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Sounds like your new rheumatologist is great, Rick. I think your wife

had it right - of course you should have seen a woman in the first

place!

I hope you get the answers and treatment you need very soon.

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] NEW Rheumy

Finally, went and saw the new rheumy today. She was very pleasant and

actually seemed concerned both about my conditions and about the

treatment (or lack of) that I had been receiving. She completely changed

my meds because the ones I was on weren't aggressive enough and once I

get use to these meds she is going to put me on some even stronger meds

(kind of working me up to it). I have never been one to go to the Dr.

when I needed to, which may have contributed to some of the extent of

problems I have now, but the difference between the rheumy I had been

seeing and the one I saw today is like night and day (that would even be

an understatement). Needless to say, I won't be going back to the other

rheumy anymore. Of course, my wife says I should have gone to a " woman "

to begin with. LOL

She has me on Arava, Fosomax, Plaquenil, Flexeril, Loritab and Calcuim

with Vitamin D. The others she mentioned putting me on are Cytoxan and

Imuran. I don't know anything about these but she suggested I do some

searches on the internet to read everything I wanted to about them and

let her know about any concerns I have. She is also going to be calling

my Pulmonologist tomorrow to discuss the lung problems and ask him why

he hasn't ordered a Biopsy and repeat MRI and tell him to get an MRI

ASAP and to make arrangements for an open lung Biopsy to figure out

exactly what has been going on with my lungs so they can figure out ,

together, how to get me off the steroids.SOON. She also has referred me

to see an Ophthmologist for my eyes because she is concerned about my

eyeglass prescription more then doubling in 1 ½ years and then almost

doubling again in the right eye just 6 months later. She says it could

be from the RA or the steroids or another condition or syndrome which

I can't remember what she called it but it started with an M.

It seems strange but I am actually excited about having this Dr. I

guess because for the first time, between the VA and my other rheumy, I

feel like a Dr. is actually going to take care of me. Quite a change of

13 years of untreated RA and 1 year of poorly treated RA, OA and

osteoporosis and neuropathy.

Rick

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  • 5 weeks later...
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I took MTX in OJ for quite a while. I had slight nausea for a day or 2

after ingesting it. I also had diarrhea in the beginning of being on it but

that got better. There is no taste what so ever.

Terri

[ ] New Rheumy

> After my last Rheumy yelled at me at the last visit I had with her in

April, I found a new one. She was unhappy with my gastro dr., wanted me to

go from Humira to Remicade because of the RA and Collagenous Colitis. The

Gastro told me it wouldn't make any difference, Remicade helps Crohns, not

what I have.

> I think it was a good move. He agreed with my Gastro and said I have very

fast erosive RA which is out of control. The old Rheumy was also treating a

thyroid and para thyroid condition. This Dr. has sent me to an Endo to be

evaluated, another good move, I think.

> He prescribed Methotrexate injectable, .25 mg .4 cc twice weekly. He said

I could inject it, OR I could mix it in orange juice and drink it. Has

anyone heard of that before? He said the injectable is much cheaper that the

oral and it could be taken orally or injected. I'm to continue on the Humira

every other week and return in 5 weeks. If I haven't had any side effects

he'll raise the dosage of the Methotrexate.

> Welcome to all the newbee's!! I don't post often, but this group is truly

my support!! Becky, I too loved your picture! You looked great! and

a, you do a great job!!

>

>

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Happy to hear that you found a new rheumatologist, Colleen.

You can take the methotrexate in orange juice, but then it will pass

through your GI tract - more chance for adverse reactions and less of it

available to your body.

Are you sure about that dosage? Can you clarify that? Because of

toxicity concerns, MTX is taken ONCE per week and usually the maximum is

25 mg/week. Typically, the solution is 2.5 mg/0.1 cc which is equivalent

to 25 mg/1 cc or 25 mg/1 ml.

Thanks for your kind words!

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] New Rheumy

> After my last Rheumy yelled at me at the last visit I had with her in

April, I found a new one. She was unhappy with my gastro dr., wanted me

to go from Humira to Remicade because of the RA and Collagenous Colitis.

The Gastro told me it wouldn't make any difference, Remicade helps

Crohns, not what I have.

> I think it was a good move. He agreed with my Gastro and said I have

very fast erosive RA which is out of control. The old Rheumy was also

treating a thyroid and para thyroid condition. This Dr. has sent me to

an Endo to be evaluated, another good move, I think.

> He prescribed Methotrexate injectable, .25 mg .4 cc twice weekly. He

said I could inject it, OR I could mix it in orange juice and drink it.

Has anyone heard of that before? He said the injectable is much cheaper

that the oral and it could be taken orally or injected. I'm to continue

on the Humira every other week and return in 5 weeks. If I haven't had

any side effects he'll raise the dosage of the Methotrexate.

> Welcome to all the newbee's!! I don't post often, but this group is

truly my support!! Becky, I too loved your picture! You looked great!

and a, you do a great job!!

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  • 7 months later...
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Monday I went to my new Rheumy! I love him! He was great. He

explained everything, he also agreed with me, that I shouldn't have

been on Methotrexate. He said I am too young for that, I have a 2

year old son and would like to have another child. I also told him I

do not want to go back on the Prednisone. It was so nice to have a

Dr. who listened and explained things. My old Dr. never told me

about any side effects of MXT, I had to find out on my own about the

weakend immune system, when I came down with a horrible cold and a

fever of 104.

The new guy has me on Plaquinil (sp). I just started taking it on

Monday, so I have a while to see if it works, but since I am still in

the early stages here, I am keeping my fingers crossed.

thanks,

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