Replies to I'd never try to compete with you for the longest list of subsidiary ailments, but did…

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Polymyalgia Rheumatica (PMR) | Last Active: 20 hours ago | Replies (24)

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@megz

I'd never try to compete with you for the longest list of subsidiary ailments, but did you notice the "etc" at the end of my list? 😉 The sudden onset of those new ailments immediately followed the flare, so I attribute them to increased inflammation rather than PMR or prednisone. Chronic or excessive inflammation is damaging, with or without PMR.

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Replies to "I'd never try to compete with you for the longest list of subsidiary ailments, but did..."

Mike | @dadcue | 2 days ago

Chronic systemic inflammation was how my rheumatologist described everything. My electronic medical records document every correspondence we had over the years. One time I tried to pin her down to get her to say exactly what diagnosis I had. This was how she responded to me. She only addressed my main concerns.
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"Dx: PMR with a history of reactive arthritis.

Prednisone does not protect your lumbar spine. If anything, due to increased risk for osteoporosis, it actually threatens your lumbar spine.

Adrenal insufficiency: There is no rocket science for the issue of adrenal insufficiency--it just means we need to taper carefully.

Our treatment goal was to do slow taper to get you to 5 mg/day then just keep you there for a while. Suggest tapering by 0.5 to 1 mg per month. Goal is to get to 5 mg/day if possible, then hold there.

Let me know if you hit any snags before you reach 5 mg/day."
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This conversation predated Actemra by a year or so.

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