Osteoarthritis (OA) is the most prevalent form of arthritis, affecting more than 30 million adults in the Unites States. The Arthritis Foundation is transforming the landscape of treatments and advancing OA science by gathering the top clinical research scientists and experts in the field through our OA Clinical Studies (OACS) program. Continue reading Highlights from ACR 2020: The Future of Osteoarthritis Treatment & Research
By Rebecca Gillett, MS OTR/L, Live Yes! With Arthritis Co-host and arthritis patient
Stress. Just the word itself can invoke the feeling. If you live with arthritis, you know there is a spectrum of stress-inducing triggers that might propel you into a flare of varying intensity. I am not just talking about the mental stress of living with a chronic disease, which is a huge factor, but also the physical stress you put your body through from the moment you slowly make your way out of bed. Everything we do, think and feel can take on a toll on our physical and emotional well-being, which then can affect our arthritis pain. Continue reading Mind Over Stress: Finding the Right Balance
My name is Jessica Thomas and I was diagnosed in 2018 with ankylosing spondylitis (AS) and rheumatoid arthritis (RA). I tested positive for COVID-19 in August 2020, as did the rest of my immediate family, including my 16-year-old daughter, who has psoriatic arthritis. I believe it is very important to share my story with others who have rheumatic diseases and take immunosuppressant medications.
Aug. 20, 2020, turned out to be an important day. I hadn’t felt great when I went to bed the night before, and I woke up that Thursday morning with a headache that stretched from my eyebrows to the middle of my back. It felt like a knife was under my right shoulder blade twisting into my lung. I assumed it was a horrible arthritis flare. COVID-19 didn’t even cross my mind. I had no fever or cough.
I called in sick to work and was in bed all day. I could barely lift my head off the pillow, and I was exhausted. None of the pain medications I normally use for my arthritis could break the clenching pain. I took Tylenol, ibuprofen, gabapentin and diclofenac. (Additionally, I receive a biologic infusion every eight weeks. My daughter is also on a biologic medication.)
When my family looks back, we each see this week differently. My daughter, Gabby Lepore, remembers her allergies bothering her. None of us had much of an appetite. We were tired, but we are a busy family so this wasn’t unusual.
As someone with an autoimmune disease, I am very in tune with the fact that one day I might feel terrible, but the next day I am fine. I was really expecting this horrible migraine to go away and that I would be back on my feet the next day.
On Friday, Aug. 21, Gabby and my 12-year-old son, Anthony Lepore, were at their dad’s house. Gabby called me to say Anthony was not feeling well and had a low–grade fever. He remembers feeling suddenly very hot and just wanting to sleep, but he has very little recollection of that weekend. Gabby continued to check his temperature, which was up to 104 that afternoon.
My ex-husband left work and took the kids to the Illinois Department of Public Health free testing center. I wasn’t feeling great, but I was better than the day before, so I figured we were getting seasonal allergies or colds. At this point, my daughter and her father were largely asymptomatic.
I felt much better over the weekend — tired, but nothing out of the ordinary for someone with autoimmune diseases. On Monday, my ex-husband called to inform me that they all received positive test results. I realized that I needed to get tested quickly. I went to four locations in my town and in Chicago — about 30 minutes away — before I finally found a drug store that would give me a test.
This was a Monday. I did not receive my results until Friday morning. I quarantined all week, but by the time the results came, I was very sick.
My son, who had a really high fever and cough, bounced back in about a week. My husband and ex-husband had just mild, allergy-like symptoms. And my daughter felt run-down, but it wasn’t until about three weeks later, when she went back to playing ice hockey, that she had a really bad bout of asthma symptoms. Gabby woke up one night struggling to breathe and landed in the emergency room. She ultimately had to increase her asthma medication, but she recovered within a few weeks.
For me, the darkest days were days seven through 21. I never had a fever or cough, but I am convinced I had every other possible symptom. My head was in so much pain and it radiated around my skull and down my neck and back. Lifting my head would make me so dizzy that I vomited on a few occasions. I also suffered other horrible GI issues that kept me up at night and lying in the bathroom during the day. I passed out twice from pain.
On two different occasions I had a gallbladder attack. I had had a kidney stone in 2019 and that area suddenly ached again. My throat was sore and my head was tender to the touch and burned inside. My muscles ached, my joints hurt and I had horrible chills and night sweats. Around day seven, I lost my taste and smell. I often felt like a knife was stabbing under my right shoulder blade. I have since learned that could have been lung–related, but thankfully I had ordered a pulse-oximeter to monitor my oxygen levels, and they remained normal.
This was an incredibly difficult time because we all were sick. I had to take about six days off of work and returned by working half days because anything beyond that was unmanageable. My vision was impacted. I was exhausted. When one symptom eased up, another one came along and knocked me off my feet. I took a course of prednisone at one point that had absolutely no effect.
My symptoms were heavily neurological. At six weeks, I was still having daily headaches that were really debilitating. I couldn’t sleep, had a lot of brain fog and still no sense of taste or smell. My doctor gave me Topamax, which initially helped the headaches but then they came back with a vengeance. I also had phantom smells — it constantly smelled like a burning building, which made it hard to breathe.
My doctors were out of suggestions, so I finally went to the emergency room. Interestingly, nothing I told them seemed unusual. There aren’t any standard treatments for COVID-19, but the ER doctor prescribed treatments that have worked for some other patients, she said.
They put tubes up my nostrils and dripped lidocaine to numb the nerves and ease the headaches. The doctor took me off the Topamax and gave me a Toradol injection, and she also got me an appointment the next week with a neurologist, who put me on a different medication. (All the while, my daughter and I continued our medications for arthritis, which remained under control.)
One hard part of catching a “novel virus” is that everything a doctor does is experimental. COVID-19 impacts everyone differently, so treatments vary greatly from patient to patient. An advantage of having a chronic illness is that it has given me experience advocating for myself and my family, which has helped in getting treatment for COVID-19 symptoms. But it’s not like you can call your doctor and get a medicine for it. The therapeutics we hear about in the news are saving lives of the sickest people in hospitals. Until I got help in the emergency room, I mostly relied on ibuprofen and other over-the-counter meds.
It’s been more than three months since I tested positive and I still have limited taste and smell. The neurologist ordered an MRI that showed findings consistent with patients with chronic migraines — a new chronic illness for me. Thankfully, after what feels like a long road, the headaches and phantom smells have diminished, and I slowly feel as though I am returning to myself again.
Visit our Care & Connect pages to learn how to best protect yourself and what to do if you suspect you have COVID-19. If you’ve tested positive for COVID-19, share your experiences with others in our Live Yes Community.
In February 2020, 10-year-old Esmee Guerrero (who is now 11) wrote the following essay for her 5th grade class assignment. She wanted to help classmates understand what living with juvenile arthritis is like. Esmee lives in California, was diagnosed with JA at age 6 and is passionate about conquering arthritis. If you’re not already with us, her thoughts may inspire you to join this growing movement. Continue reading “I want to find a cure for arthritis. Don’t you?”
By Cheryl Crow, patient advocate and occupational therapist
My name is Cheryl Crow, and I am an occupational therapist (OT) who has lived with rheumatoid arthritis (RA) for 18 years.
In early November, I was honored to attend the annual American College of Rheumatology’s virtual conference as both a speaker and an attendee. Along with fellow patient and health care provider Courtney Wells, PhD, a social worker and instructor, and fellow RA patient, Mariah Leach. creator of Mamas Facing Forward, I presented during the session, “Reproductive Health: Meet Women’s Needs.”
During our session, we shared research on how many women with rheumatic diseases lack sufficient education and support during their reproductive and parenting experiences, and we proposed some potential solutions. My presentation focused on how to “Address Postpartum Needs of Women with Rheumatic Diseases: Practical Tips From an OT.”
“It was really powerful to share my best tips and tricks from my training and my personal experiences — I even got to share cute baby pictures of my son, Charlie, to illustrate my points!”
The best part was seeing the responses in the “chat” box during the session, as well as on social media afterward. For example, Megan Clowse, MD, MPH, associate professor at Duke University wrote: “This has been a terrific session and the highlight of the meeting for me. Thank you so much for doing this and for all of your work.” Dr. Berquist wrote: “I’ve never thought about referring my arthritis patients to OT during the post-partum period. It makes sense.” Dr. Edens shared: “Thank you for highlighting the importance of involving patients in their care and addressing the many aspects of reproductive health in rheumatic diseases.”
My session was not the only one that highlighted the patient perspective. I was blown away by another session, “Patient Perspectives,” particularly when patient Elisabeth Abeson shared her “Integrative Approach to Managing Rheumatoid Arthritis (RA): Healing the Body, Mind & Spirit.” Abeson described how her journey to find the best healing tools for her rheumatoid arthritis has taken her around the world! She also shared the importance of art therapy and meaningful social connections at patient support groups.
Additionally, I found one of the keynote lectures, “Empowering Patients to Make an Impact on the Future of Healthcare,” by Jen Horonjeff, PhD, very powerful. She is a juvenile idiopathic arthritis (JIA) patient who has formed Savvy Co-Op, which empowers people to use their patient experiences to improve health innovations. She passionately articulated the importance of truly listening to patients to help them improve larger systems — not just the quality of their own care.
Another highlight was a study group session: “Developing Disease-Specific Patient Support & Education Programs,” by Hospital for Specialty Surgery social workers Adena Batterman, LCSW, MSW; Roberta Horton, LCSW, ACSW; Jillian Rose, PhD, LCSW, MPH; and Joan Westreich, LCSW, plus a complementary session, ”Patient Education: Team Up to Optimize Outcomes,” by Jillian Rose, PhD, MPH, LMSW; Mwidimi Ndosi, PhD, MSc, BSc (Hons), PgCert, RN; and Sandra Mintz, MSN, RN-BC. Both sessions highlighted the importance of deep and meaningful patient-provider partnerships in all aspects of rheumatology care.
Lastly, I was very moved and excited to hear a session about how to “Help Patients Navigate Online Support & Social Media,” particularly the sub-talk, “Your Digital Patients: Patient-Centered Social Media,” by Jilaine Berquist, MD, of SSM Dean Medical Group. Dr. Berquist had a very balanced view about the fact that disease-specific social media communities are an important source of support for many patients, but she also provided advice for how to avoid common downsides of social media, including lack of quality control for information shared.
It was an honor to attend this virtual conference and help elevate the voice of both patients with rheumatic diseases and the role that occupational therapy can play in helping patients manage complex diseases.
The Arthritis Foundation is your trusted source for information, and we’re staying on top of the latest arthritis-related news that could affect you. Here are the headlines from this past month. Continue reading November Arthritis News Roundup
By Julie Eller, arthritis patient and Live Yes! With Arthritis podcast co-host
November is one of my favorite months of the year because it is a month that is all about food. This year’s holiday will look very different for many families as we continue to grapple with the COVID-19 pandemic. One thing that continues to remain the same is my month dedication to experimenting in the kitchen. I love to spend time in my kitchen curating the perfect menu to serve for the Thanksgiving holiday. For me, the staples are honeycrisp apple pie, roasted carrots, Yorkshire puddings, and of course, cranberry sauce (from the can, with the ridges!) Continue reading ‘Gratifood’ — Giving Thanks for Health and Comfort Foods That Fight Inflammation
Meaghan Victory dreamed of becoming a nurse even before her juvenile arthritis (JA) diagnosis at age 9. Inspired by the nurses who cared for her, she is now living her dream as a registered nurse in the cancer care unit at Seattle Children’s Hospital — the same hospital where she received care as a child.
The embodiment of perseverance and commitment, the 24-year-old was recently selected as a recipient of the 2020-2021 Arthritis Champions Scholarship program and was awarded the Dr. Smriti Bardhan College Scholarship Fund.
“I was very honored to have been selected as a recipient for the 2020-2021 Arthritis Champions Scholarship Program,” says Meaghan. “With so many deserving individuals who have arthritis or other related rheumatic diseases, I felt truly blessed to have earned this scholarship.”
Meaghan is now working on her master’s degree in nursing in a family nurse practitioner track, and will graduate in September 2022.
She found out about the scholarship a week before she began her master’s program, “so it was a nice way to begin my next educational journey!” she says. “With this scholarship, I am able to worry less about paying for my courses and focus more on my health.”
Growing Up Active
Meaghan grew up in an active family, spending summers camping and hiking and winters in the snowy mountains next to their Issaquah, Washington, home.
When she was around 8 years old, Meaghan was involved in a sledding accident and sprained her right wrist. For six months after the accident, the pain in her wrist never went away. While on vacation in the summer, her mother was putting sunscreen on her arm and noticed Meaghan in significant pain. Unsure of what was going on, her pediatrician referred Meaghan to Seattle Children’s Hospital, where she was diagnosed with JRA.
After the initial diagnosis, Meaghan says, “Life was good, and since the arthritis was primarily confined to my right wrist, I was able to continue playing sports, running and staying active.”
In high school, the road got a little tougher, and Meaghan was ill during her junior and senior years. In her senior year, she broke her right wrist and was in a cast for over six months. Her doctors found her wrist was infected and performed surgery, removing a third of her ulna. Meaghan later had two additional surgeries on her right wrist – a joint replacement and joint fusion – to help correct the damage. Luckily, Meaghan is a lefty, so she was able to persevere and continue her studies.
A Champion of Yes
During her many visits to Seattle Children’s, a nurse there recommended the family get involved with the Arthritis Foundation. Meaghan and her mom decided to run in the Seattle Jingle Bell Run, and have been participating every year since, forming a team and raising funds for a cure. To date, Team Victory has raised over $143,000 and counting.
Meaghan has been both a camper and counselor at KAT-Fish Camp in Washington, traveled to Washington, D.C., for the Arthritis Foundation Advocacy Summit, where she was awarded the National Emerging Leader Award in 2015. She has also served as a speaker at local events, including “Rheumapalooza,” a conference held at the University of Washington’s School of Medicine for students focused on rheumatology. She also has been a guest speaker and frequent attendee at the Foundation’s local Breakfast for a Cure and a volunteer and speaker at multiple Bone Bash fundraisers.
A Career of Caring
Pursuing a career in health care was a no-brainer, Meaghan says. “I have always known that I wanted to enter the field of nursing,” she says. “The amazing care I received from my nurses and doctors while having treatments for my arthritis or undergoing procedures only solidified my dream even more. I wanted to have the opportunity to give back for the care and support I had received as a patient to my future patients.”
Meaghan’s favorite part of the job — making connections and forming relationships with her patients and their families — has been the silver lining to her arthritis. “My arthritis has aided me in my career and has allowed for me to connect with my patients on a much different level,” she explains. “While I have not been in their exact shoes, I understand the pain and disability that accompanies diseases. Seeing my patients fight every day pushes me to do the same.”
Meaghan admits it’s not easy to be a nurse with arthritis. “To be honest, my arthritis has really challenged me in my career. Nursing is a fast-paced job and I spend a majority of my shift on my feet. I do not think that I have had a single shift where my body does not ache or hurt all over.” But, she says, “I refuse to let it affect my ability to provide the best care possible to my patients. If anything, it has pushed me to work and fight harder for my patients.”
With her master’s degree, Meaghan hopes to shift her career from bedside nurse to nurse practitioner. “I figured that if my body can’t handle bedside nursing, I can still use my brain and interact with and form relationships with patients as a nurse practitioner,” she says. “I wanted to set myself up for success in the future, which was why I ultimately decided to go back to school.”
Her Continued Care and Outlook
Meaghan manages her arthritis with an aggressive treatment plan that includes a biologic and other medications as well as a gluten-free diet, physical therapy and at-home exercise that includes biking, walking, running and strength training with light weights.
“It’s mostly working,” says Meaghan. While she has not had any major flares recently, minor flares persist, and imaging continues to show new areas of joint destruction.
Her arthritis also continues to bring new challenges each year. She was recently diagnosed with hip dysplasia, which required surgery last summer, and she will undergo another hip surgery this year, which will require four months of recovery. “A blessing of the time-off is that I will have additional time to focus on my classes and work toward being the best nurse practitioner that I know I can be,” says Meaghan.
Highlights from the last day of the American College of Rheumatology (ACR) annual meeting included topics related to vaccine updates for COVID-19, information related to the influence of the microbiome on arthritis and how resilience can have an impact on managing arthritis. Continue reading ACR 2020 Highlights: COVID-19 Vaccine Updates, Microbiome News, RA Guidelines, Mental Health in JIA and Patient Education
The American College of Rheumatology (ACR) has selected James Witter, MD, PhD, who serves on the Arthritis Foundation’s Medical and Scientific Advisory Committee, to be designated as an ACR Master, one of ACR’s highest honors. He will receive this recognition along with 17 others during the ACR’s annual meeting in November. Continue reading ACR Honors Arthritis Foundation Advisor