Doctor insights on:
What To Expect At First Rheumatologist Appointment
Tomorrow is my first rheumatologist appointment, can aperson have autoimmune disease based on positive ANA titer320 and negative4 all ab specific tests?
My rheumatologist said I have abnormal protein in my blood. He refered me to a hemotologist. My appointment is at the cancer center. Is this cancer?
Should one seek appointment with rheumatologist if ANA positive occurs with several symptoms of sle only if dsdna comes back positive? (low WBC too)
History and PE: Many rheumatic diseases are difficult to diagnose on a first visit. Most likely, a complete history and physicial will be taken. Any old records should be reviewed. Many times further labs or xrays will be ordered based on your complaints. Initiation of treatment on a first visit again depends on symptoms and physicial findinds. Good luck. ...Read more
Bloodwork: There are many types of vasculitis (inflammation of the blood vessels) and exactly what you have depends on the types of arteries affected, the symptoms you're having, and your approximate age and lifestyle habits. The rheumatologist will send bloodwork to confirm that there is a vasculitis and may prescribe steroids for treatment. You should, however, also see a vascular surgeon for an opinion. ...Read moreSee 1 more doctor answer
Many things.: Treating arthritis in its many forms, treating soft-tissue injuries not requiring surgery, dealing with low back pain and fibromyalgia. Osteoporosis tx and prevention is dealt with. Also, their are groups of autimmune diseases including sle, sjogren's, sclerderma, polymyositis, vascultis, and others. We give chemotherapy, use infusable drugs, perform joint injections (i also do nerve blocks). ...Read moreSee 1 more doctor answer
37yo female, going to Rheumatologist for 1st time next week. What should I prepare to discuss. Not a fast thinker, will write it down before. -KT?
What do I do if the rheumatologist won't take my case after two doctors sent referrals after years of illness and odd symptoms? Autoimmune possibility
Is it specific?: Too often things are labeled as possibly autoimmune if they fit nothing else. Autoimmune diseases are just as specific as psoriasis being a skin disease and a heart attack is a cardiac disease. Fatigue, body aches, fleeting pains are non-specific. A good internist should be able to characterize the nature or system of the disease. A rheumatologist should not be a consult of last resort. ...Read more
My rheumatologist told me that some people's labs don't show inflammation even though they have it & their body feels the effects from it? Why is that
Most likely: ? if Rheumatologist diagnosed Fibromyalgia (FM) is this correct. FM was defined by a committee of Rheumatologists, who also determined the methods of diagnosis. Rheumatologists are experts at detecting sufferers with FM & differentiating them from other chronic disorders, which have similar symptom profiles. These medical specialists are also facile in use of "fibromyalgia medications". ...Read moreSee 1 more doctor answer
Do you really have fibromyalgia when rheumatologists diagnose you with it? Is the diagnosis always accurate?
Fibromyalgia: Since fibromyalgia is of unknown cause and has no definitive test available, other diagnoses must always be considered. It is important to reasonably exclude other causes of symptoms. Hopefully as research progresses there will be a more definitive answer but for now a careful history, thorough exam and appropriate labs and xrays based upon those findings is the best we have. ...Read moreSee 2 more doctor answers
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