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Would love some advice...

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Hi all.

I've been lurking here for about a week. I'm 38, and developed PA four years

ago, when I wrenched a knee and it never healed. It stayed fairly limited until

the last three months, but now it's erupted into a real all-over monster --

fingers, hands, wrists, elbows, shoulders, knees, ankles, feet and toes *sigh*.

It's pretty darn draining, and now I'm almost as bad as my father was :(

Anyway, I've got a couple of fairly pressing questions.

One is that the rheumatologist I finally got referred to this monday switched me

from Arcoxia (etoricoxib/e/um, a -2 specific) to Mobic/Melox/Movalis

(Meloxicam). The change has been dramatic so far, and not for the better -- I'm

significantly stiffer and more painful, and having to take Xanax to get to

sleep. Does anyone know how fast-acting Mobic is? If it's a blood serum thing,

and I just need to be patient for a week or two, that's fine, I'll cope. If on

the other hand I should be responding immediately, I'll bite the bullet and pay

up the cash to go back to the rheum and ask her what the score is.

The other question is related to the financial issues above. I'm an expat Brit,

and currently on a long-term tourist visa staying with my brother in Australia

(I'm a writer, so I can work anywhere). Unfortunately, whilst I'm covered for

critical medical care without question, I'm not covered for chronic or

pre-existing issues. Apart from superstars like JK Rowling and Dean Koontz,

writers get paid really pitifully, and I don't have the cash to deal with things

here... but the British NHS can be very slow to kick in. I'm wondering if it

might be better to borrow the money to do the tests and then start methotrexate

treatment (what my rheum suggests here) before moving back to the UK, and then

go see a doc with methotrexate already pressing, or if I should just go straight

back to the UK and start looking to rebuild a life there. Is there anyone

British on the list who might be able to give me some advice on how to procede?

Many thanks for reading this far, and many more thanks to anyone who can offer

any suggestions.

Tim.

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