mtx and enbrel - having surgery

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yalinda
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Date Joined May 2006
Total Posts : 1179
   Posted 11/16/2007 6:47 PM (GMT -7)   
hey gang, well i just got great news, not.  seems i need to have my gallbladder removed. this is a touchy subject for me as my father and a dear friend both died from gallstone complications.  with that said i need to get the buggers out before i too get some strays loose and end up septic.  i will phone the surgeon on monday but i am almost certain i need to stop my enbrel immediately and not certain about the mtx and surgery? 
 
if anyone has gone through this having surgery on these meds i would appreciate any information.  meanwhile i am not going to take my meds tonight.  well i guess that is it.  take care yally

Ducky
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Date Joined Mar 2005
Total Posts : 3199
   Posted 11/17/2007 8:26 AM (GMT -7)   
Oh yally.. when did they say all this? When is the surgery? Please keep us posted!
Moderator of Arthritis Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs/Migraines/Hypertension
Current Meds -  Enbrel/Prilosec/Synthroid/Nitrofurantoin/Midrin/HYZAAR
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
 
 


Raven67
Regular Member


Date Joined Sep 2007
Total Posts : 155
   Posted 11/17/2007 10:04 PM (GMT -7)   
Hi Yally,
I did have gallbladder surgery a few years back, had 48 gallstones (small ones) but the buggars were painful. Do they have the laser surgery procedure where you are ???
I had it done thru the stomach no complications although it takes about 10 weeks to recover.
I wasn't on the current meds though but I'm sure they will do blood work and the like to see if your white blood cells are good.
Keep me posted and try not to worry
Raven
People wont remember what you said or
what you did but
How you made them feel
 
Current Diagnosis-Rheumatoid Arthritis, Insulin Dependent Diabetes, Osteoarthritis right knee, Osteoporosis.
Current Meds-Methotrexate 15mg weekly, Hydroquinine 200 mg BID, Celebrex, Cesamet, Oxycontin 20 mg BID, Lorazepam 2 mg dly Actonel weekly, Insulin-Humalog 35 units TID and Lantus 40 units BID.


starrnr
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Date Joined Dec 2005
Total Posts : 1782
   Posted 11/17/2007 10:18 PM (GMT -7)   
You should stop the MTX as well. I was going to have foot surgery last year and my rheumy said the first thing to stop was the MTX and I would need to totally stop the remicade or have the surgery in between the infusions and possibly miss my next infusion, healing dependent. Your system is suppressed and you'll need everything possible to ensure fast healing without complications. It stinks, but better to err on the safe side. Good luck with your surgery.
Some days you're the bug, some days you're the windshield

RA, AS, intolerance/sensitivity to gluten, wheat and dairy.

Remicade every 6 weeks, Methotrexate weekly, Folic Acid daily


yalinda
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Date Joined May 2006
Total Posts : 1179
   Posted 11/18/2007 9:45 AM (GMT -7)   
can i stop the mtx cold turkey????? does anyone know??? i think i can? i will ask a doc but just wondered. thanks so much duck raven and starrnr. i am not looking forward to this but i will be better afterwards i know. raven please share any advice as i am scared. i know 4 people in my family who had gallstones. 2 died and 1 almost died with a surgical error of closing the bile duct. so my frame of referrence is not great. i know it is a common surgery and my stats not the norm, still it is our history. gosh i hope i dont miss too much work!!!!!!! 10 weeks! with no paycheck or hardly a paycheck will but a wrench in my budget! ugh. and i dont have much sick time as i take off for tests an apts and flares and kid stuff. ugh. oh well stop complainin and hopefully everything will work out. take care hugs yally.

starrnr
Veteran Member


Date Joined Dec 2005
Total Posts : 1782
   Posted 11/18/2007 9:49 PM (GMT -7)   
Yes, you can stop the MTX cold turkey. I've had to when I had my staph infections, didn't effect me at all. Although I will say, I was glad to get back on my med's when I got the all clear!

Yally, since I don't know where you are, don't you have temporary disability benefits? I know in California, where I am, after the 1st day (or 3rd can't remember) depending on whether I'm in hospital or recovering at home, my state benefits kick in. You should definitely check into that - it's certainly not a whole paycheck, but it helps.

While it's easier to say, try not to dwell on your family history. The increased anxiety could raise your blood pressure and cause other problems. Stressing out before any surgery is normal, your situation increases your stress level exponentially. Stay focused on a positive outcome and remember to breathe!

All the best to you...hang in there.

~S.
Some days you're the bug, some days you're the windshield

RA, AS, intolerance/sensitivity to gluten, wheat and dairy.

Remicade every 6 weeks, Methotrexate weekly, Folic Acid daily


elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 11/19/2007 6:14 AM (GMT -7)   

Hey Yalinda.  I had a tubal ligation done last year and was told there was no need to stop enbrel or mtx.  I had no complications.  Now, I didn't run it by my rheumy prior to the surgery (asked my GYN).  Perhaps he would have said stop the enbrel.  Even so, there were no problems.  I believe gallbladder is surgery is laporascopic like a tubal ligation, yes? 

One thing I wish I had requested prior to the surgery was an IV of prednisone or something equivalent.  I had a major flare after surgery; even the wonderful painkillers they sent me home with couldn't touch the arthrititic pain--which was way worse than the incision pain.  Someone told me after the fact that when they've had surgery, they were started on IV prednisone before surgery and it kept the inflammation down to a minimum.  You might want to inquire about it. 

 

Best of luck to you!

El


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


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 11/19/2007 7:06 PM (GMT -7)   
el and ~S thanks so much....... el i miss you! hope all is going well with you and your family.

thank you both for the advice and encouragement. yally

Raven67
Regular Member


Date Joined Sep 2007
Total Posts : 155
   Posted 11/19/2007 9:36 PM (GMT -7)   
Yally,
I definitely can understand your fear, there is always a risk with surgery but if you look at the big picture the risk is quite small.
I've had about 8 surgeries in the last 4 years including a complete hysterectomy with no problems other than some nausea. Try to stay as healthy and positive as much as possible.
When I had my gallbladder removed I already had a stone blocking a bile duct. I had the abdominal surgery, was in hospital x 5 days and off work about 8-10 weeks but the time off all depends on what type of work you do. If there is no heavy lifting you could probably go back earlier depending on the doctor. But honestly I really had no other complications.
Have you had anesthesia before?
Do you know what type of procedure they are doing?
Take Care and let me know how your doing

Raven
When you get to the end of your rope, tie a not and hang on!!!
 
Current Diagnosis-Rheumatoid Arthritis, Insulin Dependent Diabetes, Osteoarthritis right knee, Osteoporosis.
Current Meds-Methotrexate 15mg weekly, Hydroquinine 200 mg BID, Celebrex, Cesamet, Oxycontin 20 mg BID, Lorazepam 2 mg dly Actonel weekly, Insulin-Humalog 35 units TID and Lantus 40 units BID.


babyplace
Regular Member


Date Joined May 2007
Total Posts : 499
   Posted 11/20/2007 12:22 PM (GMT -7)   
Hey Yally dear,
Sorry to hear about the surgery. Had my gallbladder out a few years ago, no big shakes, but that was before RA. I had it done practically drive-through. In at 7:00am, home by noon. I din't have to miss only a few days work. I'll give you a call when I get back in to town. Don't blame you for being scared, especially with the family history, but it really was easy for me.
Sending big hugs, will call you when I get back home.
Love,
Jody

curley
Veteran Member


Date Joined Mar 2005
Total Posts : 4305
   Posted 11/24/2007 5:34 PM (GMT -7)   
Hi,I had my gallbladder surgery about a month and a half ago and I had to stop my plaqunile (sp)but other than I was told to take the rest of my meds/.I am like Jody it was like a drive through.My surgery was at eight in the morning and was ready to go home by ten o'clock in the morning.Jody is right with haveing your gallbladder removed laposcoped doesn't have near the recovery time.I wish you well and please let us know how it goes
Curley
.........
 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 11/25/2007 4:40 AM (GMT -7)   
thaks jody and curley. i will keep you posted...... hugs to everyone yally
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