Dear All
In January I had my first knee replacement and it has taken me some while to recover from this. I am only just tentatively and with the aid of a walking stick going up and down the stairs. As my knee was in a bad state when they operated and also from all the xrays they have taken of various joints, it has made my Rheumy team sit up and take notice that maybe my RA is worse than previously thought. Suffice to say in May I went to see our new RA Consultant and he went right back through all my notes and listened to me. After failing on Humira and Enbrel he has decided that my next step should be Rituximab by infusion in hospital. My DAS score qualified my immediately and within a couple of weeks the funding was through. I have today received my dates for the first infusions. 29th July and 12th August as a day case in hospital.
On my second DAS score appointment the RA nurse gave me a steroid (depo) injection and, although, it took well over a week for me to feel any effect, for the last three weeks I have felt marvellous. I even tricked myself into thinking that maybe the RA had gone into remission. At the beginning of this week I decided to reduce the Tramadol to see if I really was as good as I felt. BAD mistake. Within 24 hours at 3.00 a.m. in the morning I was in agony and as the week has progressed I can feel the steroid injection wearing off. I almost feel as if my batteries are running out and I am so tired.
Tomorrow we are off to Llandudno on a day trip by coach which was booked during the three weeks I felt so good. I want to go as my Husband suffers from depression and he really enjoys our days out and is looking forward to it. I have no idea how I am going to cope so I am just going to have to grit my teeth and try and pace myself as I have real difficulty in walking. I think we are just going to have to sit on the sea front with a blanket over our knees and a flask of coffee. Preferably in a shelter as the weather does not look promising.
On Wednesday I have a mobility assessment for a blue badge. Over the last 12 months I have almost become a recluse. I go to work three days a week, park right outside and come home. For the rest of the time I stay at home as the thought of walking anywhere tires me out just thinking about it. Even going to our local Tescos is too much. I need to get the car door wide to get out so have to park at the very edge of the car park away from other cars. This is the furthest point from the shop and then to have to walk around a Tesco Superstore is just beyond me. I want my independence back as my Husband is going everywhere for me and doing everything for me. If I could just get parked near then I might be able to have a little time around the shops or chemist or bank. I shall be so upset if they turn me down.
I am lucky that I have a way forward with my treatment so am holding out hope that the Rituximab will kill the B cells more successfully than the Humira/Enbrel did with the T cells. However, my Consultant did say that if this does not work then there are very few options left other than trial drugs. Fingers crossed.
Anyway enough moaning. I feel better for typing this.
Hope you all enjoy the sun when it eventually arrives and have a good weekend.
Jackie
xx