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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 2,237 Location: nr Southampton
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Hi all I've got me right knee pre op. TKR It's go number 2 at the pre op as last year I went to one and my bloods alone failed the tests I've had some really  gastro tests to check I'm not bleeding. I'm not So it's to do with iron absorbing It's probably that I've got long term chronic and nasty ra anyway I've got next pre op on Friday for the knee Collected my blood results today- the anaemia is 9.4 They won't operate I don't see the gastro specialist til May He's the one who is in charge of organising the iron problem fixing If I go on Friday, with that blood result, they will strike me off the list I just don't know what to do Jenni xx how to be a velvet bulldoser
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Rank: Advanced Member
Groups: Registered
Joined: 10/19/2010 Posts: 88 Location: Saddleworth, UK
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Hi Jenni,
Surely they can't take you off the list altogether. Can they? I would have thought they would postpone it and check your inr frequently to check for improvement cos we don't want you suffering from a low iron count and knee surgery complications!
I truly am wishing your iron count to increase and hoping for a successful pre op ass.
Louise. X
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Rank: Advanced Member
Groups: Registered
Joined: 12/4/2009 Posts: 242
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Hi Jenni
Chronic anaemia is such a problem with R.A, I am always very anaemic and when I asked my rheumy why he told me that the R.A disease attacks the bone marrow.
So this then becomes a big problem when you need surgery. Can you ask for some bags of blood to top you up before your knee op? that way your haemoglobin levels will look much better. I always have to have blood given to me after all of my operations, if they can do it after an op why can't they give it to you before the operation. Otherwise you will never get your new knee. I so feel for you Jenni because once you have the other knee replaced it will really help your mobility.
Best of luck Love Rebecca
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Rank: Advanced Member  Groups: Registered
Joined: 9/3/2011 Posts: 717 Location: Torbay
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Sorry I have no advice....just wanted to wish you luck. this must be so frustrating to have yet another hurdle to get over. XXX
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Rank: Advanced Member
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Joined: 12/3/2009 Posts: 154
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Hi Jenni
I can't really understand this, especially after they have checked you aren't leaking blood fom the gut which would need attention.
I had shoulder and total knee replacement when my HB was 9 which was my norm. They gave me a transfusion before I was discharged as it dropped to below 8 after the op. It s normal for a drop after surgery.
My rheumatologist takes charge of monitoring my iron levels as I have 3 types of anaemia (greedy so-an-so!) anaemia of chronic disease, pernicious and iron deficiency, being coeliac does't help.
The best treatment I have had after many years of iron jabs (which they have taken off the market) is currently Ferinject iron infusion. It takes only 20 minutes now as opposed to the previous 6 hours Cosmofer infusions. It has lasted me longer than anything else previously too, last infusion a year ago. They do have to top me up regularly, but I feel so much better afterwards.
Why not ask your GP or Rheumy team about this. It seems such a terrible shame that you are having to wait for this much needed knee op because of having to wait for gastro appt.
Lots of luck and let us know how you get on.
Love from Lizx
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 838 Location: Nottinghamshire
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So sorry to read about this, if I am right it was because of your Hb result last time that they wouldn't do the op. They can't strike you off the list because of this. Surely, not two strikes and then your out, it's not your fault, you've got no control over it.
I had low Hb readings a while back, two months running 9.1 & 9.3. No one at the hospital seemed concerned about it, well it wasn't mentioned to me about it anyway. I then reeived a copy of a letter my consultant sent to my GP after I saw him and he stated in it that I was slightly anemic. I was a little worried so I had a telephone consultation with my GP, he agreed that it was low, I was called in for a blood test, I assumed that it was a different test than what I had at the hospital, more of an accurate one to test my iron levels, anyway it came back OK so panic was over.
What I can't understand is that my hospital RA team did not think it was a problem when my Hb was 9.1, yet you've got a higher reading of 9.4 and they won't do the op. I do know that because of RA they sometimes expect our bloods to be different than the norm and our RA team do take this into account. Example - have been told that ALT results can go up to 80 before they get worried, yet according to the MTX booklet for a woman it should be 40 or under. Just wondering, probably clutching at straws for you, but do they (surgery people) take this into account when reading blood results.
Paula x
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Rank: Advanced Member  Groups: Registered
Joined: 1/21/2012 Posts: 388 Location: Powys
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Oh Jenni what a pain!! No suggestions to help I'm afraid, but hope you can get sorted soon. Go to the app. armed with all the useful suggestions given here. They must be able to sort something out. Good luck, Zena x
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 2,237 Location: nr Southampton
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Morning everyone Good news Saw the snr anaesthetist I'm on the list :)) You're all right, I knew its chronic problem to do with the ra stopping iron absorption Interested that they said my type isn't the type they see most in ra I'm pleased to say that the snr anaesthetist has "taken a view" that 9 is normal for me I'm going to have the op If HB drops below 8 post TKR they will give me 2 units Luckily I'm A positive blood grp so I'm tested and requested ready So.... Within 8 weeks New knee! Yes im going to be scared on the day But the left one has been superb It hurts a lot to start with But this one isn't as chewed as the left was So it's good to get it done now I did smile in the waiting room, one patient says she's having a 1/2 knee done I'm sat wondering if really I am "that bad" to need the full knee replaced. Then she said "The pains awful", I can't kneel down for long!" I smiled I haven't knelt down for YEARS! Perhaps my surgeon knows what he's talking about! On the positive side I'm on no RA drugs just steroids and pain control With the crp down to 22 and esr in the 40s that's very low for me. The joints are disappearing at a rate of knots but its feeling livable The ra drs are trying for the JAK inhibitor funding still Much love Jenni xx how to be a velvet bulldoser
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Rank: Advanced Member
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Joined: 12/3/2009 Posts: 154
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That's great Jenni, panic over They will take great care of you and if you get a top up of blood you may come home feeling a lot perkier too:-) Hoping having the second knee done will make such a difference to your mobility - mine certainly did, along with the ankle fusions though they took much longer to get going on cos of not being allowed to weight bear. I always feel that a replacement is such a positive move as we can get going with the physio so soon afterwards. Hope you don't have to wait too long as your inflammatory markers are pretty good at the mo and that's important too. Lots of luck and keep us posted, Love Lizxx
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Rank: Advanced Member  Groups: Registered
Joined: 5/28/2012 Posts: 665 Location: Newton Abbot
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Hi Jenni - I'm late catching up with this thread - so phew, glad your ops going ahead. As Liz says - hopefully it'll get going really soon, as your inflammation is currently low(ish). Will you be able to get back on your DMARDS once the second knee is replaced? Very best wishes - Sylvia xxxx Be kinder than is necessary because everyone you meet is fighting some kind of battle
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Rank: Advanced Member  Groups: Registered
Joined: 12/4/2009 Posts: 64 Location: Southampton
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Hi Jenni Great news !! I hope it goes ok. My dad was in and out of hospital for replacement knees & ankles.
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 2,237 Location: nr Southampton
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Hi ya, I'm afraid I'm not on the dmards or biologics. They have applied For the JAK inhibitor But then I'm not sure ill get it Or take it! how to be a velvet bulldoser
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Rank: Advanced Member  Groups: Registered
Joined: 5/2/2012 Posts: 670 Location: where the sun always shines :o
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 Catching up with your thread Jenni, So pleased that you have the green light/operation go ! Good luck to you. Ra and operations are like riding a rollacoaster at a theme park for me - high & lows with easy times and hard times....and a bit of an adventure for good measure! Have you see my pictures on twitter of my knee?! Take care, happy mothers day Xxx
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Rank: Advanced Member
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Joined: 12/4/2009 Posts: 242
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Hi
Hey that's brilliant news, I am really pleased for you Jenni, a new knee at last. I hope it's as successful as the left one, I am sure it will be. It will make such a difference to your mobility. Once I had my other knee replaced I really noticed an improvement.
I hope you get the funding for the JAK inhibitor drug, at least it will give you another option to mull over. I can't believe your CRP is as low as 22 with just steroids and no DMARDS, definately the right time for your knee operation.
8weeks will soon come round.Not long to wait before your knees up!!!
Love and best wishes Rebecca x
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 2,237 Location: nr Southampton
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I'm just amazed that the crp is 22. I've not had that low in 10 years.... Mind you the steroids are double what I should be on ordinarily, but it means I can move, and getting out in that wheelchair of mine is very important indeed. Weall went to manor farm on Saturday and had a lovely time. It's where they filmed the recent series "war time farm" We had a lot of fun, they were doing crafts there and Michael is very into making and doing. He's at college Doing horticulture But very talented at making sculptures of things Done lots of origami Well, he had a go at making a willow bird feeder. You start with a little square and twist round, it's like a spiral pot. Very clever! Bernice and I made some cards and watched the man doing a fence. The best thing for her were the piglets! Lots of them! She's always liked them the best. When I went to see the pain management dr he recommended this kind of "exercise" the most :) I'm going to try and loose some weight before the op. ideally a few stone! But really need to get a few pounds off at least. Troubles with having lots of steroids and lots of insulin.... Anyway! Thinking positive. Wrist is strapped up and so less pain and the garden looks lovely in white. The mr Benn prints I ordered have come and the elmer the elephant ones are coming later and then I'm off to homebase with Richard tomorrow to buy the paint for hall stairs and landing so we can hang up the gallery Sorry to waffle Love to all Jenni x how to be a velvet bulldoser
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 838 Location: Nottinghamshire
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Just read the good news Jenni about the op.
Don't be sorry about waffling about your day, I was pleased to read what a lovely time you had. Yes, best pain medication available.
I'm trying to loose some weight, really struggling at the moment, thinking of trying the 5:2 diet. I don't think I eat much anyway and have cut down even more.
Hope to be reading more good news soon, especially about the JAK inhibitor funding.
Onwards and upwards from now on.
Love Paula x
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Rank: Advanced Member  Groups: Registered
Joined: 5/28/2012 Posts: 665 Location: Newton Abbot
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Hi Jenni and Paula - I'm losing weight at the moment (again) - but this time it's just a few pounds that I haven't been able to shift since Xmas! All my extra calories goes straight onto my boobs (which my husband loves) but my clothes are feeling too tight! I go to a nearby Slimming World group, and have found that their programme works really well. It's not a diet as such, more of an approach to eating more healthily, but if you stick with it, it's possible to lose loads of weight and never feel hungry. I lost 2 stone last year, and there's a lady who's currently lost 4 st and is still losing steadily. The groups work so well as there is lots of support and encouragement and it's sociable as well, which really helps with motivation. They also have an excellent web site and FB with loads of ideas for tasty recipes. I sound like I'm selling it, but it's an approach that has worked so well for me, and it really does encourage the ideal healthy diet - low fat, loads of fruit & veg, lean meat, fish and a proper balance of types of food. Be kinder than is necessary because everyone you meet is fighting some kind of battle
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Rank: Advanced Member  Groups: Registered
Joined: 9/3/2011 Posts: 717 Location: Torbay
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Jenni, I'm so pleased that you finally got the go ahead for the knee operation. I hope it's comes quickly and is straightforward. I'm sorry you've had no joy with other dmards and biologics. You're really unlucky to have severe RA and be intolerant of all the drugs that you so badly need. How do you manage on high dose steroids? I go a bit nutty on them, and I certainly drive my partner Nick mad when I'm on them. I think he needs valium by the time I've tapered down. I hope this is the beginning of a streak of good luck for you and that the funding is approved for the JAK inhibitor and it works for you. XXX
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Rank: Advanced Member  Groups: Registered
Joined: 12/3/2009 Posts: 561
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Hi Jenni good news about the op  , I went to see my surgeon on the 4th march , he took more X-rays and said there was no change from when The first X-rays were done ( 2 years now) so because I said it was not unbearable pain he has given me an appt for February next year but did say I can get back in touch if I can't cope with the pain any more . You and Jane are inspiring me to get over my fear of ops and just get it done , but I am terrified  . It will be 4 years this July that I had the left knee replaced . I need to loose a few stone too and have started to try to stick to 3 meals a day and no snacking in between but it's so hard  . Congrats on your crp being low  , and good luck for your op Sophie x
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Rank: Advanced Member  Groups: Registered
Joined: 1/21/2012 Posts: 388 Location: Powys
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Hi Jenni, Glad you've got the aneamia prob sorted. Good news about the new treatment too. Don't know much about that one, but hope funding gets sorted soon and more importantly that it suits you. Hope the diet goes ok. at least you have got a good incentive to get going on it. Interesting to see Sylvia's mention of Slimmers World. My daughter had her third meeting there last night, she's lost half a stone already! She is not hungry on it, but it does take a bit of understanding, must take a closer look!!
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