about 1.5 weeks after my discharge, and a little over a week after i finished pred, i finally saw my rheumy with so much mixed emotions. please understand that we’ve not dealt with a flare of this magnitude in 3-4 years. if anything i was deathly afraid she’d look at my inflammatory markers, and forget to look at and listen to me as a person.
despite so much morning stiffness and disease activity (shoulders, wrists, MCPs, hips, knees, feet/toes), my ESR came up at a laughable 19 and CRP at 14. years with my rheumy has taught me that the fear of her sweeping my symptoms under the carpet was all too real. i could only tell her how it has all been affecting me in a different manner. and this time, because of how our patient-practitioner relationship matured over the years, she listened. offered the choices of either more pred, or going back on methotrexate. added the option to get an intramuscular triamcinolone injection. i know she’s holding back with pred, and i would too. in the end i went with the IM triamcinolone jab and MTX 12.5mg.
let’s see how things go. triamcinolone has a half-life of 18-36 hours, so i’m hoping it won’t wear off soon. and hopefully with only 12.5mg of MTX, my liver will be ok.