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Treating Too Late

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15 years 17 hours ago #8914 by lornahalbert
Treating Too Late was created by lornahalbert
I was talking with my husband and a thought occurred to me: how would my loved ones feel if I were to be in an accident and get seriously injured or die as a result of low platelets after I had refused treatment. I have been hovering between 24k-75k ish for a year and have decided I do not want to treat unless I absolutely have to. Has anyone else thought of this question and come up with an answer?
  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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15 years 16 hours ago #8915 by Sandi
Replied by Sandi on topic Re: Treating Too Late
Lorna:

The only way I know how to answer that is this: People without ITP die in accidents every day. If the injuries are serious enough, it may not matter how many platelets you have. If the injuries are not that bad, 50k and up might just be enough.

Are you wondering if you are being irresponsible and selfish by not treating? My opinion is no. You are doing what you believe to be best for your situation. You are avoiding potential damage to your body by avoiding treatment as much as possible. I used to believe that treating was the way to go and that normal counts were where a person should be. After doing this for so many years (even though I've been in remission), I would most likely do exactly what you are doing. In fact, I did refuse treatment at one time and stayed in the 20's for a few months; when I dropped to 10 I did treat then.

Did you ask your husband about it? What did he say?
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15 years 16 hours ago #8916 by lornahalbert
Replied by lornahalbert on topic Re: Treating Too Late
I said "would you be mad in that situation?" He said he would be mad but he would be more concerned that I was hurt than arguing with me over whether I could have prevented it.

My doctor keeps wanting to treat me when my counts are low. But I'm getting to know my body and that my counts go up and down. Just because I'm 24k today doesn't mean I will be 5k by next week. In fact, when I look at my numbers over the year, it's most likely that I will go back up by the next week.
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  • I am 27 years old from Australia and I have T.A.R Syndrome. My email address is not showing on my profile for some reason so it is blossom_242@hotmail.com for anyone who wants to send me an email.
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15 years 10 hours ago #8920 by Angel85
Replied by Angel85 on topic Re: Treating Too Late
If your happy with what you are doing and have no regrets, then keep doing what your doing. It's like getting your hair cut or colored, not every one is gonna like it, but it is your decision and the only person who needs to be happy with your decisions is you, and if your happy with what your doing, then don't change it just to try to keep someone else happy, because then u will be unhappy and miserable and having to deal with side effects of treatment and then u will start to resent the person your trying to keep happy and that's not the way to live life
15 years 9 hours ago #8922 by
Replied by on topic Re: Treating Too Late
Lorna,

There are no guarantees in life. It's easy to get into that guessing game of "What if"?
But, it's still only speculation. But, look at it from another angle. What if you DID choose to treat and you ended up being one of the rare people who goes into anaphylactic shock or gets serum sickness or gets steroid-induced psychosis? Any of these could result in death, which would have been totally preventable if only you hadn't done that treatment. Of course when someone chooses to do one of these treatments, seldom if ever do they imagine themselves being one of the few who have such reaction. My daughter nearly died twice from an anaphylactic shock reaction, the first time from WinRho (her first treatment ever), the second from IVIG, when a new nurse didn't think she really needed to take the extra precautions.

Also, what if despite doing a particular treatment, your counts still remain low? You try the next treatment with no results, and the next, and the next...
Every day on here there are posts from those who have seemingly tried everything, yet nothing works. Again, no guarantees!

How will you feel if you decide to use a certain treatment and you wind up blowing your retirement savings or your kid's college fund or the down payment for your first house for a few weeks of "maybe" platelets. It can surely be a big stakes gamble.

What's it like to become a mad woman on Pred? Is it how you want your kids to remember mommy? How well will you be able to function? Will you be able to hold down a job when dealing with the side effects?

What about the longterm side effects or the unknown side effects of the newer drugs and treatments? How many drugs have been thought to be "completely safe", FDA approved, and then a few years down the road they're withdrawn for devastating side effects?
(Remember thamaldihide?) Are you really willing to be the pharmaceutical companies' guinea pig? Do you want your child to be their guinea pig?

So, it's all about weighing the perceived risks against the anticipated benefits, and throwing in a lot of unknown factors.

As Sandi pointed out, open the newspaper any day, and you'll find perfectly healthy people have died in horrible car crashes. And...you also find amazing stories of those who survived against amazing odds.

If you choose not to treat, you should have a plan for such an event as a severe accident. For me, it's the same thing I would do if anyone, ITP or not, got into an accident...I'd learn about and use homeopathic first aid remedies. These are different from finding a constitutional homeopathic remedy for someone (which should only be handled by a professional homeopath.) Basic homeopathic first-aid remedies are relatively easy to learn their indications. You can buy or make inexpensive emergency kits to carry with you at all times. That is the key, as you just never know when you might be faced with a life-threatening emergency. As they are given sublinguilly, dissolve quickly under the tongue or in water, or can even be used like smelling salts, they are very easy to administer. Being in Nano doses, they are absorbed into the bloodstream almost immediately. In acute conditions, you will usually see some response to the remedy within seconds to a few minutes. A homeopathic remedy called Apis is what saved my daughter from her first anaphylactic shock reaction, which very untidily, did not decide to present itself until we were far from the hospital. A homeopathic remedy called Arnica, is what stopped the bleeding in my daughter's brain when she got a giant hematoma and head injury, the very first week she was diagnosed.
I've seen homeopathic Phosphorous stop a 3-hour nosebleed in 30 seconds

All of these, you can learn how to use yourself in case of an emergency. As well, you can teach your children or husband what to do in case of an accident. It is not difficult to learn.
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15 years 40 minutes ago #8924 by server
Replied by server on topic Re:Treating Too Late
yes, I have had those thoughts, but I decided that I have to live for today. Living with the what if's is a down hill ride. I had NPlate and it brought my counts up a lot but the side effects weren't worth it for me. I won't go back to it. I too am hovering around 30 to 90 and am just fine with that! I hope you find peace in your decision.

My flesh and my heart may fail, but God is the strength of my heart and my portion forever.
Psalm 73:26
Blessings,
gretchen
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14 years 11 months ago #8948 by meredithjane
Replied by meredithjane on topic Re:Treating Too Late
Hi Lorna,
In a similar place, mentally. After an initial 12 weeks on steroids :woohoo: I stayed treatment free with counts <30> for 5 1/2 years.
My family respects & supports my decision not to treat, due mainly to the unknowns & side effects. I am especially protective on my spleen!
Mind you, I have had to make some adjustments around the farm - no more jumping off machinery, getting in sheep pens or arguing with wheel barrow handles!
2 months ago I had a nose bleed, with a count of 9,& resulting emergency treatment with Octagam. That little boost saw my counts go up to mid 400's, then slowly down again to 60 this week. I am hoping I can hold at a reasonable level, without further treatment. I did ask my Physician if I chose not to treat at '30' if I was being irresponsible & he said 'no', much to my relief.
I don't know what the answer is - except learn as much as you can, & stick with your convictions. I appreciate the incredible support & knowledge gained here.
mj
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14 years 1 month ago #17878 by ArkieVol
Replied by ArkieVol on topic Re:Treating Too Late
Hello,

New to the forum and reading older posts trying to catch up. I've had ITP for 1 year and my hema has been treating me with NPlate for most of that time...had IVIG 3 times, lasts two weeks. Preds didn't work, splenectomy didn't work, weekly NPlate injections seems to work but counts can vary dramatically...0-1098. I'm not aware of any side effects you mentioned. Could you fill me in?

Thanks,
Jack