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Egg Count Down – 6 months post infection

Just did another McMaster egg count.  Results:  850 – 950 epg. (I did it twice, but with the same stool sample.)  I suppose I should do another stool sample to verify, but this is down from 1400 epg in January.  Symptoms have been worse as well, the last month or so. More mucus, more urgency, a little pain in the ileal-cecal valve.  What does it all mean?  I did a blood test a few days ago, so it will be interesting to see what my CRP is.

Egg count is supposed to peak around 6 months, then decline.  My last innocualation was the end of September, so 6 months ago.  I wonder if we should reinfect twice a year, or if it’s based on the amount of worms you get and keep?  Does egg count correlate with symptoms?

At least they’re still alive, so I have something to incubate.  I’m off to the garden store to get some vermiculite.  Then I’ll get my petri dish ready, and try to incubate again….

Worm Proteins Ameliorated Inflammation in Mice

ISSN 1007-9327 CN 14-1219/R World J Gastroenterol  2010 February 14; 16(6): 703-712

Schistosoma mansoni proteins attenuate gastrointestinal motility disturbances during experimental colitis in mice

http://www.wjgnet.com/1007-9327/16/703.asp

Injecting worm proteins  into mice given colitis resulted in decreased gastric motility (less bowel movements) and amelioration of inflammation.  Pretty good stuff.  This means that worm proteins will eventually be the next Prednisone, and the live worm won’t be necessary.  I wonder how often we would have to take them?  Will they be a shot, a pill, or an enema?  Can we get out of the mice model into some human studies before those with IBD lose their colons in waiting?

Abstract

AIM: To investigate the therapeutic effect of Schisto­soma mansoni (S. mansoni) soluble worm proteins on gastrointestinal motility disturbances during experi­mental colitis in mice.

METHODS: Colitis was induced by intrarectal injection of trinitrobenzene sulphate (TNBS) and 6 h later, mice were treated ip with S. mansoni proteins. Experiments were performed 5 d after TNBS injection. Inflammation was quantified using validated inflammation parameters. Gastric emptying and geometric center were measured to assess in vivo gastrointestinal motility. Peristaltic activity of distal colonic segments was studied in vitro using a modified Trendelenburg set-up. Cytokine profiles of T-lymphocytes isolated from the colon were determined by real time reverse transcriptase-polymerase chain reaction.

RESULTS: Intracolonic injection of TNBS caused severe colitis. Treatment with S. mansoni proteins significantly ameliorated colonic inflammation after 5 d. TNBS did not affect gastric emptying but significantly decreased the geometric center and impaired colonic peristaltic activity 5 d after the induction of colitis. Treatment with S. mansoni proteins ameliorated these in vivo and in vitro motility disturbances. In addition, TNBS injection caused a downregulation of effector T cell cytokines after 5 d, whereas a S. mansoni protein effect was no longer observed at this time point.

CONCLUSION: Treatment with S. man­soni proteins attenuated intestinal inflammation and ameliorated motility disturbances during murine experi­mental colitis.

© 2010 Baishideng. All rights reserved.


Who are you and where do you come from?

This blogging software allows me to see how many pages are visited each day, and what search terms people use to find it.  There’s been a steady increase of traffic over the year, with some days peaking at almost 200 views!  At first the Radio Lab piece got the most traffic, now the celiac trials are bringing in a lot of interested people.

Every day, there are more and more “waiting for the cure” searches, meaning, people know the website and are typing it in full.  Yet I get very few comments on this site, and many of them are from the same readers.

So I’m wondering, how do you know about “waiting for the cure?”  Is your doctor telling you to check it out, is it something you’ve stumbled upon after reading or seeing the news about worms?

You can contact me privately by clicking on the contact link, if you’d rather no one knows but me.  Or you can post a comment anonymously by making up a name and using a false email.  (Does that work?)

I know most people are afraid of other people knowing they are trying or even interested in worms.  I have no high profile career to lose, and want everyone to know about this worm option, so I’ve sacrificied any notion of privacy and just used my real name for the CBS piece, the yahoo message board, etc.  I haven’t used my name in this blog, but most people know who I am regardless…

Just wondering what everyone else is thinking these days of worm therapy and how you got here.  No real reason but curiousity and a dose of vanity sprinkled with paranoia…

What Next?

The hookworms are helping enormously, but it’s not enough. I still have a lot of anal mucus, urgency, and “wet farts” that I wish would go away. I just hit my heighest weight; 162 (if the scale was accurate.) I started this whole hookworm experiment at 137 pounds, so this is considerable.

I’m going to do an egg count this week. Assuming it is the roughly the same as last time, I will hit 6 months from my last dose at the end of March. It may be that I infect every 6 months until I have enough worms to keep me well. I wonder if the infection itself is part of the solution? How many people have lasted beyond a year with relief? Is the number of worms critical? Do you reach a point that a certain number of worms = efficacy, then more becomes harmful?

Assuming I can get trichuris trichura, will that help? Since I have mostly colonic Crohn’s, would the whipworms be more efficacious to my rectal symptoms? Would the combination of hookworms and whipworms be more effective than hookworms or whipworms alone? How many whipworms then to add? What would be the side effect profile if one were infected with hookworms for 2 years already?

Too many unknowns. Too much to play with. The research is slow, and we are experimenting far outside of their perameters anyway. The celiac trial infected with 10 worms, then 5 a few months later. Who chose that number? The MS trial in Nottingham will infect with 25 worms at once. And no one is using trichuras trichura in research at all. The TSO you drink every 2 weeks.

Oh, what to do. I guess I’m lucky I have the hookworms at all to play with, assuming they’re still inside me, which I’m sure they are because of my symptoms. Just had a solid bowel movement, with no pain, after sleeping through the night (though I am having to wear panty liners now to catch the drip.)

I am just so sick of this experiment, I want to be fully well. But I’m working on being thankful for what I’ve got. The scientific spirit lives on, and I must keep experimenting on myself until I get as close to total wellness as I am able.

I still remember perfect health. I’ve got the body of an athlete, if only it is given a chance to right years of wrong. I may never achieve that, but I’ll be damned if I give up trying.

Crohn’s disease costs money

Can I just gripe about the little things? I think with Crohn’s disease, we should get a stipend. Point of fact:

1)Soft toilet paper is expensive! And when you go to the bathroom 5X as much as the average person, you have to use that many more rolls. This is unfair. The economy toilet paper hurts if you wipe more than one time. But there is not much toilet paper on those soft rolls. Do you ever feel like you’re the only one replacing the roll in the bathroom and you just changed it a few hours ago? I want a toilet paper tax credit.

2) VSL#3…it’s the only probiotic they’ve done extensive double blind studies on. But it’s covered by insurance only if you’ve lost your colon and are suffering from pouchitis. I want my insurance to cover it so I won’t have to lose my colon and suffer from pouchitis. Where’s preventative medicine? The full dose costs $500 a month and I can’t afford that. So I take 1/4 a dose, or often 1/8 a dose. I could save money on toilet paper if I could afford my probiotics!

3) And who pays for the annual colonoscopy? First you have to buy the disgusting liquid that evacuates your bowels violently. Then you have to pay for that many more rolls of toilet paper. Gas to drive to the hospital, time off spent at work. And just to get the bad news that your colon is still inflamed, you get the co-pay of $500 – $1000 to make the news that much more difficult to stomach.

4) If you’re lucky enough to have insurance, and it will pay for your medicine, but you’re unfortunate enough to be on Remicade or Humira, there’s the $75 or greater co-pay for something that helps for only so long, all the time wondering if you’ll be the percentage that gets lymphoma, and then you’ll have to pay for that!

5) Food – It would be much cheaper if I could only digest beans. Or whole grains for that matter. I know how to eat and I know how to cook cheaply. The two include whole grains and pulses, which go through me rather rapidly, and then I use up more toilet paper! I could feed my family for $500 a month if only I starved. And if you’re on SCD, prepare to spend double on almond flour, 1/2 and 1/2, and vegetables that are often out of season. I’ve got endless kale in the garden, purple cabbage, and fava beans, but they all give me gas, and then I need more VSL and toilet paper, and in the end, I’ve saved nothing.

6) All those vitamin defincies cost money replenishing. Magnesium chloride for my foot soaks at night. Calcium citrate, magnesium glynicate. And iron, vitamin D, fish oil, B vitamins. We want to be healthier, we just can’t swallow the amount of pills it will take to get there. Or afford them when they run out. I have to admit, though, that CVS was having a sale on fish oil, so I bought a 4 month supply. And they don’t even cause fish oil burps! Now I can lower my inflammation AND prevent heart disease? The heart disease would be covered on insurance, but the fish oil that prevents it is not.

7) Hookworms, TSO and whipworms. I payed $7,800 for some worms. Call me a sucker. My insurance will pay for me to die from a fatal brain disease if I try Tysabri, but they will not pay for some worms to prevent me from needing Tysabri. I’ve read that people have gotten TSO covered on their flex spending account. I never got a doctor’s prescription for hookworms, nor was it from a pharmaceutical company, nor is it approved by the FDA. So thousands of dollars for some worms. Thank God for credit cards, before they reduced my credit to 0. The worms were worth it, but when we’re shelling out almost $10,000 for something that has lived inside of us and in the soil since the dawn of humanity, something’s gone very wrong.

8) Microscope, weighing scale, McMaster slides, and incubators. Because the FDA has ruled hookworms a drug, but will not pursue liscencing it in such a way that it could be covered like a drug, I have to figure out how to incubate the worms myself . This costs money and time! Where’s my worm equipment stipend? We should get bonus points for figuring this stuff out for other people, before the studies. Special credit for an artist with no scientific background. And educating my doctors. I don’t want an honorary diploma, I want the money it takes to earn one so I can pay for my damn microscope.

9) Let’s not forget the extra water, laundry detergent, and energy it takes to wash extra underwear. And the lifespan of said underwear is lessened from abuse. We need an extra underwear stipend. Do you panic when you are on the last pair? Do you have to go to a laundrymat and hide your laundry from fellow washers? Have you ever just thrown a pair of underwear away when you are caught out unaware that the coffee you shouldn’t have drunk has just kicked in? I once left a pair in the Museum of Modern Art in New York. I have such fond memories of shitting in my underwear while walking across the park for the first time! And then having to walk to the museum, wait for tickets, and find the bathroom eventually, realizing it was by then a hopeless cause. Since then, I’ve always kept a spare pair of underwear in my purse. And if you need Dipends at night, the humiliation of wearing a diaper in your 30’s should be worth something.

10) Let’s try not to mention the amount spent on Immodium over life. I could buy a second house.

11) And the co-pays to my psychologist lamenting the past. And learning how to live with the future.

12) How about work lost from the disease itself? I could have been an international spy, but I have Crohn’s disease. Instead I blog in the wee hours of the morning when I should be doing push ups and studying Arabic to prepare for my next case.

13) Let’s end on a lucky number. Maybe I’ll win the lottery and be able to afford endless soft toilet paper.