I am confused..3 false positives?
Posted , 8 users are following.
So, when I first saw my rheum (1st time with any rheum) he said after giving me a check up (no blood work) that I have fibro and he was sure no autoimmune diseases and wanted to see how my Neuro appt went and to see him after.
Saw a Neuro for the first time, he looked at my spotted skin asked a few questions and said he needed bloodwork to confirm but he was SURE I had an autoimmune disese. Then he also dx me with small fiber neuropathy and ordered 2 MRI's for neck and spine.
Following week some tests came back. Positive SSA fro Sjogren's. High ANA level, elevated ESR. Told me I had Sjogren's and wrote me rx for migraines...Cym
Next had an appt with surgeon for my hidradenitits suppurativa (so sick of dr appts by now lol) who wants to hold off surgery 6 months to see how new meds will affect me for my SS and he also states it looks like tests results say I may have RA. I am like seriously???? No one mentioned that. I figure no big deal, I am seeing Rheum for 2nd time tomorrow.
That brings me to today. Saw rhuem and he looked at results, barely said a word to me or addressed my concerns, moved diff parts of my body for "exam" and said ibro again. He says, all 3 test must be false positives. Does not order blood work or nothing. I ask again about my symptoms, especially dry mouth and constant coughing and choking (every day) along with other symptoms and as he is walkingout the door he says to see my GP.
Don't get me wrong, I am thrilled if I don't have SS or RA or SLE!! BUT, I want to know what is wrong with me. The only thiing rhuem said at both meetings is he thought MS. He asked me what Neuro said and I told him SS. He said no, I do not believe tests and you are sure no ms? I said no and that was it. I am not going to him again. I live in a small town but even if I have to drive will look for another rheum I guess.
WHo would you believe? The expert, or the blood tests, neuro, and surgeon? Is it possible to have 3 false positives in one set of blood tests and should rheum have done another set of blood tests? I am curious for any opinions. Thank you so much for reading this
2 likes, 51 replies
margaret22116 tj268
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tj268 margaret22116
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Hello Margaret We have talked before and you have been a great help to me. I don't know if you are remember but I am in the U.S. I come here because I really trust their fourms and it is so hard to get a reply here for some reason.
I am for sure going to get another opinion. As I left his office he said I will see you in 2-3 months. Needless to say I didn't make an appt!!!
Gonna call my GP and talk to her and look around. This just makes no sense to me at all. I can see why his rating is 3 out of 5. I will give him a zero.
Thank you for your support!
margaret22116 tj268
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Oh I do remember yes. It is a difficult road this isn't it. So frustrating. Keep on because you will find a good specialist who will treat you properly. You've got to be so tough to go through this when feeling so vulnerable xx
Linda1450 tj268
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I have the same Bloodresults as you, high esr, Ana and ssa going to rheum for first time today. Even though I'm well prepared to the appointment I'm anxious , seems like a lot of stories like the one you tell.
margaret22116 Linda1450
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Yes a lot I'm afraid. I have Behcet's and hear a lot of it. I would wait and see how the appointment goes and if it is not good ask for a new referral. If you are in the uk do what I suggested to our friend here and speak with vasculitis uk. They are very good and very supportive.
Tumtum1963 margaret22116
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Ps I've replied with my own version of your story - culminating in a very definitive diagnosis of primary Sjogren's. It's being moderated because I attached two links about neuro Sjogren's that presents like MS. I have this too and even a reasonably good rheumy should know about it!
Linda1450 margaret22116
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I'm in Norway hoping for the best, my husband will come to the appointment with me
margaret22116 Linda1450
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Tumtum1963 Linda1450
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Not meaning to dismiss Vasculitis UK but they recommended the rheumy who put me through an equally ridiculous and distressing extra journey to eventual diagnosis. If you are in the UK then ask the British Sjogren's Syndrome Association as they have a list - but bare in mind that they recommended same fella to me as VUK - as having a special interest in Sjogren's!
You will find the rheum for you but it may take time.
margaret22116 Tumtum1963
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Yes they should shouldn't they but often not good Tumtum. I have Behcet's ....not formally neuro BD but with mainly neuro symptoms. Interferon works like a dream for me x
margaret22116 Tumtum1963
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Oh that is kind of depressing to hear! O go to the vasculitis clinic at Addenbrooke's. I get great treatment there with one particular doctor
It is so hit and miss treatment for this disease. 😐
Tumtum1963 margaret22116
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I think Sjogren's is the connective tissue disease that most commonly gets misdiagnosed as MS or vice versa. It's certainly the one I have and the rheumy who finally diagnosed my primary SS a few weeks ago wasn't wasn't one who is recommended by either charity or the RA charity. But he was brilliant for me! I was previously diagnosed with seronegative RA and treated with 4 DMARDs, tested negative for Vasculitis and others. My ANA points to Scleroderma but I don't have this. Primary Sjogren's with neurological involvement is a pretty established presentation of a rare disease I believe.
Tumtum1963 Linda1450
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Best of luck. When my post with links comes through I recommend reading both links because it seems that you may have a very similar presentation of primary Sjogren's to mine. Alternatively you could google Neurological Features of Sjogren's and look out for articles by Julian Birnbaum (sp?) MD at John Hopkins Uni, USA
margaret22116 Tumtum1963
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Tumtum1963 margaret22116
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Always good to have these kind of recommendations Margaret. I should say that I've been moving about east coast Scotland over the last year and the Ninewells Rheumatology Service has proved brilliant. In fact I'd score it way over all the other hospitals I've attended or been an inpatient in for being helpful, friendly and accessible. And the dental hospital here has also been wonderful too. I was finally diagnosed by a really positive and incontrovertible lip biopsy result - which my rheumy explained was very unusual. It's important to make sure Sjogren's isn't missed for other rare diseases because of the increased risk of non Hodgkin's Lymphoma and also small vessel disease of the brain.
margaret22116 Tumtum1963
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Great Tumtum. I am Scottish but living in London now. Glad you're getting good treatment x
Tumtum1963 margaret22116
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Well funnily enough I'm a Londoner living in Scotland now! Glad you're getting good treatment for your BD too.
tj268 Linda1450
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Hi Linda, I just wanted to wish you the best at your appt today! From what I understand SJS gets mis or undiagnosed a lot but it seems bloodwork really can point you in the right direction. Sadly, the rhuem I saw has NO direction. I am going for a 2nd opinion and 3rd if I need it.
I hope your rheum you see today is wonderful and treats you with the respect you deserve
Linda1450 tj268
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Thank you, I'm getting more and more anxious now. I'll post here when I get home
Linda1450 Tumtum1963
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Thank you
Tumtum1963 Linda1450
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Don't be daunted - try to be strong and stick by your instincts that you have something autoimmune going on. You need better answers than those contradictory ones you've been to date. Best of luck! X
tj268 Tumtum1963
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Hello Tumtum, I am waiting for your reply but it is being moderated. I am eager to hear you opinion
Tumtum1963 tj268
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I wish I hadn't attached the links now - it's taking so long for mods to authorise it! My story is a bit of a shocker and I'm still raging with several neuro and rheumy consultants and a couple of GPs in my head - but thoroughly vindicated now at least. It's taken me five long rollercoaster years to get here with a confirmed diagnosis of primary Sjogrens from a lip biopsy. I wish they would let you read it because it might help empower you to stick to your guns with your doctors.
aitarg35939 tj268
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TJ, I'm in the States, too. Something to consider when looking for a better rheumo is how you characterize the appointment when you first make it. Twice when I've gone for 2d/3d opinions (pre-surgery in other fields) I've preferred the 2d opinion doc & asked to change to that doc. Both times I was told that 2d opinion docs couldn't take on the 2d opinion patient into their practice. I think that's a prohibition from ethical canons rather than from insurance rules, but who knows? I do know that if appointment is set as a new patient appointment different rules apply.
Check with your insurance company. It's okay to tell them that the 1st rheumo was a quack - just don't file a complaint unless that's the only way to find a new rheumo.
You could also call & ask your neurologist for help on 2 things: 1) names of better rheumos; and, 2) suggestions on how to get around the 2d opinion issue.
Linda1450 tj268
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tj268 aitarg35939
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WOW! Thank you for the info! I haven't been here in a few days..just been to exhausted but so glad I checked in I have a Dr appt with my GP tomorow to discuss this and my choking. I really appreciate the advice. I am in southern WI and have great insurance so hopefully not a problem Take care and hope to talk to you soon
margaret22116 Linda1450
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hi Linda, just saw this. See you are probably Sjogren's.....why disappointed with fibro? Often they go hand in hand auto immune and fibro. Glad you have some answers. x