Today was my first rheumy nurse appointment. I had requested it due to elevated CRP and it was timely because on Friday my GP refused to prescribe MTX without another blood test even though one wasn’t due. Anyway, the nurse was absolutely lovely. She spent a full hour going through stuff and getting a more senior nurse to take a look. I was shocked to hear that my liver enzymes were suddenly high. So they took blood there (they were kind enough to pick up the forms and have the nurse do it as phlebotomy was heaving) to check again. Upshot is that she’s prescribed more steroids so that I can stop naproxen again and also now added Sulfasalzine with MTX in the hope that the pain and inflammation is kept in check. I’ve got to wait for the blood test results and the nurse will call tomorrow. What I forgot to ask was what happens if liver enzymes are still high as I know they’ll stop all medication except the short steroid course.
Despite the surprising liver result, which the gp didn’t think to let me know, I’m confident that I’m in safe hands with the nurses.