Bonnie Moore - Not everyone with RA, has the active Rh factor (rf). Mine was extremely high when first diagnosed (18 years agi) , but after several years of treatment, it was down to the normal range - but I still have and am treated for RA and OA. I have not had that done for a few year, however I have blood work done every 10 weeks to check for other indicators. The Meth has really been able to keep it under control - thank goodness. I hope you can get in with a good Rheumatologist who can help you with your questions.

My RH factor doesn't show up in my blood work either. My doctor goes by how I feel and my swelling numbers, but mostly how I feel. Since I was diagnosed 2 years ago, this is the first time I have had a flare that I could really recognize. My meds had been working, but now, not so much and are changing the protocol. I say find a doctor you trust and listens to you. Also talk to your primary care doctor.

I am finding that I have to explain this disease to just about everyone, and all while I am still learning about it. I have a feeling this site is going to be a great resource.

My blood work is always normal - go figure. I've had RA for about 6 years now and while my doctor does routine labs, they are always normal - even during a flare. She simply goes by how I'm feeling and how the pain limits some of the things I want to do.

Lol. If I did that they'd say "What the heck is an autoimmune disease"? We cant win can we??

I have every symptom EXCEPT the rheumatoid factor. My rheumy has changed my diagnosis from RA to Psoriatic Arthritis. There are few differences and treatment is the same. My rheumy treats me according to how I feel, not what the labs indicate.