All posts tagged: RA autoimmune disorder

Day to Day with RA

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Today is a good day for me. The Kevzara stopped working. I retried low dose Methotrexate but immediately started having side effects. So, I stopped that too. I now depend on Medrol, Tramadol and Cannabis. Both the Medrol and the Cannabis are big helps. Titrating cannabis gummies can be tricky, but once you get used to it, it is the answer for now. I like taking 2.5 mg at a time. Low dose. Keeps the inflammation at bay. When I do have a bad flare, I up my cannabis dose accordingly and I stay in one place for a while. I have complete pain relief, but I don’t really care. It is nice. I use the WANA brand. The company started in Boulder but was sold to a Canadian company. Cannabis is legal in Canada as it is here in New Mexico. My primary doc signed off on the medical cannabis program. It saves but is also an access point for more potent cannabis. The WANA brand come in tight closing boxes. The normal label …

What is RA

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Those of us with rheumatoid arthritis have what is called a malfunctioning immune system. Big words. Simple. Complex  The job of the immune system is to protect us from infections and cancer. Ours doesn’t work the way it should.  For us, our bodies see the lining of all moveable joints,  synovial tissue,in our bodies as foreign. Our immune system reacts. Our neutrophils, which are plentiful in our joints already, change from a resting state into an active state. Neutrophils and other white blood cells from other parts of our body move into our joints. Inflammation ensues. Think about it. This inflammation can affect every joint in our body that is able to move. A lot of joints. Other people with autoimmune diseases such as Lupus, MS or Type One Diabetes have a similar fate. Their immune system malfunctions.  The target is different for each disease. The symptoms different. All are devastating. There is about one hundred autoimmune diseases. Today there is no cure for our rheumatoid arthritis. But there is medication that will slow the …

Adapt or Perish

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“It isn’t the strongest of the species which survives, neither the most intelligent, but rather that which adapts best to change.”  Charles Darwin He must have been talking about rheumatoid arthritis. The most difficult aspect of RA is its unpredictable nature. RA may be simmering.  Suddenly, without warning, a severe fatigue, an exhaustion so bad its immobilizing,  arrives to totally disrupt your day. New severe pain in your right foot makes walking impossible. The simmering pain becomes more than simmering and the constant hurting becomes discouraging. A drug that has worked so well stops working. A very short list of RA’s unpredictable nature. What to do? Adapt and survive. The number  one consideration is your attitude. You will need to come to the understanding that you have a chronic, progressive  illness. It is not going away. And YOU are in charge. You have the balancing act between controlling symptoms of RA and the side effects of medication. You know the importance of RA medication is to avoid crippling disability, which is guaranteed without proper medication. Consider …

RA, a Progressive Disease

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I have seronegative rheumatoid arthritis. That means I have more issues with inflammation and less joint damage that a person with seropositive rheumatoid arthritis. My rheumatologist sometimes thinks they must be two different diseases. Once diagnosed both are given the same treatment. I was on methotrexate for seven years. It helped about fifty percent. Biologics helped anywhere from twenty to fifty percent. The combination made life bearable. Methotrexate had been a difficult drug with the side effects of nausea and diarrhea. They passed. With the injectable version of methotrexate, the side effects disappeared. I have a history of breast cancer that required surgery and radiation. It left my breast tissue with poor circulation. I developed methotrexate black box complication number thirteen, soft tissue necrosis. It took ten months to heal and included surgery. Absolutely no more methotrexate, or it would happen again. So I lost my fifty percent relief. I was lucky to get twenty percent relief with the biologics. I have been through most of them. The TNF inhibitors can cause cancer and the …

Diagnosing rheumatoid arthritis

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Once a person has at least one joint that is painful and inflamed, a rheumatologist can use a ten point check to help diagnose rheumatoid arthritis (RA). The assessment covers four areas: joint involvement, serology, acute phase reactants plus duration of symptoms. There is a total of ten points. A score of six confirms a diagnosis of rheumatoid arthritis. Here is how it breaks down. Choose one from each group and total.. A. Joint involvementOne large joint 0 points2-10 large joints 1 point1-3 small joints 2 points4-10 small joints 3 pointsGreater than 10 joints including at least one small joint 5 points B. Serology (blood tests)Negative RF and negative ACPA 0Low positive RF or low positive ACPA 2High positive RF or high positive ACPA 3 C. Acute phase reactants(inflammation blood tests)Normal CRP and normal ESR 0Abnormal CRP or abnormal ERS 1 D. Duration of symptoms< 6 weeks 0 6 weeks 1 My choices are a total of 7. Note I am seronegative, and it took a lot of joint involvement to get a positive diagnosis. …

August Journal

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I watched the last night of the Democratic convention. Vice-President Harris is a surprise.  For the last three years she has been the quiet figure standing near President Biden when he speaks. No more. She is a breath of fresh air. She is strong. There is no doubt what her agenda will be. This is my summer of learning about baseball. They do have a lot of little rules and it is about the numbers. We are Phillies fans. Through thick and thin. My favorites are Straum, a toe tapping relief pitcher, Castellanos, right fielder and dependable hitter, and Stubbs, relief catcher, energized team player. I like them because they all are characters and all are solid team players. My rheumatoid arthritis(RA) is about the same. The medical establishment offers me little at this point. I am still on Kevzara which helps up to twenty percent. I am on a low dose steroid, Medrol. My pain levels range from four to seven on a scale of one to ten. I supplement my medical treatment with …

Writing and RA

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About six months ago I fell into a writer’s block. I could not read another article on rheumatoid arthritis or write another article about living with it  I continued to read my Danial Silva novels, and as time passed I let Bob, my sourdough starter, pass into sourdough heaven. Who knows why what did happen. But I changed. Yes, I did. I watched the world series with my son. I was totally amazed at how unpredictable a game of baseball played out. It was fun. I love the Phillies. I joined my son and became a Phillies fan. We watch all the Phillies games that we can. I know all the players. Bryce Harper, first base, JT catcher, Bohm and home runs. All the players are great. Last night’s game was exciting. The Phillies were behind. Bohm finally  tied the game and Castellanos made the winning play in the tenth inning. Wow! Seven years ago I wrote a  10,000 word start to a novel. I put it away. I decided to take another look at …

Happy Spring

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Albuquerque is heating up as tulips bloom. Despite Phillies’ losses, loyal fans remain hopeful. The writer finds relief from pain and inflammation using a cannabis blend of THC, CBD, and CBN, reducing their need for Tramadol. They emphasize the effectiveness of THC and CBD combinations and share Easter wishes across religions originating in the Middle East.

Book and cannabis report

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My new book, Living with Rheumatoid Arthritis   is available in Kindle Unlimited as well as available for purchase on Amazon. My old nursing school friend, Florence, read my book. She had so many kind words for me, I’m almost blushing as I write them. This is what she had to say:  “Just finished your amazing book. Not only are you one of the most courageous individuals I have ever known, but you are a gifted writer as well.   Your book is a valuable work of hope, courage, and very extensive information about a devastating disease; a gift to others suffering from RA.”                                                                                                                                                                                                                                   I appreciate her kind words. I’m sure in her practice she saw what rheumatoid arthritis can do to a person. Medicine has changed and still has not changed. RA is still devastating for many. .