Do you think this affected my appointment?

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alli sunshine
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Date Joined May 2009
Total Posts : 40
   Posted 6/27/2009 6:27 PM (GMT -6)   
I had my first rheumatologist appt. last Tuesday. I had had a D&C and a uterine ablation on Monday. I fear that the drugs I got on Monday skewed the things the doctor looked at on Tuesday. I went there due to some pain and inflamation issues in my feet and elbows, as well as a positive ana test with a score of 1:640. (as a side note, I have had Raynauds for a number of years) I was in very little pain on Tuesday, and my feet looked as good as they have looked in months. The doc said my joints looked really good, and started saying that perhaps my feet issues were related to my back issues. He ran more specific blood work and I am supposed to call Monday since I haven't heard from him yet.

On Monday, I got a shot of an anti-inflamatory medicine plus painkiller in my IV, I had taken vicodin on Monday night, and I was on an anti-nausea medication patch. How much do you think this colored what he saw on Tuesday? Yesterday, my feet started in again, along with joint pain in my ankles and elbows. Believe me, I am fine if he thinks that there is not a lot wrong with me. However, I also don't want him to miss anything.

Any thoughts are appreciated. Sorry if this is rambling.

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Date Joined Feb 2003
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   Posted 6/27/2009 7:49 PM (GMT -6)   
Hi Sunshine,
Yeah, unfortunately it probably did skew things for the doctor. mad   That's too bad. You might need to make another appointment with him when you're 100% back to feeling crappy.  So sorry girl... How did the ablation go for you?  It was one of my options but decided to do a hysterectomy and just be done with it!  I hope you're doing well.
I can do anything through Jesus Christ who strengthens me. I have learned in whatever state I am in to be content. Phillipians4:11-13
35 years old. Diagnosed with Lupus in 2000. Fibromyalgia, Anti-phospholipid syndrome(APS)(stroke, 2002), Sjogren's, Raynaud's, Libman Sach's Endocarditis, vasculitis, sacroiliitis, arthritis (neck), anxiety, Chinook migraines. Prednisone, Imuran, Coumadin, Clobazam, Amitriptyline, Didrocal, Cozaar, Zoloft, Neurontin, calcium, multi-vitamin, vitamin D, Magnesium, vitamin B6, Acidophilus
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Date Joined Dec 2007
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   Posted 6/27/2009 9:07 PM (GMT -6)   
Did you tell your rhuemy you had been given those medcations? If so it should be okay-he will look at all your tests through that lense. If he doesn't know then it will effect things. But most of those tests are repeated frequently so the next time ...

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Date Joined Dec 2005
Total Posts : 1944
   Posted 6/29/2009 10:57 PM (GMT -6)   
Its funny, I have back issues and always think my feet issues are part of my back issues and they say no, but I still think they are wrong because the pain runs downmy legs. It does always seem to be the case though that we get into the doctor during times when we aren't feeling as lousy as normal, for some reason. It sounds like hes running more tests anyway though so that is good, and you can always go back when you feel crappy. Hopefully, you won't get better just before the appt. like sometimes happens to me. I do really hope you get better but do hope the doc sees all that is wrong and treats it appropriately. Maybe it will take a few appointments for him to really see everything too.
Love, Marji
Ills--Sjogrens-Lupus cond., AI polygland. dysfunction 2, hyper/hypopigment, scoliosis,kyphosis,stenosis, deg.,O.A.,spine surgeries, salivary/lymphectomies, NASH, COPD, RLS, UT/GI bleeds, hystero, brain/nerve damage,TB
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Date Joined Dec 2006
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   Posted 6/29/2009 11:13 PM (GMT -6)   
Hi Sunshine, it could have caused a problem for him since it obviously did make a difference. If they gave you anti inflamatories and your feet felt better for a little while then it would seem to me that it helped. even though that wasn't the reason for it.
If it were me I would call the dr. office tomorrow ask to get a call back from the nurse and explain to her/him that you had these meds the day prior and a side effect was they helped your feet. Now that it's been a few days your feet are hurting again. Just ask her to put it in his notes and let him know. They can only put bits and peices together to come up with these dx's and even then it's not 100% possitive. If you have anything that is visible at anytime in between appts get pictures because like you said your feet felt as good as they had in a long time.
 scleroderma.  stage 4 COPD, sleep apnea, Osteoporosis,osteoarthritis
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Date Joined Sep 2005
Total Posts : 1744
   Posted 6/30/2009 7:21 AM (GMT -6)   

When I first saw my rheumatologist I wasn't feeling all that bad either.  I had mild joint pain, a positive rheumatoid factor, and a strong family history of AI disease, so I felt it best just to go see a doctor.  I almost stopped going to see the rheumatologist.  I wasn't really being treated for anything, but doctor was following.  Sure enough, about 1.5 years after seeing him the first time, my joint pains worsened considerably.  And I was glad that I had stuck to the same doctor because by then, everything was already in place and I received treatment much faster than if I had to see another rheumatologist.  I guess my point is that most doctors will probably follow you over a period of time to see if and when your sx surface.  AI disease can be elusive, so it can take a while to dx.  Any doctor worth their salary (very few of them actually) will not base a diagnostic decision on a lab value alone.  They should take into account the sx that brought you there to begin with , and lab values over time.

I hope you're feeling better soon,



Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Methotrexate, nexium, tramadol, nasonex,Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan, zyrtec, zegerid, aciphex

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