Had my third appt today with rheumy and previously found him very good.
Today I felt he just ticked the box yes that I feel better from starting hydroxychloroquine so job done.
Yesterday I saw my gp who thought I had dislocated my little toe as I've had lots of pain there and the 3 smallest toes have moved in and a large lump on the outside of my foot. The rheumy today barely looked at the foot and dismissed it saying I wouldn't be able to walk if it was dislocated. He said its a nodule. I told him it hurts he said yes that's the arthritis. After this I was thrown and forgot to ask all the other questions I had.
I think I just caught him on a bad day. I tried to explain that I can't differentiate between arthritis and other pain and he said with arthritis there will be swelling. I said but I've never had swelling despite being crippled with pain. He said listen your blood and everything point to ra your anti ccf shows the value is very high and your prognosis is not good you may feel ok now but I can't promise it'll be the same story within a year.
I came away kicking myself for not getting what I wanted out of the appt. Which was to find out about the diagnosis and to request a podiatrist referral as I suffer in my feet a lot have a corn and now this deformity and I want to prevent anymore damage to them.
Phew! I feel better already.
I won't rush to change rheumy cos I know he has a good rep and did find previous 2 appts went well. Maybe I started all wrong.