my test results and symptoms please help

[Guest guest]

For the last two years I have had very bad feet, they are completely

involved, until now it was believed it was work related as I had a

job where I stood all day. On Aug 27th I had gallbladder surgery,

sept 29, I Had Gastric Bypass Surgery. I have a history of psoriasis

and hypothyroid ( under control with levoxyl) In October I had blood

tests with an AST of 274 (liver enzyme but also heart enzyme)..since

have had lower numbers (75) but still elevated. ( 20 is normal). My

Bilirubin is slightly elevated as well, Also my Albumin is low, urea

nitrogen is high. About 3 weeks ago I started experiecing Severe pain

in one knee, within days the other knee became painful, and swollen,

then my knuckles became sore, with two swollen fingers on each hand,

then pain started in the elbows, shoulders, neck, jaw and wrists. I

went to my primary doctor Internist who made an initial diagnosis of

psoriatic arthritis. and ordered more blood tests. Of those tests,

Rhuematoid factor was positive ( 475), ANA Screen postive 1:80 anti-

SS-A (RO), negative anti DNA AB, SED rate normal (15) ( this totally

floors me with the amount of inflammation I have)How can this be?

Anyway it is my understanding that Psoriatic arthritis does not

usually have positive rheumatoid factor. does anyone have any

impression from my profile and tests. In addition to the above

symptoms I am EXTREMELY fatigued, weak, and having problems with

foggy brain. The Dr. has started me on Celebrex.

I am waiting for referral to a rheumy at UCDAVIS Med Center in

Sacramento.

I really appreciate any input anyone would have to help me understand

and be knowledgable and know what questions to ask.

Faith