Regarding my Fukitol List Item #2, the "Aron Regime", the following exchange took place between Jeff Kastner and myself on the "Topical steroids - TSW / TSA / RSS - an alternative (AR)" Facebook page. It happened late last night and when I got up this morning I was banned from the group and this conversation no longer exists. I figured this would happen, so I copied it before I went to bed. Here it is. I do not know if Jeff ever responded to my final question. Jeff, if you read this, please post your answer. For those not wanting to plow through the conversation, let me summarize it for you. Jeff and Dr Aron believes that all problems associated with the nonexistent "TSW" is due only to an underlying staph infection that makes the eczema worse. My question to Jeff is that most of my symptoms that I have experienced for the last three years are not associated with a staph infection in any way. What caused those symptoms?
Note: Jeff brought up several things that I intended to address, such as Briana's experience, my comparison to heroin addiction, TSW vets, etc. Also, if I were to do it again I would be more careful with my words. It was nearing 3:00 in the morning and I'd had a couple margaritas. :-)
Just some odd questions I've been thinking lately. So all of us know a little about tsw right? My question is, since it exist and actually affect thousands of people, although healing process takes LOTS of time, but you can still see improvement in them and why does that happen ( the healing) ? Since the staph is out of control without antibiotics?
PS not trying to confuse or give any wrong info. Just want to know more about what you guys think.
Dave, in my opinion this is not a productive use of your time. Science and medicine are not a product of logic, arguments, and debates. Medicine is a product of the scientific method. TSW will never be proven or disproven on a discussion forum.
ReplyDeleteIf the steroid + antibiotic combination cures eczema then it should be verified in a double blind placebo type of controlled study. It is a fact that steroid + antibiotic is not a unique formulation, pharmaceutical companies sell these compounds already. Aureocort is triamcinolone with chlortetracycline antibiotic made and patented by Mercury Pharma. Fucibet is betamethasone with fusidic acid antibiotic which is made and patented by Leo Pharma.
Usually for the scientific method you start with a null hypothesis and an alternative hypothesis. For example, null hypothesis: steroids control inflammation associated with eczema, alternative hypothesis: only a combination of steroids and antibiotics can control the inflammation associated with eczema. To test this hypothesis you would give patients one of four treatments. Steroid cream only, antibiotic cream only, steroid + antibiotic cream, placebo cream with no active drug.
The result of the trial would clearly indicate reality. I suspect that placebo cream would be the least effective, with antibiotic only cream being equally ineffective. I also suspect that there would be no difference between patients on steroid cream only and the combination steroid/antibiotic cream. I also suspect that everyone on the Aron regime could switch to steroid only cream and not see any difference in their skin condition. That being said, it doesn't matter what I think, all that matters is what can be proven with data.
I get that Dr. Rapaport can be an easy target, but he's not the only one that has published research on TSW in academic journals and he's not the only that has treated TSW patients. There are a dozen or so doctors that have their names on TSA/TSW research articles. I do not have a medical degree and until I have an MD or PhD I have no choice but to listen to the different voices in the medical community. I can't discredit Dr. Aron because I am not a licensed professional nor do I have any qualifications in medicine or pharmacology.
If I believed that steroids + antibiotics was the answer, I would like to know why broadband oral immunosuppressants like cyclosporine and methotrexate are effective in treating eczema and topical steroid withdrawal. I am not a doctor, but I am pretty sure that neither of those drugs have antibiotics or are used to treat staph infections. If I believed that steroids + antibiotics was the answer, I would also like to know why the experimental drug dupilumab works so well for eczema and TSW. It's a monoclonal antibody that blocks IL-4 and IL-13 and has no antibiotic component.
Good luck with your mission, from what I have seen online Jeff K. cares deeply about his son and will do everything in his power to keep his son from suffering. At the end of the day we each have to live with the tough decisions we have made.
Fantastic post Maximus, and this is exactly why doing this IS worth my time! Thank you so much. I know there is link to here on it, but can I share this on the https://www.facebook.com/ARvsTSW/ page so it gets better exposure?
DeletePlease see https://www.facebook.com/ARvsTSW/
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ReplyDeleteInteresting... I have a few things to mention. I hate to sound like a conspiracy theorist. However, I noticed this in the ESTIN website
ReplyDelete"A meeting of the Dermatology Working Group – supported by an UNRESTRICTED GRANT from LEO Pharma – was set up to address concerns expressed by the Skin Care Campaign about the confusion that exists around the appropriate application of topical steroids – an issue pertinent to the majority of patients being treated for skin conditions. Having reviewed the evidence – or lack of it – concerning the harms of the most commonly prescribed topical corticosteroids, the group considered whether a revision of the advice to healthcare professionals and to patients concerning the appropriate application of these important agents was needed."
I also noticed that the company LEO pharma of course created the product "Fucidin", which is used as the antibiotic compound that Dr.Aron prescribes as well as "Fucicort" which is the antibiotic ointment that is mentioned in this post which combines Betamethazone and Fucidin.
There might be a financial link between the use of TCS + Antibiotic with LEO Pharma and that of Dr. Aron. Or perhaps that is where he was inspired with his idea...
I'm a little late to the party here but still wanted to put my two cents in. Anyone who believes using ts and antibiotics to heal the skin from ts damage simply are not using common sense. Staying on ts even if it is intermittent usage means the problem is only delayed (postponed), and a much bigger price will be paid for it down the road. Kind of like our current economy.
ReplyDeleteThe skin does indeed get addicted to ts, and that is an obvious fact. Another obvious fact is ts do very serious damage to our bodies. This is why so many haven't healed 100% after years of doing tsw. However, the difference between being on ts and reaching the point where they no longer work and the suffering involved with that and the eventual tsw that must happen is huge. Once we begin tsw our bodies react violently and we suffer immensely for many months. But, as long as we don't smother the skin with crap that inhibits it's healing, most of our symptoms are reduced by about 90% within a few months of beginning tsw. So, a few months of intense suffering followed by years of minor skin problems. I'll take that any day over continuing ts use.
As for DSS baths, they work wonders for the skin and are a great tool for early tsw when the skin is horribly broken. Just a tool. A very effective one I might add. As is exposure to direct Sun on the skin. Using both in early tsw along with not moisturizing is highly effective in early stage of tsw.
As far as being in tsw for years and not being 100% healed, I really don't know what the answer is for that. But I do know 90-95% healed beats the alternative so many take. For me, I think my immune system may be screwed up from the ts damage done. All I know is my body's ability to keep my childhood eczema in check since my late teens is now compromised, and seems like it will be for many more years. But again, I like where I'm at skin wise compared to where I was at 3 years ago using ts for sure! Using ts to get off ts is idiotic. I tried using them twice in the last 3 years for about 5 days both times. Just got the same ole quick heal followed by a reversion to where I was at before taking them after stopping. The second time was worse and I got zingers back for a brief period of time. I also just very recently tried a strong course of prednisone. Same results. My experience doing this showed me that if I use either oral or topical steroids again, I will surely revert back to the very beginning stages of my tsw progress skin wise. I expected he oral course I did wouldn't work but wanted to find out for sure. What I found out was steroid induced eczema popped up on areas that were clear since about month 6. So, each time I have tried steroids, my body has lost more of it's ability to heal that it had gained since day one of my tsw. That's a strong testament to just how damaging ts really are! I feel sorry for anyone who thinks they can use ts to get off ts.
Hi Dan! Hey, I just now noticed this (I gotta check my blog settings as I should get a notice) and wanted to thank you for contributing. Also, I completely agree with what you said. As I type this I would say I am up to 99% healed, and like you I will be (almost) perfectly happy if this is as far as I get. My skin is perfectly normal with occasional dry spots popping up (especially now in winter) and there's some residual itching on the top of my right foot. I am delighted that my privates are back ton normal. I just returned from a cruise where my daughter got married. I had a blast and didn't even think of TSW. That said, I am still expecting a flare this summer, but each one is less severe. Cheers and hugs from Texas!
ReplyDeleteHi Dave, I got your reply from that older post and thought I'd write here. I haven't been doing too well lately. I got hit with a 3 year anniversary flare this summer (I guess), and managed to spill gasoline, heating oil, and other crap on my hands working on the house as well. Needless to say, that didn't help matters. Late in the year I decided to try a course of prednisone to see if it would get me over the hump. My skin cleared and I got relief for about a month, but once I tapered off I not only regressed back to where I was, I regressed much further back. Rashes broke out everywhere. My hands got so bad I could barely hold a coffee cup. It's been about 10 weeks since my last dose and I feel as though my skin is finished falling apart and back to healing. I started doing frequent dss baths again and experimenting with a Calendula salve.
DeleteI just read your entire blog trying to find out what you did moisturizer wise and couldn't find anything. Did you use moisturizers the entire way? I know how bad off you were and I experienced all the same symptoms. The most dreadful bone deep itching one could possibly imagine. The emotional wrought this brought on after many months of severe pain. The depression, etc. Rereading your blog reminded me of what we went through in excruciating vividness!
Anyhow, I found out the hard way that a short course of oral steroids is a horrible mistake for anyone who is in tsw, even near the end, and I want to spread the word. I also am very interested in how you healed to where you are at right now. Since I'm trying moisturizers for the first time in 3 years I wanted to find out if you used them in the last few months. Your healing gives me new hope at a time of near desperation, especially knowing how bad off you were. And, after reviewing your old pictures today.
I honestly think my overuse of ts screwed up my immune system's ability to manage my eczema (hadn't had it since I was a teen, but do now) and psoriasis. And, I now have asthma, something I have never had but runs in the family. Best, Dan
I am loving your blog. I'm a 63-year-old skeptic with TSW, too, and I find everything you say--especially the fact that you're mostly healed--very refreshing. --Nina
ReplyDeleteThank you Nina! I really appreciate you checking out my blog and leaving a comment! How are you doing and how long have you been on TSW? hugs from Texas!
DeleteIt's about a year and a half since itching started. I'm about a year into Red Skin Syndrome and six months into TSW. My back, stomach, and upper thighs are very itchy, but the worst parts are my lower legs and feet--that's where the original itching was before I started steroid creams. My husband and I can both see progress in how my legs appear, but the itching and burning is just as bad or worse.
DeleteI've mostly been going to the TSW-RSS Facebook page for support (i.e., mostly for that misery-loves-company feeling; extending compassion and advice to others makes it better, too), but, as you know, there are a lot of people there who believe in hocus pocus. Did you find the ITSAN forum a better place to go for support?
Hi Nina! I hardly go to the actual ITSAN forum anymore, but it may be a better place to go if you are going through TSW and don't buy into, as you perfectly describe it, "hocus pocus". There are so many Facebook support groups now that I lose track, so I usually go to the official ITSAN one. I've noticed a shift in the support groups going away from the Dr. Rapaport theory of just leaving things alone to a being a soap box for everyone's unfounded alternative methods. I can't help but speak up, but it usually just pisses people off. I also only post about 1/3 of the responses that I write. I let loose and write a response, then reconsider and don't post.
DeleteYou're welcome to send those responses directly to me. Then we can figure out whether you might want to post them after all, and if you do, I'll chime in and support you. Is there a non-public place I can send you my e-mail address?
ReplyDeleteP.S. The reason I say the above is that, while the original poster is likely to be attached to the idea that some alternative activity they participated in "fixed" their TSW, I believe there are many readers who would benefit from posts that say, "Relax. As hard as it is to do nothing, nothing is basically all you gotta do. No matter what you do or don't do, as long as you don't go back to using steroid creams, it'll go away eventually." (By the way, I have a hard time convincing my friends and loved ones of this "do nothing" idea. We live in a society that always dictates, "Do something!!" It's only because I consulted Dr. Rap, and that he is a "real doctor," that they calmed down and have (mostly) stopped trying to give me advice on how to get rid of this thing.). Oh, and speaking of being attached to one's ideas, have you seen this? It speaks strongly to me about what I’ve observed as far as people reacting to the idea of changing their beliefs: http://theoatmeal.com/comics/believe_clean
ReplyDeleteHi Nina! Aaack, I am so behind on my e-mail and it notifies me when someone posts here! Just now saw this. Probably the best way to communicate privately would be through Facebook messenger. Unlike this blog, I am on Facebook every day. I just sent you a friend request. And oh, I LOVE The Oatmeal! I actually posted that link on my Facebook page a bit ago.
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