Only 2 weeks to go until my gallbladder op - managing on a low fat diet to keep gb symptoms at bay. Pain meds are helping with painful joints. Worried about op due to heart condition but it has to be done as gb neck is blocked and wall is thickened due to infection.
Rheumy appt was a bit confusing. He said that Methotrexate and Sulpha made a very strong combination and could well have brought about such a widespread infection due to super-efficient lowering of immune system. Am off all DMARDS now until 4 weeks after op ( 8 weeks in all) but he said that it's up to me whether to go back on Meth or Sulpha - apparently I won't be going back on both. I asked his advice and he said that Meth is the "Gold Standard" but, having thought things over, I believe monotherapy is meant to be next to useless. And if the Meth was potentially the cause of this infection (of course the blockage allowed an infection to start) should I even consider going back on it or would all effective DMARDS maybe cause the same? Where to go from here? I must remember that, immediately before being rushed to hospital, things were not great with my RA either - not much improvement after 6 months of Sulpha and just over 3 months of Meth, hair falling out since well before Meth but thyroid tests were normal. Too much to think about! I think I must just get the op over with and take it from there as it's been difficult to tell what to put symptoms down to.
Just rambling to myself but hope anyone reading this is having a "good" day