Re: patient not ready to take inj, needs advice

[Guest guest]

i was the same way.i kept putting it off, until i couldn't take the pain any

longer.

i took my first shot to the doctor and he showed me how to inject,

i started on twice a week.the second shot ,i finally stuck the needle

in my upper leg,it wasn't that bad that was 15 years ago

hope this helped

ann

From: lucky virgo <lucky_virgo4u@...>

Subject: [ ] patient not ready to take inj, needs advice

Date: Monday, November 15, 2010, 4:36 AM

 

Dear All,

I feel very nice to be part of such a nice group. I have a query.

 

is suffering from RA, Rumy prescribed her Enbrel Inj. But the patient is not

ready to take any inj, can some one guide me what to do, how to convince the

patient.

 

My patient Looking forward for the reply.

 

Regards

Ahmad

[Guest guest]

Hi Ahmed...it is a little scary to think about giving yourself an injection

and I find that this is one of the main reasons patients don't want to try

the injectables. BUT it is so easy once you do it a few times. I am on

enbrel and I have chosen to get the self mix...and inject twice a week. I

have also asked the dr to give me a script for the 30G 0.5 inch

needles...they're finer and easier to pierce the skin. I found some of the 27

G the

enbrel puts in their packaging can be dull at times..or there is the enbrel

pre mix that is automatic. One click and its injected and over with. I

have tried so many meds since being dx'd in 1983 and none ever worked for me

until I tried the enbrel. I've been on it since sept 2005 and it has been a

Godsend to me. I can do so many things i wasn't able to even attempt

before enbrel. If she is scared of injecting, please let her know its

something you can get used to easier than you think..especially if it works for

you. You will find a lot of messages from members of this group that are on

enbrel that consider it a wonder drug also.

Hope this helps...a in OH

In a message dated 11/15/2010 5:16:19 A.M. Eastern Standard Time,

lucky_virgo4u@... writes:

Dear All,

I feel very nice to be part of such a nice group. I have a query.

is suffering from RA, Rumy prescribed her Enbrel Inj. But the patient is

not ready to take any inj, can some one guide me what to do, how to convince

the patient.

My patient Looking forward for the reply.

Regards

Ahmad

[Non-text portions of this message have been removed]

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[Guest guest]

On 11/15/2010 4:36 AM, lucky virgo wrote:

You can't force someone to take something they are not ready for even if

the benefits out way the risks. The best think that can be done is make

sure they are informed about it and try to find other pill form

medications that may work until there are no other options and they can

see that there is no other options of the biologics. My suggestion is

instead of taking enbrel is to try to inform the patient that there are

infusion drugs that would last longer such as remicade, orencia or even

retuxan where she/he would only have to get a needle once a month

instead of once a week or once every 2 weeks. She may have a fear of

needles which is another reason why they aren't ready for it.

> Dear All,

> I feel very nice to be part of such a nice group. I have a query.

>

> is suffering from RA, Rumy prescribed her Enbrel Inj. But the patient

> is not ready to take any inj, can some one guide me what to do, how to

> convince the patient.

>

> My patient Looking forward for the reply.

>

> Regards

> Ahmad

>

>

[Guest guest]

Hi Ahmad.

     I was the same, I hated needles.  When I was first diagnosed with RA,

I took the MTX pills, which made me so sick 24/7.  After 5 weeks of this I knew

I had to do something else.  My Rheumy wanted me to start the injections of

MTX, but I was so fearful of doing the injections each week.  She showed me how

to load the needle, then inject myself.  I was a wreck the first time I did

it.  That was 7 years ago, and I am still self injecting.  The needle is so

fine you don't feel it go in, and is painless.  Also, the injection site never

bleeds.  I really don't know what I was so afraid of.  I guess it boils down

to mind over matter.

     I hope the patient will open her mind and try it.  Fear hold a lot of

people back, but I knew I needed to be on MTX for the rest of my life.

      I hope my information helps.

 

Hugs,

 

Barbara

From: lucky virgo <lucky_virgo4u@...>

Subject: [ ] patient not ready to take inj, needs advice

Date: Monday, November 15, 2010, 4:36 AM

 

Dear All,

I feel very nice to be part of such a nice group. I have a query.

 

is suffering from RA, Rumy prescribed her Enbrel Inj. But the patient is not

ready to take any inj, can some one guide me what to do, how to convince the

patient.

 

My patient Looking forward for the reply.

 

Regards

Ahmad

[Guest guest]

Ahmad-

 

For me, it would be from fear and ignorance of the need that I wouldn't go on to

injectables. Perhaps an excellent explanation as to why injectables are needed

at this time and the benefits to her for doing so. Treat aggressively and early

etc.  I guess what I am trying to say is that you ( or the Rheumy ) haven't best

explained the reasons yet. After that, it's on her and her choices- it's her

disease and her life. When she has gotten enough info to make an informed

choice, rather than reacting in ignorance and fear- she'll make it for what is

right for her.

 

Dunno if I made myself clear, but it's the best that I can manage for now. Hope

it works out--

 

  in SC

 

Dear All,

I feel very nice to be part of such a nice group. I have a query.

 

is suffering from RA, Rumy prescribed her Enbrel Inj. But the patient is not

ready to take any inj, can some one guide me what to do, how to convince the

patient.

 

[Guest guest]

When I was first prescribed Enbrel, I was also afraid to give myself

injections. But my pain was so bad that I was willing to try most

anything. I soon became an expert at it. I inject into my stomach,

where there are fewer nerve endings, and it does not hurt.

I have been on Enbrel for 7 1/2 years now, with excellent results. I

can hardly tell that I even have RA. Tell her that she should try the

Enbrel. It may just turn out to be her miracle drug, as it has been

for me.

Sue

On Nov 15, 2010, at 4:36 AM, lucky virgo wrote:

> Dear All,

> I feel very nice to be part of such a nice group. I have a query.

>

> is suffering from RA, Rumy prescribed her Enbrel Inj. But the

> patient is not ready to take any inj, can some one guide me what to

> do, how to convince the patient.

>

> My patient Looking forward for the reply.

>

> Regards

> Ahmad

>

[Guest guest]

Ahmad, My daughter has had adrenal hyperplasia since she was born. I couldn't

imagine injecting her with her meds, but since it was a necessity to save her

tiny life, I had to learn. A kind, motherly nurse showed me how to inject an

orange with water. She said piercing the skin of an orange is very much like

piercing our own skin. I soon understood how it felt, and learned how much

force I should use and how much pressure I should put on the plunger so the

medication wouldn't rush into the orange too fast, etc. Later in my life, when

I was diagnosed with RA, I became very nauseous when taking methotrexate

tablets, and my rheumy suggested using injectable methotrexate instead. I

practised for a little while on another orange until I felt confident with

injecting the methotrexate into my thigh. I've been doing it weekly for ten

years now. I also use the thinnest needles possible (the pharmacist said they

are used by diabetics). Do you think that, if your patient had some practise on

an orange, she/he would be more comfortable?

> On Nov 15, 2010, at 4:36 AM, lucky virgo wrote:

>

> > Dear All,

> > I feel very nice to be part of such a nice group. I have a query.

> >

> > is suffering from RA, Rumy prescribed her Enbrel Inj. But the

> > patient is not ready to take any inj, can some one guide me what to

> > do, how to convince the patient.

> >

> > My patient Looking forward for the reply.

> >

> > Regards

> > Ahmad

> >

>