(MUSIC) GOOD MORNING EVERYBODY AND WELCOME THE BALANCING
ACT.
WE ARE SO GLAD YOU JOINED US THIS MORNING.
I'M JULIE MORAN.
AND I'M OLGA VILLAVERDE.
ALRIGHT.
BUSY FAMILY WE HAVE.
OH YEAH.
ALWAYS ON THE GO.
YES.
NO TIME TO MAKE A DELICIOUS MEAL THE WHOLE FAMILY WILL ENJOY.
WELL, WE'VE GOT A SOLUTION FOR YOU TODAY.
THAT IS SO TRUE.
AND THEN WE'RE SWITCHING GEARS AND BRINGING BACK AN IMPORTANT SEGMENT ON LIVER DIRECTED
THERAPY.
IT WAS NOMINATED FOR A SPECIAL AWARD AND WE WANT TO SHARE THAT WITH OUR VIEWERS.
GREAT SEGMENT THERE.
PLUS, A LOOK AT RHEUMATOID ARTHRITIS.
OR RA.
THAT'S RIGHT.
AND IT STARTS RIGHT NOW, ON THE BALANCING ACT.
(MUSIC) (MUSIC)
IT'S EVERY DAY GOURMET TIME AND WITH A CHILL IN THE AIR THERE IS NO BETTER TIME TO SERVE
UP A WARM HEARTY MEAL THAT YOU CAN MAKE IN JUST MINUTES.
EVEN BETTER, THIS DINNER TIME IDEA ALSO OFFERS UP A WAY TO SNEAK IN SOME NUTRITIOUS VEGETABLES
YOUR KIDS WILLL ACTUALLY LOVE TO EAT.
EVERYBODY HUNGRY?
YEAH!
YOU'RE A BUSY FAMILY ON THE GO.
THERE'S SCHOOL, A JOB, HOMEWORK, AND AFTER SCHOOL ACTIVITIES.
THERE'S JUST NO TIME TO MAKE A HEARTY DELICIOUS MEAL THE WHOLE FAMILY CAN ACTUALLY ENJOY.
OR IS THERE?
LET'S MAKE YAKISOBA NOODLES!
YUM!
THAT SOUNDS GREAT.
YAKISOBA NOODLES COME IN 12 FLAVORS SO NO MATTER WHAT YOU'RE IN THE MOOD FOR, THERE
IS SOMETHING FOR EVERYBODY.
TONIGHT WE'RE MAKING MACARONI AND CHEESE WITH A TWIST.
WE'RE SNEAKING IN SOME FRESH HERBS AND VEGETABLES.
TO PREPARE, JUST ADD WATER TO THE FILL LINE AND THE FLAVOR PACKET.
THE NOODLES COOK RIGHT IN THE TRAY IN THE MICROWAVE IN ONLY 4 MINUTES.
WHILE THE TRAYS ARE COOKING, STEAM SOME FROZEN BROCCOLI.
ALLOW FOR ABOUT HALF A CUP PER PERSON.
FAMILY WON'T EAT BROCCOLI?
HOW ABOUT SOME CARROTS, CELERY AND CORN?
LET'S FACE IT, EVERYTHING TASTE GOOD IN MAC AND CHEESE.
THEN, FINELY CHOP SOME CHIVES, ABOUT 1 TABLESPOON PER PERSON AND TAKE OUT SOME SHREDDED CHEESE
AND BREAD CRUMBS FOR TOPPING.
DINNER IS ALMOST READY.
SMELLS GOOD TOO.
TO FINISH YOUR NOODLES ADD THE FLAVOR PACKET AND ADD THE BROCCOLI.
STIR.
TOP WITH DICED CHIVES, A LITTLE CHEDDAR CHEESE AND BREAD CRUMBS.
ENJOY.
THANKS FOR THE GREAT MEAL.
AND IT WAS SO EASY.
EVERYONE LOVES MAC AND CHEESE.
AND WHAT A GREAT WAY TO SNEAK IN SOME VEGETABLES TOO.
AND WHATEVER YOU THINK YOUR FAMILY WILL ENJOY.
NOW, HEAD TO MARUCHAN.COM FOR MORE GREAT IDEAS AND YOU CAN FIND MARUCHAN RAMAM NOODLES IN
THE SOUP AISLE OF YOUR LOCAL SUPERMARKET.
DON'T FORGET TO CHECK OUT OUR WEBSITE.
IT'S THEBALANCINGACT.COM (MUSIC)
AS I MENTIONED AT THE TOP OF THE SHOW, WE ARE RE-AIRING AN INFORMATIVE TELL NOMINATED
SEGMENT.
IN FACT, THIS IS A TELLY.
AND IT'S GIVEN TO THE BEST OF THE BEST IN THE CABLE TV INDUSTRY AND WE'RE REALLY VERY
HONORED HERE BECAUSE WE HERE AT O2 HAVE BEEN AWARDED A TELLY MANY MANY TIMES BEFORE SO
PLEASE WATCH THIS VERY SPECIAL SEGMENT.
(MUSIC) LIVER CANCER.
IT AFFECTS 1 IN EVERY 35,000 PEOPLE EACH YEAR.
KNOWN AS HEPATOCELLULAR CARCINOMA OR HCC.
IT PLAGUES MEN SLIGHTLY MORE THAN WOMEN BUT REMAINS A DISEASE
OUR NEXT GUEST IS DETERMINED TO HELP CONQUER.
JOINING US TO TALK ABOUT NOVEL OUTPATIENT TREATMENTS AGAINST
LIVE CANCER IS DR.
MAUREEN KOHI AN INTERVENTIONAL RADIOLOGIST AT
THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO.
DOCTOR, WELCOME.
IT'S SO GREAT TO HAVE YOU BACK IN THE STUDIO WITH US.
THANK YOU.
YOU KNOW, WHAT DO TYPICAL HCC RISK FACTORS TELL US ABOUT THE
CHANCES OF BEING DIAGNOSED WITH LIVER CANCER?
SO, THE MOST COMMON RISK FACTORS INCLUDE VIRAL HEPATITIS.
OKAY.
SO, HEPATITIS B AND C. SO, IF YOU KNOW YOU HAVE THAT OR
A LOVED ONE HAS THAT THEN YOU CAN HAVE A HIGHER CHANCE OF
BEING DETECTED AND YOU CAN GET SCREENING FOR LIVER CANCER.
OBESITY, TYPE 2 DIABETES, ALCOHOL CONSUMPTION.
THOSE ARE ALSO RISK FACTORS.
SO, IF YOU ARE AWARE OF THAT, AND IF YOUR DOCTOR IS AWARE OF
THOSE RISK FACTORS THE DIAGNOSIS CAN BE EXPEDITED AS WELL.
FROM A TREATMENT PERSPECTIVE IN TERMS OF HOPE AND HELP.
WHAT'S HAPPENING NOW FOR THOSE BEING DIAGNOSED WITH HCC?
SO THE CURATIVE THERAPIES FOR HCC INCLUDE LIVER
TRANSPLANTATION AND ALSO SURGICAL REMOVAL OF THE TUMOR.
THE PROBLEM IS, THAT NOT EVERYONE DIAGNOSED WITH HCC
QUALIFIES FOR A TRANSPLANT OR SURGERY.
SO, WHEN GREAT NOVEL TECHNOLOGY IS A LIVER DIRECTED THERAPY WITH
RADIOEMBOLIZATION SUCH AS THERASPHERE.
AND THIS IS A LIVER DIRECTED THERAPY WHERE WE INJECT THESE
SMALL BEADS THAT ARE COATED WITH RADIOACTIVE MATERIAL INTO THE
TUMOR.
AND THAT CAUSES THE DEATH OF THE CANCER CELLS.
AND SO THE TUMOR GETS SMALLER.
SO, THE PATIENTS HAVE MORE TIME TO GET A LIVER TRANSPLANT OR THE
TUMOR GETS SO SMALL THAT THE SURGEON CAN FINALLY TAKE THE
PATIENT TO THE OPERATING ROOM AND REMOVE THE TUMOR.
AND IT WILL ENHANCE THEIR SURVIVAL.
WELL, THAT'S GREAT NEWS.
REALLY.
YES.
AND WHAT MAKES THIS TREATMENT PREFERABLE?
I MEAN I THINK I KNOW, BUT SAY THAT FOR ME AGAIN.
SO, I THINK THE BEST PART ABOUT THIS TREATMENT IS THAT IT'S AN
OUT PATIENT PROCEDURE.
SO, YOU GO IN TO THE HOSPITAL.
YOU GET THE PROCEDURE AFTER A BRIEF RECOVERY, YOU GO HOME.
THE QUALITY OF LIFE IS MAINTAINED SO YOU STILL GET TO
WAKE UP AT YOUR HOUSE AND RUN YOUR ERRANDS.
AND THE HOPE OF GETTING ADDITIONAL THERAPY AFTERWARDS.
SO IF YOU NEED ADDITIONAL LOCAL REGIONAL THERAPY TO THE LIVER.
IF YOU NEED SURGERY TO THE LIVER, IT'S STILL AVAILABLE TO
YOU.
THAT IS SO GREAT.
AND WHAT ARE THE CRITERIA FOR SUCCESSFUL TREATMENT?
USUALLY HAPPENS AFTER THE PROCEDURE, ABOUT ONE MONTH TO
THREE MONTHS LATER, PATIENTS UNDERGO SOME SORT OF IMAGING.
EITHER A CAT-SCAN OR AN MRI.
AND WHAT WE HOPE TO SEE IS THE TUMOR HAS SHRUNK SIGNIFICANTLY.
AND ALSO IT HAS DIED SO THAT THE PATIENTS CAN EITHER GO ON TO
HAVE OTHER CURATIVE THERAPIES SUCH AS LIVER TRANSPLANTATION OR
SURGICAL RESECTION.
WHAT'S THE MOST TAKEAWAY INFORMATION WE CAN GET?
YES, I THINK IS YOU HAVE HCC OR IF A LOVED ONE HAS HCC, IT'S
IMPORTANT TO KNOW THAT THERE ARE A LOT OF DIFFERENT THERAPIES OUT
THERE AND NOVEL THERAPIES OUT THERE SUCH AS THERASPHERE AND
RADIOEMBOLIZATION SO IT'S REALLY IMPORTANT TO TALK TO YOUR
DOCTOR.
ASK THEM IF YOU QUALIFY OR IF YOU CAN TALK TO SOMEBODY THAT
KNOWS MORE ABOUT IT.
SUCH GREAT INFORMATION!
THANK YOU SO MUCH FOR JOINING US TODAY.
AND IF YOU'D LIKE ADDITIONAL INFORMATION ON THIS IMPORTANT
MEDICAL AND HEALTH TOPIC, PLEASE VISIT US AT
THEBALANCINGACT.COM OR LOG ON
TO FACEBOOK/THEBALANCINGACTSFANS
THERASPHERE IMPORTANT SAFETY INFORMATION.
INDICATION.
THERASPHERE IS AUTHORIZED BY FEDERAL LAW FOR USE AS A
HUMANITARIAN DEVICE IN RADIATION TREATMENT OR AS A NEOADJUVANT TO
SURGERY OR TRANSPLANTATION IN PATIENTS WITH UNRESECTABLE HCC
WHO CAN HAVE PLACEMENT OF APPROPRIATELY POSITIONED HEPATIC
ARTERIAL CATHETERS.
THE DEVICE IS ALSO INDICATED FOR HCC PATIENTS WITH PARTIAL OR
BRANCH PORTAL VEIN THROMBOSIS OR OCCLUSION.
WHEN CLINICAL EVALUATION WARRANTS
THE TREATMENT.
THE EFFECTIVENESS OF THIS DEVICE FOR THIS USE HAS NOT BEEN
DEMONSTRATED.
ADVERSE REACTIONS.
THERASPHERE TREATMENT HAS SOME COMMON SIDE
EFFECTS INCLUDING MILD TO MODERATE FATIGUE, PAIN, AND
NAUSEA.
AND MAY OCCUR THROUGH OUT THE FIRST WEEK AFTER TREATMENT.
SOME PATIENTS MAY EXPERIENCE LOSS OF APPETITE AND TEMPORARY
CHANGES IN LIVER BLOOD TESTS.
THE INTRODUCTION OF MICROSPHERES INTO THE VASCULATURE OF THE
STOMACH OR OTHER ORGANS OF THE GASTROINTESTINAL TRACT MAY CAUSE
CHRONIC PAIN, ULCERATION, AND BLEEDING.
MICROSPHERE SHUNTING TO THE LUNGS MAY CAUSE EDEMA AND
FIBROSIS THAT MAY NOT BE REVERSIBLE.
FOR MORE DETAILS ON RARE OF SEVERE SIDE EFFECTS PLEASE REFER
TO THE THERASPHERE PACKAGE INSERT AT
WWW.THERASPHERE.COM FOR MORE INFORMATION PLEASE
REFER TO THE PACKAGE INSERT FOR THERASPHERE CONTRAINDICATIONS.
(MUSIC)
RHEUMATOID ARTHRITIS ALSO KNOWN AS RA.
IS A DEBILITATING AND PAINFUL CONDITION EFFECTING WOMEN MORE
THAN TWICE AS MUCH AS MEN.
AN ABNORMALITY IN THE BODY'S IMMUNE SYSTEM.
RA SYMPTOMS INCLUDE INFLAMMATION IN THE LINING OF THE JOINTS AND
OTHER INTERNAL ORGANS.
WITH US TO DISCUSS WHAT'S BEING DONE TO HELP RA PATIENTS, IS DR.
ARA DIKRANIAN.
AN MD IN ARTHRITIS AND RHEUMATOID SPECIALIST, WITH SAN
DIEGO ARTHRITIS MEDICAL CLINIC, A SINGLE SPECIALITY PRIVATE
PRACTICE BASED IN SOUTHERN CALIFORNIA.
AND COMING UP LATER, WE'LL MEET A WOMAN CURRENTLY COPING WITH
RA.
AND LEARN WHAT MEDICAL SCIENCE IS DOING TO HELP MANAGE HER
CONDITION.
GOOD MORNING DOCTOR.
IT IS SO GREAT TO HAVE YOU HERE THIS MORNING.
GOOD MORNING.
PLEASURE TO BE HERE.
WHAT AND WHO IS EFFECTED BY RA?
AND WHAT ARE THE MAJOR SYMPTOMS?
SURE.
SO, THERE'S ABOUT 3 MILLION AMERICANS THAT ARE AFFECTED BY
RA.
AND ABOUT 70% OF THOSE AFFECTED ARE WOMEN.
AND WE KNOW THAT RA IS AN AUTOIMMUNE CONDITION, WHICH
MEANS IT'S A PROBLEM WITH THE IMMUNE SYSTEM HAS MANIFESTED IN
THE JOINTS.
SO, THE FIRST SIGNS THAT SOMEONE MIGHT THINK THEY HAVE RA CAN
INCLUDE THINGS LIKE JOINT PAIN AND STIFFNESS IN THE HANDS,
WRISTS, THE FEET.
AND OVER TIME THIS CAN LEAD ON TO OTHER JOINTS AND CAUSE LOSS
OF FUNCTION.
OR JUST DIFFICULTY WITH MOBILITY.
BUT BECAUSE IT'S A SYSTEMIC DISEASE, PEOPLE CAN ALSO GET
SYSTEMIC COMPLAINTS LIKE FEVERS LOSS OF APPETITE.
WEIGHT LOSS SOMETIMES AND JUST A GENERAL FATIGUE AND STIFFNESS IN
THE MORNING CAN LAST MANY HOURS.
YOU KNOW IF AFFECTS WOMEN SO MUCH MORE.
WHY IS THAT?
YES, WE DON'T REALLY KNOW BUT SOME OF THE THEORIES ARE THAT
SOME OF THE GENES THAT MAKE PEOPLE SUSCEPTIBLE TO RHEUMATOID
ARTHRITIS ARE FOUND ON X CHROMOSOMES.
WHICH WOMEN OBVIOUSLY HAVE TWO COPIES OF.
AND WE KNOW THAT THERE IS HORMAL INFLUENCES SUCH AS ESTROGEN,
PREGNANCY CAN PLAY A ROLL SOMETIMES IN TERM OF THE ONSET
OR THE SEVERITY OF RHEUMATOID ARTHRITIS.
AND WE ALSO HAVE TO REMEMBER THAT CONDITIONS THAT ARE FOUND
IN WOMEN MORE COMMONLY LIKE OSTEOPOROSIS AND PREGNANCY,
THESE PLAY A FACTOR WHEN WE ARE TRYING TO CHOOSE MEDICATIONS
THAT ARE APPROPRIATE FOR THE RA PATIENT.
AS THE DISEASE PROGRESSES, DO PATIENTS TYPICALLY RECOGNIZE
ONGOING SYMPTOMS AS LIKE THE NEW NORMAL.
IS THIS HOW I HAVE TO FEEL?
YES.
ABSOLUTELY, IT'S QUITE REMARKABLE HOW PATIENTS ADAPT TO
A LOT OF THE DIFFICULTIES THAT THEY FACE.
AND IT'S ACTUALLY QUITE MOTIVATING TO SEE PATIENTS WITH
CHALLENGES LIKE PAIN AND DIFFICULTY MOVING THEIR JOINTS
AND STIFFNESS ADAPT AND SORT OF FIND THAT NEW NORMAL.
SO, IT'S ENCOURAGING THAT WE NOW HAVE THERAPIES TO HELP PATIENTS
WITH THIS.
AND IMPROVE FUNCTION IN LOT OF CASES.
AND IN CASES WHERE PATIENTS HAVE HAD PHYSICAL IMPAIRMENT FROM
THEIR SYMPTOMS.
THAT'S WONDERFUL.
YEAH.
WHY IS RA WORSE IN THE MORNING?
YES, IT'S NOT REALLY CLEAR BUT IT SEEMS TO FOLLOW A CIRCADIAN
PATTERN OR A DAILY PATTERN.
AND WE KNOW THAT CERTAIN TYPES OF MEDIATORS OF INFLAMMATION ARE
FOUND MORE COMMONLY IN THE VERY EARLY MORNING HOURS.
AND THEREFORE, SO PATIENTS TRYING TO SORT OF WAKE UP IN THE
MORNING AND GET THEIR DAY GOING, FIND IT PRETTY CHALLENGING.
ESPECIALLY IN WOMEN, NOW WE REALLY HAVE TO REMEMBER THAT
WOMEN ARE TRYING TO GET READY GOING TO WORK.
TRYING TO GET THE KIDS OFF TO SCHOOL SOMETIMES.
AND IN THE EARLY MORNING HOURS WHEN THEY ARE HAVING STIFFNESS
AND PAIN IT BECOMES QUITE A CHALLENGE.
SO, AGAIN SOME OF THESE SYMPTOMS THAT ARE MORE PREDOMINATE IN THE
MORNING HAVE VARIOUS THERAPIES THAT WE CAN OFFER.
AND GENERALLY HELP WITH THAT STIFFNESS AND PAIN IN THE
MORNING.
THAT'S GOOD TO KNOW.
DOCTOR, WE'RE GOING TO TAKE A BREAK.
BUT WHEN WE COME BACK, WE'LL FIND OUT HOW PATIENTS ARE COPING
AND WHAT CAN BE DONE TO MANAGE THE SYMPTOMS.
WE'LL ALSO MEET A WOMAN WITH RA AND SHE'S HERE TO SHARE HER
STORY.
SO, DON'T GO AWAY, THERE'S SO MUCH MORE COMING UP ON THE
BALANCING ACT.
(MUSIC)..
WE'RE BACK AND WE'VE BEEN TALKING WITH DR.
ARA DIKRANIAN AN MD IN ARTHRITIS AND
RHEUMATISM SPECIALIST FROM SAN DIEGO.
AND JOINING US NOW, HERE TO SHARE SOME OF HER MEDICAL STORY
IS JENNIFER.
A PATIENT COPING WITH RHEUMATOID ARTHRITIS.
AND WELCOME, JENNIFER.
DOCTOR WE'RE SO GLAD YOU ARE HERE WITH US TODAY.
AND JENNIFER BEFORE I SHARE YOUR STORY, I WANT TO TURN TO THE
DOCTOR AGAIN AND I WANT TO ASK, DOCTOR, HOW DO YOU REALLY TREAT
RA?
SO, RA HAS MANY DIFFERENT TREATMENT OPTIONS AVAILABLE NOW.
WE HAVE OLD AND NEW MEDICATIONS TARGETED IN GENERAL MEDICATIONS,
ALL OF WHICH HELP TO REDUCE THE SIGNS AND SYMPTOMS OF RA.
AND AMONG THESE VARIOUS OPTIONS IS PREDNISONE.
WHICH IS PARTICULARLY USEFUL FOR REDUCING INFLAMMATION IN
RHEUMATOID ARTHRITIS.
AND THE PARTICULAR TYPE OF PREDNISONE THAT I LIKE TO USE IN
MY PRACTICE IS RAYOS.
OK.
WHICH IS A DELAYED RELEASE PREDNISONE.
RAYOS IS APPROVED TO TREAT AS AN IMMUNOSUPPRESSIVE OR ANTI
INFLAMMATORY AGENT.
AND IT HAS A BROAD RANGE OF INDICATIONS AMOUNG VARIOUS
DISORDERS.
INCLUDING RHEUMATOLOGIC CONDITIONS LIKE RHEUMATOID
ARTHRITIS.
GREAT.
JENNIFER, I KNOW YOU WERE RECENTLY MARRIED.
CONGRATULATIONS, BY THE WAY.
THAT'S SO EXCITING.
BUT SOME THINGS, AT LEAST IN YOUR LIFE, SOCIALLY, WERE BEING
AFFECTED BY YOUR CONDITION.
YOUR FAMILY AND YOUR FRIENDS NOTICED THINGS.
TELL US WHAT WAS HAPPENING WITH YOU.
SO, I FOUND MYSELF VERY FATIGUED.
I WAS JUST TIRED ALL THE TIME.
AND THEN I HAD THIS PAIN IN MY HANDS AND FINGERS AND WRISTS
THAT WHICH WOULD KIND OF COME AND GO.
AND I WOULD END UP HAVING TO CANCEL PLANS WITH PEOPLE BECAUSE
I WOULD EITHER TOO TIRED OR I WAS IN TOO MUCH PAIN.
I JUST DIDN'T FEEL WELL OVERALL.
DID ANY OTHER PARTS OF YOUR BODY HURT?
YES, I HAD A LOT OF, DEPENDING ON HOW BAD MY SYMPTOMS GET.
WHEN I FLARE, MY HANDS AND WRISTS AGAIN ARE INVOLVED AND MY
FEET AND ANKLES.
AND AT ONE POINT, MY KNEES WERE SO SWOLLEN I COULDN'T EVEN WALK
UP A FLIGHT OF STAIRS AT HOME.
WOW.
WHAT ARE YOU DOING CURRENTLY TO COMBAT THESE SYMPTOMS?
SO, CURRENTLY, I HAVE THREE MEDICATIONS THAT I TAKE EVERY
DAY.
ONE OF WHICH IS RAYOS.
I ALSO HAVE A MEDICATION THAT INJECT EVERY COUPLE OF WEEKS.
AND THEN I HAVE PAIN MEDICATIONS AS I NEED THEM.
WOW.
YOU SEEM SO YOUNG.
DOCTOR, IS JENNIFER TYPICAL OF SOME OF YOUR PATIENTS THAT YOU
TREAT?
SO, JENNIFER IS ACTUALLY A LITTLE BIT YOUNGER THAN THE
TYPICAL PATIENT.
USUALLY IT'S MIDDLE AGES WHEN RHEUMATOID ARTHRITIS HAS IT'S
PEEK PREVALENCE.
BUT SHE PROVIDES A GREAT EXAMPLE OF SOMEONE WHO'S RHEUMATOID
ARTHRITIS IS RELATIVELY EARLY IN ITS STAGES.
AND MAYBE MORE AMENDABLE TO VARIOUS TREATMENT OPTIONS IN
THAT SCENARIO.
DOCTOR, SIDE EFFECTS TO CERTAIN TYPES OF MEDICATION CAN BE A
PATIENT DOCTOR ISSUE AND TALK ABOUT HOW THAT COULD RELATE TO
DEALING WITH RA.
OF COURSE, YES, WE ALWAYS HAVE TO BALANCE THE EFFICACY OF ANY
THERAPY WITH ANY POTENTIAL SIDE EFFECTS.
AND PARTICULARLY AS IS RELATES TO RAYOS.
WE HAVE TO CONSIDER THAT RAYOS BEING A TYPE OF PREDNISONE,
SHOULDN'T BE TAKEN, FOR EXAMPLE, IN PEOPLE WITH ALLERGIES TO
PREDNISONE.
WE ALSO HAVE TO REMEMBER THAT RAYOS CAN INCREASE THE
SUSCEPTIBILITY TO INFECTIONS OR IT CAN WORSEN EXISTING
INFECTIONS.
IT CAN ALSO AFFECT VARIOUS HORMONES IN THE WAY THE BODY
RESPONDS TO STRESS.
IT CAN CAUSE EYE PROBLEMS SUCH AS GLAUCOMA.
IT CAN CAUSE SLOW GROWTH IN CHILDREN.
IT CAN ALSO CAUSE FLUID RETENTION, MOOD AND BEHAVIOR
CHANGES.
INCREASED APPETITE AND WEIGHT GAIN.
IT CAN ALSO REDUCE THE BONE DENSITY AND ESPECIALLY IN POST
MENOPAUSAL WOMEN WE HAVE TO BE CAREFUL ABOUT THAT.
AND WE ALSO HAVE TO BE CAREFUL IN PEOPLE WITH CERTAIN GASTRIC
AND INTESTINAL DISORDERS WHO ARE AT RISK FOR PERFORATIONS.
SO, ALL OF THESE NEED TO BE DISCUSSED IN THE RISK TO BENEFIT
RATIO ALWAYS NEEDS TO MODIFIED.
AND WHAT WE ALWAYS AIM TO DO IS REDUCE THE DOSE OF RAYOS TO AS
LOW AS POSSIBLE TO HELP MEDICATE SOME OF THESE EFFECTS.
SO, OBVIOUSLY THE SIDE EFFECTS HERE ARE NOT A COMPREHENSIVE
LIST AND WE ALWAYS ENCOURAGE PATIENTS TO TALK TO THEIR
PHYSICIANS OR VISIT THE RAYOS WEBSITE IF THEY WANT A MORE
COMPLETE LIST OF INFORMATION ABOUT SAFETY.
SURE.
JENNIFER ARE YOU SEEING AND FEELING IMPROVEMENT?
DEFINITELY.
I HAVE MORE ENERGY.
SO, MY FATIGUE IS BETTER MANAGED AND MY MORNING STIFFNESS HAS
DEFINITELY DECREASED.
I STILL HAVE GOOD DAYS AND BAD DAYS SO IT'S NOT, I DON'T THINK
YOU'LL EVER FIX ALL WITH THE RA.
IT'S JUST ABOUT BALANCING YOUR LIFE AND THE DISEASE AND GOING
BASED OFF HOW YOU FEEL.
SO, DOCTOR, BEFORE YOU LEAVE US, ANY CLOSING THOUGHTS?
CERTAINLY, FOR PEOPLE THAT SUSPECT THEY MIGHT HAVE
RHEUMATOID ARTHRITIS BUT YET AREN'T DIAGNOSED, IMPORTANT TO
ENGAGE WITH PHYSICIANS IN ORDER TO GET A PROPER DIAGNOSES.
AND FOR THOSE WHO HAVE RA, IT IS REALLY TO UNDERSTAND THAT THEIR
SYMPTOMS CAN BE MINIMIZED WITH VARIOUS TREATMENT OPTIONS OUT
THERE.
RAYOS IS ONE OF THOSE CONSIDERATIONS OF A MEDICINE
THAT CAN BE USED.
AND PATIENTS SHOULD GET IN TOUCH WITH THEIR DOCTOR TO DISCUSS
THOSE OPTIONS.
GREAT INFORMATION.
THANK YOU SO MUCH FOR COMING, BOTH OF YOU.
AND IF YOU WOULD LIKE TO LEARN MORE ABOUT RA AND MEDICAL
ADVANCES.
SIMPLE VISIT US AT THEBALANCINGACT.COM
OR SHARE WITH US ANYTHING RELATED TO THE
TOPIC OF RA BY LOGGING ON TO FACEBOOK/THEBALANCINGACTSFANS
(MUSIC).
SO MUCH GOOD INFORMATION ON TODAY'S SHOW.
BE SURE TO CHECK OUT OUR WEBSITE THEBALANCINGACT.COM
AS WELL.
LOTS THERE FOR YOU.
DON'T FORGET ABOUT FACEBOOK AND TWITTER.
LOOK US UP AND WE'LL SEE YOU AGAIN NEXT TIME AND ..
REMEMBER TO FIND YOUR BALANCE.
SO LONG EVERYBODY.
(MUSIC)