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Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....

I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!

All the rest of my bloodwork good including my liver enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

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MB

Thats great. Between hopeful and not wanting to get too much so, it's

complicated. But there is nothing complicated about the simple fact

you're better today than you were a month ago as it relates to the

dermatomyositis. And that is cause for celebration. The 55 vs. 85 is

nice, but I'm sure just feeling less itchy is nicer.

>

> Yesterday when I got up the first thing I noticed was that the

discoloration and rash above my eyes seemed significantly less than it

had been the day before. My hands also seemed less itchy. I didn't get

my hopes up because I've had good days and bad days with this stuff

before but....

>

> I just checked my bloodwork results through the Duke portal and my sed

rate is down from 98 last week to 55 this week. That's a huge drop and I

would think a clear indication that the Imuran has begun to work to

suppress my immune system and reduce the inflammation in my body!

Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's

a whole lot better than 98!

>

> All the rest of my bloodwork good including my liver enzymes so I

appear to be tolerating the Imuran so far. Not going crazy but I am

cautiously optimistic!

>

> Beth

> Moderator

> Fibrotic NSIP 06/06 Dermatomyositis 11/08

>

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Congrats, Beth! That is wonderful news. Hope the rapid

progress continues.

B

>

> Yesterday when I got up the first thing I noticed was that the

discoloration and rash above my eyes seemed significantly less than

it had been the day before. My hands also seemed less itchy. I didn't

get my hopes up because I've had good days and bad days with this

stuff before but....

>

> I just checked my bloodwork results through the Duke portal and my

sed rate is down from 98 last week to 55 this week. That's a huge

drop and I would think a clear indication that the Imuran has begun

to work to suppress my immune system and reduce the inflammation in

my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-

15) but it's a whole lot better than 98!

>

> All the rest of my bloodwork good including my liver enzymes so I

appear to be tolerating the Imuran so far. Not going crazy but I am

cautiously optimistic!

>  

> Beth

> Moderator

> Fibrotic NSIP 06/06 Dermatomyositis 11/08

>

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Beth, Thats wonderful, its great to be able to see a significant value like that drop!

Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....

 

I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!

 

All the rest of my bloodwork good including my liver enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic! 

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

-- Dyane L. BillingsSenior Staff AccountantBall & McGraw P.C.

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MB, JOY JOY.... anything that improves a little is cause to celebrate in my book. Wonderful drop in your sed. rate. I thought it was supposed to be around 30.. Mine was always around 83-85.. The muscle pain was horrible. I couldn't walk without crying.. I am praying this is the answer for you.14 days.. unless you come here for the night before.   ;)just a thought..   Love & Prayers, PeggyFlorida,  IPF/UIP 2004"I believe that friends are quiet angels who lift us to our feet, when our wings have trouble remembering how to fly."  Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but.... I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98! All the rest of my bloodwork good including my liver enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!  BethModeratorFibrotic NSIP 06/06 Dermatomyositis 11/08

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mary-beth

thats great news. i love my imuran.

i started feeling better in the first weeks of taking

that. they started me on 25mg and increased it by 25mg

each month until i reached 150. i was taking NAC at the

time but it made a vast difference as to how i walked. of

course i wasn't taking o2 at the time so i'm convinced

that if you weren't taking o2 you would notice other benefits

of the imuran as well dm. great news babe.

may

>

> Yesterday when I got up the first thing I noticed was that the

discoloration and rash above my eyes seemed significantly less than

it had been the day before. My hands also seemed less itchy. I didn't

get my hopes up because I've had good days and bad days with this

stuff before but....

>

> I just checked my bloodwork results through the Duke portal and my

sed rate is down from 98 last week to 55 this week. That's a huge

drop and I would think a clear indication that the Imuran has begun

to work to suppress my immune system and reduce the inflammation in

my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-

15) but it's a whole lot better than 98!

>

> All the rest of my bloodwork good including my liver enzymes so I

appear to be tolerating the Imuran so far. Not going crazy but I am

cautiously optimistic!

>  

> Beth

> Moderator

> Fibrotic NSIP 06/06 Dermatomyositis 11/08

>

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Oh WOW fingers CROSSED Beth....wot is a 'sed' rate... if you've already told that just say & I'll look it up!

GIO>> Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > All the rest of my bloodwork good including my liver enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > Beth> Moderator> Fibrotic NSIP 06/06 Dermatomyositis 11/08>

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Oh WOW fingers CROSSED Beth....wot is a 'sed' rate... if you've already told that just say & I'll look it up!

GIO>> Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > All the rest of my bloodwork good including my liver enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > Beth> Moderator> Fibrotic NSIP 06/06 Dermatomyositis 11/08>

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,

The 'sed rate' is a blood test that shows the rate at which red blood cells settle in test tube of whole blood in one hour. The rate is an indicator of inflammation. Normal for a woman is 0-20. Mine until recently was just under 100 but I seem to have had a big drop this week thanks to the Imuran.

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

To: Breathe-Support Sent: Friday, February 27, 2009 7:36:10 PMSubject: Re: Happy Day

Oh WOW fingers CROSSED Beth....wot is a 'sed' rate... if you've already told that just say & I'll look it up!

GIO>> Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > All the rest of my bloodwork good including my liver

enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > Beth> Moderator> Fibrotic NSIP 06/06 Dermatomyositis 11/08>

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,

The 'sed rate' is a blood test that shows the rate at which red blood cells settle in test tube of whole blood in one hour. The rate is an indicator of inflammation. Normal for a woman is 0-20. Mine until recently was just under 100 but I seem to have had a big drop this week thanks to the Imuran.

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

To: Breathe-Support Sent: Friday, February 27, 2009 7:36:10 PMSubject: Re: Happy Day

Oh WOW fingers CROSSED Beth....wot is a 'sed' rate... if you've already told that just say & I'll look it up!

GIO>> Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > All the rest of my bloodwork good including my liver

enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > Beth> Moderator> Fibrotic NSIP 06/06 Dermatomyositis 11/08>

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That's most interesting MB... how often will you have those done?

It makes me wonder if they regularly tested all of us with PF whether a pattern of consistently low levels would show for those with 'known' UIP & varying levels for those with 'other' Inflamatory-based PF processes. Since UIP is supposed to be a non-inflamatory predominantly Fibrotic process!

Always THINKIN' I am....a disease process of it's owm my Mum reckoned!!!!!

Cheers,

GIO

> >> > Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > > > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > > > All the rest of my bloodwork good including my liver enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > > > Beth> > Moderator> > Fibrotic NSIP 06/06 Dermatomyositis 11/08> >>

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That's most interesting MB... how often will you have those done?

It makes me wonder if they regularly tested all of us with PF whether a pattern of consistently low levels would show for those with 'known' UIP & varying levels for those with 'other' Inflamatory-based PF processes. Since UIP is supposed to be a non-inflamatory predominantly Fibrotic process!

Always THINKIN' I am....a disease process of it's owm my Mum reckoned!!!!!

Cheers,

GIO

> >> > Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > > > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > > > All the rest of my bloodwork good including my liver enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > > > Beth> > Moderator> > Fibrotic NSIP 06/06 Dermatomyositis 11/08> >>

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GIO

Many do not test enough for the potential autoimmune markers and

indicators. The Centers of Excellence, and I'm sure many other centers

specializing, do extensive blood work in that regard. Many

rheumatologists even seem to test for Lupus and RA and not actively look

for signs of other connective tissue diseases. It really takes a

complete test battery sometimes to have any idea. Most of the markers

can be out of range for many reasons. It's when they find a combination

of factors. Even then they often have to correlate those to physical

symptoms. I have at least eight or nine indicators that I could have an

autoimmune disease, but nothing that convinces them I do. It's another

good reason to have copies of everything so the history can be followed.

> > >

> > > Yesterday when I got up the first thing I noticed was that the

> discoloration and rash above my eyes seemed significantly less than it

> had been the day before. My hands also seemed less itchy. I didn't get

> my hopes up because I've had good days and bad days with this stuff

> before but....

> > >

> > > I just checked my bloodwork results through the Duke portal and my

> sed rate is down from 98 last week to 55 this week. That's a huge drop

> and I would think a clear indication that the Imuran has begun to work

> to suppress my immune system and reduce the inflammation in my body!

> Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but

it's

> a whole lot better than 98!

> > >

> > > All the rest of my bloodwork good including my liver enzymes so I

> appear to be tolerating the Imuran so far. Not going crazy but I am

> cautiously optimistic!

> > >

> > > Beth

> > > Moderator

> > > Fibrotic NSIP 06/06 Dermatomyositis 11/08

> > >

> >

>

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GIO

Many do not test enough for the potential autoimmune markers and

indicators. The Centers of Excellence, and I'm sure many other centers

specializing, do extensive blood work in that regard. Many

rheumatologists even seem to test for Lupus and RA and not actively look

for signs of other connective tissue diseases. It really takes a

complete test battery sometimes to have any idea. Most of the markers

can be out of range for many reasons. It's when they find a combination

of factors. Even then they often have to correlate those to physical

symptoms. I have at least eight or nine indicators that I could have an

autoimmune disease, but nothing that convinces them I do. It's another

good reason to have copies of everything so the history can be followed.

> > >

> > > Yesterday when I got up the first thing I noticed was that the

> discoloration and rash above my eyes seemed significantly less than it

> had been the day before. My hands also seemed less itchy. I didn't get

> my hopes up because I've had good days and bad days with this stuff

> before but....

> > >

> > > I just checked my bloodwork results through the Duke portal and my

> sed rate is down from 98 last week to 55 this week. That's a huge drop

> and I would think a clear indication that the Imuran has begun to work

> to suppress my immune system and reduce the inflammation in my body!

> Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but

it's

> a whole lot better than 98!

> > >

> > > All the rest of my bloodwork good including my liver enzymes so I

> appear to be tolerating the Imuran so far. Not going crazy but I am

> cautiously optimistic!

> > >

> > > Beth

> > > Moderator

> > > Fibrotic NSIP 06/06 Dermatomyositis 11/08

> > >

> >

>

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,

I've had them done off and on since I was diagnosed with NSIP. Mine's always been moderately elevated but was way way up this past fall when we started moving towards my DM diagnosis.

Sed rates are elevated in most auto-immune diseases because they almost always cause inflammation but it's the combination of the sed rate along with many other factors that lead to a positive diagnosis. My C reactive protein is always crazy elevated. That one can be a sign of auto-immune issues or heart disease or cancer.

You know there is a school of thought that IPF and/or UIP is actually auto-immune in nature....whether that will ultimately turn out to be the case is anyone's guess. It would be interesting to see a long term study done of many different PF patients, all types, for all these auto immune markers. These tests are incredibly expensive though. When they ran my Myositis panel Duke sent those tests out to the Mayo Clinic in Minnesota. These tests are so expensive to do that they are only done in a handful of places in the US. Still in all it would be interesting to see a study done.

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

To: Breathe-Support Sent: Friday, February 27, 2009 8:51:56 PMSubject: Re: Happy Day

That's most interesting MB... how often will you have those done?

It makes me wonder if they regularly tested all of us with PF whether a pattern of consistently low levels would show for those with 'known' UIP & varying levels for those with 'other' Inflamatory- based PF processes. Since UIP is supposed to be a non-inflamatory predominantly Fibrotic process!

Always THINKIN' I am....a disease process of it's owm my Mum reckoned!!!! !

Cheers,

GIO

> >> > Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > > > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > > > All the rest of my bloodwork good including my liver

enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > > > Beth> > Moderator> > Fibrotic NSIP 06/06 Dermatomyositis 11/08> >>

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,

I've had them done off and on since I was diagnosed with NSIP. Mine's always been moderately elevated but was way way up this past fall when we started moving towards my DM diagnosis.

Sed rates are elevated in most auto-immune diseases because they almost always cause inflammation but it's the combination of the sed rate along with many other factors that lead to a positive diagnosis. My C reactive protein is always crazy elevated. That one can be a sign of auto-immune issues or heart disease or cancer.

You know there is a school of thought that IPF and/or UIP is actually auto-immune in nature....whether that will ultimately turn out to be the case is anyone's guess. It would be interesting to see a long term study done of many different PF patients, all types, for all these auto immune markers. These tests are incredibly expensive though. When they ran my Myositis panel Duke sent those tests out to the Mayo Clinic in Minnesota. These tests are so expensive to do that they are only done in a handful of places in the US. Still in all it would be interesting to see a study done.

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

To: Breathe-Support Sent: Friday, February 27, 2009 8:51:56 PMSubject: Re: Happy Day

That's most interesting MB... how often will you have those done?

It makes me wonder if they regularly tested all of us with PF whether a pattern of consistently low levels would show for those with 'known' UIP & varying levels for those with 'other' Inflamatory- based PF processes. Since UIP is supposed to be a non-inflamatory predominantly Fibrotic process!

Always THINKIN' I am....a disease process of it's owm my Mum reckoned!!!! !

Cheers,

GIO

> >> > Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > > > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > > > All the rest of my bloodwork good including my liver

enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > > > Beth> > Moderator> > Fibrotic NSIP 06/06 Dermatomyositis 11/08> >>

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/MB

Now see...whereas MB's Sed rate jumped to near 100 and 's CK was

some enormous number, mine all just do enough to tease. My ESR, CRP, CK,

Sed Rate, Aldolase, ANA, Rheumatoid Factor, and Anticardiolipin M have

all been out of range and that combined with history of GERD, atypical

CT, swollen lymph nodes, and patulous esophagus made them think

autoimmune. However, none of mine will spike really high and so all it

really does is drives my rheumatologist crazy. I get them all repeated

March 10. Interesting too that my worst lab scores in most cases were

last April in Chicago.

It's amazing how little they know about these areas of disease. I've

also had multiple indicators that have led to follow up on different

cancers and the follow ups all indicating I don't have them. My typical

labs have anywhere from 5 to 10 items out of normal range.

On many of these tests the rheumatologists talk and think in terms of

multiples. For instance, if a normal sed rate is 0-15 (for a man my age)

and one is at 30 (my most recent) then you're only over by a multiple of

1. Meanwhile MB was over by a multiple of 4. Most of mine have been only

a multiple of 1 or 2 over. There is also no pattern of rising.

So, I don't worry about what might be or that which they can't figure

out. Meanwhile, my rheumatologist obsesses over it a bit and gets

multiple additional doctors to provide opinions, none of which help him.

> > >

> > > Yesterday when I got up the first thing I noticed was that the

discoloration and rash above my eyes seemed significantly less than it

had been the day before. My hands also seemed less itchy. I didn't get

my hopes up because I've had good days and bad days with this stuff

before but....

> > >

> > > I just checked my bloodwork results through the Duke portal and my

sed rate is down from 98 last week to 55 this week. That's a huge drop

and I would think a clear indication that the Imuran has begun to work

to suppress my immune system and reduce the inflammation in my body!

Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's

a whole lot better than 98!

> > >

> > > All the rest of my bloodwork good including my liver enzymes so I

appear to be tolerating the Imuran so far. Not going crazy but I am

cautiously optimistic!

> > >

> > > Beth

> > > Moderator

> > > Fibrotic NSIP 06/06 Dermatomyositis 11/08

> > >

> >

>

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/MB

Now see...whereas MB's Sed rate jumped to near 100 and 's CK was

some enormous number, mine all just do enough to tease. My ESR, CRP, CK,

Sed Rate, Aldolase, ANA, Rheumatoid Factor, and Anticardiolipin M have

all been out of range and that combined with history of GERD, atypical

CT, swollen lymph nodes, and patulous esophagus made them think

autoimmune. However, none of mine will spike really high and so all it

really does is drives my rheumatologist crazy. I get them all repeated

March 10. Interesting too that my worst lab scores in most cases were

last April in Chicago.

It's amazing how little they know about these areas of disease. I've

also had multiple indicators that have led to follow up on different

cancers and the follow ups all indicating I don't have them. My typical

labs have anywhere from 5 to 10 items out of normal range.

On many of these tests the rheumatologists talk and think in terms of

multiples. For instance, if a normal sed rate is 0-15 (for a man my age)

and one is at 30 (my most recent) then you're only over by a multiple of

1. Meanwhile MB was over by a multiple of 4. Most of mine have been only

a multiple of 1 or 2 over. There is also no pattern of rising.

So, I don't worry about what might be or that which they can't figure

out. Meanwhile, my rheumatologist obsesses over it a bit and gets

multiple additional doctors to provide opinions, none of which help him.

> > >

> > > Yesterday when I got up the first thing I noticed was that the

discoloration and rash above my eyes seemed significantly less than it

had been the day before. My hands also seemed less itchy. I didn't get

my hopes up because I've had good days and bad days with this stuff

before but....

> > >

> > > I just checked my bloodwork results through the Duke portal and my

sed rate is down from 98 last week to 55 this week. That's a huge drop

and I would think a clear indication that the Imuran has begun to work

to suppress my immune system and reduce the inflammation in my body!

Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's

a whole lot better than 98!

> > >

> > > All the rest of my bloodwork good including my liver enzymes so I

appear to be tolerating the Imuran so far. Not going crazy but I am

cautiously optimistic!

> > >

> > > Beth

> > > Moderator

> > > Fibrotic NSIP 06/06 Dermatomyositis 11/08

> > >

> >

>

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Hi Bruce

Ditto to all those numbers a little +/- where they should be.

Fortunately my rheumatologist said " Look, I've been doing this 28

years and I don't care what the numbers say. I am sure you have RA

so I'm going to treat you for it. " He gave me Plaquenil and told me

I HAVE to see my eye dr every 6 months religiously. And the

Plaquenil helps. So the numbers came back out of kilter, slightly,

again, but he said " Well even if the numbers don't indicate RA I

still think it is. But the drug treats lupus too. " SO even when

they think they know based on experience, they still don't know. I

told him I didn't care what he calls it as long as he lets me take

the Plaquenil because it helps. The eye dr thing is because

sometimes the drug can cause retina damage. OK if it is not one

thing it's another. The eye dr says not to stress. And there is

still Ben-Gay.

So now we have the pulmo guy, cardio guy, gastro guy, regular MD guy,

eye guy, rheumo guy and Ben-guy. LOL

S, Lubbock, TX

NSIP w/PF 12/2006 et al

> > > >

> > > > Yesterday when I got up the first thing I noticed was that the

> discoloration and rash above my eyes seemed significantly less than

it

> had been the day before. My hands also seemed less itchy. I didn't

get

> my hopes up because I've had good days and bad days with this stuff

> before but....

> > > >

> > > > I just checked my bloodwork results through the Duke portal

and my

> sed rate is down from 98 last week to 55 this week. That's a huge

drop

> and I would think a clear indication that the Imuran has begun to

work

> to suppress my immune system and reduce the inflammation in my body!

> Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but

it's

> a whole lot better than 98!

> > > >

> > > > All the rest of my bloodwork good including my liver enzymes

so I

> appear to be tolerating the Imuran so far. Not going crazy but I am

> cautiously optimistic!

> > > >

> > > > Beth

> > > > Moderator

> > > > Fibrotic NSIP 06/06 Dermatomyositis 11/08

> > > >

> > >

> >

>

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Hi Bruce

Ditto to all those numbers a little +/- where they should be.

Fortunately my rheumatologist said " Look, I've been doing this 28

years and I don't care what the numbers say. I am sure you have RA

so I'm going to treat you for it. " He gave me Plaquenil and told me

I HAVE to see my eye dr every 6 months religiously. And the

Plaquenil helps. So the numbers came back out of kilter, slightly,

again, but he said " Well even if the numbers don't indicate RA I

still think it is. But the drug treats lupus too. " SO even when

they think they know based on experience, they still don't know. I

told him I didn't care what he calls it as long as he lets me take

the Plaquenil because it helps. The eye dr thing is because

sometimes the drug can cause retina damage. OK if it is not one

thing it's another. The eye dr says not to stress. And there is

still Ben-Gay.

So now we have the pulmo guy, cardio guy, gastro guy, regular MD guy,

eye guy, rheumo guy and Ben-guy. LOL

S, Lubbock, TX

NSIP w/PF 12/2006 et al

> > > >

> > > > Yesterday when I got up the first thing I noticed was that the

> discoloration and rash above my eyes seemed significantly less than

it

> had been the day before. My hands also seemed less itchy. I didn't

get

> my hopes up because I've had good days and bad days with this stuff

> before but....

> > > >

> > > > I just checked my bloodwork results through the Duke portal

and my

> sed rate is down from 98 last week to 55 this week. That's a huge

drop

> and I would think a clear indication that the Imuran has begun to

work

> to suppress my immune system and reduce the inflammation in my body!

> Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but

it's

> a whole lot better than 98!

> > > >

> > > > All the rest of my bloodwork good including my liver enzymes

so I

> appear to be tolerating the Imuran so far. Not going crazy but I am

> cautiously optimistic!

> > > >

> > > > Beth

> > > > Moderator

> > > > Fibrotic NSIP 06/06 Dermatomyositis 11/08

> > > >

> > >

> >

>

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when i was in the process of being diagnosed, the pulmonary at that time, ordered lots of blood tests for all sorts of stuff

sorry i didn't make copies of the orders, then at least i would still know what was being tested

i do think it included lots of the autoimmune diseases, and i do remember sed rate, which from my lab days, was used for lupus, among other things

never knew that it was used for measuring inflammation

Pink Joyce IPF 3/06 Pennsylvania

Donate Life Listed 1/09

www.transplantfund.org---

Subject: Re: Happy DayTo: Breathe-Support Date: Friday, February 27, 2009, 8:51 PM

That's most interesting MB... how often will you have those done?

It makes me wonder if they regularly tested all of us with PF whether a pattern of consistently low levels would show for those with 'known' UIP & varying levels for those with 'other' Inflamatory- based PF processes. Since UIP is supposed to be a non-inflamatory predominantly Fibrotic process!

Always THINKIN' I am....a disease process of it's owm my Mum reckoned!!!! !

Cheers,

GIO

> >> > Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > > > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > > > All the rest of my bloodwork good including my liver

enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > > > Beth> > Moderator> > Fibrotic NSIP 06/06 Dermatomyositis 11/08> >>

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my c-reactive protein was high and i am being treated for the heart dx issue with it

this was way before the ipf started

wonder if it was really an early indicator of ipf -- hmmmm

my daughter had ulcerative colitis, an auto immune dx, wonder if there is a connection genetically between that and ipf (and als)

Pink Joyce IPF 3/06 Pennsylvania

Donate Life Listed 1/09

www.transplantfund.org---

Subject: Re: Re: Happy DayTo: Breathe-Support Date: Friday, February 27, 2009, 9:18 PM

,

I've had them done off and on since I was diagnosed with NSIP. Mine's always been moderately elevated but was way way up this past fall when we started moving towards my DM diagnosis.

Sed rates are elevated in most auto-immune diseases because they almost always cause inflammation but it's the combination of the sed rate along with many other factors that lead to a positive diagnosis. My C reactive protein is always crazy elevated. That one can be a sign of auto-immune issues or heart disease or cancer.

You know there is a school of thought that IPF and/or UIP is actually auto-immune in nature....whether that will ultimately turn out to be the case is anyone's guess. It would be interesting to see a long term study done of many different PF patients, all types, for all these auto immune markers. These tests are incredibly expensive though. When they ran my Myositis panel Duke sent those tests out to the Mayo Clinic in Minnesota. These tests are so expensive to do that they are only done in a handful of places in the US. Still in all it would be interesting to see a study done.

Beth

Moderator

Fibrotic NSIP 06/06 Dermatomyositis 11/08

From: <gina.francis@ bigpond.com>To: Breathe-Support@ yahoogroups. comSent: Friday, February 27, 2009 8:51:56 PMSubject: Re: Happy Day

That's most interesting MB... how often will you have those done?

It makes me wonder if they regularly tested all of us with PF whether a pattern of consistently low levels would show for those with 'known' UIP & varying levels for those with 'other' Inflamatory- based PF processes. Since UIP is supposed to be a non-inflamatory predominantly Fibrotic process!

Always THINKIN' I am....a disease process of it's owm my Mum reckoned!!!! !

Cheers,

GIO

> >> > Yesterday when I got up the first thing I noticed was that the discoloration and rash above my eyes seemed significantly less than it had been the day before. My hands also seemed less itchy. I didn't get my hopes up because I've had good days and bad days with this stuff before but....> > > > I just checked my bloodwork results through the Duke portal and my sed rate is down from 98 last week to 55 this week. That's a huge drop and I would think a clear indication that the Imuran has begun to work to suppress my immune system and reduce the inflammation in my body! Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's a whole lot better than 98!> > > > All the rest of my bloodwork good including my liver

enzymes so I appear to be tolerating the Imuran so far. Not going crazy but I am cautiously optimistic!> > > > Beth> > Moderator> > Fibrotic NSIP 06/06 Dermatomyositis 11/08> >>

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Hey S... I have a lot of 'guys' in my life too. ;>) Your last line is funny!

I haven't tried the Ben-guy much...he smells funny.

MamaSher; 70, IPF 3-06, OR. NasturtiumsDon't fret about tomorrow, God is already there!

Re: Happy Day

Hi BruceDitto to all those numbers a little +/- where they should be. Fortunately my rheumatologist said "Look, I've been doing this 28 years and I don't care what the numbers say. I am sure you have RA so I'm going to treat you for it." He gave me Plaquenil and told me I HAVE to see my eye dr every 6 months religiously. And the Plaquenil helps. So the numbers came back out of kilter, slightly, again, but he said "Well even if the numbers don't indicate RA I still think it is. But the drug treats lupus too." SO even when they think they know based on experience, they still don't know. I told him I didn't care what he calls it as long as he lets me take the Plaquenil because it helps. The eye dr thing is because sometimes the drug can cause retina damage. OK if it is not one thing it's another. The eye dr says not to stress. And there is still Ben-Gay. So now we have the pulmo guy, cardio guy, gastro guy, regular MD guy, eye guy, rheumo guy and Ben-guy. LOL S, Lubbock, TXNSIP w/PF 12/2006 et al> > > >> > > > Yesterday when I got up the first thing I noticed was that the> discoloration and rash above my eyes seemed significantly less than it> had been the day before. My hands also seemed less itchy. I didn't get> my hopes up because I've had good days and bad days with this stuff> before but....> > > >> > > > I just checked my bloodwork results through the Duke portal and my> sed rate is down from 98 last week to 55 this week. That's a huge drop> and I would think a clear indication that the Imuran has begun to work> to suppress my immune system and reduce the inflammation in my body!> Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's> a whole lot better than 98!> > > >> > > > All the rest of my bloodwork good including my liver enzymes so I> appear to be tolerating the Imuran so far. Not going crazy but I am> cautiously optimistic!> > > >> > > > Beth> > > > Moderator> > > > Fibrotic NSIP 06/06 Dermatomyositis 11/08> > > >> > >> >>

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Hey S... I have a lot of 'guys' in my life too. ;>) Your last line is funny!

I haven't tried the Ben-guy much...he smells funny.

MamaSher; 70, IPF 3-06, OR. NasturtiumsDon't fret about tomorrow, God is already there!

Re: Happy Day

Hi BruceDitto to all those numbers a little +/- where they should be. Fortunately my rheumatologist said "Look, I've been doing this 28 years and I don't care what the numbers say. I am sure you have RA so I'm going to treat you for it." He gave me Plaquenil and told me I HAVE to see my eye dr every 6 months religiously. And the Plaquenil helps. So the numbers came back out of kilter, slightly, again, but he said "Well even if the numbers don't indicate RA I still think it is. But the drug treats lupus too." SO even when they think they know based on experience, they still don't know. I told him I didn't care what he calls it as long as he lets me take the Plaquenil because it helps. The eye dr thing is because sometimes the drug can cause retina damage. OK if it is not one thing it's another. The eye dr says not to stress. And there is still Ben-Gay. So now we have the pulmo guy, cardio guy, gastro guy, regular MD guy, eye guy, rheumo guy and Ben-guy. LOL S, Lubbock, TXNSIP w/PF 12/2006 et al> > > >> > > > Yesterday when I got up the first thing I noticed was that the> discoloration and rash above my eyes seemed significantly less than it> had been the day before. My hands also seemed less itchy. I didn't get> my hopes up because I've had good days and bad days with this stuff> before but....> > > >> > > > I just checked my bloodwork results through the Duke portal and my> sed rate is down from 98 last week to 55 this week. That's a huge drop> and I would think a clear indication that the Imuran has begun to work> to suppress my immune system and reduce the inflammation in my body!> Yippeee!!! 55 is still crazy high (normal for a woman is 0-15) but it's> a whole lot better than 98!> > > >> > > > All the rest of my bloodwork good including my liver enzymes so I> appear to be tolerating the Imuran so far. Not going crazy but I am> cautiously optimistic!> > > >> > > > Beth> > > > Moderator> > > > Fibrotic NSIP 06/06 Dermatomyositis 11/08> > > >> > >> >>

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