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OK - I promise I am not trying to iritate you by any means, but I have one more

question and you may or may not know the answer to this one.

I will do my best to be concise...I have been on just about every DMARD,

NSAID's I can't take and I was on Enbrel for about 5 months (too many side

effects, i.e. coudn't eat) Humira for about 3 months and then Rituxan, which

although I tolerated, it really didn't do much. My question is this, since I WAS

on medication continually, but just changed for whatever reason, is it possible

that these meds had enough effect on me to put me in a medically induced

remission since my blood work at the moment states I have nothing wrong with me

except for some high WBC & low reds? I never had these types of results in the

past. I realize you are NOT a doctor but you do have access to so much

knowledge!

Thank you for any insight!

ltdavis_jrdavis@...

---------------------------------

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Ha, ha! You aren't irritating me, .

Yes, it is possible that you are in remission right now, especially since

you've been treated with Rituxan (rituximab); HOWEVER, if your labs are

pretty good, but you are still feeling unwell and have other outward signs

of RA, that sort of situation usually would not be considered remission.

About the pain: you have to be very clear about how much pain you are

experiencing and describe in detail how it interferes with your daily life.

Explain that you've been frustrated by not being able to tolerate NSAIDs and

various DMARDs and ask for help managing the pain. You could ask for a

referral to a pain management clinic if the rheumatologist is opposed to

prescribing opioids and has no other suggestions. I know this is extremely

frustrating. On the whole, rheumatologists don't treat handle this issue

very well.

On finding a good rheumatologist: try posting to the group again with a very

specific subject line. Maybe others in your area will have suggestions.

Check out the sites others have mentioned - the American College or

Rheumatology and various online rating/information sites. Once you have a

couple of names, Google them and read about what they've published, awards

they may have won, what patients have posted about them in public forums,

etc. If you have a certain institution in mind, often a receptionist or

nurse can steer you toward a winner. I wish there were a better way of

finding someone good!

Rheumatologists, immunologists and other specialists deal with people with

various immune system diseases. Please see this post:

/message/109615

Not an MD

> [ ] 1 last question for !

>

> OK - I promise I am not trying to iritate you by any means, but I have one

more

> question and you may or may not know the answer to this one.

>

> I will do my best to be concise...I have been on just about every DMARD,

NSAID's I

> can't take and I was on Enbrel for about 5 months (too many side effects,

i.e. coudn't

> eat) Humira for about 3 months and then Rituxan, which although I

tolerated, it really

> didn't do much. My question is this, since I WAS on medication

continually, but just

> changed for whatever reason, is it possible that these meds had enough

effect on me

> to put me in a medically induced remission since my blood work at the

moment states

> I have nothing wrong with me except for some high WBC & low reds? I never

had

> these types of results in the past. I realize you are NOT a doctor but you

do have

> access to so much knowledge!

> Thank you for any insight!

>

>

>

> ltdavis_jrdavis@...

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- a thought. Isn't there a files area for the group? Perhaps

those who are happy with their rheumys could put a file there, name

could be their location, and list the info for their docs. Then they

would always be there, even if those people weren't active anymore.

On Mon, Feb 25, 2008 at 10:12 AM, <Matsumura_Clan@...> wrote:

>

> On finding a good rheumatologist: try posting to the group again with a

> very

> specific subject line. Maybe others in your area will have suggestions.

--

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Thank you so much for your wise insight! I knew you could steer me in the right

direction. It is frustrating!

<Matsumura_Clan@...> wrote: Ha, ha! You aren't

irritating me, .

Yes, it is possible that you are in remission right now, especially since

you've been treated with Rituxan (rituximab); HOWEVER, if your labs are

pretty good, but you are still feeling unwell and have other outward signs

of RA, that sort of situation usually would not be considered remission.

About the pain: you have to be very clear about how much pain you are

experiencing and describe in detail how it interferes with your daily life.

Explain that you've been frustrated by not being able to tolerate NSAIDs and

various DMARDs and ask for help managing the pain. You could ask for a

referral to a pain management clinic if the rheumatologist is opposed to

prescribing opioids and has no other suggestions. I know this is extremely

frustrating. On the whole, rheumatologists don't treat handle this issue

very well.

On finding a good rheumatologist: try posting to the group again with a very

specific subject line. Maybe others in your area will have suggestions.

Check out the sites others have mentioned - the American College or

Rheumatology and various online rating/information sites. Once you have a

couple of names, Google them and read about what they've published, awards

they may have won, what patients have posted about them in public forums,

etc. If you have a certain institution in mind, often a receptionist or

nurse can steer you toward a winner. I wish there were a better way of

finding someone good!

Rheumatologists, immunologists and other specialists deal with people with

various immune system diseases. Please see this post:

/message/109615

Not an MD

> [ ] 1 last question for !

>

> OK - I promise I am not trying to iritate you by any means, but I have one

more

> question and you may or may not know the answer to this one.

>

> I will do my best to be concise...I have been on just about every DMARD,

NSAID's I

> can't take and I was on Enbrel for about 5 months (too many side effects,

i.e. coudn't

> eat) Humira for about 3 months and then Rituxan, which although I

tolerated, it really

> didn't do much. My question is this, since I WAS on medication

continually, but just

> changed for whatever reason, is it possible that these meds had enough

effect on me

> to put me in a medically induced remission since my blood work at the

moment states

> I have nothing wrong with me except for some high WBC & low reds? I never

had

> these types of results in the past. I realize you are NOT a doctor but you

do have

> access to so much knowledge!

> Thank you for any insight!

>

>

>

> ltdavis_jrdavis@...

ltdavis_jrdavis@...

---------------------------------

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Good idea, . Yes, there is a section for files. There is also a

database section.

Anyone who wishes to can upload a file describing their positive experience

with a particular rheumatologist. If there is enough interest, I could

create a database.

Not an MD

> Re: [ ] 1 last question for !

>

> - a thought. Isn't there a files area for the group? Perhaps

> those who are happy with their rheumys could put a file there, name

> could be their location, and list the info for their docs. Then they

> would always be there, even if those people weren't active anymore.

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