So I had another appointment a week ago. I was still reacting to the antibiotics (typical Herxheimer), so I'm on antibiotics for another two months. But Dr de Meirleir seemed a bit concerned that I'm still reacting, so more tests for co-infections are being run, and I'm prescribed oral Tetralysal (Lymecycline) and Azithromycin now. Labs for liver function and white blood cells are also being run, since those can become elevated when on antibiotics for a while.
Tetralysal is a tetrycycline like Doxycycline. And I've been on azithromycin before, albeit in IV form. So nothing too new. I'm also on Biofilm Defense, which is supposed to be a good biofilm destroyer. They've got a paper published regarding at it, though I haven't looked closely at it yet.
Tetralysal isn't available in the Netherlands, which seems to be pretty normal for drugs in this country
The pharmacy asked if a similar dose of tetracycline is a suitable substitute for tetralysal, and the clinic initially said yes, but I think due to the question not being phrased very well. I looked at it when it arrived, and the dose was waaaay too low for tetracycline, so I emailed the clinic again asking for clarification, and they said that it isn't a suitable substitute, so we'll be asking the pharmacy to import the Tetralysal.
So more delays, but I can't say I really mind. It's been a very nice week off of antibiotics! I'm in better shape now than I was before I started antibiotics, so that's been enjoyable. Basically I'm cognitively doing MUCH better. I can stay focused on things all day, though I still struggle with making the "I really don't give a damn" type of decisions, and multi-step planning for doing something new. Even Dutch understanding went pretty well when family visited on Sunday, though I did get wiped out after a while.
My heart rate has been doing great. I took a shower today and only went over 100bpm a couple times. And it very quickly dropped again as soon as I stopped what I was doing and rested for a few seconds. I was even able to shave my legs for the first time in months!
It's been a while since I've had anything which I'd term as a crash. More commonly I get some OI hitting at the end of the day, or am just wiped out for a few hours after excessive activity. Much nicer!
Current labs being run:
Hemoglobine
Hematocrit + RBC
WBC
Thrombocytes
AST
ALS
GGT
Inflammatory cytokines
Perforin
Prostaglandin E2
D-lactate
Brucella
Midichloria Mitochondrii
Tularemia
Babesia FISH (new way to test for Babesia)
IgA/IgM of: Klebsiella pneumoniae, Pseudomonas aeruginosa, Citrobacter koseri, Pseudomonas putida, Morganella morganii, and Hafnia alvei.
So another 750 euros