I’m Stopping

I’m dropping the Enbrel. It really IS too much of an immunosuppressant for me. I’ve been very careful about catching viruses. Been resting my mask and going to shops when it’s not full. But what about bacteria?

It seems the paronychia is back.

I’d never been convinced it was fully healed anyway. My rheumy had seen fluid still inside my finger -even though I felt no pain-when she performed an ultrasound on it when I showed her it was still puffy.

The GP agreed it looked infected but the hand surgeon told me it was ok. It was just going to remain like that but was ok.

Well, the same finger is painful, had the small peeled off area and is more swollen than before. I’ll treat it conservatively today-hand elevated, salt soaks, topical antibiotic cream, and hope for the best. Last time it took three round of antibiotics to look kinda ok (though still worrying to me and the GP!)

This photo is today. Not too bad yet. The pain level is at the level at which I ignored it last time then couldn’t sleep that night and it had become awful by the next day. I hope it goes down instead of ‘up.’ My husband saw the picture and texted, “No more Enbrel.”

I’ll also contact the rheumy and ask what the plan is regarding treatment and tell them I’m officially quitting my Enbrel despite the three syringes left in my fridge. Or ask for recommendations for people who treat paronychias. But I’ll do that IF this doesn’t get sorted or if one round of antibiotics doesn’t get sorted. I’m holding out for Monday morning when I can see the GP who treated the first attack that wouldn’t disappear.

Sigh!

So…

Antibiotics finished.

Infection still around.

Definitely no injection tomorrow as was meant to happen.

Slightly desperate times. But at least my whole hand is not sore anymore and though worse than the day I went to the GP, slightly better.

Maybe Friday?

Please this week…

The pharmacy guys phoned to ask if they should order my last bkx of Enbrel (the script is for three months at a time.) I still have four injections in my fridge and surgeon and anesthetist’s bills to pay, so..no.

I’ll wait.

Hope.

Watch

Pray.

And beg for a chance to wage war against this disease.

Too Many (for AS patients)

Alright. This is for AS patients who are still actively trying to figure out if they’re on the right biologic. Those who are new and not sure of what they’re experiencing is normal, and don’t know if they’re the only ones dealing with random issues.

This is my bit to speak for all the patients who write in groups that the medication is working BUT the side effects are unsustainable. Here’s why it’s hard for ME. This post is for all the people who wonder what actually CAN happen?

So, Enbrel is not going to leave me unmarked -internally. It’s a lot going on and I have not been telling anyone the extent to which it’s impacting me.

Damned if you do, extra damned if you don’t.

Fatigue. AS already is a disease marked with extreme exhaustion. The day after my injection, I suffered a lot but today that aspect is gone.

Just know that some problems you might have had before starting Enbrel (or any other biologic) can spring up worse and more often. I’ve had a problem that began 24 years ago and was bad enough for me to get help many times, but no real answer except to be told it’s going to stay with me forever and will keep flaring up, and to be told only total deep surgical excision would get rid of the problem. (Hint- staphylococcus bacteria is sometimes impossible to get rid of)

Just know that sinusitis can do weird things when you have Enbrel in your system. Like your nose pouring out what might as well be water uncontrollably.

Just know that you can have gastrointestinal problems that also last days. Think the opposite of the IBS I have. (Mine is constilation dominant.)

I don’t know, warriors. They say side effects get worse the more you have it in you. I don’t know what that will look like for me. I don’t know if I’ll settle down instead. I’d like to give this a real chance to work.

Back to the staph issue and what the dermatologist said about deep surgery…It would mean I’d also need reconstructive surgery and skin grafts given how widespread the problem is.🥹 And you have to quit your biologic if you’re due to have surgery. So even if I was contemplating it, stopping AGAIN before Ive found out it if it works is not something I’d do unless it’s a matter of life and death or permanent disability. We need to know if this is even the right treatment.

It’s one thing to be told, “I had to try so many meds before I could find one that didn’t impact me” to actually live it. How bad is bad enough to try something else? And now I can understand the patient whose rheumy changed her meds because of her side effects, a change which which made her upset as she felt the biologic was helping the AS so would have preferred to weather the side effect stork and control the Azs. Uncontrolled AS is awful. Worse (for us) than the side effects sometimes. But the side effects can kill. And maybe the rheumy knew what was ahead…

And so… we walk on blindly. Nobody who has lived our specifics, nobody we tell our specifics to. Just hoping for a break.

That’s AS reality when your disease is not yet under control and you’re still new to a biologic.

On the positive side, my skin hasn’t reacted to the injection. No site reactions. Some people have to quit because of them as they spread and become thick, permanent and get painful and… So though I almost forgot to add it in, it’s important to note. At least that’s not a possibility I’m dealing with.

Yikes

Injection number 2 was not as great as number 1. The meds stung going in, whereas the first time I didn’t feel the liquid at all. The welt was not as bad and the following day I didn’t swell there unlike last week.

But an hour later, I felt like a volcano. Sorry for the TMI but this just might help someone else who gets this reaction. They’ll know it’s not only them. Just under an hour after I injected myself, I needed the loo for a number two if you get my drift. But before I could get up from the loo, I felt this awful burning fire going up from my groin and making my belly feel like it will explode.

Fire spread up to my navel, then up to my sternum. I was in excruciating pain, I almost hobbled out to my son to ask him to take me to hospital. I’ve never felt that before. I was on fire inside. And the movement I had had was very loose. Sorry again…

I couldn’t bear the pain yet didn’t feel I should go to the hospital. I googled kf Enbrel can cause stomach problems and found this.

What would they do at hospital seeing as this was normal anyway? So I sent voice notes to maybe five people, and begged them to pray for me.

One told me my voice frightened them. A male. Another asked if I wasn’t sure I shouldn’t go to hospital. My mom in Zimbabwe-she felt utterly helpless and asked where my husband was.

Speaking of husband…He’d commented that it was my day to do my injection and asked if I was ready. I told him, “You know, I don’t know. I don’t know anymore. I need to try. But some with reactions get worse with each injection. What if it becomes worse than just the thigh issue and mild headache?”

Boy was I right! But I didn’t expect it at all! Not this! And here I am blogging two days later and my stomach isn’t doing great.

Time will tell…