Bernie, you probably aren't aware of how much we do think of you.
I read about that lupus treatment several days ago and was going to send you the link but I figured you probably already knew about it. But for those who are curious...
QUOTE
A drug used to prevent organ rejection in transplant patients works as well as chemotherapy for treating kidney failure from lupus but with fewer side effects, a study shows.
Side effects from chemotherapy, including hair loss, anemia, loss of appetite and nausea, sometimes prevent some patients from completing their treatment.
"Having an alternative that provides fewer side effects is a very important thing for patients," said Sandra C. Raymond, president and chief executive officer of the Lupus Foundation of America Inc. She noted there haven't been any new drugs for lupus in 30 years.
The research compared the effectiveness of oral doses of CellCept, which suppresses the immune system, with chemotherapy, the standard treatment for patients with lupus nephritis, a serious complication of lupus
full article
I sure hope you don't ever get to the point where you need to use that drug.
Good to know you are lurking here at TS, Bern.
We would be lost without our BIOB.
I have to chime in on this one. Certain illnesses are known to have strong psychological overtones, and lupus is one of them, along with all the auto-immune disorders (disorders wherein the immune system does not recognize its own tissues, and attacks it as though it is a foreign body). These disorders are not, by any means, "psychological" conditions that are "all in your head" -- but they are exacerbated by stress. I found an article which describes it, although it is fairly technical, but I think you can get the picture. I'll paste it in here, because I'm not sure you can view this article without signing in (Medscape.com). The important point here is that you can use whatever techniques that work for you, to reduce stress. I know, we all should do that and enjoy our lives more -- but it is especially important for you to know that you can literally avoid flare-ups of your illness by relaxing and not letting the little, really inconsequential things get to you. I hope this helps, a little, especially the Conclusions at the end:
QUOTE
Flares in patients with systemic lupus erythematosus are associated with daily psychological stress.
Psychother Psychosom 2003 May-Jun;72(3):159-65 (ISSN: 0033-3190)
Pawlak CR; Witte T; Heiken H; Hundt M; Schubert J; Wiese B; Bischoff-Renken A; Gerber K; Licht B; Goebel MU; Heijnen CJ; Schmidt RE; Schedlowski M
Department of Medical Psychology, Hannover Medical School, Hannover, Germany. pawlak@staff.uni-marburg.de.
BACKGROUND: The aetiology of systemic lupus erythematosus (SLE) remains unclear. Clinical observations and a small number of studies performed so far suggest an association between psychological stress and self-reported symptoms of SLE patients. This longitudinal study was designed to investigate whether daily psychological stress is associated with flares in SLE patients, measured by clinical and laboratory parameters. METHODS: Female SLE patients (n = 41) were followed over a period of six months. Daily stress was monitored by a hand-held PC diary programmed with 44 items based on standardized measures and clinical experience. Once every four weeks patients visited the outpatient clinic for medical evaluation. Disease activity was evaluated using the European Consensus Lupus Activity Measurement (ECLAM), laboratory parameters, and intake of steroids. RESULTS: Classification and regression tree (CART) patient-wise analyses revealed that SLE patients with vs. without flares using complement and ECLAM as activity measures show greater negative self-ratings in mood, and social duties (p < 0.01). In addition, mixed model analysis of variance showed that daily hassles with social relationships were significantly associated with flares in SLE measured by an increase in steroid medication >5mg/d (p < 0.01). CONCLUSIONS: These results suggest that psychological stress is associated with flares in SLE. Particularly daily stress with social relationships and social duties may be factors to be related to the course of disease activity in SLE. [Copyright 2003 S. Karger AG, Basel].