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At the risk of boring you - Another new member - Paul. Options
cirrus
#1 Posted : Thursday, August 19, 2010 10:31:39 AM Quote
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Location: Oxfordshire
Hello everyone

My name is Paul and I hope the day finds you all well (or as well as can be expected). I am new to the organisation, to the Forum, and newly diagnosed.

I, in common with most newcomers I suppose, have a couple of questions, and I hope that someone may be kind enough to guide me in the right direction to find the answers. So...deep breath and here goes!

My latest blood results showed a Rheumatoid Factor reading of 98, and an Anti CCP Antibody reading of 91. Are these readings low, high, or just average?

The consultant said that on the basis of these and other observations she could confirm a diagnosis. Could she be wrong at all?

I believe that the Anti CCP reading is of some significance, and can point to a certain expectation of the disease development. Is this true, and what does it signify?

I think that's it for the moment. Sorry to have gone on a bit, but I'm floundering in new territory at the moment and am looking for all the information I can get. I am currently on steroids and will probably be starting either Methotrexate or Sulfasalazine, after my consultation next week, I was given a couple of leaflets to read Here's hoping....

Thanks a million for being there.

Paul.
dorat
#2 Posted : Thursday, August 19, 2010 10:58:22 AM Quote
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Hi Paul,

Welcome to the forum but sorry you have RA.
You can ask as many questions as you like on here and there is usually someone with an answer!
Your CRP is high, which shows there is inflammation in your joints, but I'm afraid I don't know about the anti-CCP.
It's understandable that you are looking for all the information you can find, It's very confusing when first diagnosed.
Keep posting on here and you will not be alone with RA. , we all know what you are going through.
Looking forward to getting to know you.

Love, Doreen xx
smith-j
#3 Posted : Thursday, August 19, 2010 11:09:32 AM Quote
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Paul

Welcome to the forum but sorry you have the diagnosis of RA. I cannot help you with blood test results as I am relatively new to this myself - I was diagnosed 18 months ago. There are many people on this forum who will be able to give you answers. It is very daunting when you are first diagnosed and this forum has been a great source of information and comfort to me.

I have been on various drug regimes and have now been moved on to anti-tnf's after trying Methotrexate, Sulphasalazine and Leflumonide. All of these drugs work wonders for some people. It is just a trial and error game for the first few months to find out what suits you. The steroids in the first instance will help you.

My one piece of advice to you is to rest as much as you can. Yes you may need to re-think your lifestyle. RA can have a big impact on your life but if you are sensible and follow the advice you can cope with it. As for your question "can she be wrong" I am afraid I have continued to ask that question over the last 18 months. I think it is a question of denial. I had been ill for so long that it was difficult to accept a diagnosis of a chronic disease. I think that your blood test results have obviously shown that you have a positive rheumatoid factor. Some people do not have a positive RA factor but still have RA. Very confusing.

Keep posting and ask all the questions you want - no you are not boring us. We always welcome new members, especially men as you are thin on the ground.

Take care

Jackie
cirrus
#4 Posted : Thursday, August 19, 2010 11:39:58 AM Quote
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Hello Jackie and Doreen

I am stunned by the quick replies! Thank you so much for the advice and encouragement, both of which are very much needed. I wonder why there is a shortage of men on here?

Have a great day

Paul.
dorat
#5 Posted : Thursday, August 19, 2010 12:08:29 PM Quote
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Sorry Paul, I somehow confused your rheumatoid factor with CRP! (I blame the drugs!). RF is high at 98.
Did you get your CRP results?
There are a few men on here but they are not as good at posting as us ladies! It is a known fact though that RA is more common in women than men.

Love, Doreen xx
Mandy_M
#6 Posted : Thursday, August 19, 2010 12:23:17 PM Quote
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Hi Paul.

I remember the floundering sensation! Ask for some of the leaflets that NRAS have printed - they are a great place to start. One of the things that I found so frustrating at the beginning, is how long some of the drugs have to be trialed before I could know if they were working at all. I was started on Sulphalazine, then they added MTX, and now a third - calling it triple therapy. Every one and every department has different approaches, but I was re-assured to be told that 'I' know how I feel.

Keep asking, and let us know what they decided to start you on.
Lylie
#7 Posted : Thursday, August 19, 2010 12:47:22 PM Quote
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Hi Paul, nothing to add to the other posts really except I want to say WELCOME to the Forum, and I hope your new meds get you sorted out and feeling much better, Love Lxx
Always be aware that what you do might hurt others........and if it could, do nothing without careful consideration of the consequences
Rose-B
#8 Posted : Thursday, August 19, 2010 1:00:27 PM Quote
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Hello Paul,

Welcome to the NRAS forum. Sorry you have RA but you will find comfort from all on here.

I am Rose from Somerset and was diagnosed with RA nearly 2 years ago. MTX, Leflun, and
Sulph failed so waiting now to see what Spec is going to do.

Good advise above and I don't think I can add anymore. Good luck and keep posting

Rose
Lorna-A
#9 Posted : Thursday, August 19, 2010 1:38:49 PM Quote
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Hi Paul,

I'm Lorna I was diagnosed almost 3 years ago, I was very ill in the beginning but I have been on the triple therapy and I now keep really well. Sorry to hear you have RA but try to be positive I know it's hard, but I do believe being positive helps. You asked about CCP the full name is called Anti-cyclic citrullinated peptide (anti-CCP) antibodies have been identified as highly specific for rheumatoid arthritis (RA). You do have a high reading but don't despair although you probably feel like this at the moment. My CCP level was 218 and my Rheumatoid Factor 286 and I put my faith in my rheumatologist and reluctantly took these medicines. It is so important to believe in what you are taking will help you. As I said I keep really well now and and can do everything I did before but I have to take more care now and pace myself. when I get tired I stop. It is a huge thing to come to terms with but you will get there. Thinking about you and hoping you get the drugs sorted soon. Take care Lorna Smile
Julia17
#10 Posted : Thursday, August 19, 2010 1:46:42 PM Quote
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Hi Paul

Good to hear from you, and welcome to the forum.

I am still quite a novice to RA having been diagnosed towards the end of last year so not able to give you too much advice, but you will have a great deal of help and support with us on here. I was diagnosed after an Anti CCP test which read at 97, I too even now do not know the significance of the reading to be honest but I did read a post on here the other week about it and I think it is quite high but I haven t concerned myself too much with it.

Hope all goes well with meds you will start taking shortly.

Keep posting, you might encourage more men to keep in touch with us ThumpUp

Julia
rheumatoidymummy
#11 Posted : Thursday, August 19, 2010 3:01:45 PM Quote
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Hi Paul,

I don't know the significance of your test results although I understand CCP is a fairly definitive test and points strongly to a diagnosis of RA. I'm sero-positive RA myself. I was diagnosed nearly 2 years ago just after the birth of my second child which was devastating as I was only 32. I take a heady combination of MTX, Sulfasalazine, Hydroxychloroquine, steroids, anti-inflammatories, folic acid, iron and vitamin c along with omega oils and evening primrose oil - phew, I didn't realise I took so much! You noticed there aren't many men here - could be beacuase women are more prone to RA - d@mn hormones! Hopefully you'll find lots of support and information here.

Ju x
merryberry
#12 Posted : Thursday, August 19, 2010 5:38:33 PM Quote
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Hi Paul, I think your result for anti-CCP is kind of medium-high. This test is at least 96% accurate in identifying RA across a range of studies. The RF is also very indicative of it of course. I had somewhat similar results to yours 2.5 years ago, and am now in clinical remission thanks to combination of Humira and MTX. It was long and sticky getting here though, a great psychological challenge and more to come I'm sure.

I wish you well with your particular battle and wanted to link you to this paper about testing for when you feel you can absorb someof it. The discussion and conclusion are in English ;)

Here's some more interesting background for you at some stage, a lovely clear epidemiological study of RA. Despite what it says about conflicting studies about onset in opst-partum women, I'm another, like rheumatoidmummy, who onset directly after giving birth. My clinicians have called it an 'immune storm' whereby the reactivation of my immune system after its partial supression for pregnancy has seen it come back wildly not right. I also had one after my first child was born, losing my thyroid function and gut immunity at that time. I found it an important step to understanding what I was facing to hear this and read this kind of thing, as otherwise I cou;dnt' accept the situation and evolve ways to deal with it.

Best wishes to you, franky
JulieM
#13 Posted : Thursday, August 19, 2010 7:08:49 PM Quote
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A warm welcome to you Paul from me, from W. Yorkshire, on Humira for 2 years nearly now.
YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
cirrus
#14 Posted : Thursday, August 19, 2010 7:45:50 PM Quote
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Hello again everyone

Just a quick note to say a big thank you to all of you who have taken the time and trouble to reply to my posting; it feels like I've joined a great big family!

I certainly get encouragement from the fact that I am far from being alone at this early stage, and also my test results seem quite mild in comparison with others. Maybe there is hope yet!

A slight complication occured today. For reasons best known to themselves, I was sent for a chest x-ray after my last consultation. I had a call from the hospital this afternoon to say that the radiographer had not cleared me, and that as it was a 'soft' x-ray (whatever that might be) I needed to have something more definitive. They will discuss this with me when I go next week.

Whether this means a hold up in my treatment they were not prepared to discuss over the phone. So the saga continues, but at least I have somewhere to discuss things.

Many thanks again to all of you.

Paul.
JulieM
#15 Posted : Thursday, August 19, 2010 7:59:17 PM Quote
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Well-I've never heard of a soft xray-I googled it and from what i can make out it MIGHT be a problem with equipment rather than you! Not sure though!
I do wish they wouldn't use these terms that are so familiar to them but frighten the lives out of us!
YES I'VE CHANGED, PAIN DOES THAT TO PEOPLE.
amanda_lewin
#16 Posted : Thursday, August 19, 2010 8:51:52 PM Quote
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Hi Paul,

It must be quite shocking when one is suddenly diagnosed with RA and then having to investigate all the meds etc.

For me it was slightly different as I have had RA since a child and so grew up with it and have never known life without it being there, constantly by my side ...

I am currently on NO medication but only because I am expecting! Being pregnant can seriously suppress all RA symptoms so i am very blessed at the moment in many ways!

Of course this isn't a therapy I can recommend for you!

Take care!

Amanda
HellyC
#17 Posted : Thursday, August 19, 2010 10:52:04 PM Quote
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Hi Paul *waves*

Welcome to the forum ThumpUp

I'm Helly and have juvenile idiopathic arthritis which was diagnosed when I was 2 (now 35)

As JulieM said, the 'soft' xray is more to do with their equipment so you have absolutely no need to worry.

From my understanding (I've had quite a few xrays and I'm a nosey bugger) Each xray is taken with a particular setting, i.e how much the wavelength penetrates. Soft xrays don't really pick up anything beyond tissue and internal organs but hard xrays will photograph bone and therefore you get a clearer picture...

Look forward to getting to know you...

Helly x

Celebrating 10yrs of National Rheumatoid Arthritis Society

Doing a Tandem Skydive - May 2011 - All Sponsorship Welcome - www.justgiving.com/helencopeland






Read my blog - Helly Copeland

Kathleen_C
#18 Posted : Friday, August 20, 2010 2:02:08 PM Quote
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Hello Paul, and a big welcome to the forum, though of course I`m sorry you have been diagnosed with RA.

I had to have a chest X-ray before starting MTX - I think that`s fairly standard - but I`m sorry, I don`t know what a "soft" X-ray is. They may give you Lung Function Tests too, before you actually start taking your MTX.

Keep posting,

Kathleen x

john-a
#19 Posted : Friday, August 20, 2010 6:17:20 PM Quote
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Hi Paul

I was going to answer the AntiCCP points - but others have covered it much better than I. I'm not long diagnosed and have been struggling to grasp a lot.
Without the help on here, I'd've despaired a lot more than I have - & that's been enough, I can tell you!

RA apparently affects people differently, but there are common themes. I've basically written my journey so far (not that I intended to) here:
http://www.nras.org.uk/m...aspx?g=posts&t=1418

Thanks to the replies, there's a wealth of knowledge (but, make yourself a cuppa - there's a lot to plough through).

Very best
John

Mairead-H
#20 Posted : Friday, August 20, 2010 9:52:09 PM Quote
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Hi there and sorry to hear you've had the diagnosis.

I'm fairly new to it myself although I think now this disease has been nibbling away at my joints for the last 10 years before coming out in full force last year when I got my own diagnosis. I have sero-negative RA which is more difficult to treat and more unpredictable apparently so I'm still in the testing stage for medications.

My advice to you is to clue yourself up on the condition as much as possible. The more you know about it the better prepared you are when you go to see consultants, nurses, GPs etc. Read everything there is to read about the condition and become familiar with it. Note any unusual symptoms, pains, swellings, illnesses - anything - that you didn't have before. Nothing is too trivial and some of the 'silly' things I dismissed were actually significant.

Take control of the disease as early as you can. Plan for change and prepare for a rollercoaster of emotions from shock to denial to grief. It's normal to grieve over your diagnosis once you realise things probably will change but rather than see that as a negative thing see it as a positive. I fought for months to live as normal but now I'm beginning to realise that actually it's quite nice to be able to say No, to relax, to sleep when I need it, to ask for help and to be a bit selfish now and then. I'm a control freak, the one who sorts everything out and dives in at the first sign of trouble. Now I can't and you know, it's not sucha bad thing Laugh

Don't hide the condition from your friends and colleagues. They won't understand, think you just have a bit of stiffness. I tell people now I have an autoimmune disease which is attacking my joints and organs and find people get a grip with teh seriousness of the condition and adjust accordingly.

Be positive and be like Mulder - question everything. Go to your appointments armed with questions. The more proactive you are in your disease management the better results you'll get and the more your GP/consultant are likely to open up and discuss/be honest with you about your options rather than just chuck pills at you.

You've come across a wonderful source of advice and peer support. The peopel here will tell you more than any medical expert will. Some have lived with this disease all their lives, many have gone through what you're now going through. All understand your fear, your frustration, your anger, your confusion, your questions. I would have been lost without them. When you're down they'll lift you up, when you question they'll give you answers, when you want to scream and yell they'll cup their ears and offer a shoulder. Don't be afraid to ask, ask, ask because information and knowledge is your greatest weapon against this disease.

xxxx
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