All posts tagged: zerotohero

RA doctor visit

Here in sunny Albuquerque we are expecting the thermometer to hit 104 this week. It is that time of year where hanging out in the house is a good idea. 90 is livable but once it passes 92, it is just too hot. My son is keeping the garden watered so we won’t have any plants that succumb to heat stroke. I finally connected with my RA Doc.  After x-rays, blood work and an exam, she can see the excruciating pain that I am in. She is thinking hip replacement. Tomorrow I have an MRI. I have an appointment with an orthopedic surgeon early in July. In the mean time she ordered Percocet and said to call if I needed more. I guess this is the holding pattern until the next step is reached. I am amazed that the pain is so immobilizing. I am still trying to do some restorative yoga, but there is something not moving the way it should so I am going with forward bends and shower wall push ups. Maybe …

No More wonder drugs for my RA

I am at the end of the biologic wonder drug line. I have completed the ACR (American College of Rheumatology) treatment plan. I have also completed the EULAR (European League Against Rheumatism) treatment plan. Both are similar. Whatever is next? My doctor’s treatment approach centers on drugs. Are there any rheumatologists who offer more to their treatment plan than drugs? I am out of drugs. My doctor was angry with me when I brought her the statistics on Actemra. She said I read more than her other patients.  She said that Actemra was safer than Medrol. That is so wrong. My last possibility was Actemra. It turns out that I did have histoplasmosis. My doctor told me I couldn’t have had it, but I did. I had it when I lived in Nebraska. It is a contraindication. Actemra may reactivate the histoplasmosis. There also is a possibility that I had diverticulitis. Another contraindication as bowel perforation is a real possibility for Actemra users. So, my article on Actemra was timely. I am not depressed over this. …

RA treatment in the 1920s

In the early days of the twentieth century very little was known about rheumatoid arthritis.  It might have been called chronic infectious arthritis, proliferative arthritis or atrophic arthritis. Rheumatology was not a specialty. There were no rheumatologists. It was not a good time to have RA. Arthritis treatment at the Mayo Clinic  included bed rest. Patients were admitted to the hospital and put on bed rest for several weeks. They were given a balanced diet. Physical therapy was an important therapy. It improved range of motion, strengthened muscles and prevented deformities. Heat and massage were used  to improve circulation and to remove toxins. Bracing and casting were used to support joints and reduce contractions. Canes were prescribed. Shoe corrections were prescribed. Vaccine therapy, fever therapy and sympathectomy were popular treatments at the Mayo Clinic based on the theories of the time. As medical knowledge grew these therapies fell out of favor. Salicylates were drugs of choice. Remember this was before sulfa, penicillin and cortisone. It a was long time before ibuprofen would be formulated. Any …