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Insider Arthritis Tips Newsletter January 2012
January 15, 2012
""If you want to leave your footprints on the sands of time, be sure you're wearing work shoes." -- Author Unknown
Severe pain after knee
M Alexander Otto writing in
Rheumatology News reported on
a study from Harvard Medical
School. Researchers determined
that patients who reported severe pain
3months after total knee replacement
have worse pain and function outcomes
at 1 and 2 years and are less satisfied
with their outcome. Risk factors included
behavior, and severe pain before surgery.
Gout footwear worsens disease
Osteoarthritis risk increased
in young soldiers
Comment: The presence of traumatic knee injuries along with the rigors of activity were implicated by the study authors.
Arthritis Patients Don’t Exercise
Robert Preidt writing in Healthday
reported that data from the US Centers for
Disease Control and Prevention
shows that while "the number of
American adults who did no physical
activity in their leisure time decreased
from 31 percent in 1989 to 25 percent
in 2008," but "further gains may be
difficult to achieve because certain
subgroups of people are highly
unlikely to exercise, such as those
with arthritis." The report noted that
"53 percent fewer adults with arthritis
exercise than adults who don't have
arthritis. A state-by-state analysis
showed that adults with arthritis
accounted for 25 to 47 percent of
all adults who did no physical
activity in their leisure time."
Comment: Exactly the opposite from
what should be happening.
It’s critical that patients with
Osteoporosis Drugs Prolong
Life Of Joint Replacements
Salyn Boyles writing in WebMD, reported
a UK study published in the BMJ "suggesting
that commonly prescribed osteoporosis drugs
may extend the life of replacement joints,
but researchers say it is not yet clear which
patients will benefit most from the treatment. ...
Bisphosphonate users who took the medication
regularly for at least six months before hip or
knee joint replacement surgeries were half as
likely as non-users to need repeat surgeries
after five years. Furthermore, use of the drugs
was associated with an almost twofold increase
in implant survival time."
Comment: Good news!
Mary Elizabeth Dallas writing in
Healthday reported on a study published
in the Journal of Immunology.
She stated, "Patients who receive
artificial joints made with titanium
may develop painful inflammation
that could destroy bone and loosen the
new joint. Contrary to older studies that
posited that bacteria caused the
that tiny titanium particles that flake
off the artificial joints through normal
wear and tear may be the cause of the
inflammation." The study authors noted
that the flakes trigger a Th2 response,
"commonly associated with allergic
responses and parasitic worm infections,
which "resulted in the generation of
immune cells called 'alternatively
activated macrophages' in the mice."
New Hip Implants No
Better Than Older Ones
Steven Reinberg writing in
Healthday described the
findings of a new study
Published in the British Medical
Journal, the upshot of which is that
no matter the material, all types of
hip replacement devices appear
to work the same.
Specifically, the newer, metal-on-metal
implants seem to be no more
effective than older implants
and may sometimes even be
more problematic, the researchers said.
"Metal-on-metal and ceramic-on-
ceramic hip implants might
not be associated with any
advantage, compared with
traditional bearings such as
said lead researcher Dr. Art
Sedrakyan, director of the
Effectiveness Program at
Weill Cornell Medical
College in New York City.
Maureen Salamon writing in Healthday
reported, "Participants paired with
others of similar body mass, age,
fitness level and diet preferences
were three times as likely to adopt
healthy behaviors as those matched
randomly in an Internet-based study"
published in the journal Science.
"the most effective social environment
for increasing the willingness of
obese people to adopt a behavior
is one where they interact with
others with similar health
Antioxidant rich foods
Stroke Risk In Women
Robert Preidt writing in Healthday
reported, "Diets rich in antioxidants
from fruits, vegetables and whole
grains appear to lower a woman's
odds for a stroke, even if she has a
prior history of heart disease,"
according to a study published
in the journal Stroke.
Sitting Causes Body
To Make More Fat
Joint Food is the purest preparation of glucosamine and chondroitin available. Studies show that people who take pure forms of glucosamine and chondroitin experience pain relief and improvement in joint function.
Supplements like Joint Food have been used to treat arthritis in horses and dogs for many years. In Europe, people have used glucosamine and chondroitin to treat arthritis since the 1980’s. Joint Food is based on the German formula and is available in Europe today—only by prescription. The effectiveness of glucosamine and chondroitin products, used as a treatment for osteoarthritis, is proven. You may need to take the supplements for at least two months before you see any results.
Joint Food offers pain relief, improvement in joint function and even slows down the progression of the disease!
And, there are no side effects… no drug interactions… and may allow you to reduce your dose of NSAIDs.
Studies show that glucosamine supplements have no serious side effects, causing only mild indigestion or headaches, which can usually be remedied by taking the supplement with food. Traditionally, non-steroidal anti-inflammatory drugs (NSAIDs) have been prescribed to treat the symptoms of osteoarthritis. These potent drugs may mask symptoms, causing stomach upset, ulcer formation, and damage to the liver, kidneys, and gastrointestinal tract.
Glucosamine supplements do not interfere with any NSAIDs, aspirin, Tylenol, or other anti-inflammatory or analgesic medicines and continued use of the supplements will not lead to progressive joint destruction, GI upset or bleeding, or strain on the liver and kidneys. http://www.vanderbilt.edu/ans/psychology/health_psychology/glucocond.htm#D
You too can experience improved joint function and pain relief by taking Joint Food.
Purchase a two month supply for $71.
Wei’s World January 2012So how well do you know your doctor? And, more importantly, how well does your doctor know you?
Let me tell you a story…
My wife and I get a lot of mail, junk and otherwise. One piece of mail that always gets opened is the EOB- explanation of benefits- form that explains our coverage and reimbursement. I’m sure you receive a similar form.
As we all know, medical insurance premiums go up every year. So our practice has had to make some benefit changes. What’s the best health insurance we can afford to provide for our employees? For the last few years, the practice has had insurance through a well-known HMO/PPO company. The HMO/PPO allows us to see doctors either in the PPO or outside doctors of our choosing. We’ve mostly opted for non-participating doctors since they are the better doctors. My wife and I consider our health to be more important than our health insurance.
So you can imagine how surprised we were when we received what looked like a personal letter from the HMO to one of our sons. It turned out to be a letter from a primary care HMO physician who was leaving the company.
“Dear Mr Wei,
While I have enjoyed being your personal physician and have been privileged to be part of ________, I am going to be leaving _______ on January 10, 2012.
We are recruiting a new physician to replace me; this physician will join our practice shortly…”
And the letter goes on to talk about who to call, etc.
Now what is interesting is that our son never saw this doctor. Not once!
Hey… I can understand form letters for many things. But a form letter from a doctor who has never seen a patient, to a patient whom he has never seen?
He goes on to mention how he has been “privileged to be his personal physician.” Well maybe I get it… He never had to see him. No midnight calls. No unpaid balances for services rendered. Heck… not even the expense of making up a chart. A perfect patient!
Wow… I think that takes the cake.
I don’t know about you, but I like to see doctors who have really laid eyes on me. And I like to get correspondence from doctors who actually view me as more than a number or a “case.” By the same token, I don’t like being referred to as a “health care provider.”
I’m a doctor. A dyed-in-the-wool physician. And I have the battle scars to prove it. As you all know, we are the “anti-insurance company” practice. And after getting this letter, I think we’ll stay that way.
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