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A MyLupusTeam Member asked a question 💭
Madison, WI
August 11
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Answer Summary

Members rallied around the frustration of rheumatologists refusing to discuss biologic treatments for lupus and RA, with many sharing that... Read more

Members rallied around the frustration of rheumatologists refusing to discuss biologic treatments for lupus and RA, with many sharing that they were told they were 'not sick enough' despite struggling with severe symptoms and failed medications. Several members described getting results by escalating to a supervising doctor, seeking a second opinion, or traveling to specialized centers like Mayo Clinic or the Rheumatic Disease Center in Milwaukee. A recurring theme was the importance of self-advocacy, doing personal research, and not accepting dismissive responses when current treatments are clearly not working.

A MyLupusTeam Member

It’s interesting when they do a blood test and things come up abnormal and their response is, oh that doesn’t matter or not important for something to come about with it later. 🤔

August 14
MyLupusTeam

It can be really frustrating when you feel like treatment options aren't being fully explored with you. Biologics are an important and FDA-approved class of medications for lupus, so it's completely reasonable to want that conversation.

Here are some tips for getting the discussion going with your rheumatologist:

- Ask Show Full Answer

It can be really frustrating when you feel like treatment options aren't being fully explored with you. Biologics are an important and FDA-approved class of medications for lupus, so it's completely reasonable to want that conversation.

Here are some tips for getting the discussion going with your rheumatologist:

- Ask directly: "Are biologics an option for my current level of disease activity?"
- Ask about the latest advances: Treatments continue to evolve, and your doctor should be up to date
- Bring a support person to your appointment to help you advocate and remember details
- Ask what criteria would need to be met for biologics to be considered Biologics approved for lupus include:

- Belimumab (Benlysta) — can be self-injected at home or given as an IV infusion
- Anifrolumab-fnia (Saphnelo) — given as an IV infusion
- Rituximab — used off-label as an IV infusion when other treatments haven't worked

If your rheumatologist still won't engage in this conversation, it may be worth seeking a second opinion from another rheumatologist. You deserve a doctor who actively partners with you on your care.

August 11
A MyLupusTeam Member

Yes Natalie, because the way these doctors will pay in your face is wild.

August 18
A MyLupusTeam Member

Everyone who's saying this, the Rheumatologist is the doctor but you are the patient. You get to advocate for yourself and tell them your symptoms, how you feel, how you function, what medicines are not working and make them run more tests. Don't just accept them saying "you're not sick enough" because what does that even mean? It's like so you have to look sick, have worst labs or worsening pain? Everybody is so different, and the one thing I know is the Rheumatologist answers to someone, so advocate, do your research and if your treatment isn't right tell them..

August 17
A MyLupusTeam Member

My rheumatologist is a NP. she didn't want to prescribe Benlysta. I made an appt with her supervising MD and he did. It definitely improved my pain, and I haven't needed prednisone as frequently 2x year now verses several times a year. My np rheumy told me once you're on it you can never get off. Studies have shown that stopping Benlysta may have your symptoms return with greater effect. Also, Benlysta may not work again. I probably would have started it even if I had been aware this information. I do wish you the best with your lupus journey.

August 15

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