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kareniblair
#1 Posted : Sunday, April 03, 2011 2:46:33 PM Quote
Rank: Advanced Member

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Joined: 12/6/2009
Posts: 40
Hi everyone.

I was diagnosed with Sero Negative RA in September 2008. Since then I have tried Sulphasalazine, Hydroxycholoroquine and Methatrexate all of which I have had to stop because of side effects. For the past year I have been taking Penicillamine but do not feel any improvement on it.

I saw my Rheumy consultant last week and he is now telling me that I may not have RA after all. I have to go for a bone scan and had blood taken for CRP test. I also had my feet x-rayed. He examined my joints for pain and asked what my average pain level had been for the last week. Is this a DAS test?

I feel really depressed about this as, if I do not have RA, why has it taken so long to find this out for sure, and why have I been taking all these really nasty drugs for so long? I get the impression that the Consultant will drop me like a hot potato if the tests suggest that I do not have RA. I have no idea who to turn to for help after that.

I also feel that I don't really know who part of me is anymore as it took a long time to accept the part of me that is RA.

Also, if I don't have RA - what do I have?

Sorry for ranting on but I don't remember the last time I felt so frustratedf!

Hope you are all having a lovely Sunday and that all the Mums out there are being spoilt rotten.

Love

Karen
LynW
#2 Posted : Monday, April 04, 2011 12:23:00 AM Quote
Rank: Advanced Member

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Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
Hi Karen

Sorry to hear you are having such frustrating problems at the moment.

It sounds like it's all conjecture until the blood results come back. I think the first thing is your rheumatologist won't (or shouldn't) just drop you if you don't have RA! They deal with all aspects of rheumatology illness and whatever you have is likely to have some basis in that department.

It's possible you had a DAS done; each of 28 joints (10 each hand, 2 wrist, 2 elbow, 2 shoulder, 2 knee) is checked for tenderness and inflammation and the pain level you mention is included along with a recent ESR. You mention getting the CRP checked, I wonder whether they might have checked the anti-CCP? This would help perhaps with a more conclusive diagnosis.

Often the feet are the first joints to show RA damage so the X-Rays should be a good indicator. Twelve months seems like a long time to try a drug without any follow up. Haven't you seen anyone in that time? Drugs that don't work leaving RA uncontrolled can lead to long term damage so am surprised they seem to be doing so little to help you.

Do you have an appointment to go back to get the results?

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

kareniblair
#3 Posted : Monday, April 04, 2011 3:51:39 PM Quote
Rank: Advanced Member

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Joined: 12/6/2009
Posts: 40
Hi Lyn,

Thank you for getting back to me.

I have gradually been increasing the dose of Penicillamine over the past 12 months and, as it is a very slow acting drug, it has taken this time to be sure that it is not helping me. I have seen the Rheumy every 3-4 months. The consultant is reluctant to try me on biologics because I have had a tendency to develop chest infections.

As far as getting the results are concerned I have been left confused. I think he said that if there was no inflammation he would see me again in 4 months but if there is inflammation he would send for me before then. He is obviously a clever man but his communication skills are terrible. My husband attends these appointments with me and he came away as confused as I was.

Take care

Karen
x
sheila_G
#4 Posted : Tuesday, April 05, 2011 10:05:55 PM Quote
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Joined: 3/28/2011
Posts: 956
Location: North Preston
Hi Karen

So sorry you are having a bad time. I have learned from experience that you don't wait too long for 'them' to get back to you, you must keep ringing 'them' until you get some satisfaction. Even if you don't have RA there are many other types of arthritis and it may be a bit difficult in your case to diagnose but if you are in pain your GP should give you something for that until you hear something. If I were you, I would ring the secretary of the GP, Consultant or whomever you saw last and ask them to find out for you. Secretaries in general are very helpful.

I do hope you hear something soon and get sorted. It is a horrible time for you.

Sheila G x
Lorna-A
#5 Posted : Wednesday, April 06, 2011 12:15:42 PM Quote
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Joined: 3/8/2010
Posts: 914


Hi Karen,

So sorry to hear you are having problems, I am surprised if you have not had a CCP test done. This measures the amount in your bloodstream and is a given that you have RA, my consultant said once you have it it is always there. I had a very high RF too, these people should be more compassionate as the pain we can be in deserves better treatment.

I do hope you get to the bottom of this soon keep ringing and make sure you are heard, time is very important with RA and you will feel the benefits of the medication once you are stable.

Take care

Lorna Smile
dorat
#6 Posted : Wednesday, April 06, 2011 1:05:52 PM Quote
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Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
Hi Karen,

So sorry you are having such a bad time with all this.
Make sure you do get a follow up appointment so that if it does turn out not to be RA you can have more tests to find out what you have got. Have you discussed it with your GP? You might get more explanations there.
Hope you can get sorted out soon

Love, Doreen xx
jenni_b
#7 Posted : Wednesday, April 06, 2011 3:02:41 PM Quote
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Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
Im sure you are confused.

Hope the results are helpful- there are other drug options other than anti-tnf, including leflunomide.

I can recommend asking for a referral to Bath Rheumatic Diseases hospital for a full assessment of the troubles you have been having. They will say what you have going on or at least find out and sort out some treatments.

Jenni xx
how to be a velvet bulldoser
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