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Insider Arthritis Tips Sept and Oct 2015
September 15, 2015
“Challenges are what make life interesting and overcoming them is what makes life meaningful.” – Joshua J. Marine
So what do you do when you’ve exhausted all the other treatments for gout? The answer next…
Anakinra an effective option in complex gout.
Reported in MedPage Today, anakinra (Kineret) is an effective treatment option for acute gout in critically ill patients, who traditionally are difficult to treat because of contraindications to standard therapy. In 13 critically ill hospitalized patients treated with anakinra for 20 episodes of acute gouty arthritis, half had responses within 24 hours, another 40% had responses by 48 hours, and the remaining 10% by 72 hours, report researchers from Minnesota Medical School, St. Paul, in Seminars in Arthritis and Rheumatism.
Comment: Every so often, a patient needs this treatment. Glad it’s available.
What causes the sound of knuckle cracking? The answer will definitely surprise you…
Why Knuckles Crack
Rob Stein writing for NPR reported scientists think they may have solved an
old question about the cracking of knuckles: Why does it make that sound?
Got RA… on Xeljanz? You need to be concerned about when to get vaccinated… next
Certain vaccine responses diminish in patients with RA taking Xeljanz
Reported in Healio, patients with rheumatoid arthritis treated with Xeljanz,
especially those taking methotrexate concomitantly, showed diminished response
to the pneumococcal polysaccharide vaccine but not the 2011-2012 trivalent
influenza vaccine, according to recently published research. Researchers
conducted two independent evaluations related to Xeljanz (tofacitinib citrate,
Pfizer) treatment of patients with rheumatoid arthritis (RA). All patients met
the 1987 American College of Rheumatology criteria for RA.
An unexpected and worrisome complication of rheumatoid arthritis… even if things look like they’re under control…
Carotid plaque prevalent in RA even with low CV risk score.
Reported in MedPage Today, women with rheumatoid arthritis (RA) who have a
low predicted risk of cardiovascular disease based on the SCORE risk factor
equation may still have high-risk atherosclerosis that requires intensive
management if they are middle age or older and/or have an elevated level of
total cholesterol. In a cross-sectional study of women with RA, about one in
four with a low predicted risk of cardiovascular (CV) events had atherosclerotic
disease that represents very high CV risk. The study, by Spanish researchers,
appears in Arthritis Research and Therapy.
A major worry not a reality… next…
Prolonged NSAIDs don't damage kidneys in non-CKD patients.
Pam Harrison writing in MedPage Today reported that a Swiss study published
in the Annals of Rheumatic Diseases showed prolonged use of non-steroidal
anti-inflammatory drugs (NSAIDs) has no negative effect on renal function in
patients with rheumatoid arthritis (RA) except among patients who have advanced
chronic kidney disease (CKD) on initiation of treatment.
If a patient is in cloinical remission from their RA, don’t taper their biologics until you do this one test…
Don't taper RA meds before checking Doppler for synovitis
Reported in MedPage Today, Doppler-detected synovitis
is strongly associated
with failure of biological therapy (BT) in patients with rheumatoid arthritis
(RA) who are in sustained clinical remission, a new prospective observational
study has found. Baseline clinical remission as determined by the Disease
Activity Scale in 28 joints (DAS28) and the global score of Doppler synovitis
were independent predictors of BT tapering failure at 6 and 12 months, with the
presence of Doppler synovitis being the strongest predictor for tapering
failure, according to Esperanza Naredo, department of rheumatology, faculty of
medicine, Universidad Complutense in Madrid, Spain.
A cure for psoriasis… maybe
New antibody treatment blocks immune signaling protein crucial to psoriasis
Reported in News Medical, many patients suffering from psoriasis showed
significant recovery after just a
single dose of an experimental treatment with
a human antibody that blocks an immune signaling protein crucial to the disease,
researchers report. By the end of the trial, conducted at Rockefeller University
and seven other centers, nearly all of the 31 patients to receive treatment saw
dramatic, if not complete, improvement in their symptoms.
Comment: Terrific news!
A simple activity that could prevent rheumatoid arthritis… next
Exercise may be protective against development of RA in women
Reported in Healio, physical activity may be protective against the development of rheumatoid arthritis in women, according to researchers from the Karolinska Institutet in Stockholm. The researchers studied 30,112 women enrolled in the Swedish Mammography Cohort who responded to a questionnaire in 1997 regarding physical activity. The questions were designed to assess daily energy expenditure during occupational and home activities and during leisure time.
Comment: Exercise is a medicine… good medicine.
Many people are already taking dozens of pills. And some people are probably taking far more than necessary of some ingredients and not enough of others. One comprehensive formula may solve this problem.
Complete Wellness has all the essential ingredients that you want, blended in one convenient and affordable daily wholefood based formula. Complete Wellness uses fresh, high quality and high potency ingredients, and leaves out the wasteful fillers. No added sugar, no yeast, wheat, rice, corn, silica, artificial flavoring or coloring. Get a quality vitamin and you’ll save time and money.
The only missing ingredient is… you!
This 80 ingredient super supplement formula is known as Complete Wellness. This wonderful food based Vitamin/Mineral/Herbal Complex is quickly becoming part of the daily health program for people all across the country. Our family of loyal repeat customers continues to grow.
Complete Wellness gives your body more nutritional support in a single daily formula than you might find in more than a half dozen different products. Stop by our office and see the comparison!
It is highly recommended that you take our food based Complete Nutritional Formula “Super Supplement” every single day. Give your body the optimal nutrition it needs to achieve optimal health.
Dr. Wei is so confident that you will find Complete Wellness the best vitamin – so he’s giving you a special offer…
Buy two months of Complete Wellness and save $20.00. If you haven’t noticed an extra “pep in your step” or difference in your health within three months, we’ll refund your purchase 100 percent. Guaranteed!
Regularly a two month (3 bottles) supply is available at $101.70.
For September and October, we are giving you a Special Offer for a two month(3 bottles) for only $81.70
Call us at 301-694-5800 for more information and to order your Complete Wellness today.
Grilled Shrimp 'Margarita' with Avocados & Garden Tomatoes
~Servings: 4 to 6
10 Facts About Potatoes!
12 Benefits of Walking
Walking is easy to do and offers many benefits, especially for people with arthritis. What’s not to like about walking? It’s free. It’s easy to do, and it’s easy on the joints. And there’s no question that walking is good for you. Walking is an aerobic exercise; a University of Tennessee study found that women who walked had less body fat than those who didn’t walk. It also lowers the risk of blood clots, since the calf acts as a venous pump, contracting and pumping blood from the feet and legs back to the heart, reducing the load on the heart. Walking is good for you in other ways as well.
Eating for better sleep
By Katie Cavuto Boyle MS, RD
Sleep plays a key role in our health, including stress management and the recovery from illness. Getting enough sleep, for some, is easier said than done. But there's hope. Your diet can have an effect on your sleep, and poor sleep can cause poor food choices. But eating well-balanced meals and snacks will support your body's desire to stay in its natural rhythm. At the end of the day, you'll be ready for a relaxing transition to sleep.
What to avoid
Alcohol can also disturb sleep. While it can make you drowsy at first, its sugars create heat in the body as we metabolize them; which can cause us to overheat and result in waking or poor quality sleep. The same result will happen when eating sugary desserts or treats late in the evening.
When we're tired, we lack the energy to prepare meals for ourselves; we also tend to crave comfort foods that can be higher in fat and calories. Take-out and processed foods often contain simple carbohydrates (such as white flour and sugar); our bodies quickly convert these to blood sugar, and that spike in blood sugar creates stress in the body.
On the same note, processed foods, as well as many convenient snack items and baked goods, can be high in fat. It is smart to avoid high-fat foods before bed as they take longer to digest and may cause stomach upset, which will hinder restful 'Zs'.
What to eat for better sleep
Top 7 after-dinner snacks
Life is a series of irritations, disappointments, calamities, and catastrophes interspersed with triumphs.
So what do I mean by that?
For example, right now, we’re going through the process of transitioning to electronic medical records in our practice. And it is a trying time. A lot of frustration and headaches. Sometimes I feel despair. On the scale I describe above, it’s an irritation.
I remember the angst of applying to medical school and getting rejection after rejection. When you’re a 21 year old who has wanted to be a doctor all his life, it feels like your world is collapsing. That’s a disappointment. The triumphs were getting into medical school (finally) and making the waiting list at others.
Both calamities and catastrophes are a different kettle of fish. For example, having your house burn down or swept away by a flood, would be a calamity. Being in an awful auto accident with serious injury would be a calamity. Having a loved one pass away would be a calamity.
Catastrophes, fortunately, don’t occur often. Some examples that come to mind though would be the Holocaust, Jim Jones and Guyana, the Rape of Nanjing, and 9/11.
Fortunately, we tend to have many more triumphs in life. Waking up in the morning on the green side of the grass is a triumph. Witnessing the sunrise and sunset are triumphs. Other triumphs…being able to take an undisturbed nap on the couch, preparing a nice dinner, enjoying a nice glass (or more) of wine, catching a fish out of the surf, hugging your spouse, having a nice conversation with your children, trying on a new shirt, having a patient get their life back (a big triumph), being able to work out and get a nice sweat, working with nice people, watching a movie that either makes you feel good or makes you cry, sleeping in a comfortable bed, having a nice house to come home to, going on a vacation, breathing deeply, reading a good book, receiving a compliment, getting someone to smile- all triumphs.
Many of us, including myself, tend to focus our attention on life’s irritations and disappointments. I’m trying, as I mature, to change that and realize that life’s triumphs are worthy of more of my attention. It’s a difficult process to make that transition, I think, because too often we take our triumphs for granted.
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