Rheumatoid arthritis - any experience?

[Ian H]

Often it is a mix.

I presume you mean you can suffer from both.

 

[steveindenmark]

Stop looking at google.

Last week I had constipation. I looked at google for what causes it. There was a list of 100 causes. Tumor causing a blockage was what jumped out at me. Not lack of water or lack of fibre. But I knew I had a tumor causing a blockage.

So after the doctor had their finger stuck up my bum and I got the ok. I went home to prepare for my funeral.

A couple of days later of hydrating myself and eating prunes and oats. I may need to go back to the doctor to find how to stop shxtting myself, before I disappear.

Self diagnosis is a natural thing. But a big mistake.

 

[kingrollo]

I would suggest discussing "compatible with blood thinners" with your GP/consultant (whoever prescribed them). Clearly different blood thinners have different interactions but my Mum was on blood thinners for many years and took a fair number of supplements for arthritis.Might be some could be OK or some supplements would help different blood thinners might be fine.But only the prescriber would know and in the context of other conditions.

Not really. Each drug comes with a freely available list on contraindications - this will guide what the GP says.

 

[kingrollo]

Just for the GP is in the loop. And I have an appointment to discuss the blood test results.

 

[Webbo2]

Not really. Each drug comes with a freely available list on contraindications - this will guide what the GP says.

Having sat in ward rounds where the pharmacist had to point the contraindications out to different consultants on more than one occasion. I wouldn’t be too sure on that.

 

[T4tomo]

Do get Vit D checked. It's often overlooked - I paid for mine after breaking my pelvis. Came in at 17 n/mol, normal range is 50-200 n/mol - very deficient.

I'm outside a lot, but only 'sun expose' arms, legs face - it's not enough even though I'm usually 'tanned' by end of April each year.

Magnesium supplements are also useful.

Interesting, I suffer a bit in my big toe and thumb joints, particularly after playing hockey, when they are visibly swollen. I might try a Mag and Vit D supplement.

 

[kingrollo]

Having sat in ward rounds where the pharmacist had to point the contraindications out to different consultants on more than one occasion. I wouldn’t be too sure on that.

All drugs are prescribed electronically in the uk.- any contraindications are flagged to the prescribing clinician - it won't get to pharmacy unless the clinician overrides these contraindications.

In any case I believe we were talking about tumeric supplements - which aren't a drug prescribed in the UK. So it's down to yourself or the GP to be in the loop with such DIY supplementation.

In any case why would a pharmacist be on a routine ward round ?

 

[Webbo2]

Pharmacists attendEd the ward rounds in the Mental Health trust where I worked because I think there had been near misses with junior doctors prescribing. So they reviewed all the med cards to check for contra indications, patients being prescribed over safe limits and generally ensure safe prescribing.
In my time with locum doctors of all grades and ages some needed to reminded there were more modern safer drugs than what they were prescribing.

 

[tom73]

All drugs are prescribed electronically in the uk.- any contraindications are flagged to the prescribing clinician - it won't get to pharmacy unless the clinician overrides these contraindications.

In any case I believe we were talking about tumeric supplements - which aren't a drug prescribed in the UK. So it's down to yourself or the GP to be in the loop with such DIY supplementation.

In any case why would a pharmacist be on a routine ward round ?

They do yes , it's one of a number of things medical and none medical prescribers think though when prescribing. Which patients never see or think about. A lot more to issues a script than just writing on a FP10.

Pharmacists attendEd the ward rounds in the Mental Health trust where I worked because I think there had been near misses with junior doctors prescribing. So they reviewed all the med cards to check for contra indications, patients being prescribed over safe limits and generally ensure safe prescribing.
In my time with locum doctors of all grades and ages some needed to reminded there were more modern safer drugs than what they were prescribing.

Bit out dated now junior doctors are now called resident doctors for good reason. If you think Dr's are bad wait till you see pharmacists playing at being a Dr via pharmacy first. The dross my wife see every day send via it is bonkers it wastes so much of her time.