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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Fatigue, Pain In Legs And Arms With Tremors In Arms

Ok. I am a 55 year old female being treated for Lupus, Sjogren s, anemia, Rheumatoid arthritis. I was given two iron treatments in the past two weeks through infusions, to bring my iron levels up, and it appears it worked. The past several days I have been extremely fatigued. I could sleeps 18 or more hours a day. Not the result we anticipated with finally getting my iron infusions. The big problem is my legs ache terribly. I have joint pain, that is usual with my Lupus, but these achy legs, and arms are new. Also, right under the skin on my arms, the tissue feels real hard and lumpy. That is also new. I am prone to swollen lymph nodes - usually in my neck, and they never seem to go away. I m not running a fever, which is unusual for me,cAnd I am on a course of antibiotics that I will finish on Thursday, that I will have taken for 30 days, because I have an elevated white blood cell count that we never seem to get resolved and cannot find the cause of. I am concerned about the excess fatigue and the extreme pain in my legs and arms, plus I get tremors in my arms, I will be speaking to my Rheumatologist before Friday, because I am scheduled for an infusion of Benlysta at the hospital, if the blood I had drawn yesterday, and urine test clear me for a go ahead. Do you think I should be seen sooner & what are your thoughts this could be? Upon further review, I did not realize this was a pay for service. Where your rates are very reasonable, my husband, a college professor, has been laid off due to financial cuts at his university - and out of work 3 years now, and with my health conditions, I have not been able to work. Our health insurance has reached our crate of 100% coverage and no more deductible. I was searching for answers on the internet because I am in so much pain and wanted to avoid going in if I could. I think it s a wee bit deceiving that you do not state on your cover page there is a rate for your service, however reasonable it is. Thank you for your time.
Tue, 24 Feb 2015
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Orthopaedic Surgeon 's  Response
Thank you for the question.You do need complete work up on rheumatoid, confirmation etc .I would suggest seek physical therapy in meantime and take Lyrica 50mg BD to begin with and Tramadol100 mg BD and neurobion forte once daily. If rheumatoid confirms then Disease modifying medicines like methotrexate,hydroxychloroquin may be considered.Confirmation of rheumatoid is by Anti-CCP test.
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Suggest Remedy For Fatigue, Pain In Legs And Arms With Tremors In Arms

Thank you for the question.You do need complete work up on rheumatoid, confirmation etc .I would suggest seek physical therapy in meantime and take Lyrica 50mg BD to begin with and Tramadol100 mg BD and neurobion forte once daily. If rheumatoid confirms then Disease modifying medicines like methotrexate,hydroxychloroquin may be considered.Confirmation of rheumatoid is by Anti-CCP test.