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RA & Pregnancey & Catch up. Long!

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Hi there everyone!

It's been ages since I last posted and most of you might not know me, there

are so many new faces - welcome by the way! To all my old friends

((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my

life is so crazy at the moment I never seem to have the time to even check

e-mail anymore never mind post, guess you could say I've become a permanent

lurker! By the way does anyone know what has happened to Judie & Tess? I

always look out for their posts but I haven't seen anything from them for

ages.

I'm still in remission and making sure that I enjoy every minute of it -

sometimes it's scary to think it might not last but at least I'm living it

up to the max while I can! Loads on the go this year, in May we had our

second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st

for those who don't know me) is jealous as can be but loves his baby brother

to bits anyway! We are building our first house and I'm studying a

therapist course in a fantastic method to help people stop smoking - it's

lots more fun than it sounds and I'm loving my course - I will start

treating people in January and I can't wait as it really combines my dream

of working for myself and helping people at the same time.

I haven't really had time to read posts but have noticed that there have

been quiet a few related to pregnancy and RA lately and thought my little

story might give anyone trying some hope so here goes!

I was diagnosed with RA when I was 25(which is also when I joined the group)

I'm 31 now (Yikes time flies!). When I found out I had RA I had already

been trying to fall pregnant for about 2 years and as I was in major flare

for a long time the doctors told me to " Hurry up " so I could start the

DMARDS (this was easier said than done as I have endometriosis). I was put

on Prednisone while I was trying to fall pregnant as my Rheumy said that the

NSAIDs were out (I believe she said it was because they have a miscarriage

risk) and so were the DMARD's (although my Rheumy has since told me that

many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone

worked very well and I was on it exclusively for over 2 years before I

finally fell pregnant. I continued to take the Prednisone at lower and

lower doses until I was 7 months pregnant at which time I tapered off

completely and enjoyed a full remission which was fantastic!

Just after I stopped the prednisone the baby stopped growing. We picked

this up when I was 7 1/2 months pregnant and the end was very worrying as he

just didn't gain weight. My Gynae thought this was caused by the RA

although I never did understand why and have never read anything about this

happening because of RA, I also did my own research and read that Prednisone

could cause growth retardation so who knows. I do remember there being a

discussion here about RA and small babies ages ago. Finally at 8 months, a

week before the doctor was going to induce me because of the growth problem,

my waters broke and I gave birth to a premature and small (2.3 Kgs) but

healthy baby. He had slight respitory distress at birth and we spent 10

days in hospital with him in an incubator but he was absolutely fine after

that and is now a very healthy, VERY energetic 3 1/2 year old!

Within a week after Fabien (my 1st little boy) was born old Arthur made a

comeback and I went into a flare. All the doctors were adamant that I stop

breastfeeding and start the DMARDS immediately but I just couldn't cope with

that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder

(she was actually a breastfeeding mom herself at the time so was very

understanding) we decided to try and get the flare under control with

Voltaren (she felt it would be OK for the baby although I've since been

recommended " Nifluril " as it is apparently better for breastfeeding mothers)

and she also ordered me to get as much rest as possible. She thought I

would last a few weeks like that before I would have to start the meds - I

ended up breastfeeding him for over 2 years until I was pregnant with my

second! Fabien is now 3 1/2 years old and a very healthy, happy little boy.

I have been in remission for ages now with a few small/medium flares for the

first year after he was born which I managed to get under control with rest

and Voltaren. I think one of the best things I did was to stop working

full time so that I am far less tired and stressed than before (don't worry

I do realise how blessed I am to have been able to do that and that for many

giving up work just isn't an option!) I noticed a direct correlation between

the amount of stress I had and the flares and now if I start getting any of

the warning signs a flare is on the way (major fatigue or any stiffness) I

just push the " STOP " button and rest as much as I can (easier said than done

as now have 2 boys but i've learn't the hard way that when my body says stop

it means it!). I've joined a gym, taken up a weekly meditation class and eat

healthier which I'm sure all helps but realise that I am also just very very

lucky!

Six months ago I had another beautiful little boy " Logan " he was born at

term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare during

the pregnancy as I contracted " Chikungunya " which is a viral disease

transmitted by mosquitos. Besides a variety of other pretty awful symptoms

it puts you into something which is pretty much exactly like a full on RA

Flare. Thank God it didn't affect the baby but I was back to being granny

Heidi(no offense to our real grannies but you know what I mean ;-)for about

3 months - I was terrified that this would mark the end of my remission as

the joint pain can become chronic and last over 3 years even in people who

don't have RA and it is known to trigger off dormant RA in patients who have

it. Once again I was blessed and after 3 months of hobbling around I

started having premature contractions at 34weeks (no that wasn't the

blessing part - actually scary but it worked out well so can laugh now ha!)

I was given an injection of cortisone for the baby's lungs and spent a week

in clinic - I eventually went to term but the cortisone zapped the joint

pain and I am still doing great 7 months later!

I am once again breastfeeding and loving it and Arthur is still in sweet

remission. I still have the odd mini flare when I am over stressed or tired

but they are less and less and very easy to control by just taking it easy

and maybe a few days of anti-inflammatories.

For now I'm feeling very blessed and lucky for this respite from nasty old

Arthur, enjoying every second of my remission and praying that it will last

forever! It would be very interesting to know if the breastfeeding has

contributed to the remission, /a any comments there?

(((((((((Special hugs to you guys!)))))))))))

So that's my story! I wish any of you trying for a baby all the luck in the

world, this group was a god send for me when I was going through all that.

If you want to ask me any questions I'm here, although might take a little

while to get back to you as don't switch on my computer every day at the

moment! Otherwise just e-mail me directly.

Lots of love to all my old friends here and hi to all the new members!

Heidi

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[ ] RA & Pregnancey & Catch up. Long!

Hi there everyone!

It's been ages since I last posted and most of you might not know me, there

are so many new faces - welcome by the way! To all my old friends

((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my

life is so crazy at the moment I never seem to have the time to even check

e-mail anymore never mind post, guess you could say I've become a permanent

lurker! By the way does anyone know what has happened to Judie & Tess? I

always look out for their posts but I haven't seen anything from them for

ages.

I'm still in remission and making sure that I enjoy every minute of it -

sometimes it's scary to think it might not last but at least I'm living it

up to the max while I can! Loads on the go this year, in May we had our

second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st

for those who don't know me) is jealous as can be but loves his baby brother

to bits anyway! We are building our first house and I'm studying a

therapist course in a fantastic method to help people stop smoking - it's

lots more fun than it sounds and I'm loving my course - I will start

treating people in January and I can't wait as it really combines my dream

of working for myself and helping people at the same time.

I haven't really had time to read posts but have noticed that there have

been quiet a few related to pregnancy and RA lately and thought my little

story might give anyone trying some hope so here goes!

I was diagnosed with RA when I was 25(which is also when I joined the group)

I'm 31 now (Yikes time flies!). When I found out I had RA I had already

been trying to fall pregnant for about 2 years and as I was in major flare

for a long time the doctors told me to " Hurry up " so I could start the

DMARDS (this was easier said than done as I have endometriosis). I was put

on Prednisone while I was trying to fall pregnant as my Rheumy said that the

NSAIDs were out (I believe she said it was because they have a miscarriage

risk) and so were the DMARD's (although my Rheumy has since told me that

many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone

worked very well and I was on it exclusively for over 2 years before I

finally fell pregnant. I continued to take the Prednisone at lower and

lower doses until I was 7 months pregnant at which time I tapered off

completely and enjoyed a full remission which was fantastic!

Just after I stopped the prednisone the baby stopped growing. We picked

this up when I was 7 1/2 months pregnant and the end was very worrying as he

just didn't gain weight. My Gynae thought this was caused by the RA

although I never did understand why and have never read anything about this

happening because of RA, I also did my own research and read that Prednisone

could cause growth retardation so who knows. I do remember there being a

discussion here about RA and small babies ages ago. Finally at 8 months, a

week before the doctor was going to induce me because of the growth problem,

my waters broke and I gave birth to a premature and small (2.3 Kgs) but

healthy baby. He had slight respitory distress at birth and we spent 10

days in hospital with him in an incubator but he was absolutely fine after

that and is now a very healthy, VERY energetic 3 1/2 year old!

Within a week after Fabien (my 1st little boy) was born old Arthur made a

comeback and I went into a flare. All the doctors were adamant that I stop

breastfeeding and start the DMARDS immediately but I just couldn't cope with

that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder

(she was actually a breastfeeding mom herself at the time so was very

understanding) we decided to try and get the flare under control with

Voltaren (she felt it would be OK for the baby although I've since been

recommended " Nifluril " as it is apparently better for breastfeeding mothers)

and she also ordered me to get as much rest as possible. She thought I

would last a few weeks like that before I would have to start the meds - I

ended up breastfeeding him for over 2 years until I was pregnant with my

second! Fabien is now 3 1/2 years old and a very healthy, happy little boy.

I have been in remission for ages now with a few small/medium flares for the

first year after he was born which I managed to get under control with rest

and Voltaren. I think one of the best things I did was to stop working

full time so that I am far less tired and stressed than before (don't worry

I do realise how blessed I am to have been able to do that and that for many

giving up work just isn't an option!) I noticed a direct correlation between

the amount of stress I had and the flares and now if I start getting any of

the warning signs a flare is on the way (major fatigue or any stiffness) I

just push the " STOP " button and rest as much as I can (easier said than done

as now have 2 boys but i've learn't the hard way that when my body says stop

it means it!). I've joined a gym, taken up a weekly meditation class and eat

healthier which I'm sure all helps but realise that I am also just very very

lucky!

Six months ago I had another beautiful little boy " Logan " he was born at

term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare during

the pregnancy as I contracted " Chikungunya " which is a viral disease

transmitted by mosquitos. Besides a variety of other pretty awful symptoms

it puts you into something which is pretty much exactly like a full on RA

Flare. Thank God it didn't affect the baby but I was back to being granny

Heidi(no offense to our real grannies but you know what I mean ;-)for about

3 months - I was terrified that this would mark the end of my remission as

the joint pain can become chronic and last over 3 years even in people who

don't have RA and it is known to trigger off dormant RA in patients who have

it. Once again I was blessed and after 3 months of hobbling around I

started having premature contractions at 34weeks (no that wasn't the

blessing part - actually scary but it worked out well so can laugh now ha!)

I was given an injection of cortisone for the baby's lungs and spent a week

in clinic - I eventually went to term but the cortisone zapped the joint

pain and I am still doing great 7 months later!

I am once again breastfeeding and loving it and Arthur is still in sweet

remission. I still have the odd mini flare when I am over stressed or tired

but they are less and less and very easy to control by just taking it easy

and maybe a few days of anti-inflammatories.

For now I'm feeling very blessed and lucky for this respite from nasty old

Arthur, enjoying every second of my remission and praying that it will last

forever! It would be very interesting to know if the breastfeeding has

contributed to the remission, /a any comments there?

(((((((((Special hugs to you guys!)))))))))))

So that's my story! I wish any of you trying for a baby all the luck in the

world, this group was a god send for me when I was going through all that.

If you want to ask me any questions I'm here, although might take a little

while to get back to you as don't switch on my computer every day at the

moment! Otherwise just e-mail me directly.

Lots of love to all my old friends here and hi to all the new members!

Heidi

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Oops, I sent the message without typing anything. Heidi I have been thinking

about you and wondering how your family is. I too, have wondered what has

happened to Judi and Tess, as it has been a long time since I have seen a post

from them.

Congratulations on your work with helping people stop smoking.

Glad to hear your family is doing well. Have a wonderful holiday season.

Terri

[ ] RA & Pregnancey & Catch up. Long!

Hi there everyone!

It's been ages since I last posted and most of you might not know me, there

are so many new faces - welcome by the way! To all my old friends

((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my

life is so crazy at the moment I never seem to have the time to even check

e-mail anymore never mind post, guess you could say I've become a permanent

lurker! By the way does anyone know what has happened to Judie & Tess? I

always look out for their posts but I haven't seen anything from them for

ages.

I'm still in remission and making sure that I enjoy every minute of it -

sometimes it's scary to think it might not last but at least I'm living it

up to the max while I can! Loads on the go this year, in May we had our

second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st

for those who don't know me) is jealous as can be but loves his baby brother

to bits anyway! We are building our first house and I'm studying a

therapist course in a fantastic method to help people stop smoking - it's

lots more fun than it sounds and I'm loving my course - I will start

treating people in January and I can't wait as it really combines my dream

of working for myself and helping people at the same time.

I haven't really had time to read posts but have noticed that there have

been quiet a few related to pregnancy and RA lately and thought my little

story might give anyone trying some hope so here goes!

I was diagnosed with RA when I was 25(which is also when I joined the group)

I'm 31 now (Yikes time flies!). When I found out I had RA I had already

been trying to fall pregnant for about 2 years and as I was in major flare

for a long time the doctors told me to " Hurry up " so I could start the

DMARDS (this was easier said than done as I have endometriosis). I was put

on Prednisone while I was trying to fall pregnant as my Rheumy said that the

NSAIDs were out (I believe she said it was because they have a miscarriage

risk) and so were the DMARD's (although my Rheumy has since told me that

many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone

worked very well and I was on it exclusively for over 2 years before I

finally fell pregnant. I continued to take the Prednisone at lower and

lower doses until I was 7 months pregnant at which time I tapered off

completely and enjoyed a full remission which was fantastic!

Just after I stopped the prednisone the baby stopped growing. We picked

this up when I was 7 1/2 months pregnant and the end was very worrying as he

just didn't gain weight. My Gynae thought this was caused by the RA

although I never did understand why and have never read anything about this

happening because of RA, I also did my own research and read that Prednisone

could cause growth retardation so who knows. I do remember there being a

discussion here about RA and small babies ages ago. Finally at 8 months, a

week before the doctor was going to induce me because of the growth problem,

my waters broke and I gave birth to a premature and small (2.3 Kgs) but

healthy baby. He had slight respitory distress at birth and we spent 10

days in hospital with him in an incubator but he was absolutely fine after

that and is now a very healthy, VERY energetic 3 1/2 year old!

Within a week after Fabien (my 1st little boy) was born old Arthur made a

comeback and I went into a flare. All the doctors were adamant that I stop

breastfeeding and start the DMARDS immediately but I just couldn't cope with

that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder

(she was actually a breastfeeding mom herself at the time so was very

understanding) we decided to try and get the flare under control with

Voltaren (she felt it would be OK for the baby although I've since been

recommended " Nifluril " as it is apparently better for breastfeeding mothers)

and she also ordered me to get as much rest as possible. She thought I

would last a few weeks like that before I would have to start the meds - I

ended up breastfeeding him for over 2 years until I was pregnant with my

second! Fabien is now 3 1/2 years old and a very healthy, happy little boy.

I have been in remission for ages now with a few small/medium flares for the

first year after he was born which I managed to get under control with rest

and Voltaren. I think one of the best things I did was to stop working

full time so that I am far less tired and stressed than before (don't worry

I do realise how blessed I am to have been able to do that and that for many

giving up work just isn't an option!) I noticed a direct correlation between

the amount of stress I had and the flares and now if I start getting any of

the warning signs a flare is on the way (major fatigue or any stiffness) I

just push the " STOP " button and rest as much as I can (easier said than done

as now have 2 boys but i've learn't the hard way that when my body says stop

it means it!). I've joined a gym, taken up a weekly meditation class and eat

healthier which I'm sure all helps but realise that I am also just very very

lucky!

Six months ago I had another beautiful little boy " Logan " he was born at

term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare during

the pregnancy as I contracted " Chikungunya " which is a viral disease

transmitted by mosquitos. Besides a variety of other pretty awful symptoms

it puts you into something which is pretty much exactly like a full on RA

Flare. Thank God it didn't affect the baby but I was back to being granny

Heidi(no offense to our real grannies but you know what I mean ;-)for about

3 months - I was terrified that this would mark the end of my remission as

the joint pain can become chronic and last over 3 years even in people who

don't have RA and it is known to trigger off dormant RA in patients who have

it. Once again I was blessed and after 3 months of hobbling around I

started having premature contractions at 34weeks (no that wasn't the

blessing part - actually scary but it worked out well so can laugh now ha!)

I was given an injection of cortisone for the baby's lungs and spent a week

in clinic - I eventually went to term but the cortisone zapped the joint

pain and I am still doing great 7 months later!

I am once again breastfeeding and loving it and Arthur is still in sweet

remission. I still have the odd mini flare when I am over stressed or tired

but they are less and less and very easy to control by just taking it easy

and maybe a few days of anti-inflammatories.

For now I'm feeling very blessed and lucky for this respite from nasty old

Arthur, enjoying every second of my remission and praying that it will last

forever! It would be very interesting to know if the breastfeeding has

contributed to the remission, /a any comments there?

(((((((((Special hugs to you guys!)))))))))))

So that's my story! I wish any of you trying for a baby all the luck in the

world, this group was a god send for me when I was going through all that.

If you want to ask me any questions I'm here, although might take a little

while to get back to you as don't switch on my computer every day at the

moment! Otherwise just e-mail me directly.

Lots of love to all my old friends here and hi to all the new members!

Heidi

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Thanks Terri!

Happy Happy Holidays to you and yours!

Heidi

Re: [ ] RA & Pregnancey & Catch up. Long!

Oops, I sent the message without typing anything. Heidi I have been

thinking about you and wondering how your family is. I too, have wondered

what has happened to Judi and Tess, as it has been a long time since I have

seen a post from them.

Congratulations on your work with helping people stop smoking.

Glad to hear your family is doing well. Have a wonderful holiday season.

Terri

[ ] RA & Pregnancey & Catch up. Long!

Hi there everyone!

It's been ages since I last posted and most of you might not know me,

there

are so many new faces - welcome by the way! To all my old friends

((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my

life is so crazy at the moment I never seem to have the time to even check

e-mail anymore never mind post, guess you could say I've become a

permanent

lurker! By the way does anyone know what has happened to Judie & Tess? I

always look out for their posts but I haven't seen anything from them for

ages.

I'm still in remission and making sure that I enjoy every minute of it -

sometimes it's scary to think it might not last but at least I'm living it

up to the max while I can! Loads on the go this year, in May we had our

second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st

for those who don't know me) is jealous as can be but loves his baby

brother

to bits anyway! We are building our first house and I'm studying a

therapist course in a fantastic method to help people stop smoking - it's

lots more fun than it sounds and I'm loving my course - I will start

treating people in January and I can't wait as it really combines my dream

of working for myself and helping people at the same time.

I haven't really had time to read posts but have noticed that there have

been quiet a few related to pregnancy and RA lately and thought my little

story might give anyone trying some hope so here goes!

I was diagnosed with RA when I was 25(which is also when I joined the

group)

I'm 31 now (Yikes time flies!). When I found out I had RA I had already

been trying to fall pregnant for about 2 years and as I was in major flare

for a long time the doctors told me to " Hurry up " so I could start the

DMARDS (this was easier said than done as I have endometriosis). I was put

on Prednisone while I was trying to fall pregnant as my Rheumy said that

the

NSAIDs were out (I believe she said it was because they have a miscarriage

risk) and so were the DMARD's (although my Rheumy has since told me that

many Lupus sufferers stay on Plaquenil when pregnant so??). The Prednisone

worked very well and I was on it exclusively for over 2 years before I

finally fell pregnant. I continued to take the Prednisone at lower and

lower doses until I was 7 months pregnant at which time I tapered off

completely and enjoyed a full remission which was fantastic!

Just after I stopped the prednisone the baby stopped growing. We picked

this up when I was 7 1/2 months pregnant and the end was very worrying as

he

just didn't gain weight. My Gynae thought this was caused by the RA

although I never did understand why and have never read anything about

this

happening because of RA, I also did my own research and read that

Prednisone

could cause growth retardation so who knows. I do remember there being a

discussion here about RA and small babies ages ago. Finally at 8 months, a

week before the doctor was going to induce me because of the growth

problem,

my waters broke and I gave birth to a premature and small (2.3 Kgs) but

healthy baby. He had slight respitory distress at birth and we spent 10

days in hospital with him in an incubator but he was absolutely fine after

that and is now a very healthy, VERY energetic 3 1/2 year old!

Within a week after Fabien (my 1st little boy) was born old Arthur made a

comeback and I went into a flare. All the doctors were adamant that I stop

breastfeeding and start the DMARDS immediately but I just couldn't cope

with

that idea (I'm a little stubborn ;-) After crying on my Rheumy's shoulder

(she was actually a breastfeeding mom herself at the time so was very

understanding) we decided to try and get the flare under control with

Voltaren (she felt it would be OK for the baby although I've since been

recommended " Nifluril " as it is apparently better for breastfeeding

mothers)

and she also ordered me to get as much rest as possible. She thought I

would last a few weeks like that before I would have to start the meds - I

ended up breastfeeding him for over 2 years until I was pregnant with my

second! Fabien is now 3 1/2 years old and a very healthy, happy little

boy.

I have been in remission for ages now with a few small/medium flares for

the

first year after he was born which I managed to get under control with

rest

and Voltaren. I think one of the best things I did was to stop working

full time so that I am far less tired and stressed than before (don't

worry

I do realise how blessed I am to have been able to do that and that for

many

giving up work just isn't an option!) I noticed a direct correlation

between

the amount of stress I had and the flares and now if I start getting any

of

the warning signs a flare is on the way (major fatigue or any stiffness) I

just push the " STOP " button and rest as much as I can (easier said than

done

as now have 2 boys but i've learn't the hard way that when my body says

stop

it means it!). I've joined a gym, taken up a weekly meditation class and

eat

healthier which I'm sure all helps but realise that I am also just very

very

lucky!

Six months ago I had another beautiful little boy " Logan " he was born at

term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare

during

the pregnancy as I contracted " Chikungunya " which is a viral disease

transmitted by mosquitos. Besides a variety of other pretty awful symptoms

it puts you into something which is pretty much exactly like a full on RA

Flare. Thank God it didn't affect the baby but I was back to being granny

Heidi(no offense to our real grannies but you know what I mean ;-)for

about

3 months - I was terrified that this would mark the end of my remission as

the joint pain can become chronic and last over 3 years even in people who

don't have RA and it is known to trigger off dormant RA in patients who

have

it. Once again I was blessed and after 3 months of hobbling around I

started having premature contractions at 34weeks (no that wasn't the

blessing part - actually scary but it worked out well so can laugh now

ha!)

I was given an injection of cortisone for the baby's lungs and spent a

week

in clinic - I eventually went to term but the cortisone zapped the joint

pain and I am still doing great 7 months later!

I am once again breastfeeding and loving it and Arthur is still in sweet

remission. I still have the odd mini flare when I am over stressed or

tired

but they are less and less and very easy to control by just taking it easy

and maybe a few days of anti-inflammatories.

For now I'm feeling very blessed and lucky for this respite from nasty old

Arthur, enjoying every second of my remission and praying that it will

last

forever! It would be very interesting to know if the breastfeeding has

contributed to the remission, /a any comments there?

(((((((((Special hugs to you guys!)))))))))))

So that's my story! I wish any of you trying for a baby all the luck in

the

world, this group was a god send for me when I was going through all that.

If you want to ask me any questions I'm here, although might take a little

while to get back to you as don't switch on my computer every day at the

moment! Otherwise just e-mail me directly.

Lots of love to all my old friends here and hi to all the new members!

Heidi

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Share on other sites

Congratulations on Logan, Heidi! That is such wonderful news.

So glad that you are feeling so well now.

Chikungunya is a new one for me; I'll be looking that up later, LOL. Sorry

it gave you such a scare.

Good luck with your smoking cessation endeavor. A worthy cause indeed.

A new house, too. You must be thrilled - and busy, busy, busy.

The research doesn't present a consensus on the effect of breastfeeding on

rheumatoid arthritis (and is fairly scanty), but I think it makes more sense

that breastfeeding would prolong remission. I would just enjoy it and hope

it will last!

Here are some articles that are related to your question:

*****************************************************

Arthritis Rheum. 2004 Nov;50(11):3458-67.

Do breast-feeding and other reproductive factors influence future risk of

rheumatoid arthritis? Results from the Nurses' Health Study.

Brigham and Women's Hospital, Harvard Medical School, and Harvard School of

Public Health, 75 Francis Street, Boston, MA 02115, USA.

ekarlson@...

OBJECTIVE: To explore the contribution of female hormonal factors occurring

prior to the onset of rheumatoid arthritis (RA), such as age at menarche,

parity, age at first birth, breast-feeding, use of oral contraceptives

(OCs), irregular menstrual cycles, and postmenopausal hormone (PMH) use, to

the subsequent development of RA in a large female cohort. METHODS: We

studied female reproductive and hormonal risk factors for RA in a cohort of

121,700 women enrolled in the longitudinal Nurses' Health Study. The

diagnosis of incident RA (between 1976 and 2002) in 674 women was confirmed

by a connective tissue disease screening questionnaire and blinded medical

record review for American College of Rheumatology criteria. Sixty percent

of the patients with RA were rheumatoid factor positive. The relationship

between potential risk factors, including age, age at menarche, parity, age

at first birth, total lifetime history of breast-feeding, use of OCs, and

irregular menstrual cycles and the multivariate-adjusted risk of RA was

estimated using proportional hazards models. RESULTS: Using a

multivariate model that adjusted for age, body mass index, smoking, parity,

and other hormonal factors, we observed a strong trend for decreasing risk

of RA with increasing duration of breast-feeding (P for trend = 0.001). For

women who breast-fed (compared with parous women who did not breast-feed),

the risk ratios (RRs) and 95% confidence intervals (95% CIs) were as

follows: breast-feeding for < or =3 total months, RR 1.0 (95% confidence

interval [95% CI] 0.8-1.2); for 4-11 total months, RR 0.9 (95% CI 0.7-1.1);

for 12-23 total months, RR 0.8 (95% CI 0.6-1.0); and for > or =24 total

months, RR 0.5 (95% CI 0.3-0.8). Very irregular menstrual cycles were

associated with an increased risk of RA (RR 1.4, 95% CI 1.0-2.0). Age at

menarche < or =10 years was associated with an increased risk of

seropositive RA (RR 1.6, 95% CI 1.1-2.4) but not significantly associated

with risk of RA. Parity, total number of children, age at first birth, and

OC use were not associated with an increased risk of RA in this cohort.

CONCLUSION: In this large cohort, breast-feeding for >12 months was

inversely related to the development of RA. This apparent effect was

dose-dependent, with a significant trend toward lower risk with longer

duration of breast-feeding. Irregular menstrual cycles and earlier age at

menarche increased the risk of RA. Other reproductive hormonal factors were

not associated with RA risk.

PMID: 15529351

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\

ctPlus & list_uids=15529351

******************************************************

Arthritis Rheum. 2000 May;43(5):1010-5.

Breast-feeding and postpartum relapse in women with rheumatoid and

inflammatory arthritis.

University of Manchester, UK.

OBJECTIVE: To test the hypothesis that breast-feeding increases the risk of

postpartum flare in inflammatory polyarthritis. METHODS: We compared disease

activity during pregnancy and at 6 months postpartum among 49

non-breast-feeders, 38 first-time breast-feeders, and 50 repeat

breast-feeders. RESULTS: After we adjusted for possible confounders,

including treatment, first-time breast-feeders had increased disease

activity 6 months postpartum, based on self-reported symptoms, joint counts,

and C-reactive protein levels.

CONCLUSION: Postpartum flare may be induced by breast-feeding.

PMID: 10817553

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_uids=1\

0817553

******************************************************

J Womens Health Gend Based Med. 2001 Sep;10(7):681-7. Links

Cumulative duration of breast-feeding influences cortisol levels in

postmenopausal women.

Department of Family and Preventive Medicine, Division of Epidemiology,

University of California, San Diego, School of Medicine, La Jolla,

California 92092-0607, USA.

Cortisol levels dramatically increase during pregnancy, peak at birth, and

subsequently decline. However, all previous studies examined women during

pregnancy and early postpartum. None examined the long-term association of

parity and lactation with cortisol levels. We examined the relation of

reproductive history to cortisol levels in postmenopausal women. Subjects

were 749 women, aged 50-89, who were not using estrogen in 1984-1987 when

morning cortisol was measured. Parity was not significantly associated with

cortisol. However, women who breast-fed for >12 months had significantly

higher cortisol levels than women who breast-fed for shorter durations or

not at all (p = 0.003). This association was stronger among women with three

or more births. Duration of breast-feeding is a determinant of cortisol

levels in postmenopausal women. Because both increased cortisol and

increased duration of breast-feeding may play protective roles in certain

autoimmune diseases, such as rheumatoid arthritis, we suggest that the

beneficial effect of lactation on the course of these diseases may be

mediated by cortisol.

PMID: 11571098

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=Abstra\

ctPlus & list_uids=11571098

******************************************************

Arthritis Rheum. 1999 Jun;42(6):1219-27.

Does rheumatoid arthritis remit during pregnancy and relapse postpartum?

Results from a nationwide study in the United Kingdom performed

prospectively from late pregnancy.

Barrett JH, Brennan P, Fiddler M, Silman AJ.

Arthritis Research Campaign Epidemiology Unit, University of Manchester, UK.

OBJECTIVE: To ascertain the influence of pregnancy on disease activity in

women with rheumatoid arthritis (RA) during pregnancy and postpartum.

METHODS: One hundred forty pregnant women were recruited from a nationwide

campaign and were followed prospectively in the last trimester and at 1 and

6 months postpartum. Standardized assessment of joint symptoms, examination

of inflamed joints, and the Health Assessment Questionnaire (HAQ) were the

main measures of disease activity. RESULTS: There was only a modest fall in

HAQ scores during pregnancy, with >25% of women having substantial levels of

disability. Other parameters of disease activity showed a greater trend

toward improvement, although only 23 (16%) were in complete remission (no

joints with active disease and no therapy). Similarly, there was relatively

little change in the distribution of HAQ scores from pregnancy to

postpartum. There was, however, a statistically significant increase in the

mean number of inflamed joints compared with the findings during pregnancy.

Analysis of the possible influence of treatment suggested that therapy was

associated with more severe disease and was not related to reduction in

disease activity.

CONCLUSION: This, the largest prospective study of the influence of

pregnancy on RA activity, has demonstrated widespread variability in disease

response.

PMID: 10366115

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_uids=1\

0366115

******************************************************

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] RA & Pregnancey & Catch up. Long!

> Hi there everyone!

>

> It's been ages since I last posted and most of you might not know me,

> there

> are so many new faces - welcome by the way! To all my old friends

> ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but my

> life is so crazy at the moment I never seem to have the time to even check

> e-mail anymore never mind post, guess you could say I've become a

> permanent

> lurker! By the way does anyone know what has happened to Judie & Tess? I

> always look out for their posts but I haven't seen anything from them for

> ages.

>

> I'm still in remission and making sure that I enjoy every minute of it -

> sometimes it's scary to think it might not last but at least I'm living it

> up to the max while I can! Loads on the go this year, in May we had our

> second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st

> for those who don't know me) is jealous as can be but loves his baby

> brother

> to bits anyway! We are building our first house and I'm studying a

> therapist course in a fantastic method to help people stop smoking - it's

> lots more fun than it sounds and I'm loving my course - I will start

> treating people in January and I can't wait as it really combines my dream

> of working for myself and helping people at the same time.

>

> I haven't really had time to read posts but have noticed that there have

> been quiet a few related to pregnancy and RA lately and thought my little

> story might give anyone trying some hope so here goes!

>

> I was diagnosed with RA when I was 25(which is also when I joined the

> group)

> I'm 31 now (Yikes time flies!). When I found out I had RA I had already

> been trying to fall pregnant for about 2 years and as I was in major

> flare

> for a long time the doctors told me to " Hurry up " so I could start the

> DMARDS (this was easier said than done as I have endometriosis). I was

> put

> on Prednisone while I was trying to fall pregnant as my Rheumy said that

> the

> NSAIDs were out (I believe she said it was because they have a miscarriage

> risk) and so were the DMARD's (although my Rheumy has since told me that

> many Lupus sufferers stay on Plaquenil when pregnant so??). The

> Prednisone

> worked very well and I was on it exclusively for over 2 years before I

> finally fell pregnant. I continued to take the Prednisone at lower and

> lower doses until I was 7 months pregnant at which time I tapered off

> completely and enjoyed a full remission which was fantastic!

>

> Just after I stopped the prednisone the baby stopped growing. We picked

> this up when I was 7 1/2 months pregnant and the end was very worrying as

> he

> just didn't gain weight. My Gynae thought this was caused by the RA

> although I never did understand why and have never read anything about

> this

> happening because of RA, I also did my own research and read that

> Prednisone

> could cause growth retardation so who knows. I do remember there being a

> discussion here about RA and small babies ages ago. Finally at 8 months,

> a

> week before the doctor was going to induce me because of the growth

> problem,

> my waters broke and I gave birth to a premature and small (2.3 Kgs) but

> healthy baby. He had slight respitory distress at birth and we spent 10

> days in hospital with him in an incubator but he was absolutely fine after

> that and is now a very healthy, VERY energetic 3 1/2 year old!

>

> Within a week after Fabien (my 1st little boy) was born old Arthur made a

> comeback and I went into a flare. All the doctors were adamant that I

> stop

> breastfeeding and start the DMARDS immediately but I just couldn't cope

> with

> that idea (I'm a little stubborn ;-) After crying on my Rheumy's

> shoulder

> (she was actually a breastfeeding mom herself at the time so was very

> understanding) we decided to try and get the flare under control with

> Voltaren (she felt it would be OK for the baby although I've since been

> recommended " Nifluril " as it is apparently better for breastfeeding

> mothers)

> and she also ordered me to get as much rest as possible. She thought I

> would last a few weeks like that before I would have to start the meds - I

> ended up breastfeeding him for over 2 years until I was pregnant with my

> second! Fabien is now 3 1/2 years old and a very healthy, happy little

> boy.

> I have been in remission for ages now with a few small/medium flares for

> the

> first year after he was born which I managed to get under control with

> rest

> and Voltaren. I think one of the best things I did was to stop working

> full time so that I am far less tired and stressed than before (don't

> worry

> I do realise how blessed I am to have been able to do that and that for

> many

> giving up work just isn't an option!) I noticed a direct correlation

> between

> the amount of stress I had and the flares and now if I start getting any

> of

> the warning signs a flare is on the way (major fatigue or any stiffness) I

> just push the " STOP " button and rest as much as I can (easier said than

> done

> as now have 2 boys but i've learn't the hard way that when my body says

> stop

> it means it!). I've joined a gym, taken up a weekly meditation class and

> eat

> healthier which I'm sure all helps but realise that I am also just very

> very

> lucky!

>

> Six months ago I had another beautiful little boy " Logan " he was born at

> term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare

> during

> the pregnancy as I contracted " Chikungunya " which is a viral disease

> transmitted by mosquitos. Besides a variety of other pretty awful

> symptoms

> it puts you into something which is pretty much exactly like a full on RA

> Flare. Thank God it didn't affect the baby but I was back to being granny

> Heidi(no offense to our real grannies but you know what I mean ;-)for

> about

> 3 months - I was terrified that this would mark the end of my remission as

> the joint pain can become chronic and last over 3 years even in people who

> don't have RA and it is known to trigger off dormant RA in patients who

> have

> it. Once again I was blessed and after 3 months of hobbling around I

> started having premature contractions at 34weeks (no that wasn't the

> blessing part - actually scary but it worked out well so can laugh now

> ha!)

> I was given an injection of cortisone for the baby's lungs and spent a

> week

> in clinic - I eventually went to term but the cortisone zapped the joint

> pain and I am still doing great 7 months later!

>

> I am once again breastfeeding and loving it and Arthur is still in sweet

> remission. I still have the odd mini flare when I am over stressed or

> tired

> but they are less and less and very easy to control by just taking it easy

> and maybe a few days of anti-inflammatories.

>

> For now I'm feeling very blessed and lucky for this respite from nasty old

> Arthur, enjoying every second of my remission and praying that it will

> last

> forever! It would be very interesting to know if the breastfeeding has

> contributed to the remission, /a any comments there?

> (((((((((Special hugs to you guys!)))))))))))

>

> So that's my story! I wish any of you trying for a baby all the luck in

> the

> world, this group was a god send for me when I was going through all that.

> If you want to ask me any questions I'm here, although might take a little

> while to get back to you as don't switch on my computer every day at the

> moment! Otherwise just e-mail me directly.

>

> Lots of love to all my old friends here and hi to all the new members!

>

> Heidi

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Hi !

As usual you are a veritable fountain of knowledge! Thanks for that,

confusing but interesting! ;-)

Thought your interest would be peaked by the " Chikungunya " - sounds pretty

exotic hey! It unfortunately is and wasn't fun at all but apparently once

you've had it you're immune so at least there's that! We had a major

outbreak of it this year in Mauritius, our neighbour Reunion island was much

worse hit though. They think it came over with travellers from the Commore

islands where they recently had an outbreak. First time we've had it here

but it's a hard one to get rid of as you've got to try and kill the vector -

which is a particular breed of mosquito - of which, being a tropical island,

we have plenty! They eradicated malaria here though so there's hope. Only

good thing about it is a whole new appreciation around me for how it feels

to have RA, now all I have to say is " Have you had Chikungunya? " usual

response if yes " thought I was dying, never been in such terrible pain, had

a major depression because I couldn't do anything anymore etc. etc " So I

just tell them it's like that but ALL THE TIME, unless you are in

remission... The first few days are awful; high fever, terrible raised rash

and my skin was very sensitive and painful to the slightest touch, hugely

swollen ankles after that ít's very similar to RA though, the stiffness,

painful but not as swollen joints, fatigue - all there - but the bloodwork

doesn't come out the same - or at least mine didn't. The RA effect is an

immune response caused by the body fighting the virus rather than the effect

of the virus itself.

Where is a by the way? Don't seem to recall seeing anything from her

for a while, but I haven't really been keeping up. Do you have any news of

Tess and Judi?

How are you keeping?

Hugs,

Heidi

Re: [ ] RA & Pregnancey & Catch up. Long!

Congratulations on Logan, Heidi! That is such wonderful news.

So glad that you are feeling so well now.

Chikungunya is a new one for me; I'll be looking that up later, LOL. Sorry

it gave you such a scare.

Good luck with your smoking cessation endeavor. A worthy cause indeed.

A new house, too. You must be thrilled - and busy, busy, busy.

The research doesn't present a consensus on the effect of breastfeeding on

rheumatoid arthritis (and is fairly scanty), but I think it makes more

sense

that breastfeeding would prolong remission. I would just enjoy it and hope

it will last!

Here are some articles that are related to your question:

*****************************************************

Arthritis Rheum. 2004 Nov;50(11):3458-67.

Do breast-feeding and other reproductive factors influence future risk of

rheumatoid arthritis? Results from the Nurses' Health Study.

Brigham and Women's Hospital, Harvard Medical School, and Harvard School

of

Public Health, 75 Francis Street, Boston, MA 02115, USA.

ekarlson@...

OBJECTIVE: To explore the contribution of female hormonal factors

occurring

prior to the onset of rheumatoid arthritis (RA), such as age at menarche,

parity, age at first birth, breast-feeding, use of oral contraceptives

(OCs), irregular menstrual cycles, and postmenopausal hormone (PMH) use,

to

the subsequent development of RA in a large female cohort. METHODS: We

studied female reproductive and hormonal risk factors for RA in a cohort

of

121,700 women enrolled in the longitudinal Nurses' Health Study. The

diagnosis of incident RA (between 1976 and 2002) in 674 women was

confirmed

by a connective tissue disease screening questionnaire and blinded medical

record review for American College of Rheumatology criteria. Sixty percent

of the patients with RA were rheumatoid factor positive. The relationship

between potential risk factors, including age, age at menarche, parity,

age

at first birth, total lifetime history of breast-feeding, use of OCs, and

irregular menstrual cycles and the multivariate-adjusted risk of RA was

estimated using proportional hazards models. RESULTS: Using a

multivariate model that adjusted for age, body mass index, smoking,

parity,

and other hormonal factors, we observed a strong trend for decreasing risk

of RA with increasing duration of breast-feeding (P for trend = 0.001).

For

women who breast-fed (compared with parous women who did not breast-feed),

the risk ratios (RRs) and 95% confidence intervals (95% CIs) were as

follows: breast-feeding for < or =3 total months, RR 1.0 (95% confidence

interval [95% CI] 0.8-1.2); for 4-11 total months, RR 0.9 (95% CI

0.7-1.1);

for 12-23 total months, RR 0.8 (95% CI 0.6-1.0); and for > or =24 total

months, RR 0.5 (95% CI 0.3-0.8). Very irregular menstrual cycles were

associated with an increased risk of RA (RR 1.4, 95% CI 1.0-2.0). Age at

menarche < or =10 years was associated with an increased risk of

seropositive RA (RR 1.6, 95% CI 1.1-2.4) but not significantly associated

with risk of RA. Parity, total number of children, age at first birth, and

OC use were not associated with an increased risk of RA in this cohort.

CONCLUSION: In this large cohort, breast-feeding for >12 months was

inversely related to the development of RA. This apparent effect was

dose-dependent, with a significant trend toward lower risk with longer

duration of breast-feeding. Irregular menstrual cycles and earlier age at

menarche increased the risk of RA. Other reproductive hormonal factors

were

not associated with RA risk.

PMID: 15529351

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=

AbstractPlus & list_uids=15529351

******************************************************

Arthritis Rheum. 2000 May;43(5):1010-5.

Breast-feeding and postpartum relapse in women with rheumatoid and

inflammatory arthritis.

University of Manchester, UK.

OBJECTIVE: To test the hypothesis that breast-feeding increases the risk

of

postpartum flare in inflammatory polyarthritis. METHODS: We compared

disease

activity during pregnancy and at 6 months postpartum among 49

non-breast-feeders, 38 first-time breast-feeders, and 50 repeat

breast-feeders. RESULTS: After we adjusted for possible confounders,

including treatment, first-time breast-feeders had increased disease

activity 6 months postpartum, based on self-reported symptoms, joint

counts,

and C-reactive protein levels.

CONCLUSION: Postpartum flare may be induced by breast-feeding.

PMID: 10817553

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_

uids=10817553

******************************************************

J Womens Health Gend Based Med. 2001 Sep;10(7):681-7. Links

Cumulative duration of breast-feeding influences cortisol levels in

postmenopausal women.

Department of Family and Preventive Medicine, Division of Epidemiology,

University of California, San Diego, School of Medicine, La Jolla,

California 92092-0607, USA.

Cortisol levels dramatically increase during pregnancy, peak at birth, and

subsequently decline. However, all previous studies examined women during

pregnancy and early postpartum. None examined the long-term association of

parity and lactation with cortisol levels. We examined the relation of

reproductive history to cortisol levels in postmenopausal women. Subjects

were 749 women, aged 50-89, who were not using estrogen in 1984-1987 when

morning cortisol was measured. Parity was not significantly associated

with

cortisol. However, women who breast-fed for >12 months had significantly

higher cortisol levels than women who breast-fed for shorter durations or

not at all (p = 0.003). This association was stronger among women with

three

or more births. Duration of breast-feeding is a determinant of cortisol

levels in postmenopausal women. Because both increased cortisol and

increased duration of breast-feeding may play protective roles in certain

autoimmune diseases, such as rheumatoid arthritis, we suggest that the

beneficial effect of lactation on the course of these diseases may be

mediated by cortisol.

PMID: 11571098

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=

AbstractPlus & list_uids=11571098

******************************************************

Arthritis Rheum. 1999 Jun;42(6):1219-27.

Does rheumatoid arthritis remit during pregnancy and relapse postpartum?

Results from a nationwide study in the United Kingdom performed

prospectively from late pregnancy.

Barrett JH, Brennan P, Fiddler M, Silman AJ.

Arthritis Research Campaign Epidemiology Unit, University of Manchester,

UK.

OBJECTIVE: To ascertain the influence of pregnancy on disease activity in

women with rheumatoid arthritis (RA) during pregnancy and postpartum.

METHODS: One hundred forty pregnant women were recruited from a nationwide

campaign and were followed prospectively in the last trimester and at 1

and

6 months postpartum. Standardized assessment of joint symptoms,

examination

of inflamed joints, and the Health Assessment Questionnaire (HAQ) were the

main measures of disease activity. RESULTS: There was only a modest fall

in

HAQ scores during pregnancy, with >25% of women having substantial levels

of

disability. Other parameters of disease activity showed a greater trend

toward improvement, although only 23 (16%) were in complete remission (no

joints with active disease and no therapy). Similarly, there was

relatively

little change in the distribution of HAQ scores from pregnancy to

postpartum. There was, however, a statistically significant increase in

the

mean number of inflamed joints compared with the findings during

pregnancy.

Analysis of the possible influence of treatment suggested that therapy was

associated with more severe disease and was not related to reduction in

disease activity.

CONCLUSION: This, the largest prospective study of the influence of

pregnancy on RA activity, has demonstrated widespread variability in

disease

response.

PMID: 10366115

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_

uids=10366115

******************************************************

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] RA & Pregnancey & Catch up. Long!

> Hi there everyone!

>

> It's been ages since I last posted and most of you might not know me,

> there

> are so many new faces - welcome by the way! To all my old friends

> ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but

my

> life is so crazy at the moment I never seem to have the time to even

check

> e-mail anymore never mind post, guess you could say I've become a

> permanent

> lurker! By the way does anyone know what has happened to Judie & Tess? I

> always look out for their posts but I haven't seen anything from them

for

> ages.

>

> I'm still in remission and making sure that I enjoy every minute of it -

> sometimes it's scary to think it might not last but at least I'm living

it

> up to the max while I can! Loads on the go this year, in May we had our

> second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st

> for those who don't know me) is jealous as can be but loves his baby

> brother

> to bits anyway! We are building our first house and I'm studying a

> therapist course in a fantastic method to help people stop smoking -

it's

> lots more fun than it sounds and I'm loving my course - I will start

> treating people in January and I can't wait as it really combines my

dream

> of working for myself and helping people at the same time.

>

> I haven't really had time to read posts but have noticed that there have

> been quiet a few related to pregnancy and RA lately and thought my

little

> story might give anyone trying some hope so here goes!

>

> I was diagnosed with RA when I was 25(which is also when I joined the

> group)

> I'm 31 now (Yikes time flies!). When I found out I had RA I had already

> been trying to fall pregnant for about 2 years and as I was in major

> flare

> for a long time the doctors told me to " Hurry up " so I could start the

> DMARDS (this was easier said than done as I have endometriosis). I was

> put

> on Prednisone while I was trying to fall pregnant as my Rheumy said that

> the

> NSAIDs were out (I believe she said it was because they have a

miscarriage

> risk) and so were the DMARD's (although my Rheumy has since told me that

> many Lupus sufferers stay on Plaquenil when pregnant so??). The

> Prednisone

> worked very well and I was on it exclusively for over 2 years before I

> finally fell pregnant. I continued to take the Prednisone at lower and

> lower doses until I was 7 months pregnant at which time I tapered off

> completely and enjoyed a full remission which was fantastic!

>

> Just after I stopped the prednisone the baby stopped growing. We picked

> this up when I was 7 1/2 months pregnant and the end was very worrying

as

> he

> just didn't gain weight. My Gynae thought this was caused by the RA

> although I never did understand why and have never read anything about

> this

> happening because of RA, I also did my own research and read that

> Prednisone

> could cause growth retardation so who knows. I do remember there being a

> discussion here about RA and small babies ages ago. Finally at 8 months,

> a

> week before the doctor was going to induce me because of the growth

> problem,

> my waters broke and I gave birth to a premature and small (2.3 Kgs) but

> healthy baby. He had slight respitory distress at birth and we spent 10

> days in hospital with him in an incubator but he was absolutely fine

after

> that and is now a very healthy, VERY energetic 3 1/2 year old!

>

> Within a week after Fabien (my 1st little boy) was born old Arthur made

a

> comeback and I went into a flare. All the doctors were adamant that I

> stop

> breastfeeding and start the DMARDS immediately but I just couldn't cope

> with

> that idea (I'm a little stubborn ;-) After crying on my Rheumy's

> shoulder

> (she was actually a breastfeeding mom herself at the time so was very

> understanding) we decided to try and get the flare under control with

> Voltaren (she felt it would be OK for the baby although I've since been

> recommended " Nifluril " as it is apparently better for breastfeeding

> mothers)

> and she also ordered me to get as much rest as possible. She thought I

> would last a few weeks like that before I would have to start the meds -

I

> ended up breastfeeding him for over 2 years until I was pregnant with my

> second! Fabien is now 3 1/2 years old and a very healthy, happy little

> boy.

> I have been in remission for ages now with a few small/medium flares for

> the

> first year after he was born which I managed to get under control with

> rest

> and Voltaren. I think one of the best things I did was to stop working

> full time so that I am far less tired and stressed than before (don't

> worry

> I do realise how blessed I am to have been able to do that and that for

> many

> giving up work just isn't an option!) I noticed a direct correlation

> between

> the amount of stress I had and the flares and now if I start getting any

> of

> the warning signs a flare is on the way (major fatigue or any stiffness)

I

> just push the " STOP " button and rest as much as I can (easier said than

> done

> as now have 2 boys but i've learn't the hard way that when my body says

> stop

> it means it!). I've joined a gym, taken up a weekly meditation class and

> eat

> healthier which I'm sure all helps but realise that I am also just very

> very

> lucky!

>

> Six months ago I had another beautiful little boy " Logan " he was born at

> term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare

> during

> the pregnancy as I contracted " Chikungunya " which is a viral disease

> transmitted by mosquitos. Besides a variety of other pretty awful

> symptoms

> it puts you into something which is pretty much exactly like a full on

RA

> Flare. Thank God it didn't affect the baby but I was back to being

granny

> Heidi(no offense to our real grannies but you know what I mean ;-)for

> about

> 3 months - I was terrified that this would mark the end of my remission

as

> the joint pain can become chronic and last over 3 years even in people

who

> don't have RA and it is known to trigger off dormant RA in patients who

> have

> it. Once again I was blessed and after 3 months of hobbling around I

> started having premature contractions at 34weeks (no that wasn't the

> blessing part - actually scary but it worked out well so can laugh now

> ha!)

> I was given an injection of cortisone for the baby's lungs and spent a

> week

> in clinic - I eventually went to term but the cortisone zapped the joint

> pain and I am still doing great 7 months later!

>

> I am once again breastfeeding and loving it and Arthur is still in sweet

> remission. I still have the odd mini flare when I am over stressed or

> tired

> but they are less and less and very easy to control by just taking it

easy

> and maybe a few days of anti-inflammatories.

>

> For now I'm feeling very blessed and lucky for this respite from nasty

old

> Arthur, enjoying every second of my remission and praying that it will

> last

> forever! It would be very interesting to know if the breastfeeding has

> contributed to the remission, /a any comments there?

> (((((((((Special hugs to you guys!)))))))))))

>

> So that's my story! I wish any of you trying for a baby all the luck in

> the

> world, this group was a god send for me when I was going through all

that.

> If you want to ask me any questions I'm here, although might take a

little

> while to get back to you as don't switch on my computer every day at the

> moment! Otherwise just e-mail me directly.

>

> Lots of love to all my old friends here and hi to all the new members!

>

> Heidi

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Hi !

As usual you are a veritable fountain of knowledge! Thanks for that,

confusing but interesting! ;-)

Thought your interest would be peaked by the " Chikungunya " - sounds pretty

exotic hey! It unfortunately is and wasn't fun at all but apparently once

you've had it you're immune so at least there's that! We had a major

outbreak of it this year in Mauritius, our neighbour Reunion island was much

worse hit though. They think it came over with travellers from the Commore

islands where they recently had an outbreak. First time we've had it here

but it's a hard one to get rid of as you've got to try and kill the vector -

which is a particular breed of mosquito - of which, being a tropical island,

we have plenty! They eradicated malaria here though so there's hope. Only

good thing about it is a whole new appreciation around me for how it feels

to have RA, now all I have to say is " Have you had Chikungunya? " usual

response if yes " thought I was dying, never been in such terrible pain, had

a major depression because I couldn't do anything anymore etc. etc " So I

just tell them it's like that but ALL THE TIME, unless you are in

remission... The first few days are awful; high fever, terrible raised rash

and my skin was very sensitive and painful to the slightest touch, hugely

swollen ankles after that ít's very similar to RA though, the stiffness,

painful but not as swollen joints, fatigue - all there - but the bloodwork

doesn't come out the same - or at least mine didn't. The RA effect is an

immune response caused by the body fighting the virus rather than the effect

of the virus itself.

Where is a by the way? Don't seem to recall seeing anything from her

for a while, but I haven't really been keeping up. Do you have any news of

Tess and Judi?

How are you keeping?

Hugs,

Heidi

Re: [ ] RA & Pregnancey & Catch up. Long!

Congratulations on Logan, Heidi! That is such wonderful news.

So glad that you are feeling so well now.

Chikungunya is a new one for me; I'll be looking that up later, LOL. Sorry

it gave you such a scare.

Good luck with your smoking cessation endeavor. A worthy cause indeed.

A new house, too. You must be thrilled - and busy, busy, busy.

The research doesn't present a consensus on the effect of breastfeeding on

rheumatoid arthritis (and is fairly scanty), but I think it makes more

sense

that breastfeeding would prolong remission. I would just enjoy it and hope

it will last!

Here are some articles that are related to your question:

*****************************************************

Arthritis Rheum. 2004 Nov;50(11):3458-67.

Do breast-feeding and other reproductive factors influence future risk of

rheumatoid arthritis? Results from the Nurses' Health Study.

Brigham and Women's Hospital, Harvard Medical School, and Harvard School

of

Public Health, 75 Francis Street, Boston, MA 02115, USA.

ekarlson@...

OBJECTIVE: To explore the contribution of female hormonal factors

occurring

prior to the onset of rheumatoid arthritis (RA), such as age at menarche,

parity, age at first birth, breast-feeding, use of oral contraceptives

(OCs), irregular menstrual cycles, and postmenopausal hormone (PMH) use,

to

the subsequent development of RA in a large female cohort. METHODS: We

studied female reproductive and hormonal risk factors for RA in a cohort

of

121,700 women enrolled in the longitudinal Nurses' Health Study. The

diagnosis of incident RA (between 1976 and 2002) in 674 women was

confirmed

by a connective tissue disease screening questionnaire and blinded medical

record review for American College of Rheumatology criteria. Sixty percent

of the patients with RA were rheumatoid factor positive. The relationship

between potential risk factors, including age, age at menarche, parity,

age

at first birth, total lifetime history of breast-feeding, use of OCs, and

irregular menstrual cycles and the multivariate-adjusted risk of RA was

estimated using proportional hazards models. RESULTS: Using a

multivariate model that adjusted for age, body mass index, smoking,

parity,

and other hormonal factors, we observed a strong trend for decreasing risk

of RA with increasing duration of breast-feeding (P for trend = 0.001).

For

women who breast-fed (compared with parous women who did not breast-feed),

the risk ratios (RRs) and 95% confidence intervals (95% CIs) were as

follows: breast-feeding for < or =3 total months, RR 1.0 (95% confidence

interval [95% CI] 0.8-1.2); for 4-11 total months, RR 0.9 (95% CI

0.7-1.1);

for 12-23 total months, RR 0.8 (95% CI 0.6-1.0); and for > or =24 total

months, RR 0.5 (95% CI 0.3-0.8). Very irregular menstrual cycles were

associated with an increased risk of RA (RR 1.4, 95% CI 1.0-2.0). Age at

menarche < or =10 years was associated with an increased risk of

seropositive RA (RR 1.6, 95% CI 1.1-2.4) but not significantly associated

with risk of RA. Parity, total number of children, age at first birth, and

OC use were not associated with an increased risk of RA in this cohort.

CONCLUSION: In this large cohort, breast-feeding for >12 months was

inversely related to the development of RA. This apparent effect was

dose-dependent, with a significant trend toward lower risk with longer

duration of breast-feeding. Irregular menstrual cycles and earlier age at

menarche increased the risk of RA. Other reproductive hormonal factors

were

not associated with RA risk.

PMID: 15529351

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=

AbstractPlus & list_uids=15529351

******************************************************

Arthritis Rheum. 2000 May;43(5):1010-5.

Breast-feeding and postpartum relapse in women with rheumatoid and

inflammatory arthritis.

University of Manchester, UK.

OBJECTIVE: To test the hypothesis that breast-feeding increases the risk

of

postpartum flare in inflammatory polyarthritis. METHODS: We compared

disease

activity during pregnancy and at 6 months postpartum among 49

non-breast-feeders, 38 first-time breast-feeders, and 50 repeat

breast-feeders. RESULTS: After we adjusted for possible confounders,

including treatment, first-time breast-feeders had increased disease

activity 6 months postpartum, based on self-reported symptoms, joint

counts,

and C-reactive protein levels.

CONCLUSION: Postpartum flare may be induced by breast-feeding.

PMID: 10817553

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_

uids=10817553

******************************************************

J Womens Health Gend Based Med. 2001 Sep;10(7):681-7. Links

Cumulative duration of breast-feeding influences cortisol levels in

postmenopausal women.

Department of Family and Preventive Medicine, Division of Epidemiology,

University of California, San Diego, School of Medicine, La Jolla,

California 92092-0607, USA.

Cortisol levels dramatically increase during pregnancy, peak at birth, and

subsequently decline. However, all previous studies examined women during

pregnancy and early postpartum. None examined the long-term association of

parity and lactation with cortisol levels. We examined the relation of

reproductive history to cortisol levels in postmenopausal women. Subjects

were 749 women, aged 50-89, who were not using estrogen in 1984-1987 when

morning cortisol was measured. Parity was not significantly associated

with

cortisol. However, women who breast-fed for >12 months had significantly

higher cortisol levels than women who breast-fed for shorter durations or

not at all (p = 0.003). This association was stronger among women with

three

or more births. Duration of breast-feeding is a determinant of cortisol

levels in postmenopausal women. Because both increased cortisol and

increased duration of breast-feeding may play protective roles in certain

autoimmune diseases, such as rheumatoid arthritis, we suggest that the

beneficial effect of lactation on the course of these diseases may be

mediated by cortisol.

PMID: 11571098

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed & cmd=Retrieve & dopt=

AbstractPlus & list_uids=11571098

******************************************************

Arthritis Rheum. 1999 Jun;42(6):1219-27.

Does rheumatoid arthritis remit during pregnancy and relapse postpartum?

Results from a nationwide study in the United Kingdom performed

prospectively from late pregnancy.

Barrett JH, Brennan P, Fiddler M, Silman AJ.

Arthritis Research Campaign Epidemiology Unit, University of Manchester,

UK.

OBJECTIVE: To ascertain the influence of pregnancy on disease activity in

women with rheumatoid arthritis (RA) during pregnancy and postpartum.

METHODS: One hundred forty pregnant women were recruited from a nationwide

campaign and were followed prospectively in the last trimester and at 1

and

6 months postpartum. Standardized assessment of joint symptoms,

examination

of inflamed joints, and the Health Assessment Questionnaire (HAQ) were the

main measures of disease activity. RESULTS: There was only a modest fall

in

HAQ scores during pregnancy, with >25% of women having substantial levels

of

disability. Other parameters of disease activity showed a greater trend

toward improvement, although only 23 (16%) were in complete remission (no

joints with active disease and no therapy). Similarly, there was

relatively

little change in the distribution of HAQ scores from pregnancy to

postpartum. There was, however, a statistically significant increase in

the

mean number of inflamed joints compared with the findings during

pregnancy.

Analysis of the possible influence of treatment suggested that therapy was

associated with more severe disease and was not related to reduction in

disease activity.

CONCLUSION: This, the largest prospective study of the influence of

pregnancy on RA activity, has demonstrated widespread variability in

disease

response.

PMID: 10366115

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve & db=pubmed & list_

uids=10366115

******************************************************

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] RA & Pregnancey & Catch up. Long!

> Hi there everyone!

>

> It's been ages since I last posted and most of you might not know me,

> there

> are so many new faces - welcome by the way! To all my old friends

> ((((((((((((((((Big Hugs))))))))))))))))))) I miss you all terribly but

my

> life is so crazy at the moment I never seem to have the time to even

check

> e-mail anymore never mind post, guess you could say I've become a

> permanent

> lurker! By the way does anyone know what has happened to Judie & Tess? I

> always look out for their posts but I haven't seen anything from them

for

> ages.

>

> I'm still in remission and making sure that I enjoy every minute of it -

> sometimes it's scary to think it might not last but at least I'm living

it

> up to the max while I can! Loads on the go this year, in May we had our

> second child, a beautiful baby boy, his name is " Logan " ! Fabien (our 1st

> for those who don't know me) is jealous as can be but loves his baby

> brother

> to bits anyway! We are building our first house and I'm studying a

> therapist course in a fantastic method to help people stop smoking -

it's

> lots more fun than it sounds and I'm loving my course - I will start

> treating people in January and I can't wait as it really combines my

dream

> of working for myself and helping people at the same time.

>

> I haven't really had time to read posts but have noticed that there have

> been quiet a few related to pregnancy and RA lately and thought my

little

> story might give anyone trying some hope so here goes!

>

> I was diagnosed with RA when I was 25(which is also when I joined the

> group)

> I'm 31 now (Yikes time flies!). When I found out I had RA I had already

> been trying to fall pregnant for about 2 years and as I was in major

> flare

> for a long time the doctors told me to " Hurry up " so I could start the

> DMARDS (this was easier said than done as I have endometriosis). I was

> put

> on Prednisone while I was trying to fall pregnant as my Rheumy said that

> the

> NSAIDs were out (I believe she said it was because they have a

miscarriage

> risk) and so were the DMARD's (although my Rheumy has since told me that

> many Lupus sufferers stay on Plaquenil when pregnant so??). The

> Prednisone

> worked very well and I was on it exclusively for over 2 years before I

> finally fell pregnant. I continued to take the Prednisone at lower and

> lower doses until I was 7 months pregnant at which time I tapered off

> completely and enjoyed a full remission which was fantastic!

>

> Just after I stopped the prednisone the baby stopped growing. We picked

> this up when I was 7 1/2 months pregnant and the end was very worrying

as

> he

> just didn't gain weight. My Gynae thought this was caused by the RA

> although I never did understand why and have never read anything about

> this

> happening because of RA, I also did my own research and read that

> Prednisone

> could cause growth retardation so who knows. I do remember there being a

> discussion here about RA and small babies ages ago. Finally at 8 months,

> a

> week before the doctor was going to induce me because of the growth

> problem,

> my waters broke and I gave birth to a premature and small (2.3 Kgs) but

> healthy baby. He had slight respitory distress at birth and we spent 10

> days in hospital with him in an incubator but he was absolutely fine

after

> that and is now a very healthy, VERY energetic 3 1/2 year old!

>

> Within a week after Fabien (my 1st little boy) was born old Arthur made

a

> comeback and I went into a flare. All the doctors were adamant that I

> stop

> breastfeeding and start the DMARDS immediately but I just couldn't cope

> with

> that idea (I'm a little stubborn ;-) After crying on my Rheumy's

> shoulder

> (she was actually a breastfeeding mom herself at the time so was very

> understanding) we decided to try and get the flare under control with

> Voltaren (she felt it would be OK for the baby although I've since been

> recommended " Nifluril " as it is apparently better for breastfeeding

> mothers)

> and she also ordered me to get as much rest as possible. She thought I

> would last a few weeks like that before I would have to start the meds -

I

> ended up breastfeeding him for over 2 years until I was pregnant with my

> second! Fabien is now 3 1/2 years old and a very healthy, happy little

> boy.

> I have been in remission for ages now with a few small/medium flares for

> the

> first year after he was born which I managed to get under control with

> rest

> and Voltaren. I think one of the best things I did was to stop working

> full time so that I am far less tired and stressed than before (don't

> worry

> I do realise how blessed I am to have been able to do that and that for

> many

> giving up work just isn't an option!) I noticed a direct correlation

> between

> the amount of stress I had and the flares and now if I start getting any

> of

> the warning signs a flare is on the way (major fatigue or any stiffness)

I

> just push the " STOP " button and rest as much as I can (easier said than

> done

> as now have 2 boys but i've learn't the hard way that when my body says

> stop

> it means it!). I've joined a gym, taken up a weekly meditation class and

> eat

> healthier which I'm sure all helps but realise that I am also just very

> very

> lucky!

>

> Six months ago I had another beautiful little boy " Logan " he was born at

> term - 39 weeks - and was a very healthy 3.2 kgs. I had quiet a scare

> during

> the pregnancy as I contracted " Chikungunya " which is a viral disease

> transmitted by mosquitos. Besides a variety of other pretty awful

> symptoms

> it puts you into something which is pretty much exactly like a full on

RA

> Flare. Thank God it didn't affect the baby but I was back to being

granny

> Heidi(no offense to our real grannies but you know what I mean ;-)for

> about

> 3 months - I was terrified that this would mark the end of my remission

as

> the joint pain can become chronic and last over 3 years even in people

who

> don't have RA and it is known to trigger off dormant RA in patients who

> have

> it. Once again I was blessed and after 3 months of hobbling around I

> started having premature contractions at 34weeks (no that wasn't the

> blessing part - actually scary but it worked out well so can laugh now

> ha!)

> I was given an injection of cortisone for the baby's lungs and spent a

> week

> in clinic - I eventually went to term but the cortisone zapped the joint

> pain and I am still doing great 7 months later!

>

> I am once again breastfeeding and loving it and Arthur is still in sweet

> remission. I still have the odd mini flare when I am over stressed or

> tired

> but they are less and less and very easy to control by just taking it

easy

> and maybe a few days of anti-inflammatories.

>

> For now I'm feeling very blessed and lucky for this respite from nasty

old

> Arthur, enjoying every second of my remission and praying that it will

> last

> forever! It would be very interesting to know if the breastfeeding has

> contributed to the remission, /a any comments there?

> (((((((((Special hugs to you guys!)))))))))))

>

> So that's my story! I wish any of you trying for a baby all the luck in

> the

> world, this group was a god send for me when I was going through all

that.

> If you want to ask me any questions I'm here, although might take a

little

> while to get back to you as don't switch on my computer every day at the

> moment! Otherwise just e-mail me directly.

>

> Lots of love to all my old friends here and hi to all the new members!

>

> Heidi

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Heidi,

You're most welcome.

I looked chikungunya up. Not good. Sounds awful from both your description

and what I read. But what a great idea to use it to teach others something

about RA! I'm glad the baby wasn't affected.

a is still here. She has had to attend to some urgent personal matters,

so I've been trying to hold down the fort the best I can.

Tess isn't participating right now. I haven't heard much from Judi since

Ron's surgery. I hope they are both OK.

I'm fine, thank you. Trying to keep the stress at bay with Christmas just a

little over a week away. Would it be too Scrooge-like to say that I'll be

happy when it's over?

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

RE: [ ] RA & Pregnancey & Catch up. Long!

Hi !

As usual you are a veritable fountain of knowledge! Thanks for that,

confusing but interesting! ;-)

Thought your interest would be peaked by the " Chikungunya " - sounds pretty

exotic hey! It unfortunately is and wasn't fun at all but apparently once

you've had it you're immune so at least there's that! We had a major

outbreak of it this year in Mauritius, our neighbour Reunion island was much

worse hit though. They think it came over with travellers from the Commore

islands where they recently had an outbreak. First time we've had it here

but it's a hard one to get rid of as you've got to try and kill the vector -

which is a particular breed of mosquito - of which, being a tropical island,

we have plenty! They eradicated malaria here though so there's hope. Only

good thing about it is a whole new appreciation around me for how it feels

to have RA, now all I have to say is " Have you had Chikungunya? " usual

response if yes " thought I was dying, never been in such terrible pain, had

a major depression because I couldn't do anything anymore etc. etc " So I

just tell them it's like that but ALL THE TIME, unless you are in

remission... The first few days are awful; high fever, terrible raised rash

and my skin was very sensitive and painful to the slightest touch, hugely

swollen ankles after that ít's very similar to RA though, the stiffness,

painful but not as swollen joints, fatigue - all there - but the bloodwork

doesn't come out the same - or at least mine didn't. The RA effect is an

immune response caused by the body fighting the virus rather than the effect

of the virus itself.

Where is a by the way? Don't seem to recall seeing anything from her

for a while, but I haven't really been keeping up. Do you have any news of

Tess and Judi?

How are you keeping?

Hugs,

Heidi

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Ha, ha that would make the two of us Scrooges! Sometimes I wish I could

escape to a tropical island - and then I realise that I'm on one and I still

can't get away from the Christmas rush ;-) !

Please send a my love,

Hugs,

Heidi

Re: [ ] RA & Pregnancey & Catch up. Long!

Heidi,

You're most welcome.

I looked chikungunya up. Not good. Sounds awful from both your description

and what I read. But what a great idea to use it to teach others something

about RA! I'm glad the baby wasn't affected.

a is still here. She has had to attend to some urgent personal

matters,

so I've been trying to hold down the fort the best I can.

Tess isn't participating right now. I haven't heard much from Judi since

Ron's surgery. I hope they are both OK.

I'm fine, thank you. Trying to keep the stress at bay with Christmas just

a

little over a week away. Would it be too Scrooge-like to say that I'll be

happy when it's over?

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

RE: [ ] RA & Pregnancey & Catch up. Long!

Hi !

As usual you are a veritable fountain of knowledge! Thanks for that,

confusing but interesting! ;-)

Thought your interest would be peaked by the " Chikungunya " - sounds pretty

exotic hey! It unfortunately is and wasn't fun at all but apparently once

you've had it you're immune so at least there's that! We had a major

outbreak of it this year in Mauritius, our neighbour Reunion island was

much

worse hit though. They think it came over with travellers from the Commore

islands where they recently had an outbreak. First time we've had it here

but it's a hard one to get rid of as you've got to try and kill the

vector -

which is a particular breed of mosquito - of which, being a tropical

island,

we have plenty! They eradicated malaria here though so there's hope. Only

good thing about it is a whole new appreciation around me for how it feels

to have RA, now all I have to say is " Have you had Chikungunya? " usual

response if yes " thought I was dying, never been in such terrible pain,

had

a major depression because I couldn't do anything anymore etc. etc " So I

just tell them it's like that but ALL THE TIME, unless you are in

remission... The first few days are awful; high fever, terrible raised

rash

and my skin was very sensitive and painful to the slightest touch, hugely

swollen ankles after that ít's very similar to RA though, the stiffness,

painful but not as swollen joints, fatigue - all there - but the bloodwork

doesn't come out the same - or at least mine didn't. The RA effect is an

immune response caused by the body fighting the virus rather than the

effect

of the virus itself.

Where is a by the way? Don't seem to recall seeing anything from her

for a while, but I haven't really been keeping up. Do you have any news of

Tess and Judi?

How are you keeping?

Hugs,

Heidi

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