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Hi Syed, Testing positive for Anti-CCP is 95% specific for RA. My ESR was only slightly elevated the first time - 28. And I had been having tendonitis in several places off and on for a couple years. But just a couple months later my wrist swelled up major, and I was tested again - it had doubled, and i already had wrist damage. Then I got tested for Anti-CCP by the rheumatologist and a lot of other stuff and was positive for RF and Anti-CCP. So - it can happen very fast. Keep after the doctor, let him know exactly what is happening with you, so he will be on the ball (hopefully). Good luck! Ellen

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