Long appointment, long discussion, lots of information both directions. The rheumatologist is running updates of labs since some values may not appear until a few years and others need updates. I was prescribed a different NSAID that doesn't have to be taken often, so maybe that will reduce stomach problems. It doesn't seem to work very well though. I like ibuprofen, I just don't like the severe stomach pain.
He's looking at Remicade rather than Enbrel since it requires fewer injections (slows to once every 6 weeks rather than every 2 weeks). That might be better for the immune system.
In contrast to the Eastern medicine doctor, who says he would guarantee it's not an immune issue, the rheumatologist thinks I have an immune system problem and inflammatory problem that is creating the arthritis. The labs should give some information. He's still thinking spondylitis but wrote down more general categories for inflammatory arthritis that would include most anything. When googling for arthritis info, I ran across a paper he has written on differential diagnosis of many types of arthritis, giving exceptions, atypical presentations, and very unusual types of arthritis, so he definitely knows what he's doing. The jury's still out on exact causes for me. I can deal with shifting or general categories--I just want the pain under control. I'm no longer having the worst pain in the morning nor is my pain improving with movement. In any case, maybe we can get this under control.
I also started glucosamine since the clinical trials say it's as effective as NSAIDs after a few months' use.
Pool = good for me. Better than land, though I have to be careful not to overdo since I don't feel the pain then, but will later.