And the results are in...
I received a massive communication from the rheumatologist on Sunday - 11 pages long and with details of all the tests. One surprise - I have a compression fracture of the T4 vertebra in my back with milder changes at T1. Apparently this may be due to osteoporosis but I may be hearing from more specialists about this.
Rheumatoid Arthritis has been confirmed and there is also a small amount of scarring on my lungs which accounts for the breathlessness, although it doesn't seem quite so bad at the moment. I also may have a problem with "intrapulmonary lymph nodes" whatever they are! I have also got full reports on the bloodwork that was done although I really don't understand a word of them. Still it is good to have a body MOT once in a while.
As a result I am now started on Methotrexate which is taken once a week and Folic Acid which is taken three days later (I almost forgot to take this on Sunday). The Methotrexate may take some time to work so I am still on a decreasing dose of steroids. I am a little perplexed as I was given a two month supply of the Folic Acid but only one month of Methotrexate. I am assuming that this is because I have to have fortnightly blood tests to check how I am doing, although I have messaged the GP to check. The Methotrexate (I wish it had a shorter name) should also ensure that the lung scarring does not get any worse.
I hate getting needles stuck into me so I'm just going to have to thole them. The first, of this round, is on Thursday.
To start with all of this seemed a little scary but now that I have kind of got my head round it all I can be much more positive about it and, at least, have the knowledge that something is being done and that treatment has started.
I still have nagging pains below my thumbs but this is manageable. The last couple of days I have woken up with painful knees but the pain goes quite quickly so no major problem there.
There is no way that I am going to let RA dictate my life - at least at the moment so, with this in mind, I went to one of our usual whisky gatherings which I enjoyed, especially after the Dons game was over! I seemed to have no adverse effects the next day - so fingers crossed for the next one - at least while I still can cross them!
There's a lot of information in this update and some of it is a bit jargony - sorry but this is how I am getting it. I would just like to reiterate how wonderful our NHS is. We need to fight to keep it the way it is. I shudder to think how much this would have all cost in the USA.
For those who are telling me to stop working - teaching is one of the things that are helping to keep my mind off my health. I have only three more days to work this term as I am taking the last week off. It also looks like I will be doing a lot less in the summer term!
Here is the usual plea for folk to share and comment. I love it when people share the blog and it is great to read all the comments - even if I don't reply to every one of them. I appreciate the advice and feedback. Thank you.
Hope everyone is well - have a great week.
Rob
Footnote - I now have a folder for all my RA communications. Hopefully this will keep all the bits of paper together. All I have to do is remember to put them into the folder.
I'm so glad that things are starting to come together for you Rob and that the NHS is working, if slow.
ReplyDeleteI had the same thought when I needed the NHS.... How much would this cost in the US?
Well, a nurses health insurance would not cover it so I would not be here and chances are, we wouldn't have met. Many things to be grateful for xx
My aunt had a terrible time over 20 years with RA. She joined a Baptist church and found a community of variously afflicted old women who supported and comforted her to her end at 85. I’m a radical atheist but I can’t dismiss the benefits of the totally deluded little community she gathered around her. My advice to you - and to myself - is to find and/or build a community appropriate to you around yourself. Don’t allow the RA isolate you. You’re proving you have so much yo contribute.
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