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I posted previously about my husband's experience with a general practitioner that saw his high RF factor, and simply prescribed Methotrexate and Diclofenac without any follow up at all. He suffered 7 weeks on those drugs, and finally was able to get into a Rheumatologist this week! The Rheumy was actually upset that the GP would do that, and ordered him to stop taking them immediately. He said that without any xrays at all, he can't just assume it's RA. And with the stomach ulcers in the past, and a current ultrasound showed lesions in the esophagus, he should not be taking NSAIDs of any kind. He had a major bout of internal bleeding a few days before the appointment that the Rheumy said could have killed him.
His diagnosis so far is actually fibromyalgia, joint pain, liver damage, and possible esophageal cancer or esophagitis. He felt it's possible he may have early RA, and has ordered several xrays of hands/feet/back, plus a very specific round of blood tests to ascertain the issues. So thankful for the new doctor! And for everyone who responded to my earlier queries here. The Methotrexate made him so miserable, and the NSAID nearly put him in the hospital.
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