Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 > > > I have been fighting to get some sort of diagnosis that would explain my > symptoms for over a year. My previous rheumy would not ever give me > anything " official " so I was forced to suffer and only would be given > NSAIDs for relief. NSAIDS do not even touch my symptoms. I have some > weird thing that they do not work. I had surgery and they gave me > Toredol and I woke up screaming in pain...NSAIDs just don't work and my > doc wouldn't believe me. [(:|] > > I went back to my primary and got a referral to a different, more > respected rheumatologist. He looked at all my test results and joints > and diagnosed me as sero-negative RA. I am RF negative, but do have > some of the other test markers (Sed rate, white blood count low, low > grade anemia, 18 joints effected, etc...). He put me on 15 mg of > Prednisone for 15 days. It worked for about the first 7 days, but since > then my symptoms have started to return. I go back after the holidays > to work out with him my treatment plan of action. The good news he gave > me is that I have minimal joint damage at this point, so he thinks my > prognosis is very good. > > I am 37 years old and have 3 kids aged 7, 3, and 1. I also work full > time as an engineer. I really am looking forward to moving on and > getting some answers and relief. > > One thing I wanted to ask you about is recommendations for > antidepressants. During my journey through various docs (hemotolgist, > ENT, endo, etc) to figure out what was wrong I was placed on Paxil (one > of the docs though it was all related to post-partum!). I never really > exhibited signs of depression, but more of over stress (um...yeah, 3 > kids, ill all the time, stressful job). I like the fact that the Paxil > takes the edge off and allows me to be more patient with my DH and > kiddos, but think I have read that there may be a better choice for RA. > Is this true? I am on a very low dose (10 mg/ every other day) of the > Paxil, so I wonder if it is just a placebo effect anyway for me? > > I look forward to getting to know all of you as we all try and figure > out these diseases! > > Oh, I also have Hashimoto's Thyroiditis, and had a lumpectomy over the > summer that developed sepsis and ended up off of work for 3 months with > a wound VAC and in and out of the hospital....all related in some way? > I think they are! > > > One of the things I found out is that my symptoms are relieved when I don't eat foods that I'm allergic to. My dr. sent my blood to a lab called Immuno Laboratories in Ft. Lauderdale (you can google them)that found out I'm allergic to wheat, rye, millet, sunflower, yeast, dairy, eggs, pinto and kidney beans and shrimp. If I eat that stuff, I gain weight, joint and muscle pain, etc., and if I don't I'm pretty good. Since I don't eat dairy, I also found out after 2 years when my pain came back that I had a Vitamin D deficiency. Now I take that, and I'm doing pretty well on mtx and folic acid. Good luck, > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 , I'm not an MD/DO, but I've worked with a lot of pain patients who like Cymbalta. It seems to really help with mood and pain. You might discuss this with your doc and see what he/she thinks. Kate <cook.nicole@...> wrote: I have been fighting to get some sort of diagnosis that would explain my symptoms for over a year. My previous rheumy would not ever give me anything " official " so I was forced to suffer and only would be given NSAIDs for relief. NSAIDS do not even touch my symptoms. I have some weird thing that they do not work. I had surgery and they gave me Toredol and I woke up screaming in pain...NSAIDs just don't work and my doc wouldn't believe me. [(:|] I went back to my primary and got a referral to a different, more respected rheumatologist. He looked at all my test results and joints and diagnosed me as sero-negative RA. I am RF negative, but do have some of the other test markers (Sed rate, white blood count low, low grade anemia, 18 joints effected, etc...). He put me on 15 mg of Prednisone for 15 days. It worked for about the first 7 days, but since then my symptoms have started to return. I go back after the holidays to work out with him my treatment plan of action. The good news he gave me is that I have minimal joint damage at this point, so he thinks my prognosis is very good. I am 37 years old and have 3 kids aged 7, 3, and 1. I also work full time as an engineer. I really am looking forward to moving on and getting some answers and relief. One thing I wanted to ask you about is recommendations for antidepressants. During my journey through various docs (hemotolgist, ENT, endo, etc) to figure out what was wrong I was placed on Paxil (one of the docs though it was all related to post-partum!). I never really exhibited signs of depression, but more of over stress (um...yeah, 3 kids, ill all the time, stressful job). I like the fact that the Paxil takes the edge off and allows me to be more patient with my DH and kiddos, but think I have read that there may be a better choice for RA. Is this true? I am on a very low dose (10 mg/ every other day) of the Paxil, so I wonder if it is just a placebo effect anyway for me? I look forward to getting to know all of you as we all try and figure out these diseases! Oh, I also have Hashimoto's Thyroiditis, and had a lumpectomy over the summer that developed sepsis and ended up off of work for 3 months with a wound VAC and in and out of the hospital....all related in some way? I think they are! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 Hello , I also have RA and Hashimoto's disease I finally found a doctor that prescribes me Armour the only thing that helps with that. Have an autoimmune disease is a pain in more ways than one. I am so sorry you had a bad doctor I have had several when I was trying to find out about my thyroid problem I found it myself and made them test for it which of course was positive. Then it took a year to find a doctor that would prescribe Armour which is natural pig thyroid but it works so well with me which the synthetic made it worse. So I got that taken care of and then I was told I had RA my RA doctor is very nice told me up front that I will have good days and bad at the start I will even feel like I do not have it I feel so good but I will always have it. He tells it like it is which I prefer of course but it hit hard when he told me. Glad to have you here everyone is so supportives here. Marsha <cook.nicole@...> wrote: I have been fighting to get some sort of diagnosis that would explain my symptoms for over a year. My previous rheumy would not ever give me anything " official " so I was forced to suffer and only would be given NSAIDs for relief. NSAIDS do not even touch my symptoms. I have some weird thing that they do not work. I had surgery and they gave me Toredol and I woke up screaming in pain...NSAIDs just don't work and my doc wouldn't believe me. [(:|] I went back to my primary and got a referral to a different, more respected rheumatologist. He looked at all my test results and joints and diagnosed me as sero-negative RA. I am RF negative, but do have some of the other test markers (Sed rate, white blood count low, low grade anemia, 18 joints effected, etc...). He put me on 15 mg of Prednisone for 15 days. It worked for about the first 7 days, but since then my symptoms have started to return. I go back after the holidays to work out with him my treatment plan of action. The good news he gave me is that I have minimal joint damage at this point, so he thinks my prognosis is very good. I am 37 years old and have 3 kids aged 7, 3, and 1. I also work full time as an engineer. I really am looking forward to moving on and getting some answers and relief. One thing I wanted to ask you about is recommendations for antidepressants. During my journey through various docs (hemotolgist, ENT, endo, etc) to figure out what was wrong I was placed on Paxil (one of the docs though it was all related to post-partum!). I never really exhibited signs of depression, but more of over stress (um...yeah, 3 kids, ill all the time, stressful job). I like the fact that the Paxil takes the edge off and allows me to be more patient with my DH and kiddos, but think I have read that there may be a better choice for RA. Is this true? I am on a very low dose (10 mg/ every other day) of the Paxil, so I wonder if it is just a placebo effect anyway for me? I look forward to getting to know all of you as we all try and figure out these diseases! Oh, I also have Hashimoto's Thyroiditis, and had a lumpectomy over the summer that developed sepsis and ended up off of work for 3 months with a wound VAC and in and out of the hospital....all related in some way? I think they are! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 , I have suffered with depression and chronic pain many years before I was diagnosed with Fibromyalgia. I have taken too many antidepressants to remember. Let me tell you from experience, do not stop taking them without tapering off the meds over several days time. I was taken off Effectser (sorry, can't remember the spelling) and put on Paxil and I experienced withdrawal. I felt like I had the worst case of flu imaginable! I even had hallicinations. A few months ago, I started on Cymbalta along with Lamictal and it seems to help. I, too am taking NSAIDs and you are right, they hardly take the edge off the pain. I have done allot of research on Cymbalta for chronic pain and many people say that it is working for them. Ask your doctor, Cymbalta may work for you. Kathy > I have been fighting to get some sort of diagnosis that would explain my > symptoms for over a year. My previous rheumy would not ever give me > anything " official " so I was forced to suffer and only would be given > NSAIDs for relief. NSAIDS do not even touch my symptoms. I have some > weird thing that they do not work. I had surgery and they gave me > Toredol and I woke up screaming in pain...NSAIDs just don't work and my > doc wouldn't believe me. [(:|] > > I went back to my primary and got a referral to a different, more > respected rheumatologist. He looked at all my test results and joints > and diagnosed me as sero-negative RA. I am RF negative, but do have > some of the other test markers (Sed rate, white blood count low, low > grade anemia, 18 joints effected, etc...). He put me on 15 mg of > Prednisone for 15 days. It worked for about the first 7 days, but since > then my symptoms have started to return. I go back after the holidays > to work out with him my treatment plan of action. The good news he gave > me is that I have minimal joint damage at this point, so he thinks my > prognosis is very good. > > I am 37 years old and have 3 kids aged 7, 3, and 1. I also work full > time as an engineer. I really am looking forward to moving on and > getting some answers and relief. > > One thing I wanted to ask you about is recommendations for > antidepressants. During my journey through various docs (hemotolgist, > ENT, endo, etc) to figure out what was wrong I was placed on Paxil (one > of the docs though it was all related to post-partum!). I never really > exhibited signs of depression, but more of over stress (um...yeah, 3 > kids, ill all the time, stressful job). I like the fact that the Paxil > takes the edge off and allows me to be more patient with my DH and > kiddos, but think I have read that there may be a better choice for RA. > Is this true? I am on a very low dose (10 mg/ every other day) of the > Paxil, so I wonder if it is just a placebo effect anyway for me? > > I look forward to getting to know all of you as we all try and figure > out these diseases! > > Oh, I also have Hashimoto's Thyroiditis, and had a lumpectomy over the > summer that developed sepsis and ended up off of work for 3 months with > a wound VAC and in and out of the hospital....all related in some way? > I think they are! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 , Are you on Thyroid replacement? Kate At 08:03 AM 12/12/2006, you wrote: >I have been fighting to get some sort of diagnosis that would explain my >symptoms for over a year. My previous rheumy would not ever give me >anything " official " so I was forced to suffer and only would be given >NSAIDs for relief. NSAIDS do not even touch my symptoms. I have some >weird thing that they do not work. I had surgery and they gave me >Toredol and I woke up screaming in pain...NSAIDs just don't work and my >doc wouldn't believe me. [(:|] > >I went back to my primary and got a referral to a different, more >respected rheumatologist. He looked at all my test results and joints >and diagnosed me as sero-negative RA. I am RF negative, but do have >some of the other test markers (Sed rate, white blood count low, low >grade anemia, 18 joints effected, etc...). He put me on 15 mg of >Prednisone for 15 days. It worked for about the first 7 days, but since >then my symptoms have started to return. I go back after the holidays >to work out with him my treatment plan of action. The good news he gave >me is that I have minimal joint damage at this point, so he thinks my >prognosis is very good. > >I am 37 years old and have 3 kids aged 7, 3, and 1. I also work full >time as an engineer. I really am looking forward to moving on and >getting some answers and relief. > >One thing I wanted to ask you about is recommendations for >antidepressants. During my journey through various docs (hemotolgist, >ENT, endo, etc) to figure out what was wrong I was placed on Paxil (one >of the docs though it was all related to post-partum!). I never really >exhibited signs of depression, but more of over stress (um...yeah, 3 >kids, ill all the time, stressful job). I like the fact that the Paxil >takes the edge off and allows me to be more patient with my DH and >kiddos, but think I have read that there may be a better choice for RA. >Is this true? I am on a very low dose (10 mg/ every other day) of the >Paxil, so I wonder if it is just a placebo effect anyway for me? > >I look forward to getting to know all of you as we all try and figure >out these diseases! > >Oh, I also have Hashimoto's Thyroiditis, and had a lumpectomy over the >summer that developed sepsis and ended up off of work for 3 months with >a wound VAC and in and out of the hospital....all related in some way? >I think they are! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 Hi Marsha! Armour saved my life! You are correct there will be good and bad days. We won't feel better overnight either. Kate G At 08:34 AM 12/12/2006, you wrote: >Hello , > I also have RA and Hashimoto's disease I finally found a doctor that > prescribes me Armour the only thing that helps with that. Have an > autoimmune disease is a pain in more ways than one. I am so sorry you > had a bad doctor I have had several when I was trying to find out about > my thyroid problem I found it myself and made them test for it which of > course was positive. Then it took a year to find a doctor that would > prescribe Armour which is natural pig thyroid but it works so well with > me which the synthetic made it worse. So I got that taken care of and > then I was told I had RA my RA doctor is very nice told me up front that > I will have good days and bad at the start I will even feel like I do not > have it I feel so good but I will always have it. He tells it like it is > which I prefer of course but it hit hard when he told me. > Glad to have you here everyone is so supportives here. > Marsha > > <cook.nicole@...> wrote: > >I have been fighting to get some sort of diagnosis that would explain my >symptoms for over a year. My previous rheumy would not ever give me >anything " official " so I was forced to suffer and only would be given >NSAIDs for relief. NSAIDS do not even touch my symptoms. I have some >weird thing that they do not work. I had surgery and they gave me >Toredol and I woke up screaming in pain...NSAIDs just don't work and my >doc wouldn't believe me. [(:|] > >I went back to my primary and got a referral to a different, more >respected rheumatologist. He looked at all my test results and joints >and diagnosed me as sero-negative RA. I am RF negative, but do have >some of the other test markers (Sed rate, white blood count low, low >grade anemia, 18 joints effected, etc...). He put me on 15 mg of >Prednisone for 15 days. It worked for about the first 7 days, but since >then my symptoms have started to return. I go back after the holidays >to work out with him my treatment plan of action. The good news he gave >me is that I have minimal joint damage at this point, so he thinks my >prognosis is very good. > >I am 37 years old and have 3 kids aged 7, 3, and 1. I also work full >time as an engineer. I really am looking forward to moving on and >getting some answers and relief. > >One thing I wanted to ask you about is recommendations for >antidepressants. During my journey through various docs (hemotolgist, >ENT, endo, etc) to figure out what was wrong I was placed on Paxil (one >of the docs though it was all related to post-partum!). I never really >exhibited signs of depression, but more of over stress (um...yeah, 3 >kids, ill all the time, stressful job). I like the fact that the Paxil >takes the edge off and allows me to be more patient with my DH and >kiddos, but think I have read that there may be a better choice for RA. >Is this true? I am on a very low dose (10 mg/ every other day) of the >Paxil, so I wonder if it is just a placebo effect anyway for me? > >I look forward to getting to know all of you as we all try and figure >out these diseases! > >Oh, I also have Hashimoto's Thyroiditis, and had a lumpectomy over the >summer that developed sepsis and ended up off of work for 3 months with >a wound VAC and in and out of the hospital....all related in some way? >I think they are! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 Hi : The search for a diagnosis can sometimes take soooo long, but glad that yours has finally been determined. You now know the name of the monster, and can begin to deal and treat him to keep it under control. By this, you need to have DMARDs or disease modifying medications like Methotrexate, Plaquenil, Arava, etc. You can't treat it by Prednisone alone - that only masks the disease. I think that there is no right antidepressant just for RA, I think it is what works for you. Right now, I am on Cymbalta because, with my fibromyalgia, it is also supposed to not only help with the seratonin levels, but help with nerve pain such as diabetics have, and which I have from the fibro. I was on Effexor XR before that and did well with it, but I do think the Cymbalta is better for me at this time. Talk with your doctor, and discuss your options, but if Paxil is working, why rock the boat? Take care, and I hope that treatment for your RA is started soon, and aggressively, that is the only way I know to fight that certain monster. Best of luck - hang in there - let us know what the doctor says - Kathe in CA ________________________________________________________________________________\ ____ Want to start your own business? Learn how on Small Business. http://smallbusiness./r-index Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 Anti depressants inhibit thyroid function. I highly recommend making sure the thyroid is properly treated. Most people with Hashi's feel better when their Free T3 and Free T4 are near the top or the range and the TSH is suppressed. Suppressing the TSH help to keep the anti-bodies at bay. Sometime it is hard to sort the fatigue and the depression. Kate G At 12:23 PM 12/12/2006, you wrote: >, I have suffered with depression and chronic pain many years >before I was diagnosed with Fibromyalgia. I have taken too many >antidepressants to remember. Let me tell you from experience, do not >stop taking them without tapering off the meds over several days >time. I was taken off Effectser (sorry, can't remember the spelling) >and put on Paxil and I experienced withdrawal. I felt like I had the >worst case of flu imaginable! I even had hallicinations. A few months >ago, I started on Cymbalta along with Lamictal and it seems to help. >I, too am taking NSAIDs and you are right, they hardly take the edge >off the pain. I have done allot of research on Cymbalta for chronic >pain and many people say that it is working for them. Ask your >doctor, Cymbalta may work for you. Kathy > > > > I have been fighting to get some sort of diagnosis that would >explain my > > symptoms for over a year. My previous rheumy would not ever give me > > anything " official " so I was forced to suffer and only would be >given > > NSAIDs for relief. NSAIDS do not even touch my symptoms. I have some > > weird thing that they do not work. I had surgery and they gave me > > Toredol and I woke up screaming in pain...NSAIDs just don't work >and my > > doc wouldn't believe me. [(:|] > > > > I went back to my primary and got a referral to a different, more > > respected rheumatologist. He looked at all my test results and >joints > > and diagnosed me as sero-negative RA. I am RF negative, but do have > > some of the other test markers (Sed rate, white blood count low, low > > grade anemia, 18 joints effected, etc...). He put me on 15 mg of > > Prednisone for 15 days. It worked for about the first 7 days, but >since > > then my symptoms have started to return. I go back after the >holidays > > to work out with him my treatment plan of action. The good news he >gave > > me is that I have minimal joint damage at this point, so he thinks >my > > prognosis is very good. > > > > I am 37 years old and have 3 kids aged 7, 3, and 1. I also work full > > time as an engineer. I really am looking forward to moving on and > > getting some answers and relief. > > > > One thing I wanted to ask you about is recommendations for > > antidepressants. During my journey through various docs >(hemotolgist, > > ENT, endo, etc) to figure out what was wrong I was placed on Paxil >(one > > of the docs though it was all related to post-partum!). I never >really > > exhibited signs of depression, but more of over stress (um...yeah, 3 > > kids, ill all the time, stressful job). I like the fact that the >Paxil > > takes the edge off and allows me to be more patient with my DH and > > kiddos, but think I have read that there may be a better choice for >RA. > > Is this true? I am on a very low dose (10 mg/ every other day) of >the > > Paxil, so I wonder if it is just a placebo effect anyway for me? > > > > I look forward to getting to know all of you as we all try and >figure > > out these diseases! > > > > Oh, I also have Hashimoto's Thyroiditis, and had a lumpectomy over >the > > summer that developed sepsis and ended up off of work for 3 months >with > > a wound VAC and in and out of the hospital....all related in some >way? > > I think they are! > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 Kate, I am on Armour. I have been on Armour for about 18 months. When I first started having the joint pain and extreme fatigue my primary though that my Hashimotos was being undertreated and switched me to Armour. After a few months when my TSH levels normaled back out and I still felt bad I started by going to a neurologist, then physical therapy, then a hand surgeon, then a rhuematologist, next was a hematologist and an ENT and finally to my current rheumatologist. Add all these visits to the fact that in July I saw a surgeon for a lumpectomy who then sent me to a wound care specialist...I am beginning to feel like I have been to medical school *grin*. > > , > > Are you on Thyroid replacement? > > Kate > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 Hi , Wow you have been to them all! I'm glad to hear you are on Armour! Just make sure you get enough and they don't treat you by TSH alone. TSH in not thyroid but pituitary(I'm sure you know that). Your Free T3 and Free T4 need to be measured. That is the thyroid available in the blood stream for your cells to use. Most (not all) Hashi's folks do best at the top of the Free range. Hang in there! Kate G At 08:18 PM 12/12/2006, you wrote: >Kate, > >I am on Armour. I have been on Armour for about 18 months. When I >first started having the joint pain and extreme fatigue my primary >though that my Hashimotos was being undertreated and switched me to >Armour. After a few months when my TSH levels normaled back out and I >still felt bad I started by going to a neurologist, then physical >therapy, then a hand surgeon, then a rhuematologist, next was a >hematologist and an ENT and finally to my current rheumatologist. Add >all these visits to the fact that in July I saw a surgeon for a >lumpectomy who then sent me to a wound care specialist...I am beginning >to feel like I have been to medical school *grin*. > > > > > > > > , > > > > Are you on Thyroid replacement? > > > > Kate > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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