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A SIXTH Diagnosis & a Major Depression

Oct 05, 2009 - 6 comments
Tags:

Major Depression

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diagnosis

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Depression

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Hope

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Infection

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antibiotics

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friends

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surgery

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procedure

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mycobacterium

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fortuitum

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mycobacteria fortuitum



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Many of you are aware of the stressful nature of events throughout the last 1 - 1/2 years and, like the rest of my journey, hope there is some portion that can help someone else who may be experiencing the same feelings.

I have a NEW SIXTH Diagnosis (and they assure me this is a final diagnosis) for the tummy abscesses I've been experiencing.  The micro-organism has been identified as Mycobacterium fortuitum.  I have had seromas and drainage of those areas in my left tummy since shortly after my surgery in April 2008.  These have been aspirated and opened spontaneously along suture lines.  I have had six abscesses to date and am now on Bactrim DS, Bactrim SS and Ciprofloxin 500 mg ... all 2 x a day ... for approximately 6 months.  

The picture is of 3 of them that had been drained and were healing before more of them popped up and we got on the right antibiotics.  Tummy now has 5 of them and 1 on my hip .. and the top one on my tummy just started hurting today and feels like there is something in it.  Will watch it and call the University of Iowa to report.  There is a possibility they will have to add yet another antibiotic if it persists.

Here is some general information from an article from the National Institutes of Health ...

-The clues for diagnosis were persistent pus discharge in spite of broad spectrum antibiotics and failure to grow any organisms on routine culture.
-Combination antibiotic therapy with surgical drainage in more extensive diseases is essential for cure.
-These mycobacteria are known to cause cutaneous infections, typically in association with trauma or clinical procedures.
-The characteristic features of surgical wound infections caused by M. fortuitum resemble that of pyogenic abscesses and include local erythema, induration, microabscesses and discharge from sinuses.
-It must be emphasized that skin and soft tissue infections caused by M. fortuitum can be treated successfully only through a combined approach - with surgical removal of all necrotic, drainage of purulent accumulations and antibiotic therapy. Wounds must be left open and packed to prevent early closure of skin, which can result in the reaccumulation of pus and the appearance of new draining fistulas. Combination therapy seems prudent initially because of concerns about resistance.

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2739555  There is a nice case study that is fairly easy to scan .. at the National Institutes of Health link I've provided.

To top things off, I had 3 people who I thought of as dear friends who stopped all communication without any explanation and because I believe in true friendship it hurt deeply.  Between that and a family issue that is causing much pain and retrospection, I finally broke.  

When I couldn't get out of bed for 2 days and cried all the time, I realized I was in trouble and sought help.  I am now on antidepressant medication, anti-anxiety medication (prn - as needed), and counseling.  

When I started my journey 3 years ago ... I had to tackle a lot of emotional baggage as to why I was overweight and the underlying feelings that I was trying to mask (self-medicate) with food.  It took a lot of hard work, an open mind, and new ways of looking at things.  I lost 150 pounds ... and then gained 20.  I have hovered between 199 and 210 for the past year.  It is not because I don't know what to do .. I have some unresolved underlying issues/feelings that need to surface and be dealt with in order to continue my journey.

I thank G-d that I have each of you in my life, for each day of life, and for always being there for me.  I am grateful that as we allow a door to close that others open.  I say allow, because I have been known to be stubborn and try to hold the door closed and keep things the same .. when I do not know best.  When I finally stand out of the way and quit fighting, the door closes easily and many other doors, better ones, open.

Slowly I am working my way back to the group but am taking care of me first.  You'll see me slowly posting and then working my way back ... and just know ... I could not do this without ALL OF YOU!!!!  We NEED EACH OTHER!!!

Much love and my deepest gratitude for all the love, support, and hard work you are doing to keep the board cleared.  MedHelp is an important part of my life and is one of the "carrots" "Rewards" I am using in my recovery.

Comments
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193609 tn?1292180293
by Cheyenne_08, Oct 05, 2009
I am sorry that things have been so hard for you....! Hopefully everything gets better soon!

579258 tn?1250649343
by Ranaesheart, Oct 05, 2009
Thank you Ms Cheyenne_08 ... I am CERTAIN they will get better ... one day at a time!  We all are faced with life's challenges and some rocky paths .. but there is always beauty and things to be thankful for if we look for them.  Besides, the rocky paths and challenges help us to get stronger and better appreciate the soft feel of the grass under our feet and the daily blessings and celebration of living life.

Getting the help I need without direct cost to me, Kalista's continued treatments and remission, all of you here who are so caring and such dear friends ... I continue to be blessed and my needs met.

We each make a choice as to how we wish to view the world .. to be thankful and count our blessings .. or to stay in sorrow and settle.  We each have such strength to succeed and be better .. we just have to BELIEVE and have FAITH and choose to see the splendor and positiveness of life.  


1016004 tn?1254372364
by Survivable, Oct 05, 2009
Ranae, I am so sorry you have been having these physical problems.  I guess I have been out of the loop.  Now that I am learning more about how to use MedHelp, I will do better at communicating with you.  I am thankful you trust us with your thoughts.  It helps me to better understand what you are going through.  So glad you recognized your symptoms of depression and sought help.  That takes great courage and strength.  You have been a mighty inspiration to hundreds of people and I am one of them.  You are true to yourself and to others.  That is the way we discover ourselves and help others discover themselves.  I am thankful for our friendship.

Love you,
Survivable

483733 tn?1326798446
by TrudieC, Oct 06, 2009
Ranae, so good to see you posting.  We've all been worried about you.  Your plate is over full but I know you will whittle it down, heal, and come out healtheir in both body and mind.  Have faith in yourself and your God.

Much love, Trudie

657315 tn?1319491387
by twehner5, Oct 10, 2009
Ranae, I just stopped by your profile to check on you and saw your journal.  I haven't been on MH much in 2 months or more...you may or may not know that.  Just busy with a pending move.  I still don't know if I'm "back" yet or not, but I *DO* hope and pray for the best for you.  Please take care of yourself.  Thinking of you....

428506 tn?1296557399
by wonko, Oct 10, 2009
Ranae,

I don't know how I missed this entry when it first appeared!

I feel deeply for your situation.  Reading about the long-term antibiotics, your friends cutting you off when you're sick and need the support, and struggling to hold your weight steady even when you KNOW what to do resonates with me.  I could have written those exerts from your journal, so know that you have one more friend who DOES understand!





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