Misscali, I don't have a lot to add to what Pat has told you. I can't really predict a flare either, but I do know if I have something big planned then I had better plan quite of bit of rest and down time afterward or I will flare for sure. Like Pat said, sometimes a flare can keep you down for months, so you do have to be careful not to stress your body too much. Some possible clues for me that I might flare are in increase in fatigue, pain and developing a fever, but by the time that happens it's usually too late to stop my flare.
If you do decide to go on your trip, my advice would be to make sure you have lots of down time and times worked in to take a rest. Whenever we take trips somewhere we try to make sure we have enough time to do some fun things but to also have a lot of breaks in the day where I can rest.
It sounds like your doc is very concerned about
you, so it does sound like it's important to call him right away if you start feeling worse. I'm guessing he wouldn't be concerned if there wasn't a good reason.
Take care and let us know what you decide to do about
Diagnosis: UCTD (lupus) 2006; Raynauds 2006; Sjogren's 2006; lupus symptoms began 2003; CFS 1991; Mono 1985
Meds: Plaquenil 400mg; Prednisone 5-10mg; Tramadol 100mg 3-4x daily;
Amitriptyline 10mg; Neurontin 300mg; Prevacid; Steriod Cream and Mouth Rinse for tongue and mouth ulcers; Hydrocodone 5/500 prn for severe pain; Restasis eye drops
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