Well had my appointment. So now can't walk , have massive lumps on hands feet legs wrists and ankles. So I just went in and said can u put up with a miserable woman on your Friday afternoon clinic.
So he said well I think you are in for a long haul, as I said come on now 2 years is enough! He said keep on the Humira and ARava and have steroid injections one yesterday, another two monthly as well. So he said if I was going to glasto now, I wasn't well enough, but I said well you have two month to cure me!! Thus the above plan! I asked about extra therapy or more often therapy but he laughed and said you are on three things, well that's true!!
So keep on with physio, when inflammation settled will see hand and foot doctors.
I asked the question about seronegative RA that you asked me o. So he says sero negative RA normally stays sero negative but certain medicines can change it to sero positive!! But not Humira. He said that seronegative generally causes less joint damage than sero positive, but there is always exceptions and the treatment is the same anyway. So there you go, out of the mouth of genius boss.
So I will hang on in here resting today after the steroid but immediate cold came last night. I always pick things up in hospitals!,
xxx 
Aggressive Targeted B cell Approach to RA
Am really confused. 
Psoriatic arthritis
