I feel the same. No more biologics.

I know Dr. Vogelgesang. I actually saw him long before I was diagnosed with PMR. I was diagnosed with reactive arthritis but it wasn't causing any problems.

I also had advanced degenerative arthritis in my right knee caused by a sports injury and knee surgery as a teenager. I was just wanting to "establish care" at UIHC but I wasn't having any difficulty at the time. I started having problems a few years later but I didn't reestablish care in rheumatology. That was a big mistake on my part. I should have went back much sooner than I did.

Dr Volgelgesang did have a good sense of humor. My knee was hurting more than anything. He said at 35 years old, I was too young to have a knee replacement. He said there wasn't much else that could be done except for NSAIDs. Then he asked one of the residents what was the "flavor of the month" for NSAIDs.

I saw him occasionally after that visit but not as a patient. He would always ask me how I was doing. I didn't tell him about my problems because I didn't think I was having a rheumatology problem. I was just having recurrent flares of uveitis and my ophthalmologist was treating flares of uveitis with prednisone. I was self medicating with left over prednisone which worked well for all the additional pain I was having. My knee wasn't hurting at all.

I didn't reestablish care in rheumatology until I was 52 years old when PMR was diagnosed in addition to reactive arthritis and uveitis.