So many things going on lately I’m not sure where to begin.

I had to go off the Xeljanz for a short period of time to rule out a potential side effect. The good news is that it doesn’t appear that the medicine was the culprit. The bad news is that I’m back on the Xeljanz and it’s not working as fast as it did the first time. It can take several months for it to work. Hoping I’ll respond eventually and not have to try other biologics.

I’m in a full flare and am trying to get through it reminding myself that it could be worse.

I honestly think the keto diet is keeping my pain level from being worse than it is.

I spoke with my mom today. Since my diagnosis of Rheumatoid Arthritis and Sjogrens Syndrome I’ve researched and read as much as I can about the diseases. My mom has symptoms of Sjogrens and I told her to ask her doc to do a blood test. Well guess what? Turns out I was right. Sadly she’s lived with this for years and nobody ever tested her for it. Not that it’s preventable, but they could have been managing her symptoms.

She will need to see a rheumatologist and I’m hoping they’ll run a full set of blood work to see if she has other autoimmune diseases. I’m glad she has some answers at least. And for me now I know there’s a genetic predisposition so I can educate my children to look for answers if they ever become symptomatic.

I’m getting through the course to become a a certified personal trainer. It’s hard taking classes right now but I’m determined to get this done and help others with their health. I’m super interested in the nutrition certification that I’m going to get once I finish this course. So many health issues can be helped with proper eating and exercise. I’m excited to pursue this!

Personally, I continue to eat keto and plan on keeping it up for a while. I feel like I have less “brain fog” and my workouts are going well. My strength is coming back in the weight room and I’m definitely more lean.

Now if only spring temps would arrive I’m sure my joints would feel better!

Don’t take your health for granted. Make it count!

Always something new

If there’s one thing I’ve learned since being diagnosed with rheumatoid arthritis it’s that I’m still learning.

There’s always something new to figure out. Lately I’ve been feeling pretty good. My pain is manageable (although nonexistent would be better), I’ve been able to workout hard, and I have been fairly healthy otherwise which is great considering I’m on immune suppressing drugs.

So what’s new? The last few weeks there’s strange things happening with my feet. My toes are either numb or they feel like they’re dislocated. I’ve read about both and they can occur with RA. Who knew?

Now for about a week I’ve been holding fluid in my feet and ankles. When it started I chalked it up to stress and being on my feet more than normal.

I gave it a week before emailing my doctor. She said it could be a side effect from the meds. So I have to stop taking my Xeljanz for a week and see what happens.

I’ve also read where RA can cause edema also so I guess we’re just trying to rule out the meds being the issue.

I admit I’m a little worried about how I’ll feel without the meds since they worked so quickly when I started them I worry if they will stop working as fast.

I guess we’ll see.

On a positive note I’m eating a ketogenic diet to see if it helps with pain and inflammation. I’ve not been on it long enough to know if it will help, but I’m hopeful.

And I just finished a 12 week workout program that was pretty intense. I was able to do most every exercise without modifying it and I feel good about that.

I am still learning. Every day is something new.

Love on each other and make every day count!

#makeitcount #curearthritis


Sometimes that’s what it takes. RA is a strange disease. Highly misunderstood. I don’t look sick. But I’m definitely not completely well.

I’ve been in bed the last two days allowing my body to concentrate on fighting whatever virus I have.

That is a delicate balance. Rest is good but not moving creates stiffness and pain in my joints.

So today since my throat wasn’t as sore and my ears weren’t hurting as much I ventured out of the house to the gym to get some exercise.

I have a lot of respect for my fellow RA sufferers. Grit. That’s what it takes to move some days. That’s what you need to keep RA in check.

Today I grit through the first half of my walk on the treadmill. It felt like I was walking on broken glass.

But here’s the amazing part….I grit through it and the pain backed off.

Did it leave entirely? No. Did it become bearable? Yes.

So I’m reminded that there will be days that I need to grit through it but it’s worth it.

Don’t take your health and movement for granted. Get up every day and just move. Do something, anything for your body.

#makeitcount #MIC4D #curearthritis

I will not give in

I try not to let the circumstances in my life get me down but sometimes it’s just so hard. I thought the issue with my medication had been resolved when I spent hours on the phone weeks ago. But alas…our healthcare is so messed up (and no I’m not looking for a political debate) that even though my doctor sent in the preauthorization that I was told would be all that was needed, my medicine has been denied. She is filing an appeal. We have up to 2 appeals and then the Independent Review Board will be involved. How about this…my doctor says it’s medically necessary so allow me to get my meds!! I’m beyond frustrated that some person in some office is calling the shots on my health! My doctor was told they (Caremark) wants me to try Kevzara injections. They are almost as expensive as the Xeljanz I’m currently taking through the samples my doctor is giving me, and there’s no guarantee that my body will respond to them as well. This isn’t a matter of trading a brand name for a generic. It’s a matter of being forced to change my treatment at the hands of my insurance company. Rest assured I WILL NOT give in. Game on Caremark. You’ll be well acquainted with me soon. I’ve also been sick for a few days and trying to fight off whatever I’ve got going on. No small task with a suppressed immune system lol. The drawback of my meds working so well is that it’s difficult for my body to fight infections. So I’m resting and not working out which makes me feel pretty down. I’m incredibly irritated with all of this. And right on time, as she always does, my earth angel texted me today. I love her to pieces. We don’t text a lot but she seriously comes through every time I’m reaching the end of my rope. I love you Dani! #makeitcount #MIC4D #curearthritis





  • extreme tiredness, typically resulting from mental or physical exertion or illness.

I think one of my biggest struggles with RA is the fatigue that is sometimes overwhelming.

I’ve been dealing with a flare and the fatigue is really getting to me. I’m not used to being so tired and sleep doesn’t help.

It also doesn’t help that I have a hard time falling asleep and staying asleep (also a gift from RA).

My rheumatologist has told me to balance exercise with rest and reducing my stress levels. The only one of those things that I can control is exercising.

So I continue to workout hard and try to get sleep when I can. The other night I slept for 12 hours and took a nap later that day. I was still tired.

My earth angel was a great encourager today as she sent pics from her gym and was kicking butt and being strong for me while I grit through my workout here. I love her so much 💕

It’s crazy how RA can affect so many things and I’m still learning a lot about the disease.

In the meantime I’m trying to stay healthy and enjoy sleep when I can.

#makeitcount #curearthritis


Happy New Year! I waited until after the first of the year to start dealing with the insurance company for my Xeljanz.

Yesterday I spent two hours on the phone trying to get a straight answer about my meds and figure out how we would be able to afford them.

Two hours of frustration, the run around, no answers, some tears and then I got April on the line.

She was a God send. Several conference calls later including one to Pfizer, the drug manufacturer, we came to the best possible answer.

Believe me I have a sheet of paper with names, times and comments to fall back on.

It started with the prescription provider for our plan saying they need preauthorization from my doctor. I get that. My doctor knows it’s medically necessary so no problem there. What the plan rep couldn’t tell me was after the preauthorization was received exactly what my costs would be. She said it would be $3,882.67 for the 30 day supply.

I asked what would happen when I met the $4,000 deductible. She didn’t know. She said to call Cigna the insurance company.

Enter April.

April was very caring and went above and beyond to get answers. She went over everything and said she believed that our individual out of pocket maximum would kick in and help a lot.

She conferenced us back with the prescription plan provider and we walked through it all again. They believed that we would have the 80/20 split after the deductible. Which would be $776.53 for 30 days.

April dug deeper in the plan details. After the $5,000 individual out of pocket maximum is met she said we would not have to pay anything for the meds. They’d be covered 100%.

So we still have to have the $5,000 to pay out of pocket. We talked about the Xeljanz copay assist card I had already gotten. She conferenced us in with a rep from the Xeljanz patient assistance division. They confirmed that the card I have can be used to pay for the initial prescriptions until the out of pocket maximum was met.

So it seems we will be taken care of completely. Thank you April for your persistence and compassion!

Always be persistent. Ask questions. Keep digging!

Don’t take your health for granted. Love on each other.

#makeitcount #curearthritis

The red thread

I’m always amazed at how life works out. I’ve written about my earth angel before. She continues to amaze me. Yesterday I got a text asking if I would be on the board of her new nonprofit. She’s been working on getting her nonprofit status and it finally happened!

I wasn’t sure if it would work with me being in Maryland and her being in Arizona, but it is going to be ok.

I’m super excited about it! Make It Count for Dani is going to grow and we’re going to do amazing things!

Personally I am still feeling good! The Xeljanz is still working well! I’m able to workout hard and am getting my strength back. My rheumatologist is giving me samples until the insurance company decides to cover it. Still waiting on them.

In the meantime I will continue to live my life and RA will have to find its place in it…not the other way around.

Life is a gift. Health is a gift. My earth angel is a gift. There’s a saying that there is a red thread that connects those destined to meet. I believe that more today than ever.

Love on each other and don’t take your health or loved ones for granted.

#makeitcount #curearthritis

The cost of relief

I’ve been on new medicine for just about two weeks and I feel amazing! My doc said if it was going to work I would know within a week or two.

I am feeling like myself again physically and mentally and I hope I continue to have success. I’m still aggravated that I couldn’t find a natural approach but waking up and being able to walk with little pain is like a breath of fresh air.

I asked my doc to call in the prescription so I can start dealing with the issues of getting the insurance company to pay for it. Without any insurance the medicine would cost $5000 for a 30 day supply!

I’m fortunate to be working with a good pharmacy who is helping me through the process. I’ve also gotten a copay assist card from Pfizer to offset $12,000 per year toward the out of pocket costs.

I’m sure we’ll figure it out and I’m trying not to stress over it because stress can cause a flare in the disease.

I’ll be working on a fundraising campaign for soon so you might want to unfollow me now.

I’m so happy that I’ve been able to get back to working out in the gym the way I used to. My strength is coming back and I’m feeling good.

Don’t take your health for granted and love each other ❤



Saw my rheumatologist today. She’s taking me off the methotrexate. It’s been 7 weeks with zero improvement but that’s not why I won’t be taking it anymore. It’s because of my side effects. They would only get worse as we increased the dose.

I’m relieved. I dreaded taking it knowing that I’d feel sick and really fatigued for two days afterward.

She discussed some of the options and decided to give me a 30 day trial of Xeljanz. She said that unlike methotrexate which takes months to work, Xeljanz will show results in one to two weeks if it’s going to work for me.

Xeljanz is an anti-JAK, or Janus kinase inhibitor, which targets a specific cellular process that is involved in the immune response and resulting inflammation in RA.

I’m praying it works. The only concern is that she said it is very expensive. I’ll have to cross that bridge when I come to it.

I know the pharmaceutical company provides assistance with cost so hopefully that will be an option if I stay on it long term.

We talked about my symptoms and she believes that I also have Sjogren’s syndrome too. That is just another thing to add to the list!

I started a new 12 week program at the gym. I have managed pretty well despite the pain this week. I’ve modified the exercises a bit if I was hurting to bad to do what it called for.

I like the program because I function much better emotionally if I have something to focus on.

Don’t take your health for granted. Keep moving while you can. And love on each other ❤



Sometimes you feel weak. It’s a feeling that I don’t want to dwell on.

Taking meds for my disease has provided me days of feeling weak. I take the meds, feel sick for about two days, can’t eat, and I’m weak.

When I finally got myself up and got downstairs this morning I was exhausted. Compared to months ago before the disease snowballed when I was hiking miles with my family. I sat down and rested.

As morning turned to noon I decided that I needed to get up and try to go to the gym.

When I finally got there I wasn’t sure if I could even lift. I grabbed a template online and decided it was leg day. My wrists were hurting so bad today I was afraid to do upper body work.

I grit through the stretching and as my workout continued and my joints warmed up I managed to get some relief.

It wasn’t my best leg day. There were no personal bests today. But I showed up. And I did what I could do.

I came home and saw this Facebook memory. It hit home today. I’m not weak.

Love each other ❤

#curearthritis #rasucks #rheumatoidarthritis #cantkeepmedown