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 (...
Understanding Herpes Testing
The most important fact to know in terms of Herpes testing is that
blood testing with an IgG test is the BEST test for diagnosing the disease.
first see the doctor for a suspicious genital ulcer, your health care provider
may ask a lot of really personal and embarrassing questions. Know
that having an accurate sexual history as well as a description of your
symptoms is very important as your health care provider evaluates you. Be honest.
medical history and physical examination alone can not diagnose herpes.
I've seen a
lot of genital herpes, but it's easy to be fooled. I've had patients who had lesions in unusual
places or didn't have a typical story that I mistook for abscesses - only after
they failed antibiotics did I do the culture and verify that it was
On the other hand, I've seen some very typical appearing ulcers on the genitals
that turned out NOT to be herpes.
Often, the hardest part of screening and testing isn’t undergoing the tests themselves, but waiting for results to come back. If you’re like most people, you will want your test results as soon as possible. With an emergency or just before a chemotherapy treatment, test results generally come back quickly. But when your doctor orders a non-emergency test — which most breast-cancer-related tests are — the lab or radiology department may not send the results back as quickly. Your doctor isn’t likely to know when the test actually gets done or if the results are available until the report comes into the office 3 to 7 days later. Meanwhile, you may think that your doctor has the results and isn’t getting back to you.
Although there is no way to make test results come back any faster, there are steps you can take to feel more in control of the process. Simply asking about when to expect results and making arrangements with your doctor to get them can go a long way toward reducing anxiety. ...
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