Go to your rheumy prepared. Write everything down. He will want a complete
medical history, which will include all medical procedures you have had in the past,
your symptoms, past and present...names of other doctors you have seen. He
will ask about all the meds you have been on past and present.
He should do plenty of diagnostic lab work, running a number of antibody tests
to rule out the autoimmune diseases. Some docs only will run an ANA test and
if that comes back negative they won't run other antibody tests. An ANA is not
definative by itself. I'm living proof of that, I have never had a positive ANA but
biopsies have determined I have Scleroderma. There are many antibody tests,
I was tested for Sm, RNP,SSA(Ro) SSB(La) Scl-70, ssDNA, dsDNA, histone, and RF. I have tested high positive for RNP on repeated tests, that and clinical
findings gave me a diagnosis of MCTD. Symptoms and tender point tests also
revealed I had fibro.
They will more than likely do a CBC... complete blood count, CMP, comprehensive
metabolic panel, check your Sed rate and do thyroid testing.
Write out questions for your rheumy... there are no stupid questions, everything
you want to know ask. Tell him everything that you think is relevant to how you
are feeling. Good luck and keep us posted!
PS I forgot to mention that they might also do x-rays if you have complaints about joint pain, that is howI found out about having arthritis
Fibromyalgia, MCTD (Lupus, Scleroderma & RA) Raynaud's, Osteoporosis,