I had my second (spa) appointment with my new rheumatologist this past week. Happily, since it wasn't the first visit, it didn't involve as many tests or x-rays, just a normal visit with all the folks on my team. If not for the physical exam by my rheumatologist, it might have felt more like a coffee date with friends.
For the most part, I've been continuing to do well. I've been burning the candle at both ends work-wise, so it's no surprise I've been beyond tired. I think I would be tired even if I didn't have RA, so it's a little hard to tell how much of it is my schedule vs. my immune system. Probably, the RA just bumps up the exhaustion factor a few (or many) notches. Nothing has been too swollen, and most of the pain that I have is fleeting- it doesn't stick around and kill my soul anymore.
I did mention that my left knee had been bothering me some and that was new, but again, the pain was sporadic and didn't seem to be settling in and taking over like it used to do, so I wasn't feeling worried about it.
All in all, considering what I have and where I've been, I'm doing pretty bloody fantastic- something I've been thinking about more and more. I don't feel like I did before RA- I do still have flashes of pain, sometimes sharp, and occasionally, there is swelling or stiffness. Fatigue continues to be the most persistent of all my symptoms, but generally, I feel my RA most now when I hold a position too long or do something repetitively. My joints begin to take on that rusted out feeling, but if I move positions, it generally subsides.
Some people might even say I'm lucky, and in some ways, I am. My meds are working. Obviously, if I were really lucky, I wouldn't have a stupid chronic disease and wouldn't need meds to work, but considering that I do, it's hard to feel like I can complain these days, especially knowing how much worse it was and could be.
Nonetheless, when I got up onto the table for my exam, my left knee, the one that has been bothering me a little, had some fluid on it, a sure sign of inflammation. So, we are adding sulfasalazine to the mix of hydroxychloriquine, and eternacept I already take. Maybe I'll call this new cocktail the 'Eternazinequine.' Good thing I don't have a problem swallowing pills since this ups it to ten a day.
A year ago, I would have been incredibly bummed out and upset about this news. Having to add yet another medicine and two more pills a day to my routine would have made me feel angry, annoyed and scared and probably sent me into pity party mode, at least for a little while. Instead, I haven't really thought too much about it and don't feel freaked out about taking yet another weirdo medicine, I mean, what's one more at this point? I don't know if this reaction is because I am feeling so much better these days or if I am simply at a place where I am more acclimated to my new normal, or a combination of the two. Either way, it seems like a positive thing that I don't feel freaked out, whatever the reason, so I'm not going to overanalyze it.
Knowing that I have some fluid on my knee makes me feel a little uneasy- after all, for all my good 'luck,' feeling good is never something to take for granted. It could all change very quickly for the worse BUT I am not going to dwell on that. I'm going to take my meds and enjoy feeling (mostly) good while I am.
Now, it's time to go observe the cocktail hour.
Cheers, dahling.



Here's mud in your eye!
Posted by: millicent | February 06, 2010 at 06:51 PM
Good to hear you're doing so well :)
Posted by: WarmSocks | February 06, 2010 at 10:50 PM
Thanks, Warmsocks. Sometimes I feel a little wierd about feeling good, but it is a good thing!
Posted by: Sara | February 07, 2010 at 09:47 AM
Sara -
What a relief to know that the meds are working and doubly the relief that your pain is well under control. It really does make life a whole lot brighter. I hope the new med, when added, makes it all even better. Feeling "in control" of the pain really does make it easier to endure it when it does come -- you know it's transient and you know what to do about it. I'm glad you're doing so well. This is good news for all of us and offers so much hope. Bravo!
Posted by: Wren | February 07, 2010 at 11:32 AM
I know the feeling Sara...it feels ohh so amazing to finally be in lil less pain than usual!! I have had more than 6 years of experience with RA and the roller-coaster ride still continues. Sulfasalazine along with hydroxychloriquine has effective results....Please take special care about nutrition and exercises....and it may just work wonders!!
wish for ur wellness!
Posted by: Shweta | February 07, 2010 at 02:14 PM
Thanks, Wren! I am always happy to hear about people feeling better, too, and I hope youre doing well.
Sara
Posted by: Sara | February 07, 2010 at 05:21 PM
Thanks, Shweta -You too!
Posted by: Sara | February 07, 2010 at 05:22 PM
i know the meds will work ok.wish u well
Posted by: valentine | February 11, 2010 at 10:21 AM
thanks, Valentine!
Posted by: Sara | February 11, 2010 at 05:56 PM
Sulfasalazine along with hydroxychloriquine is something I've not taken (either of the two). So it gives me a little hope (something thats been in short supply for me lately) to hear your doing well and I'll have to talk to my rheumatologist about something new. I just have been feeling like there is no med cocktail for me after 2.5 years of doing everything asked of me by the dr's, with little relief. Thanks Sara
Posted by: Michael Patterson | February 28, 2010 at 10:35 PM