Rat-Lung Fever and Leptospirosis

or

I go to paradise, and it tries to kill me.

Background
Cramps
Rat-Lung fever
Leptospirosis
Hospital Hell
Lepto Risk Factors
Medical records
Current symptoms
Supplements


Background
     Since I changed my diet from SAD meatarian to a plant-based diet in 1969, I have not had any symptomology beyond the initial cleansing stages: no "colds/flus".  My body type is lean, about 110 pounds at five foot nine.  I have unusually high energy, stamina, strength, and endurance - especially for my size.

    I moved to the Big Island of Hawaii in July, 2004, to join and build a raw vegan community, something I had contemplated for >30 years.  I had corresponded with the community's "founder" by e-mail for 6 months, fixed his web site, sent him $300 worth of heirloom seeds: tomato, cucumber, and melons, this in anticipation that there would be some food crops when I arrived.  As soon as I met "Trees " and "Z" (Z, the female) said she wasn't told I was coming until she drove to the Hilo airport to pick me up.  That was the beginning of my suspicions regarding their sincerity, and eventually, their sanity.  Briefly, they were phonies and there was no community at all, just them and another very nice couple, and now, me.  Ric, Emily and I decided that they were totally insincere and just ripping off the endless parade of individuals who came, saw, and split.  We three left after I had been there only 3 weeks, hopefully to escape to another planned raw vegan community about half a mile away.  This is Cinderland, and here are some pictures.

    At Cinderland, I lived in an off-the-grid, solar-powered, satellite-Internet-connected tent on the most active volcano in the world.


Cramps
    I like walking a lot, but for the first few weeks, I had painful cramps in the adductor muscles (inner thigh) at night, and I concluded that this was from dehydration, sine the cramps stopped after I forced myself to consume more water.  Strangely, I never got thirsty; apparently I do not get the appropriate signals when dehydrated.  Forcing myself to consume more water, even though I was living on an all raw diet of mostly papayas, bananas, avocados, carrots, tomatoes, cucumbers, ... stopped the cramps.

    For the first year and a half I was very active: walking 2-4 hours a night along rough lava roads, I loved hiking around on the rough lava fields for hours, I modified a mountain bike to be able to be ridden over the lava, I paddled my kayak in Hilo bay and its local streams, and in local tide pools, I explored lava tubes for miles underground, I cut trees and maintained an experimental garden.


Rat-Lung fever
    Cinderland has a "catchment" water system by running rainwater off the tarps strung over each campsite into gutters and then through a pipe into a 12,000 gallon open-topped tank.  I never drank the water, I used reverse-osmosis water vended at the local health-food stores and gas stations.  

    I did wash my utensils in the tank water, and used it for showers, so I assume a small drop containing Rat-Lung Fever nematodes was somehow ingested.  [1, 2, 3, 4, 5, 6, 7]  [A woman living in Cinderland got giardia from merely brushing her teeth with the tank water.]  Cinderland was infested with both shelled snails about 3 inches long and "semi-snails", a small 1 inch long slug with a small vestigial shell on its back, under the slime coating.  These would crawl over our tents and tarps at night. leaving a long shiny slime trail.  Commercial snail bait wiped both species out.  A local alternative newspaper presented a major article exposing that this "semi-snail" was a new invasive species in the Puna area of the Big Island of Hawaii, and that the local health officials were not doing any meaningful research into this new threat.  I heard of one local neighbor about a half mile away who had Rat-Lung Fever three separate times.  

    I am curious as to how the nematodes, bring protein-based animals, successfully avoided being digested, and thus killed, in the stomach, as one would assume should occur; perhaps some sort of protective coating?   These critters then migrate through the body to localize in the spinal column and brain cavity to do their mischief.  How they "know" how to find these locations and move in is a mystery to me.

    The effect of Rat-Lung Fever is very unpleasant, the nematodes produce a repetitive cycle of muscle cramps and intense pains throughout the body.  In me, painful cramps occurred in the abdominals connecting to the floating ribs, then in the muscles between the shoulder blades, then pain on the surface of the right shin bone, then a cramp in the ball of the left foot.  Then, after a rest of some 5-10 minutes, the cycle would repeat -- 24 hours a day, week after week.  In addition to these pain and cramp cycles, I had absolutely no energy, so stayed flat on my back for 6 weeks.  I detest pharmaceuticals and never "need" or take them, but I took the maximum dosage of Tylenol (6 grams/day) for weeks, and then changed to Ibuprofen because the body burden was much less.  In addition, I smoked industrial quantities of local cannabis, all this in a useless attempt to "do something" to lessen the pain.  So I was stoned AND in pain, certainly not much of a benefit.  None of this affected the cramps or reduced the pain one bit.  

    I assume that the physical effects were generated by neurotoxins being excreted as metabolic wastes by the nematodes, so normal analgesics, which might "work" due to blocking pain nerve signals from the periphery of the body, did not work in this case because the pain was being generated by poisoning of the brain or spinal cord directly.  There is no diagnostic technique other than taking a spinal tap and examining the fluid microscopically for the nematodes, themselves.  Worse, there is no 'treatment' other than taking repetitive spinal taps to relieve the internal pressure.  I did not have this done.  

    Travis and Amber brought me the newspaper article which revealed that the only thing to do was tough it out until the nematodes mysteriously and simultaneously died after being in the human body for 6 weeks -- ouch!  After that tine, I recovered fully in a mere three days!  I was 100% me again!


Leptospirosis
     Being able to function physically again for the first time in 6 weeks, I focused on trimming the Wiliwili trees, climbed up and down my ladder for hours doing this, built a raised foundation for my new 10X16 foot Eureka! tent out of 35 pound concrete blocks and heavy 5/8" pressure-treated plywood panels, set up the tent alone, and moved about half of my stuff from the old tent, and BOOM, I was flat on my back again, without absolutely NO energy.  

     I could barely move, and had no desire to do so.  I naively assumed that this was a relapse of the Rat-Lung Fever because I had worked too hard physically, too soon, but there were no cramps nor pain, just total fatigue and no desire to move.  I assumed that because waiting it out had worked before it would work again, but it did not.  My physical and mental condition deteriorated markedly over the next several weeks, I got so weak that I could barely walk.  I eventually had to walk in 8 inch steps with the aid of a stick.  It was move the stick forward about 8 inches and lean on it, move one leg forward and then the other, move the stick again and lean, and so on.  I went to the local chiropractor, who produced no results, and then another to try different approaches.  This did not help.

    Someone came through the camp who had told me that he had known two locals who had gotten "Lepto"; one went to the clinic and 'got something' and he recovered slowly; the other did not, and he died.  One symptom was an inability to walk, and I was just about there; also I had fallen down a few times.  
     My mind was so confused, that if I tried to move my 'attention' rapidly (i.e. normally) that I would lose my tenuous focus and thus lose my balance and fall.  My ability to concentrate had deteriorated to the point that it took me 10 minutes to write down a 10 digit phone number because I could not correlate the concept of the number "4" with the symbol "4", nor did I have the psychomotor coordination necessary to actually write the number.  Clearly, I was not getting any better, but progressively worse, and a psychic advisor who I had consulted several times on my condition warned me to go to the hospital immediately because if I stayed in my tent one more night, I might die!  
     But, my reluctance to go to the Hilo Hospital was fully justified, as I experienced in the next week.


Hospital Hell
      The previous time I was in the hospital was when I was 5, and they got my tonsils.  I am very skeptical and distrustful of the medical system; it killed three people that I knew, and especially so since western medicine is the number one killer in the US.

     I relented and was taken to the Hilo Hospital the next morning.

    On admission to the hospital, I told everyone that I could that I had either Rat-Lung Fever or Leptospirosis (also known as Swamp Fever, Rice-field Fever, Cane-cutter Fever, or Mud Fever - risk factors), but no one listened or responded to that fact.  The doctor in the Emergency Room said that they wanted to do "some tests" and suggested that I be admitted for -my own convenience- to eliminate the need for the logistic hassles of coming back and forth to the hospital for several days.  Although the hospital's handout on 'Patient Rights" clearly stated that the patient had the right to discuss all proposed procedures and FEES!  No fees were mentioned or discussed!  Note the lofty Mission Statement, but unfortunately as I was about to learn this is nothing but a pack of lies!  The real purpose of the hospital admission was simply to collect hospitalization payments from Medicare, as I had Part A (free hospitalization insurance; i. e. room and board), but not Part B, medical insurance; i.e. "treatment" (which is patient-paid, and I was forced to cancel that a few months earlier because they had deducted it from my Social Security payment of less than $500 per month WITHOUT so informing me, and it was ~20% of my total income at that time).
     Ultimately, this hospital scam, which produced NO meaningful analytical findings and NO treatment or results whatsoever, cost Uncle Sam $11,000 for 6 days of room-and-board!  I could have stayed in Trump Tower (scroll down) for way less than that!  And, I could have been warm!

    At that time, my normally slim body [110 lbs, 5'9"], with no palpable body fat, was down to 97 lbs, as I first discovered on being weighed.  I looked like an Auschwitz victim.  [Most people in Hawaii are obese because the state diet is centered on SPAM [now 70 years old and does not want to be associated with Internet UCE's], "soft drinks", and junk-foods, and thus there are no public scales.  Publix, a supermarket chain in five southern US states has 907 stores which are purveyors of junk foods and they have an accurate scale in every store.]  
     Also, due to my non-toxic diet, my core temperature is about 97.8°F, about a full degree lower than the average toxic and fat human.

    Since I had previously visited the hospital to meet the pharmacist to arrange for satellite Internet to be installed in my tent, I knew it was COLD there, so I came prepared dressed in T-shirt, long sleeve jersey AND a full sweat suit, with a second sweat suit and extra socks in reserve in my bag.  And, I had my custom made, extra heavy, pull it down over my eyes, knit hat.   I had put the sweat shirt on as soon as I got into the Emergency Room, as it was cold there.

    Of course, the first thing that was done to me was to remove all my warm, survival clothing and put me into one of those humiliating hospital "gowns".  A nurse took a little history, showing no interest in my many claims to possibly have Rat-Lung or Lepto and my repeatedly stressing that this was important.  Several blood samples were taken over the next 6 hours I wasted away in the ER or in a little closet they found for me.  I told the nurses that I was cold and I was brought a thin, cotton "blanket", almost thin enough to read through, and then another and another, as I continued to complain about being cold.  

    I was wheeled down to the X-Ray Room, itself much colder than the rest of the hospital, and the claim was that the X-Ray machines dod not like warm temperatures.  Mercifully, the X-Ray rooms had heated "blankets", since apparently the situation was well known and a silly, ineffective fix had been initiated.  Again, these "blankets" were thin cotton and neither held body heat, nor held noticeable external heat, per the plan.  After interminable sets of X-Rays been taken I was wheeled in a hospital bed to the aforementioned little closet.  It was barely big enough for the bed, a scale, and another medical machine.  I was given a little meal, the first of the day.  

    Then, a little girl who screamed constantly for several hours was brought into ER.  I was sick enough that I did not need that!  The screams were ignored by both the "mother", and all the staff, in true Hawaiian style.  Hawaiians, although claiming to be possessed by the "Aloha Spirit" have no sensitivity to children's cries of pain.  In Wal*Mart, for example, one hears children screaming throughout the store with NO intervention by the "parents".  Then, I was scheduled for an "upper GI" set of X-Rays and had to drink a liter or two of "iodine solution" to provide X-Ray opacity.  

    During my multiple-hour wait to be X-Rayed this time, I was wheeled in front of two open glass doors which had a large sign: "These doors to be closed at all times."  It was January, the start of a week of rain, and the cold, damp wind blew in right on me, covered only by the hospital gown and a sheet; the fat Hawaiian guard staff was visibly enjoying the cold, damp air.  After this set of X-Rays, more waiting in front of the open doors, and finally, after some 8 hours since my arrival, I was told my room was ready and I was wheeled into a semi-private room containing two beds, a waste basket, a couple of chairs, a TV, toilet/shower, and a phone (no cell phones allowed in the hospital).

     At long last, I could crawl into bed, ask for more blankets, and try to get warm.  As the X-Rays had required an empty intestinal tract, I was not given any food all day, but finally got some cold salad and a little white rice as I explained that I was a vegan.  The portions were incredibly small, especially since I had not eaten all day.  

    My sleep was interrupted by what turned out to be the hospital routine of waking me up at 5 AM to take my vital signs and a blood sample.  I had naively assumed that one should actually rest in a hospital to get well.  

    It was cold in my room, the curtain was missing from the window so cold air ran down the glass and chilled the room.  Even the overweight nurses wore sweaters.  Some of them posited that the hospital was intentionally cold to suppress bacterial growth.

    As blood work had indicated elevated PSA's (prostate-specific antigen) I was fingered (DRE: digital rectal exam; not related to digital computers) by the urologist and told: "Mr. Forti, your PSA's are a little high, common for men of your age (65 at the time), DON'T worry."  I had experienced some waking up at night to urinate in Miami (I was amused and thought, "I have that old man's disease".) and more frequently in Hawaii, and I assumed it was due to all the water I was eating in a raw, mostly-fruit diet and increased, forced water-drinking to avoid dehydration.  (I had intense cramps in the adductor muscles (inner thighs) at night in the first few weeks after arriving in HI, and eventually understood they were due to dehydration, although my body did NOT crave enough water to prevent them.  I had believed that I should drink only when thirsty, a la Herbert Shelton, so I concluded that something was apparently amiss with my thirst mechanism.)  
     I drank reverse osmosis, filtered, county water out of vending machines at the local health-food store, supermarkets, and gas stations, as Hawaiian water is horrible, and most are forced to drink "bottled water".  And, being "off-grid" on the lava flats, created in Kapoho in 1960, with no water, electricity, sewers, or (conveniently) police, the catchment water is collected on tarps over the camp sites and stored in open-top tanks at Cinderland and thus is contaminated with a variety of water-born diseases, as I experienced repeatedly, even though I never drank it!

    Well, a week of being frozen, sleep-deprived, starved, tested, and tortured at the hospital concluded with the fact that all the tests had found NOthing, except a little, dormant granuloma in my upper right lung (I had grown up in a family of three adult smokers and worked in the chemical industry for years).  So, Dr. Hu (a young Chinese woman with neither a sense of humor, nor knowledge of the British comedy series: Dr. Who) dropped in on day 6 and said: "Mr. Forti, you have a slight case of Leptospirosis, we will prescribe you some antibiotics, and send you home."  "Slight?"  I could hardly walk, had no energy (I could not turn the pedals on the stationary bicycle in the physical therapy lab fast enough to even turn on the computer display), my muscles were tight throughout my body, and this severely interfered with my peristalsis, thus I was severely constipated from both lack of food and exercise.
     And then, there were the effects on my consciousness: mental confusion, memory lapses, the inability to focus, the inability to construct coherent verbal output, ...

     I was prescribed 100 mg of Doxycycline, twice a day, for 10 days, and it did absolutely NOTHING to relieve my continuing symptoms of extreme fatigue, severe muscle tightness throughout my body, drastically-reduced peristalsis, basic inability to move, stand up, or walk due to muscle tension, a strange combination of numbness and tingling all over my body, leg spasms, and pain in the leg muscles, feet, and hip joints -- all these symptoms remain to this day, although markedly diminished, almost two years later (Nov 2007).  Recently, edema in the pubis, legs, and feet has manifest. 

    Pre-Lepto, I walked about 5 miles almost every night on the rough lava roads, rode my bicycle that I had converted to ride on the rough lava roads and on pavement some 5-10 miles a couple of times a week, hiked cross-country on the lava, explored lava tubes for several miles underground, paddled my kayak for hours about once a week, swam in the "Warm Pond", etc.  I had a very active life and then I laid on my back for a year and a half thanks to Lepto.  

    I have a FM radio in my cell phone, so I invested abut 4 hours a day listening to National Public Radio familiarizing myself with the horrors taking place on this planet at this time, not exactly an activity conducive to healing, but the only mental input, with exception of Internet print-outs on the current political madness brought to me by another Cinderland resident.  In that year and half, I heard Lepto mentioned in the context of a storm and flood in an Far Eastern country, where by some number of people died by drowning, and two died from Lepto.

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Lepto Risk Factors

* Occupational exposure -- farmers, ranchers, abattoir workers, trappers, veterinarians, loggers, sewer workers, rice field workers, and military personnel.
* Recreational activities -- fresh water swimming, canoeing, kayaking, and trail biking in warm areas.
* Household exposure -- pet dogs, domesticated live stock, rainwater catchment systems, and infestation by infected rodents.

The incidence of leptospirosis is low in the continental U.S. Hawaii has the highest number of cases in the U.S.

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Medical Records

1/23/2006

Na 135 WBC 12.6
K 4.9 RBC 4.58
Cl- 99 Hemoglobin 14.8
CO2 27 Hematocrit 44.6
Anion Gap 9 MCV 97.4
BUN 9 MCH 32.4
Creatinine 0.78 MCHC 33.3.
Glucose 98 RDW 13.7
Ca 9.3 Platelet 428
Total Protein 7.2 Neutrophils 81 (H)
Albumin 3.9 Lymphs 10 (L)
Globulin 3.3 Monocytes 6
A/G Ratio 1.2 Eosinophils 3
AST (SGOT) 20 Basophils 0
ALT (SGPT) 36 Neutrophils (Abs) 10.2 (H)
Alk Phos 128 (H) Lymphs (Abs) 1.2
Bilirubin Total 0.5 Monocytes (Abs) 0.7
GFR >60 Eosinophils (Abs) 0.4
Prostate Spec Ag 17.7 (H) UniCelDxI Basophils (Abs) 0.00
TSH 1.83 RBC Morphology Normal

Leptospira, AB   Positive for Leptoapira IgM antibodies


Current Symptoms

     Apparently, I am one on the estimated 10-40% of Lepto victims that have Persistent Human Leptospirosis (1, 2, 3), because today, almost two years after the original Lepto infection, I have the following continuing symptoms:

1> fatigue, lack of energy, lack of strength, and lack of endurance

2> continuing, constant tension throughout the entire musculature; this limits the range of motion, causes difficulty in walking, interferes with peristalsis, etc.

3> muscle spasms in the legs, mostly in the left; however, these have been diminishing markedly in the past several months, and are almost gone

4> constant simultaneous numbness and tingling throughout the body.  This is as if some (electrical) "noise" is being generated in the nervous system, thus causing these sensations.  Perhaps due to neurotoxins being generated by remaining Lepto bacteria, or perhaps permanent nerve damage?

5> fumbling and dropping of things; tactile feedback is interfered with by these spurious nerve signals, thus resulting in disruption of fine motor control

6> edema in the legs and feet; this has reduced markedly the past couple of months.

7> thermal hypersensitivity; I seem to be much more sensitive to small changes in temperature

8> I never had any of the common Lepto symptoms: headache, diarrhea, vomiting, "flu-like" symptoms, ...

Supplements

    I have been taking these fairly regularly since my return to Miami in early July 2007.
Life Extension Mix (multi) 1 scoop/day as opposed to recommended 3/day
LE Complete B-Complex

2 caps/day opposed to recommended 3/day

LE Bone Restore 2 caps/day opposed to recommended 5/day
Manganese amino acid chelate 1/day 15 mg/day
LE Chromium Ultra 1/day 500 mcg/day
LE CoQ10 1/day 100 mg/day
LE Folic acid - B-12 2400 mcg - 900 mcg/day
Ashwagandha extract 260 mg/day
LE Melatonin 6 mg/day at bed time

 

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