Rheumatoid Arthritis Patient Visits

Rheumatoid arthritis is a chronic disease that not only leads to joint erosion, destruction and deformity but also involves the lungs, kidneys, nervous system and blood system. It requires long-term oral medication and appropriate functional exercises to control the progression of the disease, to prevent joint deformity and organ involvement, and to maintain long-term clinical remission, so the initial diagnosis and treatment is only the first step of the “10,000-mile march”. Therefore, the initial treatment is only the first step of the “long march”, and a good prognosis requires the joint efforts of doctors, patients and even family members. 1. Follow-up period The follow-up period can be once every half a month at the beginning of the treatment and once every 1-2 months after the condition is stabilized. If there is nausea, fatigue, fever, aggravation of joint pain and prolongation of morning stiffness, the follow-up period should be at any time. 2, regular medication The treatment of rheumatoid arthritis requires taking a variety of drugs, usually hormones (prednisone, methylprednisolone, etc.) and non-steroidal anti-inflammatory drugs are used at the beginning of the treatment, and with the control of the disease and the alleviation of the symptoms, the amount of these drugs will be gradually reduced or even discontinued. Another class of drugs is anti-rheumatic slow-acting drugs, such as methotrexate, leflunomide, hydroxychloroquine sulfate, etc. These drugs need to be taken for a long period of time, and the reduction and discontinuation of drugs need to be guided by a doctor, and patients can not discontinue them on their own. The third group of drugs are auxiliary drugs such as calcium tablets and stomach protectors, which also need to be taken for a long period of time to minimize rheumatoid-related complications. Therefore, the treatment of rheumatoid arthritis requires long-term medication, and patients need to follow up with the doctor regularly to adjust the medication, do not stop taking the medication and reduce the dosage. Functional exercise is very important in rheumatoid arthritis. Appropriate functional exercise can maintain joint function, avoid joint deformity and prevent disability. In the early stage of the disease, joint swelling and pain are obvious, at this time, cold compresses and electrotherapy can be used to minimize joint activities, but not completely immobile, massage and passive movement can be done. After the acute phase can be gradual active movement, normal work and housework, appropriate exercise joint mobility, to maintain muscle tone. At this time, you can carry out hot compresses, physiotherapy and other auxiliary treatment. In short, to gradually increase the amount of activity, measured by the standard of exercise does not appear after the joint pain or swelling increased. 4, follow-up preparation Each follow-up is a valuable opportunity for patients and doctors to communicate, patients must be fully prepared to efficiently and orderly use of the short follow-up time to solve the problems faced. First of all, the patient should organize the inpatient summary or outpatient medical record according to the chronological order, and bring along the previous labs, X-rays, CT, magnetic resonance films and reports, ultrasound reports, and it is best to arrange them according to the chronological order. Secondly, the patient should think carefully about the changes in his/her symptoms during this follow-up cycle, such as the presence of fever, the location and degree of joint swelling and pain, what new conditions have emerged, and what other plans and requirements he/she has (e.g., pregnancy, business trips, etc.). The last thing is to check the clinic time of the doctor and make an appointment in advance (our hospital provides online appointment booking service). Rheumatoid arthritis patients often need to review blood tests, liver and kidney function, blood sedimentation, CRP, urine routine and other items, so please go to the clinic on an empty stomach to avoid delaying your valuable time. Only with adequate preparation can we make full use of the time for follow-up consultations and solve the problems faced by patients efficiently. Long-term maintenance of the stability of the condition, to achieve a good therapeutic effect.