Thanks for your understanding. I will now attempt to
provide some answers, although others might want to jump in
and add further comments.
I have sent you a copy of previous posts to get you up to
speed with the group. The antibiotic treatment we advocate
is based on the infectious cause of rheumatic diseases and
it has been proven effective in the O’Dell study where 65%
of Rheumatoid arthritis patients improved their symptoms by
more than 75% within 4 years, 40% of the patients achieving
a full remission. For scleroderma patients, 66% of patients
achieved a full recovery within one year.
These impressive results were all achieved with Minocin, an
antibiotic of the tetracycline family. Patients are advised
to take daily Minocin as used in medical studies or, in the
alternative, the Minocin-Zithromax combination protocol.
Patients should also get a stool culture to determine
whether or not they are infected with gastrointestinal
bacteria and, if so, use antibiotic combinations designed
to eradicate gastrointestinal bacteria.
As you can see, this is quite simple, although there are a
few pitfalls to avoid. This group was created, in part, to
discuss these issues which, otherwise, might delay or
I notice that your problems started with a “major car
accident” and that you have had “several rear-enders and
general back problems for many many years”, so that you’re
“always in pain”. Surgeries, bone surgeries, can place
bacteria deep inside the body. The antibiotics given after
a surgery, usually for a month, may not be enough to
eradicate a deep set infection, especially a
gastrointestinal bacteria infection which, in genetically
predisposed individuals, will degenerate into a chronic
form of arthritis.
Orthopedic surgeons were always aware of the problem, but
what is new is the possibility to achieve long term
remissions if treatment with the right antibiotics,
uninterrupted treatment, is maintained long enough, for
years as in the 1999 O’Dell study.
Let’s now proceed with your questions:
1) “How do you get your doctor to consider antibiotic
therapy? I don’t think I have a diagnosis of arthritis,
but I am in constant pain. I don’t take NSAIDS because I
have never been able to tolerate them and they don’t seem
to help anyway.”
In Canada, the right procedure would be to get a diagnostic
for your condition. If your condition is serious enough,
you should see a specialist, an orthopedic surgeon or a
Orthopedic surgeons are usually better because they can
read X rays. Also, because they perform surgeries, they
have to keep up to date, which is not necessarily the case
for rheumatologists, as rheumatology is an underpaid
specialization, somewhat easy, attracting less ambitious
candidates. Some rheumatologists are good, but this is
certainly not the case for all of them.
Select a young specialist who can follow you for years to
come and who is more likely to be up to date as most
doctors study medicine only when they go through medicine
school. Going to a regional university hospital could be
worth it as specialists practicing in university hospitals
are often involved in clinical research and/or teaching for
which they must keep up to date.
In my own case, I have kept the same orthopedic surgeon for
more than 22 years, a professor of orthopedic surgery who
has referred me, on occasion and upon request, to various
rheumatologists for second opinions. Before you make an
appointment with an orthopedic surgeon, please inquire with
his secretary whether he sees rheumatic patients on a
regular basis or just for surgeries. A good surgeon will
respect your desire to avoid invasive surgery and favor a
preventive approach through prescription drugs to stop
joint damage before surgery becomes inevitable. You could
also ask for a diagnostic and tests while regular follow up
would be left to your family doctor.
By the way, any general practitioner can be your doctor if
he is willing to prescribe antibiotics. Your family doctor
knows you. He is generally available on short notice and he
has a local practice. He is most likely to trust you and
prescribe antibiotics if you give him a copy of the 1997
O’Dell study and the 1999 O’Dell study, provided that he
can be convinced that you suffer from a rheumatic disease.
The written diagnostic of a medical specialist, orthopedic
surgeon or rheumatologist, is all that a family doctor
needs. Keep the original document, but ask the doctor’s
secretary to make a photocopy to be included in your
patient’s file for the doctor to see. And if you need a
referral, your family doctor could refer you to a proper
specialist for an investigation and diagnostic of your
Proof of infection and/or a proper diagnostic of rheumatic
disease are needed before you go any further.
Please acknowledge that we are not doctors and that we have
not examined you. We have no idea of your condition and we
cannot assess any potential joint damage. Moreover, unlike
the orthopedic surgeon or rheumatologist who will examine
you, we do not have the benefit of comparing your condition
with the condition of hundreds, if not thousands of
rheumatic patients. We do not have the knowledge, the
experience nor the authority to disagree with the
diagnostic of a doctor.
What we can do is to inform, discuss and educate, but any
treatment decision is left to your doctor. You state that
you are in constant pain, yet you do not take any NSAIDs
and you have not sought a diagnostic. It’s time to check
with a duly qualified medical specialist to determine
whether or not you suffer from any form of arthritis or
2) “How do you handle the yeast or fungal infections that
follow antibiotic therapy? This always happens to me.”
Antibiotics can promote the growth of non susceptible
organisms, including fungus. A stool culture can be used to
determine the existence and level of an internal fungus
When I developed a level one candida albicans infection,
the Chief of Microbiology prescribed one teaspoon (5
milliliters) of Nystatin syrup (100,000 international units
per milliliter), 3 times per day, after meals, for 10 days.
I coated the inside of the palate by pressing the tongue
against it and swallowed. As an alternative, Nilstat
(nystatin) tablets (500,000 international units) can be
prescribed, 4 times per day, after meals and at bed time,
for 10 days. The treatment could exceed 10 days if the
fungus infection is severe.
Fungus, yeast, are mushrooms. Microscopic spores spread
easily and will develop new fungus in any dark, moist and
warm environment, through the intestines and outside, on
the skin surface, wherever there is a skin fold. Athlete’s
foot is a well known example of fungus infection, located
only between toes, where skin folds. Women have a specific
problem with vaginal yeast and, possibly, where breasts
meet with the skin underneath.
The first thing to know about fungus is that an infection
inside the body will spread outside, on the skin surface,
wherever there is a skin fold. The second thing to know is
that bath towels spread fungus all over a wet body as you
towel dry after a bath or shower. Don’t share towels with
other members of the family and use clean towels every
time. Use towels only once before you wash them again.
After bath or shower, towel dry from the head down, making
sure that you use a dry area of towel for each area of skin
fold. Use a dry area of towel to dry yourself in between
toes, and save that for the last thing you do.
Women use powdered acidophilus to prevent or fight vaginal
yeast infections. Ask a doctor or a female friend. I am a
man and must place a special order for acidophilus capsules
from Organika as my health food store doesn’t stock
anything else than powdered acidophilus used by women.
Years ago, a doctor who was a member of the university swim
team advised me to mix vinegar with rubbing alcohool, half
and half, in a bottle and to use an ear dropper to fill the
ear canal each time I came back from the pool and sauna as
a way to prevent bacteria and fungus ear infections. In
retrospect, the whirlpool was emptied and brushed every
morning, but the same thorough cleaning was not performed
in the sauna which became a mouldy environment spreading
repeated fungus infections. Hindsight is 20/20 as the
I seem to remember that vinegar vaginal douche exist,
obviously to ensure a sterile environment, free from
harmful bacteria and fungus. I believe natural medicines
use apple vinegar to fight all sorts of skin fungus
3) “Any special considerations in types of antibiotics or
protocol for diabetic, Type 2 diabetes patients?”
I don’t think so. I have sent you background info on
diabetes, type 2. This is the form of diabetes which
attacks people over the age of 40 when they are overweight
and do not exercise regularly.
Contrary to what was previously thought, body fat is not
inert material, but a body organ producing an hormone,
resistin, which increases blood sugar levels. Optimal
health can only be achieved with a decrease of body fat
through diet and exercise. Easier said than done, I am
A better diet involves lots of vegetables, smaller portions
of meat and no:
a) added sugar;
b) pastries, cakes and cookies;
c) white flour, white bread;
d) potatoes, chips and French fries;
e) soft drinks.
No dessert after meals. Period. Pasta should be allowed,
but only reasonable portions of pasta with plenty of
vegetables in the sauce.
Exercise is another problem, especially for rheumatic
patients. As patients take Minocin, Biaxin, Cipro or
Levaquin, they should avoid direct sunlight to minimize any
risk of sunburn or skin hyperpigmentation. Exercise is then
restricted to indoor swimming pools, fixed exercise bikes,
and going outside in the evening hours for a walk, run or
10 speed bike ride.
I use the indoor swimming pool at the University of Ottawa
and do so in the evening to avoid peak sun hours.
Minocin stays in the body for as much as 5 days after
withdrawal. If you want to enjoy Summer and get a great
suntan, you can quit Minocin for 3 or 4 weeks and lie down
on the beach after a 5 day withdrawal period from Minocin.
Take Zithromax, 500 mg, 3 days per week, Monday, Wednesday
and Friday afternoons, between 4 PM and 8 PM, to control
bacteria. Use pain killers to control the increased level
of pain due to the absence of Minocin.
The air conditioning unit is your friend throughout Summer
as you will stay indoors most of the Summer.
Pain can also prevent you from exercising regularly.
Exercise in moderation, according to tolerance and, if
needed, use codeine to cut down the pain.
4) “Anything else you can think of … What to read up on
Medical studies sent to you as you subscribed are
definitely good reading. The book of Henry Scammell will
not cure you, but might provide you with a list of symptoms
for rheumatic diseases which, otherwise, might be