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Hi,

It's been a long,long time.

I will not go into the whole saga of Mr.Dave but almost 6 months ago

Dr.Lovell wanted full control of Arthur again.

Three months ago Vanderbilt couldn't find anything active but noticed while

getting on the table his lft wrist was protected and not fully extended.On exam

it was fine.

Since then we have noticed 70 yr old man walks at 5am and his rt ankle turned

in or out.No complaints of pain but just know something has been up.It seamed

to be a temp thing with the exception of full ROM of his lft wrist.Came as

quickly as it went.

Go back to Cinci on 9/11.

will not be happy but it's time to go back to MTX shots.His body just

doesn't absorb the oral consistantly.

Lovell has refused so far to up the Enbrel,even though has outgrown the

dose of .4mg per kilo over a yr ago.He swears by the fact that the FDA chose

..4mg per kilo duiring the trials and as far as they know .2mg per kilo will

work as well.

I know for a fact that in the adult trials the arm that did 25mg 2x a week

was far superior then 25mg 1x a week.

Update when I know more.

Love and hugs

Becki and 8 systemic

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