Hard to Diagnose | Arthritis Information

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I know that Rheumatoid Arthritis can be difficult to diagnose in some people, but after 28 years I'm beginning to suspect that it will never happen or that maybe my doctors have all been barking up the wrong tree.  When I was 16 I first went to my family doctor with hand problems.  His immediate dx was RA, but after lab tests said carpal tunnel and tendonitis.  Over the years I have seen too many doctors to mention and too many specialties to list, from family doctor to rheumatologists to find out what's wrong with my hands, and each doctor gave an immediate dx of RA until the lab work came back.  Now, at age 44, my fingers have begun to have nodules at the joints, as well as one shoulder, one knee, the bases of my toes and all fingers, and some turning of my fingers at the mid-joint.  Two months ago my internist said, "yes, it's finally definately RA after suspecting it all these years."  Lab work was ordered, and again he said "no RA".  He dx me with deQuervain's tenosynovits and, while I do have all the symptoms of it, I think it's still not right.  I have gigantic, hard bumps at the base of my thumb that stick out from the wrists.  It is extremely painful and I can no longer turn my wrists to open doorknobs or cook, bake, etc.  Even driving is becoming impossible.  I don't know what to do or where to turn.  My doctor is more than willing to put me on RA medication, but I have no insurance and can't pay for it.  I can get the meds through patient assistance programs, but only after a definitive dx of RA.  I was also dx with multiple herniated disks two years ago and I take 100 mg. of morphine twice a day for the pain.  The morphine does NOTHING for the hand & wrist pain, nor the other joint pain in my body at varying times.  I take ibuprofen 800mg 3 x per day for the joint pain.  My internist says I have all the classic symptoms of RA but without the lab backup can do nothing.  He says it's just one of those things I'll have to live with while at the same time telling me to go file for Social Security Disability because I can no longer work (I'm an office manager and use my hands 9 hours per day straight).  I don't know what to do or where to turn to get some relief and, if I do have RA, prevent the damage I know will come - my 2 aunts and 1 uncle died from RA and each spent years bedridden.  I have a disabled husband and must care for him, which is becoming impossible - I am not even able to give him his shots anymore.  Needless to say, the pain of my wrists is excrutiating and keeps me awake at night.  Does anybody have any advice about what I can do to alleviate this pain or what kind of doctor I can see to get a better diagnosis?  Please, ANY suggestions or advice is welcome.. anything.  I am desperate.  Thank you for listening.

I am so sorry it has been years and you still have no definitive diagnosis. It shocks me that in the US meds are not available if you cannot pay or insurance does not cover them. We are so fortunate here to pay per prescription for most meds.

Others will be along soon Im sure, who can advise on what help you may be able to get, but in the meantime here is a link that holds some hope for the future. Good to see the UK are adopting this strategy immediately.

http://www.webmd.boots.com/news/20100813/new-classification-ra
 
Good luck to you and I hope you get help ASAP.
 
Lyn xx
I completely understand!!
After having been DX'd w/ JRA as a child..  I STILL took decades to be DX'd w/ RA as an adult.

took the flare from hell and the RD taking fluid from the joint to examine.....

Hang in there.. be vigilant and tenacious... you know it is RA.. don't you?  as I did..

hang on.  Wishing you the best and a diagnosis for getting the right treatment!!
When you say your doctor do you mean your rheumatoligist?
How many specialist have you seen?
 
Just because you are not RF positive does not mean that you do not have RA. Any doctor that has seen you regularly should be able to give you a diagnosis by having obsereved your condition. Many many people have RA and it does not show up on thier blood test.
 
It sounds like you have plenty of symtoms that go hand and hand with RA so if the doctor would give you the meds he should give you the diagnosis.
 
Did you explain the situation about getting the meds? Certainly he has a diagnosis for you if he wants you on disability.
 
I think you need to call him and make sure the two of you are comunicating properly. If he can not provide you with a dianosis so you can get your meds then you need to see another rheumatolagist. {check spelling}
 
The best of luck to you.
Thank you so much for your reply.
 
I have been to a rheumatologist, 2 neurologists, 3 orthopedics, and 4 or 5 family doctors, 2 psychiatrists and a counselor over the last 28 years.  Each doctor has been 100% positive that I have RA until the blood tests come back.  Then they have diagnosed me with Carpal Tunnel Syndrome, MS, Fibromyalgia, Sjogren's Syndrome, Lupus, Reynaud's Disease, Chronic Tendonitis, and now, deQuervain's Tenosynovits, until THOSE test results come back, which, of course, shows I don't have it.  I DID have Carpal Tunnel 12 years ago and had surgery on both hands.  I also had one ganglion on my left wrist that was removed during the CT surgery. 
 
This internist I'm seeing now actually did positively diagnose me with RA a year ago.  He started me on Prednisone which really helped but spiked my blood sugar so high I had to quit taking it after 2 weeks - I had been diabetic at the time but have since lost 120 lbs just from pain and stress alone, and am no longer diabetic.  When I went back to him a month later to discuss other RA drugs, he said "well, you don't have RA because your blood tests were negative."  I almost SCREAMED at him!!!  I reminded him that he already told me all this but diagnosed me with RA anyway because of the obvious deformity and symptoms.  He said he couldn't give me RA meds without a firm diagnosis, then said that now that he thought better about it, he thinks it's deQuervain's Tenosynovitis.  I just sat in his office and cried.  I have been seeing him for routine medical conditions as well as my hands for the last 12 years, but it's one of those "cattle call" offices and I don't think he even recognizes me when I go in, let alone remember what my hands looked like before.  Unfortunately, for many uninsured and low-income people, this is the only type of healthcare that's available to them.  If we lived in a large county I could use the county services for health care, testing, and prescriptions, but we live in a rural community in a smaller county in Texas where these services are just not available.
 
Sometimes I think I'm a hypochondriac or perhaps crazy.  I KNOW what I have, I just can't get any doctor to help me.  My current internist wants me on disability because of my back.  In addition to the Morphine and Ibuprofen I take, I'm also supposed to be on Neurontin, but it is impossible for me to work with that combination in my body - I can't focus and can barely function around the house, let alone trying to manage a business.
 
Thank you again for responding and for the good advise.  My husband and I are trying to save up enough for me to see another rheumatologist, but I have to be honest and say that I do not hold out much hope and feel like I'm just throwing my money away. 
 
Take care!
Thank you so much for your words of encouragement.  I am trying not to give up, but it's hard.
 
I do know it's RA but it's very hard to convince a doctor that you know better than he does.  LOL  They do NOT like that kind of advice.
 
Thanks again, and good luck!
 
Take care.
Thank you so much for your reply and for the website!  I really appreciate it.
 
I think the US will catch up at some point, I just feel sorry for all of those who suffer so much, and won't be around due to lack of healthcare, to see the reforms.
 
Thanks again and take care!

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