Nothing accomplished but the appointment went well.

I was seen by one of Dr. Gladman's fellows (a last minute change), as the fellow who was to see me had to leave early. I thought here goes - it could only be down hill from here. Well the gentleman fellow - put me at ease right from the beginning. He didn't put me down for not being able to explain to him what was going on. He took more time - gentlely coaxing the answers he needed from me.

With a little humour, the appointment ended (two hours later). It seemed like only minutes had passed. As for the humour, he thought he heard this gentle knock, he said "yes come in". Well the knock he heard came from my ankles and hips. We both had a good laugh.

What was decided:

1. No Nsaid will be tried ever
a) because of sulfite allergy
b) and because of my bronchial asthma

2. No Enbrel yet until a decision has been made whether I have MS or not. (It was determined I have lots of Neurological stuff going on.) Dr. Gladman wants me on Biologics, for my Spondylitis. No meds until I see MS doctor. They want to move my MRI of brain up, from April to ASAP. If I have MS no Biologics will be offered. I am tired of going back and forth in regard to MS.

3. Dr. Gladman will be referring me to an Endocrinologist, for Adrenal, and Thyroid problems, as that is not her field.

4. Blood work, and other test is to be ordered ASAP, to help determine Porphyria.

5. Back, Ankles and feet bad, Dr. Gladman said that this was part of the Spondylitis. At this time I might be heading back to Ankylosing Spondylitis diagnoses. The dermitologist says I have no Psoriasis showing.

6. I got a scolding of sorts for not going immediately to a doctor, for my painful eyes. I told them that last time I went I was told likely Sjogrens, no further test was done. Both doctors said not to let this happen again. Now that I know I am dealing with Spondylitis, they want me to make sure I take better control of my eye pain.

The doctor (fellow), made me feel good about myself. For a short time today, I could say depression was lifted. I am so happy to have Dr. Gladman as my Rheumatologist. I would recommend her to everyone.

Reading over what I said, maybe a lot was covered. I just felt I had no final answers. Diagnoses of Spondylitis is good. (PsA or AS is still to be determined.)

Hugs to all

Gerri