Family question, and the condition: My mother has rheumatoid 20 years, intermittently receiving treatment, now the joint deformation stiffness, movement is more limited, now life can basically take care of themselves, please ask your hospital can be treated, can be hospitalized acupuncture physiotherapy plus Chinese medicine conditioning, thank you. I would like to ask for some advice on treatment and whether I can be hospitalized at your hospital. Medication: glucosamine. The 20-year history of the disease can be controlled relatively well if it is treated more systematically, and there will be less damage to multiple organs. On the issue of acupuncture, personal opinion, such as the ability to do something more conducive to systemic function of the rehabilitation treatment should help, alone for the words of this disease caused by arthritis, the significance is not great. The same goes for Chinese medicine. If your mother has a clear diagnosis of RA, I don’t think the progression of the disease can be controlled with glucosamine and Chinese herbs, because glucosamine is only a complementary treatment drug to help cartilage matrix repair. Chinese herbal medicine can be said to be more definitely effective so far, but it can’t be used alone to control the disease for most RA. Family question: Thank you, doctor. My mother is planning to be hospitalized, but I don’t know if the hospital will accept such a patient, because the doctor didn’t call for hospitalization even when she went to the hospital before. Answer: Hospitalization depends on the condition, if the condition is serious, especially the comorbidities, hospitalization to help improve a little, but if only a chronic joint injury symptoms, there is no point in living, because the treatment in the medical and home treatment are similar. From the treatment drugs you sent, I always feel that your mother is not standardized treatment. RA is a disease that must be treated under the guidance of a doctor for a long time, not a disease that can be solved with a few hospitalizations. Family member’s question: Yes, there has been no standard treatment, she is always just a little bit not willing to go to the hospital, has been repeatedly so, missed the best time for treatment, suitable doctor like my mother such a serious deformation of the link, there is still a chance to improve, she is now causing a lot of other discomfort, back pain, pain all over the body, the body is getting worse, no strength in the feet, gastrointestinal is also bad, please ask if there is any good way to this situation I’ve been to see some specialists who suggested replacing the knee joint, but we all think she is too weak to replace it, and I’m afraid it won’t work. Answer: Hello! In fact, I do not understand your mother’s condition, only from the situation you state, if you your mother 20 years ago has been diagnosed with RA, not yet 60 years old, such a condition, indicating that this is already a whole body related tissues and organs are damaged, it has been impossible to use a method to completely improve the problem. For example, if your mother’s general condition is good, she can have her knee joint replaced, and the replacement will improve her quality of life. However, if the general condition is poor, such as severe osteoporosis, poor systemic vascular function, and poor function of related organs, a lot of human and financial resources will be needed to help with rehabilitation and treatment after surgery. Such a condition may not be affordable for families with average conditions. This is one of the main problems of the current perceived high cost of medical care, which is one of the causes of the ambivalence of many people today who hate and love doctors. On the one hand, the ability of medical care is seen as too powerful, while on the other hand, all aspects of society need money to survive or to feel better about surviving. Some people need money to meet the basic needs of life, and some people say that money is used for them as long as it brings them momentary pleasure, without looking at the consequences. For example, many people can use thousands or even tens of thousands of dollars to go to KTV, concert halls to spend, or temples to burn incense, begging Buddha, no matter what kind of psychological reasons he is, most people will not consider the money used to value or not? Because they need only a psychological satisfaction, the most people are just for an expectation! Not many people will feel afterwards did not achieve the purpose, to smash the KTV or temple. Medical care is not just about psychological satisfaction, but about the clear physical pain and the existence of life. In addition to the socialism that our society clearly advocates, the entire health care system has been changed to require more work for less money, and society as a whole is increasingly demanding more health and life. History and reality have left many problems for more people, such as, your mother, there are many people with minor and minor illnesses that do not standardize their treatment and become major and serious illnesses. There are also many metabolic diseases, autoimmune diseases, vascular diseases, etc. caused by the extremely irrational lifestyles of young people. In addition, our current Westernized medical system, with its overly detailed subspecialties, emphasizes treatment rather than prevention. Although there are many institutions that treat untreated diseases, what is the treatment of untreated diseases may not be clear from what I have personally seen from doctors to patients, not to mention its true importance. Having said all of this, I hope that a proper assessment of your mother’s condition can be made to determine whether or not she should have her joints replaced, which really depends on her general condition and your family’s financial ability. My personal suggestion is to go to a hospital in your area and talk to a rheumatologist or internist if you have the conditions to do some relevant tests to assess your mother’s current condition. The current number of these drugs can be chosen according to your financial ability and treatment conditions. The necessary adjuvant treatment is of course also necessary, because so many years of the condition of the various groups of functional repair is needed. I hope this can help you, if there are still difficulties, please send the relevant information after the examination, and then say okay?