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11/30/2008 09:29
gettingoldsucks
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Hi, I've been in the RA group for a few weeks and decided to read your Fibro posts today. I have a question and would appreciate your advice. I was DX'd in Aug.08 with aggressive RA, Fibro,Carpals Tunnel and Raynauds. He thinks maybe SLE also. I can put the joint pain back about 5 years but no swelling until this year. I can put the nasty stomach pains and muscle pain back about 10 years but before that pretty much my whole life in both legs. I am 45 and quit sports at 37 due to my bones breaking,fracturing, and the muscles hurting to bad after games even though I was in great shape. My question is that my Rheumy treats the RA seriously but just blows off the Fibro. I have an appt with a new Neuro in 2 weeks for all the nerve pain. Do Neuro's treat Fibro or do I need a new Rheumy?
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11/30/2008 09:47
raynedae
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Some neuros do treat fibromyalgia, but all the literature says rheumies because it used to be considered an arthritic condition. If you're happy with his treatment of your RA, I'd say stay with him. He's seeing the fibro as secondary to your RA, which makes sense because fibro isn't (supposed to be) progressive and RA certainly is...but that doesn't help your fibromyalgia.

How's your PCP? Do they take your fibro seriously? Maybe wait and see how the neuro acts...if one of your docs is taking your fibro seriously, maybe that's all you need.

Oh, and welcome and you're right, getting old sucks!

rayne >^.^
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11/30/2008 10:16
gettingoldsucks
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I haven't seen the PCP since I was waiting on the DX for the RA. Between the Rhuemy, Ortho(I also have Degen. Disc disease in my neck that ruptured 2 discs during RA flares) and now a new Neuro. I'm buried in debt. Don't want to have to pay a PCP too for the same conditions. Should I not be leaving him out? I just think the RA is bad enough to deal daily with but when you add Fibro to it, it really sucks and I think they should both be treated. I also wonder if I hadn't ignored all the pain for as long as I did and pushed for a DX years ago, I probably wouldn't be this bad.
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11/30/2008 10:41
raynedae
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I know what you mean about the debt. All you can do is tell them you'll pay them what you can, when you can, then try to send someone $10 a month.

So what if you ignored the pain...that was in the past and you have to put it behind you and concentrate on the NOW. Besides, you didn't cause this to happen...it just did.

Now you have your dxs...you probably should keep your PCP in the loop but don't see two doctors for the same problem. But you will need a compassionate doctor to help you with your pain management. You really will have a lot of options once all the tests are complete.

Are you taking anything for pain now? Lyrica is the first of two drugs specifically for fibromyalgia. It works for some people but does nothing for others or makes some of us (myself included) worse. It's supposed to block nerve pain. Cymbalta is also approved for fibro...its a anti depressant that also seems to help those of us with chronic pain. I take 60 mg a day, plus an NSAID for my neck & arthritic cysts on my fingers. It's not RA, just osteo. I also have flexeril for muscle spasms but I mostly take that at night to help me sleep.

Do you sleep? Most of us have problems sleeping and one theory is that sleep is the key to managing fibromyalgia. If you don't sleep, you don't heal, you probably know that as an athlete. Ambien & Lunesta seem to be the best sleeping medicines but others have good luck with natural products like 5-htp, and melanonin (sp?).

I don't think anyone's found anything for fibrofog, except maybe provigil.

The key seems to be finding at least one good doctor. It really doesn't matter what their specialty is as long as they're educated about fibromyalgia and don't poo-poo it. You will hear "Oh that's part of your fibro too" a lot. Use the search box at the top of the page in the forums for specific info on a problem or a drug.

Best of luck to you and I'm glad you found us!

rayne >^.^
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11/30/2008 14:05
gettingoldsucks
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All I am on right now is antiinflammatories,folic acid,calcium,b12,vitD, and I have pain killers but I'm not real big on them or the antiinflammatories. I was on methotrexate for 2 months and it was working for the pain,even the Fibro, but my liver enzynes shot way up so I've been off it for 4 weeks. I also had lots of sores in my mouth and gums were bleeding. I am waiting for ins. to okay Enbrel. Said it could take 90 days. What a joke.

I also tried Neurotin but couldn't handle it.

Sleep? What's that? LOL It's really not funny. Lack of sleep is probably one of the worst symptons a person can get. I can't remember the last time I slept through the night but since May it's alot worse because now when it wakes me up the pain is to bad to fall back to sleep.

Thanks for talking to me, it helps you know? I'm still trying to get a handle on nobody in my life understanding what's wrong with me. I try not to tell my sons (who are grown)just how bad I really feel as they have their own lives to start and I don't want them sacrificing anything for me.

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11/30/2008 15:41
Starr
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Hi gettingold, and welcome to the group. You seem to like the way your rheumy is treating your RA, but it doesn't seem right that he should be blowing off your fibro. Why is he being that way? Have you asked? Does he not believe in Fibro? I would be tempted to find another rheumy, but it is ultimately your choice.

My feeling is that regardless of their opinion on fibro, they should be treating your symptoms. You have pain. It needs to be managed.

I strongly believe in a good medical team, to include at least a PCP, rheumy and neuro. They all three may have different ideas and/or suggestions on how to manage your pain. I also believe it is important to let the left hand know what the right one is doing.

I think you really need to speak to your PCP about something to help you to sleep. Restorative sleep is so vitally important to us. Sleep is number one, pain management is number two.

Whomever you decide to see, or include in your medical team, don't let them push you around. You have symptoms, and they all need to address those symptoms. Otherwise, they are doing you a mis-service.

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12/01/2008 09:55
amommy02
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I sure can sympathize with the sleep problems. My doctor keeps wanting to give me something to help me sleep. I keep telling him I could sleep just fine if it weren't for the pain. He then says that lack of sleep is what is causing my pain. I can't get it through his head that in order to get more sleep to help with the pain that I need pain relief to help me sleep. Ahhhhhhh! He is scheduling me for a sleep study maybe that will help.

By the way I've been blown off by 2 rheumatologists even though they are supposed to treat fibro. I hope you have good luck with the neuro.

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12/01/2008 16:24
gettingoldsucks
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So my Rheumy finally called today and put me back on the Metho for the RA. It also helps with the Fibro which is why he said he didn't come across as concerned about the fibro. Treat the RA and the Fibro gets treated. I hope I will start sleeping better in a week or so. The metho works,it's just so bad for your system. If I get back another high liver test he said I will have no choice but to go to Enbrel or Humira.$$$

I had a really crappy pain day today. I usually consider myself pretty strong at dealing with it but the pain got me down all day tody. Oh well, tomorrow's another day for me and all of you. I pray it's an okay one.

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12/01/2008 16:47
Starr
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Oh, okay...that makes more sense when you put it that way: "Treat the RA and the Fibro gets treated."

By Metho, do you mean Methadone? I was never warned about liver failure from Methadone. That's why I ask.

I hope you have a better tomorrow. Sleep peacefully tonight.

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12/01/2008 16:55
gettingoldsucks
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You guys gave me the courage to flat out ask him if he believed in fibro. thanks.

The med is Methotrexate. Nothing to mess around with.There is no safe meds for RA so I'm looking into alternative for the near future.

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