Good doc and visit, pred weaning | Arthritis Information

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I saw my new rheumy yesterday, doctor #3 and a keeper. Humorous, had all the time in the world for me and my questions. He asked me about the time frame of a symptom, and it took me a minute to find it in my notes, and he simply sat there and waited for me.

WOW! Remember my previous doc that took my questions with his hand on the doorknob?

I asked to go off the 5 mg per day of prednisone, and he gave me a regimen to wean myself from it that will take a couple months. This is a very long, drawn out change even though I have only been on it for a little over a month and am taking a very small dosage. Quite cautious. I have read much about steroids on this site, with people who are taking huge doses, and as I understand it's the last little bit that you must be so careful with as you are going off the medication.

My liver tests were good, and he said I'm doing very well, and I don't have to go back for two months. As I drove the thirty miles to the office with white knuckles due to the icy debris on the roads, I was wishing we could just do this on the phone! Next time we'll be that much closer to spring.

Here's hoping that my progress isn't entirely due to the prednisone, and that the MTX will be working as I slowly go off the steroid. Other than a rash all over my stomach and back that I can live with, the MTX is not bothering me at all.Glad your visit went so well   Sounds like this doc is definately a keeper. Isn't it great when you find an RD that is a good fit.

 I sure hope that everything continues to go well for you
And better yet that you are doing so well!
 
I hope you continue to improve and do well even without the prednisone. I would hope that the pred is not what is making you feel like you are doing so well, since you are on 5mg. 5mg of pred for me is like taking an aspirin, which does not do much of anything for me. Not much help on swelling, but it does help with my stiffness.
 
I am weaning off of 10mg of prednisone. I get to wean 1mg every 4 weeks. It does not bother me too much when the Remicade is working, but I seem to need it when the Remicade starts to wear off. I do not know how I am going to handle it all, but I need to get off the pred I have been on it since 2004. Mostly at a low dose of 5mg, but I have been on as much as 20mg, and then 15mg of several months, and then my current dose of 10mg.
 
 
joonie2009-01-14 06:11:44Congratulations!  We need more rheumatologists like this jewel - do you know where he got his training?Hi Blue, it's so important to find an RD who you can partner with.  That's sometime 1/2 the battle.  I'm happy that you're weaning and since you've only been on it for a month you shouldn't have much of a problem.  Take care.  Lindyglad to hear this!!  you got a gem from the rock pile for sure!! Babs, Great news! So happy for you!Ditto what Babs said.  I've seen some real winners in my time believe that.  The one that I got mad at and left turned out to actually be the best one I've ever had.  I'm going back to her in April and in the meantime trying myself to wean down on prednisone though I'm on a much higher dose than you.  (45mg daily and dropping...yay) 
Glad you found a keeper, hope I can soon too.
 
Bob
Hmmmmmm....Im jumping in on your thread Bluehour as I reduced my Pred from 5mg to 2.5mg yesterday. My Rheumy said to stay on that dose 3 months then stop. I have been really worried about this drop under 5mg but he did say to go back to 5 if I have probs and go see him again.
There does not seem to be a general consensus amongst these ' specialists' does there! Some have their patients reduce over a long period with bigger mg drops, others short time, small mg drops. I dunno....
One thing I am gonna do after this last week of feeling very achy is go back on the 20 mg Tilcotil /Tenoxicam( a once daily antiflamm) and hope that helps. Today I couldnt get the laundry in as my shoulders were so damned bad. Grrrr.
 
Hope it all works out for you. A rash all over your stomach and back??! Is it itchy? Did you lose your hair like I did?  Well, if you can live with it I can too.:)  My liver enzymes were why they eventually stopped MTX all together.
Great news about the new doc.  It has been at least 6 for me and no good luck yet.  I just hope I find one before I am totally crippled and unable to do anything for myself.  but so far they are a little too nonchalant for me and I am telling them my hands are becoming completely useless to me, all 3 types of deformities. or they are rude and dismiss symptoms and complaints, abrupt and kind of like your last one, talking a mile a minute and always running out the door before I could respond or changing the subject so he can leave quickly.  I felt like cattle.  Moo.
Lyndee, he has me taking what seems like a long time to wean myself off. Two weeks alternating half a pill one day, a full pill the next. Two weeks half a pill a day, two weeks half a pill alternating with no pill, etc. So he must be of the slow wean school, which makes good sense to me. Also, I haven't been on MTX long so it's probably not kicking in yet. I took half a pill yesterday, and last night my hand and wrist started aching. Uh-oh. I can take three NSAIDs instead of two if it bothers me coming off the pred. I told the doctor, I don't mind some more pain to get off the steroid. He also told me to stop dropping dosage and call him if I start to hurt excessively.
Shelly, my belly rash is itchy but not terribly. I have not lost any hair and was hoping to avoid it by going off pred before much time had elapsed. My liver test was fine, which I'd been a bit anxious about because I like my booze on the weekends. Slight anemia but he said that's normal with RA.
Bob, hang in there with dropping your prednisone dosages. I think slowly is the way to go.
I do feel lucky with this doctor, so many horror stories out there. As the patient you can be firm and stand up for yourself, but there's only so much you can do when you get a rude, condescending, jackass.SnowOwl, my doc said well, we can try something other than MTX and I said NO! If this is the worst thing I have to deal with, since it hasn't upset my stomach or caused me any other problems, I'll handle it for now and hope that the rash lessens with time. I'm a little concerned because he said the pred is probably helping with the rash, and I suppose as I go off it my itching might intensify. And at this point I am trying to get used to all the freakin' drugs I am on now, rather than add another one. As long as it stays on my belly and doesn't creep out all over the rest of me!
I admit I hesitated to post the positive news about my current treatment and my new doctor. So many folks on this site have such a hard time with their RA that I didn't want to sound like I was gloating. I know things won't always go this smoothly, but my life has been turned upside down since diagnosis last fall and it was the first time I felt something good had happened. Obviously all the kind comments from everyone who wrote me make it clear that people like to hear good news too. Thanks to everyone for their encouragement. Maybe take benedryl to help what the prednisone helps with the rash?
 
Not sure you can take benedryl all the time though.
 
I am not allregic to many things... only sulfa and oscar meyer weeiners. And I love oscar meyer weeiners. It is a shame, but I will still eat them and take the rash and itching! SnowOwl, according to the doc it looks like a "drug rash." The two drugs I've been on consistently since it arrived are MTX and prednisone. I was also on celebrex at that time. About ten days into the rash I quit taking celebrex (thanks to Blue Cross refusing to pay its portion of my drug costs) and was put on Salsalate, which after four doses made my ears ring so loudly that they almost had to take me away to the funny farm. After that I started on nabumetone. So this is my roundabout way of saying it's either the MTX, pred, or celebrex that caused the rash. Doc said pred would make a rash better rather than cause one.
That reminds me of one other great thing that doc did, as long as I'm bragging. He asked me when the rash showed up and I started looking through my notebook to find the date. He sat there, waiting patiently, without doing anything, while I looked. Former doc would have been out the door and thirty feet down the hall if there had been that long a silence.
Joonie, what a tragedy about the weeners! Sounds like it's worth the pain though. I admire your persistence.
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