All posts filed under: RA Fundamentals

What is RA

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Those of us with rheumatoid arthritis have what is called a malfunctioning immune system. Big words. Simple. Complex  The job of the immune system is to protect us from infections and cancer. Ours doesn’t work the way it should.  For us, our bodies see the lining of all moveable joints,  synovial tissue,in our bodies as foreign. Our immune system reacts. Our neutrophils, which are plentiful in our joints already, change from a resting state into an active state. Neutrophils and other white blood cells from other parts of our body move into our joints. Inflammation ensues. Think about it. This inflammation can affect every joint in our body that is able to move. A lot of joints. Other people with autoimmune diseases such as Lupus, MS or Type One Diabetes have a similar fate. Their immune system malfunctions.  The target is different for each disease. The symptoms different. All are devastating. There is about one hundred autoimmune diseases. Today there is no cure for our rheumatoid arthritis. But there is medication that will slow the …

Diagnosing rheumatoid arthritis

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Once a person has at least one joint that is painful and inflamed, a rheumatologist can use a ten point check to help diagnose rheumatoid arthritis (RA). The assessment covers four areas: joint involvement, serology, acute phase reactants plus duration of symptoms. There is a total of ten points. A score of six confirms a diagnosis of rheumatoid arthritis. Here is how it breaks down. Choose one from each group and total.. A. Joint involvementOne large joint 0 points2-10 large joints 1 point1-3 small joints 2 points4-10 small joints 3 pointsGreater than 10 joints including at least one small joint 5 points B. Serology (blood tests)Negative RF and negative ACPA 0Low positive RF or low positive ACPA 2High positive RF or high positive ACPA 3 C. Acute phase reactants(inflammation blood tests)Normal CRP and normal ESR 0Abnormal CRP or abnormal ERS 1 D. Duration of symptoms< 6 weeks 0 6 weeks 1 My choices are a total of 7. Note I am seronegative, and it took a lot of joint involvement to get a positive diagnosis. …

Test Week

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Since my Rheumatoid Arthritis and my two cancers were diagnosed in the same year, it is logical that  milestones occur the same way.  In one week I had  tests for my two cancers. On Monday I had a Thyrogen shot in the butt. The medication  acts like TSH, a hormone  that  normally stimulates your thyroid. ( $1400 each without insurance, $135 each with). Tuesday I repeated Monday with another shot. On Wednesday I went to nuclear med for a radioactive pill.  I am not radioactive. I feel like I am. I am also given two containers of MOM. The tech said it was a mild laxative. One tonight. One Thursday night. it wasn’t mild. I was also instructed to eat lightly. On Thursday I went to Radiology Associates of NM for a diagnostic mammogram. I do love this place. Friendly people. Coffee. Special cute patient gowns.  I felt that I would be fine, but I had the vivid memories of when I was not. So I still worried. Lucky me!  There was no sign of cancer. A …

RA and cancer support

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Cancer and RA seem to go hand in hand. Shortly after I was diagnosed with RA,  I was diagnosed with two different cancers, thyroid cancer and then breast cancer.  I had the big C hanging over me like a grey cloud, leading me down the cancer road with all the usual experiences.  After surgeries and after radiation treatments, I started looking for help, for support. I found it with the Cancer Support Now Third Annual Long Term Effects of Cancer Survivorship Conference.  A long name worth repeating as I became totally impressed with this organization. Dava Gerard, MD, a respected physician in the cancer field, gave the talk ¨The Journey: From Surviving to Thriving¨.  It was just what I needed.  Arti Prasad, MD presented ¨Holistic Cancer Survivorship¨.  Again excellent. There were breakout sessions. Free lunch from Jason’s Deli. The morning had started with a generous breakfast. I felt welcomed and very glad to be there. Since then, I have joined the board of Cancer Support Now and am on the committee for this year’s conference. Both are big commitments …

Radoactive Iodine treatment

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The pill come in a heavy lead container. The nurse has a glass of water ready. She suggests my son lift the lead container. He does. Then I do. We are both surprised just how heavy it is. She opens the container and tips the pill into my hand. I put it in my mouth and swallow it with the water. We go home. I am now radioactive. I don’t feel any different. I stay in my room for three days. I drink lots of water. I eat sour candies and lemon slices. I try to do all the right things. I also like being in my room so it is not hard for me to be there. My son brings my meals and won’t come within ten feet of me. He doesn’t want to suffer radiation side effects. He also sets his alarm so he can bring me my coffee at 7 am. Thoughtful and important to me. The radiology tech had made it clear to me that I was not to vomit for …

evolution of a cancer mind

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On Thursday I go to the Caring Hearts Cancer Support Group. This is at the Presbyterian Cancer Center in Albuquerque. It runs in blocks of six weeks. Lunch is served and discussion is 1.5 hours. Since I have been going, the hospital chaplain has been the facilitator. She is excellent. I have benefited immeasurably from my visits. The discussion turned to how we felt about our diagnosis. I never had the moment. I seemed to slide from one revelation to the next. I was not angry. I was too confused to be scared. I was always recovering from a treatment. I was exhausted and fatigued. My concern was having to spend my life in that state.  I am inclined to believe what people tell me and they did say fine fine fine. First  it was the severe rheumatoid arthritis (seven months to become manageable). Next was thyroid cancer. Not bad you will do fine. Next it was breast cancer(small but invasive) You will be fine. Next was more tests. More cancer. We need to move …