do you know what this blood test will show

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deb in indiana
Regular Member


Date Joined Aug 2005
Total Posts : 387
   Posted 10/23/2005 6:10 PM (GMT -7)   
Hi how is everyone ? Iam going for cbc blood test and it says bmp,sed rate,awa,rf,i have been going to a new family dr do to new insurance he wasn't to happy that i have been to pain management dr i take 8 ultram,4 zanaflex,2 celbrex,2 elavil for my arthritis i have been on this for 6 years but was on viox for 5 years and dr wasn't to happy that i haven't had blood work while i have been on this .To make this a little easier can any one tell me what these tests will show and also he wants me to go to a rumy cause i have psoriasis and he thinks i may have that form of arthritis instead cause he said at 48 that was young to have o arthritis and my knee being bone to bone at my age and i need a knee replacement but they want to wait cause of my age so please reply if you know what all these tests mean thanks DEb

CaMama
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Date Joined Mar 2005
Total Posts : 1884
   Posted 10/23/2005 8:25 PM (GMT -7)   
Hiya Deb,
 
The CBC and SED rate are common tests, but I will let one of the nurses here explain it properly. I could use a complete lesson myself. They will probably catch your post here within the next day.  
 
I have psoriatic arthritis as well. You are on a lot of pain meds. How come you haven't seen a rhuemy before now?
 
**
 


Ducky
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Date Joined Mar 2005
Total Posts : 3199
   Posted 10/24/2005 6:42 AM (GMT -7)   
Hey Deb - Hopefully you'll go see a rheumy and he/she can take you off 1/2 the meds you're on and replace it with one... I am like CaMama, I have psoriatic arthritis also... Where is your pain? Is it in your fingers/toes/spine? Good luck to you, keep us posted on what happens - Duck
Diagnosed January 2005 - Psoriatic Arthritis/Dactylitis/Spondylitis 
   -Currently taking 50mg shot weekly of Enbrel
 
Diagnosed May 1998 - Graves Disease
   -Complete Thyroidectomy September 1998 - While 11 weeks pregnant
 
Other Complications - GERD/Scoliosis/Hiatal Hernia


erin.K
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Date Joined Mar 2005
Total Posts : 3148
   Posted 10/24/2005 8:23 AM (GMT -7)   

Dear Deb,

I am glad to hear that you're on a path to treatment & to a rheummy!  Hopefully the description I give of the bloodwork labs will be of some help to you and clarify some of the things that the doc wants to look @ in your blood.

The tests you mentioned are pretty routine when looking @ a person with pain, arthritis and possible autoimmune problems.  The general CBC looks at the blood for infection, virus....looks at the red blood cells and all the basic stuff.

The ANA:  antinuclear antibody test is most commonly performed in screening for patients suspected of having systemic rheumatic disease.  Some examples are systemic lupus, mixed connective tissue disease, Sjogren's sysndrome, scleroderma and RA.  The ANA test alone does not diagnose anything very specific right then.  The test if come back positive wil direct the doc where to go from there.  Normal is Negative and if positive, the blood is then titered and looked at further. 

The BMP:  Basic Metabolic Panel measures all the basic stuff in your blood such as calcium, sodium, BUN, potassium, glucose, chloride, your kidney chemicals, Carbon dioxide.  Your cholesterol levels might be taken as well.

Rheumatoid Factor test:  Many people who have RA show a positive RF antibody.  It's useful in detecting RA, but again, is not an absolute diagnnosis alone.

All of these specific labs will be taken in account along with your symptoms.  Everyone is different!  People have ALL the symptoms and swelling and deterioration, and it is possible for many of their labs to come back  within normal range.  On the other hand...the oppisite is true!  They can have a lot of whacky bloodwork, but not as many symtpoms!! 

Arthritis and rheumatics is a tricky science.  I can definitely say, it is an art for these docs!  Many diagnosis and treatments are trial and error.  Which of course makes it oh so pleasant for us right?! LOL.

I sure hope you get a rheummy who's on the ball! 

If I can explain anything further, I'de be more than happy.  Please, when you get the results, let us know how you made out.  Wishing you the very best!

Erin 

Oh! forgot!....The Sedimentation rate or sed rate:  This test looks for inflammatory processes.  Basically it measures how the blood settles and at what time/or how long.  A positive sed rate is common with people having autoimmune disease and arthritis. 

:-)

Post Edited (erin kachmar) : 10/24/2005 12:14:35 PM (GMT-6)


Flopsie
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Date Joined Jun 2005
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   Posted 10/24/2005 8:53 AM (GMT -7)   
Very well done. Erin
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deb in indiana
Regular Member


Date Joined Aug 2005
Total Posts : 387
   Posted 10/24/2005 7:13 PM (GMT -7)   
Thanks the posts helped a lot mri of lower lumbar was done and blood tests so in a few days i'll know something my pain dr is great but i was never tested for blood work in the 6 years i was going there and i told him after 6 years the ultram just wasn't doing any thing any more he said he would write my meds for a year and i could just by pass him and save a co pay cause i need a life time of injections i have had 15 in 6 years  and some work and some didn't i just thought it was strange i have seen him every 3 months for 6 years now he said i could by pass him and go to the dr that does injections .his nurse said he doesn't believe in stronger drugs then ultram i just was up front and said it wasn't working same as celbrex and elavil i never sleep right i also filed disability maybe he doesn't go for that either oh well i have been wanting to go to rumy any how thanks for the replys DEB

erin.K
Veteran Member


Date Joined Mar 2005
Total Posts : 3148
   Posted 10/25/2005 1:50 PM (GMT -7)   
oy! eyes
yeah, doctors and pain meds. i struggled with the rheummy to write my darvocet for RA and valium for the AS. a no go for either.  mad i wanted to do that because it would save me money not having to go to one doctor for this med, another for this med and so on...
but we have to remember that we don't know what kind of policy the practice has on pain meds.
some dr.'s aren't allowed to write scripts past what specialty they are practicing! it sounds crazy but i was told this by a Dr. friend!! they could get in trouble if they do. nono
and some docs say they don't believe opiates relieve arthritis pain!!   confused confused WHAT???!!! i still can't comprehend that one...i try to ignore that theory best i can (but it's because narcotics don't have the antiinflammatory property).
hang in there Deb. perhaps you'll have good luck with the new rheummy. smurf

Post Edited (erin kachmar) : 10/25/2005 2:53:21 PM (GMT-6)


erin.K
Veteran Member


Date Joined Mar 2005
Total Posts : 3148
   Posted 11/1/2005 9:19 AM (GMT -7)   

:-)  bumping this thread up to the top ... there seems to have been a lot of diagnoses questions and questions on labs and RA and testings, etc...

so hopefully this helps a little. :-)

erin


erin.K
Veteran Member


Date Joined Mar 2005
Total Posts : 3148
   Posted 11/3/2005 10:23 AM (GMT -7)   
BUMP! tee hee hee
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