This week, another much anticipated hospital appointment took place. It was to become a new discomforting medical talk.
It all started with good news. The rheumatologist told me no real abnormalities were found in either bloodtest or new x-ray photos. More importantly, no crystals whatsoever were found in the excessive knee fluids het extracted last time. Meaning, it is almost certainly not gout or ‘pseudo-gout’ (chondrocalcinosis). The bad news was slowly building up in my mind. And made written notes this time to remember the test results in more detail.
The specialist suggested one more fluid extraction from my swollen knee and wile the needle was still in, inject it with double the volume of corticosteroid in order to try once again kill the stubborn inflammation. I agreed as this seemed the last effort to cure the 15 weeks knee misery. In two weeks time, a 3rd extraction (if anything left) will take place for a final check on pseudo-gout. And another blood test.
I had to ask the question: so doc, what’s next if all this doesn’t work out? Well, if it’s definitely no gout (and that’s already for 99% certain), we are entering the early indication of the rheuma realm. A new therapy will need to be started and another medication to stop the inflammation. Probably back to a prednisolon course.
The injection was less comfortable than the previous extraction. The medication was added and I was instructed to keep calm for 2 days and then slowly try to exercise. In the meantime, I keep my fingers crossed.