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Medical Forum / Diseases and Disorders / Arthritis / April 2006

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In a bit of a state

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ukvu@drowse.co.uk - 21 Apr 2006 19:44 GMT
Hi,

This is my first post to this newsgroup.  I'm a 43 year old male living
in Hampshire.  I've just been to my GP this morning and he has sent me
for some blood tests to look for RA.  Last year I was diagnosed with
cancer (Hodgkin's Lymphoma) and the treatment went well.  I finished
the chemotherapy in January this year.  For the past few weeks I've had
pain and stiffness in my hips and knees, and for the past week I've
also had it in my fingers.  Sometimes when I wake up in the morning I
cannot move my fingers at all and then after five-to-ten minutes they
free up and I'm OK.  I also have some pain in my back and shoulders.
After driving 20 miles or so I have difficulty getting out of the car.

I thought it might be a delayed side-effect of the chemo but my doctor
doesn't think so.

I'm due to go on a long-awaited holiday in a week's time, so I intend
to just go and then contact my doctor for the blood resluts when I get
back.  If it does turn out to be RA then my GP says he'll refer me to a
rheumatologist.  I also have psoriasis and the GP said that the joint
problems might also be connected with this.

I always thought that RA was a slow-moving degenerative desease, so my
question is - can RA really develop that quickly - from feeling OK one
week to having all sorts of problems the next?

Thanks,

Jeremy
er@gmail.com - 21 Apr 2006 20:35 GMT
>I always thought that RA was a slow-moving degenerative desease, so my
>question is - can RA really develop that quickly - from feeling OK one
[quoted text clipped - 3 lines]
>
>Jeremy

RA can have many faces Jeremy. It can effect different people in
different ways. If it is what you have it may have been coming on for
some time, and you've only noticed and recorded the symptoms in this
last week or so as they became worst.

I have RA and looking back my diagnosis came pretty quick, that quick
in fact my symptoms overtook the 3 month waiting list to see the
Rheumatologist and I got to see him pretty quickly and then got a
diagnosis.

But first things first, work with your GP and get your blood results,
if you still don't feel right try and get a Rheumatologist appointment
any way. The reason I say this is that one of the blood tests, The RF
factor can come back positive or negative. However, you can have a
negative RF factor and have RA and have a positive one and not have
it!
Confused yet? What I'm trying to say in short, is there are over 170+
types of arthritis and the Rheumatologist is the one that decides
which if any you have, you might even have PA.

I know it's easy to say, but try and enjoy your holiday and try not to
think about it, then come back and work with the medics to get to the
bottom of what you have.

Call back and keep us informed how it goes.
Old Don - 22 Apr 2006 10:16 GMT
Jeremy, my RA came on over a fortnight from nothing to the point when I
could hardly get out of bed. It was first my left hand and neck together. I
could not turn my head to look to hard left or right when driving.
I was very lucky in that my GP happened to be a bit of an RA specialist. One
glance at my red knuckles and he made his diagnosis. He put me on
Sulphasalazine and Naproxen and the effect was rapid. That was five years
ago and now I feel a bit of a fraud as it is only my right hand which is a
bit stiff. I have to continue with the Suphasalazine  though but have long
ago dropped the Naproxen.

I believe that I have been exceptionally lucky compared with most.

Old Don

>>I always thought that RA was a slow-moving degenerative desease, so my
>>question is - can RA really develop that quickly - from feeling OK one
[quoted text clipped - 29 lines]
>
> Call back and keep us informed how it goes.
Splodge - 22 Apr 2006 13:34 GMT
> Jeremy, my RA came on over a fortnight from nothing to the point when I
> could hardly get out of bed. It was first my left hand and neck together.
[quoted text clipped - 9 lines]
>
> Old Don

Hello Don. Remember me? Lately from Farnham, Surrey, and now moved. How the
devil are you?

Hope you don't mind me hijacking your post Jeremy, but I did direct you to
post here in the first place:))

Splodge (Jan)
Old Don - 22 Apr 2006 16:33 GMT
Hi Splodgy Jan
I've been lurking in the bushes for ages hoping for a glimpse of
Xraylimpalot. Didn't realise you'd gone through a bit of a change.
Still doing high kicks in the sauna?

Old Don

>> Jeremy, my RA came on over a fortnight from nothing to the point when I
>> could hardly get out of bed. It was first my left hand and neck together.
[quoted text clipped - 17 lines]
>
> Splodge (Jan)
Splodge - 22 Apr 2006 17:29 GMT
> Hi Splodgy Jan
> I've been lurking in the bushes for ages hoping for a glimpse of
> Xraylimpalot. Didn't realise you'd gone through a bit of a change.
> Still doing high kicks in the sauna?
>
> Old Don

Still going to saunas Don, but have had my hip done twice since we last
"spoke". Had a couple of nights in the horsepittal recently but am
recovering now.

I've moved 3.8 miles down the road to the home of the British Army!

I'm teaching myself to gamble on the horses and doing well. Wm Hill are
paying me more often than the other way round:))

I'm still on the old email addy - ilove dot chocolate at ntlworld dot com -
if you want an occasional word or three.

Splodge
Old Don - 23 Apr 2006 09:00 GMT
Oh Jan! No longer my Bird Lady of Farnham but a camp follower now? Good fun
but a bit hard on the hips I should think.
To all other readers : do not take this message seriously.

Old Don

>> Hi Splodgy Jan
>> I've been lurking in the bushes for ages hoping for a glimpse of
[quoted text clipped - 16 lines]
>
> Splodge
Jeremy - 25 Apr 2006 07:32 GMT
Thanks for all the replies.  I'm going to go away and nejoy my holiday
and i'll see what happens when I get back.

I'll keep in touch.

Cheers,

Jeremy.
diclidophora@yahoo.co.uk - 22 Apr 2006 17:53 GMT
jeremy.
My RA came on fast over about three weeks, though when I think back
there were signs that it was starting up well before that. Only my GP
was not savvy enough to pick it up. I have had it now for 28 years.

In the end I more or less diagnosed myself and booked an appointment
privately with a rheumatologist. She diagnosed it on the first
consultation.

If you want to see a rheumatologist quickly it is always possible to go
privately. It will cost you around £100 for one cosnultation and you
would be well advised to get the path work done on the NHS before,
because that will cost you a bomb if it is done privately.

Just thought I would mention this, but if you have a good GP he could
probably get you an NHS consultaion within a reasonable time. If you
lived near me that would probably not happen. Our consultant
rheumatlogist retired last summer and I don't think that they have got
another in post yet.

Peter

> Hi,
>
[quoted text clipped - 25 lines]
>
> Jeremy
Piglet - 22 Apr 2006 22:18 GMT
> Hi,
>
[quoted text clipped - 25 lines]
>
> Jeremy

The speed of onset can certainly vary; my mum's rheumatoid arthritis was
literally overnight; she woke up one day screaming from the pain in her
toes. My psoriatic arthritis came on insidiously; it was over a year
before I first saw the doctor.

The fact that you have psoriasis does give a fairly high risk (possibly
as much as 20%) of arthritis, but be aware that unlike RA, psoriatic
arthritis will *not* specifically show up on blood tests. If your
rheumatoid factor is negative, don't let the GP fob you off, push for a
definite diagnosis or a referral to a rheumatologist; it is very
important to start disease-modifying therapy as soon as possible
(ideally within 12 weeks of onset of symptoms) to reduce the risk of
permanent damage to the joints.

(I am not a doctor but...) I would think it sensible to assume that the
problem IS psoriatic arthritis unless it can be shown to be something
else. Certainly in my case, all the rheumatologist needed to make a very
confident diagnosis was a description of my symptoms and a couple of
very mild psoriatic lesions; the blood test results were irrelevant.

Good luck and enjoy your holiday!
Pete
 
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