If bloodwork is normal, is there further testing I should have done to determine the cause?
I recently got an MRI done of both shoulders due to pain. The findings included "Diffuse hematopoietic marrow seen throughout the majority of the scanning range, appearance seen bilaterally". My primary care physician ordered a blood panel which came back normal. If bloodwork is normal, is there further testing I should have done to determine the cause? I am extremely fatigued to the point of struggling to get through basic household chores. My doctor hasn't requested anything further. Thank you for your insight.
I always like to remember that general practitioners (GPs) or primary care physicians are just that – generalists. They are great for preliminary findings
When I have concerns I try to find or be referred specialist sooner than later and ask questions.
Case in point. When I was in my early 30's a blood test suggested I had blood cancer - later testing showed an error had been made.
My personal approach always is to trust but verify. ... Dennis (blood-cancer.com Team Member)best to take a proactive role when it comes to personal health That motto has been a great help to me 😀
It's always a hard call going to a doctor for all of the answers. My primary doctor was actually the first person to alert me that something was not right. When they do those blood panels and urine samples and actually follow-up is key. Now with that said, you may want to seek another doctor who specializes in that suggested finding to run their own set of tests. I agree with Dennis, always trust your gut. Please let us know how everything turns out. Best!
As others have mentioned, you may want to go to a specialist and get to the bottom of it. Even if it is just for your own peace of mind it is better than just letting it go. And I would make a list of questions and make sure your concerns are heard. I hope that you get relief from the pain and fatigue as well.
I am sero-negative. That means that my blood work doesn't show any signs of rheumatoid arthritis and none of the regular clinical tests work. Still, though, for thirty plus years it's ravaged my body and I have the same symptoms and damage that those who test positive for it, sero-positive patients, suffer from. Only a rheumatologist who can use his knowledge and experience can determine if you are, in fact, suffering from an autoimmune illness. Also remember doctors are just human so if one doesn't listen to you or help you, you can always try another. NO matter what happens, though, we'll be here - you're not alone. If there's anything we can do to help, let us know, and in the meantime you can always come here to be with others who really get it. Keep on keepin' on, DPM
