MedWorm: Rheumatology Forums

preventative cardiology

Doc2Doc BMJ Cardiology — Sat, 01 Jun 2013 21:00:05 +0100

http://www.bmj.com/content/346/bmj.f3504I've just been reading this news piece regarding a global approach to rheumatic heart disease - I think this is a great idea. The burden of rheumatic heart disease falls disproportionately on young women and the developing world . I don't see much rheumatic heart disease - I'm interested to know whether my colleagues in other parts of the world think a vaccine is a good idea?sadian (Source: Doc2Doc BMJ Cardiology)

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back pain & leg issues

MD Health Forum - Medical Discussion Boards — Mon, 15 Apr 2013 03:23:11 +0100

Discussion Boards)

Vessie Hyperactive No Prescription

eMediNews - Medical Forum Health Discussion — Sat, 23 Feb 2013 17:17:18 +0100

Discussion)

Oxycodone And Pregnancy Withdrawal Symptoms

eMediNews - Medical Forum Health Discussion — Thu, 14 Feb 2013 13:46:26 +0100

Discussion)

my mum has arthritis.

The Student Room — Wed, 13 Feb 2013 07:16:10 +0100

Forum: Health Posted By: Anonymous Post Time: 13-02-2013 at 03:50 (Source: The Student Room)

Continued knee pain after arthroscopic surgery

MD Health Forum - Medical Discussion Boards — Wed, 06 Feb 2013 17:08:54 +0100

Discussion Boards)

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Re: psoriatic arthritis

eMediNews - Medical Forum Health Discussion — Fri, 18 Jan 2013 08:38:33 +0100

Discussion)

Re: Alfalfa Tea is Beneficial for Arthritis

eMediNews - Medical Forum Health Discussion — Fri, 04 Jan 2013 10:32:43 +0100

Discussion)

Re: psoriatic arthritis

eMediNews - Medical Forum Health Discussion — Fri, 28 Dec 2012 08:15:39 +0100

Discussion)

Re: Understanding Rheumatoid Arthritis

eMediNews - Medical Forum Health Discussion — Fri, 21 Dec 2012 10:22:31 +0100

Discussion)

Health Giving Properties of the Chili Pepper

eMediNews - Medical Forum Health Discussion — Sat, 15 Dec 2012 08:30:29 +0100

Discussion)

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Clinically Isolated Syndrome OR are they missing something?

MD Health Forum - Medical Discussion Boards — Wed, 21 Nov 2012 07:30:38 +0100

Discussion Boards)

Ah, ethereal deft commenting who depended unwell.

eMediNews - Medical Forum Health Discussion — Mon, 22 Oct 2012 01:34:27 +0100

Discussion)

RSM Events

New Media Medicine — Sun, 14 Oct 2012 10:15:31 +0100

Is anyone going? anyone a member? is it worth joining? October 2012 19 October Wessex Region - Bristol Sports medicine - more of what you wanted to know but never dared to ask 26 - 28 October Students Academic Meeting EuWHO: World Health Organisation simulation youth initiative November 2012 9 November Students Academic Meeting Specialty Careers Fair 2012 13 November Public Engagement Global Health Alerts: Investing in global infectious disease research - trends and inequities December 2012 10 December Public Engagement The RSM Christmas Lecture 15 December Young Fellows Academic Meeting Opportunities in expedition medicine January 2013 12 January - 16 March Series of Meetings Students revision series 12 - 13 January Students Academic Meeting Anatomy revision...

arthritis

Student Doctor Network Forums — Thu, 04 Oct 2012 20:59:39 +0100

Hi, I'm currently doing a presentation on arthritis (noon operative treatment, surgical indications/knee replacement). Does anyone have ant good sites or images or even info? I'm having a hard time finding info on these specific topic. Thanks (Source: Student Doctor Network Forums)

Unknown Knee Pain (2years, can't diagnose)

MD Health Forum - Medical Discussion Boards — Sat, 11 Aug 2012 20:49:36 +0100

Discussion Boards)

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Lyrica, PVC's, & Rapid Weight Gain

MD Health Forum - Medical Discussion Boards — Thu, 02 Aug 2012 02:31:46 +0100

Discussion Boards)

Monderate staph?

Cystic Fibrosis Families Forum — Sat, 21 Jul 2012 04:00:00 +0100

So my oldest DD was admitted Tuesday after her PFT's took a serious nose dive. She went from mid 70% down to 45% in a month. This was after she had been on an oral antibiotic. After about 3 days of Tobramycin and Fortaz her PFT's went back up to mid 70's. She is home now on IV's and goes back in week after next. For the first time she managed to cough up not one but TWO green chunks for the clinic. Both were tested and apparently the only thing that has grown was staph and they said it was moderate. So my question is what do we do now? Do we treat the staph more aggressively than they have in the past? She was also diagnosed a few months ago with Immune Complex Ar...

Small dose of Tylenol wipes me out - why ?

MD Health Forum - Medical Discussion Boards — Mon, 09 Jul 2012 23:03:35 +0100

Discussion Boards)

Testing for arthritis

The Student Room — Mon, 04 Jun 2012 12:30:57 +0100

Forum: Health Posted By: Vohamanah Post Time: 04-06-2012 at 12:24 (Source: The Student Room)

OT: Worked OTC in a pharmacy, now I never want to be a pharmacist

Student Doctor Network Forums — Wed, 30 May 2012 08:27:48 +0100

Job itself is not bad. I would not mind being a pharmacist for a couple of months but doing this for YEARS? I work over the counter so my experience is limited but I see the pharmacists doing almost the exact same thing every single day and they can easily be confused with the technicians. Of course, I expected this but it was not until I experienced it that I began to realize how unfulfilling this must be. Pharmacy is more of a job than a career. The 9-5 mentality is strong and it shows with most of the pharmacists I worked with; none of them actually want to be there. I used to only think about how I would be helping people. Turns out that I do not like being around the old, sick, fragile and frail. These people require a special level of sensitivity that I simply lack. Just by st...

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RA Factor in lung disease??

Cystic Fibrosis Adults Forum — Mon, 30 Apr 2012 04:00:00 +0100

My pulmo ordered some blood work a few weeks ago and I just got the results in the mail. There was a category for an anti-neutrophil test and it had a few things under it, one being RA factor. Most everything was normal but the RA was 4 which apparantly is positive. When I researched what this was testing for all the information was about rheumatoid arthritis and I dont understand how this links to lung disease. It seems that this is a really low RA value but is this significant in any way to my health? Just curious what it meant<img src="i/expressions/face-icon-small-smile.gif" border="0"> Thanks for any input! (Source: Cystic Fibrosis Adults Forum)

Joints crunch and grind - but not arthritic

The Student Room — Wed, 18 Apr 2012 14:36:26 +0100

Forum: Health Posted By: Anonymous Post Time: 18-04-2012 at 11:25 (Source: The Student Room)

Re: Understanding Rheumatic Heart Disease

eMediNews - Medical Forum Health Discussion — Mon, 26 Mar 2012 11:40:44 +0100

Discussion)

Medical books for sale - essential for finals and for F1/F2!

New Media Medicine — Fri, 16 Mar 2012 18:23:48 +0100

HI guys Im selling all my books to make some money - these are all you need to get a distinction in finals - trust me - I have one! EMQ's for Medical Students 1 (Adam Feather) 2nd Ed - (latest) - nowÂ£10 1905 635370 EMQ's for Medical Students 2 (Adam Feather) 2nd Ed - (latest) - now £10 1905635389 EMQ's for Medical Students 3 (Adam Feather) 2nd Ed - (latest) - now £10 1905635443 Get Ahead Surgery 250 SBA's for finals (RSM Press) - (latest) - now £10 Get Ahead Surgery 100 EMQ's for finals (RSM Press) - (latest) - now £10 Mini OHCM - 7 Ed - £5 new Lecture notes on Psychiatry (Harrison, Geddes & Sharpe) 9th Edition (latest) - essential +very concise and easy to read! now £14 (brought for £23) 9781405118699 Crash Course - Neurology (Gibbs) 3rd Ed (latest) now £14 (brou...

Medical books for sale - essential for finals and for F1/F2

New Media Medicine — Fri, 16 Mar 2012 18:18:02 +0100

HI guys Im selling all my books to make some money - these are all you need to get a distinction in finals - trust me - I have one! EMQ's for Medical Students 1 (Adam Feather) 2nd Ed - (latest) - nowÂ£10 1905 635370 EMQ's for Medical Students 2 (Adam Feather) 2nd Ed - (latest) - now £10 1905635389 EMQ's for Medical Students 3 (Adam Feather) 2nd Ed - (latest) - now £10 1905635443 Get Ahead Surgery 250 SBA's for finals (RSM Press) - (latest) - now £10 Get Ahead Surgery 100 EMQ's for finals (RSM Press) - (latest) - now £10 Lecture notes on Psychiatry (Harrison, Geddes & Sharpe) 9th Edition (latest) - essential +very concise and easy to read! now £14 (brought for £23) 9781405118699 Crash Course - Neurology (Gibbs) 3rd Ed (latest) now £14 (brought for £24) 9780723434696...

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Methotrexate anyone?

Cystic Fibrosis Families Forum — Fri, 02 Mar 2012 05:00:00 +0100

I was curious if any one here had any experience with this medication? As I had posted before my DD's joints are swelling. After a long drawn out time we finally got into see a rheumatologist. They put her on Melxicam. After a month of being on it she is still flaring up, unable to move. So now they want to put her on methotrexate. 80 units once a week. Along with 9 days of prednisone. I'll admit I'm really hesistant. She is already on so many different medications it feels like all we do is add more toxins into her body and hope it will "fix" something. I guess I just feel frusterated and exhausted. I have all these "specia...

arthritis anyone??

Cystic Fibrosis Families Forum — Tue, 31 Jan 2012 05:00:00 +0100

I am a troubled mom to a 8 year old daughter dx with JRA in 2010.. Previously healthy, then in 2010 dx with horrible resp issues, chronic cough, ear infections, sinus infections, treated her for asthma, was put on steroids for most of 2010-11 for her lungs and asthma.. she is very small for her age, always has been, and pulmonary wanted to check for CF due to chronic cough, small stature etc.. Sweat tests + and intermediate. Genotyping revealed Df508 one mutation only. She got the "whole 9 yards" of genetic work up that is available, I am told. I just read recently that CF patients (10- 20%) have arthralgia (arthritis) in one or many joints.. What???? I have always thought it to be a "coincindence" that ...

Bronx Physiatrist needed

Student Doctor Network Forums — Mon, 19 Dec 2011 22:16:55 +0100

Group of two Physiatrists seeks a third for permanent practice. All outpatient, no call, no nights, no weekends. Office rehab, EMG, joint Injections, Arthritis care. Office located in the Bronx, NY. Base, bonus, and benefits. If you have an interest in this job, or any other location, please feel free to contact Rick at Med Staff Matters 800-538-4140. rick@medstaffmatters.com visit www.medstaffmatters.com There is no cost to the physician for our service. (Source: Student Doctor Network Forums)

Is this a CF issue?

Cystic Fibrosis Families Forum — Tue, 13 Dec 2011 05:00:00 +0100

Wierd question time. Is joint pain in a slow growing 13 yr old part of CF? My DD with CF for almost a year now has been having random joint pain. Her knee has swelled up about twice it's original size twice. This last time she was not able to put any weight on it at all. Before this happened her wrist was hurting too. I have taken her to the pediatrician, who sent us to the Orthopedic clinic. They claimed she has Superior Plicas Syndrom (SP) basically she has a fluid sac above the knee that can cause it to swell. Over the summer it would become inflamed but she could manage with it. Last week she couldn't be...

Suspected CF-looking for information

Cystic Fibrosis Newly Diagnosed Forum — Thu, 06 Oct 2011 04:00:00 +0100

My 16 year old daughter has just been referred for CF testing. Long story shorter, she had what we thought was an abscessed tooth back in March 2011, through further discovery it was a cyst in her jaw. During the diagnosis of the cyst the CT scan reviled that her frontal sinuses were 90% blocked as well as one in her forehead region that I can't remember the name of. We went to the ENT and he put her on antibiotics, decongestant and nasal spray for a month. They did another CT this past Monday and while the nasal blockage was reduced to about 40-50% they discovered nasal polyps. They want her tested for CF because of that.<div> </div><div>In her early elementary years she had "...

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Need advice

MD Health Forum - Medical Discussion Boards — Fri, 23 Sep 2011 16:52:41 +0100

Discussion Boards)

Undiagnosed still...

MD Health Forum - Medical Discussion Boards — Thu, 22 Sep 2011 18:21:47 +0100

Discussion Boards)

joint pain

MD Health Forum - Medical Discussion Boards — Wed, 31 Aug 2011 04:15:47 +0100

Discussion Boards)

G-Tube Advantage

Cystic Fibrosis Nutrition Forum — Thu, 25 Aug 2011 04:00:00 +0100

This is a reopost from a reply to Gretchn, thought others could find it helpful. I have been re inspired recently to really embrace my G-Tube and not for the obvious reasons. This is a long post so I will split in two. G-Tube Advantage "Let food be your medicine and Medicine be your food" Hippocrates For many years I looked at having to rely on a G-tube, to gain weight, as a negative thing. It seemed like a failure on my part for not gaining weight laziness or just being overwhelmed with just having to deal with a chronic illness . The prevailing concept in managing CF is to eat high carb and high fats, basically throw enough crap at the wall and something is bound to stick. This might be good...

Undiagnosed and Unwell

MD Health Forum - Medical Discussion Boards — Wed, 22 Jun 2011 20:11:43 +0100

Discussion Boards)

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"unsure of exact problem"

MD Health Forum - Medical Discussion Boards — Sat, 18 Jun 2011 12:11:22 +0100

Discussion Boards)

back pain

MD Health Forum - Medical Discussion Boards — Thu, 07 Apr 2011 11:48:28 +0100

Discussion Boards)

Multiple symptoms who to see?

MD Health Forum - Medical Discussion Boards — Mon, 04 Apr 2011 01:32:11 +0100

Discussion Boards)

Lower Body

MD Health Forum - Medical Discussion Boards — Tue, 29 Mar 2011 17:54:14 +0100

Discussion Boards)

Suffering with diffuse tendon pain, any advice would be appreciated

MD Health Forum - Medical Discussion Boards — Fri, 25 Feb 2011 19:30:48 +0100

Discussion Boards)

MedWorm Sponsor Message: Have a look at The Rheumatology Daily, the new rheumatology portal powered by MedWorm, with all the latest rheumatology news and research updated daily.

including rheumatology

Student Doctor Network Forums — Thu, 24 Feb 2011 20:14:20 +0100

Does anyone include rheumatology in their practice, specifically injections. It seems to take quite a bit of skill. I did a rotation and very much enjoyed it (was able to ease a lot of pain) but I would blow my brains out if this is all I did every day, please take no offense just my feelings. (this is why I picked family med over Internal med). Guess my question is can I keep this skill set on the back burner and feel competent to pull it out when I need it, or could I even have a subset patient base? Do you all just refer it off? Oh, and did you just do electives in Rheum or would a sports medicine fellowship be something I should be gunning for (I did not get to do any rotation time in this)? Thanks again, Disco (Source: Student Doctor Network Forums)

Those darn new Pancreaze bottles

Cystic Fibrosis Families Forum — Mon, 14 Feb 2011 00:00:00 +0100

I know some of you have switched over from Pancrease MT whatever to the new Pancreaze in what ever dosage of Lipase you need. Some have commented on the package change from the nice lightweight plastic bottle to the heavier glass bottle that comes in yet another package, a box. But has anyone had any difficulties with the stupid child-proof cap on these new bottles? I am neither a child, a person with arthritis, or a senior citizen and I have had quite a few of these bottles difficult to open. It's getting ridiculous, when I have to give it to my husband to open and he gives me, after his first failed attempt to open the bottle, one of those "what the $%#@!" looks. Of course he gets it open but still, that's not the point. I usually open up that new bottle and pour it into one of the s...

SGUL work experience

New Media Medicine — Wed, 09 Feb 2011 12:45:41 +0100

So I'm going to retry for SGUL 2012 entry. My work experience so far is: - 10 months care home 4 hours a week - 5 months befriending individuals with mental health problems 4 hours/week - 3 days hospital shadowing - rheumatoloy/haemotology/pathology - 3 days GP shadowing - 2 days pathologist shadowing - 3 days psychiatrist shadowing - doing in 2 weeks I applied ages ago to do some work with THT in HIV/AIDS because it was something I was interested in but they are doing less work with befriending/support and more work in managing long term. Does anyone have any advice as to what else I can/should do over the next year or so? Also I remember the form for SGUL only asked for the past five, so is it pointless to have more? Thanks! (Source: New Media Medicine)

Problems with Levaquin

Cystic Fibrosis Adults Forum — Thu, 23 Dec 2010 00:00:00 +0100

Originally posted by: Deb Has anyone ever had problems taking Levaquin? I have taken it several times over the years and the only side effect that was bothersome was insomnia. However, I just finished a 14 day dose and every joint in my body aches. It started in my shoulders and I dismissed it as pain from exercising. Then it was my elbows and then my hips. Since my mother has rheumatoid arthritis I started thinking perhaps I was developing it as well. Today I could barely get out of bed due to the pain in my joints--my whole body. Upon doing some research I discovered that this can be caused by the Levaquin. And even worse it sometimes doesn't go away. Anyone else have problems? Any suggestions for relief of the pain? Does it go away? i've had problems with levaquin as well ..my knees ...

MS or Nerve damage?

MD Health Forum - Medical Discussion Boards — Thu, 11 Nov 2010 17:42:59 +0100

Discussion Boards)

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?Suggestions for Contemporary Pharmacy presentation topic?

Student Doctor Network Forums — Thu, 11 Nov 2010 05:15:18 +0100

I need to present something... there will be healthcare professionals and laypeople in the audience. I need to do it on something contemporary like ( the below topics were already taken by other students)... healthcare reform REMS MTM drug shortages pharmacist refusal to dispense Or an interesting new drug that was approved for any of the following disease states: neuropsychiatric diseases, rheumatology, dyslipidemia, osteooporosis (Source: Student Doctor Network Forums)

Pain, numbness, and high vitamin D

MD Health Forum - Medical Discussion Boards — Tue, 09 Nov 2010 19:08:17 +0100

Discussion Boards)

Severe Lower Right Quadrant pain-no diagnosis

MD Health Forum - Medical Discussion Boards — Tue, 26 Oct 2010 06:06:19 +0100

Discussion Boards)

Alcohol may lower risk and severity of rheumatoid arthritis

eMediNews - Medical Forum Health Discussion — Tue, 19 Oct 2010 22:46:27 +0100

Discussion)

MedWorm Sponsor Message: Have a look at The Rheumatology Daily, the new rheumatology portal powered by MedWorm, with all the latest rheumatology news and research updated daily.

early onset arthritis

Cystic Fibrosis Adults Forum — Tue, 12 Oct 2010 23:00:00 +0100

I am plagued with daily arthritis. Some days I can barely move-- joints are stiff and swollen. I do moist heating... heating pad. Tylenol helps take the edge off enough on bad days so that I can get good sleep. I have been tempted to see a rheumatologist. I know for a fact that I have osteoarthritis in my hip joints and feet (Dr told me when I was 15 years old). My wrists swell and my finger joints swell off and on. My ankle joints freeze up on me on occasional as well-- makes the stairs in my home lots of fun. I don't like prednisone so I don't use it to treat my arthritis. I just stick to the moist heat, some massage and warm showers. Now if I could just get used to the cracking sound that my joints make while moving around. Guess I am an old lady. :-) (Source: Cystic Fibrosis Adults Fo...

Pain

Cystic Fibrosis Adults Forum — Tue, 12 Oct 2010 23:00:00 +0100

I have Hashimoto's disease and CF related arthritis. My shoulders are a mess-- inflammation, swelling, and pain (oh, and popping). Try some light massage and heat. I let mine get out of control and had to wear a sling for a while-- that was not fun. (Source: Cystic Fibrosis Adults Forum)

Miscellaneous Orthopedic Topics • Re: Grinding left shoulder cuff pain

Doctors Lounge - Answers — Sun, 10 Oct 2010 18:01:09 +0100

Hello, X-ray will show arthritis in the shoulder joint. If present, a cortisone shot may help. Otherwise, I would evaluate the shoulder for adhesive capsulitis (aka frozen shoulder) and rotator cuff impingement/bursitis/tear. Both can be assessed clnically and both conditions can occur simultaneously. Therefore if physio therapy has not helped, consider an MRI to evaluated the soft tissue structures in the shoulder. Take care.Statistics: Posted by Tom Plamondon PA-C - Sun Jul 11, 2010 1:20 pm - Replies 1 - Views 70 (Source: Doctors Lounge - Answers)

Marijuana - Less Side Effects for Arthritis

MD Health Forum - Medical Discussion Boards — Mon, 04 Oct 2010 12:47:15 +0100

Discussion Boards)

Degenerative Bone Diseases • Re: Spinal Arthritis

Doctors Lounge - Answers — Fri, 01 Oct 2010 22:09:54 +0100

Hello, From an x-ray point of view, the findings in your spine are minimal and I agree with the general diagnosis of arthritis. Mild scoliosis is also noted. You may consider adding physical therapy to your treatment for pain relief and to improve function including sleep. The meds prescribed are relatively safe with low side effect profile. None are classified as narcotics which should be avoided in the treatment of long term/chronic back pain. All in all, it seems your treatment plan is on the right track - just add some rehabilitation for a month or so then continue with home exercise program. Take care.Statistics: Posted by Tom Plamondon PA-C - Tue Jul 06, 2010 7:00 pm - Replies 1 - Views 62 (Source: Doctors Lounge - Answers)

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Degenerative Bone Diseases • Re: In foramina impingement

Doctors Lounge - Answers — Fri, 01 Oct 2010 22:09:54 +0100

Hello, The findings on x-ray suggest long term development of spurring, disc space narrowing and in general "degenerative changes". The slip and bump on the back of the head did not cause the bony neck issues. The bump may have set off a spell of muscle spasm and arthritis in the neck. Surgery should be an option of last resort unless the nerves exited the cervical vertebrae are being damaged severely by the spurs. In this case, surgery may be required. Check with a neurosurgeon or physiatrist regarding proper nerve testing. Take care.Statistics: Posted by Tom Plamondon PA-C - Tue Jul 06, 2010 12:14 pm - Replies 1 - Views 63 (Source: Doctors Lounge - Answers)

Injured my knee while playing basketball during w/d from sub

Suboxone Forum — Wed, 05 Aug 2009 06:00:00 +0100

Author: MACKENZY3376 Posted: Wed Aug 05, 2009 7:00 am try motrin 800mg first. motrin is an nsaid (non-steroidal anti imflammatory) tylenol is not. you can use tylenol with the motrin and see if that helps first. the inflammation is probably the cause of most of your pain. motrin 800 gives me more relief from my swelling and joint pain than even prescription meds. dont take more tylenol than bottle says and no more than 800mgs of motrin. try that before filling your rx. this is my opinion based on what works for me for my rhematoid arthritis. good luck (Source: Suboxone Forum)

is she a liar??

Suboxone Forum — Tue, 04 Aug 2009 10:10:00 +0100

Author: **dirtysouth** Posted: Tue Aug 04, 2009 11:10 am ok, so i'm kinda heated. last night's intervention was a follow-up show about 2 former addicts and how they're doing now. brooke has rheumatoid arthritis and abused the hell outta some pain pills. goes to a nice treatment program for like 6 months. then while she's visiting with her parents, she tells them that she is now on low doses of suboxone and norco. i'm like, what did she just say?!? suboxone plus norco?!? so now i'm confused. does she not know what she just said? what would be the point of taking an opiate on top of suboxone? earlier in the show it said she relapsed on pain pills she had stashed at her parent's house. but then she said she took all of her seroqu...

Why is my Suboxone not always the same?

Suboxone Forum — Tue, 14 Jul 2009 14:12:00 +0100

Author: MACKENZY3376 Posted: Tue Jul 14, 2009 3:12 pm EVERYONE IS DIFFERENT AND EVEN IF ITS IN UR HEAD-ITS IN UR HEAD!!!THATS HOW U AS AN INDIVIDUAL FEEL. I WILL REPEAT THIS OVER AND OVER AGAIN-NONE OF US ARE EVER CURED AND IF THERE IS SOMETHING OUT THERE THAT CAN STOP OR HELP WITH CRAVINGS AND KEEP US FROM RELAPSING WITH LITTLE OR NO SIDE AFFECTS-WHO CARES HOW LONG U TAKE IT????? I HAVE BEEN ON IT FOR 5 YEARS AND I KNOW IF I HADNT BEEN, THERE WOULD HAVE BEEN SOMETHING ELSE. I HAVE RHEMATOID ARTHRITIS AND CHRONIC PAIN FROM IT SO MANY TIMES I HAVE TRIED TO SELF MEDICATE, HEROIN, METHADONE, OXYS AND THE LAST WAS OPANA (FOR THOSE OF U THAT DONT KNOW-40MG OPANA CAN COMPARE TO SNORTING 3 OC 80'S AT ONCE) SORRY THAT WASNT EVEN THE POINT. ...