80 Types of Autoimmune Diseases
86Autoimmune Disease
Several Autoimmune Disorders
Did You Know There Are 80 Types of Autoimmune Disorders? No, I promise not to list all of them. I will briefly cover the more common autoimmune diseases that I haven’t written about in the past. I have recently written about Rheumatoid Arthritis, Sjogren’s Disease and several hubs on Lupus so you can read detailed information on those diseases.
In the normal person, the body’s immune response is what protects them from invading diseases and infections. In a person with an autoimmune disorder things have gone haywire. Your body doesn’t recognize invaders from your healthy tissue so your white blood cells or T cells attack healthy organs. They can virtually affect every part of your body. These diseases usually attack women, particularly African-American and Native-American women.
Many autoimmune disorders have similar symptoms, which makes diagnosis that much more difficult. Often this process is frustrating as your first symptoms are fatigue, muscle aches and low fever. The diseases sometimes flare-up and sometimes go into remission. Most autoimmune diseases affect women more often than men, with higher percentages for Afro-Americans and Native-Americans people.
Celiac Disease
Celiac disease is another autoimmune disease characterized by an inappropriate immune response to dietary proteins found in wheat, rye, barley (gluten and gliadin). This response leads to inflammation of the small intestine and to damage and destruction of the villi that line the intestinal wall. These villi are projections (small folds) that increase the surface area of the intestine and allow nutrients, vitamins, minerals, fluids, and electrolytes to be absorbed into the body. When the villi are destroyed, the body is much less capable of absorbing food and begins to develop symptoms associated with malnutrition and malabsorption. When the body is exposed to the gluten and gliadin proteins, it forms antibodies that recognize and act against not only the grain proteins, but also against constituents of the intestinal villi. As long as the patient continues to be exposed to the proteins, he will continue to produce these auto-antibodies.
Celiac disease is most prevalent in those of European descent, probably inherited, can affect anyone at any age. It is thought to be an inherited tendency that is triggered by an environmental, emotional, or physical event..
The possible symptoms include: abdominal pain and distension, anemia, bleeding tendency, bloody stool, bone and joint pain, changes in dental enamel, diarrhea, fatigue, greasy foul-smelling stools, oral ulceration, weakness and weight loss. Children with this disease may experience delayed growth and development. It is estimated that 1 in 133 people in the U. S. have celiac disease but only 3% have been diagnosed.
Patients with celiac disease must follow a lifelong gluten-free diet.. Once all forms of wheat, rye, and barley have been removed from the diet the patient improves. It is important to detect and treat celiac disease as soon as possible, especially in young children. Celiac disease should be considered in infants who are not thriving, since foods with gluten are common and celiac auto-antibodies may begin to develop shortly after a child switches from milk to solid foods. In most cases the patient can lead a normal life by adhering to the diet.
Scleroderma
This is in a group of rare, progressive diseases that involve hardening and tightening of the skin and connective tissues — the fibers that provide the framework and support for your body. Localized scleroderma affects only the skin. Systemic scleroderma also harms internal organs, such as the heart, lungs, kidneys and digestive tract. Scientists estimate that about 250 people per million have some form of scleroderma. The most prevalent signs of this disease include Raynaud’s phenomenon, Gastroesophageal reflux disease (GERD) which in addition to acid reflux you may have trouble absorbing nutrients, and skin changes which may include swollen fingers and hands, thickened patches of skin, particularly on the fingers; and tight skin around the hands, face or mouth. The skin will appear shiny because it is so tight. I have a friend with this disease and she must wear a restrictive binding on her left arm from the top to her wrist, which means she always wears long sleeves. That’s not much fun living in Florida.
This disease affects not only your skin but also your blood vessels and internal organs; there are sub-categories defined by what area of the body is being attacked. One is called CREST and results from an overproduction and accumulation of collagen in body tissues. Native Americans get this disease 20 times more often than the general population and it is more common with Afro-Americans as well. It occurs 4 times more often in women than men. While there is no known cause exposure to silica dust, common in coal mines and rock quarries, some industrial solvents such as paint thinners and certain chemotherapy drugs may exacerbate the disease. There is no cure and treatment is typically the same as that for lupus patients, corticosteroids, Plaquenil, and anti-inflammatory medications.
Polymyositis
This is another uncommon connective tissue disease which is characterized by muscle inflammation and progressive weakness, particularly in skeletal muscles which control movement, involving those closest to the trunk of the body first. It most commonly occurs in 30-50 year old people.
Signs usually develop gradually over weeks or months. The weakness is symmetrical; affecting both the left and right sides of your body, and tends to gradually worsen. Polymyositis is in a group of diseases or disorders of the muscles called inflammatory Periods of remission are possible. Treatment to strengthen muscles should start early as there is no cure. Other symptoms may include difficulty swallowing, speaking, mild joint or muscle tenderness, fatigue and shortness of breath.
Treatment is corticosteroids, (which often start at very high doses then taper down), Cytoxan, cyclosporine and sometimes intravenous therapy of Immunoglobulin containing healthy antibodies from blood donors. There are several investigation drugs also being tried at the present time. These patients will need physical and speech therapy, plus a dietetic assessment.
Raynaud’s Disease
Raynaud's disease is a condition that causes some areas of your body — such as your fingers, toes, tip of your nose and your ears — to feel numb and cool in response to cold temperatures or stress. In Raynaud's disease, smaller arteries that supply blood to your skin narrow, limiting blood circulation to affected areas. It is more common in cold climates and also affects women more than men. This disease frequently is present along with other autoimmune diseases.
During an attack of Raynaud's, affected areas of your skin usually turn white at first. Then, the affected areas often turn blue, feel cold and numb, and your sensory perception is dulled. As circulation improves, the affected areas may turn red, throb, tingle or swell. There are two type of Raynaud’s disease; primary and secondary. The secondary is considered the more serious disease and usually appear after 40 years of age. The causes of this disease are numerous; other autoimmune diseases, carpal tunnel syndrome, repetitive trauma, smoking, chemical exposure and certain medications including some blood pressure treatments
Juvenile Rheumatoid Arthritis
Juvenile Rheumatoid ArthritisIts
It is the most common type of arthritis of those under 16 years of age, affecting 50,000 in the U. S. It’s a chronic condition causing joint swelling, inflammation, pain, swelling, redness and stiffness. I t may also affect the eyes and internal organs. About 1/5th of patients have an enlarged spleen.
There are 3 categories:
- Pauciarticular- about 50% of the cases are this type and most common in girls under 8 years old
- Polyartifular – about 30% of the cases and it affects 5 or more joints, especially in the hands and feet.
- Systemic – about 20% have this type and if affect both joints and internal organs. These children may have frequent fevers and rashes that come and go rapidly.
Doctors diagnosis this disorder once a patient has had the symptoms for at
least 6 weeks. These symptoms may include morning stiffness, limping,
reluctance to move an affected joint, joint pain and swelling. Patients with
systemic JRA may have intermittent fever, rash, swollen lymph nodes, and in
some cases liver, spleen, (very rarely) lung involvement and eye inflammation. The cause of this autoimmune disease is also
unknown. It tendency may be inherited
but is believed to that a triggering event is required for it to emerge. Several types of blood tests and x-rays are
done to aid diagnosis. There is no cure
so treatment is to relieve the discomfort of the symptoms. It is a heart breaking disease to see children suffer.
Autoimmune Pancreatitis
The term "autoimmune pancreatitis" was first used in Japan in 1995 to describe a newly recognized form of chronic pancreatitis. Since then, Mayo Clinic has played a major role in identifying, describing and treating the disorder in the United States. Mayo Clinic researchers have identified 2 types of this disease including one that can develop as young as 12 years of age.
It is diagnosed from several test with the most accurate being a core biopsy. Symptoms of autoimmune pancreatitis often improve dramatically after a short course of corticosteroids. But relapses are common, and some patients require additional or long-term therapy.
Multiple Sclerosis
This is a chronic autoimmune disease that affects the central nervous system. It causes Inflammation and the destruction of myelin. Myelin surrounds nerve fibers and acts like insulation on a wire preventing “short-circuits” that divert a nerve signal from having its desired effects. The “demyelination” process interferes with nerve impulse transmission, affects muscular control, and causes a variety of sensory, motor, and psychological symptoms.
Again the cause is unknown but it is thought to be an autoimmune process triggered by a virus, environment factors and it has a genetic predisposition The first symptoms usually occur between ages 20-40. It affects women more frequently than men, is more common in Northern European Caucasians. It important to manage the symptoms of multiple sclerosis, as well as, treating the disease before permanent damage causes symptoms. Interferon, corticosteroids and several other medications are used.
Wegener’s Granulomatosis
This is another uncommon autoimmune disease that affects about 1 in 20,000 people. Again there is no known cause or cure. Symptoms are due to inflammation that can affect many tissues in the body, including blood vessels (vasculitis), which makes it a very serious disease. It affects the upper (sinuses and nose), and lower (lungs), respiratory system and frequently involves the kidneys, lungs, eyes, ears, throat, skin and other body organs. Other symptoms include nasal membrane ulcerations and crusting, saddle-nose deformity, inflammation of the ear with hearing problems, inflammation of the eye with sight problems, cough (with or without the presence of blood), pleuritis, (inflammation of the lining of the lung), rash and/or skin sores, fever, lack of energy, weakness, fatigue, loss of appetite, weight loss, arthritic joint pain, night sweats, and blood in urine which may or may not be indicated by a change in urine color.
Diagnosis is established by clinical and laboratory findings such as the ANCA blood test, other blood and urine tests, x-rays, and tissue biopsy. Treatment varies based on patient symptoms and disease activity. Corticosteroids and Cytoxan are the initial treatments, then Methotrexate or Azathioprine.
Graves Disease
Graves’ disease is the most common cause of overactive thyroid gland. It is caused by an auto-antibody that acts like thyroid-stimulating immunoglobulin which cause the thyroid to produce excessive hormones. It is usually seen in women over 20 and may cause symptoms and signs such as weight loss, increased appetite, hand tremors, heat sensitivity, sweating, nervousness, and in some patients, protruding eyes. Patients often have a higher heart rate and an enlarged thyroid (goiter).Radioactive iodine uptake in measured amounts is swallowed and considered a critical component for treatment. I had a friend with this disease and they finally "killed" her thyroid as she didn't respond to treatment. The symptoms made her miserable in the meantime.
Autoimmune Disease: How to Stop Your Body From Attacking Its
There Are So Many More Diseases
My intent was to give you an overview of some of the better known autoimmune diseases. If you have one of the disease I'm sure you know a good deal more about it than what I wrote, but if you have symptoms maybe one of these descriptions will help you. Of course, you want to be seen by a doctor and remember your symptoms are real, not in your head as many of us were told before we got a diagnosis.
Living with a chronic illness isn't easy but it is certainly better when you get it diagnosed and find out what you can do to improve your health. There is so much literature available on the internet, in books and I linked several hubs from other authors from Hub-pages that may be of help. I wish you all to be in the best of health!
Autoimmune Diseases
Do you have or does a family member have an autoimmune disease?
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Autoimmune Diseases
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I have seen a lot of RA and Raynaud's in my practice over the years.
Pamela,
It seems we hear a lot more about autoimmune diseases these days is this just due to better diagnosis, or is the incidence increasing?
I know I did some research online about some behavioral disorders ADHD, autism, etc,etc. I found a correlation to increased microwaves and these behavioral disorders. It seems they have done a lot more research in Europe on this and they found the same thing.
Wow 80 autoimmune disorders, never would have guessed the number is so high. Thanks for a very informative hub.
I didn't know that Celiac Disease was an autoimmune disorder - my father-in-law and my sister-in-law both have it. Also one of my best friend's daughter who is in her early twenties almost died from Wegener's - she has had to undergo chemo therapy for it and is doing much better. Thanks for this informative hub.
Excellent coverage of these diseases, Pamela. It's awful seeing some so young get sick.....But good job spreading the word!
Pamela, I thank you for a most comprehensive research and putting this hub together. Great work.
This is all good to know. Thank you.
Pamela - Extremely informative and so very well written. Thanks so much for all of this information. I have some knowledge to Systemic scleroderma and Raynauds as my best friend suffers from this. It is a nasty disease.
I never realized there were 80 different auto immune diseases. Nor was I aware of some of the ones you wrote about were actually auto immune diseases.
Great job!
Wow, Pam! Excellent information! How ironic is the fact that a lot of healthy people do not realize how lucky they are. They feel down for losing material possessions or breaking up with someone or for not being rich. Health is the best gift! What do we do with lots of money and possessions if have no health to enjoy them?
Thumbs up!
warm regards and blessings,
Al
This is such a comprehensive list, most of which I've not heard but you have just acquaint me with. Thanks. Is it true that people with Celiac disease have trouble conceiving? I recently read an interesting article in the NY times and they talk about it.
Once again, thanks for sharing.
Good grief! I had no idea there were so many! Great research.
This was an interesting and informative post- thank you!!
Great hub and informative...makes me want to wash my hands...smiles...stay healthy Pam...
Blessings
Wow Pam, I had no idea autoimmune diseases were so common! Better load up on my vitamin C !
Pamela99, this is a great hub about autoimmune diseases. Celiac disease is genetic and every first degree relative of a person with the disease should be tested because it is highly likely they also have the disease. Even if no symptoms are present they still may have the disease. My father was diagnosed with Celiac during the early 1970s. His death was indirectly related to Celiac because he was treated with Cortisone, became dependent during the early years, and a doctor discontinued the medication without regard to the fact that he had been diagnosed as cortisone dependent. He died two weeks later. Very little was known about the disease at that time but two of my nephews were diagnosed during those years. Now I find that I have the diseas and all the symptoms so many years later. My sister is showing symptoms as well. The reason it is misdiagnosed is the variety of symptoms and the similarity to other conditions or Type I Allergies. I have written a hub about this subject too.
You have written a great hub here and I am proud of you!
Blessings, Sandra
Informative and not something a hypochondriac should read my goodness.
Wow, I have to know more by reading more. Thank you dear Pamela99.
this hub is very informative. We should to know about kind of these disease. I'll bookmark this hub. And I rate this up. Thanks Pamela!
I had no idea there were so many. Thank you for the education. This is an excellent report.
You've done it again. Great hub. I have done some very in-dept research into autoimmune problems myself, as it is such a wide spread problem without a 'cure'. Learning to live with it is the best I have found so far. Understanding the type and symptoms you have is the very first step.
Unfortunately, there are so many similar symptoms of autoimmune disorders that it's extremely difficult to find the exact one or ones without hundreds of tests. I was diagnosed as suffering from depression and a hypochondriac many years ago so every time a new doc opened my medical records, they automatically just tried to give me antidepressants and told me to get mental help. They finally had me believing that maybe I was a hypochondriac and I called mental health on myself where they told me that I was definitely not one because I suffered from treatable infection after unusual infection for years starting at the age of 10. I no longer believe that hypochondriacs even exist or at least the condition is overly diagnosed because doctors can't find what is really wrong. It took docs 24 yrs to diagnose the real condition or multitude of conditions that I have now and because so many docs thought I was a hypochondriac, I also have liver disease and a seizure disorder from all of the drugs they forced down me without knowing what was really wrong. I can no longer tolerate any chemical/prescription drugs because of my liver disease and can't even take children's benadryl without having a seizure. I've spent about 15yrs doing my own research on natural meds to keep myself functional and trying to figure out what was wrong with me. I had to demand the testing and was immediately sent to an Immunologist for an emergency visit when my test results came back. My knew doc was finally able to diagnose me after suffering from the autoimmune disorder, without proper treatment for 24 yrs. He has no idea how I didn't die from anaphylactic shock without epinephrine injections and treatment. I'm the 10th medically documented woman diagnosed with this condition since 1921. Getting ready to write a hub on my experience with this and my major NATURAL treatments that have helped me to survive. I'm currently in remission and have some pretty great side effects from natural treatment, which is nice. I never want another person to have to go through the lifelong battle of this condition and others because of ignorance,arrogance, and doubt in patience that exists in the medical industry. Thank you for such an informative hub and getting word out about autoimmune disorders!
Pamela, what an excellent and informative hub. I have a low thyroid problem which is controlled by hormone drugs I take every day (if I didn't take them I'd sleep all day and put on loads of weight). I think the prevalence of autoimmune diseases is on the increase but at least these days there is more understanding about them. Thanks for a great read.
Myalgic Encephalomyelitis may also be an autoimmune disease. Due to a lack of research the causes of this devastating illness (often mistakenly known in the US as "chronic fatigue syndrome") are as yet uncertain. New research is being carried out by the Whittemore-Peterson Institute in Nevada (see: http://www.wpinstitute.org/). Further information about the illness is available from the Canadian Nightingale Research Foundation (http://www.nightingale.ca/), from the National Alliance for Myalgic Encephalomyelitis (http://www.name-us.org/), and in this detailed report written by Professor Malcolm Hooper in the UK: http://www.meactionuk.org.uk/magical-medicine.pdf
A lot of information. I am sure many people will benefit from this hub!
I have Graves Disease (hyperthyroidism). There are several other autoimmune disorders in my family and some of my friends have one as well. They seem to be more common now but I wonder if some of these weren't diagnosed years ago? Will have to do a hub on my experience one day.
I have Hashimoto's (Hypothyroidism) - was diagnosed just a few months ago and have been trying to figure out the best way to treat and manage it - it really sucks! I believe radiation therapy messed up my thyroid. Apparently, Hypothyroidism & Hashimoto's is one of the most undiagnosed autoimmune diseases. Glad it didn't go undiagnosed in me, but wish to heck I didn't have it! Thanks for this very informative hub.
WoW!! A great deal of those I've never even heard of!! Lots of great information Pam.
This is a very thorough informative hub on auto-immune disease. I will put in my favs, for sure.
Thanks for this informative review of autoimmune conditions. My aunt has several autoimmune disorders, which one of them involves recurrent outbreaks of shingles. I have had recurrent outbreaks of impetigo and hsv1 for almost 20 years now. My current doctor is very concerned about this and just had me go through a battery of autoimmune testing.
A lot of good explanatory info here. Thanks for lots of hard work to put out the great hub.
BTY I came to another of your hubs and 're-followed you'. So you may ignore my question previously made. THANKS!
My rheumatologist thinks I have Raynauds. Great info in this hub!
Good information, I will bookmark this one for reference. It is so many of them, kinda depressing. Thank you for this very useful article :)
Maybe someone can help me.
Over the past 5 years my mom (56 years old) has become increasingly allergic to foods, cleaning supplies, perfumes, creams, makeup etc. Even the tiniest bit of food or exposure to certain scents can give her a tingling pressure feeling in her head, which then turns into a massive migrane/throwing up and this can last for days. To date the only foods that she can eat without becoming seriously ill are lettuce, carrots, potato, and fish. Benadryl can sometimes help her a bit if she starts to have a reaction.
She has been to many allergists (results saying that she is not allergic to these foods) and she has had a CT scan (which showed nothing wrong).
I am so worried for her. She has lost over 50 pounds! We can't figure out what is wrong. Before this she wasn't allergic to very many things.
If anyone has any ideas, I would be extremely grateful.
Thanks so much.
Informative article. I had undiagnosed celiac disease for years - started with anxiety and depression, progressed to pain disorder then thyroid autoimmune disease (which reversed when went gluten free). I have problems with muscle tightness and trapped nerves made worse by certain foods- I'm kind of wondering what next?
I found a book called The Trigger Point Therapy Workbook by Clair Davies - for self-treatment for soft-tissue pain relief. I massage the muscles in my neck to help relieve the pinched nerves going down to my hands etc. I found certain foods make my symptoms much worse - I plan to write about it all soon
i m very pleased to have this info..............
i ll book mark this
thanks
I am glad you did your research, the more knowledge we have the more insight on what's going on. Thank you my friend for your wonderful, informational Hubs!!!! YES!
Pamela, you have a lot of high quality articles. Congratulations
The most important thing to do in a course of prednisone is to keep the course of treatment as brief as is possible. If the course is less than two weeks a prednisone taper is usually not needed.
Pamela, this is a wonderful hub about autoimmune diseases. I can't believe I haven't read it before. You have included an unbelievable amount of information. I have MS, don't like, wish it would go away, know it won't. You are absolutely correct in advising that help be gotten as soon as you know. If you wait too long the symptoms become so much harder to control. Thanks for the sharaing of information.
This info is so important because people don't realize how many autoimmune diseases are out there. I have Rheumatoid Arthritis and people ask me how I got and they are surpriesd to know I was very healthy and active before I got it so many of these come on without notice, but some unknown provocation. I have had it for over a year and am trying natural ways to at least tame it, but also Prednisone juse so I can walk and take care of my 3 yr old. I can't bring myself to take the stronger pharmaceuticals yet. When I first got diagnosed, people said there are great meds for it, but I haven't seen that so far. These meds can cause other autoimmune diseases and cancer, etc.
Another issue I find is with working. I know I can't work right now, but not sure if I'm totally disabled. It's such a tough spot to be in. Great hub and tahnks for writing it.
thanks Pamela. I am seeing my 3rd rheumatologist next month because I am determined to find one that will work with me trying to use natural stuff. I'm on low dose prednisone too. I know a little about lupus because my dr's weren't sure if I had lupus or RA before I was officially diagnosed so I did research on both. I am glad t not have lupus because I do want to have another child and lupus is much harder on pregnant women than RA, which sometimes goes into remission with pregnancy. THanks again for great info and my prayer and thoughts will be with you too.
I do hope more people will begin to see how debilitating autoimmune diseases are. My grandmother had Guillian-Barre Syndrome and i was diagnosed with Mixed Connective Tissue Disorder a few years ago. The symptoms and health issues that arise are so diverse and its a "whole body" disease. Any tendons,muscles,organs,skin,joints and blood vessels can be under attack at any given moment. I lost a kidney while I was pregnant and then lost my gallbladder and appendix less than a year later. It is a roller coaster I didnt want to be on but I got a free ticket!!
I asked the question of hubbers to write a hub on AIDS that was not HIV related and no one did, but then I found this one. Excellent and thanks although I asked the question just a few months ago. I voted it up and useful and will share it on my facebook and twitter accounts.
i was very interested in your page but did i see M.E.mentioned? is that an auto-immune disease?
Hi- Great hub. I'm a doctor AND a patient who also suffered from ulcerative colitis. This is an autoimmune disorder (an inflammatory bowel disease, along with Chrohn's disease) that causes severe gastrointestinal distress and results in inflammation and bleeding from the intestines. I suffered through years-- and 2 pregnancies-- with this disease. I took steroids (wrote my only really personal hub on prednisone- still have 'brittle bones after this) and anti-immune infusions for a long time. I feel so fortunate that I was able to be 'cured' of my UC with surgery. I thank my lucky stars that a surgeon was skilled and caring enough to get me ready for surgery and was able to remove my diseased colon-- which was slowly killing me and would have eventually developed colon cancer. I'm so glad that was an option for me after I tried every other option available to me. Yay! surgery! My life will never be 'normal', but I'm so glad that I got an autoimmune disease that could be 'cured' or at least greatly improved. I really do appreciate that many people will suffer for a long time with their autoimmune disorders and I'd like to send big hugs to them all, I "get it". I've been there.
Very intresting info! Great hub I learned alot from reading this!
Hi Pamela, good to see you and congratulations on your more than 1000 fans. I can see why, your article is very illuminating and keeps me from being ignorant in casual conversations. Who knew there were so many variations. =:)
I'm sooo GLAD to have found your Hub! Ive suffered with autoimmune issues for nearly 10 years now (I'm 37)and still do not believe to have been accurately diagnosed. As crazy as this might sound, I honestly believe my problems were GREATLY worsened, or maybe even caused after a HORRIBLE case of Adult Chicken Pox, so bad that I was in the hospital for 12 days. Like most of you, I have been diagnosed with a multitude of conditions, all with overlapping symptoms. However, over the past 2 years I've been hospitalized several times due to recurring facial cellulitis, kidney problems and chronic infections that they can't seem to identify the cause. I think though, that these times are directly related to an autoimmune condition coming out of "remission". I am ALWAYS exhausted,joint & muscle aches sometimes with terrible pain, have not had a period in 14 months, skin all over most of my body in which appears red/purple splotched, wide-spread lymphadenopathy that comes and goes etc... I KNOW this isn't just Fibromyalgia, mild scoliosis, and Cervical/Lumbar disc issues.
During these times of infection, my WBC count is always normal or low. However, my RBC count is CHRONICALLY Low, as well as my Hemaglobin, Hemacrit, & MCHC. My MCV count is Chronically High, as well as my Eosinophil count. My AST & ALT are elevated also.
I know the elevated eosinophils are not due to allergies because I've been allergy tested twice, both completely negative. I've also had complete sinus surgery for the removal of recurring polyps twice.
Does any of these results sound familar???
I am trying to find a direction in which to point my physicians.....so far, I've not gotten any answers relying soley on them.
ANY advice will be GREATLY APPRECIATED :)

























































tobey100 Level 3 Commenter 2 years ago
My lord, I never knew and trust me, I'm very familiar with the medical world (if you read my hubs you're well aware) Suddenly I don't feel so good. :(