RE: Wonder how it is going to be later

November 11, 2006

There is no real way of knowing and being

aggressive early in your treatment is the best way to have little or no loss of

function in 20 years. Joint damage can happen pretty rapidly so it is

important to get your disease under control. Many people do well with

Methotrexate together with Folic Acid or Leucovorin to minimize side effects

but others need stronger medications. For me I am taking both

Methotrexate and Remicade to get my RA controlled. Also I’m 79 so I

don’t think I will have to worry about 20 years from now.

I seem to remember that you were working

away from your home and had limited access to a rheumatologist. If

possible you should see a rheumatologist every month or two until you have a

good idea that your RA is no longer progressing. If you let it progress

to joint damage there is no reversing the damage but joint replacement can help

somewhat. God bless.

From: Rheumatoid Arthritis [mailto:Rheumatoid Arthritis ] On Behalf Of Mostafa Ameen

Sent: Friday, November 10, 2006

8:59 PM

Subject:

Wonder how it is going to be later

Hello,

I am 25 years old and I would like to know after 20 years for instance,

what will happen? I am on methotrexate.

However, I don't really know if later I would have problems with my

joints or methotrexate slows it down enough.

Thank you,

Mostafa.

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