Arthritis is a common and widespread disease that causes moderate to severe pain, stiffness, and inflammation in the joints of the body. There are over 100 unique types of the disease, which explains why it is so prevalent in adults. The useful tips and advice in this article offer insight into the treatment of the condition.

Make sure you don't smoke. Smoking has been shown to increase your risk of developing rheumatoid arthritis. Not only that, but if you do develop it, smoking has been shown to worsen the joint damage. Patients who smoke most often have much more severe symptoms than those patients who don't smoke.

Exercise as often as possible. Not only does exercising provide you with the energy that you need to get through the day, it also helps with joint pain. In particular, walking, cycling and swimming can be beneficial, but make sure to speak with your doctor before you start any new exercise program.

Most exercise programs for people who suffer from the pain and stiffness of arthritis include range-of-motion exercises. Range-of-motion is the normal amount of distance that your joints can move in a certain direction. These types of exercises help to keep your joints flexible. Some physicians also recommend Tai Chi as an alternative to improve flexibility and increase muscle strength.

After being diagnosed with arthritis you should go have your eyes checked. Rheumatoid arthritis can cause complications with your vision and in some cases will lead to blindness. Your eye doctor may suggest using anti-inflammatory eye drops to help decrease symptoms of blurred vision, redness, pain, and light sensitivity.

Budget your energy wisely. If you know you will have an important task to take care of later in the day, be sure to remind yourself not to get too tired beforehand. Knowing how you are going to expend your energy during the day can help to make sure you get the things most important to you finished.

Yoga can be a huge help in getting arthritic joints moving again and “hot yoga” can provide an intense workout as well as make it easier for some arthritis sufferers to participate. Hot yoga is performed in a studio that is kept at a temperature of 105 degrees with 40% humidity. Movement is slower and many arthritic participants find the heat and humidity beneficial to loosening stiff muscles and joints to help make exercise easier.

Buy heated slippers. Most people who suffer from arthritis will have it in there feet, as well as other locations. For comfortable pain relief in the feet, get some heated slippers online, and use them whenever you find it necessary. These can quickly help to relieve inflammation and swelling, and most of them are easily slipped in the microwave.

Take the time to learn about your condition and keep track of new advances in the science of treating arthritis. Join an online community of people suffering from arthritis and share advice and tips with them. Ask your doctor any question you have about your condition. Knowledge is key in living with your arthritis.

Many people with arthritis have found that taking yoga classes and learning how to practice it at home can help with arthritis pain. Yoga emphasizes stretching and whole body well-being. This will help you improve motion and make your joints feel better. The Arthritis Foundation recommends using yoga to help with arthritis.

At this time, there is no single cure that can eliminate all types of arthritis. Fortunately, the advice you have just read is an excellent place to start as you look for ways to live with arthritis. Apply the information in these tips, and you are sure to notice improvements.

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rheumatoid arthritis awareness

35 thoughts on “Rheumatoid Arthritis Awareness

  1. Stephanie

    Are these good questions for an interview?
    I’m interviewing my cousin and her mother (and possibly father/sister) about her rheumatoid arthritis. Her mother also has the same arthritis. My main person to interview is my cousin though because she is only about 11 years old and has already been through so much. She was the honoree for an arthritis walk, so it just makes more sense. I wrote down some questions for my interview, but I want to make sure I’m not missing any questions here. Thank you for any of your help, I really do appreciate it.

    *What type of arthritis do you have?
    *At what age were you diagnosed with this type of arthritis?
    *How old are you now?
    *What affect does this arthritis have on you?
    *Does it ever stop you from doing activities?
    *How has the family dealt with it?
    *How does arthritis affect your family financially?
    *Can you tell me a little bit about the arthritis walk you did?
    *What is the foundation called that held the walk?
    *How does it feel to have been selected as the honoree?
    *How do you plan on raising awareness about arthritis in the future?
    *How many times have you had to go to the hospital because of your arthritis?
    *Which was the most recent?
    *Do you take any medications for your arthritis?
    *How has arthritis affected you emotionally?
    *Can you tell me about when you found out you might end up in a wheelchair?

    1. Smokeys Friend

      I think these are really good questions. Two more you might add are, Has this caused any any other health problems? Have friends or kids at school treated you differently when they found out that you have arthrits? The Reason i would ask these is because, I have a cousin who is 8 and she has arthritis and because of it she has problems with her hips and has to have surgery on them now. And sometimes when kids find out that there friend has arthritis, they may treat them different because they think that this is just an old persons disease and its weird that they have it. I hope this helps

    1. Ibrahim

      I have a degenerative disorder where my body is producing a protein that is attacking my bones and joints thereby creating an arthritic condition throughout my body.

      As a result I will soon begin to have my knees and hips replaced and have as much repair done on my joints done as possible.

      It might be understood as being very uncomfortable and makes it difficult to get a good night’s sleep (I have not slept more than four hours in a night in more then four years…).

      As a Buddhist, I do not take any medication that might cloud my awareness unless the pain is extreme. I use mediation to deal with the discomfort.

      I also do weight resistant exercises three days a week, cardio/aerobic work daily and study Aikido all of which seems to help mentally if not physically.

      As much as possible I maintain a vegetarian diet.

      As I have also been diagnosed with having multiple myeloma and neuropathy, my discomfort in this present manifestation or lifetime will not last too long for which I am grateful.

      If you are now developing arthristis, I hope that it goes well for you and that your attending physicians are able to assist you in the same.


  2. **Lady Gagas Little Monster<3

    I dont feel good when i swim please help me?
    ok so every year i go to camp and we have to take a “swim test”. at the end, the lifeguard dude gives u a red bracelet(which means youre bad at swimming and u have to stay in the shallow end the entire time ur at camp), a pink bracelet (ur OK at swimming but u need to stay in the shallow end) and blue bracelet (u swim well and u can go in the deep and shallow end). all the test is is just regular swimming across a giant pool, swimming backwards, and tredding the water for a minute. its easy and straight foward, but every time i take this test (and yes, i know for a fact im doing it properly because i get a blue bracelet) near the middle of it i will feel dizzy, be short of breath, and the room seems like its getting darker. this scares me because i have to keep going during the test and i dont want to tell them i dont feel good. what should i do and how should i get rid of this please help me this happens every year and im sick of it and it scares me to death. when i practice in my cousins pool im fine, but when i do this at camp in the indoor pool where its really humid and smells not so good and everyones watching (i know thats not the problem) this happens. by the way, camp starts monday for me so answer ASAP!
    i told my parents and they say its nothing and i cant schedule a doctors appointment because my next appointment is far and my mom refuses to take me there because of that.
    i told my parents and they say its nothing and i cant schedule a doctors appointment because my next appointment is far and my mom refuses to take me there because of that.

    1. Anonymous

      You are putting WAY TOO MUCH STRESS on your body and mind …
      What are the Common Symptoms of Stress? You might think of stress as just a mental thing – excessive pressures, worries and anxieties of modern life. However this is in many ways wrong, these are in fact just some of the common causes of stress. Stress is really your bodies natural and often inappropriate reaction to these ’causes’. This primitive biological reaction is the cause of most of the serious symptoms of stress. Most of the common physical symptoms of stress are caused by your own bodies ‘fight or flight’ response, which was never intended by nature to be used for extended periods of time. This response evolved to help us in dangerous situations – either to stay and fight or run away, both these reactions involve the body using chemicals and hormones to heighten awareness and give us a instant boost of energy & strength. For short term ‘problems’ that can be physically resolved this chemical response is fine and causes no health problems for a fit human body. Let’s start with a list Common Behavioral Symptoms of Stress ■Obesity and Over-eating ■Increased or excessive drinking of alcohol ■Loss of appetite or anorexia ■If you smoke – you’ll smoke more ■Increased coffee consumption ■Excessive and continuing irritability with other people ■Substance Abuse ■You can’t make decisions, large or small. ■Unable to concentrate – (common symptom of stress) ■Increased and suppressed anger ■Loss of your sense of humor ■Paranoia ■Not be able to cope with life, feeling out of control ■Jump from one job to another without finishing things ■Excessive emotion & crying at small irritations ■Lack of interest in anything other than work ■Permanently tired even after sleep – (another very common symptom of stress) ■Decreased sex drive/libido ■Stress can cause Nail biting … Stress Facts – Forty-three percent of all adults suffer adverse health effects from stress. – 75 to 90 percent of all physician office visits are for stress-related ailments and complaints. Why is Stress Such a Big Problem of Modern Life? “Stress is a state we experience when the demands that are put upon us cannot be counter balanced by our ability to deal with them.” – definition by Richard Lazarus of the University of California. Many of the things that used to help us cope with the everyday stresses and strains of life have slowly been taken away for us. • Extended families to share everyday problems *** remember when you say … ‘when i practice in my cousins pool im fine’ *** • Communities that were small enough to look after the individual. • Long term job safety. • Sensible levels of borrowing and debt. • Physical activity – whether at work or play. We are far far less active than we used to be and physical activity of any kind helps to relieve symptoms of stress and even remove many of the causes. The old saying – “A problem shared is a problem halved” is proving to be very accurate regarding stress. Common physical symptoms of stress and anxiety ■Chest Pain or Palpitations ■Migraine – Frequent Headaches and tension headaches ■Indigestion – (very common physical symptom of stress) ■Nausea ■Heartburn ■Loss of Appetite ■Constipation or Diarrhea ■Flatulence or excessive wind. ■Stomach cramps ■Tremor and shaking and/or nervous twitches & tapping ■Muscle cramps and spasms ■Rheumatoid arthritis ■Worsening Eczema/Psoriasis ■Increased sweating ■Baldness or increased hair loss ■Poor circulation with cold fingers and toes. ■Infertility ■Menstrual irregularity ■Premature ejaculation or Impotence ■More frequent asthma attacks. ■More frequent flu’s and colds. ■Neck pain & back pain …If you are suffering from several of these common physical symptoms of stress and anxiety, then you are probably (almost certainly) suffering from excessive stress levels in your life. See your Doctor for practical advice on how to lower your dangerous stress levels. Why Does Stress and Anxiety Cause Health Problems? … The chemical and hormonal changes which affect every single organ of your body when you are stressed, have not evolved and developed along with today’s modern fast paced society. Your subconscious biological protection systems that were designed to help you protect yourself from physical threat have become the major health issue in modern ‘developed’ societies.

      Hope this helps … and have FUN swimming …

  3. Anonymous

    Why /how are people able to remember so much more vividly past events when under “hypnosis”?
    what is “hypnosis”? and does it involve the person thinking and even behaving more child like? why this is and what happens to the brain that makes people able to remember things more vividly?

    what do psychologists use this for? and why?

    1. ♥PEACE OUT♥

      When you hear the word hypnotist, what comes to mind? If you’re like many people, the word may conjure up images of a sinister stage-villain who brings about a hypnotic state by swinging a pocket watch back and forth.

      In reality, real hypnosis bears little resemblance to these stereotyped images. According to John Kihlstrom, “The hypnotist does not hypnotize the individual. Rather, the hypnotist serves as a sort of coach or tutor whose job is to help the person become hypnotized”2 While hypnosis is often described as a sleep-like trance state, it is better expressed as a state characterized by focused attention, heightened suggestibility and vivid fantasies.

      What Effects Does Hypnosis Have?

      The experience of hypnosis can vary dramatically from one person to another. Some hypnotized individuals report feeling a sense of detachment or extreme relaxation during the hypnotic state, while others even feel that their actions seem to occur outside of their conscious volition. Other individuals may remain fully aware and able to carry out conversations while under hypnosis.

      Experiments by researcher Ernest Hilgard demonstrated how hypnosis can be used to dramatically alter perceptions. After instructing a hypnotized individual to not feel pain in his or her arm, the participant’s arm was then placed in ice water. While non-hypnotized individuals had to remove their arm from the water after a few seconds due to the pain, the hypnotized individuals were able to leave their arms in the ice water for several minutes without experiencing pain.3

      What Can Hypnosis Be Used For?

      The following are just a few of the applications for hypnosis that have been demonstrated with research:

      The treatment of chronic pain conditions such as rheumatoid arthritis.
      The treatment and reduction of pain during childbirth.
      The reduction of the symptoms of dementia.
      Hypnotherapy may be helpful for certain symptoms of ADHD.
      The reduction of nausea and vomiting in cancer patients undergoing chemotherapy.4
      Control of pain during dental procedures.
      Elimination or reduction of skin conditions including warts and psoriasis.
      Alleviation of symptoms association with Irritable Bowel Syndrome.5
      Can You Be Hypnotized?

      While many people think that they cannot be hypnotized, research has shown that a large number of people are more hypnotizable than they believe.

      Fifteen percent of people are very responsive to hypnosis.6
      Children tend to be more susceptible to hypnosis.7
      Approximately ten percent of adults are considered difficult or impossible to hypnotize.8
      People who can become easily absorbed in fantasies are much more responsive to hypnosis.2
      If you are interested in being hypnotized, it is important to remember to approach the experience with an open mind. Research has suggested that individuals who view hypnosis in a positive light tend to respond better.9

      Theories of Hypnosis

      One of the best-known theories is Hilgard’s neodissociation theory of hypnosis. According to Hilgard, people in a hypnotic state experience a split consciousness in which there are two different streams of mental activity. While one stream of consciousness responds to the hypnotist’s suggestions, another dissociated stream processes information outside of the hypnotized individuals conscious awareness.3

      Hypnosis Myths

      Myth 1: When you wake up from hypnosis, you won’t remember anything that happened when you were hypnotized.

      While amnesia may occur in very rare cases, people generally remember everything that occurred while they were hypnotized.5 However, hypnosis can have a significant effect on memory. Posthypnotic amnesia can lead an individual to forget certain things that occurred before or during hypnosis. However, this effect is generally limited and temporary.

      Myth 2: Hypnosis can help people remember the exact details of a crime they witnessed.

      While hypnosis can be used to enhance memory, the effects have been dramatically exaggerated in popular media. Research has found that hypnosis does not lead to significant memory enhancement or accuracy,10 and hypnosis can actually lead to false or distorted memories.11

      Myth 3: You can be hypnotized against your will.

      Despite stories about people being hypnotized without their consent,12 hypnosis requires voluntary participation on the part of the patient.5

      Myth 4: The hypnotist has complete control of your actions while you’re under hypnosis.

      While people often feel that their actions under hypnosis seem to occur without the influence of their will, a hypnotist cannot make you perform actions that are against your values or morals.3

      Myth 5: Hypnosis can make you super-strong, fast or athletically talented.

      While hypnosis can be used to enhance performance,13 it cannot make people stronger or more athletic than their existing physical capabilities.

  4. Valen T

    teeth staining?
    ooooook i heard minocycline can stain your teeth badly.. does that happen to EVERYONE? im 14 and i just started minocycline and i only got 1 of my molars out but not the ones in the VERY VERY VERY back. will i get permanent teeth staining?

    1. ashleyligon1967

      Minocycline: Stain Devil?

      M.L. Good, D.L. Hussey
      Br J Dermatol 149(2):237-239, 2003. © 2003 Blackwell Publishing

      Posted 10/03/2003
      Summary and Introduction
      Minocycline is the treatment of choice for acne vulgaris, the most common form of inflammatory acne, despite the increase in awareness of rare but significant side-effects. This paper discusses the undesirable side-effect of minocycline staining in permanent teeth.

      Minocycline is the treatment of choice for acne vulgaris, the most common form of inflammatory acne,[1] despite the increase in awareness of rare but significant side-effects[2] such as tissue hyperpigmentation,[3-5] serious hypersensitivity reactions[6] and autoimmune disorders.[6] This paper discusses the undesirable side-effect of minocycline staining in permanent teeth.

      Tetracycline was first introduced in 1947, with its semisynthetic second-generation derivative minocycline being introduced in 1967. Minocycline is a broad-spectrum antibiotic which inhibits protein synthesis, causing bacteriostasis. It also reduces fatty acids in sebum,[7] and exhibits an anti-inflammatory effect. Its structure contains the same basic ring as tetracycline but it is chemically different in that there is substitution of a dimethylamino group at C7 and it lacks a functional group at C6, making it more lipophilic. This increases the drug’s distribution and half-life, and enables it to cross bacterial lipid membranes. Minocycline, unlike tetracycline, poorly chelates calcium and so is completely absorbed from the gastrointestinal tract even when administered with dairy products. The drug can, however, chelate some divalent metal ions, especially iron, forming insoluble complexes. Minocycline is highly plasma-protein bound and reaches its maximum concentration in 2-3 h, with a half-life of approximately 16 h. Its concentration in saliva reaches 30-60% of that in serum but its concentration in gingival crevicular fluid is five times greater than that found in serum.[4] Minocycline is deposited in tissues rich in collagen.

      The most common clinical indication for prescribing minocycline is moderate to severe acne vulgaris,[7] and the commonest indication for prescribing minocycline for long-term treatment is rosacea.[8] It is also used in the management of certain sexually transmitted diseases such as those caused by Mycoplasma, Chlamydia and Treponema. Other indications include chronic respiratory disease, rheumatoid arthritis,[9] and as an adjunct in the management of periodontal disease.[10] The most common side-effects are gastrointestinal symptoms, dizziness and vertigo. Less commonly, tissue hyperpigmentation can occur, affecting tissues such as the oral mucosa, sclera, skin, thyroid, nails, bone and teeth.[3-5] Generalized intrinsic staining of the permanent dentition most commonly occurs during tooth development, between the ages of 4 months and 12 years, and therefore the discoloration is evident on eruption. With minocycline, however, the generalized intrinsic staining occurs posteruption in previously normal-coloured fully mineralized adult teeth. This staining is distinctly different to that caused by tetracycline (Table 1). Other rare but severe side-effects do exist, including serious hypersensitivity reactions[6] and autoimmune disorders such as autoimmune hepatitis[6] and systemic lupus erythematosus.[6]

      Staining of the adult dentition appears to occur in 3-6% of patients taking long-term minocycline at > 100 mg daily.[4,11] The onset of discoloration can occur any time from 1 month to many years after the initiation of treatment.[3,11] However, other drugs are also known to cause intrinsic staining of teeth, such as oral contraceptives and phenothiazines and therefore a full medical and drug history is needed to determine if minocycline is the causative agent.

      Mechanisms of Tooth Staining
      Tetracycline staining of permanent teeth takes place during tooth development, and the mechanism by which this occurs is well documented. Tetracycline forms a complex with calcium orthophosphate during tooth calcification which then darkens with exposure to light.[12,13]

      Four theories exist on the mechanism of tooth discoloration by minocycline, but further research is required. The first is the ‘extrinsic theory'[4] where it is thought that minocycline attaches to the acquired pellicle’s glycoproteins. This in turn etches the enamel and demineralization/remineralization cycles occur. It oxidizes on exposure to air or as a result of bacterial activity and so causes degradation of the aromatic ring, forming insoluble black quinone. The second is the ‘intrinsic theory'[5,14] where the minocycline bound to plasma proteins is deposited in collagen-rich tissues such as pulp, teeth and bone. This then oxidizes slowly over time with exposure to light. The third possibility is that haemosiderin, a breakdown product of minocycline, chelates with iron to form an insoluble complex.[3,13] The fourth and last suggestion is that minocycline could be deposited in dentine during dentinogenesis, and the process of dentinogenesis can be accelerated in bruxists.

      It is said that prevention is better than cure, and in patients with moderate to severe acne the importance of avoiding minocycline staining of teeth cannot be overemphasized as these patients are already prone to negative psychological effects.[15] Various ways of preventing and treating minocycline staining have been put forward. It has been suggested that there may be a relationship with thyroid function and that this should be checked prior to prescribing minocycline and reviewed during long-term treatment.[14] Vitamin C, or an alternative antioxidant, taken together with minocycline has been shown to prevent the formation of the quinone ring, which is part of the degradation product and a component of the stain pigment.[14,16] Alternatively, reducing the therapeutic dose of minocycline to below 100 mg daily for long-term therapy may in itself prevent dental staining: an effective therapeutic regimen for acne is 100 mg daily initially, reducing to 50 mg daily after 15 days.[17] Alternative drugs to minocycline should also be considered in the management of acne[18] such as other systemic and topical antimicrobials, e.g. lymecycline, systemic and topical retinoids, systemic hormonal therapy and zinc gluconate used singly or in combination.

      In cases where minocycline staining of permanent teeth has already occurred (Fig. 1) the staining is not removable by dental polishing.[3] The treatment options are therefore no intervention, bleaching, composite or porcelain veneers, or crowns. Veneer and crown preparations involve the removal of at least 0·7 mm of sound tooth substance, allowing sufficient depth of porcelain in each restoration to mask the discoloration. These restorations produce reasonable results but are quite destructive. The preferred treatment option is vital bleaching as it avoids any tissue removal and has no known damaging effects on enamel or dentine.[19] Bleaching causes extensive structural changes in both enamel and dentine which can either alter or liberate the pigment (Fig. 2). Research carried out on rats demonstrated that hydrogen peroxide breaks down the quinone ring in tetracycline-stained teeth, although repeated maintenance is required and the results are best for more uniform grey/brown stains.[16]

      Figure 1. This appearance is typical of a patient with minocycline staining in the permanent dentition.

      Figure 2. Following the application of a vital bleaching system for 17 weeks there has been a satisfactory resolution of the stained teeth seen in Figure 1.
      In conclusion, patients who have suffered moderate to severe acne are generally conscious of their appearance and it would be adding insult to injury for them to then experience greying of their permanent teeth following minocycline therapy. Before minocycline is prescribed it is important to evaluate whether the benefits outweigh the risks as the management of dental staining may be destructive, expensive and in the case of bleaching unpredictable, not forgetting the possible medicolegal considerations.

      CLICK HERE for subscription information about this journal.

      Table 1. Comparison Between Tetracycline-and Minocycline-Stained Teeth

      Tetracycline (parent drug) Minocycline hydrochloride (semisynthetic derivative)
      Colour of staining Bright yellow to brown/grey[12] Green/grey, blue/grey[3,13]
      Pattern Gingival margin or cervical third of crown[12] or band relating to duration and timing of drug administration Incisal edge and most intensely the middle third of crown[3,13]
      Severity Severe Less severe
      Fluorescence Yellow fluorescence None clinically[13] but will fluoresce in an acid medium
      Resolution with drug stoppage None Resolution rare in teeth[3]

      Pierard-Franchimont C, Goffin V, Arrese JE et al. Lymecycline and minocycline in inflammatory acne, a randomised, double-blind intent-to-treat study on clinical and in vivo antibacterial efficacy. Skin Pharmacol Appl Skin Physiol 2002; 15: 112-19.
      Hoefnagel JJ, Leeuwen RL, Mattie H, Bastiaens MT. Side effects of minocycline in the treatment of acne vulgaris. Ned Tijdschr Geneeskd 1997; 19(141): 1424-7.
      Poliak SC, DiGiovanna JJ, Gross EG et al. Minocycline-associated tooth discoloration in young adults. JAMA 1985; 254: 2930-2.
      Berger RS, Mandel EB, Hayes TJ, Grimwood RR. Minocycline staining of the oral cavity. J Am Acad Dermatol 1989; 21: 1300-1.
      Bowles WH, Bokmeyer TJ. Staining of adult teeth by minocycline: binding of minocycline by specific proteins. J Esthet Dent 1997; 9: 30-4.
      Gough A, Chapman S, Wagstaff K et al. Minocycline-induced autoimmune hepatitis and systemic lupus erythematosus-like syndrome. Br Med J 1996; 312: 169-72.
      Hubbell CG, Hobbs ER, Rist T, White JW Jr. Efficacy of minocycline compared with tetracycline in treatment of acne vulgaris. Arch Dermatol 1982; 118: 989-92.
      Rebora A. The management of rosacea. Am J Clin Dermatol 2002; 3: 489-96.
      Tilley BS, Alarcon GS, Heyse SP et al. Minocycline in rheumatoid arthritis. Ann Intern Med 1995; 122: 81-9.
      Seymour RA, Heasman PA. Pharmacologic control of periodontal disease. II. Antimicrobial agents. J Dent 1995; 23: 5-14.
      Westbury LW, Najera A. Minocycline-induced intraoral pharmacogenic pigmentation: case reports and review of the literature. J Periodontol 1997; 68: 84-91.
      Wallman IS, Hilton HB. Teeth pigmented by tetracycline. Lancet 1962; i: 827-9.
      Rosen T, Hoffman TJ. Minocycline-induced discoloration of the permanent teeth. J Am Acad Dermatol 1989; 21: 569.
      Bowles WH. Protection against minocycline pigment formation by ascorbic acid (vitamin C). J Esthet Dent 1998; 100: 182-6.
      Aktan S, Ozmen E, Sanli B. Anxiety, depression, and nature of acne vulgaris in adolescents. Int J Dermatol 2000; 39: 354-7.
      Ledoux WR, Malloy RB, Hurst RVV et al. Structural effects of bleaching on tetracycline-stained vital rat teeth. J Prosthet Dent 1985; 54: 55-9.
      Bernier C, Dreno B. Minocycline. Ann Dermatol Venereol 2001; 128: 627-37.
      Stein RH, Lebwohl M. Acne therapy: clinical pearls. Semin Cutan Med Surg 2001; 20: 184-9.
      Kelleher MGD, Roe FJC. The safety-in-use of 10% carbamide peroxide (Opalescence) for bleaching teeth under the supervision of a dentist. Br Dent J 1999; 187: 190-4.
      Reprint Address

      Correspondence: Melissa Good. E-mail:

      M.L. Good, D.L. Hussey

      Department of Restorative Dentistry, Royal Victoria Hospital, Belfast BT12 6BA, U.K.


  5. Guest

    Has anyone ever gotten over reiter’s syndrome or reactive arthritis completely?
    26 year old male.
    From my research, it takes 6-12 months for most people to achieve remission. It’s been about 14 months straight for me. I’ve tried to make it with no medications, betting on this being true. Now not feeling better, I’m searching and having trouble finding a story of someone who has gotten better.? In fact, the only two stories I have heard of anyone getting better is Daniel Johns from the band Silverchair and Pat Buchanan (R). Has anyone even achieved remission with medication? If so, what did or do you use?
    …Also HLA-B27 posotive.

    There needs to be more awareness about this and other autoimmune disorders, respectfully…

    Thank you

    1. inzanium

      Typically reiter’s syndrome/reactive arthritis should get better over time (within 1-2 years), and in fact if it doesn’t you need to see your doctor, as persistent arthritis may be a misdiagnosis for something else (like rheumatoid or seronegative arthritis).

      I’ve seen a few patients (young males mainly) who’ve done pretty well with no complications. Most did take an antiinflammatory for a couple months but afterwards seemed to settle down without it.

  6. Danielle

    How do you start an organization to raise awareness?
    I want to start and awareness group about rheumatoid arthritis. When i was 16 i was diagnosed with severe rheumatoid arthritis and sense than it has gotten worse. where i live there is no support groups or awareness groups. i would like to have the organization create money to help find a cure. I don’t know where to start. I would love to change someones life and help anyone that has to go through with what i go through no matter what age. Any suggestions would be helpful. This is really Important to me.

  7. easydoesit

    How do people train themselves to endure/reduce pain?
    My own theories of the intensity of pain are that it’s mostly mental awareness and perception of pain itself. For example, two guys, one about to saw through your arm, the other through your penis(lol) The pain you’d mostly likely concentrate on would be the pain below, the pain of your arm would feel insignificant, maybe completely ignored, because your obviously paying attention and fearing of losing your meatpole(:P).

    So my question is what psycological factors play a part in the amount of pain you’re feeling, what impact fear and past experience of pain have on the sensation.

    I’m just curious about this topic because pain is a vital warning from the body that something is wrong, the more lethal the sub-concious and the body perceive the pain, the more extreme it will feel, Is there anyway your concious self could learn to endure physical pain that would knock out another person? If so, how long,?

    This is only for personal understanding and third party perspective.


    1. gillianprowe

      You are correct. The brain is classed as a organ, but unlike the heart, liver, lungs, kidneys, the brain has no pain receptors, so therefore allows Neurosurgeons to operate on the Brain while the Patient is wide awake. Instead the brain perceives pain and we all know that perceptions can be deceptive. On the one hand we have a safety net due to feeling pain, but in other situations, when the system goes wrong, we end up living with pain 24/7! I have Rheumatoid Arthritis for almost 30 long years and have to live everyday with pain. On a scale of 1-10, it ticks over at 8, but I can handle it. An example, if you purchased a pair of shoes, one is size 6 and the other the correct size 7, well one foot is not going to be happy, sitting in a small shoe all day. So you will feel pain. However you have the option of returning the size 6 shoe and getting the pair, size 7. But if you succumb to Arthritis, you do not have that option, you cannot return or swap, you have it, if you like glued on, so how do you deal with it? Well I reckon you would probably limp, might decide not to put the foot to the ground, perhaps use a crutch or even a wheelchair, all because you have a size 6 shoe. However, given enough time, pain and inflammation, you will learn to live with a odd size shoe, honest! Reason, you have no choice, so you adapt and the body is excellent at adapting and improvising. Fear plays a large role in pain, because we fear dying and when in pain that you do not understand, you think your are dying. That is why they say ‘The BIG C or the small c’ rather than say ‘Cancer’ because that single word fills people with fear. Past experience, I broke my ankle once and that was pretty painful for about one week, especially if I had the leg rested up on a chair. Putting the leg on the floor, oh the pain! However, broken ankle compared to Arthritis, the later is more painful and extended pain. Arthritis compared to a prolapsed disc, the former is more prolonged pain, while a disc would be immedicate intense pain. I have just attended a Pain Management Course and they teach all kind of aspects to dealing with pain, from self-talk, distraction technique, to relaxation and these are the ‘mind games’ you can learn to distract the brain from the perception of pain. Laughing we produce happy chemicals which are normal pain killers, so you can self medicate just by laughing. So you can learn psychological factors to help you deal with the pain, but it takes time and effort, while popping a pain pill is so much easier and that is the real problem. We live in a Society of the quick fix. Hope that helps.

  8. sekhmet179

    Name the month and the celebration of that month Black history month?
    be it a celebration or awareness month
    and how the event is promoted

    Coled bands pink for cancer purple for rheumatoid arthritis etc
    thank you

  9. emily

    What is the most inspirational quote you know?
    I’m ordering an awareness ribbon charm for a necklace and i can engrave 130 characters for free on the back of the charm. I have rheumatoid arthritis and i would like to put a short inspirational quote. Thanks!

    1. Justlife10

      Tough times never last, but tough people do!
      Robert Schuller

      A challenge only becomes an obstacle when you bow to it.
      Ray Davis

      Never despair, keep pushing on!
      Sir Thomas Lipton

      “I can’t” isn’t a reason to give up, it’s a reason to try harder.

      Nothing is impossible to a willing heart.
      John Heywood

      It’s always too soon to quit.
      David T. Scoates

      If winter comes, can spring be far behind?
      Percy Bysshe Shelley

      Every day, in every way, I am getting better and better.
      Emile Coue

  10. adamshoney04

    someone who knows about Lupus?
    one doctore has said i have lupuse and the other doctor has said it coude doveple what would you do and what can do and can i die from it what it is someone help

    1. Drewy-D

      Systemic lupus erythematosus (SLE or lupus) is a chronic, potentially debilitating or fatal autoimmune disease in which the immune system attacks the body’s cells and tissue, resulting in inflammation and tissue damage. SLE can affect any part of the body, but often harms the heart, joints (rheumatological), skin, lungs, blood vessels and brain/nervous system. Lupus is treatable, mainly with immunosuppression, though there is currently no cure for it.

      The standard treatment, for decades, has been a limited group of drugs (primarily corticosteroids and chemotherapy drugs). Research into more modern treatments has recently begun and is accelerated by genetic discoveries, especially mapping of the human genome. SLE is known as “the great imitator”, as its symptoms often mimic other illnesses and because they come and go unpredictably. Diagnosis can be elusive, with patients sometimes suffering unexplained symptoms and untreated SLE for years. Increased awareness and education about lupus since the 1960s has helped many more patients get an accurate diagnosis and made it possible to estimate the number of people with lupus. Lupus was previously believed to be a rare disease. In the United States alone, an estimated 270,000 to 1.5 million people have lupus, making it more common than cystic fibrosis or cerebral palsy. The disease primarily affects young women, although men can be diagnosed with lupus. World-wide, a conservative estimate states that over 5 million people have lupus.

      SLE was called lupus (Latin for “wolf”), perhaps due to a crude similarity between the facial rash that some lupus patients develop, and a wolf’s face, although various explanations have been proposed.

      Common initial and chronic complaints are fever, malaise, joint pains, myalgias and fatigue. Because they are so often seen with other diseases, these signs and symptoms are not part of the diagnostic criteria for SLE. When occurring in conjunction with other signs and symptoms, however, they are considered suggestive.

      Dermatological manifestations
      As many as 30% of patients present with some dermatological symptoms (and 65% suffer such symptoms at some point), with 30% to 50% suffering from the classic malar rash (or butterfly) rash associated with the disease. Patients may present with discoid lupus (thick, red scaly patches on the skin). Alopecia, mouth, nasal, and vaginal ulcers, and lesions on the skin are also possible manifestations.
      Musculoskeletal manifestations
      Patients most often seek medical attention for joint pain, with small joints of the hand and wrist usually affected, although any joint is at risk. Unlike rheumatoid arthritis, SLE arthropathy is not usually destructive of bone, however, deformities caused by the disease may become irreversible in as many as 20% of patients.
      Hematological manifestations
      Anemia and iron deficiency may develop in as many as half of patients. Low platelet and white blood cell counts may be due to the disease or a side-effect of pharmacological treatment. Patients may have an association with antiphospholipid antibody syndrome (a thrombotic disorder) where autoantibodies to phospholipids are present in the patient’s serum. Abnormalities associated with antiphospholipid antibody syndrome include a paradoxical prolonged PTT (which usually occurs in hemorrhagic disorders) and a positive test for antiphospholipid antibodies, the combination of such findings have earned the term “lupus anticoagulant positive”. Another autoantibody finding in lupus is the anticardiolipin antibody which can cause a false positive test for syphillis.
      Cardiac manifestations
      Patients may present with inflammation of various parts of the heart: pericarditis, myocarditis and endocarditis. The endocarditis of SLE is characteristically non-infective (Libman-Sacks endocarditis), and involves either the mitral valve or the tricuspid valve. Atherosclerosis also tends to occur more often and advance more rapidly in SLE patients than in the general population. (Asanuma et al 2003, Bevra 2003, Roman et al 2003).
      Pulmonary manifestations
      Lung and plura inflammation can cause pleuritis, pleural effusion, lupus pneumonitis, chronic diffuse interstitial lung disease, pulmonary hypertension, pulmonary emboli, pulmonary hemorrhage.
      Renal involvement
      Painless hematuria or proteinuria may often be the only presenting renal symptom. Acute or chronic renal impairment may develop with lupus nephritis, leading to acute or end stage renal failure. Because of early recognition and management of SLE, end stage renal failure occurs in less than 5% of patients.
      Histologically, a hallmark of SLE is membranous glomerulonephritis with “wire loop” abnormalities. This finding is due to immune complex deposition along the glomerular basement membrane leading to a typical granular appearance in immunofluorescence testing.
      Neurological manifestations
      About 10% of patients may present with seizures or psychosis. A third may test positive for abnormalities in the cerebrospinal fluid.
      T-cell abnormalities
      Abnormalities in T cell signaling are associated with SLE, including deficiency in CD45 {phosphatase, increased expression of CD40 ligand.
      Also associated with SLE is increased expression of FcεRIγ, which replaces the TCR ζ chain, which is deficient in some SLE patients.
      Other abnormalities include:
      increased and sustained calcium levels in T cells
      moderate increase of inositol triphosphate
      reduction in PKC phosphorylation
      reduction in Ras-MAP kinase signalling
      And deficiencies in:
      protein kinase A I activity

      SLE is a chronic disease with no cure. There are, however, some medications, such as corticosteroids and immunosuppressants which can control the disease and prevent flares. Flares are typically treated with steroids, with DMARDs (disease-modifying antirheumatic drugs) to suppress the disease process, reduce steroid needs and prevent flares. DMARDs commonly in use are the antimalarials (e.g. hydroxychloroquine or methotrexate) and azathioprine. Cyclophosphamide is used for severe nephritis or other organ-damaging complications.

      Patients who require steroids frequently may develop obesity, diabetes and osteoporosis. Hence, steroids are avoided where possible.

      Measures such as avoiding sunlight (to prevent problems due to photosensitivity) may also have some effect.

    1. Pauline

      There’s increasing awareness of the important part vitamin D plays in maintaining good health and the preventing certain types of chronic disease. Recent studies have shown that vitamin D may play a role in the prevention of such diseases as osteoporosis, hypertension, diabetes, multiple sclerosis, rheumatoid arthritis, and even certain types of cancer. Despite this knowledge, many Americans, particularly the elderly, are getting inadequate levels of this important vitamin. This isn’t surprising considering the best source of natural vitamin D is the sun. With the awareness of the role the sun plays in skin cancers and aging, more people are choosing to wear a sunscreen when they spend time outdoors. This has created a generation of Americans deficient in this important vitamin. Unfortunately, it can be difficult to compensate for a lack of vitamin D with diet. There are few foods that are high in vitamin D with the exception of fatty fish such as salmon and vitamin D fortified foods such as milk and eggs. Because of this, more experts are recommending the use of vitamin D supplements.

      Types of Vitamin D:

      There are two primary types of vitamin D. These are vitamin D2, known as ergocalciferol, and D3, or cholecalciferol. Vitamin D2 is made by invertebrate species and plants when they’re exposed to direct sunlight. Vitamin D3 is made from precursors found on the skin surface of vertebrates, including humans, when sun strikes the skin’s surface. It takes at least ten minutes of exposure to sunlight several days per week to produce enough Vitamin D3 to meet recommended requirements. Although both types of vitamin D are present in the blood, studies suggest that the D3 or cholecalciferol form is the more beneficial form in terms of human health.

  11. mcschmakkin

    i am looking for a specialist who knows anything about gravatational leg ulcers and how to treat them?
    i have 2 gravtational ulcers on my left ankle. i have a history of dvt’s in both legs and have seen many dr’s regarding this problem. i am looking for help in regards to a specialist who can treat and or heal these for me. i have extreme amount of pain with these ulcers and have no quality of life what so ever.i am 36. and male.

    1. zass0119

      Leg ulcers
      What are leg ulcers?
      Leg ulcers skin loss on the leg or foot due to any cause. They occur in association with a range of disease processes, most commonly with blood circulation diseases. Leg ulcers may be acute or chronic. Acute ulcers are sometimes defined as those that follow the normal phases of healing; they are expected to show signs of healing in less than 4 weeks and include traumatic and postoperative wounds. Chronic ulcers are those that persist for longer than 4 weeks and are often of complex poorly understood origin.

      Ulcers may be provoked by injury or pressure such as from a plaster cast or ill-fitting ski boot. They may also be caused by bacterial infection, especially impetigo, ecthyma and cellulitis and less often tuberculosis or leprosy.

      Chronic leg ulceration affects about 1% of the middle-aged and elderly population. It most commonly occurs after a minor injury in association with:

      Chronic venous insufficiency (45-80%)
      Chronic arterial insufficiency (5-20%)
      Diabetes (15-25%)
      Chronic leg ulcers may also be due to skin cancer, which may be diagnosed by a skin biopsy of the edge of a suspicious lesion. There are also many less common causes of ulcers including systemic diseases such as systemic sclerosis, vasculitis and various skin conditions especially pyoderma gangrenosum.

      What causes leg ulcers?
      Venous insufficiency refers to improper functioning of the one-way valves in the veins. Veins drain blood from the feet and lower legs uphill to the heart. Two mechanisms assist this uphill flow, the calf muscle pump which pushes blood towards the heart during exercise, and the one-way valves which prevent the flow of blood back downhill. Faulty valves and impaired calf pumping action result in pooling of blood around the lower part of the leg to just below the ankle. The increased venous pressure causes fibrin deposits around the capillaries, which then act as a barrier to the flow of oxygen and nutrients to muscle and skin tissue. The death of tissue cells leads to the ulceration.

      Arterial insufficiency refers to poor blood circulation to the lower leg and foot and is most often due to atherosclerosis. In atherosclerosis the arteries become narrowed from deposits of fatty substances in the arterial vessel walls, often due to high levels of circulating cholesterol and aggravated by smoking and high blood pressure (hypertension). The arteries fail to deliver oxygen and nutrients to the leg and foot resulting in tissue breakdown.

      Diabetic ulcers are caused by the combination of arterial blockage and nerve damage. Although diabetic ulcers may occur on other parts of the body they are more common on the foot. The nerve damage or sensory neuropathy reduces awareness of pressure, heat or injury. Rubbing and pressure on the foot goes unnoticed and causes damage to the skin and subsequent ‘neuropathic’ ulceration.

      Who is at risk of leg ulcers?
      Certain conditions have been linked with the development of venous and arterial leg ulcers.

      Venous ulcers Arterial ulcers
      Varicose veins
      History of leg swelling
      History of blood clots, e.g. deep vein thrombosis (DVT)
      Sitting or standing for long periods
      High blood pressure
      Multiple pregnancies
      Previous surgery
      Fractures or injuries
      Increasing age and immobility
      High blood fat/cholesterol
      High blood pressure
      Renal failure
      Rheumatoid arthritis
      Clotting and circulation disorders
      History of heart disease, cerebrovascular disease or peripheral vascular disease

      Diabetic ulcers are more likely if diabetes is not well controlled by diet and/or medication. Ulcers are also more likely if there is poor care of the feet, badly fitting shoes and continued smoking.

      What are the signs and symptoms of leg ulcers?
      The features of venous and arterial ulcers differ somewhat.

      Characteristics of venous ulcers:

      Located below the knee, most often on the inner part of the ankles.
      Relatively painless unless infected.
      Associated with aching, swollen lower legs that feel more comfortable when elevated.
      Surrounded by mottled brown or black staining and/or dry, itchy and reddened skin (gravitational or venous eczema).

      Venous ulcers

      Characteristics of arterial ulcers:

      Usually found on the feet, heels or toes.
      Frequently painful, particularly at night in bed or when the legs are at rest and elevated. This pain is relieved when the legs are lowered with feet on the floor as gravity causes more blood to flow into the legs.
      The borders of the ulcer appear as though they have been ‘punched out’.
      Associated with cold white or bluish, shiny feet.
      There may be cramp-like pains in the legs when walking, known as intermittent claudication, as the leg muscles do not receive enough oxygenated blood to function properly. Rest will relieve this pain.

      Diabetic ulcer
      Neuropathic ulcer
      (Spina bifida)
      Traumatic ulcers (paraplegic)

      Diabetic ulcers have similar characteristics to arterial ulcers but are more notably located over pressure points such as heels, tips of toes, between toes or anywhere the bones may protrude and rub against bedsheets, socks or shoes. In response to pressure, the skin increases in thickness (callus) but with a minor injury breaks down and ulcerates.

      Infected ulcers characteristically have yellow surface crust or green/yellow pus and they may smell unpleasant. There may be surrounding tender redness, warmth and swelling (cellulitis).

      What is the treatment for leg ulcers?
      Where possible, treatment aims to reverse the factors that have caused the ulcer. As ulcers are often the result of both arterial and venous disease, careful assessment is needed first.

      Venous leg ulcers, in the absence of arterial disease, are usually treated with exercise, elevation at rest, and compression. Compression must not be used if there is significant arterial disease, as it will aggravate an inadequate blood supply. Varicose vein treatment may also help.

      A vascular surgeon should assess patients with arterial leg ulcers as they may require surgery to relieve the narrowing of the arteries.

      It is also very important to treat underlying diseases such as diabetes and to stop smoking.

      Cleaning the wound
      No matter what the cause of the ulcer, meticulous skin care, and cleansing of the wound are essential. The removal of surface contamination and dead tissue is known as debridement. Surgical debridement or medical debridement using wet and dry dressings and ointments may be used. Maggots and larval therapy are occasionally recommended. Debridement converts the chronic wound into an acute wound so that it can progress through the normal stages of healing.

      Treating infection
      Antibiotics are not necessary unless there is tissue infection. This is likely if the ulcer becomes more painful and/or the surrounding skin becomes red, hot or swollen (cellulitis). Cellulitis may also result in fever and sickness. It should be treated with oral antibiotics such as flucloxacillin – the choice will depend on the causative organism. Topical antibiotics are best avoided because their use may result in increased antibiotic resistance and allergy.

      Wound dressings
      There is a whole range of specialised dressings available to assist with the various stages of wound healing. These are classified as non-absorbent, absorbent, debriding, self-adhering and other. Consult an expert in wound healing to determine the most suitable; this will depend on the site and type of ulcer, personal preference and cost.

      Dressings are usually occlusive as ulcers heal better in a moist environment. If the ulcer is clean and dry, occlusive dressings are usually changed weekly; more frequent changes are avoided as dressing changes remove healthy cells as well as debris. Contaminated or weeping wounds may require more frequent dressing changes, sometimes every few hours. Honey dressings can be helpful.

      Accelerate wound healing
      Wound healing requires adequate protein, iron, vitamin C and zinc. Supplements may be prescribed if they are deficient in the diet.

      New products to aid wound healing are available but require further research to determine their effectiveness. These include:

      Growth factors and cytokines
      Hyperbaric oxygen to increase tissue oxygen tension
      Skin graft substitutes
      Connective tissue matrix
      Expanded epidermis
      Epidermal stem cells
      V.A.C. (vacuum assisted closure) device
      In some patients, the ulcers fail to heal by themselves and require plastic surgery. The procedure typically involves taking skin from elsewhere on the patient’s body and placing it over the ulcer (skin grafting). Despite this procedure, it is not uncommon for the ulcer to recur.

      Compression therapy
      Compression therapy is an important part of the management of venous leg ulcers and chronic swelling of the lower leg. Compression therapy is achieved by using a stocking or bandage that is wrapped from the toes or foot to the area below the knee. This externally created pressure on the leg helps to heal the ulcer by increasing the calf muscle pump action and reduce swelling in the leg.

      Several options are available to achieve compression:

      Several layers of bandage (3 or 4-layer bandage compression system)
      Shaped tubular bandage
      Elastic graduated compression hosiery (stockings)
      Unna boot (gauze bandage impregnated with zinc oxide)
      Can leg ulcers be prevented?
      To prevent leg ulcers and to promote healing of ulcers:

      Be very careful not to injure your legs, particularly when pushing a supermarket trolley. Consider protective shin splints.
      Walk and exercise for at least an hour a day to keep the calf muscle pump working properly.
      Lose weight if you are overweight.
      Stop smoking.
      Check your feet and legs regularly. Look for cracks, sores or changes in colour. Moisturise after bathing.
      Wear comfortable well-fitting shoes and socks. Avoid socks with a tight garter or cuff. Check the inside of shoes for small stones or rough patches before you put them on.
      If you have to stand for more than a few minutes, try to vary your stance as much as possible.
      When sitting, wriggle your toes, move your feet up and down and take frequent walks.
      Avoid sitting with your legs crossed. Put your feet up on a padded stool to reduce swelling.
      Avoid extremes of temperature such as hot baths or sitting close to a heater. Keep cold feet warm with socks and slippers.
      Consult a chiropodist or podiatrist to remove callus or hard skin.
      Wear support stockings (compression hosiery) if your doctor has advised these.

  12. Nog

    Multiple scerosis phobia?
    This may sound silly, but I read a small article about M.S recently and since then I seem to have developed a crippling fear of it including waking up in the middle of the night shaking. Advice?!

    1. gillianprowe

      Do not panic! I have Rheumatoid Arthritis and at 34 was admitted to the Rheumatology Ward, where I was surrounded by elderly Patients, all had Arthritis. I was thinking: this is my future, look around and see your future! They were 60, 70, years of age with grandchildren and I was 34! PANIC! Glad to report now 49, my hands are still mobile, I am still mobile and I doubt I will end up as ‘bad’ as those people I saw, because Medicine has moved on. So while reading about MS, you must always take into account how the Article has been ‘spun’. For example, would they write about a very mild case of MS? Or would they want to write about the worst case scenario? The later, because that way it raises awareness. However I have friends with MS, who according to what I have read should be long dead, but they are very much still alive and kicking! I once met a female who told me she had BENIGN MS? No I had never heard of it before! Seems BENIGN MS cannot be diagnosed until after you die, but she was alive? Benign MS means you have one attack and never have another one, hence not being diagnosed until after you die. If you have another attack, well it is not benign, it is relapsing and remitting. So you can have MS, but the attacks could be 20 years apart. Good Luck

  13. Anonymous

    What is wrong with me?
    For a while now, I have been suffering with various symptoms. In frustration, I have visited my primary physician several times and each time have left with no answer for what is causing what I have been feeling. Even several blood tests later, we seem no closer to an answer. I was wondering if anyone here could give me an idea of what is wrong.

    My symptoms:
    General stiffness/tightness and muscle aches upon waking concentrated heavily in the joint of the limbs.
    Heavy, swollen feeling (but not physically swollen) and (sometimes) numb feeling in limbs (forearms and legs) upon waking that lasts 15min-1hr after waking.
    Brain fog: I have been having cognitive difficulties (i.e. diffficulty concentrating, lack of focus, forgetfulness, lack of spatial awareness, inability to think clearly), feeling like I am not truly present in all situations, lack of motivation and overall indifference.
    Tension headaches.
    Consistently fatigued and tired no matter how much or little sleep I have.
    Lack of flexibility.
    Weeziness exaserbated after waking (I am a nose-breather with no serious history of asthma)

    I have had tests done for Rheumatoid Arthritis etc. My blood work showed nothing abnormal except for a higher than normal white blood cell count which would imply my body fighting off infection. I havent had a cold or the flu in a very long time. My doctor brought up the possibility of depression, but I don’t feel depressed (psychologically). My father has had a history of chemical depression. But I am quick to rule it out.

    I am an 18 year old female.

    In advance, thank you very much. I truly appreciate any insight you can give me. Please.
    Hydration: I think a lot of water everyday. At least six glasses of water.
    Exercise has been minimal because of my fatigue 🙁

  14. Lexii

    My mother has rheumatoid arthritis and i want an awareness bracelet for it.?
    i don’t want one of those fancy ones though; i want one like the “I heart boobies” rubber bracelets.


  15. Sassmasta from Doncasta

    I’m writing a story about a sick girl?
    I can’t really think of a disease, it would have to be a fairly serious disease.

    1. Verge

      It all depends on whether A: the disease is meant to be fatal, B: if the disease is meant to be physical or mental, C: if the disease is meant to be genetic (she might unreasonably blame her parents in the course of the story), D: if the disease is non-fatal, but painful and chronic. E: How rare it’s meant to be.

      A: Forms of cancer, heart disease, HIV etc.

      B: If it’s mental, then depression, bipolar disorder, schizophrenia come into mind. Autism awareness needs to be raised, but generally it’s easier writing the story from the perspective of the carer and sufferer’s interaction (it’s very hard to write an autism sufferer well, you’d need to do a lot of research).

      C: Genetically linked illnesses are fairly common. Haemophilia, certain diseases of the heart and lung, certain bone diseases. Wiki will have a helpful list.

      D: Chronic and painful diseases include ones like: rheumatoid arthritis (more common in older people, but does exist in the youth population), lupus and acute psoriasis.

      E: Rarity… too many people play on all-too-rare diseases, making their character more of a victim than they need to be. Playing the tragedy and victimhood card is rather over-done and people get quickly sick of a character that thinks the world owes them because they are ill.

  16. Chromium

    Will avascular necrosis stop from continue to progress now that i stopped steroids ?
    I have developed AVN of the femular head or hips due to steroids and my doctors told me that the damage have been done and couldn’t be reversed but it will stop from progressing anymore since it’s caused by the steroids but nowhere on the Internet says that it will stop once the steroids are stopped. Is this true or the doctors are not telling me the truth ?

    1. Durable Med

      I am not impressed with the way some of the medical elements are managed. For example, people frequently have an immune dysfunction, and instead of dealing with why it’s having trouble, high dose steroids are used to stop the immune system. And it works, in a shortsighted fashion.
      For example, rheumatoid arthritis, or any number of other areas where steroids are frequently used. And now that the AVN is being an issue, the steroids are ceased. and that MIGHT let the AVN diminish, or maybe not. I wouldn’t be surprise if it got worse, because your previously misdirected immune system got stopped from its causing you damage, and the removal of the steroids may well allow a continuation of that misguided activity.
      You don’t know me, you don’t have any awareness of anything about me. Just that I am going to suggest that your immune system is not likely to be getting adequate physiologic signaling about what’s supposed to be there, and what’s not. So it may well have started attacking your body, instead of waiting for a cancer to come along. And thus, you got started on the steroids. And it could be that in the time your immune system was being given inadequate direction, it may have attacked your hip with Tissue Necrosis Factor that should have been reserved for cancerous growths.

      So far, I’ve not told you anything, I’m just strolling along the path of reminding you that if your immune system doesn’t get the right signals, it can start attacking its host instead of a cancerous invader.

      But how do I suggest, unknown that I am, that maybe your medical process needs to take a different direction?

      I’ll do it by telling a story. There is a drug, that can cause your endorphins to be brought way up in quantity. And those endorphins are what the immune system uses as a marker of what’s supposed to be there, what’s not.

      The drug is given at bed time, and it causes the existing endorphins to no longer be apparent to the body. And about 2 or 3 in the morning, the body checks its endorphin level, finds them to be at zero, and brings up the level to as much as 5 times what would have been there. So narcotics addicts and alcoholics wake up without the need for their “fix”. And the immune system can recognize that it is not supposed to be attacking the body.

      Sound far-fetched? Take an auto-immune dysfunction. Crohn’s would do nicely. With the bedtime drug, in a double-blind study, there was full remission in 67% of the participants, and over 80% total had improvement. Not bad for something that has poor management options. How about MS. The worst kind. Study shows major improvement.

      I’m not going to go into all the details, except to suggest that you become fully familiar with the medication at bedtime. Oh, and that the protocol will never be approved, because it’s less than a tenth of the amount of an approved drug, which went generic over a decade ago. So it’s “off-label”.

      It’s up to you to decide whether to check out the websites or not. But they also apply to cancer issues. Body doesn’t get the right signals, doesn’t go after the cancer. Sound too good to be true? Go to the last website first.

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