Hi my old rhumy has been in touch surprised I have been given Methotrexate. I have Sero negative inflammatory arthritis with osteoarthritis. Any thoughts would be appreciated. Bigal45@
Methotrexate : Hi my old rhumy has been in touch... - NRAS
If you had symptoms that merited being put on MTX then that’ what’s right for you. Sero-negative/sero-positive makes no difference. Perhaps when you had seen this old rheumy it was much earlier in the disease process?
Or is he old-school? As modern approach is to hit it hard and quickly, and then reduce drugs. Not start with an aspirin and wait till joints start being deformed before trying anything else.
Yup, I’m with Gnarli on this one. And even if it is one of the other diseases that come under the general heading of inflammatory arthritis, MTX is commonly used as first line treatment too.
Sounds like you are being bounced around in an internal war between these two docs. It is very bad practice to undercut a colleague, so old rheumy should have spoken to new rheumy rather than you. It is not fair on the patient as it’s not your job to sort out their conflicting advice. Personally if I was in a super-assertive mood I would tell old rheumy that, and to take it up with new rheumy.
I'm more intrigued why he's concerning himself with your care, unless he's deputising for your current Rheumy? Either way, if your current Rheumy considers it's the best treatment for you he's the one you work with. You have a current diagnosis of seronegative inflammatory arthritis, a systemic condition & yours warrants MTX, it's not an unusual treatment. RD, PsA & AS are also inflammatory arthritides, maybe your Rheumy hasn't arrived at a final diagnosis, perhaps it will turn out you'll be either of the second two considering you're currently seronegative.
I hope it's helping.
I was diagnosed sero negative with inflammatory arthritis 2 and a half years ago and the first thing they did was try methotrexate. Didn't work for me because it triggered my asthma, but anyway....
My rheumy at the time said that he gave me that diagnosis as an umbrella term as he couldn't pinpoint whether I had RA or psoriatic arthritis, but the treatments remain the same. My new rheumy just says I have sero neg RA. I'd definitely go with your current rheumy's thinking.