Cathie F. Harrison P. O. Box 824 Graham, TX 76450-0824 harrison@niinet.net October 21, 2002 Dr. Joseph M. Cummins, President and CEO, Amarillo Biosciences 800 West Ninth Avenue Amarillo, Texas 79101-3206 Dear Dr.Cummins, Were it not for the misfortune of my having Behcet’s Disease, we would have probably never crossed paths. It has been my sincere pleasure to become acquainted with you; from the very first contact we had, you have been thoughtful, kind and most generous. It is in response to your generosity and benevolence that I write this letter to you for early on you requested a medical history from me, this is my attempt to fulfill that request, tardy as it is. My name is Cathie Harrison, I am a 47 year old female, I was born in 1955 by C-section, (mother was too sick to endure labor) within a few days I had to be taken back to the doctor as I was bleeding from my rectum. It was presumed that I had a bleeding ulcer, but as I understand it the blood was bright red which would mean that the ulcer was in my colon. As I have researched BD, I have come to believe that I was born in a flare probably because mother was so sick (probably a flare, as I believe mother had BD). During my childhood I was diagnosed as having Hayfever/Asthma and could not go out and play alot because, I would wind up in an allergic mess. The doctors also diagnosed me as having had Measles 15 times and Chicken Pox twice; they just scratched their heads, how could this be? Well I don’t believe it was, I think that I broke out in pustules from BD and they had no clue what that was, so they labeled it what they knew about. The basis for my conclusion is that they didn’t behave like 3 day Measles, their course was always erratic and random. I remember because mother made me stay in a dark room and I could not watch TV while I was broken out; back then it was thought to save eyesight. The point being I counted days to when I could get out of that room and they never matched what I had been told. Not to brag, rather explain, in elementary school the teachers wanted to advance me in grades, because I was very bright; but then I would seem to dummy up, as they called it. Based on the fact that I remember having had ulcers in my mouth off and on all my life; I now think that I was having flares manifesting as Neuro & GI-BD. When I was 18 I had to go to the doctor for stomach pain, as I had gone on Birth Control, the doctor suspected that was the problem; but he had me get GI x-rays. The results revealed that there was not a place on my stomach that did not have an active ulcer or a scar from an ulcer. I remember his remark, “What has done this to you?” A phrase I have heard more than once since then. In my early twenties, I was suffering from lower abdominal pain so severe I would almost pass out and went from Gynecologist to Gynecologist seeking the source; I was repeatedly patronized and patted on my head, well women do have these sort of things. I finally found an old OB/GYN that diagnosed me with irritable bowel, he gave me a prescription and that took care of it for the most part after a change in my diet. (NO I can’t remember what the pill was, though I have tried to several times, I only remember it as white with pink and blue flecks in it.) I must say here that the problem was as much that I was unaware of how specialists zone into their area and ignore all others, so it was my “fault” for not seeking the right specialist. (I assumed, albeit incorrectly, that any doctor could diagnose where the source of a problem was; at least point a person in the right direction, not a single younger one did!) Age 23, when I became pregnant with my daughter, late in my 4th month, I started having break-through bleeding and had to quit work or risk losing her; I was pretty much on bed rest for the duration. Then when I got pregnant with my son everything was pretty normal until, my membrane ruptured the 35th week and the doctors were forced to induce and deliver. Once again, as I searched for answers to what BD is and does, I was astonished to find that both of these complications of pregnancy could be linked to BD. At 27 I had to have a Hysterectomy due to a complete prolapse; after the birth of my second child my supporting ligaments did not return to normal. I know that this was the source of the swordlike sharp pains I was suffering from, that would go up and down my spine and any other direction through my abdomen; they were so severe that I would drop to my knees when they hit. When I woke up from surgery the pains were gone!!!! (I found the other day that this too was BD, under Connective Tissue disease, the ligaments lose their elasticity) Please understand that I have not included any of the series of times that I was sick and passed it off as a virus or allergies; I just adjusted and went on, for I had no choice. I had no idea that I was slowly being robbed! My children had a lot of medical problems and I had to focus on their needs; I was a mom first, last and always. It was sometimes a great battle to get the doctors to acknowledge that they were sick; never could figure out why. About age 35, I went into a tailspin and wound up in the emergency room in a Fort Worth Hospital; my blood pressure was at 90/40. The endocrinologist that examined me said, "Your system is shutting down, but I don’t know why." So he ran series of tests, thyroid, ACTH and God only remembers what else and in the end he surmised that I had crashed through menopause and started me on Estrogen Replacement Therapy. Oral hormones did not help (something about my liver breaking them down before my body could access them) so he put me on vaginal cream; it worked and I started to exist again. Chalk one more up for BD it can attack any organ and it had attacked my ovaries. I had not been to a doctor since I was 35, I was feed up with the run around I got and decided I was just a hypochondriac it was all in my mind, that I could not be that sick. I slowly started declining in all areas of my health and found myself in a pit I could not climb out of about 3 years ago. So I went to my Family Physician, thought I would start out there and see where he sent me. He thought the weakness and pain I was having was due to a sleep disorder; so he wanted to have a sleep study done. (It would take me all day to get a load of laundry done by the time I got all the clothes gathered up, I had to sit and rest for an hour; then I could go and get them out of the washer and put them in the dryer. I would return after a nap and spend the rest of the afternoon getting them hung up; I could not raise my arms for very long that they did not just give out on me and I had no grip strength at all.) Well as it turned out the doctor I was referred to was a neurologist that I had seen many times with my children over the years. Dr. Bartel wanted to evaluate me before he decided what direction to pursue; and pursue he did, he is like a hound dog that gets on a scent and won’t leave it. Going from one thing to the next in succession and from his finding no pulse in my ankles to a full central nervous system evaluation; he sat me down and said, “You have lost over 50% use of your CNS. "Then he asked me, “What has done this to you?" Like I had a clue, he was the doctor, he asked, "Are you diabetic?" Answer not that I know. "Are you an alcoholic?" Answer I don’t drink. He stated that those were the only two things he knew of that could possibly cause this kind of damage. (With qualifications) So we started down a path of cocktails of meds to see what would help. Nine or ten months later, the Neurotin and Vioxx; after adjustments in dosage, seemed to be helping some. Then came the ulcers, which I feared were a side effect of the Vioxx; I did not want to give up my Vioxx! I knew to report any sort of weird stuff; but how could this have anything to do with what was going on with me? When I went in for my next appointment I tried to explain to the nurse that I was having ulcers on ALL "mucous membranes," I was sure it didn’t have anything to do with anything, but she wrote it down. Please don’t take my Vioxx away! The door to that room flew open and in ran Dr. Bartel; "How long has this been going on?" What been going on? "The ulcers" you mean now or all my life (it was in this moment that I realized I had had these off and on all of my life, they were a part of my life to such an extent that I had stopped "noticing" them) "Any genital - rectal ulcers?" (Needless to say this conversation was not headed where I had expected it to go.) All I could do was nod yes; I was so mortified! Dr. Bartel looked me face to face and said "Short of a brain biopsy, I am 99.99% sure you have Behcets Disease." I am thinking BRAIN BIOPSY?!? I have the shits Disease!?! He turned and wrote the name on the examine table paper and tore it off as he handed it to me he said, "Go home, get on the net and look it up." The thing I like about Dr. Bartel is that he treats all his patients with dignity and respect as well as acting like they have a functioning brain. Then he turned to me and said, "Well we have to go in a whole new direction here, drop the Neurotin that is not going to help you at all, that’s not what is wrong." So he started me on 60 mg Prednisone and said "You are in the middle of a monstrous flare and we have to get it under control before it can do any more damage." In all the times I had dealt with Dr Bartel he had never been this precise or certain of the diagnosis, it had been "Probably is or could be this." I was to take the Prednisone for 3 days and stop for 3 days, that way I would get the benefit of the med but not the side effects. (Some people have said the dosing was what caused my problems with the prednisone, whatever, problems is what I wound up with) I do not blame Dr Bartel for anything that he has done trying to care for me, I blame BD for my problems. It was the end of the third round of Prednisone, about 17 days later that my daughter took me to the emergency room; I was numb all over, could not feel anything and was struggling to walk in. Wound up on IV steroids for three days in the hospital and left weaker then when I came in. I did not have the strength to sit up in a chair; I could not balance myself. Once again, I say I do not fault Dr. Bartel; he treated me with the only thing he had. From the time he had given me the diagnosis of Behcet’s Disease, till I wound up in the hospital I had been researching everything on the net that I could pull up. This was the only thing he had given even as a possible diagnosis that fit; everything fit, (more all the time as I recalled the events I have recited here) while nothing else ever had. As I went down the list on the ABDA site, (excellent source) I was saying had it, had it, got it now, had it, got it now... I had been diagnosed February 2001 and was in the hospital by March 2001, during that short period of time I had taken a crash course in BD. I had sought to get into a chat room at that time and never could get in, after I got out of the hospital I knew I needed to talk to someone for my own sanity. It took several days for me to be able to sit long enough to get on line and do anything, but then I finally got into the chatroom. (It was invitation only then and that was the biggest hurdle to get over, I was sent several responses but none got me in) After I got out of the hospital and was strong enough I tried again and that time I got in! The very first person that addressed me was dotdragonlady, (I had never been in a chat room before and so you can imagine what I thought when I saw that sign-in name addressing me) I swallowed hard and decided I could leave if I didn’t like the way things went; so I responded with my situation of being fresh out of the hospital. Note: This is how I see the big gun steroids and meds that people with auto-immune diseases are treated with. There is a pest on the wall so you get out your big shotgun and blast him with it; yes the pest is dead but now you have to deal with the mess that's left. I must say here that I truly believe that our footsteps are ordered of God and that the faith I have in God is what has kept me these many years. So when Dot, as I have come to know her, said that she knew of an alternative to conventional treatment for BD, I was all ears. It turned out to be INFa oral lozenges and this being a Saturday night, it would be possibly Monday before she could e-mail me with information, e-mail me she did. The fact that I live in Texas was the problem, where was a doctor that would and could prescribe this medicine; it is not one you go to your pharmacy to have filled, (one day it will be so) even though it has FDA orphan drug status for BD. One week after I left the hospital we had started on the INFa, it took me three months to pull totally out of the flare, but I did come out at last!!! As I have noted my children have been sick alot, (understatement) in particular my daughter suffered very similar problems to what I had. It was my prayer that God not bring me out without her, for I felt she was in need of this as much as I; and that is what happened, we both were put on INFa. Crystal, my daughter, improved as well over the course of time and is now regaining her life and planning for a future; which had never been a possibility for her before. I should note that the doctor did not wish to keep us on the INFa for an extended period of time; so he did not renew our prescriptions for the INFa immediately, he wanted to see how we would do without it. Do without we did and we nose dived; we were back in full flares in less than a week. Even after going back on the INFa, it took me two months to regain the ground I had lost in that one week; it took my daughter a month to get back where she had been. (I am not a scientist or a doctor, but I know the INFa has been a miracle for us) As time marched on we tried off and on to go off the INFa, not by choice; and each time we would go back into a flare. My recommendation to anyone trying this is to not ever go off; whatever way this resets the immune system is not permanent and must be taken daily like insulin. We have now been on the INFa for about 20 months and I thank God everyday for you Dr. Cummings and your dedication to the research that brought this INFa to this stage. I pray it will soon be available to anyone in need, just as any other prescription is; because I know that the potential to help millions of people with various sorts of immune disorders is a very real possibility and that is only a small portion it can help. I will never be able to give back to you everything that you have restored to me through the INFa; but know if there was anything in my power that you needed, I would gladly and freely give it to you. It is a unique opportunity that I have, for most people never know the person behind the medicine or technology that changed their life; I consider myself blessed indeed to know you and the work you continue with. Sincerely, Cathie F. Harrison