Dr. Soloway you asked so I have another question about a quote that I have posted below that is related to this video and my own heath risk. It might be a subject for your next video. "says Anthony Perre, MD, Internist at our Philadelphia hospital and Chief of the Division of Outpatient Medicine for Cancer Treatment Centers of America® (CTCA). “For example, many autoimmune diseases may lead to inflammation, which has been implicated as a factor in the development of cancer.” Also to the gentleman who wrote in asking for help: Call Dr. Soloway's office to get an appointment and go see him in person that is the only way. I called and got an appointment for when I needed it the same day so I think you can too and I wish you the best of luck. Sometimes you have to go to where the talent is to get things right. C. Lotz
Dear Dr, you just diagnosed my daughter. Thank you for finding this and beginning her treatment. You are an answer to prayer, she was in agony before treatment. God bless you.
Thank you so much for the video Dr. Soloway! Very informative, and you explained seronegative very well which I greatly appreciate. Looking forward to meeting you in June for my appointment and watching future videos. Have a great weekend!
I think the problem with Seronegative RA, there might be some antibodies doctors don't know about yet. I've been dealing with RA for 10 years and my tests come back normal. I was a bit shocked to see my tests normal with the flare cycle that started in October 2018. This is the longest flare and more aggressive flare I ever dealt with. On top of it I had Hives in the past and now noticed the more active my RA cycle is, the more Hive out breaks I have. That's why I think there could be unknown antibodies and inflammatory markers.
I agree- all antibodies arent known .if they are hypothesized to all exist.i would suggest "flares with hives ;iyou havent had a fully thourough eval and have another diagnosis. Remember the inflammatory conditions often respond to treatments irrelevant of diagnosis
Thank you for the reply Dr. Soloway. So far I've seen two Rheumatologists in the past, first one I didn't like and the one I have now seems pretty good. She did a whole lot of blood work from lymes to hepatitis to different Autoimmune diseases. She said l definitely have an inflammatory condition. Whatever it is, don't like my joints and I don't see any diagnosis for this to have a cure.
Sometimes it is much important to know how to treat what you identify, even though what is seen may not have a true name(at least at the moment) for what its worth most seronegative ra (named by rheum dr) often have psoriatic arthritis or gout
Being RA, I've always found myself in two minds about becoming schizophrenic. I'll have to put that one to a vote. 😜😂😂😂 That aside...excellent and informative vid! From the other side of the pond, enjoy the rest of the holiday!
This has been a very informative video Doctor. I have been treated for PMR almost a year and have had small joint pain as well as the other areas of upper and lower girdle pain, foot and toe pain. Am down from 10mg prednisone to 1mg on alternate days. But the finger pain has been worrying me as I don't find other video's which describe patients with PMR also having finger pain. Several months back I had pain in every finger joint on each hand. The prednisone was only mildly effective for the finger joint pain, and maybe 40-50% of that pain is still with me, unlike the pain in other areas which was totally eliminated during much of the course of prednisone. I guess the question I have would be: How much pain should I expect to continue if I am successful in getting off the prednisone? Thank you.
I would love to hear where Jaccoud’s fits in these situations. I was told I had seronegative RA since I was 16. At the age of 35, my new rheumy told me I had Jaccoud’s... I’d love to hear what you think about Jaccoud’s... Stripes was the best 😊
Dear Dr. I am a student from Malaysia. I need some help. What should I do? When I was seventeen, I was diagnosed with fibromyalgia. The pain came about after a small hairline fracture on my knee after falling in a drain. My knee healed but after some months I had pain all over my body. They gave me lyrica. It helped from age 17 - 24. When I was 24, now, 25, all of a sudden my knees and feet hurt. They first diagnosed me as osteoarthritis and now bursitis. After a year of pain on knees, it move to the hip. The same kind of bursitis pain. Right now, I can't even sit on a chair. What do you think? I have tested negative for rh. What should I do? I am about to see a rheumatologist in Malaysia. Does it sound like I have sero negative arthritis. My other symptoms are tmj and fatigue. I have no eye pain or chest pain or anything. I am very sorry for the long message. I need a break through. Can you please advice me on what I need to report to the rheumatologist. I don't want to appear to tell them what to do. I just want to get help and move on. I need to help them to help me. Sometimes, I am not sure of myself. The pain changes me to the point I start thinking maybe I am crazy like they said. But I am telling the truth. I have so much to live for. Why would I want to be crippled to my bed? I am about to graduate with a degree in psychology and have been in pain for nearly a decade . My parents are getting older. I am getting older and tired, I want to find closure and get on with it. I am a fighter. Should I ask them to allow me to try anti inflammation meds. Is there particular tests I should do? I really need your help. Health care in Malaysia is still not too good and doctors are not up to date on many things and most of the time tell patients that is in their head. Right now, I take acorxia when necessary. Molly
@@StephenSolowayMD Thank you very much Dr. I appreciate your response. Look forward to hearing from you. I hope one day you will come to Malaysia. Safe journey.
I just came back from the Rheumatologist for seronegative RA and he put me on 40 mgs of Methotrexate. Is that a standard starting dosage for this condition for an adult? He told me it would take about 3 months to know if it will help. He also told me that even if it makes me nauseous and throw up I should not stop taking it until after the 2nd or 3rd dose. Why is that? Does it cause some sort of withdrawl or rebound symptoms if you go off it?
Perhaps a typo mtx dosing is usually 7.5-20mg per.week. i used 50mg per week 1x in myositis many years ago.. 40mg of mtx is not the norm by any standard
@@StephenSolowayMD Yes, it apparently was a typo that was on the paperwork I left with. Luckily they caught it and called it in to the pharmacy correctly @ 2.5 mg (take 4 tablets once a week which would come out to be 10 mgs. total). I am already nauseated before taking it and he is thinking that my stomach and digestive tract are inflamed. Do you happen to know which foods or type of tea might help to make me less nauseated while taking this medication? Thanks.
I'm RA negative but my Vectra DA score is high (47) and elevated C reactive protein & sedimentation rates. Diagnosed with chronic RA and treated with Embrel. I also have spinal arthritis, DDD, facet arthritis, and bilateral degeneration in the SI joints. As a teen I experienced fever and multiple swollen joints but told no JRA. It went into remission for years until I had odd symptoms like pleurisy lasting 5 years and going away completely. I'm so confused but glad I'm being treated. It's been a rollercoaster of you have lupus, now you don't. I'd be grateful for a quick opinion. Thanks.
We dont treat blood tests..vectra and avise are for docs that need a crutch. You summed it up.with si disease you have a seronegative spa! My preference is always MTX AND AN IV TNF INHIBITOR
@@StephenSolowayMD Thanks for your response, much appreciated. I used to think biologics were too strong for seronegative disease. I must say I rather inject than sit hours in an infusion center. I also take Plaquenil. My lupus dx changed to UCTD years ago and I walked away from rheumatology thinking it wasn't a real disease. Then went back last year with RA like symptoms..swollen hands every morning, severe stiffness lasting hours, fatigue, aching joints, purple spots on soles of feet, foot pain, weight loss. Anyway thanks very much for your time and expertise Dr.Soloway
I am 46, I was diagnosed with seronegative rheumatoid arthritis my rheumatoid factor was negative but my esr, crp markers were very high medications are not bringing down my numbers inflammation and pain is just getting worse I was on methotrexate, now enbrel and leflunomide
It doesnt matter what the #s do in ra. They are all over..if your diagnosis is correct then mtx with a biologic (enbrel) in your case would take3 or 6 month to work. I use low dose steroids as well
She needs to have endocrine management of your sugars . Sometimes you need it , if for no other reason it takes time for the other drugs to work..personally i like the remicade and mtx..i dont use arava much..using low dose steroid is fine as long as someone works to control sugars well..this is under an assumption of a diagnosis that you were told .
There are hundreds or thousands of reasons why acute phase reactant are elevated not knowing your case it would be very hard for me to discuss and diagnose on a Internet
I need to come see you... you are the rheumatologist of rheumatologists. Can you tell me if meloxicam and prednisone work the same way? Or at least do you get the same outcome? Can you help me understand the difference in these medications? Asking because I’m on Meloxicam for inflammation but wondering why/when you would prescribe prednisone instead.
They are used for different reasons under different circumstances in different patients they are not the same they do not do the same they are not used in the same manner most people prescribing them are not aware of the interactions or of the mechanisms of how they work and thank you for your compliments
Prednisone calms down your immune system & Meloxicam helps to reduce inflammation. When my left elbow gets really bad, I take a 15 mg Meloxicam, and I can move my arm for 3-5 days. I only take one pill every 5-7 days (as needed) & it really does cut the inflammation. It takes away the painful, stiff joints. Prednisone calms down the immune system, so it doesn't attack your body...The attack is what creates the inflammation. Am I right, doctor? (in layman's terms)
I did a video for dayamix. They both reduce inflammation. Pred much more effective.the other mild for pain mild for inflammation. For non serious , "regular pain" meloxicam. For a real disease , prednisone with other stuff
Stephen Soloway M.D. meloxicam definitely helped my inflammation but probably could have benefited from the prednisone since I was/am struggling with a real disease. Will look for that video mentioned.
Those were the daaayyyys! Lol... Thank you doctor. See you soon! Good job with the swimming. I will catch up to you as soon as we know what is up with my left shoulder: it feels very painful to push downwards. Between that and the hips, I have not been able to swim or go to the dojo. I am, at least, one belt and 4 seminars behind 😢
Hii I'm suffering with small joints pain in hand,my sister have RA she is under diagnosis I am aware of the symptoms so consulted Rumothologist but all tests came negative, doctor said I don't have RA and suggested to take Tryptomer 10mg for 10 days but I'm still suffering with the pain if I work a lot, kindly suggest is there any diagnosis
How can you tell if you're sick or its just RA...Im in support groups online...they blame everything on RA...Ive had a fever all week 99.1-102.1 ...hands/feet/ankles feel like theyre being crushed....hip pain(groin)
Need very good eval by very good rheum. Make sure disease is adequately controlled .physical exam and labs useful..this is one that is not always easy. Make sure your mtx and biologics are properly dosed. And adding some prednisolone may help to decide
@@StephenSolowayMD thank you for responding.....I saw my rheumatologist Mon...had bloodwork done Tuesday....feeling defeated 😢 I know methotrexate is what rheumatologist recommend but my hair is so thin I asked to be taken off of it....prednisone gave me a muffin top...I have never had a weight problem....this disease and meds are slowly destroying the fun person I was.....so by your response the sulfasalazine and xeljanz aren't enough....I need to go back on methotrexate....ugh...I was on it for 6 months...10 pills(2.5) once a week....no relief....thank you again
Hi sir I how are you ? Sir I have seropositive Ra I just find out . I have in my left food. It's very bad pain . Dr is suggested surgery . Is there any other option? I changed to heathy diet . please help . I don't know what to do . Thank you! Only one this I don't give up.
Just found your channel....looking at Xeljanz for AS ...failed Brenzys...ESR and CRP through the roof....worries about MGUS progression and shingles coming back.....might decline..AGA says Xeljanz not recommended for AS & CD....uggggg!!!!!
@@StephenSolowayMD Sorry...I was referring to brenzys and embrel only...i.e. you cannot have Brenzys fail and jump to Embrel and expect it to work....i was on remicade and humira and simponi,cimzia, and many others w/ Metho......the only option left is Xeljanz or Rinvoq...i will pass on these and just use the metho ....it's better the devil I know than the one I don't...BTW: your a class act..sincerely and you know exactly your material...Glad to be a member...thanks for all you do DR. much appreciated.
Rf is a blood test. Can get blood test for any reason what I said was RA and schizophrenia are mutually exclusive of each other I can't say that regarding any blood test
hi Indian girl. you need a proper Rheumatology evaluation. please feel free if you live nearby to come see us. generally see. rates very by age and concurrent problems .they are unreliable. but of you don't feel good the test is of 0 meaning and you need a proper evaluation from a top notch provider
@@StephenSolowayMD is their any office of you in india? My anti ccp crp ra factor ana hlb27 all negative esr is very high and my age is 26. Problem in knees and elbows.
![ประสบการณ์ จ้าง Developer ที่ผมจะไม่มีวันลืม [ภาค1]](http://i.ytimg.com/vi/bzivN4KDg-k/mqdefault.jpg)
So glad I found you! You have the clearest explanation of seronegative ra I have heard and you’re hilarious.😂 Seriously, thanks for this content.
love ya! Thanks ..my books are goof too))) Badmedicinebook.net
Dr. Soloway you asked so I have another question about a quote that I have posted below that is related to this video and my own heath risk. It might be a subject for your next video.
"says Anthony Perre, MD, Internist at our Philadelphia hospital and Chief of the Division of Outpatient Medicine for Cancer Treatment Centers of America® (CTCA). “For example, many autoimmune diseases may lead to inflammation, which has been implicated as a factor in the development of cancer.”
Also to the gentleman who wrote in asking for help: Call Dr. Soloway's office to get an appointment and go see him in person that is the only way. I called and got an appointment for when I needed it the same day so I think you can too and I wish you the best of luck. Sometimes you have to go to where the talent is to get things right.
C. Lotz
Dear Dr, you just diagnosed my daughter. Thank you for finding this and beginning her treatment. You are an answer to prayer, she was in agony before treatment. God bless you.
Thanks .i care about all the patients
Badmedicinebook.net
Thank you so much for the video Dr. Soloway! Very informative, and you explained seronegative very well which I greatly appreciate. Looking forward to meeting you in June for my appointment and watching future videos. Have a great weekend!
Thank s Dr sahab
Badmedicinebook.net
Will photopsia occur in rheumatoid arthritis?
no
I think the problem with Seronegative RA, there might be some antibodies doctors don't know about yet. I've been dealing with RA for 10 years and my tests come back normal. I was a bit shocked to see my tests normal with the flare cycle that started in October 2018. This is the longest flare and more aggressive flare I ever dealt with. On top of it I had Hives in the past and now noticed the more active my RA cycle is, the more Hive out breaks I have. That's why I think there could be unknown antibodies and inflammatory markers.
I agree- all antibodies arent known .if they are hypothesized to all exist.i would suggest "flares with hives ;iyou havent had a fully thourough eval and have another diagnosis. Remember the inflammatory conditions often respond to treatments irrelevant of diagnosis
Thank you for the reply Dr. Soloway. So far I've seen two Rheumatologists in the past, first one I didn't like and the one I have now seems pretty good. She did a whole lot of blood work from lymes to hepatitis to different Autoimmune diseases. She said l definitely have an inflammatory condition. Whatever it is, don't like my joints and I don't see any diagnosis for this to have a cure.
Sometimes it is much important to know how to treat what you identify, even though what is seen may not have a true name(at least at the moment) for what its worth most seronegative ra (named by rheum dr) often have psoriatic arthritis or gout
Badmedicinebook.net
likely psa
Doc, you're the best. Thanks for your tutorials.
thanks..if inspired ck my book Badmedicinebook.net
Badmedicinebook.com (sorry)
Dr Soloway
You are awesome
Thank you for giving me hope
Www.badmedicinebook.com great info
Thanks, very interesting about the DIPs not being involved in RA. Have you done any videos yet about diet for patients with RA/autoimmune conditions?
There is no magic diet.eat well. Balanced
Thank you thank you for this!
check out my book Badmedicinebook.com
Being RA, I've always found myself in two minds about becoming schizophrenic.
I'll have to put that one to a vote.
😜😂😂😂
That aside...excellent and informative vid!
From the other side of the pond, enjoy the rest of the holiday!
This has been a very informative video Doctor. I have been treated for PMR almost a year and have had small joint pain as well as the other areas of upper and lower girdle pain, foot and toe pain. Am down from 10mg prednisone to 1mg on alternate days. But the finger pain has been worrying me as I don't find other video's which describe patients with PMR also having finger pain. Several months back I had pain in every finger joint on each hand. The prednisone was only mildly effective for the finger joint pain, and maybe 40-50% of that pain is still with me, unlike the pain in other areas which was totally eliminated during much of the course of prednisone. I guess the question I have would be: How much pain should I expect to continue if I am successful in getting off the prednisone? Thank you.
None!
Badmedicinebook.net
@@StephenSolowayMD Great answer and thanks for the response. Looking forward to your book being released next month on Amazon.
Badmedicinebook.net
I would love to hear where Jaccoud’s fits in these situations. I was told I had seronegative RA since I was 16. At the age of 35, my new rheumy told me I had Jaccoud’s... I’d love to hear what you think about Jaccoud’s... Stripes was the best 😊
Already did video for you.on waybfron office to haircut
#badmedicinebook.net
Badmedicinebook.net
Dear Dr.
I am a student from Malaysia. I need some help. What should I do? When I was seventeen, I was diagnosed with fibromyalgia. The pain came about after a small hairline fracture on my knee after falling in a drain. My knee healed but after some months I had pain all over my body. They gave me lyrica. It helped from age 17 - 24. When I was 24, now, 25, all of a sudden my knees and feet hurt. They first diagnosed me as osteoarthritis and now bursitis. After a year of pain on knees, it move to the hip. The same kind of bursitis pain. Right now, I can't even sit on a chair. What do you think? I have tested negative for rh. What should I do? I am about to see a rheumatologist in Malaysia. Does it sound like I have sero negative arthritis. My other symptoms are tmj and fatigue. I have no eye pain or chest pain or anything. I am very sorry for the long message. I need a break through. Can you please advice me on what I need to report to the rheumatologist. I don't want to appear to tell them what to do. I just want to get help and move on. I need to help them to help me. Sometimes, I am not sure of myself. The pain changes me to the point I start thinking maybe I am crazy like they said. But I am telling the truth. I have so much to live for. Why would I want to be crippled to my bed? I am about to graduate with a degree in psychology and have been in pain for nearly a decade . My parents are getting older. I am getting older and tired, I want to find closure and get on with it. I am a fighter. Should I ask them to allow me to try anti inflammation meds. Is there particular tests I should do? I really need your help. Health care in Malaysia is still not too good and doctors are not up to date on many things and most of the time tell patients that is in their head. Right now, I take acorxia when necessary.
Molly
Molly i cant answer now..but you need a very experienced dr .i am currently traveling in Vietnam
@@StephenSolowayMD Thank you very much Dr. I appreciate your response. Look forward to hearing from you. I hope one day you will come to Malaysia. Safe journey.
Badmedicinebook.net
I just came back from the Rheumatologist for seronegative RA and he put me on 40 mgs of Methotrexate. Is that a standard starting dosage for this condition for an adult? He told me it would take about 3 months to know if it will help. He also told me that even if it makes me nauseous and throw up I should not stop taking it until after the 2nd or 3rd dose. Why is that? Does it cause some sort of withdrawl or rebound symptoms if you go off it?
Perhaps a typo mtx dosing is usually 7.5-20mg per.week. i used 50mg per week 1x in myositis many years ago..
40mg of mtx is not the norm by any standard
@@StephenSolowayMD Yes, it apparently was a typo that was on the paperwork I left with. Luckily they caught it and called it in to the pharmacy correctly @ 2.5 mg (take 4 tablets once a week which would come out to be 10 mgs. total). I am already nauseated before taking it and he is thinking that my stomach and digestive tract are inflamed. Do you happen to know which foods or type of tea might help to make me less nauseated while taking this medication? Thanks.
Don't take any more drug for one month and use medicine for nausea and stay well hydrated. You should be fine
Maybe you can start promoting me as America's rheumatologist
Badmedicinebook.net
I'm RA negative but my Vectra DA score is high (47) and elevated C reactive protein & sedimentation rates. Diagnosed with chronic RA and treated with Embrel. I also have spinal arthritis, DDD, facet arthritis, and bilateral degeneration in the SI joints. As a teen I experienced fever and multiple swollen joints but told no JRA. It went into remission for years until I had odd symptoms like pleurisy lasting 5 years and going away completely. I'm so confused but glad I'm being treated. It's been a rollercoaster of you have lupus, now you don't. I'd be grateful for a quick opinion. Thanks.
We dont treat blood tests..vectra and avise are for docs that need a crutch.
You summed it up.with si disease you have a seronegative spa! My preference is always MTX AND AN IV TNF INHIBITOR
@@StephenSolowayMD Thanks for your response, much appreciated. I used to think biologics were too strong for seronegative disease. I must say I rather inject than sit hours in an infusion center. I also take Plaquenil. My lupus dx changed to UCTD years ago and I walked away from rheumatology thinking it wasn't a real disease. Then went back last year with RA like symptoms..swollen hands every morning, severe stiffness lasting hours, fatigue, aching joints, purple spots on soles of feet, foot pain, weight loss. Anyway thanks very much for your time and expertise Dr.Soloway
@@supernova44 you havent seen my infusion suite!! Private rooms etc
Badmedicinebook.net
I am thinking of making MRI of my hands. Would that help with diagnosis?
Always depends what condition is being looked for
@@StephenSolowayMD Thanks for answering. I was thinking for seronegative rheumatoid arthritis.
Badmedicinebook.net
I am 46, I was diagnosed with seronegative rheumatoid arthritis my rheumatoid factor was negative but my esr, crp markers were very high medications are not bringing down my numbers inflammation and pain is just getting worse I was on methotrexate, now enbrel and leflunomide
It doesnt matter what the #s do in ra. They are all over..if your diagnosis is correct then mtx with a biologic (enbrel) in your case would take3 or 6 month to work. I use low dose steroids as well
Stephen Soloway M.D. I'm at diabetic as well she does not want to risk raising my glucose levels,
She needs to have endocrine management of your sugars . Sometimes you need it , if for no other reason it takes time for the other drugs to work..personally i like the remicade and mtx..i dont use arava much..using low dose steroid is fine as long as someone works to control sugars well..this is under an assumption of a diagnosis that you were told .
Stephen Soloway M.D. Would there be any other reason for esr and crp to be so elevated I do have joint pain stiffness and swelling
There are hundreds or thousands of reasons why acute phase reactant are elevated not knowing your case it would be very hard for me to discuss and diagnose on a Internet
Very informative. I had HLA-b27 trst but it also was negative but positive HLA-L, Very painful whatever this is.
HLA b27 is a genetic marker..it cant change and we dont repeat. Its either positive or negative. No other options
Badmedicinebook.net
I need to come see you... you are the rheumatologist of rheumatologists. Can you tell me if meloxicam and prednisone work the same way? Or at least do you get the same outcome? Can you help me understand the difference in these medications? Asking because I’m on Meloxicam for inflammation but wondering why/when you would prescribe prednisone instead.
They dont work the same.i dont combine them
They are used for different reasons under different circumstances in different patients they are not the same they do not do the same they are not used in the same manner most people prescribing them are not aware of the interactions or of the mechanisms of how they work and thank you for your compliments
Prednisone calms down your immune system & Meloxicam helps to reduce inflammation. When my left elbow gets really bad, I take a 15 mg Meloxicam, and I can move my arm for 3-5 days. I only take one pill every 5-7 days (as needed) & it really does cut the inflammation. It takes away the painful, stiff joints. Prednisone calms down the immune system, so it doesn't attack your body...The attack is what creates the inflammation. Am I right, doctor? (in layman's terms)
I did a video for dayamix. They both reduce inflammation. Pred much more effective.the other mild for pain mild for inflammation. For non serious , "regular pain" meloxicam. For a real disease , prednisone with other stuff
Stephen Soloway M.D. meloxicam definitely helped my inflammation but probably could have benefited from the prednisone since I was/am struggling with a real disease. Will look for that video mentioned.
I am only 23 dr said i have seronegative arthritis though all the test results are negative … i have knee pain
call for appt..can likely help
Those were the daaayyyys! Lol... Thank you doctor. See you soon!
Good job with the swimming. I will catch up to you as soon as we know what is up with my left shoulder: it feels very painful to push downwards. Between that and the hips, I have not been able to swim or go to the dojo. I am, at least, one belt and 4 seminars behind 😢
Badmedicinebook.net
Hii I'm suffering with small joints pain in hand,my sister have RA she is under diagnosis I am aware of the symptoms so consulted Rumothologist but all tests came negative, doctor said I don't have RA and suggested to take Tryptomer 10mg for 10 days but I'm still suffering with the pain if I work a lot, kindly suggest is there any diagnosis
Make appt
Badmedicinebook.net
I have joint swelling in my hands. Was in one hand now the other, doctor said RA factor is 14 which she say is normal.
Badmedicinebook.net
Smartest Doctor
How can you tell if you're sick or its just RA...Im in support groups online...they blame everything on RA...Ive had a fever all week 99.1-102.1 ...hands/feet/ankles feel like theyre being crushed....hip pain(groin)
Need very good eval by very good rheum.
Make sure disease is adequately controlled .physical exam and labs useful..this is one that is not always easy. Make sure your mtx and biologics are properly dosed. And adding some prednisolone may help to decide
@@StephenSolowayMD thank you for responding.....I saw my rheumatologist Mon...had bloodwork done Tuesday....feeling defeated 😢 I know methotrexate is what rheumatologist recommend but my hair is so thin I asked to be taken off of it....prednisone gave me a muffin top...I have never had a weight problem....this disease and meds are slowly destroying the fun person I was.....so by your response the sulfasalazine and xeljanz aren't enough....I need to go back on methotrexate....ugh...I was on it for 6 months...10 pills(2.5) once a week....no relief....thank you again
Badmedicinebook.net
Wish you were in my area....
Where is he located? The gold chain suggests Jersey to me.
Badmedicinebook.net
Hi sir I how are you ? Sir I have seropositive Ra I just find out . I have in my left food. It's very bad pain . Dr is suggested surgery . Is there any other option? I changed to heathy diet . please help . I don't know what to do . Thank you! Only one this I don't give up.
Make appointments
@@StephenSolowayMD Hi sir please guide me how I can make appointment with you . Do you have any phone or email address. Thank you for helping!
2848 s. Delsea dr vineland nj attn lori/manager
@@StephenSolowayMD Thank you!
Badmedicinebook.net
Just found your channel....looking at Xeljanz for AS ...failed Brenzys...ESR and CRP through the roof....worries about MGUS progression and shingles coming back.....might decline..AGA says Xeljanz not recommended for AS & CD....uggggg!!!!!
try all iv tnf with mtx 1st.
jak last option
you can try all except il 17, 12 23 etc with 12/23 can have gi flare..
what does brenzy mean?
@@StephenSolowayMD Brenzys is biosimiliar to Embrel but cost is much lower. If one fails; so will the other. Canadian version.Thxs for the reply!!!
1- if one fails they don't all fail
2 remicaid is the best
3 all .use be used with mtx
4 if they truly all fail .reconsider the diagnosis
@@StephenSolowayMD Sorry...I was referring to brenzys and embrel only...i.e. you cannot have Brenzys fail and jump to Embrel and expect it to work....i was on remicade and humira and simponi,cimzia, and many others w/ Metho......the only option left is Xeljanz or Rinvoq...i will pass on these and just use the metho ....it's better the devil I know than the one I don't...BTW: your a class act..sincerely and you know exactly your material...Glad to be a member...thanks for all you do DR. much appreciated.
Very nice Easter outfit! Love the car office :)
Badmedicinebook.net
Best dr - best looking but would burn that shirt lol
So a schizophrenic would never have a positive RH factor?
Rf is a blood test. Can get blood test for any reason what I said was RA and schizophrenia are mutually exclusive of each other I can't say that regarding any blood test
Having positive rf is a step in right direction in rulling out schizophrenia (given other criteria for ra is met). This made my night!
Badmedicinebook.net
Cant say. Need to see
My esr is 60 all other tests are negative and so much pain and doctors be like it's your imagination 🥲
hi Indian girl. you need a proper Rheumatology evaluation. please feel free if you live nearby to come see us.
generally see. rates very by age and concurrent problems .they are unreliable. but of you don't feel good the test is of 0 meaning and you need a proper evaluation from a top notch provider
@@StephenSolowayMD is their any office of you in india? My anti ccp crp ra factor ana hlb27 all negative esr is very high and my age is 26. Problem in knees and elbows.
I know no one..just try a rheumatologist