Two months ago, I agreed to give psoriatic arthritis treatment another try. The first time didn’t exactly end well, and the doctor who treated the resulting hair loss warned me it’s likely to happen again if I went on another TNF inhibitor.
But when do I ever listen?
So I start Humira injections in three days.
At least I know what signs to look for this time (worsening psoriasis, hair loss, symptoms of drug-induced lupus). My hair loss specialist and I have a plan in place, should I need to see him again, and my rheumatologist’s office is already on board with me stopping this treatment at the first sign of trouble. I can’t say I’m not nervous. I’m actually terrified. Many of the side effects I experienced from Remicade have since cleared up, but other symptoms remain, like rosacea. I can’t help but wonder what fresh hell Humira could bring.
But I’m trying to be brave, whatever that looks like in the moment.
Now, the whole stabbing myself with a needle thing? Not worried. Not only is it a “pen” I simply click, but my grandpa had diabetes and I grew up assisting him with his insulin injections. Between that and spending more than half my life immersed in the medical world firsthand, I like to believe I’m desensitized.
That’s right. My ridiculous brain short circuits at the idea of making a simple phone call, but I can transform into a human pin cushion on infusion days without batting an eyelash (a port-a-cath’s been mentioned again—and my answer is still no).
As I write this, my mental to-do list grows. Make a station for the sharps container. Set reminders on injection days. I had put off setting up my first delivery and didn’t expect for them to send it out so soon after making the dreaded phone call. It’s almost better this way. Less time to talk myself out of it. Still, there’s so much to do in just three days… And not a lot of energy to go around. Shower before so I don’t have to worry about showering after. Update medication list.
So, Humira starts in three days and I’m not worried, but on the other hand I am in fact very worried. Cool cool cool cool cool cool.