Hi there and welcome to the Forum
I dont think you are insulting anybody as a result of your decision to stop treatment.I think that everyone has a right to make their own decisions with regard to their health and what interventions they consider appropriate. You have made a decision based on 14 years of interventions which you obviously felt were causing you more problems than they were solving. I dont just mean physical problems. The psychological problems that this disease comes along with are immense and, I believe, very understated.
For some people, as you say, there is very little choice with regard to treatment because they would be in serious difficulties if they chose to stop their treatment. For others the disease can wax and wane and cause all sorts of problems but may never get to a critical point. Others have gone into remission - some medicated and some unmedicated. Thats the one predictable thing about Lupus - its unpredictability.
I havent got to a point where I would consider stopping treatment - mostly because I believe the treatment keeps me at a functioning level and I need to function in order to get on with my life. I do know from reading these boards that some people did stop their treatment and some ended up getting very sick though.
I would be a bit concerned that you dont have anyone at all monitoring you, especially when you say you are sick at the moment. When you walked away from your Rheumy, did you do it by simply not returning or did you tell him that you were stopping treatment? Would you even consider making an appointment just to check how things are with you? Perhaps run a series of blood tests, check your kidney function, that sort of thing?
I dont know many consultants who would be happy with you going against their recommendations but its definitely something that I think you should at least consider - maybe an annual check up just in case something is going on that you are unaware of. Kidney damage can be notoriously silent, for example, until a critical point is reached.
Anyway, welcome again and I hope you enjoy the site and get something from it
Take good care
Joan:rose: