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Wednesday, October 20th, 2004 10:55 am
I got my second set of Killer Death Injections of Doooom this morning.

As before, I pinched myself awfully hard during each one to distract myself from the pain-and-wrongness sensation. (Last time, the welts I made by pinching took four days to fade. Aren't you glad you now know this detail?) Also as before, I have the anaesthetic effect over much of my foot without benefit of actual anaesthesia. Last time, this effect took about a day to fade.

There are dark purplish dots at the entry points where the needle went in. Those haven't faded from last time, so now I look like I have measles or something. If they all stay for seven weeks I won't be able to resist taking a photo of the resultant mess. :-)

If I concentrate really hard I can walk almost-normally with my partially numb feet.
Wednesday, October 20th, 2004 02:08 pm (UTC)
With RA, as it's anticipated that folks will have to have injections off and on indefinitely, we're pretty much limited to three injections anywhere on the body per year, with no more than two in any one joint. It's not good for bones.

And yes, they remove excess joint fluid by aspiration. In my case, he (for free, I love my doctor) used cold spray on it, then just slid a needle in -- it wasn't deep, as it was on the back of my hand, not in my wrist -- and withdrew as much as he could, examined it (thicker = more inflammation, mine was thick but not so much he thought cortisone was required), then massaged a bit more out through the hole. It was fairly non-dramatic, but I've got no needle-phobia at all.
Wednesday, October 20th, 2004 02:17 pm (UTC)
Three per year total, two of which can be in one place? That's... not much. I hope they last a while.

A good doctor is worth his weight in gold fresh homemade chocolate chip cookies.
Wednesday, October 20th, 2004 02:24 pm (UTC)
When I got my hands done (both at once) it went systemic, it was as if the RA in my hands went away, but all over, the symptoms were reduced. A week after the shots, I was able to go hiking at Pinnacles -- three miles up and down steep hills and stairs, and through a cave! -- and saw the condor. After a month, I was starting to get more symptoms everywhere, after three months, it was back to "normal". But that's three months in which I was doing considerably better. If I could have that even once or twice a year, I'd feel very lucky.

Also, my doctor's 6'5", slender, and geeky-looking (me? perv?) and trusts my intuition and body sense. When I say, "Well, I read on alt.support.arthritis that taking grapeseed extract helps with methotrexate side effects, and those folks tend to know the difference between snake oil and good medicine," he accepted that I wasn't being misled my crazy internet talk. He doesn't say, "That can't be RA, the symptoms aren't typical," he says, "You're a puzzle, let's find out how to make you better."

Anyone want a rheumatologist? I'm happy to refer.
Wednesday, October 20th, 2004 02:29 pm (UTC)
all over, the symptoms were reduced.

Ah, I didn't realize that. I remember you talking about the hike at Pinnacles but I didn't make the connection as to why that was possible.

Anyone want a rheumatologist? I'm happy to refer.

I have a friend who needs a good rheumatologist, but sadly she is in Ohio. I reeeeeeeally hope she finds a good doc soon.
Wednesday, October 20th, 2004 03:22 pm (UTC)
you talkin' 'bout me? i'd KILL for a rheumatologist who did more than say "sorry, we've tried everything. i don't know what to do with you"

and from what little research i've done, i don't think we've really tried all that much. i think they just don't want to bother being creative. :P
Wednesday, October 20th, 2004 03:25 pm (UTC)
you talkin' 'bout me?

Yes, I was. Even a mediocre rheumatologist would be a step up for you.
Wednesday, October 20th, 2004 05:06 pm (UTC)
oh yeah. oddly enough, my family doc put me on an older generic anti-inflammatory, and while i'm not 100% pain free, i feel better than i did on any of the newer drugs. i'm not even going to ask why my genius specialists never thought of that...
Wednesday, October 20th, 2004 05:48 pm (UTC)
Heh. Sometimes geniuses are too busy being geniuses to ask if the basics have been tried already.