is one possibility. Age of patient (therefore weaker immune system) could be another. Degree of illness? I was sicker than she was when we started Valcyte, so that could also be a factor.
Based on our experience alone, I would guess that longer illness means more and longer opportunistic infections which do a lot of damage and may prevent full recovery. As a result, I'm a proponent of aggressive AV treatment as soon as possible.
Yes, she'll be getting an NK function tests along with the others. We'll have the same tests, so it will be interesting to compare results.