Glutenfree33,
you should definately get a new rheummy. The thing with plaquenil is that it helps to control flairs. Imagine a wave pattern and it spikes up and down rapidly. These are your flares without plaquenil. Then imagine lower waves, and further apart. This is what plaquenil does. It reduces the intensity of flares and spreads them out further. Plaquenil has to build up in your system and can take anywhere from 6 weeks to 6 mos. your rheummy should be checking your cmp(complete metabolic pannel). This will show mostly kidney function. She should also be checking sed rates, this shows inflammation in the body. She should also be looking at your complete blood count or cbc. These will show how your iron, is how your red blood cells are and how active your white blood cells are. Wlastly, she should be checking your complements. c3 and c4 being elevated will give a good indication of what the body is doing inflammation wise.
As for your question of weather you should be taking meds, yes and no. If you have major inflammation that is affecting your organs, then yes, you should be taking prednisone immediately to tackle the inflammation from causing major damage. As for plaquenil, it is good to help minimize the flares, but if there is no inflammation, plaquenil is a moot point.
Hope this helps. You should read up on a few of the tests used by rheumatologist to keep track of things. It will make tho vs much easier to understand when talking to your physician. They are human, and fallible, you are your own best advocate.
Post Edited By Moderator (Lynnwood) : 4/27/2015 5:40:15 PM (GMT-6)