My latest flare was at least nicely-timed. I saw my rheumatologist three days into it and started a steroid pack that day. He also gave me a rather immense amount of prednisolone and pretty much told me to experiment with it. The literature suggests that one per day is within normal variance for naturally produced corticosteroids and thus has no ill effects but can still be helpful for inflammatory disease; it's only once you get above 10 mg prednisone-equivalent per day that the problems like diabetes, hypertension, osteoporosis, etc. start to show up. EULAR (the European League Against Rheumatism, which is a fantastic name for a professional society; American Heart Association, take note!) even recommends it as standard treatment along with TNF-blockers. My doc said I could also just take it like I would an NSAID, two or three times a week as needed, but that doesn't seem very effective--it takes me about 48 hours to process a steroid, generally, so it's not exactly immediate pain relief.
So I'm going to try the one a day plan for a couple of weeks and see what happens. Chandra's coming to visit at the beginning of next month, so I can also pre-medicate with three a day for the increased activity and hopefully prevent another flare.
I've also switched from Humira to Enbrel, since the Humira did nothing. The downside to Enbrel is that you have to inject yourself once a week rather than every other week. But hey, maybe it'll work!Skating:
I had BF take a bit off the toe picks when he sharpened them this time, and it was definitely the right choice. I was getting really scrapey after the last sharpening, and now I'm not. Spins are faster, too, since I'm no longer dragging on the bottom of the pick quite so much. Salchow and waltz jumps were hard to get used to at first--there's more to roll forward on now before hitting the pick--but I think I've gotten them back to normal.
P started teaching me the horribly named but very pretty broken leg spin
. At the moment, mine looks nothing like that; it looks more like I really, really need to pee. However, I think it will get better. I'm hoping it will also serve the purpose of training me to quit turning my free foot out so much in spins and eventually jumps, because that's really all that's holding my loop jump back now.
Speaking of which, we tried having me go into loops and flips with a shallower three turn, and it certainly improved things. Still can't land either of them on one foot, but nevertheless, I persist.Other:
This week has had some great weather for sitting out on my screened-in porch. I now have a table on which I can put my laptop and/or a meal, which is quite excellent. I sat out there yesterday and sewed up the too-big armholes on a new dress, and read this morning. Good times.