Happy New Year!!!!!!!!!! !

Greetings once again, loyal readers of the Fibrinogen Amyloidosis blog. I hope 2023 is going well for you so far.

Since this is my eleventh Happy New Year post I have eleven exclamation points in the title. I briefly considered using something like Roman numerals and replacing ten of those exclamation points with the letter "X." But then I realized I didn't want to eliminate exclamation points altogether for years 15 and 20, or force an exclamation point in there somehow, so I decided against that. What I have settled on for now is to put a space after every tenth exclamation point to make them easier to count.

I'm still alive and kicking, and asymptomatic at the ripe old age of 60. I do have a little bit of personal health news to report, which I'll do after a quick update on some blog stats.

Since this is the third consecutive Happy New Year post, there obviously wasn't much activity on the blog in 2022. This post brings the total number of posts up to 193. The all time pageviews increased from 250K to 282K in 2022.

Only one new country visited the blog in 2022, bringing the total to 167. It was Faroe Islands, which is an autonomous territory in the Kingdom of Denmark. It's a group of islands about halfway between Iceland and the coast of Norway, with a population of approximately 54,000.

Ok, to bring you up to speed on my health news we need to go back two years, to January of 2021.

2021

January: Annual physical exam. Serum creatinine = 1.11 mg/dL; GFR > 59; Creatinine-spot Urine = 160 mg/dL

February: My doctor's office called me and said they would like to refer me to a nephrologist since my creatinine-spot number was a little high, just to be on the safe side since I have fibrinogen amyloidosis. I had not paid much attention to my creatinine-spot numbers before, and if I remember correctly from doing a little research at that time it's not a very useful measurement by itself since it can increase in the short term for a variety of reasons. But it can be an indicator that additional tests and follow-up are warranted. I don't have creatinine-spot numbers in my lab work before 2017, and that year it was 148 mg/dL. In 2018 it was 45, then 39 in 2019.

March: On the Ides of March I had two firsts: My first nephrologist appointment and my first virtual doctor appointment. This was about one year into the Covid-19 pandemic so medical facilities were still limiting patient contact as much as possible. The appointment with Dr. S went well and she asked about my genetic testing and Mom's medical history. I could tell she knew this was something other than AL amyloidosis, and she half-jokingly said I probably know more about fibrinogen amyloidosis than she does. She said she would do some basic lab work and go from there, and if everything seemed fine she would monitor my numbers every six months for now, then extend that out. Two days later I had lab work and her office let me know my kidney function was normal. It was a relief to hear that from a nephrologist, although I wasn't overly concerned. (Serum creatinine = 1.19 mg/dL; GFR normal; Creatinine-spot Urine = 106 mg/dL)

July: 6 month follow-up lab work by general physician. Serum creatinine = 1.01 mg/dL; GFR > 59; Creatinine-spot Urine = 60 mg/dL

September: Lab work with the nephrologist again. Kidney function still normal. (Serum creatinine = 1.09 mg/dL; GFR normal; Creatinine-spot Urine = 31 mg/dL)

2022

April:  In-person visit with nephrologist. Kidney function normal. (Serum creatinine = 1.09 mg/dL; GFR normal; Creatinine-spot Urine = 74 mg/dL)

November: Physical exam. Kidney function normal. (Serum creatinine = 1.16 mg/dL; GFR > 59; Creatinine-spot Urine = 35 mg/dL) 

In summary, my kidneys seem to be doing fine and my creatinine-spot urine seems to fluctuate quite a bit. No proteinuria detected, so no 24-hour urine tests. If my kidney function does start to decline it will likely be caught early since I now see a nephrologist periodically, and those appointments are staggered with appointments with my general physician where I also get lab work done.

That's all there is to report right now. Until next time, stay healthy and take care.

Happy New Year!!!!!!!!!!

Greetings once again, loyal readers of the Fibrinogen Amyloidosis blog. Long time no see. Since this is my tenth Happy New Year post, I have ten exclamation points in the title of this blog post. When I first mentioned that scheme in the 2014 Happy New Year post, I said, "Hopefully I'll be around long enough such that the number of exclamation points becomes ridiculous." If we aren't there yet, I think we're pretty close.

For those of you who subscribe by email, be sure to read to the end of this post for some important information.

So, what happened with the blog in 2021? Not much, obviously. The post before this one was the Happy New Year post for 2021, so the grand total for 2021 was . . . one post. I was going to start posting some things late in the year, but at some point I decided to just leave 2021 alone and work on making 2022 better. I know I will be doing at least one post in 2022 to cover a bit of personal health news. Nothing serious, but here's a teaser: I have a nephrologist now.

Total all time pageviews for the blog increased from 191K to 250K this year, with pageviews per month ranging from 1100 to 9400. Five new countries visited the blog in 2021, bringing the total to 166. The five new visitors were:

Myanmar (Burma) Uzbekistan Vanuatu Yemen Zimbabwe If you plot those five countries on a world map (Mercator projection) you'll see they form an upside down letter "V," with Uzbekistan at the top.

Spam comments were very sparse once again in 2021. Other than one about Russian call girls, the spam comment with the most practical information was this one: "To make sure you get paid on time, always use an invoice form that contains the right details such as payment terms, itemized charges, and your payment address."

As some of you know, the amyloidosis community lost a very important member in 2021. Dr. Merrill Benson of Indiana University School of Medicine passed away on September 11, 2021. He was instrumental in discovering many hereditary amyloidosis mutations, including the first known fibrinogen amyloidosis mutation (Arg554Leu) in 1993, followed by the most common one (Glu526Val) in 1994. I always enjoyed listening to the presentations he gave at the hereditary amyloidosis meetings in Chicago, and he will surely be missed by many colleagues and patients. Here are links to his obituaries published in the Indianapolis Star newspaper and in the most recent issue of the journal Amyloid. The one in Amyloid was written by a colleague of his and covers more details of his career and what it was like to work with him, so be sure to read them both. https://www.indystar.com/obituaries/ins126861 https://www.tandfonline.com/doi/full/10.1080/13506129.2021.1996992

Ok, here is the news for email subscribers. Since the creation of this blog, subscribing via email was accomplished by a Google service called Feedburner. That service used the email address you entered when you subscribed to the blog and sent an email when a new post was published. Unfortunately, I received notice early in 2021 that Google would no longer support Feedburner. If I understood that notice correctly, existing feeds would still work indefinitely but new subscriptions would be disabled. So I poked around on the internets and found another free service I could use instead of Feedburner, and at some point I removed the Feedburner subscribe widget from the blog and added one for the new service, called Follow.It.

Note that I have not moved any subscriptions over from the Feedburner service to the Follow.It service because I feel like people should opt in to that only if they want to. So right now, as of January 1, 2022, your Feedburner subscription is still active and if you automatically received an email with this blog post then the service is still working. (I have not tested it, so I honestly do not know yet.) If the bottom of the email has these two lines . . .

You are subscribed to email updates from Fibrinogen Amyloidosis. To stop receiving these emails, you may unsubscribe now. . . . then that email came from Feedburner, in which case you do not have to do anything to keep receiving the blog posts via email from that service. (Again, "they" say it will continue working indefinitely, which doesn't necessarily mean forever.)

But if you did receive the email from Feedburner and would like to switch to the new service (Follow.It), just visit the blog (www.fibrinogenamyloidosis.com) and click the Subscribe button on the right side of the page after entering your email address. You will get a pop-up message asking you to click the confirmation link in the email it just sent you. That email will also tell you how to log in to the Follow.It web site to manage your subscription. Once you receive a blog post from the Follow.It service you can unsubscribe from the Feedburner service using the link at the bottom of that email.

If you did not receive this blog post via email but would like to subscribe, click the Subscribe button on the right side of the page after entering your email address.

In summary, if you received this blog post via email you do not have to do anything to continue receiving them via email. If you did not receive this blog post via email and would like to receive future blog posts, click the Subscribe button on the right side.

I know that was a lot to follow, so there will probably be some more communication about it either in additional blog posts, comments on this post, or both. If you have any questions or need help with your email subscriptions, feel free to email me directly at toe at juno dot com. Hopefully we can get everything straightened out by the end of the year.

David

Happy New Year!!!!!!!!!

Greetings, loyal readers of the Fibrinogen Amyloidosis blog. Welcome to 2021, which has to be an improvement compared to 2020, right?

Here is what happened with the blog in 2020:

• 2 new blog posts were written. (Down from 3 in 2019)
• No new articles were reviewed.
• 2 additional countries visited the blog, bringing the total to 161.

In patient news, I became aware of two more families affected by fibrinogen amyloidosis in 2020, and I know of one combined liver and kidney transplant that occurred in the US. As for me, I am still asymptomatic. My creatinine was just barely above the normal range in July of 2020 but then back in the normal range again when it was checked in January of 2021. There is still no indication of protein in the urine and my eGFR is fine, so for now I'll consider the high creatinine reading to be an anomaly.

Hopefully I can catch up on some article reviews this year. (It seems like I've said that before). There have been a few articles published in the past couple of years specifically about fibrinogen amyloidosis, although at a glance they do not seem to have any significant developments with regard to treatment.

One of the benefits of fewer blog posts is that it reduces the number of spam comments, as the blog only received two this year. Neither one was particularly entertaining like some previous spam comments have been, but one got my attention when I was reviewing them for this blog post. Here is the comment (edited for typos), minus the hyperlink which is the usual tipoff that a comment is spam: "You have done a great job. I hope you will do much better in the future." Me too, spammer. Me too.


=====Consolidated blog stats for second half of 2020=====

As of December 31, 2020:

Total posts: 190

Total pageviews: 191K (significantly impacted by heavy daily traffic from Hong Kong until December)

Email subscribers: 15 (unchanged)

Total number of countries that have viewed the blog: 161

No new countries viewed the blog in the second half of 2020.
=====