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Insider Arthritis Tips Mar and Apr 2017
March 15, 2017

A Quote to be Inspired By...

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“Challenges are what make life interesting and overcoming them is what makes life meaningful.” – Joshua J. Marine

What's New

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Here’s a procedure you might want to avoid…

Case Studies Underscore Ophthalmology's Concerns About Eyeball Tattoos

 Dava Stewart writing in MD reported because eyeball tattoos are not performed by ophthalmologists, experts are concerned about their many short-term risks, and warn that the long term risks could include permanent damage, according to the authors of two recent case studies. Published in American Journal of Ophthalmology Case Reports, two new case studies demonstrate the risks that go along with what the authors call this “relatively new extreme body modification.”
The two case studies are both of Mexican men, one 26 years old and the second 17. Both developed complications after having an eyeball tattoo. The authors say that the cosmetic procedure “involves injecting some type of pigment directly under the bulbar conjunctiva with a needle.”
The authors list multiple risks involved in eyeball tattoos: globe penetration, endophthalmitis, retinal detachment, traumatic cataract, a severe ocular inflammatory reaction, blindness due to ocular inflammation, as well as increased severity of uveitis. They conclude by suggesting, “Regulations prohibiting the practice of these procedures are required, because despite warnings of multiple health risks, more people are looking to get this procedure nowadays.”
The two case studies were written by Gonzalo Duarte of the Eye Clinic for Inflammatory Diseases at the Dr. Luis Sanchez Bulnes Hospital, and colleagues.


Comment: Hmmmm. What some people will do to their bodies….




A surprising benefit of fish oil… next

Fish Oil Use During Pregnancy Linked To Lower Asthma Risk In Kids

 Denise Grady writing for the New York Times reported that research indicated “women who took fish oil during the last three months of pregnancy significantly” reduced the likelihood “that their children would develop asthma.” The findings were published in The New England Journal of Medicine.


Comment: dietary fish oil has multiple benefits and this is another one.



Patients with Parkinson’s Disease Are at Risk for Carpal Tunnel Syndrome

 Dr. Lara Pullen writing in the Rheumatologist reported patients with carpal tunnel syndrome experience pain, numbness and tingling that can be characterized as an upper limb neuropathy. CTS is more common in women, with a female to male ratio of 3:1. Various studies have described the incidence of CTS in the general population as between 2.5 and 5 cases per 1,000 person years.


Individuals with Parkinson’s disease may be especially vulnerable to CTS. One study suggests that patients with Parkinson’s may be at increased risk of CTS because of the repetitive movement due to tremor.2 Others have noted the peripheral neuropathy that is associated with Parkinson’s and wondered whether peripheral neuropathy is intrinsic to Parkinson’s, a consequence of levodopa exposure or both.3 A body of evidence suggests that a form of small fiber neuropathy is intrinsic to Parkinson’s, and thus, experts have suggested that patients with early and advanced Parkinson’s be strictly monitored for subtle signs of neuropathy.


Comment: Interesting. 




Are you getting your vaccinations?

Many Older People Skip Vaccinations


Paula Span writing in the New York Times reported on “an ongoing and vexing public health problem: People once vigilant about vaccinating their children aren’t nearly as careful about protecting themselves as they age, even though diseases like influenza, pneumonia and shingles...are particularly dangerous for older people.” Carolyn Bridges, MD, Associate Director for Adult Immunization at the CDC, said, “Trying to prevent these common and often debilitating conditions is incredibly important for older adults.”


Comment: shame on you if you aren’t getting your shots.




Study Shows Potential for Early Diagnosis of Arthritis

 Pat Anson writing for Pain News Network reported a new study by British researchers has demonstrated the potential for an experimental blood test that can diagnose arthritis in its earliest stages. Such a test could lead to earlier treatment of osteoarthritis (OA) and rheumatoid arthritis (RA), years before joint damage and physical symptoms begin.


Researchers at Warwick Medical School recruited 225 people with early or advanced OA, RA or another inflammatory joint disease, along with a control group of healthy volunteers with no joint problems.  Their blood and fluid from affected knee joints were then analyzed with mass spectrometry.


The test found patterns in blood plasma amino acids that were damaged by oxygen, nitrogen and sugar molecules. The damage was highest in the blood samples of patients with OA or RA, and markedly lower in the blood of healthy volunteers -- giving researchers identifiable biomarkers that could be used for an early diagnosis.


“This is a big step forward for early-stage detection of arthritis that will help start treatment early and prevent painful and debilitating disease,” said Naila Rabbani, PhD, of Warwick Medical School. “Damage to proteins in the arthritic joint have been known for many years but this is the first time it has been exploited for early-stage diagnosis.


“For the first time we measured small fragments from damaged proteins that leak from the joint into blood. The combination of changes in oxidised, nitrated and sugar-modified amino acids in blood enabled early stage detection and classification of arthritis – osteoarthritis, rheumatoid arthritis or other self-resolving inflammatory joint disease."


Comment: Interesting stuff.




Rheumatoid arthritis: lymphoma risk remains elevated despite changing treatment

 Reported in Unavadis, a large study of Swedish health registry data indicates that lymphoma risk remains elevated among patients with rheumatoid arthritis (RA), despite evolution of treatment. Treatment advances for RA do not appear to have affected lymphoma risk. Records from 12,656 patients with RA from the Swedish Rheumatology Register linked to Swedish Cancer Register were compared with control patients for lymphoma incidence over time.


Comment: Disturbing since I would expect our newer treatments to decrease lymphoma risk.




Group Recommends Delaying Umbilical Cord Clamping After Healthy Deliveries


Lauren Neergard reporting for the AP wrote the American College of Obstetricians and Gynecologists released new guidelines recommending that the umbilical cord not be cut for “at least 30 seconds to 60 seconds after birth” for all healthy infants. The AP points out that “it’s common in the U.S. for” physicians “to cut the cord almost immediately, within 15 to 20 seconds of birth, unless the baby is premature.”


Comment: There are quite a few Millenials out there who are still attached to their umbilical cords.





I’m a fan of yoga and here’s a really interesting study

How chair yoga could become the go-to treatment for arthritis sufferers


Stephen Matthews writing for the Daily Mail reported chair yoga may help to reduce pain in older adults suffering from arthritis. 


Researchers from Florida Atlantic University randomly assigned 131 older adults with osteoarthritis to either chair yoga or a health education program.


Participants went to their 45-minute session twice a week for around two months.

Pain measurements were taken before, during and after, in the study published in the Journal of the American Geriatrics Society.


They found those in the chair yoga group showed a greater reduction in pain interference during their sessions.


This benefit lasted for around three months - four weeks after they had originally finished.

General pain, fatigue and gait also improved as a result of the chair yoga sessions.

Writing in the journal, the authors said: 'Chair yoga should be further explored as a non-pharmacologic intervention for older people with osteoarthritis.' 


Comment: Gentle with no side effects. Sounds good to me.


Food For Thought

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Cajun Potato, Prawn/Shrimp and Avocado Salad

By I'mPat

  • Prep Time: 10 mins

  • Total Time: 30 mins

  • Servings: 2

About This Recipeo:p>


  • 2-1/3 cups new potatoes (small baby or chats 10 oz halved) /span>

  • 1 tablespoon olive oil

  • 0.55 lbs of king prawns ( 8 oz, cooked and peeled)

  • 1 garlic clove ( minced)

  • 2 spring onions ( finely sliced)

  • 2 teaspoons cajun seasoning

  • 1 avocado ( peeled, stoned and diced)

  • 1 cup alfalfa sprout

  • salt ( to boil potatoes)


  1. Cook the potatoes in a large saucepan of lightly salted boiling water for 10 to 15 minutes or until tender, drain well.

  2. Heat the oil in a wok or large nonstick frying pan/skillet.

  3. Add the prawns, garlic, spring onions and Cajun seasoning and stir fry for 2 to 3 minutes or until the prawns are hot.

  4. Stir in the potatoes and cook for a further minute.

  5. Transfer to serving dishes and top with the avocado and the alfalfa sprouts and serve.


Health Benefits of Avocado

By Kris Gunnars, BSc



The Healthy Fat… Avocados are weight loss friendly, heart healthy and taste incredibly good.


Avocado is Incredibly Nutritious


Avocados are very nutritious and contain a wide variety of nutrients, including 20 different vitamins and minerals.


  • Vitamin K: 26% of the RDA.

  • Folate: 20% of the RDA.

  • Vitamin C: 17% of the RDA.

  • Potassium: 14% of the RDA.

  • Vitamin B5: 14% of the RDA.

  • Vitamin B6: 13% of the RDA.

  • Vitamin E: 10% of the RDA.

Then it contains small amounts of Magnesium, Manganese, Copper, Iron, Zinc, Phosphorous, Vitamin A, B1 (Thiamine), B2 (Riboflavin) and B3 (Niacin).

Avocados have 160 calories, 2 grams of protein and 15 grams of healthy fats. Although it contains 9 grams of carbs, 7 of those are fiber so there are only 2 “net” carbs, which make this a low-carb friendly plant food.


They Contain More Potassium Than Bananas


Potassium is a nutrient that most people aren’t getting enough of. Potassium helps maintain electrical gradients in the body’s cells and serves various important functions.


Several studies show that having a high potassium intake is linked to reduced blood pressure, a major risk factor for heart attacks, strokes and kidney failure.


Avocado is Loaded With Heart-Healthy Monounsaturated Fatty Acids


77% of the calories from an avocado are from fat, making it one of the fattiest plant foods in existence. However, the majority of the fat found in avocado is oleic acid. This is a monounsaturated fatty acid that is also the major component in olive oil and believed to be responsible for some of its beneficial effects.


Oleic acid has been linked to reduced inflammation and been shown to have beneficial effects on genes linked to cancer. 


The fats in avocado are also pretty resistant to heat-induced oxidation, making avocado oil a healthy and safe choice for cooking.


Bottom Line: Avocados and avocado oil are high in monounsaturated oleic acid, a “heart healthy” fatty acid that is believed to be one of the main reasons for the health benefits of olive oil.


Avocados Are Loaded With Fiber


Fiber is another nutrient found in relatively large amounts in avocado. Fiber is indigestible plant matter that can contribute to weight loss, reduce blood sugar spikes and is strongly linked to a lower risk of many diseases.


Eating Avocados Can Lower Cholesterol and Triglyceride Levels


Numerous studies have shown that eating avocados can improve heart disease risk factors like Total, LDL and HDL cholesterol, as well as blood triglycerides.


People Who Eat Avocados Tend to be Healthier


One study looked at the dietary habits and health of people who eat avocados. Avocado consumers were found to be much healthier than people who didn’t eat avocados.


The Fat in Them Can Help You Absorb Nutrients From Plant Foods


Studies have shown that eating avocado or avocado oil with veggies can dramatically increase the amount of antioxidants you take in.


Avocados Are Loaded With Powerful Antioxidants That Can Protect The Eyes


Not only do avocados increase antioxidant absorption from other foods, they are also high in antioxidants themselves.  Avocados include antioxidants, such as Lutein and Zeaxanthin. These nutrients are very important for eye health and lower the risk of macular degeneration and cataracts.


Avocado May Help Prevent Cancer


There is limited evidence that avocado may be beneficial in preventing cancer. Some studies in isolated cells have shown that nutrients in avocados may have benefits in preventing prostate cancer, and lowering side effects of chemotherapy in some cells.


Avocado Extract May Help Relieve Symptoms of Arthritis


Arthritis is reported as one of the leading causes of disability.  Multiple studies have shown that extracts from avocado and soybean oil can reduce symptoms of arthritis of the bones, called osteoarthritis. Whether avocados themselves can have this effect, and not just the extract, remains to be seen.


Eating Avocado May Help You Lose Weight


Avocados are also high in fiber, and very low in carbs, two attributes that should also help promote weight loss, at least in the context of a healthy, real food based diet.


Avocado is Delicious and Easy to Incorporate in The Diet


Not only are avocados healthy, they’re also incredibly delicious and go with all sorts of foods.

Avocados are loaded with nutrients, many of which are lacking in the modern diet. They are weight loss friendly, heart healthy and… last but not least, taste incredible.

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.


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 noticing marked improvement.


There are no side effects… no drug interactions… and you may even be able to reduce your dose of NSAIDs.


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.


Experience improved joint function and pain relief by taking Joint Food.


Purchase a two month supply for $71.

Save $20


You can join theauto-ship club and save even more money! Plus, it’s delivered right to your door with no additional shipping fees.


Call our product specials at 301-694-5800 for information.




Basic Joint Foot FAQs…


I’m trying to cut costs.

This is why we’re offering autoship to our patients.  We want to provide you with products to help them manage their arthritis more effectively, which may reduce the number of visit you may need to make to our office AND save you additional money.   Don’t you agree that $60.00 is significant savings in helping you manage your arthritis?


Does not want to keep their credit card on file./ Afraid their identity will be stolen.

We understand our patients concern regarding their personal/financial identity. This is why your credit card will be kept in a secured safe. We have never had an incident where credit card information has been lost or placed in the hands of the wrong person.


Will come in and purchase when they need them.

We do enjoy seeing you when you stop by, but with the economy the way it is… we would like to offer our patients all the opportunities to save as much money as you can. Through our autoship program… we can save you $10 for each 2 month supply and your Joint Food will be mailed directly to your home so you don’t have to worry about that extra trip into town, and we don’t charge you for the shipping. I know your time is valuable, and with the… [warm weather approaching I’m sure you’re going to want to spend your time enjoying it!] OR [cold weather approaching I’m sure you’d rather stay in where it is warm?]


Waits until the product is on sale, then purchases it in “bulk amounts”. Joint food was on sale twice a year so they will buy six months at a time.

We can enroll you in our customized autoship program and bill your account twice a year so that you can take advantage of our autoship program. 


Does not take as directed…

How do you take your Joint Food?  We can customize your order for you and send you your Joint Food based on how you take it. So, if you take only two Joint Food tablets each day, we would send you Joint Food every three months.  This way, you’re getting only what you need, and you can still experience the benefits of our autoship program.

Wei's World



I generally don't get too involved in politics, although my views generally align with those of hard line conservatives. In fact, my wife - who is a typical Massachusetts liberal - and I have agreed to never discuss politics. The reason is that it usually leads to all-out war. For this reason, among others, I try to avoid the entire subject.


However, what transpired over this past weekend is difficult to ignore. Both my parents emigrated from China in 1948 to escape communism, and they were granted what are now known as green cards. For months, they faced the threat of deportation; it was only my birth in 1949 that enabled them to stay. Years later, they became citizens of this great country.

In college, one of my seminar presentations was on the ramifications of President Franklin Roosevelt's Executive Order 9066, which led to the internment of Japanese Americans during World War II. American citizens were detained in concentration camps and subjected to terrible living conditions: overcrowding, rampant disease, and complete lack of educational and political infrastructure.


The same hysteria that led Americans to turn on neighbors who looked different from them has now led the current administration to adopt a similar course of action when it comes to Muslim refugees and immigrants.


It is difficult to accept that these types of exclusion policies have returned.


According to the President, Christians from the countries on the blacklist are allowed in but Muslims are excluded.


Curiously, residents from Dubai, the United Arab Emirates, and Saudi Arabia are still allowed in. Could it be that because the president has financial interests in these countries, they are exempted? It raises a very dangerous question: who are the "good" immigrants and refugees, and who are the "bad" ones? We should all remember that all immigrants and refugees are human beings, who have come to our country with hopes for a brighter future for themselves and their children.

The United States of America is a patchwork quilt of different ethnicities, religions, sexual orientations, occupations, and political beliefs. The strength of this country has always been its diversity. Attempting to remove a segment of society is like applying a knife to strands of a rope: you cannot simply carve out certain pieces without adversely affecting the integrity of the entire rope.


It is time to stop this insanity. Actions like the ones taken by the President this past weekend hint at the fragility of our democracy. It is our responsibility as citizens to protect not only our fellow citizens and those who look like us, but everyone who wants to work hard and contribute their skills, experiences, and voices to this country.

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