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ME/CFS

Breakthrough? A New Trigger for ME/CFS? by
Cort Johnson
April 1st. 7:00 a.m.
Early in the morning, after another bad night of sleep, I head for
Starbucks, try unsuccessfully to snatch some more sleep in the parking lot
and then sit in the truck, very tired…. but the morning is bright, and the
fog snaking through the valley reminds me of long ago in Santa Cruz, before
I got sick. I realize that I AM seeing things differently and I feel
relaxed, perhaps more relaxed than I have been in almost 30 years and so I
just sit and just look at the scraggly grassy hillside and think how
beautiful it is. My gaze drops down to the flowering trees outside the IHOP
– beautiful! And I’m certain that something significant really has happened.
I’d been wanting to get rid of that gold crown for years. It was hard to
look all the way back to the late seventies when I became ill but I knew it
had been put in either just before or while I was getting sick. Years later
looking back at that time when it over a period of six months or so it all
went sour. it was the only ‘unusual’ thing I could remember happening to me.
Except for that there were no outside events I could tie my problems to; no
tick bites I remembered, no colds, nothing but a slow and steady slide into
a morass of muscle pain and fatigue.
I remembered coming down from college, I even remembered what the dentist
looked like and his cute assistant – enough detail to suggest I was pretty
well when I visited.. Around 1992 I’d gotten my amalgams out but that hadn’t
seemed to make any difference. Years after that Dr. Cheney alerted me to the
dangers lurking in root canals. I’d checked out the root canal angle – that
didn’t go anywhere - but I began to wonder about that gold crown. I found
that some people believe that gold and amalgam fillings should not be in
contact; that they can set up some sort of electromagnetic field or could
increase the flow of mercury out of the filling.
Still it was a slim reed to build a hope on In fact it wasn’t a hope, it was
just a curiosity. My dentist had recommended that crown come off several
years earlier but rather than spend the money I convinced him to do a patch
job. That patch job had lasted until about a month ago when the tooth had
finally started aching.
A Trip to the Dentist - The instant he lifted that crown off I felt a
feeling of relaxation come over me. I felt noticeably calmer and more lucid
as I talked to him afterwards. Over the next five days I continued to
improve. Several times I questioned almost in a panic whether it was
disappearing only at some point later to be reassured that it was not.
Yesterday, after a difficult day characterized mostly by unremitting fatigue
I stood on a hillside watching a spectacular sunset, my body, for once, at
almost complete ease. I don’t think I’ve felt like that for decades. Most
people probably don't ‘feel’ their bodies much. With CFS one feels and one
is aware of one's body all the time; it’s weighing one down or it’s hurting
or it’s just there – intruding into ones field of consciousness. For awhile,
though, I didn’t seem aware of it at all; it wasn’t weighing me down, it
wasn’t hurting, it wasn’t there. I felt great.
A Rough Patch – These feelings were remarkable given how rough it had been
recently. That day I’d woken up at 5 am restless and out of sorts with the
odor of treated wood seemingly permeating my system. I had tried, once
again, to get off the brush of the hillside with its fragrant and flowering
sage and back onto the pathway surrounding the house. It had worked for two
days but that wood fence with its treated wood, installed a year or so
earlier, had caught up with me.
The next night I moved to the front of the house – not an ideal situation –
since having someone sleeping on the outside porch looks weird to say the
least. But I really needed a good nights sleep so I dragged my stuff out
there with an alarm clock set to wake me up while it was still dark so I
could drag my stuff back to the backyard before it got light.
But there was no need for the alarm as again I’m up early tormented not by
the wood but by something else. I throw some linen into the car and try to
catch an hours more sleep there. I know that just an hour – that last hour -
could make a huge difference but it doesn’t come. I trudge back into the
house where I get some food ready for the day. I get the vegetables and
barley ready, flick on the gas stove, turn on the vent fan, and escape to
the living room away from the fumes.
About two weeks ago the latest in what has been a long series of home
improvements appeared. The addition went in a few years ago, a year or so
later the driveway, patio and pathway appeared, then the fences, and now its
the dining room table. Not surprisingly since I seem to be an equal
opportunity reactor each has been a trial. Now this nice new table is
bringing back memories of the last job I held and those horrible several
weeks every year or so when the staff revarnished the railings in the
building.
That is not what’s keeping me from sleeping outside, however. As I step
outside I catch it again a rawness in my throat, a catch in my breath, a
dulling down of my senses, the beginning of a headache forming, that sense
of alarm in my body. What could it be? I just placed bark mulch around the
grape plants but this is much too intense for that and finally I get it,
surprised that it’s taken me so long; of course, it’s the trampoline. The
trampoline appeared on Christmas about three months ago. Every time the
weather heats up it outgases a bit more and it’s been hot again. I can taste
it in my mouth now - a strange kind of dull cinnamony taste.
That taste stays for most of the rest of the day. I leave, do some work on
the computer, eat some food and then exhausted go to the park where I lie
down and sleep for hours. I feel hammered, my body hurts, I’m too wiped out
to read but every once in a while a bit anxiously I ask myself – Is it still
there? Is that sense of calmness, that new feeling of peace still present?
And every time beneath that tired aching body the answer seems to be yes.
My question of course is will it stay and will it grow? Could this little
gold crown/amalgam filling have caused my ME/CFS over 25 years ago???
Eight Months Later – December, 2007 - Not much later those feelings of
health and at-easeness disappeared completely. Whatever ‘lift’ that crown
removal gave me – and there was a definite lift – it seemed like it was
absorbed into the turbulence of my body.
In May I tried for my first job in five years. This resulted in a month of
overwork on the computer interspersed with a trip to Washington, D.C. for
Lobby day that left me exhausted. After that, both angered and inspired by
my failed job attempt I decide to create a new website. As I buckle down to
the job too much time on the computer ends up sensitizing me to it’s fumes.
The gold crown episode becomes an afterthought – a failure. But after I
start to ease up on the website those feelings start to come back – never so
vivid as those first couple of days – but more constant. I do feel more at
ease. My muscles do feel more relaxed and I have less pain. I’m definitely
more comfortable. I keep remarking to myself how much better I feel.
Then in September something rather dramatic happens. My sensitivities have
always kept me from even sleeping outside of my fathers house in Las Vegas
for more than a night at a time. This is a costly problem given how much
driving I have to do to get into the desert. Now all of sudden I find myself
sleeping comfortably there not just 2 or 3 nights in a row but for weeks in
a row.
During this time I’m also able, for the first time, to make it through a 2-3
day juice fast. I’d never been able to get through the first afternoon
before. Even with what has come to be an almost constant computer problem
now my feelings of relaxation and at-easeness and better health appear to
continue very slowly build. I also notice I can handle much more time in the
sauna.
Ups and Downs. It hasn’t been all hunky-dory, however. After 2 months or so
outside the house I became sensitized to something else there – and I began
to wake up ‘whooping’ and unable to settle my breath down. I’m still
unbelievable sensitive to chemicals. Rubber from throw rugs contaminated the
dryer which got on my clothes and wiped me out for a week or so before I
could figure out what was going on. Something that spilled in a box in the
back of my truck contaminated the cab region and all my clothes. That took
me two weeks to figure out. I’ve also become increasing sensitized to the
odors from plants and large amounts of the desert are now impossible to camp
in. I’ve also recently been plagued with the worst gastrointestinal pains
I’ve ever had.
Sleep, sleep, sleep. My sleep actually had been improving – now more than
ever I can attest to how important sleep really is. My sleep has never been
terrible; I’ve usually woken up early (5-6:30) feeling unrefreshed and have
trouble getting back to sleep but I probably get 6-7 hours of sleep a night.
As my sleep gotten better and its been at times refreshing I’m surprised at
how much my unrefreshing sleep has affected me.
Prognosis? I’m convinced that, as small and innocuous as that gold crown
was, and as slow as my progress has been that it played a role in my health problems. How much is still unclear.
Winter is difficult. I’m always beaten up during the winter and this one is
no exception. The weather forces me inside too much and I don’t sleep as
well. My energy level is not good right now. My progress has been in small
steps that have at times disappeared. Overall I think I’m 10-20% better.
I got that gold crown put in decades ago; I would think it would take a good
bit of time before any damage that was done would be redone. Will I continue
to improve once things let up? How far will this go? Only time will tell.
Messing with dental work is expensive and the outcome uncertain but I think
people with ME/CFS should consider if it could play a role in their ME/CFS.
There is some outside evidence that it can.
On the other hand it’s entirely possible that it had nothing to do with my
ME/CFS and that I became sensitized to that gold crown/amalgam combination
later as my sensitivities grew.
Possible Indications Something Similar Is Happening to Other CFS Patients?
Gradual onset combined with dental work in the months or year preceding CFS
– particularly involving new metals, perhaps a metallic crown placed over an
amalgam filling.
(1/08)