It's been a busy few weeks with a number of medical appointments. Last Monday we had
PuffyFinger's eye check up. Children with her type of
JIA are meant to have 6 monthly eye check ups as they are at a significantly higher risk of some eye inflammation diseases;
irisitis and
uveitis (one day I'll look up what they actually are...). She got the all clear, which was good news.
Yesterday it was the dentist.
PuffyFingers got the thumbs up there too. She's doing a really good job of cleaning her teeth all by herself, with us just
checking occasionally. The parents got a bad mark though;
LMI's teeth showed up a ghastly purple with the disclosing solution. I'm blaming the Other Half. I'm sure if I'd cleaned her teeth they'd have passed the disclosing exam.
And today it was the
rheumatology check up. If I'm honest with myself, I did know that at least one finger had active arthritis again and probably two (I'd spotted the middle finger on the left hand had
suspicious puffiness at the weekend). But it was a shock to find out 4 joints are active right now. 2 in right index (pointer) finger, one in her left middle finger, and her left elbow.
The doctor waded through her old notes, the finger
joints are all ones that have been active before that were knocked on the head with steroid injections. The elbow is new. I don't know if
the elbow counts as a big joint of little joint in the
JIA naming conventions, I suspect it's a big one. If so then
PuffyFinger's diagnosis
remains as confused as ever.
I totally expected the
doctor to say we'd go for another
round of steroid injections as they'
ve worked in the past and she typically stays arthritis free and medication free for several
months afterwards. So I was
surprised when the doctor recommended going with
methotrexate instead.
As
methotrexate takes at least 6 weeks to kick in we're going for a month of
prednisolone to try and whack it on the head quickly.
More about what these medications are in the next post, when I've wrapped my head around it. I'll leave you with the thought that I'll be doing the weekly injections myself. At least it's only once a week, let's look on the bright side.
