lovinlife-
I would check with MedImmune directly, the actual makers of Flumist. I have a DD (1) who fits into the high risk catergory this year for a couple of reason: 1. her age, 2. minor health problems. My DS 5 was able to check the flu shot about 2 weeks before the shortage was accounced. My older DD however was in school at the time of that appointment and wasn't able to get it. Their doctor recommended she get the FluMist, which is indeed a live, but weakened virus. When I asked how it would effect my DD(1) since she wasn't suppose to get the FluMist he wasn't sure.
I called MedImmune and after being on hold and passed around, finally was able to speak with a very nice doctor at MedImmune. She basically told me that the virus is so weakened that unless someone in your house is supremely immunocompromised (she said most in that category are already in isolation) that it shouldn't be a problem.
If you decide to check- make sure you check with MedImmune-not FluMist. When I asked them, I was given the run around to ask my doctor. When I told them my doctor wasn't sure either and that's why I was calling, they told me that it SHOULD be ok. I just kept pressing for someone who would know the answer. That's when they put me in touch with the doctor at MedImmune.
Edited to add: I just reread your post, since you already had your specialist (Rheumatologist), then I would go with them. Hopefully he/she knows more about the Flumist then many of the doctors. I really think Flumist needs to educate those that dispenseing Flumist better. I am sure there are many homes where one or two members are eligible to receive the Flumist, but also have member who should not get it. Flumist should be clearer with if it is still ok it that circumstance.