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SO IF YOU WAIT FOR AN ADDISON SUFFERER TO COLLAPSE, IT WILL BE TOO LATE.
Again, Addison speaks of a "Semi-comatose state" in his previous work, and now speaks of a "torpid" state (http://wehner.org/cgi-bin/mark.pl/addison/p17.htm?roused ) from which patient can be roused. This does not disagree with Greenhow's assertion that there is NO coma in Addison's disease, and that often consciousness is perfect to last (http://wehner.org/cgi-bin/mark.pl/addison/p17.htm?roused , http://wehner.org/cgi-bin/mark.pl/addison/greenhow able35.htm?consciousness and http://wehner.org/cgi-bin/mark.pl/addison/greenhow able47.htm?consciousness for example).
YOU ARE DAZED, AND JUST TOO TIRED TO SPEAK, BUT YOU ARE AWAKE.
So there is no "Addison crisis" to see.
MISCONCEPTION 3. SALT CRAVING
The Internet is full of stories of people craving salt, by which condition is said to have been discovered. However, full documented literature from my website at http://wehner.org/addison.htm shows that there NEVER was any salt craving until steroids arrived on market in ninteen-fifties.
Aldosterone drives salt-digestion.
No aldosterone, no salt hunger.
When aldosterone, or a substitute (FluDROcortisone, known as Florinef) is taken, body absorbs salt from wherever it can. When it can no longer do so, you crave salt.
Mac E Hadley, in "Endocrinology", 3rd Edition, Prentice-Hall, describes how aldosterone causes sodium to be recovered from renal tubules, from gut and from skin.
SO THOSE WHO CLAIM THAT THEIR ADDISON'S DISEASE BEGAN WITH SALT-CRAVING ARE ACTUALLY THE VICTIMS OF FLORINEF POISONING.
Mistaking FluDROcortisone for a glucocorticoid FlUOROcortisone is a typical cause.
Addison-dog owners may like to put food WITHOUT salt in bowl of their pet, with a SEPARATE plate of salt beside it. When medicated with Florinef, dog will take salt that it needs.
Incidentally, another tip from Greenhow is to use SODA-WATER (fizzy water) as medication. When effervescent water is given to an Addison patient - man or dog - it protects duodenum from ulcers caused by sodium loss.
MISCONCEPTION 4. AUTOIMMUNE
The story is put about that Addison sufferers have an AUTOIMMUNE condition. Evidence is often brought in form of "ATROPHY" of Adrenal glands.
However, there is a distinction between ATROPHY and APLASIA. The former is just SHRINKAGE (like an emaciated person developing wrinkles - and then fattening up when fed). There is no DAMAGE in atrophy.
Aplasia is condition that WOULD be found in an autoimmune condition - and this never happens. Autoimmunity means that ANTIBODIES appear that EAT AWAY glandular tissue, so that it is GONE. Aplasia means WITHOUT TISSUE.
This happens in DOGS - but was never reported in man.
The only way that tissue has ever disappeared from adrenal glands has been by means of GERMS.
GERMS have power to adapt to a hostile environment like adrenals. The high steroid concentrations however, will exclude most types of germ. It has to be tuberculosis, or in AIDS Cytomegalovirus, or even rarer Histoplasmosis fungus.
A specialised germ that manages to invade ONE adrenal will be able to invade THE OTHER. Cancer cannot do this (http://wehner.org/cgi-bin/mark.pl/addison/greenhow/p50.htm?cancer ).
BOTH glands must be destroyed for symptoms to appear, because each acts as a reserve gland for other.
So vast throngs of Addison sufferers in their self-help groups, and vast numbers of "experts" who have seen condition a "thousand times" are plain WRONG.
We must RETURN to Addison and his CO-WORKERS. We must RE-READ ESTABLISHED LITERATURE, with all its academic links to Lancet, British Medical Journal, Canstatt's Jahresbericht, Gazette des Hopitaux and others.
Not a single case of steroid addiction clouds story, and there is not a single case that resembles auto-immune condition.
All cases in 19th century were TUBERCULOSIS.
What went wrong? They lost skill do diagnose.
Regain that skill at http://wehner.org/addison.htm Collect books to your own computer from http://wehner.org/wehner.zip (takes just over 8 megabytes).
This is a FREE SERVICE - to set record straight. You can compare Wehner retypes with originals in British and Wellcome library, or possibly in Library of Congress.
White pages are EXACTLY as originals.
Charles Douglas Wehner
Charles Douglas Wehner is an electronics design engineer and technical author who has suffered from Addison's disease for over forty years.