Tags: aches, arthritis, exercise, R.A., RA, rhematoid arthritis, Rheumatoid arthritis, rheumatoid arthritis (RA), stress, work
Is it too late to make another New Year’s Resolution? So far the first and only two aren’t going so well … eat less, exercise more. I’ve managed one exercise ‘session’ and then come down with a very painful period … which is usually an excuse to eat more, exercise less!
Anyway, the new one is to try not to let a day full of minor frustrations build up into one major bad mood!! This morning will be testing. It’s not nine o’clock yet and so far:
- I woke up at 5:50 am with a very painful back (period) and hip (who knows, maybe RA?), to hear the pitterpatter of not so gentle rain on the roof. Oh goody, another wet and painful day!
- I checked my emails to find I’d managed to slightly upset a client. (Long story I’m not going to go into here, but let’s just say I’d anticipated that, and of course it’s his fault, but still not nice to have it confirmed.)
- I went into the kitchen to make my lunch and found that Middle Sized Cat had spilt his water all over the floor. Needless to say, I found out by stepping in it.
- I chopped up a variety of bits and bobs for my salad, and then threw them on to the floor and into Middle Sized Cat’s refilled water bowl!
- I was running a bit late coming into work and then had a minor run-in with an idiot driver who thought that he had the right to pull out round a stationery bus into my side of the road because he drove a BMW and I only drive a Corsa. Wrong! Genevieve (my car) and I don’t like to be bullied, so we carried on. He wasn’t actually drawn up with the bus yet and had heaps of room to pull over on his side, but he sat there for a minute, pulled right out onto my side of the road and glowering because he thought I should have waited for him. HA! Anyway, we won that one at least, but it didn’t make me feel any better – just cross about more things!
So here I am, sitting at my desk, telling myself that none of these things are exactly a major crisis – especially as both hip and back ache have now gone – and that I should pull myself together and plan for a GOOD DAY.
Erm … so far it’s not working. Part of me is going, ‘Come on Penguin, positive thinking and all that … smile and the world smiles with you and all that jazz.’ The other part’s going, ‘Oh shut up you stupid old bat. I’m entitled to the odd bad mood if I want one!’ Have to wait and see which part wins!
Actually, seeing them all written down on the page helps rather to see just how trivial each individual incident is; the trick is just not to let the frustration build up. I feel better already!
HAPPY NEW YEAR everyone! One of my new year’s resolutions is to get back to posting, now that my City & Guilds embroidery qualification is out of the way – or at least I hope it is. The last assessment piece went off to be assessed a bit before Christmas.
It’s been an up and down few months – mostly up, and very up from an R.A. point of view, but down due to all sorts of hassles with central heating incurring large bills and the need for new pipework, a new tank and a new office floor. All that, plus rows with the flooring people, rows with British Gas, minor irritations with the plumbers is now … done and dusted. (I’m hoping that’s not famous last words!)
So with the new floor down, the new pipes in, the City & Guilds qualification completed, this should be a year of new beginnings … or at least picking up the old threads that got dropped along the way, including my blog.
One other thing that got somewhat dropped, not helped by the horrible weather we’ve had lately, is my photography, so yesterday I decided to go and spend my Christmas money (it’s great still getting Christmas money from relatives at 42 – I know people whose relatives told them they were too old for Christmas presents now at 11!) I bought a brand new, shiny tripod (had to go for a light-weight version as, thanks to the good ol’ R.A., even though it’s not particularly worrisome at the moment). I’d put together a certain amount of money for a tripod and found that if I was going for light weight I either had to double that money or go for a ‘compact’ at considerably less money. Although the compact isn’t quite as sturdy, that’s what I opted for. So, with the money ‘saved’ and a handy second-hand lens available in the camera shop that was just what I wanted, I got a lens too! Then hubby and I had lunch out and hammered out some work-related stuff I wanted to discuss, and finally we’ve ordered a new DVD/hard drive. Nothing like a good bit of retail therapy to make it a cheering new year.
So … on to today. I decided it was too darned cold to test out my new gear outside so decided to go round to mum’s to test it out on her splendid Christmas Cacti. Never got quite that far – I broke the tripod!!! That’s where the spare legs come in … alas, I can’t offer any spare legs to anyone although I’m sure there are a few people reading this who could do with them, as could I, but I fear that’s what my new tripod is going to be. The legs are fine but I have irrevocably broken the head and it’s ENTIRELY MY FAULT, which makes it ten times worse, not only because I’ve clearly invalidated any guarantee but because I feel such a fool!! I shall contact the manufacturer on Monday and see if they can supply a new head for less than the cost of the whole tripod, in which case fine; otherwise I shall have to get a new tripod and then, looking on the rather limited bright side, I shall have a set of spare tripod legs if I ever need them!
I can’t believe it’s been over a month since I last posted – and what a month it’s been! All’s now well with ‘the boss’ thank goodness, and all’s well with the bump – two months to go before she pops, if all goes according to plan. However, work is still very stressful, and on top of that we have a big, fat leak in our central heating pipework, buried somewhere under a concrete floor, and it’s been nigh on impossible to get a plumber to even answer the phone, never mind come out and DO something. This means I’m not sleeping, because the boiler’s draining every few hours and then making ghastly sucking noises until you fill it up again. Hubby, of course, tends to snore through this so I end up fumbling around in the airing cupboard in the middle of the night, refilling the boiler – sometimes twice a night – and then lying awake worrying about it! (And I’m not going to embarrass him by discussing his attempts at plumbing … I think he’s learned his lesson now. The lesson is, ‘leave the plumbing to plumbers!’)
Anyway, on the bright sides (there are a few of them), I had a really nice weekend away for Mrs. Mooseface’s hen afternoon (it was a hen day and night but I whimped out and only did the afternoon!), I remain fairly healthy AND apparently if I want to keep healthy I need to consume more alcohol – COOL!
I posted a while back on a study that suggested that people who drank alcohol were less likely to contract RA than those who didn’t … or at least I thought I did, but now I can’t find the post. I remember thinking, ‘Marvelous – license to drink, but it’s a bit bloody late for me. I’ve got it already! Ain’t it typical that you try to be health-conscious and be terribly careful NOT to drink too much, and then find it might have been a good idea to have partied away the last twenty years… oh well.’ Well now, just in the nick of time, I’ve been given back that licence to drink! According to a study by Sheffield University, alcohol may not only reduce the risk of developing RA, but might also reduce the symptoms.
This surprisingly balanced article points out the thing that newspaper articles rarely bother with when they report on these studies – that of course just because there is a statistical correlation between alcohol and RA (or lack of it), it may not be the alcohol consumption itself that reduces symptoms or stops RA developing; there could be a common factor in those inclined to drink more that also makes them less at risk of severe RA.
But you know what? After the month or so I’ve had, I’m going to ignore the sensible and balanced caution, and just go and pour myself a stiff brandy! (or perhaps a not so stiff Bailey’s)
Tags: arthritis, consultant, doctor, GP, NHS, physical therapy, physio, physiotherapy, R.A., RA, rhematoid arthritis, rheumatoid, Rheumatoid arthritis, rheumatoid arthritis (RA), thyroid
OK, here’s the thing – the geniuses at my local NHS physo department (or should that be genii?) have decreed that in order to ‘be in line with the private sector’ they will only give any patient a maximum of six appointments before they kick them out. (The last three words are, of course, my terminology and not theirs!)
I asked Lovely Physio how this was ‘in line with the private sector’, as I had had to have quite a bit of private treatment before I got into the NHS programme and oddly enough they hadn’t been anxious to see the back of me after six appointments. No surprise there – I was paying them. Why would they want to be shot of me? She said something like, ‘I have no idea, but that’s how they’re presenting it to us!’
I suspect the idea is that by ignoring the fact that there are people with chronic conditions who can benefit enormously from regular therapy and pretending that everyone they see can be ‘cured’ in six appointments, they can massage their figures by getting the waiting list down from the current five weeks to a more ‘in line with the private sector’ one to three weeks.
The complexity of the system emerges from the fact that it’s general practitioner budget that pay for this treatment, but once you were being treated, until now, it was up to each physio to decide when and if to discharge. The GPs had little or no say, but they had to pay. So the idea is that you now have your maximum of six appointments and then go back to the GP if you feel you need to still see a physio, to get re-referred, as I mentioned in the previous post. The GP can, of course, say no. I suspect if I see the one that knows me she would say yes … we’ll have to wait and see, but even if she does we’re looking at a five-week waiting list right now.
One silver lining in the cloud – they have an SOS system whereby if I need to see my physio in the next couple of months I can phone and make an appointment saying I’m on the ‘SOS list’. I can then go in under that and have maybe six appointments then before getting kicked out! Hopefully I won’t need to see her in the next two months, but last time I thought that I only lasted three weeks …
Unfortunately I feel I have very little fight in me at the moment – I don’t know if that might be something to do with the thyroid issues i might or might not have, but that’s the way it is!
Tags: bee orchid, enormous cat, orchid
Tags: butterflies, flare, Me, orchids, Rheumatoid arthritis, walks, Weeny
Flare notwithstanding, I managed to get myself up to the north Norfolk coast again to stay with Weeny and her hubby and go orchid hunting last weekend. I had several rest and stretch stops on the drive up, and once there we stuck to relatively local places to keep the drives short, and pottered slowly! We were particularly on the hunt for Bee Orchids and Early Marsh Orchids.
Well we found Early Marsh Orchids in abundance, and Common Spotted Orchid, and possibly another one I haven’t identified yet but might be Southern Marsh Orchid, but not a Bee Orchid in sight. Since we have a bad habit of dismally failing to see what appears to everyone else (usually in the butterfly line, as at least orchids can’t fly away) we assumed it was just us being dense, but after spending all morning at it Weeny wandered off to get a couple of ice creams (handily sold in the nature reserve building) and got chatting to one of the volunteers who told her the Bee Orchids were late this year and there’d been no sign of them at Holme so far.
The chirpy chappy then said, ‘But if you want to see some pyramidal orchids, there’s loads of them just down that path, at the end of the pine trees on the right … ‘ Well … they’d done the butterfly thing and flown away I reckon, or as Weeny suggested pulled up their roots, packed their suitcases and wandered off when they saw us coming!
Clearly it wasn’t going to be our day for orchid hunting …
Cut to Wednesday night -hubby and I are off for the weekly shop. Hubby is frowning at the lawn and starting to mutter about mowing it. This happens about once a month – the rumbles start a few days before the actual mowing as a rule, and I was trying to persuade him to see sense and leave it another two or three days until the gardener comes. Not sure comments like, ‘It’s so long already that another few days won’t make a difference’ really helped my cause! Anyway, I’d dragged myself off to the car, and suddenly heard a yell behind me, only to see hubby squatting on the front lawn going, ‘Penguin – come here a sec … is this what I think it is?’
Can you guess what it was?
Yes, we’ve only gone and got Bee Orchids growing in our front lawn!!!
We’ve only found two so far but there might be more if I can just keep hubby and the gardener away from their manly mowing duties. What is it about men and an obsession with short grass? The one that hubby spotted first, which is in flower (will post photos later) has clearly already been mown once – you can see part of a leaf and the top of the flower spike has been cut off!
Tags: aches, arthritis, depression, doctor, fatigue, flare, flare-up, GP, hospital, hypothyroidism, joint pain, methotrexate, MTX, pain, R.A., RA, rhematoid arthritis, Rheumatoid arthritis, rheumatoid arthritis (RA), sleep, stress, T3, T4, thyroid, thyroxine, tiredness, TSH
I went for monthly MTX blood tests today and remembered to ask if the thyroid results were normal – I’d assumed they were, since no one at the surgery had bothered to contact me. They weren’t.
Having said that, they weren’t all that abnormal either, so what are we doing about it? In their case nothing as yet, in my case getting rather confused …and cold …and tired … and achy … but mostly just confused. Until I went in and asked for the results I thought a thyroid test was just that, one test, one answer – OK, not OK, whatever. But no … it turns out there’s a test for thyroid stimulating hormone (TSH) which is produced by the pituitary gland and stimulates thyroxine production from the thyroid gland. Then there’s tests for the two types of hormone the thyroid gland itself produces, thyroxine (T4) and the other one whose name I can’t remember (T3). Counter-intuitively, if you have lots of TSH sloshing about it means your thyroid might be UNDER-active, because you have to produce a lot of TSH to get the thyroid to do anything at all. If you have loads of T3 and/or T4 (produced by the thyroid gland itself) then you obviously have an overactive thyroid as the thyroid is producing loads of the stuff. If you have very little then clearly you have an under-active thyroid.
Symptoms of the latter include feeling cold when it isn’t (box ticked), weight gain or difficulty in losing weight (box ticked), muscle aches (box ticked), abnormal menstrual cycles (oh yeaaaah!), decreased libido (what’s libido again, somebody?), irritability (well … erm … guilty) and memory loss (not sure, can’t remember). However, my levels of T-whatever – not sure if they tested for T3, T4 or both, are in the normal range. My level of TSH though is just outside the normal range – just a smidge too high. As a consequence the docs have decided to wait and see. I can totally understand the logic of this – apparently it does fluctuate and it’s not as if it’s wildly off the scale, so try again in another month and see if it’s still high, and if the levels of T-whatsit have decreased or not.
Really – I can totally understand that – but it’s just sooooo frustrating, as I sit here grumpily shivering, with period pains! (Oh yeah, and a flare just to increase the fun.)
One interesting thing – apparently the most common cause of hypothyroidism (under-active thyroid) is an autoimmune problem. Surprise, surprise!
As to the confusion – I’ve just about got it straight in my head that there are all these tests and roughly what they’re for, but nowhere can I find clear guidance as to what is and isn’t normal range for any of these tests – it seems that for TSH it used to be considered that up to 5.5 was OK, now they reckon about 4.5, or maybe 3.5, or sometimes 2 depending on who you ask, and apparently some authorities in the UK reckon up to 10 is fine! I’m just going to go off and find a nice sandpit to bury my head in for the next month.
I had a very outdoorsy day yesterday, and it was a good job too as the indoor start to the day really did NOT go well. My friend Weeny and I had arranged to go on a guided botanical walk in my local area (some hour’s drive away from her), and she was picking me up at about nine thirty – or that was the plan. I got a call from my friend at eight thirty, and that’s when things started to go pear shaped; Heck, I thought, something’s gone wrong and she’s not coming.
Weeny: Well… are you OK?
Penguin: Fine thanks.
Weeny: Well … I’m waiting to leave!!
Penguin: Erm … jolly good.
Penguin: Oh … was I supposed to ring you and say I was OK?
Weeny: Well I thought you were!
Oops – I thought we’d agreed I’d ring her if I wasn’t well and she thought I was going to ring either way. Bad start as at this point she was already running slightly late, having waited for me to ring.
So before she arrived, and feeling fine, I thought I’d make myself useful for a change and put some washing in the machine. A bit later on I went to make a coffee, slipped on a small puddle of unexpected water on the kitchen floor and fell over enormous cat, who was less than impressed! Having established that I was still in one piece and so was he, I thought I’d better see where the water had come from. You guessed it – the washing machine. The door seal appeared to be leaking. I pressed the door and it stopped – let go and it dribbled again – pressed the door and it stopped, let go and it dribbled again. O-K, so I stand here all morning leaning on the washing machine, or I bung a few towels under the door and forget about it and leave it for poor hardworking hubby to sort out when he gets home. Well, since at this point my friend is due to arrive any minute I decide on the towel option.
Once that was sorted, and enormous cat apologised to, I thought I’d better get some suntan cream on, as although the weather didn’t look all that promising, I didn’t want to risk it. The suntan lotion leaked too.
OK, I’ll be honest, it didn’t actually leak but somehow I managed to squirt it all over me and all over my t-shirt. Expecting the doorbell to ring any second I frantically scrubbed at the t-shirt, realised it was hopeless, changed rapidly, reminded myself I was supposed to be having a fun day off and managed to calm down and de-stress, only to realise that Weeny was now fifteen minutes late! Round about this point the doorbell did finally ring and there she was, standing there going, ‘Come on penguin, mush-mush, we’re late!’
‘OK, OK,’ I said. ‘Don’t panic. I’m ready. Got my camera. Got suntan cream on, got my jacket, got my notebook and pencil, got my RAC card … keys … erm … where are my keys?’ I think Weeny thought I was joking since there’s a longstanding joke relating to her and lost keys, but alas, I really couldn’t find them. Five minutes later they turned up … in the door.
Needless to say we got stuck behind every slow-moving vehicle in Norfolk and neither of us had thought to bring the mobile number of the chap whose walk we’re going on, but dead on ten o’clock (which was when we were due to meet him) we rolled into the car park … and we were the only car in it! Right – so is it the wrong day, wrong place, what’s going on? Weeny was just about to phone her hubby to get the mobile number for the walkies chap when I had a flash of inspiration.
‘Weeny … you know his instructions said “go over the level crossing and it’s the car park on the left”? Well … what if we went over the level crossing the other way? Then it would be the car park over the other side of the crossing from this one …”
“Oh yes,” says Weeny, “there was a car over there…”
Sure enough, we turned around and went back over the crossing and there was a much larger car park with one solitary car in it and one solitary man scrabbling about on the ground with a huge camera trying to photograph a small plant. That’s got to be our man, we thought, and sure enough it was.
After that the day went much better! We spent a fascinating three hours learning about and looking at a variety of plants with fantastic names like Smith’s Pepperwort, Tower Mustard, Stork’s Bill, Shepherd’s Cress and Mouse-ear Hawkweed … and we had Mr Expert to ourselves, which was a bit of luck! (For us – not for him, from a financial point of view, but he never made us feel that we were wasting his day!) Best of all, my RA was totally quiescent – the idea of me spending three hours on my feet a few months ago would have been quite laughable (in a depressing sort of way, rather than a ‘funny ha-ha’ way!)
After a splendid morning we headed back to my place for lunch – both starving after all that fresh air and exercise. Of course we got stuck behind all the slowest moving vehicles in Norfolk AGAIN, and sat there hurling abuse at them and shouting ‘Oy – can’t you see we’ve got an emergency here. We want our LUNCH!’ A very nice lunch it was too, and then off for another stint of outdoorishness, this time butterfly-spotting on another local nature reserve. We didn’t have much luck with that – we were looking for three particular species which we know for sure have been in that area over the last few days. We didn’t see the faintest sign of two of them. The third, Green Hairstreak, we caught brief glimpses of flitting high up in the scrub – and I mean brief. Just enough to go ‘It’s definitely green!’ Still, even though we didn’t see what we were looking for, we had a lovely afternoon in the sunshine, and did see a few other interesting things.
Then I headed home to hubby, who said, rather woebegone, ‘I suppose that means you won’t want to come out for a walk with me this evening?’ So out we headed again – to yet another local nature reserve, for a brisk walk to our favorite bench and back before dinner.
I must say I felt SO much better yesterday evening than I generally do after a day in the office, and I slept like a log!! Still, something has to pay for the days off. And although I did find myself getting pretty stiff today, back to being stuck in the office again, apart from that the RA has remained blissfully quiet. Long may it last. I don’t know if it’s the change in the weather or what, but I’m making the most of it. We’ve been out almost every evening this last couple of weeks, and a fair bit over the weekend. Who knows, at this rate maybe I’ll even lose a bit of weight in time for THE wedding. Then again, given that Weeny brought some rather yummy Greek Salad for lunch … maybe not.
Tags: cats, children, day out, folic acid, gardens, methotrexate, MTX, peacock, RA, Rheumatoid arthritis
Saturday was an absolutely glorious spring day – sunshine by the ton! My Saturday started by being woken by an unexpected visitor in the garden. I thought it was a cat and couldn’t understand why our cats weren’t responding to these incredibly loud meeows. The cats, of course, knew better! Here’s a picture of our visitor.
The sight of him was a grand start to the day, but it just got better and better. Thanks to the f-f-folic acid on F-F-Friday I was f-f-feeling f-f-fine and I braved my first trip out in Hubby’s open topped MG. As bravery went, I wasn’t very! I had a long-sleeved t-shirt, two jumpers, a jacket, a ‘slanket’, a blanket, a hat and gloves!! It felt fab though, being driven along with the wind in my hair … there were times when I felt as though the wind was in my very bones, but mostly it was heavenly.
We visited East Ruston Old Vicarage Garden first of all – an extraordinary place which must surely have pioneered the idea of garden rooms. It’s very close to the coast (as you can see from the picture, where Happisburgh (pronounced hays-borough of course!)) Lighthouse is visible through a cleverly placed hole in a hedge, but due to incredibly skillful planting and deep, deep double hedges, they can grow the tenderest of plants, including stunning camellias.
It has to be one of the easiest places in the world to get lost in because there are so many paths and so many nooks, but although it feels really spacious it’s actually quite small so not even I can really get lost for long!
We made a couple of friends while we were there. The first can be seen below on Hubby’s lap. Note the gazes of mutual adoration. Not sure who’s cuter!
The second was equally cute but slightly more worrying. We’d found a nice secluded bench to sit on and soak up the sun for a few minutes, and were enjoying the peace and quiet when suddenly a very small child came barelling in from nowhere and jumped up on the bench next to hubby, pulling his legs in and crouching as small as possible. I whispered ‘Are you hiding’ and he nodded. After a few seconds, when no one had come to find him, he got bored and said ‘Did you know there’s a dinosaur head over there?’ We said we didn’t. (In fact we knew there wasn’t, because we’d already noticed the cow’s skull complete with horns in the part of the garden designed to mimic the Arizona desert, complete with a range of cacti etc.) I asked him if he was sure it was a dinosaur head and he assured me that he was – it was, he said, in fact a Tyrannosaurus Rex head. When we asked him how he knew he looked at us pityingly and said ‘Because it’s got horns!’ Then, grabbing a rather surprised Hubby’s hand, he said ‘Come and see!’ and dragged Hubby over toward the cow’s skull. ‘You’d better come with me!’ said Hubby hurriedly, as images of angry parents, police, child abuse accusations and court cases flashed through his mind! So off the three of us trouped, like a line of ducks, small child pulling Hubby along by the hand and Hubby pulling me along.
Fortunately at this point small child’s father caught up with us. More fortunately he obviously knew his son well! ‘Ah, I see little Jonny has adopted you. Sorry about that. He has a habit of doing that.’ I explained that we were off to see the Tyrannosaurus head (and added ‘cow skull’ sotto voce when he looked confused). Laughing and apologizing he came with us, and when we’d admired the most impressive dinosaur and Little Jonny was satisfied, we went our separate ways. As we wandered of Father said to Jonny, ‘Which way shall we go now then?’ and Jonny replied loudly, ‘Well I’m going with them!’ Fortunately Father persuaded him otherwise, probably with a bribe of ice cream as we saw them later in the cafe!
The rest of the visit was less eventful but still very enjoyable, and after a tea break we headed off around the coast and stopped at Cromer. (Penguins like to see the sea!) We finally rolled home just as it was getting dark, tired by very content. Hubby commented that I was looking and sounding and moving better than I had for quite a while – I felt it too. Amazing what a spring Spring can put in my step!
Feeling a tad creaky today (Monday) but it’s m-m-m-Methotrexate day so hopefully by tomorrow afternoon I’ll be full of the joys of spring again (although perhaps a little queasy as I’ve not managed to see the doc about changing the folic acid dosage and timings yet!)
Tags: aches, arthritis, flare, flare-up, pain, R.A., RA, rhematoid arthritis, rheumatoid, Rheumatoid arthritis, rheumatoid arthritis (RA), rheumatology, sleep, stress, tiredness
On the plus side, at least a yo-yo goes up as well as down! I’ve had another mini-flare (fizzle, floret?) since I last posted, which is why I’ve been so quiet lately … well, that and the fact that work has been insanely busy lately. I rather strongly suspect the two are connected!
I have posted before, once or twice on the importance of pacing yourself and a week or so ago I gave a great demonstration of exactly how now to do that! Worked long hours, worked part of the weekend, ignored the warning signs, took paracetamol or rubbed in magic herbal rub stuff and just kept on working … and of course woke up one morning almost unable to get out of bed. I did get out of bed … still had deadlines to meet, but came home early in a LOT of pain.
So, what would a sensible person do at this point? Take some painkillers, go to bed and have a bit of a snooze probably. I thought, ‘Well, I don’t feel well enough to work but I still have all this City and Guilds embroidery stuff I need to do, so I’ll go to bed with some research books for that …’
Eventually I reached a point where I HAD to go to sleep, but was still trying not to as I thought that would mean I wouldn’t sleep at night. I got to the point where I realised that I’d need matchsticks if I was going to keep my eyes open and gave in.
At this point I was still in a LOT of pain but did drift off to sleep … and woke up an hour later feeling fine! I know sleep is important, but that’s a really extreme example! And I did sleep well that night too. I must have been really sleep deprived and not even realised it!
Mind you, waking up with five to ten hot flushes (flashes) per night is not exactly helping on the sleep front.
Still, things are looking up – work is now steady (which means that I’ll be panicking in a week or two that there’s not enough), apart from one odd twingey pain in one knuckle I’m not bad on the RA front … the yo-yo is on the upswing again … and will hopefully sit at the top for a while at least!