It was an hour long appointment which I only summarised. There were other things he mentioned, like a slight rheumatoid factor at the last bloods where in the beginning there was none. He wants to know if that and a few other things have changed. As has been discussed here at times, things can change over time, leading to a different diagnosis. In my mind, it doesn't necessarily mean the first diagnosis was wrong. There are sometimes other things going on as well, as you know.

My challenge now is to keep this reduction going smoothly, as I told him I'm not interested in methotrexate, which he mentioned as a possibility if there is a second flare. I'm trying to keep an open mind while being firm on a few things. Cheeriness and social graces are not my strong point at appointments either. 🙂