Hi Kelly,
When I was diagnosed with RA it was a surprise to me as I thought I had a tropical, mosquito born disease common in tropical Australia, called Dengue fever. Fever, thirst, swollen very painful joints, exhaustion and an overwhelming urge to sleep. Also Nausea and pounding headache. When my blood work came back it was not Dengue it was positive for RA. Blood results were RF 51, CRP 400+ ANA 250+ and a very high MCV of 180. My ESR rate was also very high. As were all of my readings. I don't know how they are measured in the US, but all Know is, I was very ill. After I started medication it took several months to stabilise. Until recently I thought that I was in remission, but in the past few weeks it has started to reactivate and I am currently experiencing a severe flare. Don't give up. If your doctor isn't giving you the answers you need, personally, I would try another one.