Discover and read the best of Twitter Threads about #arthritis

Most recents (16)

CROONICLE: Guide on the Economy of Pasco County, Florida croonicle.com/2022/01/guide-… #pascoFL #Tampa
CROONICLE: How to Make Your Hotel and Hospitality Business Mo... croonicle.com/2022/01/how-to… #hospitality #hotel
CROONICLE: How to Become a Director of Yield Management in th... croonicle.com/2022/01/how-to… #hotel #revenuemanagement
Read 21 tweets
1/ Just listened to @BBCWomansHour talking to ‘Carla & Brendan’ about living with #Fibromyalgia (find it at 35.25) thanks @fmauk for flagging, this is where I started & gradually more & more drugs were added until I was unrecognisable, 25 stone
bbc.co.uk/sounds/play/m0…
2/ and living in my armchair, I never went out except for medical appointments & my wife @Trewern_K became my full-time carer which she did not begrudge for a second but it did limit her life too! The cocktail of drugs meant I couldn’t stay awake during the day, was awake at
3/ night & dozed off during video calls with my grandson 🥲 I was in crippling amounts of pain despite being on an EMD morphine dose of 320mg a day! We are all different but I believe coming off #opioids (UNDER MEDICAL SUPERVISION) literally saved my life!
Read 8 tweets
Heads up to followers on twitter, will be virtually attending the #ESASRBANZBMS conference this week (21-24th Nov) so expect a bunch of tweets with a particularly heavy science bend. Disclaimer: this is by no means an extensive coverage & usually includes personal reflections. /1
So before continuing, I will try to...
- keep everything here in this thread
- share what I snippets I can
- add a number to keep tweets in some order
- respond where possible (but am also engaging in the conference spaces)
- link to papers when I can /2
Now a bunch of # in case relevant to these folks: #MedTwitter #Science #anzbms #biology #pharmatwitter #ortho #rheum #immunology
#arthritis #pathology #physicaltherapy
#pt #MSKRad #OccupationalTherapy
#physiotherapy

Anyone is most welcome to add relevant tags :D /3
Read 35 tweets
Weekend Digest

Name the Pathogen

5 Clues:

- #Chitlins
- #Iron sepsis
- Mesenteric #adenitis
- Reactive #arthritis
- Terminal #ileitis Image
2/
#Yersinia enterocolitica

It is #zoonotic and is acquired by exposure to contaminated food.

When #IDBR says #chitlins (#chitterlings), you say Y. enterocolitica

Chitlins are food made of pork intestines (where Y enterocolitica resides)

ncbi.nlm.nih.gov/pmc/articles/P…
3/
#Yersinia enterocolitica

Enterobacteriaceae #GNB that causes #enterocolitis, diarrhea (often bloody), terminal #ileitis, mesenteric #adenitis, and RLQ pain that may be mistaken as #appendicitis (#pseudoappendicitis)
Read 6 tweets
1) World With Complex Regional Pain Syndrome
(CRPS) As My Constant Companion

I live in a world with Complex Regional Pain Syndrome (CRPS) as my constant companion. Physicians don’t know why it develops, but #CRPS is a nerve disorder that
2)usually occurs after a traumatic injury, surgery, sprain, fracture, infection or a period of immobilization. CRPS/RSD is said to be the most painful chronic disease that’s known today. On the McGill #Pain Index it (Causalgia) scores 42 out of 50.
3)How does that compare to other types of pain and/or chronic pain conditions? #Arthritis pain is ranked about 18, Non-terminal Cancer pain at 24 and Chronic Back Pain is at 26. Natural labor and delivery of a 1st child is about 35. With a score of 40, the pain associated
Read 31 tweets
THREAD: Trama-DO or Trama-DON'T?
What to know about #tramadol

1/7 Tramadol has multiple mechanisms of action:
- via serotonin & norepinephrine reuptake inhibition
- after metabolism to M1 metabolite, via opioid agonism

bit.ly/3t5o7jC #chronicpain #arthritis #MedEd
2/7 People metabolize #tramadol variably 🤔💊

- Some who are ‘ultra rapid’ produce more M1 (opioid);
- Some ‘poor’ metabolizers (~20% with inactive CYP2D6) may have more SSRI/SNRI-like effect

Thus, analgesic & adverse effects are unpredictable
ncbi.nlm.nih.gov/books/NBK315950 #MedEd
3/7 Tramadol, once called a ‘safer’ opioid, causes tolerance and withdrawal, and is associated with addiction, overdose, and death

Observational studies show people treated with #tramadol, vs other opioids, are ↗️ likely to engage in prolonged opiate use #chronicpain #arthritis
Read 8 tweets
Thank you to @BethDarnall for speaking at #Minnesota @MinnesotaDHS #Opioid Work Group mtg on Thursday: Spoke of importance of #patientcenteredcare, #patientconsent necessary if taper & strongly advised AGAINST force tapers & using pre-determined MME'S. #ChronicPain #NoOneSize
MN #opioid Work Group created Taper Guidance. It will be out 4 public comment soon. Some areas extremely problematic. Although it states NOT 2 taper solely 2 meet system or state policy; MN Quality Improvement requires Drs 2 meet MME thresholds = TAPER TO MEET STATE POLICY. 🤔
If #ChronicPain pt wants 2 try 2 taper from #opioid analgesics 4 any reason & CONSENTS, there needs 2 be safe way 2 do it. Problem throughout U.S, incl #Minnesota; is non-consensual tapering. Many experts, incl #addiction specialists, stress dangers & even state it's UNETHICAL.
Read 11 tweets
@KylenH @bennessb Yes, I think so. I don’t have the super-soft/delicate/stretchy skin of EDS classic type,, & although I do get atopic dermatitis it seems to be different to the irritation & peeling skin I get from tape. I also get a particular (&, I think, related) skin reaction to anything that
@KylenH @bennessb rubs, including my otherwise-awesome thumb splints. Alsoalso very prone to skin tags in high-friction areas, fwiw. I don’t seem to have full-on #MCAS on anything, but I do wonder if #MastCellsGoneWild could be implicated somehow,
@KylenH @bennessb esp given my recent experiences of simultaneous #multisystemic #autoimmune #chronicillness affecting GI system (#IBD: #crohns but also #GORD), skin (#PyoG), joints (#AnkSpond/#spondylarthropathy/ seronegative #arthritis) & prob aspects of the respiratory system
Read 9 tweets
My @dogs4EU, like all of us are getting old. They need medicines for debilitating conditions of old age. #arthritis #Pain #epilepsy drugs. Yesterday, I found that my vet couldn’t find my Bonnie’s medicine. Eventually, found a new supplier which cost me £15 more. #AnimalWelfare
My @dogs4EU are my family. @SODEMAction @No10Vigil @wooferendum knows them. They were by my side. Now they are frail, I won’t let them suffer. But what if medicines run out? Are pet owners and farmers aware that #NoDealMeansNoMeds due to customs delays. #Brexit raised cost.
How many pets will suffer, be abandoned or even put to sleep as owners can’t/won’t buy their life saving medicines? My vet is very upset. Double whammy of #COVID__19 and No Deal will cause millions of #animals to die! Avoidable deaths of innocents! @DogsTrust is aware. Are you???
Read 4 tweets
Patients with autoimmune diseases, such as #lupus and #RheumatoidArthritis, are having trouble filling their prescriptions since Trump touted their medicine as an experimental treatment for #Covid19. /thread news-journalonline.com/news/20200405/…
“The hasty and inappropriate interpretation of the literature by public leaders has potential to do serious harm" write 2 rheumatology experts in the Annals of Internal Medicine. annals.org/aim/fullarticl…
FL pharmacists report "nearly all of the new prescriptions for #hydroxychloroquine are being issued for the prescribing practitioners themselves or family members of the prescribing practitioners." Some drs are prescribing it to healthy people as a #Covid19 preventative.
Read 12 tweets
Donald J. Trump's misinformation campaign contd in today's presser, jeopardizing lives in the process. I wish I had counted how many times he recklessly played Dr. today, prescribing Rx cocktails for people against COVID-19, asking "What do you have to lose?" Really? Their lives!
Further, many of those living with #Lupus are already struggling to access the meds they need to remain healthy & alive due to reckless guidance he previously offered. Can someone please mute his mic or just limit the Q&A to Fauci? This is criminal, all of it!
Those with rheumatoid #arthritis too. The last time Trump asked the American people, Black folx in particular, "What do you have to lose?" We know how that went. We are living the dire & draconian answer by the hour.
Read 6 tweets
Our foundation needs your input. I am writing about Microdrop's "imaware" home #celiac test and #rheumatoid #arthritis tests. Reply, DM or send an email to me at jiscol@celiaccommunity with your experience. Your name will not be published without your permission. RTs helpful. Image
We would like to hear about your Microdrop @imaware_health #celiac or #rheumatoid #arthritis test experience, positive or negative, whether adults or children were tested, whether you acted on the results, whether you looked into it and haven't purchased one, etc.
If you used an @imaware_health home #celiac or #rheumatoid #arthritis test in LATE APRIL, MAY or JUNE, we have an extra interest in hearing from you.

If you are an influencer paid to promote the company or received a free test, please disclose.

Qs are welcome - thanks!
Read 4 tweets
OK #hospmed19, I had told myself I wasn't going to make another #tweetorial until next week to give myself a break, but I can't help but be motivated by all the amazing #tweeps at this meeting. Long story short, here's a #medthread on #PSORIASIS!

#MedEd #FOAMed PC:@dermnetnz
1/
More and more, we are recognizing psoriasis to be a systemic disease. Aside from the psoriatic #arthritis we all know and love, there is more convincing evidence that psoriasis is linked with #cardiovascular disease and risk. As such, #multidisciplinary care is important!

2/
There are many different variants of psoriasis. The most classic is plaque psoriasis, described commonly as "salmon colored plaques with micaceous scale."

Q: Ever notice how psoriasis doesn't really get impetiginized/superinfected but eczema does? Why do you think that is?

3/
Read 17 tweets
5 Life-Enhancing Benefits of Strength Training for Adults Over 55 🏋🏽‍♀️

Strength training and regular aerobic activity help prevent many chronic and degenerative diseases related to #aging.

Here are 5 #health benefits that strength training can provide to older adults...

1/7 Image
1. Stronger Muscles

Stronger muscles protect the joints of the body. Muscle weakness can cause the hips, spine, and shoulder to be less stable and more prone to injury.

A stronger body can withstand the #stress of daily activities.

#strengthtraining
2. Chronic Pain Relief

Many #chronicpain issues are a result of muscle weakness and muscle imbalances.

Strength exercises can correct these imbalances to restore the function and integrity of the joints.
Read 7 tweets
I had another life-threatening heart/lung episode today.
I'm not sure how much of it had to do with my cutting my heart meds back to once a day while appealing the increased price by my health insurance from $120 for 60 pills to $1k for 60 pills.
We had to call 9/11.
Scary.
1/
I couldn't afford to go to the hospital--when you call 9/11 the city charges you $1,200 for the trip to nearest hospital.
They only accept cash.
The EMTs checked me out, told me to take the heart meds the way they were prescribed, established I wasn't in VFib, just SVT AFib.
2/
So all day, instead of doing work that needs to be done, I have been trying to get my heart rate under 140, which given my lung meds increase my heart rate, has been more work: breathing exercises my PT taught me, single nostril breathing @HillaryClinton taught me (try it).
3/
Read 19 tweets

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