Month: August 2013

Cancer and RA in older people.

I visited my rheumatologist today. I am in a flare. My feet are the usual problem, as are fingers, toes, ankles,shoulders. My wrists are too, but I still can do downward dog. New is my right pointer finger, swollen, painful. Because of the surgery she can’t add a biologic.  She said after the cancer is removed, my joints might improve. In an older person who develops sero negative RA, she strongly suspects cancer. She had mentioned this before. She said when the immune system is not working properly, cancer is also likely. She was right. Hopefully, the surgery is uneventful and the RA settles down. Her instructions were to stop the methotrexate the week before surgery. If my incision looks good, I can resume the methotrexate a week after the surgery. ( I will not be seeing the surgeon for two weeks following the surgery.) The surgeon wants me to stop the meloxicam a week before the surgery and resume a week after the surgery. The surgeon is seasoned, highly respected and board certified with …

My son said I needed to set the RA aside

My son, who was trying to be helpful, said I needed to set the RA aside while I deal with the cancer. Sounded like a good idea to me. Wish it could be so. I have been more fortunate that many with my RA. I am functioning. I do have energy most days. My pain varies but it manageable. I have a few small deformities. They are not big ones. I have an excellent rheumatologist. I have an excellent endocrinologist.  Yes, it is amazing. I can even spell these big words without looking them up. Added to my collection of experts is an excellent surgeon with a warm and friendly attitude. She is board certified with  special training in endocrinology at the Mayo Clinic. She also has  extensive experience with thyroid surgery. I will feel confident in my slumber under her knife. I expect to wake up, vital neck structures still intact. This is so very reassuring to me. Today I had an ultrasound of my neck. Thursday I have my last PT with Christine. …

The cancer surgeon

This was my scariest doctor appointment. My BP which is boringly normal shot up to 140. I was anxious. Fortunately, my son was with me to help keep the perspective and lend a reassuring arm. I was scared because this was the next step. I wanted to feel this woman was the right surgeon for me. She is. Dr Vasquez is a board certified surgeon with an endocrinology specialty from the Mayo clinic. She was energetic, thorough in her explanation, reassuring. I liked her. Like my other specialists she loves what she does, is knowledgeable, and is personable. That is a relief. Next I will need my lymph glands in my neck mapped. This is to see if the cancer has spread outside my thyroid. This will determine the extent of the surgery. I have my appointment on Monday. This is the next step in staging. If negative, no worries. If positive, lots of worries. So I will be glad when it is done. My surgery is in October. This is a relief too. After my …