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Medical Forum / Diseases and Disorders / Arthritis / June 2005

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Update: RD Appointment

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Ashley - 14 Jun 2005 20:33 GMT
As posted online elsewhere...

I saw Dr Davies, my rheumatologist, yesterday afternoon. The
appointment went well, but I'm still left feeling frustrated. She's a
very thorough and very good doctor, I just want answers NOW.

I have an elevated Sed Rate, which means that I do have a significant
amount of inflammation floating around in my bloodstream. I've also
tested positive for HLA-B27, which means that I carry the gene marker
for Spondylitis, which only ~5% of undiagnosed caucasians have. The CT
scan came back normal... so I don't have any damage to my spine or
hips. This leaves my doctor and myself very confused, because I fit the
profile for Spondylitis perfectly, yet the inflammation isn't doing
damage. She's holding off on the diagnosis for a few more tests.

While examining me, she noticed that I flinched on the majority of the
trigger spots for Fibromyalgia. While she assumes that there is
something more going on, she will treat the FMS because it can
alleviate some of the pain and help narrow down the search for the true
source of the excruciating pain I have. FMS can be summed up as
widespread pain and tenderness in the muscles and soft tissue, as well
as sleep problems & fatigue. It does not cause inflammation and is not
a destructive condition. She prescribed a medication to take a night,
which also causes drowsiness. Maybe it will help me sleep and kill two
birds with one stone?

Another source of concern is that my thyroid is being suppressed from
too much Synthroid, so she is lowering that dosage. An overly
suppressed thyroid can cause joint & muscle pain.

And yet another concern is that my GI system is way screwed up. I have
had IBS symptoms for awhile, but it hasn't been high on my list of
concerns because I've been trying to get everything else figured out.
Apparently IBS can cause arthritis-like pain, so she's sending me to a
GI doc to get that figured out.

I see Dr Davies again in three weeks for her to test my thyroid and sed
rate again. If my thyroid returns to normal and my sed rate continues
to be elevated she will prescribe MTX or another medication to treat
Spondylitis. Before I see her again I need to see the GI doc and get
that figured out.

All in all, it was a good appointment. I am tired of waiting for
answers and want to know what's going on NOW.

-Ashley

=========
~~AC.
Harvey R. Stone - 14 Jun 2005 21:39 GMT
> All in all, it was a good appointment. I am tired of waiting for answers
> and want to know what's going on NOW.
[quoted text clipped - 3 lines]
> =========
> ~~AC.

Hi Ashley,,,,  Many of us know how you feel with the NOW in what you say.
The truth of it is between you and your RD and nothing we say will change
that.
   You feel what is taking place NOW and it is up to you to make your
doctor get in a hurry... and that may not happen.   You do have some choices
though.... You can see another doctor.
Harv
Ashley - 14 Jun 2005 22:15 GMT
> Hi Ashley,,,,  Many of us know how you feel with the NOW in what you
> say. The truth of it is between you and your RD and nothing we say will
[quoted text clipped - 3 lines]
> choices though.... You can see another doctor.
> Harv

Oh, No, Harv, don't misunderstand me. I love my RD and she's the best
I've seen. She's running every test possible to figure things out.
She's very on top of things and I'm very pleased with that. I just
don't like being a puzzle that no one can figure out.

- Ashley

=========
~~AC.
Rosemarie Shiver - 15 Jun 2005 00:13 GMT
Heya, Ashley,

   There's an NG just for Fibromyalgia. It's alt.med.fibromyalgia and if
you go there's quite a few familiar names you'll recognize.

   FM is recognized by the American College of Rheumatology as a valid
musculo-skeletal condition...but even so, yer lucky to have an RD willing to
treat it. :-) Not all RD's do and fewer still regular MD's do.

   C'mon over and discuss what you can do about being an FM'er, Ashley. And
stay here to discuss the treatments for your inflammation...because that
inflammation is arthritic.

Hugs from Rosie

Signature

"If you wanna get it done, you gotta fight for yourself" -- Meat Loaf, Bat
Outta Hell II

> As posted online elsewhere...
>
[quoted text clipped - 45 lines]
> =========
> ~~AC.
Ann - 15 Jun 2005 00:47 GMT
Hi Ashley:
I have both RA and FMS and just wanted to let you know that IBS goes
along with the FMS.

All those initials look like the stock exchange...makes me laugh to read
it.

Ann
RhondaM - 15 Jun 2005 01:13 GMT
Hi Ashley,
OH man girl you are playing the waiting game. That can be so frustrating,
and the hardest part of this stuff sometime can be the waiting and not
knowing.
We are all pulling for you and I wish you the best ok?
RhondaM

> As posted online elsewhere...
>
[quoted text clipped - 44 lines]
> =========
> ~~AC.
Mary Z - 15 Jun 2005 03:46 GMT
> If my thyroid returns to normal and my sed rate continues
>to be elevated she will prescribe MTX or another medication to treat
[quoted text clipped - 3 lines]
>All in all, it was a good appointment. I am tired of waiting for
>answers and want to know what's going on NOW.

Lets see if I remember this correctly weren't you one a bunch of
DMARDs before?  Was it Humira and MTX?  I thought they were not
helping you so you went off the medications and you felt better.  Are
they thinking about changing the diagnosis again?  Hopefully your Dr
is all clued into what worked and didn't work before. Hope they sort
this out it can be frustrating.  Did they drop the hypermobile
diagnosis?  -- MZ

Visit my website:
http://www.mzuschlag.com
d'huit - 15 Jun 2005 16:27 GMT
>> If my thyroid returns to normal and my sed rate continues
>>to be elevated she will prescribe MTX or another medication to treat
[quoted text clipped - 11 lines]
> this out it can be frustrating.  Did they drop the hypermobile
> diagnosis?  -- MZ

i was trying to remember that history, too.  didn't you have an RA dx?
can't remember.

i like that your ct scan showed no damage to your hips or spine, ashley.
thank goodness for that!  sounds like your rd has been very into finding the
correct diagnosis for your health issues.  it may be a waiting game at this
point, but i suspect your rd will eventually solve the puzzle.  your rd
sounds very conscientious.  hang in there, kiddo.

kate

> Visit my website:
> http://www.mzuschlag.com 
Ashley - 16 Jun 2005 22:01 GMT
> Lets see if I remember this correctly weren't you one a bunch of
> DMARDs before?  Was it Humira and MTX?  I thought they were not
[quoted text clipped - 3 lines]
> this out it can be frustrating.  Did they drop the hypermobile
> diagnosis?  -- MZ

I was on Humira, MTX, and Sulfasalazine for RA and then AS. They helped
a little, but not a lot. I saw a new RD who un-dx the RA/AS and claimed
it Hypermobile, so took me off the DMARDs. Now I'm seeing a new RD who
is trying to figure out what's going on.

-Ashley

=========
~~AC.
Squirrely - 16 Jun 2005 02:17 GMT
Ashley sweetie, do I know how you feel. My heart goes out to you. I wish you
would get the answers now too. Know that you are in my thoughts always.

Signature

Love and hugs to all
Good thoughts coming your way too.

Squirrely Jo

> As posted online elsewhere...
>
[quoted text clipped - 44 lines]
> =========
> ~~AC.
 
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