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 additional credentials in endocrinology from the May Clinic.
I brought up the possibility of increasing the prednisone during the decrease of such important drugs for surgery. I thought it would be the same as during the biopsy. Dr. R was okay with it as long as it was fine with the surgeon. It seemed to be.
We discussed taking pain medicine. She reassured me that taking the Tramadol was fine to take. I have painful joints up to two hours after I wake up. Right now it is all day. The tramadol evens things out.
I am beginning to think I am a mess. I have always considered myself a late bloomer. As a consequence, I felt I will need to live to 95 just to catch up. I have a big challenge ahead of me.
I also felt discouraged when I woke up this morning. My doc was a big help to me as usual. She suggested I talk to someone. I have had two major diagnosis hit me this year. I also have an ill son who moved in with me last year. My brother died of cancer a year and a half ago. I still have trouble with it. So I agree to seek counseling. She sent me to PT and that was a big help.