July, 2009

Sunday, July 19th, 2009

Green Bean Almondine Recipe

This is a really quick easy recipe that can be served warm or chilled for a nice summer side dish.  The beans and lemon are rich in vitamin C, the almonds are loaded with omega 3 fatty acids, and the garlic is anti-inflammatory.

2 lbs. Fresh Washed Green Beansgreenbeans 004

2 tsp. Extra Virgin Olive Oil

3 Clove Garlic minced

2/3 cup sliced almonds

1/2 lemon juice

Steam green beans approximately 4 minutes until they become bright green in color.  On high heat, in a nonstick skillet place the almond slices stir constantly until  the almonds release their oils and begin to become crisp (about 2 minutes) Remove the almonds from the pan.  In the same pan heat the olive oil and garlic until the garlic begins to become soft.  Add the green beans, almonds and squeeze the juice from 1/2 lemon.  Toss and remove from pan and serve. Enjoy.

  • Share/Bookmark

Tags: , , , , , ,

Friday, July 17th, 2009

Methotrexate for Rheumatoid Arthritis: Long Term Use Considered Safe

The results of a recent study published in the Annals of the Rheumatic Diseases indicate that the drug methotrexate (MTX) appears to be safe for long term treatment of rheumatoid arthritis.  This conclusion was based on data collected from 88 studies that involved patients treated with methotrexate for at least 2 years.mtx 001

Methotrexate is classified as a disease-modifying anti-rheumatic drug also known as a DMARD.  Methotrexate had been used to treat psoriasis and cancer prior to its approval by the U.S. Food & Drug Administration in 1988 to treat rheumatoid arthritis. It is also used to treat other autoimmune diseases including ankylosing spondylitis, psoriatic arthriis, lupus and vasculitis. It can take from 6 to 12 weeks to feel the full effect of this medication.  Taken once weekly via either 2.5 mg tablets or self injection,  methotrexate blocks certain enzymes that affects the production of folic acid which is necessary for growing cells. Therefore it is necessary to take folic acid suppliments while on methotrexate.

It is important to avoid drinking alcohol while using this medication because of the increased risk of liver damage.  Methotrexate can cause abnormal liver function so it is necessary to have blood work monitoring done every 8 weeks. The 88 studies concluded that 13% of people taking methotrexate experienced elevated liver enzymes however only 3.7% had to stop using the drug due to liver toxicity. Other side effects include nausea, vomiting ( may be based on the dosage), mouth sores, rash, diarrhea, blood count abnormalities,  persistent dry cough, unexplained shortness of breath, cirrhosis of the liver ( rarely), gradual hair loss, and sensitivity to sunlight.  Some over the counter and prescription medications may increase the toxicity of methotrexate so it is important to check with your doctor or pharmacist before taking any additional medication. Methotrexate can cause birth defects and can cause complications during pregnancy.  It should not be taken if you plan on starting a family.

Patients in the study experienced side effects but usually mild. Methotrexate rates of discontinuation were less than gold, sulfasalazine and penicillamine but more than plaquenil in this study.

Of the 88 studies only 2 assessed the relationship between methotrexate and cardiovascular disease. One study concluded that there was no increased risk of cardiovascular disease, the other suggested that there may be a reduced risk.  There was no increased risk of infections linked to methotrexate.

  • Share/Bookmark

Tags: , , , , , , , , , , , , ,

Wednesday, July 15th, 2009

In the Meantime…

Many of you know that we have had a bout of the swine flu traveling throughout my household.  I am happy to report that we all have survived the swine flu.  There is a lingering cough for a few of us but by and large we have weathered that storm.  Unfortunately I have contracted lyme disease.  I have had it for a while now and it is really kicking my butt.  The fatigue is one of the many challenging parts of this particular disease.  So because I am too tired to think  I decided to share what my surroundings look like while I recover.  I hope that everyone is doing well.  I am trying to focus on getting better which is requiring a great deal of rest.  So I hope you enjoy the pictures and I hope to be back into the swing of things real soon.

Summertime2009 025A

Summertime2009 028

Summertime2009 008A
Summertime2009 019

Summertime2009 029

Summertime2009 022

  • Share/Bookmark

Tags: , , , , , , , , , , ,

Monday, July 13th, 2009

4 Minerals for Rheumatoid Arthritis(RA) Health

minerals

According to research the most common mineral deficiencies for those with rheumatoid arthritis are calcium, magnesium, selenium and zinc. There are many factors as to why people with rheumatoid  arthritis(RA)  are lacking in these vital minerals some include treatments for the disease.

  • Calcium: Calcium is one of the most important minerals in your diet. Dairy foods such as milk, yogurt, and cheese are rich in calcium. You can also get calcium from broccoli, kale and Chinese cabbage (Bok Choy).  Seafood such as sardines and oysters are good sources of calcium as well. Some grains and fruit juices are also fortified with calcium. Calcium is stored primarily in bones and teeth.  It is also important for blood clotting. Most low blood calcium levels are often a result of insufficient PTH(Parathyroid Hormone) or vitamin D rather than dietary deficiency.  Vitamin D is essential in the absorption of calcium. (Click here for previous posts on vitamin D levels(and here.) Low levels of blood calcium can result in nerve and muscle impairment and long term deficiency can lead to bone loss. The recommended daily allowance of calcium for adults under the age of 50 is 1,000 mg(milligrams)/day.  For adults over the age of 50 the required daily intake of calcium is 1,200 mg/day.
  • Magnesium: Magnesium is necessary for maintaining muscle and nerve function.  It helps to regulate blood sugar levels and promotes normal blood pressure. Magnesium is responsible for keeping the heart rhythm steady and supports a healthy immune system. It is stored in bone and is an important mineral to keep bones strong.  Green vegetables, beans, peas, nuts and seeds are good sources of magnesium.  Whole grains are also a good origin of magnesium. The recommended daily allowance of magnesium is 400 mg/day for males 19-30 years old and  310mg/day for females 19-30 years old.  For men 31 and older 420 mg/day is necessary and women over 31 need 320mg/day.
  • Selenium: Selenium is a mineral is that important to help regulate thyroid function and plays a role in the immune system.  It is required in only small amounts.  Selenium is incorporated into proteins that as a result become important  antioxidant enzymes which prevent cellular damage from free radicals. Selenium is found in brazil nuts, tuna, cod, some meats and poultry from animals that graze on plants grown in selenium rich soils. The recommended daily intake of this mineral for adult men and women is 55 micrograms/day.
  • Zinc: Zinc is an essential mineral that is available as a dietary supplement.  It is also found naturally in some foods such as crab, oysters, beef and pork. Breakfast cereals are also fortified with zinc. Zinc plays a role in immune function and is important  for metabolism.  The body cannot store zinc so it is important to get a daily intake of this mineral. Adult men should get 11 mg/day of zinc and women need 8 mg/day.

  • Share/Bookmark

Tags: , , , , , , , , ,

Saturday, July 11th, 2009

Pina Colada Smoothie

Pina Colada SmoothieI really love smoothies for breakfast.  This is one of my favorites.  The soy protein keeps me feeling full all morning and has omega 3 fatty acids that fight inflammations. T he pineapple is fights inflammation as well.

1 Cup Soy Milk ( I prefer Light Soy Milk  use whichever you like best)

6 oz Pineapple Juice

1 Cup Fresh Pineapple

1  1/2 Tablespoon Cream of Coconut

5 Ice cubes

Place milk, juice, pineapple, cream of coconut and ice cubes in blender.  Blend on high until well incorporated.  Serves 2.  Enjoy

  • Share/Bookmark

Tags: , , , ,

Friday, July 10th, 2009

Dr. Oz: Spices Smart Doctors Use

  • Share/Bookmark

Tags: , , ,

Thursday, July 9th, 2009

The Swine Flu (H1N1) At My House

I had planned on doing an update on any news regarding the swine flu for a while now.  I planned on keeping up to date on the spread of the virus and certainly a reminder update when it got closer to flu season for those of us in the Northern Hemisphere.  What I hadn’t planned on was the swine flu hitting my home so soon.  As of the writing of this post we have been dealing with the swine flu for 10 days now.  This morning”s paper announced that another Rhode Islander has fallen victim to this virus.  We are told that she had an “underlying medical condition”.

Late Sunday afternoon a week ago my 9 year old son Kevin started to get quiet.  He was just not is usual bubbly self.  He is normally a very active chatty boy.  My little firecracker.  He started slow down quite a bit and I even found him sound asleep in the middle of the day.  Not at all like my Kevin.  My motherly instinct new that something wasn’t right.  As the day wore on he seemed to lose his appetite and was way too quiet.  His color was off, he looked pale to me.

Later Sunday evening I went in to check on him and he felt really worm.  I took his temperature and it read 104.  Not a number I am comfortable with, but Kevin is my third child and I have seen dozens of times when one of the kids would spike a temperature only to have it go back down 24 hours later with no explaination.  I knew what I needed to do.  I gave him some ibuprofen and put a cold compress on him and gave him plenty of fluids.   The ibuprofen seemed to bring the temperature down but only down to 100.2.  I knew then it would be a long night.  Every hour I checked his temperature, made sure that I kept a cool compress on him and watched and naturally worried.  He seemed to be out of it the next morning, but then again Mom had been into bother him many times the night before.

First thing the next morning I started asking questions, Does anything hurt? Do you feel achy?  Do you have a head ache?   He said no he just felt cold.   I suspected  that was his fever that was making him feel cold.  I continued to monitor him and by the end of the day his fever seemed to have broken and I thought it was just one of those 24 hour things that kids get.

Boy o boy was I wrong .

The next few days he had no fever or aches or pains just coughing and coughing and more coughing, post nasal drip and stuffy head. Night after night coughing all night long.  He had no appetite but I was grateful that he was drinking plenty of fluids.   Although I was not happy about his cough I was not overly concerned by it either.  I gave him some cough medicine.  I thought that he had caught a summer cold.

Then late Thursday evening he started with another fever.  This time the fever was only 102.  I knew at this point it was neither just a cold nor a 24 hour thing.  He needed to see a doctor.  This thing was not getting better on its own and now he’s got fever number 2.  The first thing Friday morning I called the pediatrician’s office.  We were lucky and got a 10:00am appointment.  On the way there Kevin starts telling me how much better he is feeling. I still wanted the doctor to take a look at him.

We got into to see the doctor and after a thorough check up he announces that Kevin has all the symptoms of the swine flu.  He tells me that he is  seeing a dozen cases every day and they all seem to follow the same pattern. Initially a really high temperature that seems to pass after about 24 hours followed by cold like symptoms and then a secondary fever with contiunuing cold like symptoms. He even had one patient in the hospital with this virus. He also tells me that the state is not testing anymore because it is too expensive for so many mild cases of this virus.  He said that the only time that the state would test is if the patient ended  up with complications that cause them to end up in the hospital.  He  then tells me that Kevin has seen the worst of it and there is really nothing to do but keep an eye on him and if he gets worse come back in, but he didn’t anticipate that happening.

I actually asked the doctor if he was sure that it was the swine flu.  I just couldn’t believe what I was hearing.  After the shock wore off I asked the doctor if I should be concerned because of the medication I take for my RA.  He suggested that I call my rheumatologist immediately which is exactly what I did.  She put me on tamiflu for ten days and wanted immediate blood work done to check on my white blood count..

While we have spent the better part of 2 weeks now coughing and sneezing with tissues galore in my house,  this was according to the doctor a really mild case of this H1N1 flu virus.  The doctor’s say that we are actually lucky to have caught this virus now when the symptoms are mild so that our bodies have the chance to build up a resistance to this virus come flu season.  I want everyone reading this to know I am very concerned how bad this will be during flu season.   If what we have experienced is mild I for one cannot imagine what severe of even a normal case of this virus is like.  When the flu vaccine is available I would suggest that everyone get it.  You do not want to get this virus.

Blog Widget by LinkWithin
  • Share/Bookmark

Tags: , , , , , , , ,

  • Jo-Ann Colburn: Kelly, I will email you the name and address of my...
  • kelly siesel: could you tell me the name of your Lyme dr? I have...
  • Jo-Ann Colburn: Unfortunately the Lyme tests are not that accurate...
  • Pam: Congratulations on feeling normal (even if was onl...
  • Lene: Wow! Just.... wow. So happy you've left RA behi...
Copyright © 2008-2010 LivingRheum ALL RIGHTS RESERVED.