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If your life depends on immune globulin, this column is for you! Here, we have an opportunity to net-
work and share our experiences about all of the ramifications of our illnesses, and to learn from oneanother. If you have a question, comment or experience to share for a future column, email it to us [email protected]. Joanne Lund is a 46-year-old womanmotor and math skills and obsessivewith two sons — Nick, 16, and Danny,compulsive behaviors such as repeatedautoimmune neuropsychiatric disor-anxiety, unfounded fears and phobias.ders associated with streptococcalInitially, symptoms subside after antibi-otic treatment but reoccur and getrare autoimmune disease that occursafter a streptococcal infection, andinfection. If not treated before ado-affects children as young as 15 tolescence, by age 14, the neuropsy-18 months old. It is an easily misun-completely missed. A history of otherlong-term prophylactic antibiotics,conditions such as Sydenham’s chorea(St. Vitus’ Dance), sudden onset
in six months, he was ill again, withhorrible nightmares, fears and tics. He then had his tonsils removed,
“Nick met all the criteria to be
which helped until he got sick again,this time with much worse behavioral
admitted to a PANDAS clinical trial . but the study lost
determined that Nick met all the cri-teria to be admitted to a PANDAS
its funding.”
clinical trial. At the end of the trial,he was to be administered IVIG,
Tourette’s syndrome and/or obsessiveHaldol and selective serotonin reup-psychiatric symptoms appear suddenly,tics, separation anxiety, anorexiawith a fear of choking on food whileShirley: When were your children patients to look frightened, hyper-
pediatrician’s office. I was finally able
activity, a significant decrease in fineJoanne: My oldest son, Nick, was LifeStyle
weeks, his improvement was incred-ible, but the doctor declined to follow
2. National Institute of Neurological Disorders and Stroke
tests fit the criteria for IVIG treatment,but the hospital refused to administerit, the doctor refused to prescribe itand the insurance company refused
Joanne: The medical specialist in
we could to get IVIG in our own state. Shirley: Do you have any final Joanne: Follow your heart. You Shirley: Where did your children Joanne: After many tries, we were SHIRLEY VULPE, EdD, has Shirley: Has IG helped? Joanne: Definitely. I now have two tional administration, a master’s inearly childhood special education, a BScin occupational therapy and a diplomain physical and occupational therapy.She worked for 38 years specializing insetting up rehabilitation and earlychildhood special education programs.Shirley: Have you received any Shirley: What was the worst advice autoimmune diseases: common variableimmune deficiency and chronic inflam-Joanne: My husband, my mother, Joanne: To use Haldol for Nick. It matory demyelinating polyneuropathy.She has been married for 45 years to aphysician, is the mother of two childrenShirley: What was the best advice?
The current issue and full text archive of this journal is available atwww.emeraldinsight.com/0828-8666.htmMarkfield Institute of Higher Education, Markfield, UK, andCentre for Islamic Banking, Finance and Management,University of Brunei Darussalam, Bander Seri Begawan, BruneiAbstractPurpose – As per Islamic business ethics, corporate social responsibility (CSR) of the businessorganizations
Articles Risk-adapted craniospinal radiotherapy followed by high-dose chemotherapy and stem-cell rescue in children with newly diagnosed medulloblastoma (St Jude Medulloblastoma-96): long-term results from a prospective, multicentre trial Amar Gajjar, Murali Chintagumpala, David Ashley, Stewart Kellie, Larry E Kun, Thomas E Merchant, Shaio Woo, Greg Wheeler, Valerie Ahern, Matthew J