Rheumatoid Arthritis Treatment

My neice has Lupus Erythematosus and Fibromyalgia. She is always in severe and I do mean severe pain. She had been seen by a certified nurse practitioner and then began seeing a new physician and always had a Rheumatologist. Because she felt as if she wasn’t getting along with the CNP, she sought out a new physician. She visited the new physician 4 times, got her medications and had just sent a letter to the CNP to inform her that she no longer wanted to be a patient. The CNP however beat her to the punch. She received a termination letter from the CNP basically letting her go in 30 days because of communication breakdown and narcotics abuse. Now, from what my neice told me, she informed the new primary of her previously seeing a CNP and that she was not satisfied. However, you know how it is when you visit a physician. You all might mesh and you might not. At any rate, she had refills on prescriptions from all three physicians and she got them filled, not all at the same time. But, she was so hurt because she stated that morally, her CNP had an obligation to speak with her if she felt that something was wrong, and I agree. She had been seeing this CNP for over 6 years and truth be told, was only seeing her because of a friend of the family. She is known in the streets to give you whatever you want. However, my neice wasn’t seeing her for that. I felt that the CNP threw her away as if she was a piece of trash. A similar situation happened with a friend of the family and through the Michigan Automated Prescription System, the state of Michigan notified her primary to pull a report from this system. The system showed that she was seeing another physician and getting her prescription with him. Because of her being red-flagged of sorts, she too was also terminated from her primary thus causing her to be so despondent that she blew off her head with a .357 magnum. Because of the doctors termination letter, she tought that she would never ever be able to find another doctor. Okay, now my neice has the new primary, whom she just loves and has her Rheumatologist as well. But yesterday, she asked me. Abuela (Although I am her aunt), do you think that I will get in trouble? My answer to her was a resounding NO! You have a right to go and see any doctor that you want. I did of course reiterate that out of fairness to the new physician, you should let them know if you still have prescriptions and/or any medications that still need to be filled. I feel bad for her because her conscience is soooo heavy. If it where not for patients, physicians would not be in business. Why do they act as if they are doing us a favor and why do they often treat everyone as potential drug addicts? My neice’s fingers are so turned and twisted, you would think that she has Rheumatoid Arthritis and I know that Lupus and RA are in the same family. She is scared to go back to her Rheumatologist because of this new Mapping system. However, I told her that she has every right to talk with her doctor, whether it’s doctor 1, 2 or 3. And if her Rheumatologist no longer wants to treat her then dammit, find someone else. My father always said, one monkey don’t stop no show! What do you all think yahoo community? Did I give her the correct information. I love her and would never intentionally steer her or anyone wrong.

A 60 year old woman with newly diagnosed rheumatoid arthritis complains of fever and ringing inher ears. One month ago she was started on three (3) 325 mg aspririn tablets three times a day after meals. One week ago she was still symptomatic. Blood salicylate levels were measured at 10 mg/dL. She was instructed to increase the dosage to four (4) 325 mg tablets three times a day after meals. Objective data: Confused, febrile woman with tachypenea and arthritic changes constistent with rheumatoid arthriti. Plasma salicylate level is 100 mg/dL. Plasma electrolytes are consisten with metabolic acidosis.
A. At low doses, aspirin is eliminatd by first order kinetics. At higher doses, aspirin is eliminatd by zero order kinetics. Why did the plasma concentration of salicylate increase 10 fold when the dose of the drug increased only 1.3 fold?
B. The pka of aspirin is 3.5. What could you do to speed up the elimination of the drug from the body so the patient is no longer intoxicated?

when i was 3 i was diagnosed with juvenile rheumatoid arthritis (jra) i am now 13 and am in the 8th grade and i have missed over a month of school. doctors cant figure out whats wrong with me at first they thought it was just my jra i have done x-rays,MRIs (magnetic resonance Imaging), and have been put on every drug you can think of! Now i don’t know what to think……will they ever figure this out will i have to repeat the 8th grade!?!?!

Can people with Rheumatoid Arthritis who take methotrexate still be blood or organ donors?
Obviously, I have RA and take methotrexate (a chemo drug) along with prednisone and ibuprofen.
For years, I’ve held an organ donor card and have been on the national bone marrow registry. I used to give blood, but no longer do because of anemia.
I’m wondering if all of this makes it impossible for my organs or tissues to be donated after my death.
Any ideas?
***I posted this in the health section about 20 minutes ago. So far, no answers. Everyone here seems pretty knowledgeable, so you are the people to ask.

English 9
Miss Myers
Urban Legends Assignment
Victoria Evens, age 67, also known as Vicky to her family and friends went out to the drug store late one evening to get her prescription medication. She had rheumatoid arthritis in her left hand but it only came and went. After she walked inside and waited in line for about 20 minutes, she walked out of the doors only to find that three large men all wearing black were trying to steal her car!
She quickly walked to her car and pulled a pistol out of her handbag. She screamed, “I have a gun and I’m not afraid to use it!” The men had puzzled looks on their faces but ran away quickly. Vicky calmly walked into her car and was only slightly shaken. She’d taken to keeping a gun in her purse for safekeeping