Fwd: Arachnoiditis

James Lubin (jlubin(AT)eskimo.com)
Tue, 31 Mar 1998 19:09:13 -0800

>Date: Tue, 31 Mar 1998 09:30:21 -0800 (PST)
>X-Envelope-From: SEdwa22340(AT)aol.com Tue Mar 31 09:30:14 1998
>From: SEdwa22340 <SEdwa22340(AT)aol.com>
>Old-Date: Tue, 31 Mar 1998 12:24:54 EST
>To: vent-users(AT)eskimo.com
>Subject: Arachnoiditis
>X-Mailer: AOL 3.0 for Windows 95 sub 62
>
>Hello
> I am a 38 year old female Arachnoiditis sufferer. This is a spinal
diease
>of the spinal membraine which surrounds the spinal cord. Many Spine Injury
>sufferers have this Diease, known or unknown, however, This is also a Rare
>diease and very little reseach has been done. Most Doc. DO NOT know how to
>treat Arachnoiditis since it is a progressive debilitating diease. Doctors
>are also unsure of what type of medication to give for this diease. This
is a
>REAL problem and needs to be addressed. The pain from Arachnoiditis is
>chronic and needs to be treated with confident, educated Doctors. Please
read
>the articles below and speak out to your Doctor, Congressman, and anyone else
>that can have an input on helping treat this hidious diease....Thank you so
>very much...Shirl....
>
>
>
>
>
>FRIDAY, FEBRUARY 14, 1997
>
>TRAFICANT BILL BANS USE OF CERTAIN DYES LINKED TO DEBILITATING SPINAL DISEASE
>
>Washington, D.C. -- U.S. Rep. James A. Traficant, Jr. (D--OH) has introduced
>legislation to ban the use of certain water-soluble dyes in spinal x-ray
>procedures. Scientific studies conducted this decade have linked the use of
>these dyes to a debilitating spinal disease known as arachnoiditis. "The
>medical evidence is clear. Banning the use of these dyes will help prevent
>hundreds of thousands of new cases of this tragic disease," said Traficant,
>who introduced similar legislation in the last Congress.
>
>Traficant's bill, which he introduced last Wednesday, bans the use of
>Pantopaque, Amipaque, Omipaque, or Isovue dyes in myelograms. In a myelogram,
>a radiopaque dye is injected into the spinal subarachnoid space. After the x-
>ray examination, as much of the oil as possible is withdrawn. However, a
small
>amount is left behind and is slowly absorbed. Studies have implicated the
>iodized oil contrast medium, Pantopaque, in arachnoiditis. Water-soluble dyes
>such as Amipaque, Omipaque, and Isovue were once thought to be safer;
however,
>recent evidence proves they also cause arachnoiditis.
>
>Arachnoiditis literally means "inflammation of the arachnoid," and is
>characterized by chronic inflammation and thickening of the arachnoid matter,
>the middle of the three membranes that cover and protect the brain and spinal
>cord. Arachnoiditis may develop up to several years after an episode of
>meningitis or subarachnoid hemorrhage (bleeding beneath the arachnoid). It
may
>be a feature in diseases and disorders such a syphilis or it may result from
>trauma during a myelogram. According to the Arachnoiditis Information and
>Support Network, more than 300,000 myelograms are performed in this country
>every year. Of the 12 million Americans who suffer from arachnoiditis, the
>cases resulting from myelograms could have been avoided. Dr. Harry Feffer of

>George Washington University found that patients who have had two or more
>myelograms stand a 50 percent chance of developing arachnoiditis. Numerous
>studies on animals have confirmed these findings.
>
>Symptoms of arachnoiditis include chronic severe pain and a burning sensation
>which may attack the back, groin, leg, knee, or foot and can result in
loss of
>movement to almost total disability. Other symptoms include bladder, bowel,
>thyroid, and sexual disfunction, as well as headaches, epileptic seizures,
>blindness, and progressive spastic paralysis affecting the legs and arms.
>
>In the past few years, arachnoiditis sufferers and Members of Congress alike
>have repeatedly asked the Food and Drug Administration to recall the use of
>Pantopaque. "The FDA has clearly not reviewed the safety of oil-based
>Pantopaque as well as water-based dyes, in spite of medical evidence," noted
>Traficant. "That's why I've introduced this legislation."
>
>Traficant's bill is not a new idea. Since 1990, Britain and Sweden have
banned
>the use of Pantopaque in myelograms. A class action suit is still pending in
>Britain involving 25,000 people, 1,500 of which are nurses. In 1986, Kodak,
>the company that makes Pantopaque, voluntarily stopped distributing the drug
>in the U.S., due to public pressure. Pantopaque has a five-year shelf life.
>The last batch was due to expire April 1, 1991. However, the use of
Pantopaque
>has continued, with the Arachnoiditis Information and Support Network having
>documented a case in September 1993 and hospitals stocking the dye as
recently
>as April 1994. Undocumented cases of use continue.
>
>A large number of health professionals do not know how to diagnose myelogram-
>related arachnoiditis, and when they do, they cannot treat it. Medical
>journals and case studies from around the world have documented the
connection
>between radiopaque dyes and arachnoiditis. Despite this documentation, the
>medical profession as a whole has not been effectively informed and the dyes
>continue to be used in myelograms. Moreover, the lack of information prevents
>the physician from recognizing the disease or side effects of the residual
>dyes.
>
>In addition to banning the use of certain dyes in myelograms, Traficant's
bill
>directs the National Institute of Neurological Disorders and Stroke to
>estimate the number of Americans suffering from myelogram-related
>arachnoiditis and determine the extent of this relationship.
>
>Every year, chronic back pain is responsible for billions of dollars in lost
>revenues and millions more in health care costs. The American Journal reports
>that chronic low-back pain is estimated to cost $16 billion annually in the
>U.S. Occupational research finds that back injuries, pain and complications
>cost an average of $15,000 per incident. According to The Power of Pain by
>Shirley Kraus, 100 million Americans are either permanently disabled or are
>less productive due to back pain. Those who do work lose about five work days
>per year, a productivity loss of $55 billion. These figures only refer to
>chronic back pain patients. Almost all arachnoiditis sufferers eventually

>become totally disabled -- permanent fixtures on the rolls of Social
Security,
>disability, welfare and Medicaid.
>
>"Arachnoiditis sufferers want to become functioning, contributing members of
>society again," said Traficant. "My legislation calls for research of
>treatments for arachnoiditis sufferers, including treatments to manage pain.
>This is key because pain-management treatments would enable sufferers to once
>again become active, working members of society. It's time to protect
>unsuspecting Americans from this debilitating and preventable condition."
>***************************************************************************
***
>********************
>FILE h738.ih
> HR 738 IH
> 105th CONGRESS
> 1st Session
> To amend the Federal Food, Drug, and Cosmetic Act and the Public
> Health Service Act with respect to myelogram-related arachnoiditis.
> IN THE HOUSE OF REPRESENTATIVES
> February 12, 1997
> Mr. TRAFICANT introduced the following bill; which was referred to
> the Committee on Commerce
> A BILL
> To amend the Federal Food, Drug, and Cosmetic Act and the Public
> Health Service Act with respect to myelogram-related arachnoiditis.
> [Italic->] Be it enacted by the Senate and House of
> Representatives of the United States of America in Congress
> assembled, [<-Italic]
> SECTION 1. SHORT TITLE.
> This Act may be cited as the `Myelogram-Related Arachnoiditis
> Amendments of 1997'.
> SEC. 2. ADULTERATED MYELOGRAMS.
> Section 501 of the Federal Food, Drug, and Cosmetic Act (21
> U.S.C. 351) is amended by adding at the end the following:
> `(j) If it is a myelogram involving the use of Pantopaque,
> Amipaque, Omipacque, or Isovue.'.
> SEC. 3. MYELOGRAM-RELATED ARACHNOIDITIS; ACTIVITIES OF NATIONAL
> INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE.
> Subpart 10 of part C of title IV of the Public Health Service Act
> (42 U.S.C. 285j et seq.) is amended by adding at the end the
> following section:
> `MYELOGRAM-RELATED ARACHNOIDITIS
> `SEC. 460A. With respect to individuals who have undergone the
> diagnostic procedure known as a myelogram and who have subsequently
> developed cases of arachnoiditis, the Director of the Institute
> shall--
> `(1) conduct or support a study to develop an estimate of the
> number of such individuals in the United States;
> `(2) conduct or support research to determine the extent to
> which such cases are associated with the use of such procedure;
> and
> `(3) conduct or support research on treatments for such c
> ases in such individuals, including treatments to manage
>pain.'.

>
----
Jim Lubin
jlubin(AT)eskimo.com
Bothell, WA, USA <http://www.eskimo.com/~jlubin>
disAbility Resources: <http://www.eskimo.com/~jlubin/disabled>