In the midst of craziness in store, I have two appointments at my Rheumatology office. The second will depend on the first. The first is my regular appointment with my rheumy where we will discuss new treatment options. My Orencia is "fine". It's not as good as the MTX was and I am afraid I won't find anything that worked that well. The problem lies in that we have proof that without the prednisone I wouldn't be at the level that I am. My concern is that my insurance company is moving to a specialized pharmacy to manage their chronic care patients and I have a feeling that the coverage for the "high end" drugs will be changing and not for the better. As it stands- the co-pay on Orencia infusions is over $300 a month, I don't know that I will be able to continue on with that, both financially and knowing that the Orencia is not working alone. So, it's time to talk new options. We have already been through the majority of the DMARDS so I just don't know where we will go next. Needless to say- that adds another layer of stress. If we decide to continue with the infusions, the following week I have another of those scheduled. I have fairly difficult veins which usually means at least two sticks and month-long bruising. I don't complain when I am at the office because they really are very sweet and it's not their fault that my veins suck- I just gripe when I get home- a lot.
Needless to say, it has been even more important than usual that I focus on the positive if I am going to manage my stress. I have two great quotes to start the year-both from the Thinkexist website. The first is to help me focus:
“Count your blessings. Once you realize how valuable you are and how much you have going for you, the smiles will return, the sun will break out, the music will play, and you will finally be able to move forward the life that God intended for you with grace, strength, courage, and confidence.”
I hope that this next year is the most wonderful of our lives. Rather than enumerate all of the ways in which we could make it so, I come to my second quote which is an Irish blessing that I give to you:
Here's to a healthy and happy 2011!