Dear Robbi,

All my doctors (at last count I think I was up to 5 LOL) seem to be in agreement that gastric bypass is the best choice for me.  In fact, they all wrote letters to my insurance company stating so.  Of course I have other health conditions besides the PA (like Diabetes and possibly Lupus).

 Sandi

Sandi:
This is somethign else I just thought of you might want to know.  I originally did want the RNY or Gastric Bypass.  But two surgeons did not want to perform it on me because of the medicines I take for the psoriatic arthritis.  One of those two surgeons finally even said he wouldnt do any surgery on me at all.  Then my rheumatologist  referred me to a third surgeon.  This surgeon said he would rather not do the RNY on me,  but instead suggested the Gastric Sleeve.    This surgeon also conferred with my rheumatologist before finalizing plans for surgery.  So then I put my faith in his judgment and went with the Gastric Sleeve. 

Robbi

I did  have a slight flare- but an early Remicade treatment reversed that quickly.

And you are right the PA can hurt just about anywhere.  When it is at its worst it attacks my hands and knees though.

I guess you have to weight the good and the bad and decided what is right for you.

Have you been able to take methotrexate?  My rheumy compliments the Remicade with Methotrexate.

I know everyone is different and what is right for one isnt for another.  Let me know how you do and what you decide to do.

Robbi

 

 

I too have PA.  I have pustular psoriasis on my hands, feet and inside my ears.  The PA affects my back, hands and feet mostly, but can also hurt in other places.  I was on Enbrel for about a year with little effect.  Then I went on Remicade for almost a year then had a few severe allergic reactions and they took me off Remicade.  Right now I am only taking Prednisone and seem to be under control.

 My question is...did surgery send you into a flare?  I had open gallbladder surgery in Feb and it sent me into a flare that lasted through May.  I am a bit scared the RNY will have the same effect.

 

Thanks

Sandi

I also have psoriatic arthritis- diagnised in 2001.  I am on Remicade IV infusions every 8 weeks, complimented with Methotrexate and folic acid.  My arthritis is virtually non existent with the Remicade/MTX treatment.  But returns after being off of treatment past around 3 months.  My psoriasis is also non existent.

I would be glad to answer any questions.

Robbi