Joy G. is a 48-year old married mother of 3 active boys, ages 12, 15, and 18. She enjoys attending her sons’ sporting ev
Posted: Mon May 02, 2022 8:36 pm
Joy G. is a 48-year old married mother of 3 active boys, ages
12, 15, and 18. She enjoys attending her sons’ sporting events and
providing “Mom-Taxi” services for her sons and their friends. She
also loves her part-time job as a hairdresser at a popular salon.
Seven months ago, Joy began noticing stiffness in both hands in the
morning that lasted longer and longer. Stiffness now lasted more
than 1 hour every morning and included hands, wrists and ankles.
She also had increasing difficulty standing for long periods at
work or at home due to foot and ankle pain. She began taking
ibuprofen 800mg 3 times daily and found it helped her get through
her day with less pain and stiffness. Three months ago, Joy noticed
pain in her right and left shoulders when she would cut or blow dry
her client’s hair. She also began feeling extremely tired and short
tempered. She had no energy to do her usual activities. Ibuprofen
was no longer very effective for her pain or stiffness. One
morning, Joy could not lift her arms at all without extreme
shoulder pain. She knew it was time to get help. She had been
speaking with her friends and they encouraged her to see a doctor.
She saw her Primary Care Physician (PCP), who examined her and ran
a few preliminary blood tests. The blood tests revealed positive
rheumatoid factor, CCP antibodies, elevated ESR and C-reactive
protein. Joy was informed of these results and her PCP referred her
to a Rheumatologist to be seen as soon as possible.
She is 5'0" and 155 lbs. She has been using convenience food
because it causes her too much pain to hold knives to dice and
slice things. She has been eating hot pockets, lean cuisine
and Breakfast on a Bun from a local fast food
establishment.
Questions:
1. What goals would you suggest for her?
2. Would you recommend any supplements?
3. Would you suggest fatty acids? In what
form? How would this help?
4. Please plan a day's meal using the antiinflammatory
diet.
5. Would you suggest CAM?
6. Would losing weight be beneficial?
12, 15, and 18. She enjoys attending her sons’ sporting events and
providing “Mom-Taxi” services for her sons and their friends. She
also loves her part-time job as a hairdresser at a popular salon.
Seven months ago, Joy began noticing stiffness in both hands in the
morning that lasted longer and longer. Stiffness now lasted more
than 1 hour every morning and included hands, wrists and ankles.
She also had increasing difficulty standing for long periods at
work or at home due to foot and ankle pain. She began taking
ibuprofen 800mg 3 times daily and found it helped her get through
her day with less pain and stiffness. Three months ago, Joy noticed
pain in her right and left shoulders when she would cut or blow dry
her client’s hair. She also began feeling extremely tired and short
tempered. She had no energy to do her usual activities. Ibuprofen
was no longer very effective for her pain or stiffness. One
morning, Joy could not lift her arms at all without extreme
shoulder pain. She knew it was time to get help. She had been
speaking with her friends and they encouraged her to see a doctor.
She saw her Primary Care Physician (PCP), who examined her and ran
a few preliminary blood tests. The blood tests revealed positive
rheumatoid factor, CCP antibodies, elevated ESR and C-reactive
protein. Joy was informed of these results and her PCP referred her
to a Rheumatologist to be seen as soon as possible.
She is 5'0" and 155 lbs. She has been using convenience food
because it causes her too much pain to hold knives to dice and
slice things. She has been eating hot pockets, lean cuisine
and Breakfast on a Bun from a local fast food
establishment.
Questions:
1. What goals would you suggest for her?
2. Would you recommend any supplements?
3. Would you suggest fatty acids? In what
form? How would this help?
4. Please plan a day's meal using the antiinflammatory
diet.
5. Would you suggest CAM?
6. Would losing weight be beneficial?