Oh sweetheart poor you. I’m so dreadfully sorry about your cat, as a cat lover and animal lover myself, that’s just awful. Biggest hugs, lots of them. And it’s perfectly understandable that made you sob your way through your appt too.
The injection in your bum is likely to be a general steroid injection, commonly called a depo injection. If this is your first one, and you do have PsA it’s likely to help a whole lot within the next couple of days. This is because steroids help the inflammation PsA causes and if it works for you, it should last several weeks hence the appt in two months is kind of rational.
But there’s always buts. Steroid injections like this general one don’t work for everyone, they never do for me but steroid tablets do instead.So if it doesn’t work, it still doesn’t mean you don’t have PsA either sadly.
When you’re feeling slightly less emotional tell us what ‘tests’ he did? The problem is PsA tends to be seronegative, which means it doesn’t show up in any ‘test’, especially blood tests. It sometimes doesn’t show up on scans, MRI’s or obviously x-rays either. It doesn’t for me at any rate and yet I most certainly have PsA and am on my third biologic now too just to prove it.
The way an experienced rheumy in the UK should diagnose you is to do what’s called a PsARC physical examination. That is put you on the couch and examine every joint of your body starting at your jaw and working his way down to the last tiny joint on each little toe. Inflammation caused by PsA can be ‘felt’ by an appropriate experienced rheumy in this way and appropriately counted up. PsARC examines the 68 joints NICE believes is affected by PsA, although I believe that’s soon to increase to 72 joints. Did he do such a physical examination like that on you? If he didn’t we can help you prepare for your next appt with him. Because he ought to have done this as it’s part of the diagnostic protocol for PsA in the UK.
Sadly general hospital rheumys in the UK aren’t that appropriately interested or experienced in PsA. They prefer to treat RA which is much easier to diagnose. If you’re lucky you hit a good one at your local hospital but often times you don’t. I didn’t in Kent which is why I now travel to Bath to be seen a centre of excellence within the NHS for PsA. Sadly now given the changes in CCG rules it is harder to get seen within the NHS out of your Trust area too.
Also if he thinks it’s fibro did he even try the touch test on you? That doesn’t always diagnose fibro but it appears it does most times from what I hear.
I’m lucky too that my PsA hasn’t yet caused any serious damage. But that’s because I was exceptionally fortunate to be diagnosed early (3 months after it hit me) and then appropriately treated once I got over myself about the meds we have to take which sadly took me a year. So I was doubly lucky really given my delay.
In the meantime, catch your breath for a wee while. See if the depo injection works and bounce back then.
In the meantime lots more hugs for the loss of your cat.