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The Specter of RA: Is Remission Real?

Sara Nash
Sara Nash
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Young, single professional in New York City

At the beginning of my 29th year, my immune system, in an act of...

Sara Nash

Wednesday, August 05, 2009
View All of Sara Nash's Posts
See the accompanying comic!     I'm usually a pretty brave girl when it comes to dealing with the trials and travails of living with rheumatoid arthritis, but there is one subject that makes me feel, well, a little spooked: (dare my fingers even type the word?) Remission.   Someho...
  1. spectre of RA
    Feels like the TinMan
    Wednesday, August 05, 2009 at 05:49 PM

    great post! I don't do yoga, but I was imagining every move, and thinking to myself that I had that same fear when I get brave enough to push past my 'normal' limits, like trimming tree bushes with manual trimmers.  When I cut down my bushes a few weeks ago, it was the day before getting on a plane, and I was terrified I was going to awaken that RA ghoul on my back.  But alas, all was quiet! 

         The biggest question is, is it remission or is controlled?  I don't know what it is, but I sure like it!  I like not thinking about that nasty disease or allowing it to occupy much space in my daily thoughts!!  bravo!  ~Des

    Reply
    re: spectre of RA
    Ellen
    Wednesday, August 05, 2009 at 08:52 PM

    I had ankle surgery 18 months ago and am only doing now things I thought I'd be back to LAST summer... and gingerly at that. BUt now, gradually, I'm taking LONGER walks and not limping by the time I get back, or being sore the next day (SHOCK!)  Last summer the shock was, I was nowhere near where I thought I'd be.  So I sure do know what you mean about the spectre.  And yet - we gradually move forward.  When and if you  start to "take it for granted", you'll find yourself NOT wanting to take it for grated (the ability to function is too precious, having lost it once) - and yet, that's the sign of improvement. 

    Reply
    re: re: spectre of RA
    Sara Nash
    Thursday, August 06, 2009 at 12:28 PM

    HI Ellen,

     

    You are right- we do gradually move forward, even if it is slow going.  It's good to feel that instead of just wishing for it.  I'm glad to hear that your ankle is on its way, even if it's taking awhile!

     

    sara

    Reply
    re: spectre of RA
    Sara Nash
    Thursday, August 06, 2009 at 12:27 PM

    Thanks, Desiree! I agree- getting to a point two years later where RA doesn't completely consume every thought and impact every moment of my life is something I didn't think could happen, but am learning to cherish completely instead of being fearful.  It's funny how things can actually change... glad to hear you are also feeling well these days! Let's hope it sticks for us both for awhile!

    Reply
  2. Untitled Comment
    Kelly Young
    Thursday, August 06, 2009 at 09:44 AM

    Hi Sara,

    Glad you are doing so well! I say: do all the stuff you wish you could do before (when you couldn't). Hopefully, it will just keep going...

    Kelly Cool

    Reply
    re: Untitled Comment
    Sara Nash
    Thursday, August 06, 2009 at 12:29 PM

    Thanks, Kelly!  That's definitely how I"m trying to approach it...it's funny to suddenly feel like such a cautious person when I was never like that before RA, but i'm trying to toss that out the window and go for it!

    Reply
  3. And this is helpful???
    Disappointed
    Thursday, August 06, 2009 at 11:20 AM

    How in the world is this helpful to RA victims?  It provides no new information.  It leaves us with a feeling that no matter what we do we are not in command of our bodies.  This kind of writing is not of value to me nor to any other RA cursed folks I know.  Where would you see value in this?

     

    It seems to me that a continuing flow of meaningless information serves little to educate us or show us a way to improve our RA dominated lives. 

    Reply
    re: And this is helpful???
    Feels like the TinMan
    Thursday, August 06, 2009 at 11:54 AM

    Maybe this particular post doesn't help you, but Sara helps alot of other folks with her witty humor.  Believe it or not, this is real RA life.  WE live it, too, but we choose to live it with a different approach.  Maybe it's because we're all getting past the anger of the early years, but obviously, you're still in the anger stage.  Maybe someday, you'll understand why humor is necessary, maybe not. 

         Not only is this site full of useful tips and information, but it is also a place to express your fears, your anger, your happiness, with other people who have RA.  RA has many many ways of affecting people.  For those of us who want to face RA with humor and positive thoughts, Sara's posts hit the spot.  For those of who are angry and miserable and choose to deal with RA with an angry heart, post comments such as yours.     You can choose to be angry and miserable with your RA, and I probably speak for alot of us on this forum, but we LIKE what Sara has to say.  If you don't like her writing, don't read it. Plain and simple. 

    Reply
    re: And this is helpful???
    hands of clay
    Thursday, August 06, 2009 at 12:05 PM

    I guess the victim word you used to describe yourself, would explain why you object to this post. As an arthritis survivor, who was certain two years ago that I was also a victim and would never be able to do my pottery and art again, I am doing my art again I am also a cancer survivor. We can spend our lives in fear, or gratitude. There are still going to be times when the fear is there and acknowleging it lessens its power over us.

    Reply
    helpful??? sometimes yes, sometimes no ... may depend on :
    Ellen
    Thursday, August 06, 2009 at 12:41 PM

    Dear Disappointed.

    There are days when I feel just as you said - why blather on?  Just get on with it!  But there are days when I too want & need to share/vent/unload, whatever you want to call it, and on those days I am very glad to be able to go right to this site and do so, and know that I am not alone.  What's more, something I say might trigger a question or answer for someone else, and the information is shared along with the experience. 

     

    So don't give up on us yet.  There is a lot on this site, and sometimes it's kind of random in the choices provided, who is sharing what on any given day.  There are places to ask questions, places to create shareposts, and referrals/links to relevant articles.

     

    Are there particular questions or problems you are dealing with?  You can put them in a sharepost or in the question forum.  Hope to hear from you again ...

    Ellen

    Reply
    re: And this is helpful???
    Gridiron Granny
    Thursday, August 06, 2009 at 02:26 PM

    I know that feeling, the anger and victimhood.  And it was (and sometimes still is) a challenge to get past it.  Because get past it we must!  The price of NOT moving on is not moving FORWARD. 

     

    I won't forfeit my life to RA but, like Sara, Ellen and so many others, I live with the fear of overdoing it and ending up a ball of pain in bed.  It's just part of the disease.  We have to learn to live with it, and around it.  But the operative word is LIVE.

     

    This post is an expression of the fear that is always in the back of my head, and probably always will be.  And Sara expressed my fear so very well.

     

    Reply
  4. Untitled Comment
    Lene Andersen
    Thursday, August 06, 2009 at 11:48 AM

    The other day,someone on the site asked me if I was in remission.  I couldn't answer. It felt too much like if I did, my RA would come back the very next day. I am hugely superstitious about this - I'll say that the Humira is working well for me, but I will never use the R word.

     

    It can be terrifying to feel well - I once called it Living Under the Shoe. The RA is there, lurking, could go off at any minute and so I try to live quietly, not bringing too much attention to the fact that the Humira is working pretty well.  And I remind myself of the litany against fear in the novel Dune: "I must not fear, fear is the mindkiller" etc.  Not being afraid, not giving into it really is a conscious effort most days.

    Reply
    re: Untitled Comment
    Sara Nash
    Thursday, August 06, 2009 at 12:33 PM

    That is exactly how I feel!  I usually just say that i'm 'managing' my RA well and leave it at that. I almost didn't write this post for fear of the R word, but you are right- we have to leave the fear behind.  Thanks for your comment and constant insight, as always!

    Reply
    re: re: Untitled Comment
    Lene Andersen
    Thursday, August 06, 2009 at 02:49 PM

    I should mention that although I try to not live in fear, I still don't mention the R word.  Ever. Smile

    Reply
    re: re: Untitled Comment
    knittingyoyo
    Monday, August 10, 2009 at 07:16 PM

    I agree, managing is about as close to describing how my RA is doing as I want to say, especially to those who don't understand.

    Reply
    re: Untitled Comment
    knittingyoyo
    Monday, August 10, 2009 at 07:14 PM

    I am superstitious too. Lately I have felt pretty yucky. If I have a good day I hate to say anything or even sometimes think it as that might jinx it. I know that really there is no truth in that but if people "think" you feel better then the demands begin.

    Reply
    re: re: Untitled Comment
    Sara Nash
    Monday, August 10, 2009 at 08:58 PM

    Glad to know I'm not alone!  Interesting point, too, about the demands beginning...thanks for leaving a comment!

    Reply
  5. still on meds
    andrew
    Thursday, August 06, 2009 at 05:18 PM

    Thanks for the post Sara. Are you still taking Enbrel?

    Reply
    re: still on meds
    Sara Nash
    Thursday, August 06, 2009 at 05:19 PM

    yep- enbrel and plaquenil and a whole host of supplements inc. fish oil.

    Reply
    re: re: still on meds
    Leigh
    Thursday, August 06, 2009 at 08:35 PM

    As for the "r" word - I used it and was in remission for 5 years and the doctor confirmed it.  I actually "forgot" I had RA.  so maybe that's the difference between having it under control and being in remission.  Under control means that the spector is still there.

     

    So i felt so good I decided to stop taking the methotrexate which turned out to be a big mistake.  When you do feel good and it's under control, don't make my mistake.  Continue on the same regimen that you're on as far as meds, yoga, social life, work etc.  Keep on the enbrel and plaquenil and fish oils. I do vit D, vit C.  And I hope to get back into remission someday again. 

     

    I will, too.

     

    Leigh

    Reply
    re: re: re: still on meds
    Sara Nash
    Sunday, August 09, 2009 at 12:13 PM

    Good advice- i can be easy to forget to take meds when we are feeling better, but I'm trying to be more vigilant than ever with my meds and vitamins. I also take vitamin C, calcium and magnesium, and a multi-v with iron!  so many pills, but worth it to keep feeling good.

     

    Your conviction to get back into 'r' is inspiring- good luck and I hope that soon you will be!

    Reply
  6. Do not be disappointed
    Ratnapriya
    Friday, August 07, 2009 at 03:48 AM

    Hi

    Sara has just narrated a great truth in the lives of RA patients. The fear of RA lurking behind us. But try not to be disappointed. I am sure you feel the same way too only now you have other people having the same feeling so you are not alone.

    I have never been on remission it is just bad days and good days. I make the most of my good days and on the bad days I wait for the good days. That carries me through my work in my institute, in my home and in my social circle with a smiling face. So stop being angry, smile and put your best foot forward. You need it to get rid of the thoughts of RA ghost.

    Ratnapriya

    Reply
    re: Do not be disappointed
    Sara Nash
    Monday, August 10, 2009 at 08:57 PM

    Thanks for your thoughtful comment!

    Reply
  7. The spectre of RA
    Jean
    Monday, August 10, 2009 at 03:40 PM

    Hey Sara

     

    Greetings from London! I've been reading your blog for a wee while now and am really prompted to comment on this. I can so identify with your comments. As an astanga addict and mad keen sailor I was diagnosed with RA just two years ago. All sport and activity stopped for me and it's been a long haul to get back to a degree of normality. This week I'm celebrating - my first trip to the gym in about 2 1/2 years and yes, I spent the next 12 hours panicking about the possibility of a flare but it didn't happen! So my next step is a yoga class - I never thought I could get so excited about the potential! Keep blogging, we're right there with you.   

    Reply
    re: The spectre of RA
    Sara Nash
    Monday, August 10, 2009 at 05:43 PM

    Thanks, Jean!  I love London-I lived there for a little while after college.  I'm so glad to hear that you have fought your way back, too!  Hope your first yoga class goes well-and that you can enjoy it! 

    take care,

    sara

    Reply
  8. You will beat this thing
    Jeff
    Monday, August 10, 2009 at 06:24 PM

    I was so happy to read about your feeling better. Wow, what a HUGE DEAL. And just think, every year the therapies will get better and your odds of transforming your RA into RIP will go up.

     

    Jeff

    Reply
    re: You will beat this thing
    Sara Nash
    Monday, August 10, 2009 at 09:00 PM

    Haha! I love the 'turn your RA into RIP' and hope it comes true (knock on wood!).  thanks for all of your encouragement and support.  And here's to hoping your TBI goes MIA.

    Reply
  9. Smiling
    Kate
    Saturday, August 15, 2009 at 12:29 AM

    I go to a massage therapist for my RA who is amazing at body work and so much more.  Last time, I told her that I was physically feeling so much better, but couldn't stop being "a sick person".  I was muscle guarding, slouched forward, and still felt terrible just from feeling terrible for so long.  My boyfriend couldn't even sit down on the couch next to me without me getting all jumpy and worried he might sit on my foot or bump my hand or want to cuddle (Good god, man! Do you know what evil potential of physical pain is in cuddling?  Back off!).  I was having a hard time getting out of my sick person cycle. 

     

    She gave me some good advice.  She showed me exercises to help my range of motion, push back my shoulders, and open myself up.  But, the bit of advice she gave me which has helped me the most to date is to smile when it hurts.  So, when I tweak a finger while writing or have pain shooting up my leg while walking, I'm just smiling.  It really does help me feel better, although it also seems a little crazy.  But, really, you can only be a sick person for so long until you are perminately stuck there. 

     

    So, Smile when it hurts.  Life is still good.

    Reply
    Yeah, I'm replying to myself...
    Kate
    Sunday, August 16, 2009 at 09:35 PM

    Dealing with RA has been a bit of an experience...  as you all know.  I've often thought that it's a bit like dealing with the five stages of death (denial, anger, bargaining, depression, and acceptance).  I think I'm now somewhere between depression and acceptance.  But the thing about RA is you don't get to the acceptance stage and then die.  You get to acceptance and... then what?  Now what happens when you've accepted the disease, rearranged your life, and settled in for the long haul?  What happens when you've identified yourself as someone with the disease, and then you stop having symptoms?  How do you stop being sick now that you have finally gotten used to being sick?  So many loaded questions...  I believe Adult Swim managed to best convey exactly what I've been feeling since I wandered into this sinkhole known as RA: Five Stages.

    Reply
  10. Ra is always lurking
    no name please
    Sunday, August 16, 2009 at 11:13 AM

    Hi I enjoyed reading all your wrote and know exactly how you feel.  I was diagnosed at 54yrs and now 62yr, I"ve been an athletic person for alot of yrs swim, bike, run and yoga at times.  I am still active and so grateful for this.  I have asked my dr more than few times what is this remission?  He told me I was in clinical remission.  So as I read someone wrote we are managed by meds. Than I think great the meds, I'm on enbrel for 8 yrs and scared of it but than its our quality of life.  I try so hard and pray that I live this one day at a time.  sometimes its really hard to think I'll be managed as long as I have the insurance to manage it.  So when I let my head go there I get all crazy thinking and go back to how crippled my grandmother and mother became.  Its a nasty disease but we are so so lucky that we have a horrible disease that for now can be managed.  WE are controlled and I pray that every one of us will get insurance to keep us controlled thats my pray for all of us w/this nasty disease that keeps on lurking w/our every step and every breath every day.  Thank you for you thoughts Linda N.

    Reply
  11. Not too far off with your thinking
    K
    Saturday, August 22, 2009 at 03:30 PM

    Hey There,


    I understand your fears - trust me.  I remember the first time I found real relief; it came with Remicade and lasted about 7 or 8 months.  After the first three months, however, I had a flare one weekend.  I completely unraveled in front of my husband.  He fortunately recognized the panic.  I had come so far... I had lived as a "cripple" for years, and there was no way I was ready to go back...not after only three months.  He sat helplessy on the floor rocking me, fighting back the tears himself.  I was lucky that time. The flare came and went, and I was overjoyed to find it was a momentary setback.

     

    This past summer, however, we made the decision to come off only one drug, the methotrexate, so that I could try to conceive that second child we had been wanting for so long.  After one month, my body began a downward spiral that happened so quickly, it would make your head spin.  Within two weeks, I not only found myself as bad off as before, but worse.  We made the heartwrenching decision to restart the methotrexate.  And yet, two months later, I am still a wreck.  Years after I have been diagnosed with this illness, I still cannot come to grips with the physical and emotional havoc it plays with my life.  The thing my Dr. seems not to understand is that life, like my illness, is a delicate tightrope act.  As soon as I become ill, everything else spins out of control, and I fall deeper into illness. It is a self-perpetuating situation.  It is best just to hang onto remission as long as one can.  I know that now.

     

    All my best,

    K

    Reply
  12. Guy with RA starting yoga and looking for what to expect
    Klove in IN
    Tuesday, September 22, 2009 at 04:48 PM

    Sara, I ready your story and new adventure of moving to Baltimore with a feeling of woops, am I intruding in a gals only site. But with the lack of real world info for guys I thought here goes anyway..I've got mild RA and am starting yoga to keep me limber and help with back pain while sitting at my work desk...You mentioned that the yoga seems to be helping and am I hoping the same happens to me...What moves do you do that help with wrists and knee flexiblity?? When the move hurts do you just back off the pressure slightly or bounce into it gradually??

     

    Good luck with finding doctors you are comfortable with. I'm lucky as my wife is a trained healing touch practioner and aromatherpist so when I feel bad she's can give me a tremendous pick me up..She gets more diverse and natural options going to a doctor who is certified for alternative medicine...You might try the same..

    As a back up I have Voltaren-1% cream and it works gret for 4-6 hours...

    Blessings on you for a future full of hope, comfort, and just good laughs...

    Klove in IN

    Reply
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