Rheumatoid Arthritis »
What is rheumatoid arthritis?
Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic
inflammation of the joints. Rheumatoid arthritis can also cause inflammation of
the tissue around the joints, as well as in other organs in the body. Autoimmune
diseases are illnesses that occur when the body's tissues are mistakenly
attacked by their own immune system. The immune system contains a complex organization of cells and antibodies
designed normally
to "seek and destroy" invaders of the body, particularly
infections. Patients with autoimmune diseases have antibodies in their blood
that target their own body tissues, where they can be associated with
inflammation. Because it can affect multiple other organs of the body,
rheumatoid arthritis is referred to as a systemic illness and is sometimes
called rheumatoid disease.
While rheumatoid arthritis is a chronic
illness, meaning it can last for years, patients may expe...
Read the Rheumatoid Arthritis article »
I had a total hip replacement on Dec. 15, 2008. There was more pain than I had anticipated; however, I was sent home on the fourth day with warfarin (3 mg. per day) after having both warfarin and Lovenox in the hospital. The visiting nurses came and checked my blood levels (INT), and the first test showed 1.1, which is not therapeutic, so I understand. After several more days, a second test showed the same levels and my warfarin was increased to 5 mg. per day. Two days later, I was diagnosed with a blood clot behind the knee and the pain was indescribable. At that point, warfarin was increased to 7.5 mg. and I was sent home with Lovenox injections (70 mg.). My blood was then monitored each day, and it took seven days for the blood levels to reach 2.1. At this point, Lovenox was discontinued and now, after five days of no blood draw, I will have a stick test tomorrow to see if the level is maintaining. I was flat on the couch with an elevated leg for 12 days before I felt much relief in the leg. So ... rehab was discontinued, and I am at least two weeks behind now on any serious rehab. My experience makes me furious because I believe the "ball was dropped" on the blood levels. Also, I had huge issues connecting with the surgeon who was "out of town" and had no referral physician. How differently things would have been if I had been more educated and took more control over my own care and demanded closer attention be paid to what was going on. Published: January 12 ::