I think everyone’s disease wanders its own very individual paths. Some do remarkably well when they hit the right med for them and basically we don’t really hear from them as they don’t post on forums or have anything to discuss on such forums. I don’t think consequently there’s an easily identifiable trajectory to look at either. I don’t think such a thing exists at all frankly.
It’s been nearly 4 years for me too. I’ve had loads of med induced issues, fractured pelvis, compressed fractures in my spine (all from steroids) which caused significant pain issues. Then I’ve had meds fighting with eachother making me resident in my bathrooom, and then hospital - namely a biosimilar to Enbrel and sulfasalazine. Then I’ve had a biosimilar to Humira also make me resident in my bathroom and made me feel like I was wading through an impending sense of doom and which also reignited my asthma again. Nasty drug for me that one.
Presently on the loading doses of Cosentyx (300mg dose) and wow am I suddenly doing lots better. I’m astonished how much nicer it is to have neither my hips or SI joints give me so much daily grief. I’m only 2 weeks in too. No idea obviously yet, if this is a honeymoon or my new reality. But I’m happier (incredibly so) at my just better days presently.
I work full time but mostly from home. I go into the office maybe one day a week by public transport which means 3 to 4 changes of trains each way. But no more than an hour to an hour and half commute each way. Presently I’m not even doing that given the loading doses of cosentyx will most likely suppress my immune system considerably and I don’t want colds. chest infections and whatever else from the ‘great unwashed public’ both on public transport or indeed my office who employs around 3,000. Especially not at this time of year when colds and viruses tend to spike.
I don’t understand the risk of you changing jobs and it getting worse. Surely it’s far worse for you to keep doing the job you’re in now, if it gets worse? If it gets worse and you’re in a less stressful job, isn’t that better? If it gets worse and you’re still in your present job, isn’t that much worse given your long commute etc?
But really at the end of the day, given the vagaries of this disease for some of us, given its intractable resistence to the meds in some of us, I would say regardless of everything, do what will make you more content each day. Even if that means downsizing considerably given any contractions in income/disability/pension etc etc.
This disease can take so much from us, grabbing less stress is essential if it’s possible.
For me personally continuing to work is good for me, not just for my income and ability to pay my bills. However I’m not sure presently if I could work in a office 5 days a week with the type of commute I would have to do from where I live. I’m actually not sure I could physically be in a office 5 days a week either. Whilst I work full time hours at home, there’s an easiness to that, no one is watching me etc and neither do I have to keep conversing. And more essentially I get to walk my dog every day (not on hard pavements and train platforms) but in the woods with softer ground which keeps things moving better for me. And frankly that keeps just me sane as well. I like the intellectual challange of my job (and obviously its income) but being able to walk my dog in relative wilderness each day is what really rocks my boat. So now I’m lucky enough to be able to organise my life to do that. That might not always remain possible (employer wise) but I’ve grabbed that opportunity for now.
And the thing is despite, opportunities are always available if we look for them. Really they are. Getting older, heading towards retirement etc doesn’t mean opportunity stops. It stops if you stop looking for it, but I know lots of early retired people of my age (57) who still work but at jobs they love, instead of jobs that drain them. Their income levels might have dropped but their contentment has quadrupled. And that’s my ambition eventually. Regardless of what this disease does to me or not as the case may be.