ehlers danlos

Healing Our Daughter, Healing Ourselves

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Our Little Tadpole

Abby is our little tadpole. Sensitive to seemingly everything, she morphed into something she should never have been. Many people openly stare quietly, thankful their kids aren’t like her and go about their business without much thought. Or worse were those who only stood by saying “God, somebody DO something!” when our daughter was screaming in pain in public as if WE weren’t there. There is much to be learned from them, if we only had eyes to see. We’ve made mistakes in our journey with our daughter, but the 10 specialists we’ve taken her to in the last nine years have provided numerous test results with little to no answers. The last allergist I took her and told me to “stay off the internet” as he was handing me free pharmaceutical samples as I was walking out the door. They made it as far as the trash can in the restroom. And so began our journey of doing something different, looking for answers outside of what we’ve been told. In our journey to heal our youngest daughter, we are healing ourselves too as we all seem to be dealing with very similar issues of low stomach acid, connective tissue dysfunction, and nutritional deficiencies/dependencies. I will start with her story first, since it is because of her that we’re figuring ourselves out.

The Early Red Flags: Hypermobility, Digestive Issues, Speech Problems and Intense Reactivity

Abby was adopted from China in September 2010 at the age of 10 months. Her birth and family history is unknown. She was found in a very poor district at three weeks old, underweight and jaundiced. She also had a congenital heart defect called atrial septal defect, which later closed up on its own. She was kept in ICU for a period of time. She was bottle fed until 10 months, then introduced to gluten and dairy. Orphanage caregivers reported she had a much heartier appetite than other babies (an early red flag that we all missed).

When we adopted her, we found her to be a very happy and social baby, who transitioned well. Her eye contact was always good. We did notice, however, her hips, elbows, knees, and fingers were hypermobile. In hindsight, we recognized that she played differently with infant toys. More red flags.

  • In October of 2010, she had her first post-adoption doctor’s appointment.
  • In December 2010, she was walking on her own. She tested positive for TB exposure and put on Isonaizid. She tested negative for lead. She became ill and was in pain for 10 days with diarrhea 3x day. We switched to Rifampin for the next 6 months. She was on Isonaizid and/or Rifampin from December 2010 through July 2011. Anti-tuberculosis antibiotics required monthly liver checks. She was vaccinated during this time as well, a mistake we came to regret. Our once happy child now became stoic and would remain so for nearly a year, but things had changed.
  • In spring of 2011, she experienced continuous and severe congestion along with loose stools.
  • In July we stopped Rifampin. She was a good eater, often ravenous.
  • In spring of 2012 we began speech therapy, 3x per week, but progress was slow. After removing gluten she spoke her first three word sentence.
  • July 2012 her hearing was checked. “Possibly mild frequency decrements. Minor issues”.
  • July 2013, probiotics stopped her diarrhea, unless she was exposed to a problematic food.
  • In 2014, we found she was a MTHFR 677ct double mutation. We strongly suspect she has a CBS mutation due to very strong reactions to various things: ALA, NAC, Epsom salts, CLO, methylated B12/Folate. Though over time, some of these we have been able to get in her in small amounts.
  • Over the next few years, and a multitude of negative tests, all we were able to determine was that her B12 levels were consistently high, even when not supplementing much, as were her B6 levels (though iodine brought her B6 levels down into the normal range). Creatinine was low, and a few amino acids were only slightly elevated. Prostaglandin F2 were extremely high and liver enzymes were elevated.

Despite all of this, Abby is a very happy, socially engaged and intelligent girl. Her speech has always been intermittent, ranging from very slurred to full complete clear “normal” sentences. It switches at random. Her former teacher of 5 years doesn’t think it is ASD, but in truth, it doesn’t really matter. Our kids are often labeled for the convenience of others.

Altered Pain Sensitivity

Abby appears to have a high pain threshold, except stomach pain. Since she was young, she has preferred to be barefoot and wore few clothes, even in winter. Over time this has changed and she has grown more “normal” in her body’s adjustment to temperatures.

The only observable nervous system affect was that she tightens/clenches her fingers when very excited. Excitement seems to trigger degranulation in her unstable mast cells. She had been extremely reluctant to draw, write, or color when young. She’s doing all this now, not as age-appropriate, but gaining.

She has had many problems with probiotics in the past; often creating an immediate OCD/stuffing whatever she could get her hands on behavior, under furniture, peeling birch tree bark for hours, etc.  Her brain was almost immediately affected.

Severe Reactions to Triggering Substances

Trying to solve her medical problems has been difficult. She has had so many reactions in the past when trying various vitamins/minerals and supplements recommended by her physicians. The results were always mixed and reactions could be extreme. We often, and still do, dose her vitamins and minerals separately, mixed together. Many reactions were not to the main ingredient, but to the binders or fillers added to the supplement. Some treatments would spur a short snippet of normal speech but only 1-2x then nothing more.

Below are the symptoms that we have been navigating.

  • Dry, itchy skin. Rashes, hives, angioedema, large welts from some foods/chemicals and insect bites.  Her skin feels like it’s on fire and she tore at her clothing after a small amount of Pure Vegetable Glycerin (99.9% pure) was applied. In 2015, her skin peeled off her arm, wrist to shoulder in a 3” wide band of deeply reddened dry/cracked skin, after eating non-organic strawberries. It looked like a third-degree burn, minus the blisters. Epsom salts, baking soda, Vick’s Vapor Rub, various other skin oils like jojoba, or almond oil, all caused painful reactions.
  • Severe abdominal pain. She experiences severe abdominal distress and pain after ingestion of various foods or charcoal-grilled food. She may also develop constipation/diarrhea, headaches/migraines. Probiotics often dramatically changed her behavior within an hour to severe OCD. Fruit-based digestive enzymes would cause facial rashes and behavior changes. Pancreatic enzymes caused much less speech, very quiet per her teachers.
  • Urinary. She was unable to urinate 9+ hours after ingesting cough syrup on two occasions. She was not dehydrated either time. She formerly had urinary incontinence on occasions and enuresis. The enuresis resolved with the addition of vitamin K2 MK7.
  • Insomnia. Occasionally she would develop insomnia, often after ingesting or exposure to an offending food or chemical. Tap water seems to be particularly problematic.
  • Behavioral. She has experienced severe OCD, irritability, extreme aggression/anger, hyperactivity.
  • Heart and Lungs. She develops a rapid heartbeat at rest and persistent coughing for 6+ hours following ingestion of a trigger.
  • Head and nose. Congestion, puffiness/eyes, headaches/migraines (based on focused tearing behavior).
  • Speech Problems. Her ability to speak various greatly relative to exposures. It goes from single words to full clear “normal” sentences. With gummy vitamins, recommended by her doctor, she developed a very notable and immediate regression in speech when she was four years old.  The day before she took the vitamins, she had clearly-spoken emerging speech, i.e., “I eat” “I do” “I wash”.  Immediately after giving her the vitamins, she walked about the entire day just saying “mmmmmm” over and over. Unsure of the cause, I was thinking dyes, rancid hydrogenated oil, or some such.  I would not make the sugar connection for a few more years.
  • Severe pain after exposures. She had a strong reaction to Cassia cinnamon. In class, she and other children were making Christmas ornaments with lots of Cassia cinnamon. Although none was ingested, her teacher said she was inhaling it and handling it for hours. Near pickup time, the teacher said she was not feeling well, began to be irritable, like her head hurt. As we were walking out of the building, she went down fast onto the ground and began writhing in pain (not sure if head or gut related). Teacher held her head to keep her from hitting it on the pavement, while I ran to get my Lavender essential oil rollerball. Applied it, and within a few minutes she was fine and got into the car. No further incident. Ceylon cinnamon causes no problems. Cassia can affect B1 levels, or so I read.

Our Journey to Healing Began With Vitamin K and Thiamine

In October 2018, we learned about thiamine and suspected that many of her problems may have been the results of a longstanding thiamine deficiency. We began in August slowly increasing Thiamine HCL. She began to improve at school, but results were inconsistent. We then moved to Benfotiamine for a while and results seemed better, but still inconsistent. By October, she was taking Sulbutiamine and we worked our way up slowly to 200 mg. Organic Acid Test (Great Plains) showed her lactic acid levels came down with the addition of the high dose of thiamine.

Nighttime enuresis persisted several years beyond toilet training. In 2016, we added approximately 700 mcg of vitamin K (MK7) working up slowly to this dose and her nighttime accidents completely stopped. The addition of vitamin K (MK4), reduced her food intolerances and allowed her to eat a broader diet, but that form of the vitamin did not stop the enuresis, the MK7 form did. We have since lowered her doses and now she just takes a D3/K2 liquid form with no return of the enuresis and food tolerances seem good, though we monitor her diet closely.

We use a variety of homeopathic remedies to treat reactions, illnesses, and injuries and reduce chemical exposures at home. Once her lactic acid levels came down into the normal range with the thiamine, we were able to add probiotics without negative reactions.

Her diet is mostly organic, grass-fed beef, organic chicken, wild-caught fish, cage-free eggs, local raw honey, coconut and olive oil, ghee, no GMOs. MTHFR mutations seems to be sensitive to gluten and dairy, but I wonder if that’s because of our need for the TTFD form of thiamine. She has been sugar free since July 2018.

My Big Takeaway: Healing Requires Resolving Nutrient Deficiencies Dependencies

EDS and ASD both share very similar nutritional deficiencies and/or dependencies. I wonder how much of autism isn’t simply the undiagnosed trio of EDS/MCAD/POTS. As most genetic testing is beyond the reach of most family budgets, it is difficult to know. It seems like it would be worth looking into one’s broad family history. A friend once told me that the foods we crave the most can be our biggest problems.

Years ago when Abby was in preschool, her teacher had me in for a conference. She showed me her notebook, which sadly only had a few scribbly lines in it. She slowly closed the book and moved it to one side. She looked me straight in the eyes and said “this isn’t autism”. Her son was on the spectrum. She said “Abby is smart, very, very smart. I think she’s gifted”. I looked at her dumbfounded, asking “then why?”.  She said, “I don’t know what’s going on, but she knows… she knows!” She proceeded to tell me something Abby did that proved to her unquestioningly her assessment. Giftedness and learning disabilities seem to share many commonalities.

We sort of figured some things out in reverse. For example, the MK4 form of vitamin K2 allowed for more food tolerances, and the MK7 stopped her enuresis. Bacteria in the gut (bacillus subtilus) produces K2, but then too much lactic acid was a problem because her thiamine was low and the CBS mutation seeming caused trouble as well. K2 seems to be very important in the distribution of calcium in the body.

We often see admonitions to heal the gut on the internet; so many opinions and recommendations. As Abby’s case suggests, it is far more complicated than simply taking a probiotic. It is also highly individual. Our daughter’s journey may not be applicable to someone else, but perhaps something can be gleaned.

We continue to avoid triggers, eat and live clean, heal the gut, use holistic remedies, play and laugh a lot. Thankfully, her reactions are now infrequent and fairly mild, but it was long road to get to this point. Her appetite is now normal with no real cravings or hunger extremes. We use vitamins/minerals, fish oil, and probiotics less cautiously now. She is gaining speech rapidly. She may still not be typical, but she is a far cry from what she had morphed into and much more normal than even a year ago.

We’ve been fortunate to avoid prescription drugs overall and use natural remedies, diet, and vitamins and minerals to affect change. We are avoiding further vaccinations, as our belief is her body has had enough and can’t deal with the stress at this time. Overall many people’s demeanor changes rapidly when mentioning alternative approaches to western medicine. If outside the norm, we may even be deemed a quack, but since we’ve been able to heal various family members of numerous ailments, if we’re seen as strange, so be it.  We can heal our bodies, probably not 100%, but often without prescription drugs.

Perhaps even the most complicated puzzles among us are not as hard to put together after all. We are still healing and our journey is not over. We tell ourselves and our kids to eat less junk because a nutrient-dense diet is helpful to everyone, but it seems that it is even more vital to those who suffer both the blessings and curses of a good brain.

Our brightest lights are ever so vulnerable.

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This story was published originally on August 19, 2020. 

Living with Ehlers Danlos is Hell

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I have Ehlers Danlos. On top that disease, I was given fluoroquinolone antibiotics and suffered a severe reaction which then lead to a rare and deadly fungal infection called Glabrata. This is what I have lived through over the three years.

Ehlers Danlos

Ehlers Danlos Syndrome (EDS) are genetic mutations that cause a lack of several types of collagen found throughout the body (skin, muscle, tendons, tissues, nerves and blood vessels). I have types I, II, & IV and crossover variations into several other forms. The type IV form that I have, also known as the vascular form, is a rare mutation form rarely ever seen (as of to date only three families including mine) and this is the most severe form that the NIH and John Hopkins has ever seen. This along with having more than one form (which is also extremely rare) has affected every part of my body and every system I have. It has left me with several other sub-illnesses, (some of them are common to all EDS sufferers and others not so common) such as hyperadrenergic dysautonomia, systemic mastocytosis, myalgic encephlamylitis (ME), pelvic congestion syndrome (PCS) and if God did not think he gave me enough to fight he threw in seronegative spondyloarthpathy with Crohns, which is seen in 35% of all female EDS patients. I also developed secondary Sjorgen’s Disease.

Ehlers Danlos plus Fluoroquinolones – Exploding Collagen

On top of all this crap I was given a fluoroquinolone drug by mistake, which is a collagen depleting drug!

After taking only four pills, my life turned upside down on a dime. I spent 64 days in the hospital fighting for my life, as my defective collagen exploded in every part of my body. Since then I have been fighting a daily battle of severe pain and organs and blood vessels that no longer know how or have the capabilities of functioning normally. It has now been almost three years since the fluoroquinolones and my body is still deteriorating.  Fluoroquinolones, as all my floxy friends know, is a nuclear bomb that slowly kills through DNA adduction and mitochondrial destruction.

The fluoroquinolones have left me with no immune system to speak of, so I am constantly fighting one infection after another. Last year, I fought the hardest battle of my life with a rare drug resistant fungal infection known as Glabrata; leaving me to spend 120 plus days in the hospital plus five months of home nursing care and daily IV’s of poison that nearly wiped out my liver. While fighting the Glabrata infection, I was also fighting the Crohn’s, liver damage, fluoroquinolone symptoms, sublexes, dislocations of my ribs from my sternum and a host of organ, nerve and blood vessel issues.

Pelvic Congestion Syndrome with Ehlers Danlos

One of the most painful issues is the pelvic congestion syndrome (PCS). The easiest way to explain this awful part of vascular EDS is to think of varicose veins the legs; the kind that when the person stands the blood begins to pool in their legs, the veins bulge out like thick blue ropes and begin to swell. After standing for a short period of time these people begin to suffer horrific pain down their legs to the point that they have to sit and put their legs up because it feels like razor blades cutting through them. Well, pelvic congestion syndrome is the exact same thing only it is the blood vessels in your abdomen. It can be the major arteries or the smaller ones known as the feeder veins, the ones that feed your organs.

For some of us with Ehlers Danlos, PCS affects only one or two veins and for others, like me, it affects several or all. For me, it is the feeders and the major mesenteric artery that are damaged. Every time I am in an upright position for any length of time the blood vessels dilate and fill with blood. This puts pressure on my organs and all the nerves that surround them. So, I suffer from both organ inflammation and dysfunctional organs because of the Ehlers Danlos. I also have severe nerve pain that can only described as a screaming pain. It makes me want to jump out of my own skin and run. The pain is so bad, I want to run to the nearest ER and beg for someone to help or end my life.

Unfortunately, there is no way to fix this other than to take enough pain meds to knock me out for days. Life with Ehlers Danlos, and especially PCS, revolves around being drugged with the strongest pain meds on the market and only getting up to shower and then back to lying down flat again. It leaves me unable to walk. Many people with Ehlers Danlos are in wheelchairs, but even that has its time limits.

Ehlers Danlos Specialists – Good Luck

In an attempt to hold on, people with Ehlers Danlos reach out to other patients, looking for any help they can. We search out specialists around the country, always praying that we will find that one doctor that is going to have the miracle we need. Because this is such a rare illness and my form of it is particularly rare, there is no protocol or research to follow. We are all on our own. Every one of us with Ehlers Danlos, no matter where we live in the country, have at some point, seen the same handful of doctors and received the same response – ‘there is nothing we can do.’

My journey has lead me to specialists from Chicago to Washington DC to Michigan and to Mayo, both my doctors and I have consulted with doctors from the NIH, John Hopkins to UCLA, and of course, every one of them tells me the same thing: ‘You can’t fix this [the exploding veins]. If you try [surgery]you will surely cause more severe damage to the remaining blood vessels or the surrounding nerves, which could, and has in some who have attempted it, left them in what is known as intractable nerve pain that is not treatable.’

Surgery to Repair Veins and Arteries Damaged by Ehlers Danlos

For people with Ehlers Danlos, healing is difficult and complications to surgery are very real and dangerous; attempts to stint, remove, bypass or replace the veins only causes other veins to erupt. Surgery is a bit like a dog chasing his tail. I have seen these complications first hand in others who have tried these surgeries, but there are a few, a very few people, who have succeeded and healed.

I know the risks and have spent the last two years searching out a doctor willing to attempt to repair my veins. I have begged and pleaded him to try it on me. Surgery to fix the faulty veins is very risky. The 80% failure rate is 80% and the repeat rate, 100%, meaning additional surgeries. And yet, I am willing to pursue the surgery anyway. What else can I do? There are no other treatments. My one feeder vein, which should have the circumference of a piece of pencil lead, now has the circumference of a quarter and is only getting bigger by the month. It is a feeder vein to my lower colon and rectum and is no longer allowing the organ to function normally. The pain is beyond anything I can take, even on pain meds. It is going to blow at some point and I am not willing to go there or lose my organs, so after much consideration, and two years of working with a surgeon, we are going to go in after this vein and we’re going to clamp it off and bypass it.

This vein is embedded in not only feeder nerves to the colon and rectum, but also, a ganglion of autonomic nerves. This surgery is extremely risky. If any of these nerves are damaged in the process, I would suffer not only intractable nerve pain, but also, loss of control of the bowel or bowel paralysis. This could also happen to my bladder, which eventually may cause me to lose the colon and the rectum (or as we Cronnies like to call it a “Barbie butt”, which is where they remove it all, put a bag on your side and sew up your butt like a Barbie doll).  On top of this, because of the autonomic nerves connect there; I could lose control over my heart rate, blood pressure and respiration. With all this being said, I’m willing to take my chances.

This surgery will leave me in severe pain for about 10 to 30 days. I will be bed ridden for those 30 days. This surgery will not get me off the pain meds but should reduce them dramatically. We’re only working on one vein right now; however, we may need to work on another.

Last Saturday, I woke up to filling the toilet with blood, a sign that something else has gone wrong. I took my pain meds, took my BP and heart rate and decided I was going to live. I went to the bathroom again, again later that day and this time I bleed out so bad that even after standing up I was still trickling blood and clots down my leg. It was off to the ER again.  After several hours they could not figure out where it was coming from but my hemocrit was high enough that I did not need a transfusion, so I told them I was going home and did.

The bleeding had stopped as usual, but I called the doctor, and spent the day at Northwestern with my doctor trying to figure out which vein blew. We think it came from the kidney and that was a self-contained bleed; it busted open and then clotted itself off. This is not my first bleed. I am constantly in the hospital for bleeds. My doctor says I need to come in and STAY in the hospital. I looked at her and said, “I spent just over 200 days in the hospital in 2012 and over 120 in in 2013 and I’m somewhere around 50 plus this year, I’m not going in anymore unless I’m dying.” It is not that I am giving up the fight but I’m tired damn it! So, I’m living and letting God take care of the rest.

Living Chronically Ill with Ehlers Danlos: Children and Spouses

This is only one of the many things I live with daily from EDS. The saddest part of all of this is now watching my babies go through this journey. The heart break and guilt runs deep and not being able to save them from this hell, is hell itself.  All we can do is to teach them how live with this horrible disease and be guinea pigs ourselves to help find ways to eventually treat them.

The men in our lives suffer right along with us. They feel helpless during our suffering. They have to pick up the household duties on top of working, and then there are the countless ER visits, the surgeries, the endless nights sleeping in chairs next to our beds in the ER, ICU or hospital, holding our hands and praying that we will get through this one too. They too have to deal with our screaming pain that many times leaves us unable to even hold a conversation. When we reach that screaming pain level, these poor spouses know it’s going to get ugly because it is all we can do to breathe. God help them if they even breathe too loudly because we are likely to snap the F@#k off and that’s when the crazy person comes out, the kind of crazy that even their mothers never warned them about because no one ever knew that level of crazy existed. They have learned the code words for it’s a really bad day, which means make sure I have a tall glass of water, my pain pill bottle and then leave me alone until I am either drugged enough or my body has adjusted to the pain level. My poor Tom not only deals with me but also my daughter who is now experiencing the pain and fatigue on levels that are leaving her to fight the crazy nasty pain devil that comes with this illness and that’s not to mention all the problems my boys have gone through because of this disease. God love these men and any faults they may have because they are angels to go through this.

Ehlers Danlos is a genetic disease that affects every part of our bodies, it affects every system and it disables us at every turn. There is no cure or treatment, there are few doctors who even know about this illness and even fewer that are willing to treat us. We actually get turned away as soon as they find out what we have. Our pain is so severe and incapacitating that most of the time there is not much that can be done other than to put us in the hospital and sedate us into oblivion! Those with the vascular form walk around with a cloud hanging over our heads not knowing when the next bleed is going to happen and whether it will be the one that finally takes us out.

I live with aneurisms in my brain, spinal cord and mesenteric artery. They will blow eventually just like the feeder veins. Some of us take palliative care, not that we are giving up the fight but because we hope they offer us something that helps. After being a hospice nurse for nearly 20 years, I could not do this. I walked out of the hospital and have chosen not to go there anytime soon. My head just cannot comprehend that yet.

Ehlers Danlos – We Look Normal

The worst part of this disease is that from the outside we look like everyone else, so no one can see our pain or what is happening to our bodies on the inside, so very few understand what our lives are like or what it takes for us to just get dressed. They can’t understand how different we are, only those that live with us, and unfortunately, our children who are now walking our path and the other EDS sufferers. It is also hard for some to not understand how one child in a family plagued with this illness can be so sick while another who has it too only suffers some minor problems or nothing until one of their arteries burst in the 5th decade of life. This is still being researched, the only thing they do know is that it is dominant gene and the mutation is true to the family, but the symptoms vary in degrees and systems from one person to another. It is a horrific disease that robs us of our lives and hides inside so others cannot see what we live with daily. At the bottom of this page I posted a pic from the National EDS foundations site to try and make people aware of what we look like on the inside, this is what EDS does to our bodies, organs, bones, nerves. If people could see what we really look like maybe then they could understand our pain, then maybe they would not criticize but instead praise us for continuing to fight, to get out of that bed, to continue to keep living despite the destruction! For me I continue to fight for my kids, I offer myself up for research, hell I’ll be a guinea pig like so many of us Ehlers Danlos sufferers. I will continue to get my ass knocked out by this disease but I refuse to stay down. No, I will get up and I will put a smile on my face I will laugh. I will go out and join the rest of the world, because that’s what we do!!

Postscript: Debra enters surgery today, August 28, 2014. We wish her well.

Ehler's Danlos