Finally an official diagnosis~!!! | Arthritis Information

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So Friday I went to see the Rheumy I don't like.  The one that told me it was just a virus and to take the celebrex and go to my primary care doctor, he didn't need to see me anymore because I dont' have anything Rhumatic going on.  I had made an appointment with a new Rhemey but we were still two months away from that appointment so I decided since I am having more symptoms and additional blood work that I would go see what he had to say again.  So my latest symptoms are shortness of breath, pain in chest and back, diarrhea, continued joint pain even though on the Celebrex 2’s a day for months and months now.

My blood work...

3/4/2008

ESR   22 H

Rheumatoid Factor    20 H

ANA Choice    Positive H

 

4/7/2008

Sed Rate    25 H

Rheumatoid Factor   19.1  H

Antistreptolysis   349.6 H

Parvovirus 4.8 H

 

8/7/2008

ESR    32 H

Rheumatoid Factor  20 H

ANA Choice  Positive H

SCL-70 AB   3.3 H

SCL-70 antibody is strongly associated with scleroderma.

 

The doctor told me you don’t need to be on anything else because your joints are not swollen and that is the only time you need to worry about the disease progressing is when they are swollen.  Then I asked him, isn’t there anything we can do, I feel horrible if I do ANYTHING.  The doc said, well we can try some Plaquenil.  Take one two times a day and I will see you in a month.  He ran a few more blood tests and sent me on my way.

 

On my drive home I got a call from the other Rheumy’s office saying they could get me in Monday, it was currently Friday.  So I prayed and waited all weekend hoping this new doctor would be what I need.

 

Yesterday I went to see the new Rheumy.  She was fabulous!!!!!  I am just so thrilled to finally have someone that seemed to do something and listen.  She examined me and went over the blood work.  She said based on your exam and swelling in your joints you certainly have Rheumatoid Arthritis.  You might easily have Fibromyalgia also, that often comes with all of this but I am just thinking out loud on this I am not ready to write it down as a diagnosis yet.  With the Scleroderma you have some symptoms but not others so I would like to wait on that one also.  Let’s do some more blood work and do a CT to look at your lungs I am worried about your shortness of breath.  What have doctors said about your murmur?  I said, murmur what murmur?  She said nobody has ever said you have a murmur.  I said no, she said you have a pretty significant one, lets to an echo.  X-ray of your hands and feet and get you started on methotrexate and I will see you in a month and we will see how your are doing.  So I am planning the Metho for Saturday night to give me Sunday if I feel yucky.  That is the only day I can give.  J  So I am starting out for the first two weeks on 4 pills and then after that go to 6.  So I started my folic acid yesterday.  I have my CT and Echo today!  I am just so thrilled to find a good Rheumy.  What a drastic difference between the two Rheumy’s.  So anyone in Utah, I have a great doctor if you’re not happy with the one you’ve got.  She is worth the wait!

 

Loto, congrats on getting to see a good rheumy (finally), getting a diagnosis, and most important getting started on a treatment!  Unfortunately it can take a lot just to get those few simple things.  I'm hoping you find things getting better real soon.So happy for you!!!!!!!!!  It is so nice to have a great experience after having bad ones like you described...Yeah!  I hope you start getting adequate treatment now!
Phats
glad you have a DX, Loto!!
 
I wish you good results w/your new doc and meds  !!
Yeah Loto - you're finally getting some help!
 
I'd just like to point out that your Strep titres are higher than mine were when diagnosed and that AP would probably work for you.  Strep needs Zith tho - doxy or Mino will get the other myco's but I had rising strep titres so my AP doc added in Zith.  Now they are finally on the way down.
 
http://en.wikipedia.org/wiki/Anti-streptolysin_O_titer
 
Also - that Parvovirus test is High and with all those kids, probably how you got exposed.  Parvo usually resolves on its own tho, within a year.  How long have you had this stuff again?  Anyway, it's probably ParvoB19 and you might search PubMed for info on the strep titres and Parvo. 
 
Hugs,
 
Pip
YAY!!! I am glad (and jealous) that you got a Dx. Glad you got some answers that make sense.
Good luck with your treatment!Wow!! Didn't the first RD do any bloodwork? You clearly have things going on. Glad you found this new Reumy. Good Luck!!!Yes the first Rheumy did the second to last set of bloodwork and had all the others to look at.  Congrats and good luck with your treatments!!!  I might have to plan a trip to Utah!Congratulations  -  that's great that you finally have answers and a RD that will start treatment.  Hope the mtx kicks in quickly for you.
 
Cathy
Loto....I was very lucky that within 2 weeks of an RA flare that floored me, with no big symptoms or Dr visits beforehand, I got D'xd with RA and put onto Plaquenil and other stuff mentioned here below my post. I am SO pleased that you have been to see someone else who is doing her job. DOING HER JOB!! Like we all do. OUR JOB. And you sure do pay for that so called expertise in the States I have learned recently. I am totally gobsmacked at what you all have to fork out for health care.
 
I am a caterer and as such am expected to provide expert advice/service/product but there is no way I could ever charge the exorbitant costs they do, despite MY expertise and years of training.! And I wonder why the Hell  some doctors feel they are above all of that.
 
Good on you for taking the proverbial bull by the horns and going someplace else. And I hope and pray you get relief and soon.
Plus....long live women Docs.....they usually rock!!!
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