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Regular Member

Date Joined Aug 2005
Total Posts : 289
   Posted 5/15/2006 7:28 AM (GMT -6)   
At the appt the other day I asked the nurse practitioner if my SED rate would be lower since I have been on an anti inflammatory for a month now and she said no.  the anti inflammatory just controls the pain.  Now I feel at some point I was told that since the Sed rate measures the amount of inflammation and anti inflammatories decrease inflammation that ones sed rate would be lower.... isn't that right??  I just worry that my number might be low enough to be considered normal that they pull meds or decide I don't need further treatment and that scares me.  This fear only comes from past experience.  It is not unfounded. 
Also, I have the bone scan scheduled for the 18th.  I have decided for myself that I am stopping the medication until that date.  That I feel may have been a mistake, but I am going to tough it out for a few days.  I want things to show up.  I don't have money to go and nothing show up because I was on medication to decrease it so much to make it look minimal or enough for them to say it isnt so bad.  I would rather it all be full blown which by they way I am starting to feel now I figure I should be flaring well by Thursday dont you think?  Am I wrong to do it this way?  The doc didn't suggest it?  They said they wanted to be sure it was inflammatory vs mechanical.  If my joints are hot they are now and sed rate is elevated as it has been in the past isn't that inflammatory???

Veteran Member

Date Joined Mar 2005
Total Posts : 1884
   Posted 5/15/2006 8:28 PM (GMT -6)   
I don't know the answer to your questions, but my thought process is exactly the same!

That type of stuff always backfires on me, though. I think I mentioned here before the last time I took a blood panel I came down with the nastiest of flus less than 6 hours later and my test results? perfectly fine, wbc, sed rate, and everything that should/would indicate the pending illness was FINE. You would never know just a few short hours after the test I became so dizzy I almost fainted at the store from it hitting me so hard.
Good luck Thursday with the scan. I hope you can make it that long w/o your meds!!!! I'm interested to hear what others have to say re: your theory.

Veteran Member

Date Joined Mar 2005
Total Posts : 3148
   Posted 5/16/2006 5:45 PM (GMT -6)   

hey bloo,

i can say that if you have articular damage of any sort or any degeneration or matter how many NSAIDs you've taken, it will still show up on a bone scan.  NSAIDs really do not help stop the progression of any disease state, it just helps control inflammation.

NSAIDs have short life spans too, so you should be well cleared of everything if you go through with your plan.

i do not disagree with it.

in neurology, they make patients stop taking their medications days before say an EEG or some epilepsy why not?

will it make a real difference?  who's to say. but heck, worth a shot right?  if you were a new patient & this was being ordered, you'de most likely wouldn't be on any meds anyway. so, no harm no foul.

the dye will take to any areas of bone hypertrophy and even if you were still taking nsaids at the time and there is a problem, the nsaids would be traveling to the same i am thinking that even while on medications if there are problems areas, medications would not cause a "negative reading" so to speak.

now, for bloodwork!...if you're on immunosuppressants and steroids and ya get the flu or an infection...your bloodwrok can show up NORMAL!! isn't that a kicker!!  the steroids and immunomodulators actually "cover-up" fevers and infections many times.  very tricky. interesting stuff eh.

good luck.

Active, Severe RA. Crohns Disease. Chiari Malformation & Right Brain venous anomoly. AS. Emphysema. Rheumatic Lung. MVP and Tricuspid prolapse. Had Lymes disease for 10 years.
Meds: Humira 40mg every 4 days; pred; Pentasa; Imuran; dilaudid; diazepam; Avinza 30mg; MiraLax & too many others.

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