Top
20
Doctor insights on: What To Expect At First Rheumatologist Appointment

Share
2

2
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?

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?

An excess of: A gamma globulin called a "spike" may be associated with a plasma cell disorder, such as myeloma or macroglobulinemia. Wait to see the hematologist, let them assess the protein and determine the need for a bone marrow exam. ...Read more

See 2 more doctor answers
4

4
What usually happens on your first trip to a rheumatologist?

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

5

5
I'm going to see a rheumatologist , for vasculitis, what should I expect?

I'm going to see a rheumatologist , for vasculitis, what should I expect?

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 more

See 1 more doctor answer
6

6
What does a rheumatologist do?

What does a rheumatologist do?

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 more

See 1 more doctor answer
8

8
What does an exam by a rheumatologist consist of?

What does an exam by a rheumatologist consist of?

See below: On the first visit, it should be like a complete physical with emphasis on the musculoskeletal system. ...Read more

See 1 more doctor answer
10

10
Is there a way to search for a rheumatologist in texas?

Is there a way to search for a rheumatologist in texas?

Arthritis Foundation: www.arthritis.org. The arthritis foundation has lists of rheumatologists in all major texas cities. Other avenues: ask your primary care doctor in texas, call major medical centers. ...Read more

11

11
How can I find a good rheumatologist in metro detroit area in michigan?

Ask: Ask your friends and co workers first. Then log on the the michigan medical board website. These normall have items like complaints and lawsuits. ...Read more

See 1 more doctor answer
13

13
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?

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?

Depends : on why the patient is seeing the Rheumatologist. Usually it is important to bring all the medications patient takes, all the labs or previous work up and list all symptoms and response to treatment and factors that make symptoms worse. ...Read more

See 2 more doctor answers
14

14
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

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

15

15
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

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

True: You can have a seronegative type of rheumatologic condition. This means that you don't necessarily test positive for any of the blood tests. Some conditions such as fibromyalgia have no blood test at this point and is merely based on your overall symptoms and complaints. ...Read more

16

16
Could rheumatologists misdiagnose you with fibromyalgia?

Could rheumatologists misdiagnose you with fibromyalgia?

Why not ?: There is no real test for this diagnose. It's one of exclusion unless you consider tender points a diagnostic test. These symptoms are common in other illnesses that are real i.e Lyme disease, Chiari Malformation to name a few. ...Read more

See 1 more doctor answer
17

17
How often should a child with jra/jia see her rheumatologist?

How often should a child with jra/jia see her rheumatologist?

It depends: If there is active disease and medication doses are being adjusted, it may need to be as frequent as every 2-4 weeks. If things are stable, visits can often be spaced out to every few months. ...Read more

See 1 more doctor answer
18

18
Which type of needles would a rheumatologist give to ease the pain?

Probably cortisone: It depends on the cause of the pain. Usually it would be a cortisone injection. ...Read more

19

19
Can i really have fibromyalgia if rheumatologists diagnose me with it?

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 more

See 1 more doctor answer
20

20
Do you really have fibromyalgia when rheumatologists diagnose you with it? Is the diagnosis always accurate?

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 more

See 2 more doctor answers