Thanks so much for all of the responses. Right now, I'm so exhausted and overwhelmed that I don't even know what to say.
We went to the LLMD yesterday and we are going to take a two week break from the antibiotics. I'm really feeling like this is the wrong route to go. But my parents are really scared and seem to be leaning in the direction of continuing with the LLMD. After the 2 week break, the LLMD said we could try a different antibiotic, but at a lower dose. Plus, we have another order for blood work. Honestly, though, it really scares me--I just look at my sister and we are so much worse for going in this direction.
Part of it definitely stems from the blood work. It was just so incredibly traumatic for her--three hours of terror. And after that, the tinnitus went through the roof. I found a paper by Dr. Martin Pall, a biochemistry professor, on tinnitus and the NO-ONOO cycle--I honestly think this is a piece of what happens for my sister (we saw it when she went from IBS/SIBO to CFS and Fibromyalgia). It's too complicated to go into the biochemistry here, and kind of over my head too, but I think having Down Syndrome plays a role--she's more vulnerable to oxidative stress and to problems with nitric oxide and this NO-ONOO cycle. The general idea fits with what we see w/my sister--trauma, intense physical or psychological distress does something with this NO-ONOO cycle and makes her sicker. His info on the NO-ONOO cycle was a key piece in helping us pull her out of the CFS/Fibro (basically you need lots of nitric oxide scavengers and antioxidants). Anyway, he seems to say this cycle and be involved with tinnitus as well. Now, for my sister, the onset of the tinnitus clearly seems due to the Lyme, but the sudden uptick that has caused us to basically be in the car all the time was clearly due to the trauma of the blood work. I've been trying to add in all the anti-oxidants and nitric oxide scavengers as possible, but we haven't really gotten anywhere most likely b/c every day there has been more trauma due to the cramping from the cefdinir (I know it may seem overly dramatic to call stomach cramps "traumatic" but for my sister, they really are--the pain looks excruciating, plus it brings back memories of the IBS/SIBO). I'm hoping that now that we are off the antibiotics, hopefully the cramping will subside, and then we'll have less trauma overall and then perhaps this antioxidant/scavenger approach to unwinding the NO-ONOO cycle chemistry will start to work and at least bring the tinnitus back down to the level it was prior to the LLMD blood work.
Going back to how taking this approach seems to be making her much worse, it also seems like her body just can't tolerate the antibiotics--it just seems too hard on her system. I'm really worried that we've already done damage to her. She's actually been off the Azithrymycin for two days and the Cefdinir for three days (I have no idea how long it takes to get that stuff out of your system). She's still really sleepy (this morning she was sleeping in the back seat, but prior to the antibiotics, she used to sit next to me while we drove around), and she's also more achy, and she had more abdominal cramping again last night.
Given the above posts, I'm still leaning in the direction of herbs. I started with Buhner's book 1, where he referred to Andrographis as a primary herb for fighting Lyme, so it kind of left me with the impression that we needed it. I saw in his new book 2 he listed it in the sample protocol for neuroborreliosis, but only six total. Maybe once we get things settled from the antibiotics, we can think about
adding one Andro per week and see how things go. I've managed to maintain the JK, CC, Chinese CC, Red Root, Pinella, and Burbur, so at least some of the herbal protocol is still in place. I'm also thinking that instead of Andro we could just try to slowly add Banderol or Cumanda.
If in the next few weeks we can get the tinnitus down enough that we can get back to our pre-LLMD blood work level, then we'll have more time for detoxing and the stress level will go down.
Thanks for all the feedback. I can't believe what a nightmare this is.
Post Edited (LauraJK) : 5/18/2016 10:11:01 AM (GMT-6)