I visited my other ME doctor yesterday, Dr. W. By now my visits with Dr. W are very routine - I go every five months, which is the longest he will allow me to stay away between visits. He says the licensing board won't allow him to prescribe maintenance-type medications to patients with longer intervals in between check-up visits. So at this point my visits with Dr. W are simply necessities to maintain access to my prescriptions of T3, Testosterone, and Valacyclovir.
In terms of treatment plans, Dr. W is mostly out of ideas and I think I have plateaued under his care. (Pardon the use of "plateau" as a verb.) So I am looking for another local specialist who will (1) maintain the treatments from Dr. W that did work, and (2) introduce some new ideas to push me through the plateau.
In the meantime, I discussed with Dr. W that I have been taking antibiotics for almost two months to deal with ongoing prostatitis. We noted that my candida problem seems to have come back because of the antibiotics. My tongue is again coated with a white film - more so than in recent months.
At the same time, Dr. W noticed that I was sniffling. It's true that my sinuses have been running with post nasal drip for the last month -- a symptom I haven't dealt with since the first year of ME/CFS.
Dr. W mentioned that a Mayo Clinic study showed 96% of cases of chronic sinusitis are caused by candida overgrowth. (That's a bit of an oversimplification of the study's results.) This immediately made sense to me based on my recent resurgence of candida due to antibiotic use and the return of sinusitis at around the same time.
Dr. W's solution was to prescribe Fluconozole again. I won't take the Fluconozole for at lest another month or two. As I've written about here recently, there are other more important treatments I need to try first - like the Interferon/Prozac experiment.
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