Dear Kathy and everyone,
After reading your email, I agree with you completely that we all want a
doctor who is up on the latest medications, and one who is willing to
discuss the side effects with us and one who is willing to monitor our side
effects if they do happen to occur. Unfortunately from my experiences it's
tough to get all of that from your doctor these days. I know we are never
supposed to "settle" for a doctor and believe me I've seen over 7
rheumatologists in my life. I'm currently with a doctor who is an associate
professor at a teaching hospital at one of the major universities in my
state. I thought maybe he would be up on everything and smart enough to
figure out which drugs would suit me best. So far he's just been ok. I
like him personally, and he is very intelligent, but he tends to not discuss
side effects unless they are the big ones, like infection from Enbrel. He
bases his decisions on the percentages, and my body doesn't always tend to
go with the flow.lol.
I also have to admit that I'm not the typical subject when it comes to side
effects from these drugs. So far I've been allergic to MTX, Enbrel, and
Humira. The Sulfa drugs made me sick at my stomach and Plaquinel didn't do
much of anything. Since I've been on Arava I've had increased energy and my
pain has even gone down a bit. I didn't think I had any real side effects
from Arava except it seemed to bother my sleeping. After Enbrel caused
possibly heart problems and Humira almost put me in the hospital, with
chronic lung infections several times, I felt like this was no big deal.
Now there is a chance I could be wrong. Last Monday my hip started hurting
and hasn't stopped. It came on really quickly and is more painful than it's
ever been in the 20 years I've had bursitis on and off. I saw my pain
doctors two days ago and they think it's possible I have AVN, avascular
necrosis basically where the top of the femur bone just starts to decay.
They sent me for a CAT scan, which I had done yesterday. I won't know the
results until the 28th. If there is no sign of AVN, they are willing to
give me another injection in my joint to stop the bursitis, but if it is
AVN, I have to go see a surgeon. What's strange is they think I can't have
surgery based on my predinsone usage, but I know people have had surgery on
more than I am on now.
To say I'm frustrated is a major understatement. This can be caused from
predinsone as well as Arava, but based on my past experience I'm betting on
the Arava. Though I'll have to stop the predinsone as well if the test is
positive. No one of course told me of this side effect with Arava, but even
if they had I'm sure I would have gone ahead and tried it anyway. That's
how desperate I was to feel better, and still am. The way I see it, it all
comes down to individual choices. We all make them everyday and they always
affect our daily life and our future. We do have to remember that with
these choices we have consequences and these are very powerful drugs that
they don't know a lot about yet. Let's face it, if you take a new drug, do
well and have no side effects, you are on cloud nine and wish and hope they
worked this well for everyone. You want to sing to the world that Enbrel or
Humira has given you back your life. If you have a serious side effect, you
want to warn the world of the problems they could face just trying to get
better.
I'm not saying either side is right. All I know is I want as much
information as I can get before I make these big decisions. Having a doctor
on your side during this is critical. (My rheumatologist is out of town
right now, but my pain doctors are available. I also have the wealth of
knowledge of this group and the internet to look up the answers I seek) I
wish we all had a crystal ball that would let us know which drug would help
us or at the very least just not hurt us worse than we already are. So far
though I haven't found one that works.lol.
I think the main thing to do is to keep trying every day to get better. You
can't give up, though for a while there I was really ready too this time.
Mainly, it's the thought of surgery, the constant pain that has been
incredible this time, and the loss of being able to walk. My husband bought
me a walker and I can get around somewhat with that, but I have to go
slowly. I feel more like 89 than 49 every day. It's so very hard to go
backwards when you finally make some progress after 5 years of misery. I
just hope with all your help and what ever inter strength I can find, I can
face the future with grace and dignity.
Be thankful for all you do have and enjoy all the moments this holiday gives
you with your loved ones. I think the real blessing of this disease, if
there is one, is it opens our eyes to what is truly important in our
lives.friendship, loved ones, moments of happiness, and the little joys that
come with every day life. We look for these now since we've had to put so
much of our future dreams on hold. I hope you all have a wonderful
Christmas, and Holiday. I hope you find pleasure in the little things and
keep on searching for ways to fight this horrible disease. Love to
everyone. Fran
*
I agree with you, Ronnie. Although Enbrel has not been around as long as
MTX, ALL drugs carry risks including MTX. I personally want a rheumy who
wants
to help me fight this disease with the best available armor while
recognizing the need to monitor me constantly to ensure that side effects,
if any, are
identified early. It is up to us to be alert to changes going on inside us
and to tell our doctors EVERYTHING and to discuss the results of our
frequent
blood work with our doctors. If we don't want to use the best available
medications, we may as well revert to using leeches since they've been
around a
long while, too. Some doctors are so afraid to try new things that their
patients end up suffering needlessly. I am not saying that is the case
here, but
perhaps it is best to have a doctor who presents the patient with options
and information so that together you can decide on the best course of
treatment
while being cognizant of the risks.
Kathy F.
In a message dated 12/22/2004 12:53:26 P.M. Eastern Standard Time,
ronevans@... writes:
Why does your doctor not have confidence in Enbrel? It was a miracle for
me
where inject able MTX was torture. You may want to get a second opinion
and
give Enbrel or another biologic a try for a few months. You can always
stop. It may surprise you.