Diagnoses
- Raynauds – 1974
- Rheumatoid Arthritis, possible SLE – 2007
- bilateral: trochanteric bursitis, chronic rotator cuff tendinopathy, plantar fasciitis, achilles tendonitis, tennis & golfers elbow: ∞ itis
- Migraines – 2008
- Peripheral Neuropathy – 2009
- Undifferentiated Sponyloarthropathy – 2010
Treatment
- Exercise
- Physical Therapy
- TENS
- Medication
- DMARDs:
Plaquenil (Hydroxychloroquine) 200 mg po bid- Azulfidine (Sulfasalazine) 1 g po tid
- Methotrexate 25 mg (1cc) sq qw
- BRM:
EnbrelHumira- Cimzia 200mg sq q2w
- NSAID:
Ibuprofen 800 mg po tidMobicDayPro- Feldene (Piroxicam) 20 mg po qd
- Steroid:
Prednisone
- Other:
Calan SR (Verapamil ER) 300 240 mg po qd- Prilosec (Omeprazole) 20 mg po qd
- Folic Acid 2 mg po qd (needed due to the mtx)
- assorted OTC vitamins
- Tylenol 1000 mg po qid prn (rarely needed, thanks to the biologic)
- DMARDs:
- Custom orthotics
* * *
The rheumatologist originally said mixed connective tissue disease, possible SLE. Two months later, he said that a CCP of 175 meant definitely rheumatoid arthritis and started me on my first DMARD. After a year and a half I changed doctors; the new rheumy repeated all labs and added a zillion others. CCP had returned to normal, and my diagnosis returned to mixed connective tissue disease. After a few months of further observation, the diagnosis was changed back to rheumatoid arthritis. After an additional year of observations, she suggested that it’s looking like undifferentiated sponyloarthropathy (instead? too?).
***
That looks exactly what my notes look like.
That looks exactly what my notes look like.
+1