Q: How do most patients get referred to a rheumatologist in the first place? Kremer: Usually, it’s the pain that’s perceived to be arthritis pain. Sometimes it’s muscle pain. Other times it can just be a nagging pain from anywhere that the primary care provider cannot diagnose. It’s more helpful to be referred to a rheumatologist when there are other symptoms along with the pain, such as early joint swelling. Q: What does the rheumatologist do when they see a referred patient? Kremer: We’ll take a history. Do you have morning stiffness? Fatigue? How long has this been going on? Do you have any family history of these same symptoms? After history, you do a physical exam looking for impaired joint movement, which joints are swollen, warm to the touch, difficult to move. Q: When do you take lab tests? And which tests do you start with first? Kremer: It depends on where the initial history and exams lead you. You many test for Rheumatoid factor (...
How long does it take to get the results?
Commercial labs often give faster results (usually within 4 weeks) than research centers (a minimum of 4 weeks, often longer).
How will you get your results?
Typically, results are sent to your doctor or genetic counselor, who reports them to you. A critical part of genetic risk assessment is the responsible and sensitive disclosure of test results. Be sure to ask your doctor or genetic counselor when, how, and where you will find out the results.
You may wish to bring someone along when you get your results. If you are told you have a genetic mutation, having someone who cares about you at your side can be very reassuring. Because a great deal of information is discussed, it may also be helpful to have another person to listen and help remember what was said.
Of course, genetic information can affect the whole family. You might be going through this process with your family involved, in which case they may join you when you get the results. O...
Read David's first update from the Scientific Sessions here!
San Francisco -- Yesterday I was wearing Band-aids on six of my fingers. I had my A1C tested six times in one day with five different systems. I'm in San Francisco at what is probably the only place in the world
where I could have this bloody experience. It's the annual Scientific
Sessions of the American Diabetes Association. The consistency of the results of these six tests is good news for
people with diabetes. Each of these tests claim to be certified by the National Glycohemoglobin Standardization Program (NGSP) or comparable to it, and the closeness of the results confirm these claims. But my higher numbers from a year ago was bad news for me. At last
year's ADA in Chicago only three booths offered A1C tests. My results
varied from 4.6 with Bayer HealthCare's A1CNow+ to 5.1 with Siemens Healthcare Diagnostics' DCA 2000+ Anaylzer to 5.3 with the Bio-Rad in2it A1C Anaylzer . Those results for a person with typ...
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