well kids.
i do remember a day about twenty years ago when my then rehumy said kind o casually
'a lot of folks are worse off than you are, you're lucky you have such a mild case so well controlled by the Nsaid...no one's ever gonna write you up in some case study'
that's former rheumy...and i remember saying that i didn't feel blessed by six attacks of iritis in one year nor did i want to know what severe meant if this life was the 'lite' version
he upped my tylenol#3 from fifty for the year to sixty and let me have one refill...the good old days...about nine/ten years later he volunteered that maybe we might update xrays; but he wouldn't read me the xray report, 'well, lets just say it does show some damage in the SI' and he withjout comment gave a hundred tylenol#4 with four refills-
'take 'em as you need 'em.'
that's when i decided it was time for a fourth opinion and travelled 90 miles from home
so the new doctor wouldn't know the old the one...that xray report read 'totally obliterated SI, completely fused. the new rheumy said (not for attribution or testimony)
that it probably was a text book case of out of control, heightened disease activity left untreated.
just for ha's...since 1974 i taken: tolectin(tolemetin), daypro, naproxyn, sum'tin else,
indomethecin, prednisone, zyrtec (?), another sum'tin else, vioxx, mobic, celebratex,
bextra, sulfasalazine and methotrexate...what a long strange trip it's been...trust me
no one every starts out saying 'golly gee, i'm gonna take Nsaids for the next 31 years'
oh, and prevacid, protonix and sum'tin else again to undo the Nsaid damage to my tummy, klonopin, xanax, flexerile, skelexin, neurontin and bigger whup pain pills.
i will admit (sometimes brag) about more than casual experimentation and self 'medication' (hmmmm)...i have invested in peruvian agriculture and things that
fry your brain. I did truly like mescaline- that was the bestest of the zoomers...
{i've also looked a doctor in the eye and said, 'hey look, the last time i took acid was
1972; i just have an illegal state of mind these days'} it's true too.
but i'll tell ya i've never been so stoned immaculate as when taking three zigzaggers
and methotrexate at the same times.(that'd be xanax, klonopin and flexerile, all of which
are chemically related and have a symbiotic effect when taken simultaneously).
this getting like alice's restaurant...what i wanted to sing about is well...this week marks
four years on enbrel...i had i will admit given up hope, please just shoot me.
i do think i fully appreciate the inherent risks associated, i know i don't have a lot of the
risk factors that trouble others; and if it happens that i get hit by the big lymphoma Bus;
well i understand statistical probabilty- the odds are still one in one and a half million...
and well, some bus is get ya some days no matter what ya do.
i do know that the four years so far on enbrel has been an experience far beyond any
dream i could have hoped for...enbrel doesn't fix things that are busted; and, quite frankly, i'm distrubed that the scoliosis in the lumbar has become more painful, i'm
not happy that the damage to my foot (in a fall) hasn't ever healed up and i wish my
vision weren't getting worse.
but the Enbrel experience has been a miracle...i can walk for the most part in a straight line- no crab walk and no flamethrower in the butt. It's been more than two years since
i've even had a little cold or sniffle. Not saying i don't have issues, aren't impaired and
damaged...But i'm probably in the best shape now as ever in the past twenty years.
that veritable moveable feast of complaints and inflammation is, well, i don't know about
controlled but i've got a chair and a whip and the spondy monster mostly sits on a stand...roars a little but sits
stopped taking Nsaids in 2005, cut neurontin from 900mg/day to 200, still take the
klonopin to sleep and i do have pain meds- my doctor says i should take more of them,
'that's why i give 'em to you'.
the one thing we all know is there is no 'one size fits all'; there is nothing that is guaranteed to work for everybody...but, kids, if you're desperate and brave this stuff is worth trying.
my otherwise humorless next rheumy insisted for a number of reasons that he be the
one to teach me to do the enbrel shot personally ( i was terrified of needles and he didn't think i could pull the trigger myself)...i remember like yesterday- i stuck the needle in and bam it popped back out; he stood there loudly saying 'stick it back in, NOW! Your leg is clean and wiped, the needle is sterile, stick it in !!! do it.'
I did, oh gosh golly you can't be faint of heart at that point, and i pushed in the syringe.
no pain, no nothing, done...i put my pants on, the rheumy shook my hand, grasped
both shoulders and said , 'shazam!!! you're biomodified; you can stop taking methotrexate now' what joyful news that was.
as ramblin' jack once noted, "spent about two weeks in new orleans, never did see the light of day, never have been back" guess that's how it should be...can't go back.
note- two years later i asked him about stopping the mtx on that day, 'wasn't that a risk to my eyes?' he nodded and said yes, but 'i knew you'd feel better almost immediately getting off the mtx and you needed a boost; if the enbrel hadn't worked for you i'd have dealt with that as another issue.'
with all the newbies here, i don't think anyone of 'em gets a comprehensive view of the reality of the meds situation...so that's my five cents...wob.
keep shootin'
aB
