I had a hospital visit with the rheumy nurse yesterday, I wasn't sure at all what was going to happen so started inventing all sorts of harrowing scenarios! In the end it was just an info gathering session for both of us. There were forms with lots of questions about family health and health history and double checks to make sure I had had the right tests. These included: Two visits to the rheumatologist four weeks apart to confirm my RA was still active; tests for TB; other blood tests (always more and more blood tests LOL, I'll end up drained dry at this rate!) Then the serious info about dangers and infection protocols and carrying a card with me at all times.
Then I was asked which drug I wanted to take. This surprised me. I said I thought they would choose which one was the most appropriate, I hadn't done a huge amount of research on individual drugs. I chose Humira because it seems to be the one most people take and my Rheumatologist mentioned it during our last consultation.
The pen injectors for anti-tnfs are huge and very technical looking, not like the ones my mother uses for insulin! The nurse showed me some dummy ones. I was read the riot act about caring for them properly when they are delivered, as they are very expensive. I was given an introduction pack with a CD rom too.
Now everything has to go off for approval and I will be contacted by the company that deals with Humira (anti-tnfs appear to be distributed privately, you can't just go down to Boots with a prescription).
Unfortunately the timing of when I can expect to hear from the company coincides with us moving house when we will be without a home phone for a short while.
Check back soon for the next exciting instalment!