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I just talked to Carmen. Based on the signs of inflammation in my bloodwork, she is prescribing a burst of steroids--five days of pills. Carmen said they have figured out they don't need to taper patients down from a short course of those pills.
Also, my gum has been painfully tender and I think a little swollen for the last couple of days. I mentioned that, and we decided that I should also have an antibiotic, because with my current MS drug, there are no antibodies in my bloodstream. So, I will take both sets of pills, and check back with Carmen next week, probably on Monday.
I had an easier time getting to sleep for the last couple of nights, because it's easier to find a non-painful position to lie down in. That is a good sign, but this is not going away quickly, and even with the cane, walking or standing for long hurts, so we definitely need to treat this, not wait for it to get better on its own.
On Carmen's advice, I just called the nurse at the MS clinic, and left a message briefly describing the situation, saying Carmen wants me to loop them in, and offering to send them the test results.
ETA: I now have the prescriptions, and having read the instructions, I will be starting them tomorrow morning: the doxycycline is twice the first day, then once daily, and the prednisone is daily, "before 9 a.m." but to be taken with food.
Carmen said the doxycycline "works best on an empty stomach, and either an hour before, or two hours after eating and other medications." I already have one medication I take first thing in the morning, and two others that I take in the morning, with food. Given that sleep matters, and that I have to leave here a little after ten tomorrow to see my pulmonologist, I may take the doxycycline and ritalin at the same time, and the prednisone around 9:30.
Also, my gum has been painfully tender and I think a little swollen for the last couple of days. I mentioned that, and we decided that I should also have an antibiotic, because with my current MS drug, there are no antibodies in my bloodstream. So, I will take both sets of pills, and check back with Carmen next week, probably on Monday.
I had an easier time getting to sleep for the last couple of nights, because it's easier to find a non-painful position to lie down in. That is a good sign, but this is not going away quickly, and even with the cane, walking or standing for long hurts, so we definitely need to treat this, not wait for it to get better on its own.
On Carmen's advice, I just called the nurse at the MS clinic, and left a message briefly describing the situation, saying Carmen wants me to loop them in, and offering to send them the test results.
ETA: I now have the prescriptions, and having read the instructions, I will be starting them tomorrow morning: the doxycycline is twice the first day, then once daily, and the prednisone is daily, "before 9 a.m." but to be taken with food.
Carmen said the doxycycline "works best on an empty stomach, and either an hour before, or two hours after eating and other medications." I already have one medication I take first thing in the morning, and two others that I take in the morning, with food. Given that sleep matters, and that I have to leave here a little after ten tomorrow to see my pulmonologist, I may take the doxycycline and ritalin at the same time, and the prednisone around 9:30.
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