Know pain and stiffness pos ana elevated esr fatigue family history of ra but dr says it's osteoarthritis does this sound right? go to rheumo anyways?

Yes: Get a second opinion. Although many patients have +anas, an elevated ESR and multiple symptoms are pointing to a rheumatic condition. There are many diseases along the spectrum including seronegative rheumatoid arthritis, anklosing spondylitis, , mixed connective tissue disease. I hope you feel better soon.

Doubt osteoarthritis: Osteoarthritis usually is not associated with an elevated esr. Joint pain, a positive ana+elevated+fatigue in a young female is suspicious for a collagen vascular disease, not necessarily ra. Suggest you proceed and see a rheumatologist.

See Rheum: Given the elevated ESR and positive ANA i would recommend you see rheum. If you are a 28 yo female you are the "right" age where RA and/or lupus etc. Need to be ruled out.

Go to Rheum: Definitely see a rheumatologist as you have symptoms of an inflammatory disease (stiffness) and laboratory evidence of inflammation (elevated ESR). Osteoarthritis is not a very inflammatory disease. Suspect RA or other inflammatory arthritis.