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Monthly Archives

October 2012

Nick Cannon Opens Up About Lupus Diagnosis

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Nick Cannon News - Nick Cannon Opens Up About Lupus Diagnosis, Says He's 'Working Past It' (PHOTOS) - Celebuzz

I have found that it is pretty rare for men to be diagnosed with lupus, but there are some out there.  Probably more than I even recognize.  One of the most famous lupies is Nick Cannon – husband to Mariah Carey and host of America’s Got Talent.  Not that I watch that show or even knew who Nick was until now (doh!).

Nick was diagnosed with lupus earlier this year when his kidney’s shut down.  Since then he has been doing a web series on his struggle back to health.

He talks about how his doctors told him to slow it down.

“My doctor was saying that my work is going to kill me – and he’s not joking,” he said. “I think part of the reason why my health did kind of deteriorate was because I wasn’t resting a lot and I was doing too much. I was overworking myself, working out too much.”

From what it appears from his busy schedule, he still hasn’t fully gotten the message.

Nick Cannon News – Nick Cannon Opens Up About Lupus Diagnosis, Says He’s ‘Working Past It’ (PHOTOS) – Celebuzz.

Spinal tap – Rock on!

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Yeah.  I know you were thinking Spinal Tap the band as opposed to spinal tap the thing someone stuck into my spine this morning.  One of them is funny.  One of them is not that funny, but not that bad.

I ventured into the neurology clinic this morning for my procedure.  This was my reward for having my white blood cells increase.  In the clinical environment, we like to refer to spinal taps as lumbar punctures or LPs if you are really well versed.

The procedure goes a little bit like this.

  1. Get bloodwork done to make sure you aren’t going to bleed out.
  2. Lie down on the bed facing the wall and curl up into a ball with your knees as far in as possible.
  3. Nurse starts to feel your hips and spine for the correct insertion point.
  4. Nurse finds and marks insertion point.
  5. Nurse wipes area down with betadine – that horribly staining stuff.
  6. Nurse inserts needed with lidocaine to numb the top area.  This part pinches and the lidocaine burns.
  7. Nurse inserts another needed further in with lidocaine.  This also burns and you feel some pressure.
  8. Nurse finally goes for it with the needle into your spine.  You feel slight pressure, but it is more scary than painful.
  9. Nurse measures your spinal fluid pressure.Increased CSF pressure can indicate congestive heart failure, cerebral edema, subarachnoid hemorrhage, hypo-osmolality resulting from hemodialysis, meningeal inflammation, purulent meningitis or tuberculous meningitis, hydrocephalus, or pseudotumor cerebri.Decreased CSF pressure can indicate complete subarachnoid blockage, leakage of spinal fluid, severe dehydration, hyperosmolality, or circulatory collapse. Significant changes in pressure during the procedure can indicate tumors or spinal blockage resulting in a large pool of CSF, or hydrocephalus associated with large volumes of CSF
  10. If all is good, nurse starts to collect spinal fluid.In my case, this took about 15 minutes because they were also banking some of my fluid into a bank for research.
  11. When collection is done, nurse pulls needle and cleans you up.  You get a little bandage that you are to remove in 24 hours.   Voila.  Done!

Spinal needle – man that is a long sucker!

The tubes on the left are my spinal fluid.  You want your fluid to look clear like water.  If it looks nasty, then you probably have an infection in your spinal cord.  Obviously a bad thing.

The risks of doing a lumbar puncture are post spinal headache with naseau.  I was told that this only happens about 5% of the time and mainly with the hospital punctures.  The reason that they happen more in hospital as opposed to clinic is that the needles that they use in hospital are a lot bigger than what they would use in an MS clinic like I go to.   This is largely in part because doctors in hospitals don’t perform lumbar punctures all the time, so they need bigger needles to hit the spot.  The bigger needles perforate a sheath that the smaller needles simply push apart.  This results in some spinal fluid leaking out and giving you a headache.    Scary, right?!?

Then there are more serious complications, but I won’t go into those.


I am at home now and took a nap and am drinking plenty of water and eating which is what I was told to do.  I have some soreness on my back, I’m not going to lie.  It is manageable compared to what I feel every day and basically feels like bad period cramps.  Correction to this statement: I stood up after posting this and got super light-headed.  So light-headed that I nearly passed out.  And then the pain really kicked in.  Ok.  It is painful.   Officially.


Coming up next?  My results.  I’ll put them up here for y’all to see and interpret.

Anti-double-stranded DNA, wha?

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There are different tests that you can take to diagnose lupus and also monitor lupus activity.  This is the first in a series of the lab tests that I typically have to take with an explanation of what the results might mean.  Keep in mind that I am clearly no doctor and most of this information has been scraped from the internet.  The lab results will be from my personal bloodwork or other tests.

Anti-double-stranded DNA

The anti-double-stranded DNA antibody (anti-dsDNA) is a specific type of ANA antibody found in about 30% of people with systemic lupus. Less than 1% of healthy individuals have this antibody, making it helpful in confirming a diagnosis of systemic lupus. [The absence of anti-dsDNA, however, does not exclude a diagnosis of lupus.] The presence of anti-dsDNA antibodies often suggests more serious lupus, such as lupus nephritis (kidney lupus). When the disease is active, especially in the kidneys, high amounts of anti-DNA antibodies are usually present. However, the anti-dsDNA test cannot be used to monitor lupus activity, because anti-dsDNA can be present without any clinical activity. Three tests are currently used to detect anti-dsDNA antibodies, namely enzyme-linked immunosorbent assay (ELISA), the Crithidia luciliae immunofluorescence test, and a test called radioimmunoassay.

Reading results

Standard range: <30 IU/mL

Reading my results

I started seeing to my rheumatologist in April of 2011 so these are the only labs that we have to chart.  You can see that there is a pretty shocking increase over time with it peaking around late January 2012.  This period coincides with a period of a great deal of stress for me.  I began taking prednisone then and you can see the decrease back to a near “normal” state for me.

I would say that these labs are slightly off because they are missing tests from my hospital stay in June when I was in a life-threatening state.  They only show in the middle of July when I was already treated and on a heavy dose of steroids.  My guess is if I track down those June labs they would be spiking near or above the January reading.