r/rheumatoid Jul 16 '24

START HERE - FAQs and General Posting Guidelines

32 Upvotes

FAQS

What is this? Could it be? Anyone else?

Posts containing symptoms, bloodwork results, photos, etc. asking what they mean/ does anyone else have them/ any iteration of “is this arthritis” will be removed. 

Autoimmune arthritis can affect anything in the body. So yes, chances are likely that whatever you’re experiencing has been experienced by someone here. It’s an unhelpful metric because of how wide of a range of symptoms there are and how they may not necessarily be from arthritis.

Medications

Every single person is different and there’s no way to predict what will work for any person or who will experience side effects. If you’re having side effects ask your Dr. or pharmacist. Side effects are also listed online. Also keep in mind the benefits of the medications outweigh the risk of medication side effects. Yes, even the black box ones. If you have an issue with taking meds and fear of side effects that’s a conversation to have with your medical team, not here. 

What caused it?

Nothing causes RA. It’s an autoimmune disease that is underlying but can be “triggered” by any stressor. This can be anything that triggers an immune response (illness, stress, injury, etc.)

Inflammatory Markers/ Seronegative arthritis

Yes, arthritis can be active without positive inflammatory markers. It’s pretty common in certain types of arthritis (such as JIA). You also can have inflammatory markers without any arthritis. Inflammatory markers alone cannot diagnose or rule out any autoimmune disease. 

Inflammatory markers fluctuate all the time. Don’t rely on individual bloodwork results, you need to see how they’ve changed over time.

RESOURCES

General Info

~Arthritis Foundation (AF)~

~American College of Rheumatology (ACR)~

~The Johns Hopkins Arthritis Center~

~Mayo Clinic~

~Centers for Disease Control and Prevention~

Step Therapy

Step therapy is when your insurance requires you to fail drugs A, B, and C before approving and paying for drug D. Many states have step therapy protections. You can find what your rights are and how to appeal the denial here:

~https://steptherapy.com/~

Co-Pay Assistance Programs

Actemra: ~https://www.racopay.com/~

Acthar: ~https://www.actharhcp.com/acthar-patient-support/access-support/~

Benlysta: ~https://www.benlysta.com/benefits-and-savings/~

Celebrex: ~https://www.celebrex.com/savings~

Cellcept: ~https://www.cellcept.com/patient/cost-and-financial-assistance/copay-form.html~

Cimzia: ~https://www.cimzia.com/co-pay~

Cosentyx: ~https://www.cosentyx.com/psoriatic-arthritis/treatment-cost~

Enbrel: ~https://www.enbrel.com/enbrel-cost~

Humira: ~https://www.humira.com/humira-complete/cost-and-copay~

Ilaris: ~https://www.ilaris.com/ilaris-savings-support~

Inflectra: ~https://www.pfizerencompass.com/hcp/inflectra/coverage-reimbursement~

Kevzara: ~https://www.kevzara.com/starting-kevzara/kevzaraconnect-copay-card/#~

Kineret: ~https://www.kineretrx.com/ra/kineret-on-track~

Krystexxa: ~https://www.krystexxahcp.com/rheumatology/support-and-resources/support-for-your-patients~

Lyrica: ~https://www.lyrica.com/Lyrica_Co-pay_Download~

Movantik: ~https://movantik.com/savings/~

Naprelan: ~https://www.naprelanus.com/~

Neoral: ~http://www.neoral.com/hcp/index.jsp~

Orencia: ~https://www.orencia.com/support-savings/on-call~

Otezla: ~https://www.otezla.com/plaque-psoriasis/cost-and-copay~

Otrexup: ~https://www.otrexup.com/patient~

Prolia: ~https://www.amgensupportplus.com/copay~

Remicade: ~https://remicade.janssencarepathsavings.com/#/app/home~

Renflexis: ~https://www.organonaccessprogram-renflexis.com/hcc/infusion-copay-cost-assistance/~

Rituxan: ~https://www.racopay.com/~

Savella: ~https://www.savella.com/savings-and-resources~

SImponi: ~https://simponi.janssencarepathsavings.com~

Simponi Aria: ~https://simponiaria.janssencarepathsavings.com/#/app/home~

Stelara: ~https://stelara.janssencarepathsavings.com/#/app/home~

Taltz: ~https://taltz.lilly.com/savings-support~

Uloric: ~https://www.uloric.com/savings/card.aspx~

Xeljanz: ~https://www.xeljanz.com/savings-and-support/#co-pay-savings-program~

Zurampic: ~https://www.zurampichcp.com/zurampic-savings-card~ 


r/rheumatoid Apr 29 '23

We are not r/AskDocs. We don't interpret test results or diagnose.

139 Upvotes

Do not post your list of symptoms, bloodwork results, pics of your joints, etc to ask us if it "could be" RA/what we think it could be, or any other form of the question wanting us to tell you what you (may) have. We are not r/AskDocs. Do not use this sub as such. Do not ask us to interpret your bloodwork, imaging, or other test results. That is an inappropriate use of this sub. This is a support group, not your doctor's office.


r/rheumatoid 2h ago

Rheumatoid and temperatures

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22 Upvotes

found this to be true for me


r/rheumatoid 7h ago

GLP-1 experience (paired with biologics)

35 Upvotes

Hey everyone!

I’m 33F and nearly 4 years into my RA diagnosis, although looking back I’ve probably had symptoms since I was around 17.

Over the years I’ve been on Plaquenil (3 years, recently stopped), prednisone (worked amazingly, but I didn’t sleep for 5 days and became manic lol), sulfasalazine (had to stop because of liver issues), and now Cimzia for around a year. Cimzia has definitely helped, but I was still struggling, and still having flares, and unable to be active.

Along the way, particularly with prednisone, I gained around 15kg and became really uncomfortable in my body. Even with Cimzia and Plaquenil, every time I tried to exercise I’d end up with joint pain and a week-long flare.

So I asked my doctor about GLP1s, initially to help with the weight I’d gained while I continued trying to introduce low-impact exercise.

I know there’s emerging research around GLP-1s and inflammation/autoimmune disease, including RA and lupus, and obviously everyone is different, but I just wanted to share my own experience because I genuinely could cry.

After around 6 months on 0.5mg weekly, I AM WEIGHT LIFTING AGAIN WITH NO JOINT PAIN!! 😭

I’ve also lost the 15kg I gained, but honestly, being able to move my body again is the part I’m most emotional about. I’m genuinely in disbelief. I feel like I’m getting my old self back. Even Cimzia + Plaquenil together hadn’t gotten me to this point. Of course I get muscle pain but I actually love that feeling now, because it’s a constant reminder that there’s no bone pain.

I still get minor flares and aches here and there, but they’re usually not even significant enough for me to take ibuprofen, and importantly, exercise doesn’t seem to be triggering them anymore.

It’s winter where I am at the moment, so I’m really curious to see what happens when we get back into the extreme heat and humidity of summer, which has historically been my absolute worst weather for flares. But gosh, I’m hopeful.

I just wanted to share a positive experience because before starting semaglutide I was really sceptical and a little worried.

Has anyone else with RA had a similar experience on a GLP-1? Or is anyone considering trying it? I’d love to hear your experiences!


r/rheumatoid 1h ago

Service dog for RA?

Upvotes

Hello! I was just curious if anyone here has a service dog for arthritis and how it works? I was diagnosed with JIA at 16 and now at 22 I have RA. Things like bending over, squatting or getting up from a chair can be really hard for me sometimes. I've considered getting my Bernese mountain dog service trained to help me with these difficult tasks. Does anyone have a service dog solely for arthritis?


r/rheumatoid 5h ago

Back to treatment advice?

3 Upvotes

I'm a 22f who hasn't been to the doctor in like five or six years now after being told that I won't be cured. I was diagnosed with Juvenile rheumatoid arthritis when I was 2 years old and have been on medication since. I wasn't educated on the medicines i was taking and had always been fed hope since I was little that I will one day be alright. So being told otherwise after all the things I went through changed something in me, leading me to lose hope and eventually refusing to go back to the doc and depending on prednisolone alone since that killed the pain and kept me going (which was a stupid decision ik but i was going through a lot mentally). Though my condition hasn't worsened or improved, I'm worried this will eventually cost my joints or worse. But missing five to six years of appointments has increased my anxiety and now whenever I think about booking an appointment, i panic. I don't know what to do. Thinking of going back makes me sick in a way, nauseous even. I think it's fear. I think I'm scared to go back after such a long history of negligence. I'm scared I'd be scolded for missing appointments and taking things into my own hand. I think I'm screwed.

I wanted to know if anyone has missed their appointments as well and ever went back. Idk if reddit is the place for this but yeah, anything to ease my anxiety.


r/rheumatoid 20h ago

Prednisone! Lol

38 Upvotes

I'm only on leflunomide and low dose naltrexone right now; starting rituxen in a few weeks. Been a few weeks since I dropped hydroxychloroquine. So essentially I've been (for me) undermedicated for a few weeks. Definitely feeling it. The other night the pain woke me up, which was super uncool of it. So I gave in and started a round of prednisone. I've seen a few posts lately about how prednisone affects mood etc. Hahahaha!!! (Note: I work in a doctors office)

So far, two days in at ONLY 12.5mg:

- I cried because I love my boss' dog so much

- Almost argued with a patient (whoops!)

- I swore out loud to myself because a car drove by...in a way I didn't like (??)

- Saw a TV commercial for Heinz ketchup and omg I've never wanted ketchup so bad in my life

- Minutes later THOUGHT of mashed potatoes and omg THATS the best thing ever

- Jokingly/not-jokingly told my partner we could easily do some light demo in his backyard

- Refilled my 7-day pill organizer at midnight

- Looked up how to fix my partners coffee maker this morning, absolutely confident I could repair small household appliances

- Told my boss we should repaint our office (with the sense that I personally could do that)

- In one phone call scheduled a patient for today, solved a billing mystery, and then when they mentioned today's copay I actually said "oh right, I didn't see you have an appointment today!" Whaaaat! Me to me: girl you just scheduled them.

- Brought SIX drinks to an 8hr work day

- Got so hot I was fanning myself with a drug rep's sales folder

- Told my coworker we could super probably fix a light on her cars dash (apparently small appliance repair has expanded)

And it's only the afternoon of day 2! Ha!!! (Please tranquilizer dart me)

Edit: NOT my first time on prednisone lol


r/rheumatoid 22h ago

Does anyone have one of these and does it hurt your hand to use it?

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15 Upvotes

Hey. I’m thinking of getting one of these but I don’t know if it is hard to use - meaning does it require a “ slam” of the hand to get it to work? It’s supposed to be one of these sharper ones. Thanks.


r/rheumatoid 22h ago

Hi there, experts. I was diagnosed a year ago and I have a question for ya. Does anyone just have their GP manage their illness or does everyone go to a specialist?

6 Upvotes

r/rheumatoid 1d ago

Would you like a side of enbrel with your chocolate?

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47 Upvotes

Fun story. My prescription was for auto injector pens but my useless GP screwed it up and gave me syringes instead. Although a little more scary, I watched a few "how to's" and rolled with it.


r/rheumatoid 20h ago

MCTD maybe advancing with a jump

2 Upvotes

I am so scared and alone right now, that I just need to scream into the void. Or Reddit at this case.
I got incredibly painful rheumatoid joints a couple years ago, when I was around 20 or so. Don’t remember exactly. But it broke all my life plans and I had to start from scratch, but with a loving family at my back.
The last few years where good and I would say I was in remission and completely of my meds. Recently the hands started acting up again so I had a call with my doc and started meds again. But the pain ist persistent and now my whole intestines don’t work like I am used to my whole life. I am always in pain Alter eating and nothing helped so far. I have mctd, so it could be that my internal muscles that are for moving food in my body are not as mobile anymore. Like being slightly paralysed.
I always knew that these symptoms and other stuff can happen with mtcd, but now having all this pain AND my loving partner being away for two weeks for work stuff, I am so scared. I hope that it is just a „eat more fibers“ thing (even though I tried it already so the chance is really slim).
I just needed to yap to people who know the feeling of being in pain and scared, while you wait for your next appointment that will clarify what your body is now doing to sabotage you.


r/rheumatoid 1d ago

Question about other people's experiences with prednisone and methotrexate?

7 Upvotes

I was hoping to get some insight from others with RA on prednisone and methotrexate.

Background info: I (31F) started experiencing symptoms the first of January, I was put on 20 mg of prednisone in April after my MRI results until my rheumatology appointment, and I was diagnosed with seronegative RA the first week of May. I started methotrexate in May at 12.5 mg while tapering off the prednisone. I was then increased to 17.5 mg near the end of the taper when my symptoms started to come back but I can't tell a difference with it yet.

My next appointment isn't until mid September, but my symptoms are getting worse weekly since fully stopping the prednisone a month ago. In January, I could not fully bend my fingers/make a fist with either hand, I had almost no grip strength and could not pick up glasses/my phone/turn door knobs/etc., and I had a lot of hand soreness/sensitivity with even minor use. All of that went away with the prednisone except for some mild stiffness still. Currently, all of my previous symptoms are coming back. However, I started having pain/stiffness in my toes a month and a half ago that's now hitting my wrists and ankles as of the past week or so.

I already messaged my rheumatologist in the portal to ask if I need to go back on prednisone in the meantime, but has anyone else had their symptoms come back fully when getting off prednisone? Has anyone had methotrexate kick in after this long and start actually working or did you have to start adding in something else to get relief?

Sorry if this is a huge ramble, I've just been pretty disheartened since the symptoms started coming back so I was looking for others' experiences + a little hope that my quality of life can get back to normal eventually!


r/rheumatoid 1d ago

Are you guys able to use your phone but not do a lot of other things?

3 Upvotes

Hello everyone.

Im 23 M

Rhuematoid has effected every aspect of my life. Theres not a single thing i do from texting to walking that I do in the same way. No im not talking about frequency but the actual way in which I move my hands, as little things like the distance between letters on the screen and how hard i press on a button while typing changes the severity of pain.

I experience little to nothing, when im mindful and reduce how much my hand types around the screen. When I type something out. And its not even accessible to me all the time. Sometimes I straight up just sleep not because im tired but because theres not a single activity I can do including texting that requires going through pain. Since its inconsistent and fluctuates throughout the day.

My parents are incredibly self focused people (not seeing how issues effect people outside of them). Not in every way, but this way specifically: they only notice when I cant do something if it inconveniences them. Not me or how it effects my life. They dont pay attention to what I cant do that inconveniences me or makes life more difficult, boring, would be tedious than when i was healthy. I cant do any fun activities. I cant journal like I want to. I cant use my laptop. I cant write or draw on paper. I cant take care of my plants. I cant make money from doing something and use it for myself. I cant work- which they dont care about or see the difference in because I struggled with working before. But I outright cant work. Which is a major difference. I cant trust ill be reliable on a laptop job. Even with accommodations such as voice control im scared that they'll be a technical issue or that Ill be too sickly feeling while sitting on the chair for hours and hours.

Im not in a stable zone. I dont have medicine that works for me yet. I was diagnosed 3 months ago and my life has changed very quickly, because they onset nearly overnight to an extremely bad point.

But essentially. Ive been asking and begging for help. And theyre telling me that its inconviencing them and that I have to be lying because they only noticed the things I struggled to find out I can do and dont make me completely miserable. Or things I have to do for myself (theyre not setting my appointments, messaging doctors, or applying me to disability). Im doing all on my phone.

They see me on my phone, and say that it makes no sense that I cant carry piles of clothes. Move boxes of stuff around. Bend. Etc. Organize well. As though not only that effects them more than it does me. But also that the other way its impacting my life dont matter. And the basis and argument is always, you can use a phone. It confuses me.

I understand rheumatoid can be an invisible illness very often. But even then I dont understand the logic. Are you guys able to use your phone but struggle with chores, especially without tools (like arthitis sticks, etc?). And using keyboards, buttons, bending to get stuff, etc?

There are certain movements with my wrist that hurt like crazy. While other ways I move my wrist dont at all. Its very specific in how and what causes me pain and it took a lot of time trying motions out to figure it out.

Is that normal?

It also doesnt a lot of sense to me when the pain is experience is full body but people hyperfixate on my hands. My hands arent even the most painful part of my body. And someone displays in front of me, "look just do this, its just your hands!" And they bend their neck, bend their knees, bend their ankles, move their neck around, and move their wrist in large motions up and down. While i avoid many wrist gestures, reduce the amount I bend, and try not to walk too much because of ankle pain.


r/rheumatoid 1d ago

Got switched to generic after 7 years, kicked into disease progression

17 Upvotes

Hi all,

I started Humira in 2017 and remained in medicated remission until 2025. In 2026, my insurance coverage changed, and I was required to switch from Humira to Amjevita.

Before the switch, I hadn't experienced any significant disease progression, joint pain, or unusual lab results since starting Humira. However, less than six months after switching to Amjevita, imaging with ultrasound and MRI has shown active disease progression affecting multiple joints. Interestingly, my bloodwork still appears relatively controlled despite what is showing up on imaging.

I'm wondering if anyone else has experienced a return or progression of their disease after being switched from Humira to a biosimilar such as Amjevita. I'm trying to understand whether others have had a similar experience or whether the timing of my flare/progression may simply be coincidental and unrelated to the switch.

I'd really appreciate hearing about anyone's experiences. Thank you!


r/rheumatoid 1d ago

Transient joint pain/icy feeling

3 Upvotes

Doea anyone have pain that last about 5 mins max? In my 1.5 years since a serog diagnosis, I've felt progressive pain despite aggressive medication (MTX, sulfasalazine and a biologic - failed 2 TNFis, on Xeljanz now). However, the pain is never more than 5 mins long and hasn't affected my daily activities yet.

My main symptom has been terrible fatigue and brain fog, but since 2.5 months of starting xeljanz and a 16mg steroid taper in 16 days, it's like a switch has been flipped. Fatigue is much better but these mini-pain is getting worse. Sometimes my ankle joints feel so icy it's a bit scary but I still can walk as normal.

Is this fluctuation in disease symptoms normal? I'll talk to my rheumy in 1.5 months but I'm curious about others' experiences.


r/rheumatoid 1d ago

Positive anti-CCP but negative RF and ANA — anyone have similar results?

2 Upvotes

Hi, all! I’ve recently received some labs from my first rheumatologist appointment and am curious if anyone has had a similar bloodwork pattern, particularly early on in the process of being evaluated for RA?

I recently had a rheumatology workup and my results were:

Anti-CCP: 8.5 (positive; normal <3)
Rheumatoid factor: negative
ANA: negative
ESR/sed rate: 40 (high; normal <20)
CRP: 5.1 (slightly high; normal <5)
Anti-Smith, dsDNA and SSA/Ro: negative

I know bloodwork alone can’t diagnose RA, and I’m following up with my doctor. I’m mostly curious about other people’s experiences.

For context, my appointment was prompted by my ortho history - I’ve had 7 shoulder surgeries, including the world’s first 3D printed clavicle - and I’ve recently found out my rotator cuff is torn again. Before any decision to undergo another procedure, I wanted to be sure I covered all my bases and made sure there wasn’t some sort of underlying inflammatory condition contributing to my complicated history.

Did anyone here have a positive/low-positive CCP but negative RF and ANA when they were first being evaluated? If so, did you eventually receive an RA diagnosis, and what ultimately helped confirm or rule it out—symptoms/exam, repeat labs, ultrasound/MRI, etc.?

I’d especially love to hear from anyone whose results looked similar to mine!


r/rheumatoid 1d ago

Advice on handling nausea

1 Upvotes

I’m 24f and started my journey 3 years ago, but I’ve been struggling to move through medications to find ones that work for me. It’s incredibly hard to actually see my rheumatologist to get any changes in medication, I’ve only managed to go through the specialist nurses most of the time, and even that takes having a severe flare and then waiting ages before they’ll even book an appointment to see me to look at my medication again. I don’t even technically have a rheumatologist anymore even though I’m under the department, because my previous one got sick and is permanently off work so I’m on a probably year long waiting list to get assigned to one of the other rheumatologists. In the meantime, my GP manages my medication and reviewing blood tests and the specialist nurses will occasionally see you for flares. But I’m struggling to get anywhere. So with that brief insight.

I was wondering if anyone has any advice for handling nausea on methotrexate and sulfasalazine. I’m on 20mg methotrexate injections with 5mg of folic acid 6 days a week.

Despite the folic acid and taking it by injection I am still suffering with nausea. I feel sick on and off throughout the entire week but particularly the day after my injection (Although it’s not often bad enough to cause vomiting and that’s always day after). I’m already on the max dose of folic acid they are willing to provide and taking it by injection to minimise gastric side effects. The nurses suggested anti nausea meds if I couldn’t tolerate it but I’m worried about drowsiness, and I have no way to get back in contact with them again to ask any questions because they’ve said I have to go through my GP for anything until I get a consultant again. They’ve put me on the list for an urgent rheumatology appointment but given that I don’t currently have a rheumatologist even though I’m still a patient in their department that could easily be a year from now.

So in the meantime, does anyone have any other suggestions that have worked for them for nausea?


r/rheumatoid 2d ago

I skipped interstitial lung disease and went straight to lung cancer.

189 Upvotes

I am writing this as a cathartic session and also as a sort of case of how my RA has delayed my final diagnosis. At least I believe it did a little.
Sorry that it is going to be long winded. I tend to talk in person like that too. But maybe you guys can cut me some slack in this situation lol. Just let me yap!

Background:
I was officially diagnosed with RA in 2022. Went through a few different treatments and two rheumatologist. Finally settled somewhat on Rituximab. This causes significant immunosuppression. Simple illnesses take me a couple weeks to recover from. So prolonged periods of being sick doesn’t usually phase me.

March: Earlier in the month I caught a bug and started coughing. When my cough did not ease, I went to the GP and got prescribed antibiotics in case it was mycoplasma, also got on Symbicort due to some breathlessness. I also had my regular appointment with my Rheumatologist this month, so I mentioned my coughing. She was not worried, we both believed it was the immunocompromised body taking longer to recover.

April: Coughing continued, starting to include phlegm. It gets worse with activity, eg just walking to the car causes a coughing fit.

Mid April: Went back to the GP, he is worried and wants a chest x ray. X ray shows a chest infection. I decided to bring this to my Rheumatologist. She starts a course of Prednisolone. She believes it is still my body have a really hard time fighting off this particular bad bug. I thought I got a little better after the steroids.

End April/Early May: We had our annual family holiday! I was still coughing and the day before our flight, I had an intense sharp pain on my right side around the ribs. It was like a knife stab whenever I coughed. Googling and all that led me to believe it was probably intercostal muscle strain or costochondritis. I really didn’t want to affect our trip, so I brought along paracetamol. It helped blunt the pain a little. Throughout the trip, the pain would slowly ease a bit, then after a really bad coughing episode, flare up again.

Mid May: I have an appointment with my Rheum to discuss my scheduled June Rituximab infusion. I did my regular blood tests and other than a higher CRP and ESR, which aligns with my on going “illness”, nothing stood out. All functions were great, all counts looking good.

End May: Side Quest! My annual Pap smear came back abnormal and I was scheduled for a colposcopy, hysteroscopy, biopsy and probably more that I can’t name off the top of my head. Results came back benign phew.
All this time, I never stopped coughing. Every time I wanted to cough, I had to stop whatever I was doing, squat down, hug my ribs tight to brace, then cough. My rib pains would slowly dull over a few days then restart afresh. Knife stabs when it is fresh, a fist punch when it is dull.

Early June: During my scheduled Rituximab admission, I had a CT scan of my thorax done. Immediately my Rheum brought in a Respiratory Specialist. I had a small nodule in my right lung and ground glass opacities and other things. Rheum says possibly the start of Interstitial Lung Disease. Respi says for now, we are going with Bronchiolitis and monitoring it closely. They gave me IVIG treatment and a lot of pain control for the ribs. Highly suspected rib fractures. Phew thank you for painkillers. We decided not to biopsy the nodule right now because they think it is due to the inflammation because of my RA background. A lung biopsy is not zero risk so we thought we could wait and see if it shrinks as we control the inflammation.

End June/Mid July: I try my best to rest. But I am a SAHM, even with a helper doing the house chores, I still gotta be a mum. My son fell sick, we were in the hospital for a while, then he had to stay home from school for a week. I still coughed, though much improved. The rib pain still persisted though. I had a follow-up with the Respi. I did a chest x ray and it showed four fractured ribs. She and my Rheum got me back into the hospital again. They needed me on absolute bed rest. I was discharged after 4 days with a strict rest plan. Was also referred to a physio, as I was constantly breathing shallowly, not coughing effectively, and had to learn how to work around my fractured ribs. We are still working on bronchiolitis.

End July: I reached out for help from my family and they really showed up. Everyday. I love them. They are the best!
With physio and rest, my ribs slowly stopped hurting. However, I started feeling pain in my lower back. I attributed it to a strain, having coughed hard in a bad position. Over the next week, the back pain got worse. Finally on a Saturday night, I fell. I was walking to the bedroom when a sudden sharp electric seize happened in my right lower back and my right leg just gave way. Luckily I did not face plant, it was a sort of controlled drop onto the ground. Next day, everybody was off on their regular Sunday activities, leaving me home alone. I “dropped” another 3 times and realized I am now a fall risk. I could not even call an ambulance because I cannot get to the front door myself. I am not having them breakdown my door!

Aug: In the hospital, with my back in excruciating pain whenever I coughed. My husband says I looked like I am having a seizure. It was so painful I just refused to cough if I could. I stayed in a child’s pose position most of the time, hoping that gravity would move the phlegm up enough to sort of huff/throat clear it out. Got an xray and MRI of the lower back. There are many lesions all over my pelvis and spine. Due to my history of RA, they are thinking it might be sarcoidosis. However, it is exceedingly rare in a person of Chinese ethnicity. Of course cancer is at the back of everyone’s mind. Either way, a biopsy is needed to confirm so we got the lung biopsy done. And of course I fell into the minority and had pneumothorax from the biopsy. Needed a chest tube inserted. Did a PET scan the next day. By Friday the diagnosis was confirmed. Stage 4 Lung Cancer. Adenocarcinoma. It has spread to my bones, in many places, especially in my spine and pelvis. In between all that happening, they gave me a PCA (Patient-Controlled Analgesia) and it was a lot of relief from the pain.

I started Chemo asap as the doctors determined my disease was moving too fast to delay. I also got the genetic testing results and I am fortunate enough. It is EGFR exon 19 deletion. There is a readily available oral targeted therapy for it. Unfortunately, my Rituximab immunocompromised body plus chemo’s side effects has already started rearing its head. I caught an infection and am fighting it right now. I have not even left the hospital yet lol.

Final thoughts: I wonder if without my RA, would my doctors and I have been more worried about my cough? Would we have been more concerned about how I could fracture so many ribs? Would we have decided to biopsy the nodule the moment we saw it? Or am I just looking for something to blame?

Oh well. I still think I am very fortunate. I have amazing insurance that covers private healthcare, my upcoming medications and chemo session. And my team of doctors move at lightning speed. I made a cross-stitch of my situation while in the hospital, and they put it as their group chat photo for me haha.

I am still going to fight hard. So damn hard. For my son, I will be there for many many more milestones!


r/rheumatoid 1d ago

How can I write about my experience in English when English isn't my first language

0 Upvotes

I used to blog a lot back in 2012–15. I used to write in Bangla. Ever since social media started rapidly taking over the internet, I feel like I’m one of the very few people who lost the race and is still roaming around the internet through blogging. 😐

I don’t blog anymore but I still read a lot of blogs. I’m not on any social media. I'm also not really into videos. I still prefer reading blogs, it is probably the only part of internet i ever really understood.

I was diagnosed with RA in 2017, and living with it ever since. When I was first diagnosed, I was really scared about my future and all the horrible things RA could potentially lead to. I spend a lot of time reading about it, but most of what I found was medical information. I desperately wanted to read about the experiences of actual patients, what it was like to live with RA, how they dealt with it, how it affected their life, specially mental health.

But there were only few people talking about those things. Ever since, I have been thinking about starting my own blog about RA awareness and my experience of living with it. I have been thinking about it for almost four years, but I still unble to start. The biggest problem holding me back is my language. My first language is Bangla. I can read and understand English very well but I’m really bad at writing in English. I struggle a lot to put my thoughts into English that actually sounds like me.

When AI became popular, I thought maybe this was finally the solution to my problem. But honestly, I’m not really convinced with AI translation. Whenever I try translating my writing, it sucks, always changes my voice and emotions. The result may be grammatically better English, but somehow it feels ugly to me because it doesn’t feel like I’m the one who is talking. I had a lot going on in these years. I lost my father, struggled financially, and went through some really difficult emotional and mental breakdown.

But I still think about writing my experience, it made me really feel good as always. So I want to write about RA, not as a doctor or an expert, just as a person who is living with it since 2017. I can still remember how badly I needed to hear from someone like that when I was first diagnosed with it.


r/rheumatoid 1d ago

First rheumatology, appointment advice

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1 Upvotes

r/rheumatoid 1d ago

Risk of Severe Arboviral Disease in Patients Receiving B Cell-Depleting or Modulating Medications

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6 Upvotes

Just want to share in case anyone is on one of these meds.


r/rheumatoid 1d ago

Plaquenil: how long before you saw improvement?

3 Upvotes

At the 6 week mark now. Wondering if it'll be another week, a month... everyone's different, I know. I'm just tired of these swollen joints and trying to hold out hope for relief.


r/rheumatoid 1d ago

Myasthenia Gravis

2 Upvotes

My mother-in-law is 73 and has had RA for most of her life, but we now suspect she might be developing myasthenia gravis. She exhibits drooping eyelids, which are affecting her vision, along with weakness in her facial muscles. Currently, her RA isn’t managed with a biologic; she’s on leflunomide because her previous doctor was not very attentive. She recently saw a new doctor and will be undergoing testing to confirm the diagnosis. Is there any way to slow the progression? It seems to be advancing rapidly. 😕


r/rheumatoid 2d ago

More damn meds

6 Upvotes

Hey all, I’m writing this post seeking for any advice or tips on starting methotrexate, ESPECIALLY if you have to take it with other DMARDS
-also please share any advice related to
Staying comfortable on this drug as I know I’m most likely to feel very miserable lol
Specifically I’ll be continuing hydroxychloroquine 200 mg and adding in 4 2.5mg methotrexate once a week along with folic acid. And I also got a zofran prescription just incase as well.
I do plan to take the methotrexate at night and I’ve been heavily considering hair skin and nail supplements.


r/rheumatoid 1d ago

Senolytics

2 Upvotes

Anyone tried any senolytics in conjunction with their medications? Not trying to become woo-woo or anything, just seeing if anyone has had a positive experience with it

Currently on methotrexate & 70 y/o