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aheilmann posted:
I've been struggling with joint pain, hypothyroidism, and frequent fatigue off and on for about 10 years. I had a positive ANA a few years ago, but a rheumatologist didn't think it was a big deal. In addition, I had aseptic meningitis last year. Since then, I have recurring migraines, occipital neuralgia, myofascial pain, sensitivity to cold and light, dry mouth, extreme fatigue and malaise, a positive ANA with a titer of 1:640,weird symmetrical swollen areas on my hands (they look like ganglion cysts in the fatty pads of my knuckes), a Rheumatoid Factor of 12, and an elevated ESR of 28. I had a lumbar puncture with slightly elevated cerebral spinal fluid (nothing major). The most recent rheumy visit didn't turn up anything. He said he didn't think anything was wrong. My neurologist believes I have fibro. The last rheumatologist I saw specialized in Lupus--so my Neuro suggested I go to a different rheumatologist--they don't have an appointment until February. I would love to hear your feedback and insight on this.
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Scott Zashin, MD responded:
Challening symptoms. I don't have a lot to offer as it is always best to be able to speak to and examine the aptient.. I think a second opinion makes a lot of sense. I see many patients seeking their third opinion..A lot of times a diagnosis may not be apparent on the first or second visit so it is best to give your doctor some time to get to know you and your symptoms.
 
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aheilmann replied to Scott Zashin, MD's response:
Thanks for your suggestions!