Rheumatoid Arthritis & Humira

[ADAFguy]

Hey all, new here but loving the forum, you guys are super knowledgeable.

I’m ADAF / 7 Years. Diagnosed in January with RA, and my next appointment with the rheumatologist is at the end of July where they’ll be putting me on Humira. I’m on a permanent profile already, as I had an IRILO as soon as word got to base. I was returned to duty with a C2 limitation code, my NARSUM stated “condition likely to improve in 6-9 months.” I brought this up to my psychiatrist at MH who sits in on the AMRO board, and she stated that maybe my PCM thought it would get better with just the normal Plaquenil? But she was surprised I was returned.

My main question is that if they put me on Humira, would it trigger my ARILO early? I believe I read somewhere here that a PCM can initiate it if the condition worsens, but I’ve also read that biologics are a no go. Any input is appreciated, thanks!

 

[Provis]

Hey all, new here but loving the forum, you guys are super knowledgeable.

I’m ADAF / 7 Years. Diagnosed in January with RA, and my next appointment with the rheumatologist is at the end of July where they’ll be putting me on Humira. I’m on a permanent profile already, as I had an IRILO as soon as word got to base. I was returned to duty with a C2 limitation code, my NARSUM stated “condition likely to improve in 6-9 months.” I brought this up to my psychiatrist at MH who sits in on the AMRO board, and she stated that maybe my PCM thought it would get better with just the normal Plaquenil? But she was surprised I was returned.

My main question is that if they put me on Humira, would it trigger my ARILO early? I believe I read somewhere here that a PCM can initiate it if the condition worsens, but I’ve also read that biologics are a no go. Any input is appreciated, thanks!

ADAF is weird. Biologics are normally a no go regardless of whether they resolve symptoms or not. It definitely could trigger it early. I would ensure that you seek treatment and ensure you have the proper profile that states your limitations regarding your conditions or limitations due to your conditions medication.

 

[ADAFguy]

ADAF is weird. Biologics are normally a no go regardless of whether they resolve symptoms or not. It definitely could trigger it early. I would ensure that you seek treatment and ensure you have the proper profile that states your limitations regarding your conditions or limitations due to your conditions medication.

Thanks for the reply! My 469 says no pushups/planks and has no expiration date, just says “Permanent.” I’d love for this to get better. Having a bad day pain-wise even with the Plaquenil and CellCept. Also on a cardio profile for a lower back MRI I just got done with. Have a phone call appointment next week with my new PCM so maybe I can get some insight for that as well. Thank you!

 

[Provis]

Thanks for the reply! My 469 says no pushups/planks and has no expiration date, just says “Permanent.” I’d love for this to get better. Having a bad day pain-wise even with the Plaquenil and CellCept. Also on a cardio profile for a lower back MRI I just got done with. Have a phone call appointment next week with my new PCM so maybe I can get some insight for that as well. Thank you!

If you get into full IDES and code 37 you may want to consider hiring a private IDES attorney. I always recommend one because I don't like to leave my financial future's fate to a process that lets people fall through the cracks. The outcomes can be substantially different for similar cases depending on what you do during IDES.

 

[ADAFguy]

Update: just had a phone call with my PCM and he said that since I was RTD already, that Humira is an expected treatment and it won’t trigger anything. I just have to wait on my next ARILO next February.