I want to start today by saying the gilenya has not been so bad. The percentage of the gilenya slowing the progress of ms is one of the highest of all the ms drugs. If I can tolerate it as well as I have the past few days I will continue taking it. Some of the side effects the doctor will start checking is my white blood count. The gilenya will lower the white blood cells (lymphocytes) in my blood causing infection. I will have to have my eyes checked for macular edema, which have the same symptoms as optic neuritis. I have had optic neuritis in both eyes, but that doesn't mean I have a greater risk of macular edema. I will trust that the worst of any symptoms are over. If I can tolerate the pill for 2-3 months, I may have it whooped!
I saw an orthopedic doctor today. I have an old injury so the "good" doctor said it started by being broke once and at least 20 years of playing softball, then I had it repaired 10 years ago. Now and after the fall on Monday, I find out there is no way to repair my arm without having an elbow arthroplasty (elbow replacement). One of the bones doesn't connect at the joint, the bones and joints have arthritis. I did have a steroid injection in the joint for inflammation and pain. I will have to decide in a few weeks about the surgery. Pain is an issue, but my body hurts everyday and I always make it through another day. God is good. I will not worry about the arm. I trust the Lord for direction.
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