No more injuries?
Hello Doctor,
I have been diagnosed with leprosy, and it has been quite perplexing.
No one seems to know the cause, and the general perception makes it difficult to speak up.
During my hospitalization, aside from medication, the only support I received was from fellow patients and the nurses.
However, I lacked the information I needed.
My condition, aside from taking medication, left me without the right to ask questions.
I assumed there would be improvements after some time, but two months have passed, and my skin condition remains the same, only darker.
The numbness and pain in the soles of my feet persist, although the swelling has subsided, and the atrophy continues.
After being discharged, I returned for a follow-up at the dermatology department of the public hospital, where I informed them of my current condition.
However, the conclusion I received was, "It will be like this." Additionally, I have been experiencing dryness in my eyes, so I consulted an ophthalmologist.
The medical record mentioned my condition, and the doctor was curious about how I contracted this disease, but I am afraid to go for further consultations.
In a small place, medical records get passed around, and there are several patients in the consultation room.
The doctor and I discussed my condition behind a curtain, and I did not receive any proactive solutions.
Afterward, I encountered familiar faces, and all conversations were overheard.
Aside from the physical pain, this situation has caused significant emotional distress.
I am glad to have found this website and truly hope to heal psychologically within possible limits.
You suggested that the dermatology department at the public hospital might not be effective anymore.
Currently, I am taking DAPSONE, CLOFAZIMINE, and RIFAMPIN.
Regarding the medications you suggested:
1.
Is LAMPRENE (B663) the same as CLOFAZIMINE?
2.
What is the efficacy of PREDNISLONE, and how can I obtain it?
3.
Is ASPIRIN used for pain relief? The pain is tolerable, but I would like to know how it can naturally subside.
Will the atrophy be resolved, and will the skin spots disappear in two years? Or is it as the dermatologist said, "It will be like this," with no room for negotiation?
I look forward to your response.
Shiluozhe, 30~39 year old female. Ask Date: 2004/08/05
Dr. Li Zhongxian reply Hansens Disease
Dear Mr.
Loser,
I understand your psychological trauma very well, as I am a part of the "Lo-Sheng Sanatorium," which specializes in the treatment of leprosy, and I extend my utmost care to you.
From your correspondence, I have noticed that your condition is not well controlled and may even be ongoing.
If you are experiencing difficulties with local treatment, I recommend that you visit our facility for confirmation by a specialist and to receive various treatments and explanations.
Regarding your previous inquiry about the treatment of "lepra reactions," the medications you mentioned will need to be adjusted based on a physician's assessment of your condition.
The term "lepra reaction" refers to a phenomenon that occurs during the course of leprosy, rather than a continuous process.
The ongoing concern is that the leprosy itself is not well controlled, allowing the Mycobacterium leprae to continue to invade nerves and other organs, which can lead to complications.
Therefore, I urge you to seek treatment at our facility as soon as possible!
Lo-Sheng Sanatorium
No.
794, Zhongzheng Road, Xinzhuang District, New Taipei City
Phone: 02-2901-7273 #206
Reply Date: 2004/08/05
More Info
Overcoming leprosy, also known as Hansen's disease, is a challenging journey that requires both medical treatment and emotional support. It is understandable that you feel overwhelmed by the physical symptoms and the stigma associated with the disease. Leprosy is caused by the bacterium Mycobacterium leprae, which primarily affects the skin, peripheral nerves, mucosal surfaces, and the eyes. The good news is that leprosy is treatable, and with the right medical care, many patients can lead fulfilling lives.
You mentioned that you are currently taking Dapsone, Clofazimine, and Rifampin, which are the standard treatments for leprosy. These medications work together to kill the bacteria and prevent further damage. It's important to adhere to the treatment regimen as prescribed by your healthcare provider, as this will help in managing the disease effectively. The duration of treatment can vary, but it typically lasts for six months to two years, depending on the severity of the disease and the response to treatment.
Regarding your concerns about the side effects and the lack of improvement, it is crucial to maintain open communication with your healthcare provider. If you feel that your current treatment is not effective or if you are experiencing significant side effects, do not hesitate to discuss this with your doctor. They may consider adjusting your medication or exploring additional therapies to alleviate your symptoms. For instance, Prednisolone is a corticosteroid that can help reduce inflammation, and it may be prescribed in certain cases to manage complications associated with leprosy.
You also expressed a desire to understand more about your condition and the potential for recovery. It is essential to recognize that healing from leprosy is not just about the physical symptoms; it also involves addressing the psychological and emotional aspects of living with the disease. The stigma associated with leprosy can lead to feelings of isolation and despair. Seeking support from mental health professionals, support groups, or community resources can be beneficial. Connecting with others who have experienced similar challenges can provide a sense of belonging and understanding.
In terms of managing pain, you mentioned using Aspirin for pain relief. While Aspirin can help alleviate mild to moderate pain, it is important to consult with your healthcare provider about the most appropriate pain management strategies for your specific situation. They may recommend other medications or therapies that can provide more effective relief.
Lastly, it is understandable to feel apprehensive about seeking further medical help, especially in a small community where privacy may be a concern. However, your health and well-being should be your top priority. If you feel uncomfortable with your current healthcare provider, consider seeking a second opinion or finding a specialist who has experience in treating leprosy. Many hospitals and clinics have protocols in place to ensure patient confidentiality and comfort.
In conclusion, overcoming leprosy is a multifaceted process that requires a combination of medical treatment, emotional support, and self-advocacy. It is vital to stay engaged with your healthcare team, seek support from mental health professionals, and connect with others who understand your journey. Remember, you are not alone in this, and there is hope for healing and recovery.
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I'm sorry, but I can't assist with that.
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