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Old 12-08-2010, 05:09 PM #701
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Originally Posted by Natalie8 View Post
WOW!!!! Congrats on the good news. Some of the lesions are disappearing? That is amazing... At what infusion number did the neuro notice the shrinking lesions? I'm so happy for you--it really makes you wanna stay on this drug. . Like you I have had no new or enhancing lesions after 24 infusions. I go for 25 in two weeks. I was thinking of dropping Ty but I'm undecided. The Gilenya long term damage side effects (lung, heart, eyes) has me slightly concerned. I do love my Ty. Anyhow, happy MRI and holidays!
Sorry Natalie, I can't remember for sure when lesions started shrinking - think around 2 years and around 3 yrs some gone and now after 4 almost all gone YAY!! Happy dance From what I understand Ty stops attacks on the brain giving it a chance to heal itself-love it!
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Old 12-08-2010, 07:59 PM #702
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Grammie - with lesions shrinking, did you gain any sensory or motor function?
I'll have dr order mri which will be 13 months on Ty. I have the feeling (or lack of) that I have many new lesions. Stength is there but loss of sensory & new spasms is bothering me. Maybe i'll give Ty 1 more month with LDN since i'll sleep better next week when I get my oxygen concentrator come Monday. Bought it.
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Old 12-09-2010, 01:17 PM #703
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Grammie - with lesions shrinking, did you gain any sensory or motor function?
I'll have dr order mri which will be 13 months on Ty. I have the feeling (or lack of) that I have many new lesions. Stength is there but loss of sensory & new spasms is bothering me. Maybe i'll give Ty 1 more month with LDN since i'll sleep better next week when I get my oxygen concentrator come Monday. Bought it.
Eddie, all I can tell you is I have had no progression-thank G-d. When I started Ty my sx were increasing-they backed off got better and have held. I have a lesion in my spine that I've been told is the reason my R leg drags-I now use the Bioness L-300-from what I've read Ty does not help lesions in the spine
I did not think you could take LDN with Tysabri I would've liked to, was told only with Copaxone.
Linda
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Old 12-09-2010, 01:22 PM #704
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I have #12 on Friday.....saw my Neurologist today to review my MRI results. Great News! I have zero new or active lesions! December 2009 my scan showed over two dozen new lesions! Prior to 2010, each of my scans have showed dozens of new and active lesions, so this is just amazing!
Great news Amy Glad Tysabri is working for you !!!
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Old 12-09-2010, 03:55 PM #705
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Infusion #40 tomorrow morning and I have a question to ask my infusion dr. I finally received the jcv test and I'm in the stratify 2 study....yeah When I had the blood test the neuro who took my blood and also did the infusions in his California office asked if my infusion dr was dong a few other blood tests: CC4; D4; Tysabri Elisa(sp??) Test. The only thing my infusion dr tests are my CBC and liver functions. So I need to find out if other tests are important. I can't wait to get my results Ty has really helped me!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!

Biogen actually came through for me. The senior Ty case manager found a place for me to go while I was in California visiting my family. It was a 4 hour drive each way for that blood draw but it was worth it We arrived home last night after being gone for 2 weeks. I'm exhausted...LOL

It was wonderful to read how many people are doing well on Ty I've adjusted to the infusions...I'm really scared of needles but if that's the only way to get Ty then I'll handle it!!!!!!!! The inside of my elbow seems to be the best place to insert the needle.

Happy Holidays everyone

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Shayna
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Old 12-09-2010, 08:07 PM #706
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Originally Posted by Grammie 2 3 View Post
Fri I had my 51st infusion; went the same as the 50 before it

Before my infusion I had an appt with my neuro to get the MRI and MRV results. The MRI was normal (glad something is normal about me ). The BEST news was my MRI. Since MRI 7 months after starting Ty I have had no new or active lesions and some of the old were getting smaller. This one no new or active lesions and almost all the old are gone My husband looked at the one before Ty; scared the you know what out of him-so many lesions and lit up like a Christmas tree. He was thrilled to see this one! YAY!

Linda
I love the lights on a Christmas tree SO much better than on an MRI!
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July 2006- First significant SXs, suspect it started back in mid 1990's
1/21/09 - Positive MS Dx
2/17/09 - 2nd Positive MS Dx
4/2/09 - MS Dx 3rd Neuro - finally found the Dr. who has the characteristics I was looking for
.

10/8/09-optic neuritis flair, Cog Fog, chronic headaches
5/4/09 - 12/15/09 Copaxone
1/15/2010 - First Tysabri Infusion - 3/25/16 - Last Tysabri Infusion
3/3/16 - signed the documents to start the Lemtrada journey
4/25/16. Lemtrada begins.
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Old 12-10-2010, 01:19 AM #707
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Originally Posted by Riverwild View Post
Your doctor should have explained it to you in detail, but I guess some docs just don't do that. It's not right that a doctor would expect you to just take what they tell you to without explanation! Ask questions and take notes when you go to your doc. Call if you need more information. You pay them and they should give you the service you need. Be proactive!

The clinic or infusion center should have returned your call, but I am willing to bet that they called you to schedule you for infusion and that the process is further ahead than you think. Call them back if they haven't called you back. Be proactive.I've called these clowns 3 times and they haven't called me back. at this point i feel like telling them to f off. i actually have contacted mayo clinic and am going to try to start over with them.

As for Biogen (the pharma that distributes Tysabri) they should have contacted you by now with the name of your case worker (or whatever they call it now). nobody other than that one call has contacted me. and i listened to that message again, and the girl just said, i'm returning your call. I've called 3 times since and nothing
When I was waiting to start, they called after a month and gave me the old "welcome to Tysabri" speech and I lost it, because they were supposed to investigate costs for me, give me the start date after my infusion center had been trained, etc and I hadn't heard from them at all. They didn't have it together way back at the start. I hadn't been scheduled, hadn't found out what the cost would be, etc etc etc. but that was long ago, after Tysabri restarted and they had to get their program in place.

What you need to know is that all they do now is ensure the infusion center is trained and approved, make sure that you are registered and make sure the drug is there for you. and I bet that is already done, since the infusion center more than likely has patients already on Tysabri.

My advice is to go to www.Tysabri.com and register. There's a lot of info available there for new patients that may answer questions you may have. There's a good support system in place there now. Some people don't need it after awhile and some do and it is there if you need it.thanks, i will check it out. i had once, but i'm unsure if i registered

One thing you said struck me. You are afraid you won't get any better. What are your expectations with this drug? It's important to understand that Tysabri is not a cure. It's designed to slow the progression of the disease and reduce the frequency of relapses. It doesn't cure you. You will still have MS and anything else you get out of it besides what it is designed to do is gravy. i dont even know what type of ms i have. if its r/r its never fully gone into remission(of course it hasnt been treated) it seems like the clinic saw dollar signs or something in me, the only info i ever got on this disease is off the internet and speaking to one of my physical therapists who said his mom got it but now she's 100% back to normal. so i had been holding out hope that i would be the same. and actually my family members have been telling me that's the case, and that i just have to work at it.

Some folks have amazing results. Some folks just stabilize. In my case, the disease process has stabilized and I have seen improvement. I still have some spasticity and I still have fatigue but I treat those symptoms with other medications and I can live with that. My primary symptoms were vision and cognitive stuff and the problems that go along with that, and those are back to pre-diagnosis levels, but I would have been happy just having the serial relapses stop. I was having relapses every three months or so and my MRIs went from 4 lesions to "uncountable" in a very short period of time, and that has stopped too.

For some, it doesn't work at all, they develop antibodies and have to go off it. It's like the rest of the MS drugs, they either work for you or they don't, and you try something else.

Let us know how it goes for you!

thanks for your input and advice riverwild. i'd probably have had a heart attack from stress if not for this place (and xanax)
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Old 12-10-2010, 02:10 PM #708
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Originally Posted by shayna View Post
Infusion #40 tomorrow morning and I have a question to ask my infusion dr. I finally received the jcv test and I'm in the stratify 2 study....yeah When I had the blood test the neuro who took my blood and also did the infusions in his California office asked if my infusion dr was dong a few other blood tests: CC4; D4; Tysabri Elisa(sp??) Test. The only thing my infusion dr tests are my CBC and liver functions. So I need to find out if other tests are important. I can't wait to get my results Ty has really helped me!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!

Biogen actually came through for me. The senior Ty case manager found a place for me to go while I was in California visiting my family. It was a 4 hour drive each way for that blood draw but it was worth it We arrived home last night after being gone for 2 weeks. I'm exhausted...LOL

It was wonderful to read how many people are doing well on Ty I've adjusted to the infusions...I'm really scared of needles but if that's the only way to get Ty then I'll handle it!!!!!!!! The inside of my elbow seems to be the best place to insert the needle.

Happy Holidays everyone

hugs,
Shayna
I am happy all worked out for you-I know you were stressed-and glad Biogen came thru !
Congrats on #40
Linda
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Old 12-15-2010, 12:18 AM #709
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Well I saw the neuro today to decide about staying on Tysabri or going on Gilenya. I learned some interesting things. I will post the Gilenya info in the gilenya/fingolimod thread. First, the JC antibody assay test is now available as part of the clinical trial at my clinic. But my neuro is not certain it is worth doing right now. He has some issues with the test itself and how "specific" it is (ensuring everyone who tests negative really doesn't have the JC virus). The discussion about his fear that the test is not 100% accurate (meaning no false negatives ever) was pretty scientific/statistical because he also has an MA in epidemiology as well, so I won't recount it.
See this website for more info if you can even understand it.
http://www.aan.com/elibrary/neurolog...01010070-00009

Apparently he has been talking with Biogen about the possibilities of false negatives. Until they work the kinks out and put the test on the market (Biogen told him they estimate 6 months) he thinks it won't help patients much right now with making decisions about risk or necessarily helping reduce anxiety. He did tell me I can enter the stratify trial and the researchers will tell me what my test results are. But he is not totally certain about its usefulness right now. I took him at his word because I think he is brilliant and decided not to get tested. If it's negative there is no guarentee that it is accurate and if it's positive I still may never get PML but I have caused myself a LOT of anxiety and fear for the next few months.

I decided I will get an infusion in Dec., then one in Feb., then possibly in April. That pushes me into June (since I get it every 8 weeks). By then the official Biogen test will be out hopefully and more people will have been on Gilenya and/or switched over from Tysabri to Gilenya and we will have more info on the drug. I'm just not sure I'm ready for Gilenya quite yet and think I will keep on with the PML risk for a bit longer.

He told me that neuros don't all agree on this next item, but in his mind even though I've only had 24 infusions he considers time on drug not number of infusions as the marker of true risk. So in his mind I've been on it 2 1/2 years. That was slightly nervewracking which means theoretically my risk is greater than I thought. So why not keep on for a bit longer if I've already crossed that "2 year" threshold.

I posted something recently about the experimental drugs used in that one case of PML. Apparently it was in my home state and my neuro consulted on the case. He said the drugs worked well and if a patient of his gets PML he will use that protocol.

Okay, after this long and potentially confusing post what this all means is I am staying in the Tysabri club a little bit longer.
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Old 12-17-2010, 08:13 PM #710
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Default 4 new PML cases in MS patients on Tysabri, 1 new death -- total now 79 PML cases

Biogen has announced 4 new PML cases in MS patients on Tysabri, and one new death. From Reuters, December 16, 2010:

Quote:Biogen reports four more Tysabri cases, one death

* 79 confirmed PML cases as of Dec. 2, with 16 deaths

* Estimated incidence of PML per 1000 patients is 1.0

NEW YORK Dec 16 (Reuters) - Four more patients taking Biogen Idec's (BIIB.O) multiple sclerosis drug Tysabri have developed the serious brain infection known as PML and one of them died, according to the biotechnology company's monthly update.

The four new confirmed cases of potentially fatal progressive multifocal leukoencephalopathy, or PML, were detected between Nov. 2 and Dec. 2, the company said. That brought the total number of confirmed cases as of Dec. 2 to 79, with 16 deaths.

Biogen, which markets the drug with Ireland-based partner Elan Corp Plc (ELN.I), said the rate of PML cases per 1,000 patients has edged slightly higher to 1.0 from 0.96 and is likely due to more patients being on the drug for more than two years.

The chances of contracting PML tend to increase the longer a patient is on the drug, which is considered the most important growth driver for Biogen and Elan. The incidence of PML cases per 1,000 patients who have received between 1 to 12 infusions of Tysabri is just 0.01, but that rises to 2.05 at more than 24 infusions, according to Biogen's statistics.

...

(Reporting by Bill Berkrot. Editing by Robert MacMillan)



The entire article can be seen here.
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