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Please help me understand test results Options
Collywobbles
#1 Posted : Tuesday, November 27, 2012 5:06:28 PM Quote
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Hello there

Can someone please help me understand my blood results.

When I saw the rheumy podiatrist the week before last she asked me what my inflammation levels were and I hadn't a clue so she looked it up on the computer and said my CRP is 46. This doesn't mean anything to me, so is it good, bad, average? What is a normal level? What can I expect the level to be when I feel well, which everyone tells me I will eventually be but I'd love to know when it's going to happen.Confused

She asked me why I didn't know my levels and I suppose I never thought to ask. Is it important for me to know? And are there any other blood test results that I should ask about?

My GP rang today so I asked her what my CRP was from the tests done last week and she said it was 45. Is 46 to 45 a good change or no change at all?

I've been on HDX for 14 weeks now and am seeing the rheumy tomorrow.

Please help Blink

Thanks

Katie
Merielpb
#2 Posted : Tuesday, November 27, 2012 5:11:52 PM Quote
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CRP should be 8 or less
sylviax
#3 Posted : Wednesday, November 28, 2012 7:54:55 AM Quote
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Hi Katie - good luck with the rheumy today. Write down your questions and make sure you ask him/her - you do need to know as you'll find it easier to manage your condition if you understand what's going on. Ask them if they have a booklet where you can keep notes about your blood results, meds, appointments etc. NRAS provide them free to the rheumy depts and some trusts produce their own version - I've got a little blue booklet and I write down every time I have bloods done and then I can start to see what's normal for me.

I won't talk numbers to you until you've had a chance to discuss with your rheumy. Also the rheumy nurse is usually very helpful as they have a bit more empathy with the patient and know how baffling it can feel - so you can always ask her.

Very best wishes - Sylvia xx
Be kinder than is necessary because everyone you meet is fighting some kind of battle
suzanne_p
#4 Posted : Wednesday, November 28, 2012 11:06:47 AM Quote
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hi Katie,

i've learnt that CRP varies for me,

and i became fixated by it when i started a new drug in August 2011 as i really wanted it to work having failed on two others.

my CRP went down, it was over 100 before i started and i now feel well.

i think in a person without RA it should be in single figures .. but mine rarely is but is it much lower than before and i am now in clincial remission. it depends also on your DAS Score which i have done every Consultant's visit.

i was told to concentrate on how i feel not just CRP readings, which i now do. all the other results are fine and i know my GP or Rheumy Nurse would contact me if they weren't.

i have a booklet which my GP Nurse fills in monthy for me after bloods come back.

do let us know how you get on with Rheumy.

Suzanne x
Collywobbles
#5 Posted : Thursday, November 29, 2012 12:56:07 AM Quote
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Thanks for the information and explanations, it helped me understand a bit more.

Saw rheumy this afternoon and it went very badly so I feel crap. He seemed frustrated by me and kept firing questions at me about where the pain was and the stiffness and what it was like and I just didn't know the answers. I find it really hard to describe as the pain moves around my body, plus I just don't seem to be very in touch with my body. He said the pain in my elbow was tennis elbow (!). He poked around my elbows and hands and said there was no fusion, whatever that is - isn't it the new car that Ford are bringing out. Huh No, seriously though, I came out feeling as if he thought I was making it all up. He didn't mention the test results and I felt too disheartened to ask Sad.

I'm feeling really miserable and fed up with it all.

Katie
Jane.
#6 Posted : Thursday, November 29, 2012 7:33:33 AM Quote
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Smile Katie
Please stop worrying! Its not good for youSad
How about you call the nras helpline later?

I ask lots of questions at appointments because I'm trying to understand different ra things.
My rheumy is lovely, and answer all my concerns.

Scores on the doors are made up by the amount of inflammed joints/tender joints and your blood results.

I have a print out of my blood results because my rheumy hospital is under one primary care trust (pct) and the blood goes to another pct for the boffins to do their biz!ThumpUp
So, when I go to rheumy hospital of appointments or via the helpline when I'm feeling bad they don't have to spend a while calling the lab at the blood hospital.

Also I'm under occ health at work and the company docotor knows how things are, and I feel the doctor gets me and is on my side.
I'm due to see occ health doctor in 2 weeks time.I'm on recoup hour of 5 a day which is hard going with my stiffness and the worse pain I've ever had with my knee.
Just waiting for date for total knee replacement.
The good news is my ra qualifies for anti tnf, bad news I have to wait until after the op and area clean & dried up.

I do find it interesting to look at the results and compare the ranges to see if things the same or worse!

Could you not ask for a different rheumy consultant? Mine is a lady that is so lovely and helpful.

Take care of yourself, treat yourself to a bunch of flowers - the colour and smell cheers me up or a candle!
Xxx
Collywobbles
#7 Posted : Thursday, November 29, 2012 9:42:37 AM Quote
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Jane - thank you Smile. I think I will ring the helpline later and talk to them. I'm also seeing my GP next week so I'll talk it through with her. I've seen occ health once and the doctor was lovely and really understood about RA and I'm seeing her again on 2nd Jan.

I guess I'm very stressed at the moment with all the RA stuff going on plus my 15 year old son is starting to ask lots of questions about the death of his dad when he was 5. It's really hard to see him suffering so much over it all, and he's started acting it out at school and ended up last Friday being permanently excluded from school. Huh

So it's painful physically at mo and painfully emotionally - I could do with a holiday! I love your idea about buying myself some flowers, I'm definitely going to do that this afternoon.

That's good news about the anti-tnf for you and I hope your knee replacement op date comes through soon.

Katie x

jenni_b
#8 Posted : Thursday, November 29, 2012 12:40:12 PM Quote
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Hello Katie

Sorry to read the ra stuff is rubbish. The hdx is a pretty mild treatment and they will want to start new additions with the crp up there, the crp is a solid indication of how active the disease is, and in the 40s is pretty active by anyone's result standard.

As for your son, got some things to help you there. First is to contact winstons wish
They are a child bereavement charity and will help
Second
Look on the ipsea website about the rules around exclusions

All the best
Jenni xx
how to be a velvet bulldoser
Collywobbles
#9 Posted : Thursday, November 29, 2012 6:08:32 PM Quote
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Hi Jenni

Thanks for your advice and support and for explaining the CRP level. Plus the suggestions to help with my son were great. In fact I bought a memory box from Winston's Wish for my son to keep bits in about his father after he was killed and I hadn't thought about contacting them again. And I didn't even know about IPSEA and I've found lots of useful stuff on their website this afternoon.

And Jane, I rang the NRAS helpline and they were great and spent ages explaining different things to me. It sounds like my rheumy was having a bad day! I'm going to keep a diary so I'm more prepared for the next appointment and I'll take a friend with me. I guess I've never had much wrong with me in the past and now I have to learn how to work with the rheumy team to manage this.

And I forgot to buy the flowers!

Katie x
smith-j
#10 Posted : Thursday, November 29, 2012 7:35:09 PM Quote
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Hi all

I don't want to throw a ripple in the pond but my CRP has never been above 10 and I have severe joint damage from RA. As I have said in previous posts, my RA Consultant takes very little notice of blood test results and looks at physical evidence and listens to how I am feeling.

It is all very confusing. RollEyes

Jackie
xx

BarbieGirl
#11 Posted : Thursday, November 29, 2012 9:08:26 PM Quote
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I think I'm meant to have my bloods recorded in my mtx booklet, but no one ever fills it in and I have absolutely no idea what my results are. The nurse who takes the bloods is quite rude and stroppy, so I don't want to make her worse!!
My consultant never mentions the bloods either, and I always forget to ask, the appointment is usually quite rushed, and although he is lovely I don't think he explains things fully.
I think it just depends on the luck of the draw as to what happens to us Sad
BARBARA
Merielpb
#12 Posted : Friday, November 30, 2012 8:46:22 AM Quote
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Jackie

I agree the inflammatory markers never seem to match how I'm feeling. I can be really bad & think my markers will be high this month & my CRP is 8 or 9, then another time I'm feeling OK and my CRP will be in the 40s. It makes no sense at all.
zena_mary
#13 Posted : Saturday, December 01, 2012 10:01:30 AM Quote
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Hi, I never seem to get any crp results only ESR on my sheet.
Just wondering if the numbers run together, I guess what I mean is, if my esr is 30ish would it be the same as a crp result???
I have my bloods done now at the same time as I have my infusin done at the hospital, much easier.
My rheumy nurse always shows me a graph of how my results are doing, easy to see how it goes up and down.
Must say my results are loads better now that my ra is better controlled with abatercept. In fact better than they have ever been, pity so much joint damage has been done in the meantime!!

Zena xx
sylviax
#14 Posted : Sunday, December 02, 2012 7:17:07 AM Quote
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Hi Katie - you've got a lot on your plate at the moment so it's no wonder you're feeling overwhelmed. There's been some excellent advice here and from the helpline, and as time goes by you'll find the best things for you. Try and learn as much as you can, because then you'll understand which are the most important bits.

About the pain moving about - yes, that happens! When my RA was at its worst, I found it really difficult to describe where it hurt, partly because I got used to the pain (it's got a technical name called habituation) and partly because it hurt everywhere to a greater or lesser extent!! Your rheumy must've had a very bad day - but it does happen - all rheumy docs are NOT equally skilled. The first doc I saw at the rheumy clinic was a registrar with very little experience, and she didn't recognise how bad I was and her advice made me a lot worse. Many weeks later on I saw the consultant who has lots more experience and empathy and she recognised immediately that I had RA and got me started on an agressive treatment plan which works like a miracle - keep positive and you'll get your RA under control eventually.

It must be so worrying about your son - I really feel for you. 15 is a tough age (I've got a 15 yr old step daughter who lost her mum at age 4 - so I know a bit about the grieving process). Keep talking to him and show him how much you love him, no matter what happens. A memory box is a good idea. Do you still have parents/grandparents who could share their memories of their lost son?

We have photos around the house of the girls with their birth mum, and we keep in touch with her parents and sisters, and try to keep the subject of her life (and death) as open as possible. We still get problems from time to time but it helps to talk.

Re school, GCSE year can be hell (I'm currently going through this for the 3rd time) - but teens do get through it and if you can keep talking to them and give them time and space then it turns out well in the end

Very best of luck - Sylvia xx
Be kinder than is necessary because everyone you meet is fighting some kind of battle
Valerie-R
#15 Posted : Sunday, December 02, 2012 11:40:51 AM Quote
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Hi Katie Might be of help to "Google" your questions,you may have some idea then.Good luck for your future Valerie-R
Collywobbles
#16 Posted : Tuesday, December 04, 2012 8:43:05 PM Quote
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Wow, so much useful information and ideas from everyone, I can't thank you enough.

I found it fascinating that there were lots of different experiences regarding inflammatory markers and actually this helped me understand a bit more about RA and its complexity.

Valerie - I had tried googling some of my questions but there was so much contradictory information that, at the time, it just confused me further, but from what I'm learning about RA that seems to be par for the course! Thanks for your good wishes.

Sylvia - thanks for your kindness and ideas about my son, it certainly is a difficult age, and you are experienced in it. Unfortunately my recent diagnosis of RA and having seen me get iller and iller over the last year has really unsettled my son and he's worried I'm going to die too, which of course I can't reassure him that I won't as none of us know when the clock is going to stop ticking, but at least I can reassure him to some degree. We are very close and talk a lot and being thrown out of his school might be the best thing that's happened to him. He's now in a much smaller school with smaller classes and lots of nurturing which will help him.

And you are so right about the habituation (great word!) and the pain all over. In fact when the rheumy doc asked me where it didn't hurt, I told him my head didn't hurt. He laughed and said his head hurt and he felt quite dizzy, so I suggested he saw a doctor !!!!! How very surreal.

Finally, I think I'm starting to understand that I've got to learn a whole lot more about this RA and monitor my body more closely, and then there might be better communication between me and the doc.

Thanks to all you lovely people out there who take the time to post on here.

Love Katie x
sylviax
#17 Posted : Wednesday, December 05, 2012 10:02:23 AM Quote
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Hi Katie - I love your sense of humour - your son is a very lucky lad!

RA is stupidly complex!!!!!! Grrr - there seems a never ending amount to come to grips with - just take it one step at a time and you'll find it will settle into a routine and then it's much easier to manage. Maybe you'll find that it will help your son in a funny sort of way as he can see how you deal with this and he can help you too in practical ways. So glad he likes his new school - a fresh start is a wonderful thing!

Best wishes - Sylvia xx
Be kinder than is necessary because everyone you meet is fighting some kind of battle
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