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Medical Forum / Diseases and Disorders / Arthritis / December 2007

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Of course the usual! A whine)

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Kelly - 05 Dec 2007 04:33 GMT
Well it was infusion day today. I have had this planned for sometime now.
My mom and I were meeting in Victoria, staying at the brand new Marriot
hotel and going for dinner the night before at the Empress - an old and
gracious expensive hotel that has a curry buffet in the old lounge.  Joy.
Anyhow we have had storms from hell here - 12 inches of snow, then pineapple
express and 8 deg c weather with huge amounts of rain all within a two day
period.  We have a mountain to go over to get to Victoria and of course
weather was worse there.  So All in the 2 days before the infusion.  I left
early Monday in the pouring rain and flooding roads and got to Victoria in
time for my general practitioner appointment.  Was all excited - told him
how great I was feeling, how much better the joints were, how terrific my
appointment was with the rehab doctor etc.  He wrote scripts for all my
prescriptions for the year as some had run out.  At the end of the session I
said I had my rituxan starting tomorrow again.  He said "I think you had
test results for me to go over - let me get them".  Oh yeah - crap!!!!!

So the WBC in the blood - up over limit.  several other blood tests over
what should have been.  And the clincher - WBC up in urine - way up so
everything points to another UTI.  You could probably hear my scream all
over the world.  I was so so so pissed off.  No symptoms, not tired, no
neuropathic as usually I have, no urgency, no burning.  Nothing.  Also it
would not culture, so that was no help.

By now I am getting cell calls from my rheumatologist, calls back and forth
between all doctors, I am running off to get even more macrobid to see if I
can get 2 doses in that day and 1 in the morning if they will still let the
infusion go.

Absolutely not - especially with me.  They are afraid they will send me to
the hospital over the holidays with massive infection.  I agree but am so
frustrated.  This is after 3 months of macrobid to try to stop this.  I
stopped the macrobid one month ago.  I now have 1 week of macrobid with
another 1 week in case I need it.  I am taking both weeks and asking my gp
to keep me on it for another 3 months to get through the infusions.

I am so tired of this.  Of course now we are having trouble scheduling, I
spent money on mom and I on the hotel etc. and she came over when really it
wasn't necessary, Pat (my husband) is agin scheduling things differently
(which I know isn't always easy when it takes 2 nights each time of being in
Victoria in order to make sure you make it over the Malahat without hitting
snow and ensuring we are there at 9:00 am sharp so the meds can get it.
Most important though is why the infections keep happening.  Am so tired of
it.

Anyhow that was my couple of days.  Rescheduled for the 18th so long as the
infection is gone.  Talk of going back to the urologist but that won't be
for a bit due to scheduling etc.  On the positive side I missed a one day
power outage, a huge wind storm, the snow is gone thanks to the rain
yesterday and I got a new outfit, my christmas shopping done and some time
with my mom.  bought a new mattress for our new King size bed that should be
here anytime and had a lovely night in an incredibly wonderful hotel.  The
staff was so good - even going so far as valet parking my scooter for me
when it needed doing.  I used my scooter both days, paid for valet parking
and they would bring the car upstairs, help me with the scooter and return
the car.  I went off the methotrexate for a couple of weeks starting this
week (to give the antibiotic a chance) and had some wine.  All was not
gloomy.

Anyhow off to bed.  Only 8:30 but I am exhausted from everything.

Kelly
DeeTee and Bob Taggart - 05 Dec 2007 17:38 GMT
Oh, Honey, that sucks! I am so sorry for you. Well, at least you got to
visit with mom.

Hang in there, DeeTee

> Well it was infusion day today. I have had this planned for sometime now.
> My mom and I were meeting in Victoria, staying at the brand new Marriot
[quoted text clipped - 58 lines]
>
> Kelly
Joan Carter - 05 Dec 2007 21:41 GMT
> Was all excited - told him
>how great I was feeling, how much better the joints were, how terrific my
>appointment was with the rehab doctor etc.  He wrote scripts for all my
>prescriptions for the year as some had run out.  At the end of the session I
>said I had my rituxan starting tomorrow again.  He said "I think you had
>test results for me to go over - let me get them".  Oh yeah - crap!!!!!

Kelly, that is the pits. It is definitely time for you to join
the line of people who are returning their diseases.

((((((((((((((((Kelly)))))))))))))))))))

Joan
Diane - 05 Dec 2007 23:53 GMT
Argghhh! totally not fair. i could hear that scream all the way in NC
and i don't blame you a bit.

hugs,

diane
RoseB - 06 Dec 2007 03:45 GMT
Well merdre, Kelly. as the French Canadians say. I am sorry that you
have another infection. I was thinking about you when they announced
what the weather was like on the island. it has been crappy here as
well. We had 14 inches of snow, then it warmed up to about 11 degrees
C, and started to rain. It rained all day and night heavily, resulting
in a soupy knee deep slush. Now much of that is gone, but there is a
lot of ice and it is supposed to freeze overnight. I need to become a
snowbird, I think. This winter thing is not fun.

The school flooded, the hospital was flooding, and several businesses
in town as well.

Hopefully the infection will clear up soon so that you can have your
infusion. It is a blessing really, that they are as careful as they
are. You do not want anymore complications. It is just unfortunate to
go and spend all that money and not be able to have the infusion.

Did you have high tea? My friends from Alberta and Manitoba were
thrilled with the high tea when we were in Victoria. I did not join
them at the Empress as I came later, but I did go to high tea many
years ago when I went for a conference.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Kelly - 06 Dec 2007 04:35 GMT
Didn't have high tea - I think there are better places and much cheaper than
they are.  i think it is up to $46.00 which is way too high.  I have been
before the price went up so much many times though and it is wonderful.  not
$46.00 worth though.

I am glad they are careful.  And the money wasn't even the thing.  It is
just that I am getting frustrated as to why the stupid thing keeps coming
back.  Shades of enbrel with the sinus infections.  The pharmacist with
rituxan said that is probably contributing to it as well.  Now they are
trying to figure out when they can ship the next meds to where the fridge
will be kept at a constant temperature without outages etc. over the
Christmas holidays and when the staff will be there to accept the next
meds - not my problem.  I did suggest not to send them to me as the outages
seem to hit this area.

The schools here flooded for a day too so the district was closed down.  So
many people would have had trouble getting there kids there and the buses
were a little worried about getting around to so was a good thing.  I too am
sick of weather already and I don't live in the middle of the province.
I'll go with you Rose!  Just let me know which place - not too hot or humid,
with a good health plan for retirees from Canada with RA, a pool, a pool boy
who can make good margaritas when we don't have a med that disagrees with
it.  No forest fires would be nice.  Oh and somewhere I can garden and they
don't mind animals.  Have we got everything covered?  We can dream can't we?
The biggest thing I have been trying and trying all week to find is gumboots
for fat wide arthritic feet - if you find them let me know?  No spike
heels - like I could get my feet into boots with spike heels anyhow and even
as a teen I couldn't walk in them.  must say I never wore much more than
running shoes in school even in Prince George in the snow - couldn't fit
boots then either and hated them.

Well off to do Pat's invoices.  Cash flow is out the toilet this month due
to the $8,000 for the meds and Christmas and the furniture (but will be nice
to have dressers.  In the other house they were built in so I have gone
since June with my clothes in boxes etc.)

Thanks Rose - will hang in there and doesn't seem as bad today as it felt
yesterday.  Hope you are feeling a bit better and not so low.

Kelly

> Well merdre, Kelly. as the French Canadians say. I am sorry that you
> have another infection. I was thinking about you when they announced
[quoted text clipped - 22 lines]
>
>     Please remove "Ima" to reply.
RoseB - 06 Dec 2007 04:50 GMT
I agree on the not too hot and not too humid. I can also relate to the
frustration of not getting the meds. I can imagine hold frustrating
the infection thing is getting. I am sure it is annoying for you
especially since you did not have symptoms.

I am having a tough time actually. My pain level is close to a ten, in
wrists, elbows,shoulders and ankles. When I went to the doc I expected
him tosay my ESR was way up. Normally it is about 48, and I have
rarely had lower than that. This time though, the ESR was 30. I am
convinced it is a lab error as my joints are hot and red, and the
elbows feel squishy. It makes no sense to me whatsoever. The pain
feels more like a tendon thing that a joint thing, though. I rarely
sleep more than a few hours.

The doc prescribed codeine contin, which I am supposed to take two
tabs twice a day in addition to T3. I did not know it was to be taken
in addition to the T3, and was taking it alone, and became very
frustrated because it was not helping. But now I have nausea and
abdominal side effects that are not pleasant. I do need to  go to
Penticton, but with the weather the way it is and my obligations with
the class I have not made an appointment.

I cannot seem to get back where I was. Enbrel worked wonderfully well
for me at first.

But I do not mean to hijack your thread. Is rituxan on pharmacare or
are you getting it via an advanced program like I did with remicade? I
cannot remember if you tried humira. I had not thought of the impact
of the holidays on the whole process.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
RoseB - 06 Dec 2007 04:52 GMT
Oops typo. I meant to say HOW frustrating. Actually I was thinking the
infection thing is getting pretty OLD. SOmehow I combined the two. LOL
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Kelly - 06 Dec 2007 07:24 GMT
You didn't hijack my thread.  I have been worried about you.  The abdominal
pain is probably from all the codeine Rose - don't treat it lightly.  Make
sure it is not from constipation - drink lots and lots of water with it.
Really does sound like the enbrel isn't doing everything.  You are still
taking imuran or mtx too aren't you?  I sympathize with not wanting to go to
Penticton with this weather.  Due to get cold again this week and dip in the
minus weather in the evenings.  Would it please make up its mind?

Rituxan is not on pharmacare yet and is being described for people whom tnf
receptors did not work.  i am presently paying $8,000 out of pocket for the
2 session treatment (or in my case the 4 session if they can't get one
treatment in one day) and the drug company is paying $3,600 and the cost of
the infusion staff and equipment etc. as I am in a trial to see when people
need retreating and how well they are doing. Humira is a tnf receptor and so
is remicade so they are out for me since the enbrel caused the neuropathic
stuff.  The holidays are really mucking up this stuff - especially if they
can't get it in in one day and have to do 2.  Staff has to be arranged etc.
Pain in the neck for them I know.  Anyhow they have decided to give me
ativan in case it is anxiety causing the stop breathing thing.  Will see.  I
don't think that is the problem but I am open - sort of.  The only time I
took ativan it scared me a little.  I could actually see myself getting
addicted quickly to it.  It put me instantly to sleep - like instantly.  No
doubt about it. Just put me into this wonderful solid out of control sleep.
Will see what it does this time.

I know it is a bad time of the year but you might like to call in a sub Rose
and take a day for yourself.  Might help that pain level in the long run and
get you through to the 21nd or whatever it is you have to go to this year.
A very gentle hug - very gentle.  The inflammation in the tendons and
ligaments can be as if not more painful than in the joints.  They do respond
to cold for me though and sometimes physio modalities will help too.  Do you
have someone who could help get the inflammation down - a physio that is
good with RA and doesn't overtreat?

Will be thinking good thoughts for you this month.  I know that frustration
when things just don't seem to be working and you can't get answers.

Kelly
>I agree on the not too hot and not too humid. I can also relate to the
> frustration of not getting the meds. I can imagine hold frustrating
[quoted text clipped - 30 lines]
>
>     Please remove "Ima" to reply.
RoseB - 07 Dec 2007 00:36 GMT
Kelly,
You are always so thoughtful, and thinking about others when you have
a tough row to hoe yourself.

It is too bad that there is not some program that could cover your
rituxan since you failed conventional anti-tnfs in a big way. Eight
thou is a lot of money.

I did not take the codeine contin today and feel better abdominally.
The pain is there, but I took my usual T3 without adding more. I was
ready to h ave elbow and shoulder replacements last week. (It was
suggested to me many years ago but I was not interested as I did not
want to lose function. Now I do not care).

I bought myself a wax thingy for the hands but it is still in my
trunk. I need to get going on my reports, as they are due tomorrow, so
there is no time for using it tonight.Have you ever heard the evil
acronmy BCeSIS from your D-I-L or teacher friends? LOL

I also just received a phone call from my faculty advisor and she put
the  fear of God in me about how hard i will need to work in the next
course. It is the first one that is devoted to writing the
dissertation, and I will need to write the first two chapters. It does
not seem like much, but it will be quite involved.

I am also planning to have my group sing a song for the concert. That
will be interesting because I can not sing. My voice goes completely,
but I want to try anyway. We will see how that goes.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Squirrely - 12 Dec 2007 20:06 GMT
Kelly I hope your UTI is getting better. I sure hope you can have the
treatment done soon.

Rose, I am sorry to hear you are not doing good either. I feel for you and
all that work with the christmas list when you are feeling like this too.
Thank you so much for that.
i hope the Enbrel kicks up and starts giving you some relief again.

Signature

Love and Hugs to all
Jo the squirrely one
I am nuts about you.

>I agree on the not too hot and not too humid. I can also relate to the
> frustration of not getting the meds. I can imagine hold frustrating
[quoted text clipped - 30 lines]
>
>     Please remove "Ima" to reply.
Carole - 06 Dec 2007 06:27 GMT
> Didn't have high tea - I think there are better places and much cheaper than
> they are.  i think it is up to $46.00 which is way too high.  I have been
> before the price went up so much many times though and it is wonderful.  not
> $46.00 worth though.

$46????  It's not even $46 at Harrod's in London!  YIKES!!!  I make good
tea and can also make cucumber sandwiches. Maybe I should open a tea
shop in Bellingham :))

Carole
RoseB - 07 Dec 2007 00:24 GMT
>> Didn't have high tea - I think there are better places and much cheaper than
>> they are.  i think it is up to $46.00 which is way too high.  I have been
[quoted text clipped - 6 lines]
>
>Carole
Hey, there is an idea!. You need the tiny sandwiches and petites
fours. or however they are spelled. LOL

You may hate me for saying so, but I wish our dollar had stayed high.
I live going shopping to Bellis Fair but with the exxhange rate being
high, it is not worth it. Someday though, I will go and then maybe we
can meet.
You would not even have to worry about making the tea.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Carole - 07 Dec 2007 04:29 GMT
> Hey, there is an idea!. You need the tiny sandwiches and petites
> fours. or however they are spelled. LOL

Yea, I just need a place :) Actually, we have a cool, little tea shop in
Fairhaven. I took my friend from England there for lunch when he was
visiting last August.

> You may hate me for saying so, but I wish our dollar had stayed high.
> I live going shopping to Bellis Fair but with the exxhange rate being
> high, it is not worth it. Someday though, I will go and then maybe we
> can meet.

Let me know if you go to Bellis Fair - it's only about 5 minutes from my
apartment! And now that I've lost weight and I'm working out, I can even
walk around the mall :)))))

Carole
Squirrely - 12 Dec 2007 20:24 GMT
Kelly,

I sure hope you are doing better now. Sorry this took me so long to answer.

I hope the storms are letting you alone right now too. I saw where it is
hitting bad around your area and Washington and Oregon. You are all in my
thoughts and prayers.

Signature

Love and Hugs to all
Jo the squirrely one
I am nuts about you.

> Well it was infusion day today. I have had this planned for sometime now.
> My mom and I were meeting in Victoria, staying at the brand new Marriot
[quoted text clipped - 58 lines]
>
> Kelly
Kelly - 12 Dec 2007 22:15 GMT
I went for the usual blood and urine test today but not feeling good about
it - bet it comes back positive again.  I feel not too bad though - did go
away for a couple of days.  On the positive side I did get an interview to
see if they would accept me into the neuro physio program and I got
accepted!  Whooee!  And the best thing is medical will cover it because of
that - it is done outpatient at the hospital.  If not I would have had to
pay $70 for 45 minute appointments twice a week with a special physio who
actually doesn't really exist for me as they are in short supply and they
come to the house - oh and they don't exist in my community.  So this is
good news.  Will take 4 months for me to get into the program as the
waitlist is long but that is okay.

The storms have passed for now.  We lost power a couple of times and had
some snow but we are on the upper part of the valley so no flooding here
although parts of our community did get flooded (they always get flooded.)

Take care Jo - thanks for asking.

Kelly
> Kelly,
>
[quoted text clipped - 67 lines]
>>
>> Kelly
Nann Bell - 14 Dec 2007 16:36 GMT
Ah, at least you are on the road to getting the neuro physio.  Jump through
one hoop, rest for a while and recover before the next hoop comes along.  Ah,
you must feel like this is all never-ending.

Weather-wise, be glad you aren't here today - beautiful sunsine, but an
Arctic Clipper is coming through.  Supposed to be around zero F tonight.  At
least we've stayed cold enough to have mostly snow on the ground rather than
ice as they have down-state.

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

> I went for the usual blood and urine test today but not feeling good about
> it - bet it comes back positive again.  I feel not too bad though - did go
[quoted text clipped - 15 lines]
>
> Kelly
Squirrely - 14 Dec 2007 20:12 GMT
I hope you have as good as luck as I did. I thought I still had the UTI and
it came back negative. But I still feel like I have it though.

I am glad you got enrolled in the neuro phsio program, that is a good thing.

I am glad that your insurance will cover it. That is a good thing, and an
added bonus.

Your welcome Kelly, you are always thought of even when I don't ask. ;-)

Glad the storms are letting up for now.

We only got one day of rain out of it all. We need the rain so bad. But it
kind of scared me that it rained so long. That was an oddity. ;-) It was
like what the heck is this. We have not had a good rain like that in over a
year. Usually just get those that if you blink, it is gone. ;-0

I am so glad that they will come out to your house too. that is a good
thing. I am glad you will be getting that help.

Signature

Love and Hugs to all
Jo the squirrely one
I am nuts about you.

>I went for the usual blood and urine test today but not feeling good about
>it - bet it comes back positive again.  I feel not too bad though - did go
[quoted text clipped - 13 lines]
>
> Take care Jo - thanks for asking.
 
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