I have made a few resolutions for 2012. Nothing big, just some small changes I'd like to try making over the year. I want to say "yes" to new things more often, find a bit more time to do things I love, and stop skipping ahead to the ends of books (I have already broken this one - it is so hard! I have an uncontrollable urge to know what happens).
Another of my resolutions is to be more aggressive in my approach to RA. In the past few weeks it seems to have moved into my feet, where it's never been before. My hips seem worse, too, and I'm starting to wonder if that replacement might happen sooner than I thought (some days I really hope so!). I already knew Enbrel was no longer working as well as it used to, but this seems to confirm that my disease is changing and getting worse despite my meds.
My rheumatologist has always been reluctant to switch me to a new biologic. She's found that as patients switch from their first, they see diminishing returns with each new one they try. I've been injecting Enbrel for ten years, though, and its returns are already significantly diminished. I'm definitely not ungrateful. Enbrel has been an enormous help to me for a very long time, but I think it might be time to try something new.
I'm feeling uncertain, though. School has been stressful this year, and I also need to be thinking about getting a job in law - if not this summer, then absolutely an articling position for the year after next. It's not an ideal time to start fiddling with treatment plans and potentially making things worse. Then again, things are already worse. I'm not sure what to do.
I suppose resolutions have to start somewhere, though, and I am getting started on this one by promising to devote more time to thinking constructively (meaning not just moping) about what I can do to improve my health. Meds, exercise, surgery, diet, meditation: I will think about all of it. It's time for a change.