Finding a supportive environment
Finding a supportive team of health care professionals, friends, motivators and mentors should be a priority.
Finding A Supportive Environment
Dr. Mona Marabani
Rheumatologist
President, Australian Rheumatology Association
It’s absolutely my role to help that patient become the person that they want to be or the person that they were. That’s the whole reason for my existence I think to help people to take control. I often say to them, you’re in the driver’s seat, you’re the boss, this is about you; I want to know what you want. I can give you lots of information, I can make recommendations for you and I need you to come with me. We need to meet halfway in this process but it’s all about making you the whole person that you want to be.
Suzie Edward May
Member, Arthritis Australia National Consumer Reference Group (rheumatoid arthritis)
Author of ‘Arthritis, pregnancy and the path to parenthood’
The GP referred me to a rheumatologist who looked at my MRI scans after ordering them and diagnosed me with rheumatoid arthritis. But the way that it was delivered, the way that I was told about my disease; there wasn’t much warmth there. There wasn’t much of a bedside manner. It was very matter-of-fact, this is what you have, this is what you have to take, here’s a brochure. There wasn’t a lot of support around it and I found that very difficult. It was a very emotional time. It was a time when I was completely shocked by my diagnosis. It wasn’t what I was expecting and it was a very difficult delivery of how I was actually diagnosed. I walked out of that rheumatologist’s office and found a new rheumatologist who I worked with under for about a year and then I eventually found someone else through my own choice.
Linda Bradbury
Nurse Practitioner, Rheumatology, University of Queensland
President, Rheumatology Health Professionals Australia
It’s absolutely fine to go and find somebody else that you do have that good relationship with. You’re not going to get on with everybody in life and this is the same with your specialists.
Dr. Mona Marabani
Rheumatologist
President, Australian Rheumatology Association
Well I think it is really critical because this is going to be someone who you’re going to be seeing regularly for a long, long time. So I also say to people don’t hesitate to change if you feel that this person is someone you can’t relate to. If it’s not a good fit then you should ask your GP for a second opinion and I think that most people think that’s a very reasonable thing. You’ve got to find someone who you can connect with to make that therapeutic relationship work properly for both of you.
Suzie Edward May
Member, Arthritis Australia National Consumer Reference Group (rheumatoid arthritis)
Author of ‘Arthritis, pregnancy and the path to parenthood’
For the next 10 years I was looked after by an incredible rheumatologist and we developed a what I call a working relationship where we had the utmost respect for each other. I would respect his opinion, he would respect my opinion. We worked together to come up with treatment options and a treatment plan. That evolved and changed over the years which was responsive to my goals.
Confirming diagnosis

Initial GP visit

Key questions & history taking

Piecing the symptoms together

Referral to rheumatologist

Visiting Physio or GP

Other therapies

What is a rheumatologist?

Preparing for first consultation

Questions rheumatologists will ask

Tests rheumatologists may conduct

Your online research

Rheumatologists can help

Tips and suggestions

Living well with arthritis

Next steps after diagnosis

Reaction to diagnosis

Finding a supportive environment

Working to achieve your goals

Working with your rheumatologist

Developing a working relationship

Treatment management

Personalising treatment plans

Lifestyle management sleep & smoking

Lifestyle management exercise

What is adherence

Exercise

Finding the right treatment

Understanding side effects

Side effects vs benefits

Risk of avoiding medications

Importance of monitoring side effects

Considering the immune system

NSAIDs

Immediate treatment

Introduction to methotrexate

Methotrexate compared with chemotherapy

Methotrexate early side effects

DMARDs

Introduction to biological treatment

Ankylosing spondylitis & biologics

Moving to biological treatment

Biologics are they for you?

Finding the best biological treatment

Changing biologics

Biologics

Early treatment

Treatment disease modifying drugs

Customised treatment

Other treatment options biologics

Treating AS

Treating PsA
