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Lessons Learned from a Patient with Rheumatoid Arthritis

Sarah Troxell, RN, BSN  |  Issue: June 2014  |  June 1, 2014

Gary has gone with me to almost all of my doctor’s appointments. Since 1978, he has drawn my blood from home and kept a journal of every lab result. He is my caregiver after orthopedic surgeries, handling commodes, assisting in the shower and tirelessly pulling on thigh-high compression stockings after my total hip revisions.

I became a mother in 1981 when our daughter, Laura, came into our lives. I had a wonderful pregnancy, and my arthritis symptoms disappeared. To the joy of my obstetrician, I took no medicine.

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Many people commented, “You should be pregnant all the time!” I cautiously hoped my arthritis could be gone forever, but six weeks after delivery, bilateral knee pain returned, and I knew it was back. I stopped breast-feeding and restarted my medication.

We adopted our son, John, in 1987. One day when he was 4, I was struggling to open a bottle of laundry detergent. John looked up with his blue eyes and freckled face and said, “Let me do it, Mom. You’re too unstrong.”

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My children have grown into responsible young adults who are sensitive to the needs of others and do not hesitate to offer to help me. Having a mother with RA was actually a blessing.

I also have been able to continue to participate in activities that bring me joy, but with modifications.

I love music, and I play the baritone horn (euphonium). I can no longer carry it long distances, so I ask others to do that for me. My fingers have swan neck deformities and ulnar deviation, but since my horn has only three valves, I can still play beautifully. I also ring hand bells, but I ring only the smaller ones while wearing performance gloves. No one sees my deformed hands.

I had a wonderful pregnancy, & my arthritis symptoms disappeared. I took no medicine, to the joy of my obstetrician.

Lesson #3

Having RA does not exempt patients from other health problems.

I experienced a miscarriage in 1984 at 12 weeks gestation. Little did I know that another loss would occur just six months later. In September 1984, as I bent forward to move our daughter’s rocking chair, my vision blurred. A four-vessel arteriogram revealed a blood clot lodged in the distal one-third of the left posterior cerebral artery. This explained my loss of peripheral vision on the right, but the cause of the clot remained a mystery. I was prescribed warfarin, which I have continued to take.

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Filed under:ConditionsOther Rheumatic ConditionsProfilesRheumatoid Arthritis Tagged with:Antiphospholipid Antibody Syndrome (APS)Association of Rheumatology Professionals (ARP)BiologicsHughes SyndromeMethotrexateprednisoneProfileRARheumatoid arthritisrheumatologistrituximabTroxell

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