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A myRAteam Member asked a question 💭
Seattle, WA

Hello, new to the community and the RA journey. I have an upcoming follow up with my rheumatologist and am seeking any tips and general input on what to prioritize, ask, and consider. This will be our second appointment, thus far I’ve been prescribed Prednisone to take during flare ups. Initially it was quite helpful and since seems to have waned in effectiveness. I understand he may want to run more tests and consider other medication options.

For context, I was only referred to rheumatology… read more

May 30
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A myRAteam Member

You are very welcome @A myRAteam Member! I have added you to My Team. I was happy to help in any way. This journey sucks sometimes. Other times its not too bad. As Forest Gump would say "RA is like a box if chocolates, you never know what you're gonna get".

May 30
A myRAteam Member

@A myRAteam Member thank you for your suggestions! The general tips for tracking symptoms and specific input on medications to consider is very helpful!

May 30
A myRAteam Member

@A myRAteam Member my advice is to make a list of questions to ask at your appointment. I have a Notepad app on my phone and that's where I make my question list. A piece of paper works IF you remember to take it. Most likely you Will have your phone with you. I would inquire about possible Biologics and discontinuing the Prednisone as soon as possible. Two things to consider:

1. Prednisone can have a lot of side effects but it does help control a Flare, so that's kind of a wash.

2. Sounds like right now there is nothing to control the R A and protect your synovial fluids in your joints that a DMARD or a Biologic like Enbrel or Humara will. For your own well being you should ask why the Rheumatologist has not put you on something to control your RA.

I wish you all the Best! This is a journey no one signs up for but once you're inducted into it there is no escape! We're all in this together my friend 🧡

May 30 (edited)
myRAteam

Welcome to the community! The journey to an RA diagnosis can be a long and frustrating one, and the experience shared here is very relatable. Many myRAteam members have described similar paths — years of unexplained joint pain, multiple specialist referrals, and normal-looking labs before finally landing with a Show Full Answer

Welcome to the community! The journey to an RA diagnosis can be a long and frustrating one, and the experience shared here is very relatable. Many myRAteam members have described similar paths — years of unexplained joint pain, multiple specialist referrals, and normal-looking labs before finally landing with a rheumatologist. Seronegative RA is more common than many people realize, and it doesn't make the experience any less valid.

The progression from knee pain to multiple joints, along with fatigue, low mood, and low-grade fever, are all recognized parts of living with RA. So yes — this tracks. Heading into the follow-up, here are some things worth prioritizing:

Before the appointment:
- Write down all current symptoms, including which joints are affected and how often
- Note when Prednisone stopped being as effective and any patterns around flare-ups
- Track any side effects experienced, even minor ones
- Jot down questions as they come to mind so nothing is forgotten in the moment

Questions worth asking your rheumatologist:
- What additional tests are being considered and why?
- What treatment options are being considered next, and what are the risks and benefits of each?
- What is the goal of treatment — symptom management, remission, or both?
- How will progress be measured over time?
- What should be done if symptoms worsen before the next appointment?

Things to be open about:
- Any concerns about new medications, including side effects or fears about injections if biologics come up
- How RA is affecting daily life, mood, and energy — these matter clinically
- Any practical concerns like cost or medication schedules It's worth knowing that RA treatment is very much a shared decision-making process. A good rheumatologist will want to understand personal priorities and concerns, not just test results. Being honest and thorough during the appointment helps them tailor the best plan.

If Prednisone is becoming less effective, the rheumatologist may discuss disease-modifying medications, which work differently by targeting the underlying inflammation rather than just managing symptoms short-term. Early and consistent treatment is important in RA to help slow joint damage over time.

One thing a myRAteam member shared that resonates here: being initially scared of a new medication, but ultimately feeling empowered after understanding it better with their doctor's help. Don't hesitate to ask as many questions as needed — that's exactly what the appointment is for.

May 30

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