REMISSION!: It is with great pleasure that I... - PMRGCAuk

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REMISSION!

Marie1479 profile image
34 Replies

It is with great pleasure that I announce I am finally in remission! After 4 years dealing with PMR I am back and a better version of me! I want to thank everyone in this forum who supported me, answered questions and calmed my nerves. I was a frightened, very sick women when I joined this group. Your support and concerned got me through the raging waters of PMR.

I was one of of the first to take Actemra and really fought with myself about doing so. Thank God I did. Actemra allowed me quickly taper down Prednisone to 7MG then I continued with the "Dead slow and nearly stop reduction plan". Actemra allowed me to continue to work full time and live somewhat of a normal life. The only side effects I had from Actemra was a bit of heartburn in the beginning but that subsided and it shot up my cholesterol from 185 to 295. I did have to go on a low dose statin every other day which I had no side effects from. Now that I am off Prednisone 3 months and the biologic 6 weeks I am happy to say my cholesterol has dropped 85 points and will continue to drop once the biologic is completely out of my system.

Here is what I learned:

The Dead slow and nearly stop reduction plan from this forum WORKS. Do not let anyone tell you otherwise.

Pilates, swimming and walking were the only exercises I could handle. Some days I would have to drag myself to Pilates but by the time I left I felt fantastic. My doctor believes Pilates was essential to protecting my bones which I reversed osteopena!!

Hire a nutritionist if you can! I found one that was covered under insurance. I followed a anti-inflammatory type food plan and took supplements (approved by my dr) and felt a lot better. When I first went on Prednisone my glucose which was always normal went to almost pre-diabetic. I was able to reverse that as well.

Hire a therapist if possible. Cognitive therapy is essential to healing. Dealing with Chronic illness is no small feat. My GP recommended a bereavement counselor as losing your health and lifestyle is a huge lose.

Work with a team of doctors that speak to each other when possible. All of my doctors are in the same network. It was key when treating me.

Resting when that "PMR" feeling starts to take over. I literally would drop everything and take a 15-20 break. During the pandemic working remotely allowed me to do this more often.

Saying no! I love to entertain and cook. I had stop when I got sick. I just couldn't handled it with the fatigue. Also going out at night or long periods of time was out too. All I could manage was work and home. Thankfully that has all changed!

Yes, your hair comes back :)

Yes, with good nutrition and exercise the moon face and Prednisone figure goes away.

Tapering was extremely difficult as you get closer to 0. I was at 5MG for a LONG time. Although I was using the Dead slow and nearly stop reduction plan, I would sometimes feel awful for a couple of days when I dropped a dose. Going from 2MG to 1MG was tough. I would feel fluey and a dark cloud came over my head. On those days I rested, watched happy movies or shows, heating pad and either Medical Marijuana or Ibuprofen. I kept a journal of each day so I could compare the data and remind myself that this shall pass.

Peppermint oil helped whenever I had that PMR flu-like feeling. I would rub a drop into the palm of my hands and cup over my face. It helped with the nausea.

A month before the pandemic, I made the decision to retire after 25 years of education. I knew it was time and believed that self care was essential to my recovery. Little did I know what was to come in the following months. I live in Long Island, NY and it was a nightmare to say the least. I am grateful that I had the opportunely to retire as I don't think I could have handled the stress of going back to school in the current climate.

Today, I am a different person. I don't sweat the small stuff anymore. I am also very guarded with any type of stressful environments or people as I know PMR still lurks in the darkness ready to rear its ugly head when activated. If that ever happens, I now have the tools and know-how to tackle this beast!

~Marie xo

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Marie1479
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34 Replies
Richnroo profile image
Richnroo

That is fabulous! Thank you for sharing!!! Were you able to get on actemra for just PMR or did you have GCA also?

jinasc profile image
jinasc in reply toRichnroo

As you are in the USA, the answer is yes............

Marie1479 profile image
Marie1479 in reply toRichnroo

Thank you. Just PMR

Dontwannabesick profile image
Dontwannabesick

Congratulations. Keep well.

Marie1479 profile image
Marie1479 in reply toDontwannabesick

Thank you

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Well done.

I’m sure your story will help many, but probably not as relevant for those in UK, where Actemra is only used occasionally for GCA patients, but not PMR....and certainly no access to medical marijuana.

Nevertheless nice to hear a success story.

PMRpro profile image
PMRproAmbassador

What good news.

Lots of your post is exactly what I would say - with or without Actemra/tocilizumab which isn't an option for many of us. Nor is medical cannabis.

Marie1479 profile image
Marie1479 in reply toPMRpro

It’s a shame that Actemra is not available yet for PMR everywhere.

PMRpro profile image
PMRproAmbassador in reply toMarie1479

I doubt it ever will be, especially in a post-Covid economic climate. Or at least, not until it is as cheap as pred - the number of PMR patients would cripple any funding system.

tangocharlie profile image
tangocharlie in reply toPMRpro

I think I would happily pay £17,000 which I think I saw quoted was a year's cost to be rid of this darn disease if I could be pretty sure it would work. By the impact of being forced to give up work and even in the first few years severely reduce my work as I was self-employed, I reckon this disease has cost me about £100,000 at least in lost earnings let alone the misery of it all.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply totangocharlie

£17k - based on what? Not just Pred that’s for sure.

£100k - that’s seems a lot even for your tortured journey.

PMRpro profile image
PMRproAmbassador in reply toDorsetLady

Tocilizumab - though I think it is $17K, a mere £12K ...

tangocharlie profile image
tangocharlie in reply toPMRpro

I'd pay that if I could be sure it'd cure me. I might ask SM about it!

PMRpro profile image
PMRproAmbassador in reply totangocharlie

It all depends on whatever you have being due to IL-6 mediated inflammation.

tangocharlie profile image
tangocharlie in reply toPMRpro

I thought SM said in her talk the other day that both PMR and GCA were iL6 related? Excuse my ignorance, I'm not at all medical or scientific as you know. There have been a few TCZ success stories shared on here now, enough to make me optimistic

PMRpro profile image
PMRproAmbassador in reply totangocharlie

Yes they are - but GCA is known to have 3 different mechanisms for creating inflammation and that is why tcz only works for half to get them off pred altogether. It is assumed IL-6 is involved in PMR but as you know there are different versions of PMR and they don't really know the underlying mechanism - I think there are obviously different ones because steroid sparers work for some and not others.

The trouble with biologics is that they are always very specific, you can't use two together and if 2 different mechanisms are involved you won't get 100% success.

tangocharlie profile image
tangocharlie in reply toPMRpro

Thanks for the info

tangocharlie profile image
tangocharlie in reply toDorsetLady

The price of TCZ - I think that's an underestimate if anything of the earnings I have lost due to PMR, based on what I used to earn when working up to 2012, 8 years x around £15,-20,000earnings difference. I was only 51 when I got it, and my 50s woud have been prime years for earning before retirement. I don't get a pension until I'm 68, probably never, as the government will abolish pensions to pay for this Covid fiasco

gca5 profile image
gca5 in reply totangocharlie

Covid fiasco. fiasco: a thing that is a complete failure, especially in a ludicrous or humiliating way. Well put.

SheffieldJane profile image
SheffieldJane

Wonderful post. Lovely to learn about the happy ending. Thanks for the tips. Enjoy.

musicality profile image
musicality

What a joy 2 read that someone has beaten the beast! Good luck 4 the rest of ur life. Yes the dead slow and nearly stop is the best way. Did u try methotrexate or any of the other Dmards first?

Marie1479 profile image
Marie1479 in reply tomusicality

Yes in order to qualify I had to try methotrexate first which didn’t work for me.

Richnroo profile image
Richnroo in reply toMarie1479

Well that’s annoying. I believe it’s pretty much established that methotrexate has not much effect. I’m in the states too and hoping to try actemra. If no proof of GCA I guess I’ll have to try methotrexate too first. Regardless, what a wonderful outcome for you! And thank you for the tips!

PMRpro profile image
PMRproAmbassador in reply toRichnroo

It does depend on the patient - it can make a difference for some and on that basis is worth a try. What isn't worth it is putting up with severe side effects from it.

Richnroo profile image
Richnroo in reply toPMRpro

For sure!

Longtimer profile image
Longtimer

So good and uplifting for us all......lovely tips also......I often wonder how some people are that used to post on.here, but not any longer.....

Well done, keep well.and enjoy your retirement!...👍

powerwalk profile image
powerwalk

Best of luck. I hope you keep well!

Carriemetz profile image
Carriemetz

Wonderful post! Hope for us all. Bless u and good luck with the rest of your retirement/ life. Enjoy - u deserve it!

tangocharlie profile image
tangocharlie

Wonderful news, thanks for all the info

Pixix profile image
Pixix

Great news, love very to read it! S x

York54 profile image
York54

So good to hear positive stories on here. Take care and enjoy your retirement. I’m a retired teacher , took it at 55 and never regretted it one iota! 👍👍👍

123-go profile image
123-go

So pleased for you and thank you for your inspirational story. I could identify with many aspects of your journey which is somehow very comforting.

I wish you well for the future.

GerriMc profile image
GerriMc

Well done! Thanks for sharing this. It’s so good to be reminded that normal life is possible. X

jannie21 profile image
jannie21

Welcome to club zero, there are a few of us that that still read all the posts and help where we can. Good luck for your future Jannie x.

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