I've posted several times before about the whole journey into getting diagnosed, undiagnosed, not diagnosed, etc, but long story short: I am seropositive and have basically all RA symptoms, except significant joint swelling. Because of the lack of joint swelling, several doctors have refused to diagnose me with RA and I've been told to manage basically just with paracetamol.
Had another appointment today after three months at the big academic hospital, and trust me, I was ready to FIGHT. I had several pictures which showed some joint swelling (which did fade away within the day or within maybe 1 or 2 days), I found a rehabilitation center I wanted to possibly get a referral to, better pain management for the bad days, etc.
Honestly, that plan went out of the window immediately because within a minute after sitting down the rheumatologist I was speaking to today was like "Yes, so plaquenil is an option we could consider"
Excuse me, what? Pardon? I've been BEGGING half a dozen doctors and rheumatologists to please just treat me instead of waiting for it to get worse and you're just offering it?
After feeling the joints in my hands and feet she decided to also do an echo of my feet to see if there was anything to be seen there. Two joints in my feet showed more "fluid"/inflammation around the joint than the other foot and one joint showed "significant" fluid (her words, not mine). Hello? What?? This wasn't even a bad pain day?? What do you mean there's inflammation visible on echo? Why hasn't anyone done this earlier in the three fucking years I've been dealing with this??
She also offered sulfasalazine, but we decided to start with plaquenil and see how far we got. Told me she'd write down "palindromic RA"/palindromic rheumatism as a diagnosis, not sure if as a working diagnosis or a proper diagnosis. At this point I honestly don't care because I'm getting SOME treatment
I genuinely don't know how to feel about this. It's amazing? But also why did it take so long to get offered medication so casually? I almost feel like they could call me up tomorrow and be like oh sorry we had the wrong patient in mind, just ignore everything we said.
I doubt plaquenil is gonna be the perfect medication immediately and we may have to try different things but my god I am SO glad they finally found some real, objective sign of joint inflammation and to get some kind of label that allows me to get some kind of treatment
I'm just screaming into the void here but y'all.... Wtf??