I want to tell you about a patient I had in my clinical rotation at UConn Health Center. She was in her 60's, and she was hospitalized following a surgical procedure to fix a pericardial effusion (fluid buildup around the heart). Other than this acute issue, she had very few health problems, and nothing heart-related. What she did suffer from, however, was rheumatoid arthritis (RA), a nasty autoimmune, inflammatory disease in which the body attacks its own cells in joints, often in the hands or feet. Over time, this can lead to deformities in the structure of the hands and feet, like here:
And this is what her hands looked like. I asked her if her RA bothered her in everyday life, and she said only rarely. But I saw her hands. Maybe she could perform easy tasks without any trouble, but she's not opening a jar of tomato sauce any time soon. Of course, this patient was being treated the same way most RA patients are treated: with glucocorticoids like Prednisone. But drugs like Prednisone come along with approximately
4,732 serious side effects, such as increased blood pressure, weight gain, mood swings, osteoporosis, increased risk of infection, and diabetes. Not exactly "safe" over the long-term.
I am fully aware that a paleo-type diet would help her control her RA; I thought long and hard about whether or not to bring it up with her. But in the end I didn't, because I'm a student, and paleo isn't exactly protocol at UConn Health Center. Besides, she eats a super-low-fat, cholesterol-is-deadly, 80s-style diet, full of egg beaters and vegan sausage. (Her total cholesterol was an extremely low 87 mg/dl by the way, something none of the doctors seemed to be even remotely worried about *palmtoforehead*). I wasn't about to broach that subject with a 10-foot-pole. She wouldn't have believed me, and my preceptor never would have signed off on it anyway.
Ironically, later on that week, I listened to a
Chris Kresser podcast in which he discussed how he treats RA using diet and supplements. No Prednisone. No side effects. This is the information my patient really needed, along with everyone else who suffers from this debilitating disease. This is how you get to the root cause of RA and fix it, not simply cover it up with corticosteroids.