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Remember, I'm not a Doctor. Just a Celiac sharing experiences. Always consult your Dr. for questions on Celiac Disease and gluten issues. On living green? I'm still figuring that all out!

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The Story of John S.

Symptoms:  Energy Loss and Energy Swings
Family History:  No Disorders
Allergies:  None
Medical Misdiagnoses: 2

Permit me to introduce myself.  I’m John Simpson, Eileen’s husband.  What I’m going to do is start a special series on Eileen’s blog covering medical misdiagnoses, celiac disease, gluten intolerance and allergies.  As you read the real life stories of others who have experienced these problems, you may find that one or more of your health issues coincide with what others have experienced.  I’m here to say you are not alone.

Let me tell you my story.  About six weeks ago, I got the results back on an ALCAT test.  Gluten intolerant.  That wasn’t so bad, but there were 19 other items I had sensitivities to.  The killers:  beef (favorite meat), corn (favorite food), apple (pectin is everywhere!), banana (favorite fruit), sweet potato (no more Outback Steakhouse), lobster (so much for high class), crab (I live in Maryland) and coffee (anything but that).  I won’t bore you with the rest.  Needless to say, I was devastated.  I pictured myself eating Japanese the rest of my life.

So that got me taking a path down memory lane.  I had no problems with any of this stuff until my late 30’s/early 40’s.  When Eileen and I met, I was an active long distance runner and skinny as can be.  I had more energy than a nuclear reactor.  I was the kid who the parents thought was crazy because I went door to door for the kids to play kickball… when it was 96 degrees out with 100 percent humidity!  Then one day a couple of years ago or so, Kyle came home sick with a variant of the “foot and mouth” disease.  Naturally, I got it too.  That was the trigger for both of us.   As you know from Eileen’s blog, he lost all his body hair.  As for me, that’s when my body started attacking my pancreas.  You guessed it… I was diagnosed as diabetic.  My energy level would go from low to high.  I wound up exhausted or hyper most of the time (the hyper part was great for running and I could run for 1-1.5 hours and feel fresh like I slept 10 hours).

So I countered it by drinking coffee.  Lots of it.  Dunkin Donuts was my sensei.  I would have a large cup with Spenda and be on top of my game!  That is, for about an hour.  As you’ve surmised, I was very allergic to coffee, so as I sought more energy, I was just taking more away after the caffeine wore off.  I was topping out at 8 cups a day.

The first doctor I went to said I was “pre-diabetic”.  He blew the diagnosis and simply offered dietary changes via a dietitian.  Well, all that did was waste time.  So we changed doctors and I went through the same tests.  This time, I got the full Monte.  The new doctor said I was Type 1.5.  Every heard of that?  It means my pancreas still works in spurts and I’m destined to be a full Type 1 insulin dependent in a year or two at most.

During this time, I was starting to have trouble with my running.  It was getting impossible to run an hour at all, let alone four days a week.  I was also starting to feel really tired in the afternoon.  So I tried mixing up my lunch.  Nothing seemed to work.  I changed foods and changed quantities.  Nothing worked.  During this time, Dunkin Donuts stopped working for me.  No longer did it perc me up.  I knew I had a problem that transcended diabetes.

The second doctor blew his diagnosis too.  After almost 3 years, I’m still around and my pancreas still works.  There’s no way I’m a Type 1.5.  So I figure I’m a Type 2.  I’ve had a lot of time to think about it and I have a theory I’d like to share that explains this all.  It also explains my energy problems.

I don’t believe I was born with any of these allergies and I certainly wasn’t diabetic.  Somewhere along the line, I believe that all the chemicals we ingest build up in the system.  They say some things like certain metals never go away.  What happens is that they make you vulnerable to any major shift in body chemistry.  The disease that hit Kyle and I triggered a reaction in me that  increased my histamine levels to stratospheric levels.  So at Eileen’s advice, I got the Alcat test and you know the results.

As for my problems, it took a week to get over my coffee addiction, which was no fun.  After a couple of weeks, I was a new man.  I didn’t see Brad Pitt in the mirror, but I felt like him on the inside.  My daily energy problem was due to my body’s reaction to allergic food that I ate every meal.  I ate one or more allergic foods for lunch and bingo… nap time a couple hours later.  As for my running, I suffer from a steep drop in blood sugar, but by taking a glucose pill before I begin, I seem to have it licked.  Sometimes you just have to diagnose yourself.

The reason I say all this is not to have you shed any tears.  I simply want to say that our doctors don’t take the time to order the right tests even if they cost money.  The result is misdiagnoses.  The other moral of my story is that we are what we eat.  Some of the stuff will build up in your system.  You may see your body responding by attacking itself and/or suddenly becoming allergic to various foods.  Even if you’re not allergic now, the older you become, the greater chance  you will be a candidate.

So get a food allergy test even if you think you’re not allergic to anything.  Do it every five years or so.  Your body will thank you.

John S.

P.S.  Would you like to tell your story?  I’ll be your ghost writer.  Email me!

Uno’s Pizza National Dough Rai$er for Celiac Awareness

Starting TODAY and continuing through May 31st, Uno’s Chicago Grill is hosting a National Dough Rai$er for Celiac Awareness. Uno is the first national, casual dining chain to launch a Gluten Free Pizza and to offer a Gluten-Free menu.  They understand people with celiac disease want to eat out and must have safe options.

Gather your family and friends and celebrate awareness month by visiting your local Uno’s Chicago Grill.  Why not have your support group meet for a night out!

The National Dough Rai$er is one more way Uno’s is supporting the celiac community. Show your appreciation by enjoying one of their gluten free pizzas!  Twenty percent of sales generated by participants in this event will go to support the ACDA’s efforts to raise awareness and to improve the lives of those with celiac disease.

Be sure to print this voucher ( also at www.unos.com/acda.pdf ) and give it to your server.  Go to www.unos.com and click on ‘locations’ to find the nearest restaurant. This is not valid at Pizzeria Uno or Uno Due.

Thank you and Enjoy!

The American Celiac Disease Alliance
www.americanceliac.org

Kyle’s Hair Update

For all of you following our saga with Alopecia, here is a picture showing Kyle’s hair growth.  I’ve received so many emails from Alopecia patients that have benefited from a gluten free diet even if they were not Celiac’s.  Why not give it a try?  He started getting his hair back right away.  It took 2.5 years to totally get it back.

Gluten Free=We Have Hair!

Gluten Free=We Have Hair!

Celiac Study: Non-invasive Intestinal Evaluation Shows Promise

Celiac.com 05/21/2009 – To better diagnose celiac disease, assess intestinal damage, and monitor treatment over the long-term, doctors are looking to develop a whole new set of non-invasive evaluation tools.

One of the tools currently of interest are fatty acid binding proteins (FABPs), these are small cytosolic proteins found in enterocytes (tall columnar cells and responsible for the final digestion and absorption of nutrients, electrolytes and water). FABPs are reliable indicators of intestinal mucosal damage, and are potentially useful for non-invasive assessment of intestinal damage in celiac patients.

A team of researchers in the Institute of Nutrition and Toxicology Research at Maastricht University, as well as the departments of Surgery, Pediatrics and Internal Medicine at University Hospital Maastricht, recently set out to assess the potential use of FABPs in non-invasive assessment of intestinal damage in celiac disease. The study team was made up of J. P. Derikx, A. C. Vreugdenhil, A. M. Van den Neucker, J.Grootjans J, A. A. van Bijnen, J.G. Damoiseaux, L. W. van Heurn, E. Heineman, and W. A. Buurman.

They began by examining the distribution and microscopic localization of FABPs in healthy human intestinal tissue. They then checked circulating levels of intestinal (I)-FABP and liver (L)-FABP in 26 healthy control subjects, and in 13 patients with biopsy-proven celiac disease, both before and after initiating a gluten-free diet.  Ten celiac subjects underwent reevaluation within a year beginning a gluten-free diet.

They found that I-FABP and L-FABP are common in the small intestine, particularly in the jejunum. FABPs also show up in cells on the upper part of the villi, the part that is first to be damaged in celiac disease.

They also found that people with untreated, biopsy-proven celiac disease have substantially higher circulating levels of FABPs as compared with healthy control subjects (I-FABP: 784.7 pg/mL vs. 172.7 pg/mL, P<0.001; L-FABP: 48.4 ng/mL vs. 10.4 ng/mL, P<0.001). These levels return to normal when patients adopt a gluten-free diet.
According to the team, the monitoring of FABP circulating levels shows strong promise as a non-invasive means of diagnosing and assessing intestinal damage in celiac disease, as well as in long-term non-invasive monitoring of treatment and gluten-free diet compliance.

Journal of Clinical Gastroenterology. 2009 Apr 6.

Quote of the Day

For many reasons that are hard to explain, this quote means a lot to me this weekend.

“A woman is like a tea bag. You never know how strong she is until she gets into hot water.”
—  Eleanor Roosevelt

Ok Guys…Stop Yelling At Me!

Yes, I’ve been away from blogging…yes all those great links are not yet up and things are missing.  I moved servers so I can sell some ads and  it has been more of a process than I expected.  I have been trying to port over the missing info to the blog but I’ve had a lot going on.  Coming soon….local restaurant links.

Thank God for 22- year- old college kids on summer vacation.  I’m giving up on a lot of the porting over and will make her retype in the links.  it will help out the college fund!

Pamela’s Products Has A New Wedding Guide

I really think that this guide has great ideas for ANY party.   Back before the house fire, I use to have parties for mixed groups of Celiac’s and the regular folk out there.  No one ever could tell. but of course I did not try to serve french bread!

Caterer’s and restaurants are starting to realize that it is PROFITABLE to provide gluten free choices.

You can download the wedding guide at www.pamelasproducts.com

Economic Benefits to Diagnosing Celiac Disease on a National Level

A study published in Journal of Insurance Medicine has delineated clear economic benefits to diagnosing celiac disease on a national level using a managed-care approach.

A team of researchers based at Columbia University Medical Center’s Celiac Disease Center  recently set out to estimate the rate of celiac disease diagnosis and assess the economic benefits of diagnosis by reviewing retrospective cohort studies from a national managed-care-population database. The research team was made up of Peter H. R. Green, Alfred I. Neugut, Afzal J. Naiyer, Z. Collette Edwards, Susan Gabinelle, and Vijit Chinburapa.

Using the data, the team isolated cases of newly diagnosed with celiac disease. They also isolated 3 control groups that included people without a diagnosis of celiac disease, but who showed 1, 2, or 3 or more symptoms common to the disease.

They used claim, incident, and eligibility information from 10.2 million managed care individuals across America from January 1999 and December 2003. They quantified and compared direct standardized relative value based (RVU) medical cost and use of medical services across the whole of the 4 study base.

What they found was that the rate of newly diagnosed cases of celiac disease had increased more than 100% over the study period.

The celiac disease group showed substantial overall shrinkage in direct standardized medical costs compared with the control subjects.

RVU-based medical costs for the celiac subjects were 24%, 33%, and 27% below cohort 1 (p,0.05), 29.0%, 38%, and 24% below cohort 2 (p,0.05), and 38%, 33%, and 31% below cohort 3 (p,0.01) for the 12-month, 24-month and 36-month post-diagnosis periods, respectively.

The reduced costs correlated with a reduction in office visits, lab, diagnostic, imaging, and endoscopy procedures compared to the 3 other cohorts over the 3-year follow-up period.

The researchers found increased rates of celiac disease diagnosis, which was tied directly to a substantial reduction in direct standardized RVU-based medical costs and use of selected health care services over the period of the study.

Journal of Insurance Medicine 2008;40:218–228

Ah, Picture of my Favorite Place on Earth

Will I ever get back?

Jobson’s Cove in Bermuda

Kyle at Jobson's Cove in 2004

Doctors…I Try To Love You, But I Fail Often

So, a friend has “eczema” and went to a university hospital to be diagnosed.  When I say she has a rash, it is ALL over her body.   I am NOT a doctor, but the rash looks suspiciously like dermatitis herpetiformis It may not be, but they never tested her at all.  Why? Simply because she is Chinese.

Hmm,  we’ve progressed from you have to be a child, small, white to you only have to be European? Where did THAT idea come from? I cannot tell you how many ethnic people come to our local Celiac group, or come up to us at fairs and say they have this disease. YOU DO NOT HAVE TO BE THIN AND WHITE TO HAVE CELIAC DISEASE.  What about gluten intolerance?  Nope, didn’t screen for that either.

Now, if she has eczema then why just treat the symptoms and send her home?  They gave her antihistamines that make her unable to function.   Eczema is tied to allergies, most likely food.   They figure if we can make the rash go away with a pill, why bother looking for more?  If you solve the problem then no more visits?

Prevention guys…prevention.

Eileen Simpson