Didn't really find out a whole lot new that I didn't know, but I feel a lot better about the whole thing. Here's what I found out:
1) methotrexate can cause interstitial lung disease, and perhaps contributed to my mother's ILD, as she took it for 10 years prior to being diagnosed with ILD
2) Methotrexate most likely did not cause the peribronchial cuffing on my x-ray; the cuffing is most likely attributable to my chronic cough
3) Because of my mother's ILD, and the dry cough I developed on mtx, it is probably not a drug I should revisit, especially if I'm doing well on the enbrel and plaquenil (which I now am)
4) Even though mtx probably did not cause the cuffing on my x-rays, doctor said it was fortuitous that I was there because of my family history of ILD. He wants to establish a baseline, and follow me. For how long I don't know.
5) Acid reflux can cause interstitial lung disease. I have severe reflux, and have had it for years. He said reflux, which goes along with MCTD (my mother had severe reflux too), is more of a cause for ILD than methotrexate is. Reflux may also have contributed to mom's ILD.
6) Pulmonologist said he will call my rheumy with his opinion on the mtx, and will coordinate with rheumy when I need to be seen again (by rheumy). My doctors talking to one another kind of freaks me out, but in a good way. I'm certainly not used to doctors communicating on my behalf, but at the same time it makes me feel like they actually care and are doing their job.
7) Scheduled a pulmonary function test and ct scan.
8) Follow-up with pulmonologist at the end of October.
9) Pulmonologist measured my oxidation (that finger clip thing), which was 100%. Said you couldn't get much better than that. I told him that evidently Lance Armstrong could :)
Happy Friday! I'm trying to finish up my work so I can go play with my daughters.
Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan