Time to reach out.

Hello Dr Yazici,

I visited you in 2010 with an informal Behcets diagnosis manifesting in restrictive lung disease, ulcers and skin rashes. I'm 32 female without uveitis When I came to your clinic I had started on 100mg daily dose of Imuran after many failed attempts of Prednisone treatments. Dr Thuc Nyuegen is my Rheumatologist here in Washington State at The Everett Clinic.  I believe you had some previous correspondence with him regarding my case. When I visited you you changed my treatment plan to 175mg/day for two years. I have since been off the Imuran for over a year and just recently developed psoriatic arthritis in my hands, fingers, toes and feet. I'm currently on a 20mg per day, and a weekly increase taper by 500mg of Sulfasalazine. I'm on week 3, 1000mg in the morning and 500mg at night, the taper will be complete next week when I reach 1000mg in the am and 1000mg in the evening. I'm looking for advice on this treatment plan. My swelling and pain is extreme. I'm using a wheelchair in the mornings and I'm not feeling much relief from the medication. I understand that it can take time for the sulfa to work. I do not have any ulcers at this time, my lungs appear to be functioning well (I haven't seen my Pulmonologist yet) Do you agree with this treatment? Any suggestions? Should I come see you again? Thank you for all your help! Hope this email finds you happy and in good health.

Ps. I've cc'ed my mother in this email as well.