Home     Silver Creek Farm Services      Pro-Lix Cattle Supplement      Mix 30    
Equine Services      Puppies      Rental Property      Relapsing Polychondritis

Relapsing Polychondritis

 What is Relapsing Polychondritis?

     Relapsing Polychondritis ( referred to as RP) is an uncommon chronic disorder of the cartilage which is characterized by recurrent episodes.  Tissues that can become inflamed include nose, ears, eyes, joints, spine, trachea.  The heart and the blood vessels can also be affected.  

      The cause of RP is unknown. It is suspected that it is caused by an immune system disorder. This results in inflammation directed to various tissues with cartilage components throughout the body.  The inflammation from this mysterious disease then causes sudden pain, redness, and swelling with the possibility of eventual destruction. Extreme cases can involve the windpipe or trachea, breathing difficulties.  Joint stiffness can involve any joint including hips, back, hands, knees, ankles, wrists and feet. Eye involvement can become severe and can cause damaged vision. Other tissues that can develop inflammation include those in and around the heart, the aorta (which can lead to aneurysm or aortic valve weakness), other blood vessels and skin ( types of vasculitis) and the nerves from the brain (causing cranial nerve palsies).
     RP can also be associated with other autoimmune-type diseases. Some of them include Rheumatoid Arthritis, Systemic Lupus, Vasculitis,  Wegener's Granulomatosis and others.
     Treating RP with mild symptoms usually involves non-steroidal anti-inflammatory medications (NSAIDS)including ibuprofen. Frequently high doses of steroids and/or immunosupprecent drugs are needed especially when the airways or eyes are involved. Prognosis for patients suffering with RP is usually unpredictable as repeated bouts of inflammation of cartilage from RP often leads to permanent destruction, disability, or deformity,  Impaired breathing from involvement of the trachea and that of the heart, aorta, and other blood vessels can be life threatening and possibly fatal. 
     For more information on RP visit these sites on the web: http://groups.yahoo.com/group/Rpolychondritis  and http://www.polychondritis.com  and http://www3.telus.net/polychondritis/ Myself,  as well as the others in this very informative group hope to help/educate others.  Many precious months or years can be saved by an early diagnosis, thus preventing many agonizing years of  pain and destruction which many of us have  endured. Presently valuable research is being done on this disease at Benaroya Research Institute at Virginia Mason Foundation. Any donations are gratefully accepted there be must include attention to: Relapsing Polychondritis Fund c/o Dr. Jane Buckner, PO BOX 34935, Seattle, Washington 98124. There also is a payment option for donations thru Visa/MasterCard online. They also are asking for any type donations including, cash, services, products, real estate, stocks & bonds.
Thank You, Dale Ross                          

 

"What’s Wrong with Dale?" (written by Dale Ross)

     Long ago, back in the late 1980's, I developed severe and chronic lower back pain. Most was probably due to numerous horse spills, sports-type injuries, motorcycle racing, lifting heavy objects, plus many other pretty "tomboyish" activities and stupid thrills! Wow, if I had only known what was in store for me!  
     I gradually progressed to being in incredible, chronic pain and was desperate for some type of relief. Ken, my husband, and I went to numerous orthopedics and neurologists, only to find doctors who would say "Tell me what is really wrong" like I had a mental problem. Others told me I just needed to live with the pain. How many 28 year olds would accept this diagnosis?? I must admit Ken tried to talk me out of any type surgery, but he was not the one in constant pain. I should have listened to my husband!! We finally found a neurosurgeon who said he could help me. I had 2 ruptured discs, L-4 & L-5. After several scans, including MRI's and a myelogram
[from Online Medical Dictionary:
A diagnostic procedure where a radiopaque contrast dye is injected into the spinal canal. X-rays are then performed which reveal the anatomy of the  spinal canal. Myelograms can be used to  diagnose disk disease, spinal stenosis and tumours of the spinal canal. MRI and CT scanning have largely displaced the use of this more invasive test.] (which in my opinion could just about kill anyone) the surgery went as scheduled. I was told I would be much better in 3-4 months with therapy. Wrong!! 
     After about 3 years of again constant, chronic pain, I was told I had a build-up of scar tissue in that area the surgery had been done and would need epidural steroid injections to reduce the scar tissue. This would be done by an anesthesiologist in a series of 3 treatments administered into the epidural space surrounding my spine. I went through 3 of these treatments, which hurt like heck! It was not a very pleasant experience to go through, but once again I was at the end of my rope to end or ease the pain. After going through the 3 treatments I noticed little to no relief.
     Two days later after the last treatment ,we were out quite a bit that particular day on the farm, when I noticed I had a very bad headache and light sensitivity. At approximately 7 pm that evening, we grilled steaks & within 30 minutes I
became violently ill. I went into the restroom and began to vomit several times. Ken asked me if I was OK, and opened the door to find me trying to climb the walls! He just about flipped out, not knowing what could be wrong with me. We are in a rural area and, at the time, did not have a 911 system. He got a neighbor to help hold me in the seat, and they proceeded to drive me to the nearest hospital. They were afraid I might try to jump out as I was like a person “gone mad”. 
      I vomited all the way to the hospital, and the last I remember is being put in a wheelchair. I remembered nothing for at least a week. They first told Ken I had a stroke and would probably not survive. Then, after drawing spinal fluid, the diagnosis turned to spinal meningitis. With a temp of 107, I also had encephalitis, which is swelling of the brain. Things sure did not look good for me. My husband was told if I did somehow survive, I would most likely have some type of brain damage. After a week or so, a nurse was washing my face when I opened my eyes. She nearly had a heart attack! I slowly regained my health, seeming to have no major neurological problems. When we asked the question of how bacteria could have gotten in my spine all the doctors either left or changed the subject. To this day I will forever believe this was the start of the Relapsing Polychondritis.
     After several months of recovering from this near death experience, I began to develop severe sinus type problems. My nose would swell, hurt, and turn red. My ENT at the time said it was a sinus infection, but it did not respond to the antibiotics. As soon as I seemed to get better, my left ear did almost the same thing, just much more painful. Ken and I would sit in the floor and cry, the pain was so bad. We went from doctor to doctor, had private insurance with a very high deductible (meeting it several years in a row + our portion we had to pay). I went to a whole group of ENT's that said I had been bitten by a spider!! My ear became very swollen, enlarged, red, and oh, ever so painful.  
     As time continued to go by, this Relapsing Polychondritis (or RP, as it is called) continued to destroy cartilage and connective tissue throughout my body. I began to have breathing problems leading to panic attacks, plus the horrible ear pain continued to worsen. Desperate, crying and getting more broke with each doctor visit, I walked into a small town local doctor who took one look at me and immediately sent me to another doctor, a dermatologist who knew exactly what was wrong. He set up an appointment at Emory University teaching hospital in Atlanta, Ga. for the very next week. It was the dermatology dept. at Emory who diagnosed me, with no doubt, as having RP.  
     Besides the nose, ear and painful joints all over, now it was discovered it had invaded my aortic heart valve. After seeing rheumatologists, cardiologists and every other specialist you could think of, I was told my heart valve was leaking pretty badly, causing me to become extremely tired and weak. I would need heart surgery for an artificial aortic heart valve. We set it all up for January 1999, however I ended up with 911 en route to Emory in November 1998 after almost going into heart failure. My blood pressure on the way in the ambulance was 20/40! My daughter at the time was 2 years old. This was one of the toughest times in my life. I cried, prayed, did everything I could think of! I was absolutely terrified at this point. I went into the hospital at Emory on a Thursday, and they had to wait until Tuesday to stabilize me before the surgery could take place. I was fortunate in that I had the very best doctors in rheumatology, cardiology and heart surgery they had to offer. I thought for sure I would not make it this time either, and terribly missed most of my family since I was 2-3 hours away.
     Well, I made it, however it was a great turning point or revelation of my life. I had a loving husband who was there most of the time and a beautiful little angel who needed her Mom!  
     No sooner than replacing the heart valve, I began to have many eye problems from this terrible disease. I developed an extremely painful eye condition called iritis (or uveitis). The eye, or eyes in my case, become unbearably painful, inflamed, and blood red. Vision is limited. I was treated with several drops, one was a dilating drop which helps the pain by not letting as much light in. Three years ago, I almost lost my eyesight, wore dark glasses, carried a cane. At that time, I also developed Sweet’s Syndrome, a rare and very painful skin condition. 
      I also had been on very high doses of Prednisone which lead to weight gain of 80 pounds over a 10 year period. This past August 2003, my husband and I set out to lose weight, mainly for his arthritic knee, so I joined him. To date, as of May 2004, I have lost 60 pounds! I am almost back to my former body weight from 20 years ago!  
     I have always let Emory University photograph really bad things I come in with. I have hopes that pictures of these things may help others to NOT go through what many of us RP sufferer's have. I have so many hospital "horror stories" as well as miracles too. In my opinion, doctors are not God, and you must always question what is done to you. We, as patients, do not have to accept what we do not like at the hospitals, and doctors are employed by us!  
     My most recent near death experience was in March 2004. With no warning, I realized I was very ill. I called 911 was taken to the ER. My husband was out of town on business. I was alone until friends heard and came to be with me. I developed pneumonia which lead to sepsis. I spent almost 2 weeks in ICU this time, was allowed to get up while "out of it", resulting in 2 falls. Two months ago, and still in terrible pain, mainly now due to the falls. I almost fractured my femur and have had horrible lower back pain. Therapy seems to be helping - it will just take time.  
     This illness has really taken a toll on my body, but hopefully I can return to my walks and gain my strength back. Imagine, one day you can feel somewhat normal in appearance, physically and mentally, and the next several days totally wiped out and in bed all day. It's not feeling sorry for yourself, but more like hoping you were "normal" for longer periods of time. Dale looks fine most of the time to people -  I can "act" good enough. Any chronic illness does from time to time, cause some form of depression whether you will admit it or not!
 
     God is good. I  would challenge anyone who has taken a walk like me to say there is no God!! I am still here! I never say "What's next"? Thanks to all my dear friends who have been there for me. One friend who is battling cancer herself, told me I have the lives of a herd of cats!!  

Update on Dale's story - October 2005 --- As 2005 comes to a close,  I continue to battle the regular day to day struggles due to my last "episode" in March 2004 after surviving Sepsis! During February 2005, I suffered yet another blow when an accident caused me to BREAK MY ARM!!! It was my left arm & I am left handed! Between this broken arm & the onset of bursitis in my hip/seat area, (probably from the force of my fall in March 2004)every day can sometimes be a "challenge". To say it is painful would be an understatement indeed!! I went through several
arm casts causing numerous sleepless nights while still "dealing" with the constant "regular" health issues.

The pain with this bursitis became so severe at times, I found it impossible to sit, walk or even sometimes just lie in bed.I have used heat, ice, physical therapy, even pain medications, but nothing seems to help. I was lucky enough to find another caring, helpful doctor (orthopedic) who did a cortisone injection in May, 2005 & just in September, 2005. As much as I HATE steroids, this seemed to give me a few days or week of relief.

The summer has been somewhat better especially since I have been swimming regularly to improve my body condition & help with this pain. In addition, however painful sometimes it might be, I forced myself to light hiking along with the swimming.

I also lost a beloved doctor of many, many years. He had been my GP & lost his battle to cancer in August, 2005. No one will ever "fill his shoes" nor can I express the grief I have felt losing him. No doubt about it - STRESS CAUSES PAIN!!!

Just when I THOUGHT I was doing better, on September 26, 2005, I stepped on an uneven surface & severely sprained my left ankle!!! I'm beginning to think if not for some bad luck I'd have none at all! I am still in an
ankle brace as of October 8, 2005. So much for my swimming & hiking for now. I'm back almost where I left off to licking & nursing my wounds. My daughter always says "Pray Mom" - guess I will for a much better Thanksgiving, Christmas & healthier 2006!!!
 

Sincerely, Dale Ross 

February 25, 2006

I'm not really sure why I "expected" 2005 to end on a good note. Possibly I am an optimist? Unless I want to stay severely depressed, I think I HAVE to be!

November 2005 held many lows especially after the death of a well known relative and elected public official due to cancer, a very special neighbor who was a professor, cattle farmer and friend,  suddenly died of a massive heart attack, a former business owner and employer who died from complications due to MS, several other friends of various illnesses and also my breaking point, I thought had come when I lost my beloved family dog of 13 years to something called "Horners Syndrome" which worsened from a brain tumor. Somehow I managed to make it through
November, Thanksgiving and into December.

It was the first of December when one of the longest friendships in my lifetime came to an end also. This friend was one of the most loyal, trusted friends I have ever known. As bad as things were when Hospice stepped in, my friend never really complained, although I watched silently and helplessly as her condition deteriorated  quickly. During this difficult time, one day I got a phone call from Ken, my husband telling me he had bad news. He called to tell me that our daughter's 40 year old pony whom she was quite fond of, had died. As I tried to pull myself together to get back to help care for my dying friend, she knew about the pony dying and managed to tell me how very sorry she was the pony had died even as she continued to fight her own battle with cancer. This was the last real conversation  we would have. The day I had dreaded for so long came on December 11, 2005. That is when my friend finally lost her battle to cancer. Her brother's called me early that morning and along with another friend we all cried together. It was such a sad day. I held her hand, rubbed her face and spoke to her telling her how I was so relieved her suffering was at last over and she was in a much better place. No words can ever express the pain and loss I have felt and will continue to feel. I miss her presence terribly and she will forever remain in my thoughts and prayers. That big deep, dark hole of depression was about to reel me in but I now still continue to fight my own battles, somehow, someway.

January and February 2006, I continue to travel every 6 weeks for my "regular" treatments in the hospital that allow me to have a few "good weeks" with somewhat less pain. The chest congestion and upper respiratory infection I have, still linger since the last of 2005 although I do believe it may be the first "flare" to my respiratory system I have experienced, however I'm hoping it will soon be better. I will continue to hope for a much better 2006. Did I mention I am an
optimist?                              
 

Sincerely, Dale

 

 

Silver Creek Farms
Ken and Dale Ross
1820 Brickyard Rd.
Comer, Ga. 30629
706-783-3564

e-mail us at scfarms@alltell.net

This site designed by Stonelake Web Designs.

Need a website?  Contact
S
tonelake Web Designs
at sue@smartcosoftware.com

or visit
SmartCo Software on the web at
www.smartcosoftware.com/swd