Rheumy appt | Arthritis Information

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Hi, I had my appt yesterday, saw a different consultant, and he seemed to listen to what I said.  Asked lots of questions, and said I wasnt presenting the usual symptoms  for RA, but definitely had RA and OA, and there is joint damage.

He suggested it could be mixed connective tissue disease, or an undelrying overlap of illnesses, mainly Lupus, had more bloods done, results not until March now.  He thinks I also have sjogrens. There is alot of swelling on ankles, elbows, wrists and hands.  The methotrexate was upped to 15mg.  I am to continue on tramadol 100mg, even though I get pain all the time, especially in feet.  At night its mainly hips and neck and shoulder pain.
He said my job doesnt help, working with 2 babies every day  pushing a  double buggy etc and lifting children.  Will have to talk to parents now I think.
Any help with the MCTD would be useful, if anyone else has this, thanks.
 It sounds as if your appointment was more successful this time. I dont know much about mixed connective tissue disease but found this article  that may help
http://www.patient.co.uk/doctor/Mixed-Connective-Tissue-Disease.htm
 
I suffer from sjogrens mainly  my mouth and eyes. For my mouth I used Biotene mouth products, htye seems to help me the most, also make sure you see the dentist regularly.
 
The feet are one of the main places the RA seems to strike on a lot of people. I find mine are worse in the morning when i try to stand for the first time and I use a foot soak if they are really bad.
I hope you get some relief soon.
I have also found biotene to be helpful.  The sjorgren's really messes with my eyes.  I see an ophto monthly due to chronic iritis and reoccuring scleritis.  When you see an eye dr. make sure it is an opthomologist(spelling?) and not an optometrist.  We have special eyes!
 
 
Have you seen a podiatrist for your feet?  I use one regularly - go get some injections - and that helps.  I don't have custom orthotics but do have some great (expensive) insoles and that help.

Why do you have to wait until March for results on the labs?  Can you call and get a report sooner?  I have Sjogrens too, I get my permanent punctal plugs on Mon., it felt like I could tell the instant the temporary ones dissolved!  Hi, thanks for replies, I have checked out the web site for MCTD thanks mrs pincushion.  I dont know if I could get the results for the tests before this, even if I do, I still have to wait for an appt with the clinic to get anymore help, thanks waddie.  I havent seen a podiatrist yet, no one has mentioned this, maybe I could ask for a referral from my GP.  Also havent seen anyone about eyes, I get my eyes tested for glasses regularly as I wear varifocal lenses.  Again this would be referral from GP.  When the GP mentioned sjogrens (and the rheumy agreed) there was no mention of needing to get special checks done.  I feel like I am being a nuisance with asking things, and like I am making a fuss about everything, so I dont like to keep on asking questions.  Even at rheumy, it is always a fairly rushed appt, this time was better I had about 15 mins.  Dont really know where to go next for advice really.  Thanks all Awwww, Barbie, don't think of it being a  nuisance, think of it as being pro active!  Some of the visits I have with specialist were suggestions of my RD, others I did myself, but check if you need referrals.  I found my RD was more than happy to give me referrals. 

Do you have an advocate to take with you to visits?  That helps me to get all my questions asked and to remember the answers!  I make a list of questions (and try and research them before I go) and my advocate (DH wears many hats!) takes notes for me.  Your RD should be willing to answer questions. 

Also, try and put together a team of doctors that will work with one another.  Your PCP is a good place to start and can help with referrals.  I ask all my doctors to send progress notes to one another and make sure they all have updated medication lists.  Make sure you run supplements you are thinking of adding by your RD before you add them as well.

Coming here is a great place to go to have questions answered, support and other things. 
As far as what to do next, you may want to do research.  Research meds, treatments, disease control, anything RA related!  It helps you to talk to your RD and gives a measure of control. 

Take care Barbie! 

Barbie
Your blood tests should be available to you with in 10 days max. I have my blood taken for all sorts and I just phone the surgery to get them. Ask your G.P.'s receptionist.
Things work differently for us in the UK than in the USA...you wont  be referred to a podiatrist , if you feel you need more treatment for your feet you will need to to discuss this with your doctor, he might be able to help you himself. If your doctor is a good one then he wont be annoyed at all your questions, my doctor said if he has RA he too would want to know everything he could.
I see my optician for my eyes ( specsavers), she did my referral for my eyes. speak to your opticians if you are concerned about dry eyes, they will help you.
I paid privately to see a podiatrist a few years ago but you can get this on the NHS  if necessary.
My close friend has a form of Mixed Connective Tissue Disease.
 
Just off topic - when was your Vitamin D last checked? Deficiency in this area causes so many nagging problems ......... just a thought.
 
Ten days for blood tests? Even that's too long. I usually get mine about 36 hours after the draw.  ALWAYS, ALWAYS, ALWAYS have the physician write "cc to patient" on the lab order. This way you can go down and pick up a copy when it's ready [or have them fax it to you].
 
I'm in the US and know that things are far different in the UK. However, your health should be your priority and if it means that you stand in the doorway to block the physician from leaving before all your questions have been answered, then that's what you do. Too bad if he runs behind schedule.
 
One thing most of us with this gawd-awful disease have learned is to be assertive. VERY assertive.
Sam12342009-11-28 17:24:17

Sam,

I agree about getting the results faxed or mailed to you. I remeber when I first starting having chronic health problems I did not know to ask for  this information. I also get copies of the letters my Neuro and Rheumy send to my General practioner...I am really lucky...all 4 of my doctors , Neuro, rheumy, ortho and family doc...have never made me feeled rushed. But I have been to some in the past that did...like my old OBGYN...he was always rushed

#1inflamedOnline2009-11-28 17:40:00Whoa, March?! That blew me away! I wonder why the results are supposed to take so long? Or it that when you see your doc next? Maybe he meant to discuss the results. I hope upping the MTX helps relieve your symptoms. Are you taking anything at night to help you sleep well? I know for me not sleeping well has a huge impact on pain levels. I'm sorry I don't have any information to provide regarding MCTD, but I'm sure someone will come along with some insight. (Not that I want anyone to have this disease, I just know we have a potpourri (sp?) of ailments here.)Thanks everyone.
Will go into opticians to ask for referral regarding eyes and sjogrens.
Didnt know my GP would get the results, I thought they would only go to the rheumy dept, as when my GP ordered some bloods the rheumy didnt know anything about them. I could call the rheumy clinic after about 10 days (it really does take this long to get them in UK) and ask if they can tell me the results. My next appt is in March, so they would expect to give me the results then is what I thought.  They dont seem to consider that you want to know before that.
As for sleeping I did ask for something, but was told that the only thing is oromorph, and they dont want to go down this road as it makes you drowsy and I am working, so to continue with the tramadol, which doesnt really do anything during the day anyway!
When I do go to GP they seem to take it all so casually, and never give answers to anything, just say hmmm!!! or lets wait and see!!  Getting frustrated with the system now, which I suppose most of us do!! Take care everyone

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