Septic Arthritis & Difficulty getting the right diagnosis

Septic Arthritis  &  Difficulty getting the right diagnosis

POSTED ON JANUARY 24, 2020









(I "redacted"  bits of this due to so many issues with doctors, the medical field in general & the many malpractice suits whether true or not, there are many)... so I will just put the link to the page I got this from & the story is  also posted in my Today's Newspaper... Link*****Link to my paper  :   https://www.autoimmunearthriticsystemiclife.com/*****Link to article: & I remain "neutral" due o the nature of the subject and because I had "Septic Arthritis) although after seeing 3 doctors they really never "agreed" as far as the real diagnosis - the symptoms can  be signs of several diseases...  it took me about 3 months to really get clear of it - and at least 6 rounds of antibiotics to feel "safe" it was gone...)You trust your doctor to either know how to diagnose and treat your medical condition or at the very least, to understand when to refer you to someone with the expertise to handle your case, especially in the case of infections. Septic arthritis is one such serious infectious condition that, if not diagnosed and treated quickly, can lead to permanently damaged joints and other serious complications. When a doctor or another medical provider fails to appropriately diagnose or manage septic arthritis, the consequences for your health can be severe. If this occurs and you are wondering what options you may have to hold them accountable, the next thing to do is seek knowledgeable legal counsel.What is Septic Arthritis?Septic arthritis, or infectious arthritis, is a joint infection, commonly found in the knees but can also occur in the hips, shoulders and other joints. It is characterized by swollen, intensely painful joints with redness, warmth and stiffness, accompanied by chills and fever. The condition can present in a similar manner to other conditions, for example, rheumatoid arthritis or staph infection. If left untreated, the cartilage and bone within the joint degenerates and can be permanently damaged within mere days. In some cases of septic arthritis, the affected limb must be amputated. With the dangerous nature of this condition, prompt treatment is essential.What Causes Septic Arthritis?Septic arthritis is caused by a bacteria, virus or fungus, typically staphylococcus aureus infection, but also a urinary tract or skin infection. 91% of septic arthritis cases stem from staphylococcus or streptococcus bacteria. Among younger sexually active adults, gonorrhea is the most common disease that passes the infection from one person to another. Germs migrate through the bloodstream from one part of the body to another or go directly into the joints through an injury, injection or open wound caused by a penetrating object, such as an animal bite or surgery.Ordinarily, your joints can protect against infection naturally, but the body’s reaction to infection causes inflammation that increases pressure and reduces blood flow in the joint, causing damage. The increased use of prosthetic joints in recent history has increased the rate of infectious arthritis. Approximately 20,000 people suffer from the condition in the U.S. annually. Tragically, 11% of those afflicted with septic arthritis die. Communicable infections, like staph infections, create conditions favorable to septic arthritis and can be contagious if a person is exposed in a non-sterile environment.Septic arthritis largely affects infants and older people aged 65-plus, as well as those with existing joint problems. Some of the primary risk factors for septic arthritis include:

• Osteoarthritis

• Gout

• Lupus

• Rheumatoid arthritis

• Weak immune systems

• Artificial joints

• Previous joint surgery or injury

• Skin conditions such as eczema or psoriasis

• Open wounds

• Chronic immune-suppressing conditions like diabetes, kidney, and liver disease

• Joint trauma

All who are affected by one or more of the above risk factors are far more susceptible to septic arthritis than the general population. Notably, alcoholism, intravenous drug use and low socioeconomic status are also risk factors for the condition. Further, having more than one of these risk factors increases the potential for contracting the condition. People with rheumatoid arthritis and gout are especially vulnerable to septic arthritis because of their commonly prescribed immune-suppressing medications and symptoms that mirror those of septic arthritis. Doctors often misdiagnose or miss the diagnosis in these patients. Patients with hemophilia or HIV or also at risk for septic arthritis due to their low immunity.Diagnosis and Treatment for Septic ArthritisGiven the deadly nature of septic arthritis, a doctor should conduct arthrocentesis, the method used to detect the condition and confirm or rule out septic arthritis. In addition, blood testing and imaging tests may detect septic arthritis, but the surest method is joint aspiration, when synovial fluid in the joints is extracted and tested. Conditions that mimic the condition are abscesses, cellulitis, Lyme disease, malignancy, arthritis, rheumatoid arthritis and osteomyelitis, among others. It is critical for the treating physician to discern these imitative conditions from septic arthritis. Obtaining an accurate patient history can help the provider discover risk factors indicating probable infectious arthritis. Otherwise, there is no gold standard of early detection other than the physician’s expertise at recognizing musculoskeletal diseases and their copycats, or referring the patient to a specialist who is experienced in this area of practice. Once septic arthritis has been diagnosed, treatment may consist of intravenous antibiotics, surgery or aspirations in the affected area. Time is of the essence when a person is affected by septic arthritis, so diagnosing and treating the condition in a timely manner is a must.Septic Arthritis Malpractice Failure to detect septic arthritis results in significantly higher rates of complications, permanent damage and even death. When a doctor fails to diagnose or misdiagnoses this serious condition, they may ultimately be found liable for medical malpractice. Generally, medical malpractice occurs when a physician or other healthcare provider fails to diagnose a condition, misdiagnoses a condition, fails to treat an illness or disease, or improperly treats such an ailment, which leads to some form of injury or death for the patient. Given the training and experience of medical professionals, patients rely on their expertise to address their symptoms, provide appropriate treatment, and ultimately, to keep them from harm.If you believe your doctor mishandled your septic arthritis case in New Jersey, you typically have two years from the date of injury (or the date at which you became aware of said injury) within which to file a malpractice lawsuit. An affidavit of merit is required by law when filing a lawsuit against a medical professional. The affidavit of merit will require a doctor in the same field as the defendant to declare under oath that the care, skill or knowledge shown during the diagnosis and treatment of the patient fell below the medical standard of care under the circumstances. There are strict time limits within which to file specific documents in order to avoid your case being dismissed. Due to the complexity of medical malpractice litigation in New Jersey, it is highly advisable to seek help from an attorney with extensive experience handling claims like yours.Your Septic Arthritis If you or a loved one suffered harm due to a doctor or other medical provider’s negligence involving diagnosis or treatment for septic arthritis, consult a knowledgeable medical Additional & Related Information:

• Septic arthritis Background, Medscape

• Septic Arthritis Overview, MayoClinic

• Management of septic arthritis: a systematic review, Annals of the Rheumatic Diseases

• Evaluation and Management of Septic Arthritis and its Mimics in the Emergency Department, The Western Journal of Emergency Medicine

• Medical Malpractice Involving Sepsis

LINK to this article:   https://www.fronzutolaw.com/articles/malpractice-with-septic-arthritis/

Updates on my "Lumps" cellulitis, Surgeon, Removing the Lumps, RA, Lupus, Xeljanz, Mom' injections - my RA giving me mortal heck with my fingers, hands, wrists... & more...

A quick note - I am BACK on BOTH Rifampin and Bactrum now for the FOURTH time! I did FIND a Surgeon Finally that takes my insurance! But, he could not get me in until a week from yesterday, so next Friday! In the meantime, the 1st LUMP began to show "outer" signs of "infection I thought. It was NEVER red or all that sore through the whole ordeal. But, last week about Monday, I began to notice not is it only reddened on the top of the skin, it is also, seemingly "puffy" and sore to the touch. The "smaller lump" is now also a bit larger, but also sore as heck to the touch. In fact just walking sometimes makes them feel tender and sore. So, I called my PCP yesterday and he put me on another round of antibiotics until i can get into the surgeon.

ALSO, some GOOD NEWS FOR A CHANGE! My ECHOCARDIOGRAM came back with a "small bit better as far as my heart function from the last one" which I've not had one since 2011... and I was scared that it might be a bit worse, so hopefully that is good news... but you also hear all the time of people having their heart checked out, having the echocardiograms, ad all seemingly well... then a day or so later, they have a heart attack... so I am trying to stay within the "positive" aspects... also I finally got the CHEST X-RAY!!! I thought that mess would NEVER get straightened out...but it is done, and the report should be at my Rheumy's office early next week. SO, my HOPES are that we go ahead with the Xeljanz BUT I don't think they will put me on it, until we know for sure what these lumps are... if infection, then NO until it is completely gone... and hopefully - due to my RA, being more severe than ever, I am losing a great deal of grip, fingers are so stiff, and visible swelling in my hands and some in my wrists and ankles... along with pain, that had not been this bad... but I have not taken any Orencia now in 5 weeks... still taking everything else... but I fear the Orencia also due to not knowing what these lumps are. Also, my MOM celebrated her 80TH!!!!! Birthday yesterday!!! But, she is having heck with her stomach... we did have a "bug" a few weeks ago... but hers seems to be something else... so we did not even get to go out and eat, and I so wanted to take her for at least the day to celebrate... but she is just not up to it..... Okay more later.... ;)

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Medicare, Disabilities, Chronic Illnesses, Chronic Pain... and going through the "hoops" to get the help we need...

Morning gals and guys... or guys and gals, however you want to put it. I realize I've been almost "quiet" the past couple of days, which is not like me.

I've been doing several things, from continuing on my spring/summer "cleaning"... believe me when I get into one of these moods, if it is not "nailed down" it may just get thrown away, given away, or whatever... but it will not stay in this house for sure.

I do this about 2 - 3 times a year. I guess we all have a certain "time" that we decide it is time to "junk away"... I am not a "hoarder" by no means. But, I do believe in hanging on to some items, knowing there will come a time, I will decide I need a certain item.

So, like many, I have a "guide" I go by. If I have not needed it, thought about it, worn it, looked at it... for OVER a year or a bit more... then it's time to either get rid of it, or decide to use it in whatever way I intended.

I don't like to be one of those who hangs onto every plastic butter bowl, or every coffee can, or old towels, sheets, or even clothes. Usually on my clothes, I have a few tops I wear around the house daily. They are probably not really fit to run to town in, but okay enough for around the house. Then I have some I wear for everyday errands. Those I wear to run errands in, to the market, to Wally World... and when they get to the place, they are looking kind of "not all that great", I use those around the house, and by then it is more than time to "chunk" away the other old house tops. You can bet by then, they are stained, probably are beginning to have a few tiny holes in them and so on.

As far as my "dressy"... more go to the Casino, out to eat, or something else ... that I feel I need to dress up for... again, I go through them a couple of times a year. If I have not put it on, thought about it, even remotely considered doing anything in it, then usually it goes to Good Will, if it is still in good shape. I try my best NOT to have LOTS of stuff, that is totally NOT going to be worn here in my closets. Thus, a couple of times a year during the season changes is a great opportunity to take them and let someone else get some use out of them. I do the same with magazines, books, and the like. If I can "reuse", then I do... if I can give it to others to recycle, reuse, etc... I do... If none of those sound feasible, then usually it goes over to "Soul's Harbor"... which is a store, that everyone does the same. Whether clothes, furniture, dishes, you name it... and you don't really want to throw it out, then we take them there. You can get a receipt for a tax write off, but I don't even worry over that. I always tell them, if you can sell it, or whatever... great, if you cannot... the get rid of it however you do....

Okay, so I've been in the middle of all of that stuff, along with getting rid of 2 old computers, an old desk, some speakers, and just some "general" stuff that rather than let me hauled off in the trash... we have a couple of people that come around and pick up some items, especially if there is any metal in them... they sell it to one of our "steel" businesses here. That way those thing get recycled, the guys can get a few bucks out of them, and that means less waste in our landfills for sure.

I know my family gets tickled at me. I can find some real "odd" uses for some stuff, but when I finish, they are totally amazed. A few years back, we had a pretty good sized tree limb come down. IT was pretty straight, and fairly thick. It was also long enough, in my head, I could see it cut into about 18 inch long pieces, and make flower arrangements with them. So, we cut them in a couple of different lengths. I went around my house and found some of my silk flowers, then went to our "Dollar Tree" and picked up a few more, and 'voila', I had three beautiful flower arrangements, at that time for Christmas!!!

I had one for my table, one of the office and one for the living room! Between some left over ribbon, and lace, a few silk flowers, some floral wire... and a bit of imagination, they appeared to be something you may buy at one of these "DIY" sales, where people sell their items they make. Then I got the idea, I would change them for the different holidays. So I had some flowers and things for Valentine's Day, Memorial Day, Easter... Thanksgiving, and one year even St. Patrick's Day! I found some "green silk flowers" and I had some white ones, and with a bit of green and white ribbon, that made a cute centerpiece on a table or on the desk, or sitting in the living room.

OF course, here I go again, taking the "back way" around what I wanted to write about in the beginning of this.

I read an article this morning about an extremely "lucrative" (for the crooks) scam that took place all over this nation, in regard to "false claims" from Medicare. This is such a horrid thing, ANY PHYSICIAN is NOT a true doctor, if they are ripping off their patients. That is called greed, and any one in the medical profession and others are no professional if they take advantage of something as "fragile" as Medicare is. It just burns me to NO END, that the very people that NEED to be seen by physicians, that cannot AFFORD for our Medicare system to go "belly up" are the ones that suffer from this unspeakable crime. Even though they took down the largest fraud ring ever in this, I am sure there are others out there doing it also... and it appears that Medicare has tightened up and is paying more attention to these kind of schemes. Florida of course is a huge one, but there were several states including Texas involved in this.

Due to migraines, chronic pain, fatigue an  ALL THAT GOES along with disabilities also, NEED there disability (Medicare) also to help keep their health hopefully in check. I know of course some of you are not thrilled about the idea of those on disability... but I PAIN into my Social Security and Medicare for over 25 years before I had to file for my disability. So, I don't feel that I've taken advantage of anyone or anything. I just could not work anymore due to all of my health issues, and I've had to accept the fact, they are NOT MY FAULT! The Lupus, Sjogren's, RA, and so on... "just happened"... I've done nothing as far as I know to cause them....


IT took me a long time to understand, I am not to blame... I didn't go and do something within my life, as far as I know to "cause" me to become ill. You would be surprised though how many of us want to blame ourselves for it,

No chronic illness and/or chronic pain issue is FUN! They are all serious, and they change your entire life and your quality of life in many instances is truly sunken into the depths of the unknown... losing friends, spouses, family... to those horrid diseases, that we have little or no control over.

All we can do is take one step in front of the other, one moment at a time... and continue to hold on to what we can do, have, and hope for in the future.....

I've not disappeared at all... just been extremely busy... for one, fighting of two flares, making changes around my home, as you see above, and trying to fit some of the pieces of me, that seemed to have gotten lost in all of the drama... of daily life....


http://www.medpagetoday.com/PublicHealthPolicy/Medicare/52207

Cure Click And You! RA Clinical Trial for a "biosimilar" somewhat like Rituxan - Could You be the next "winner" in the clinical trial Race?

TEXAS in the San Antonio and Austin Area will be participating!

The purpose of this study is to compare the proposed biosimilar study drug rituximab (GP2013) against a standard approved treatment rituximab (Rituxan®) to see if the study drug is as safe and effective in patients with rheumatoid arthritis.

Rheumatoid Arthritis Clinical Trial

The currently recruiting trial listed on CureClick for rheumatoid arthritis is a clinical study for a biosimilar medication. We have received several messages about this trial so we wanted to post some additional information:

According to the FDA, “Biosimilars are a type of biological product that are licensed (approved) by FDA because they are highly similar to an already FDA-approved biological product, known as the biological reference product (reference product), and have been shown to have no clinically meaningful differences from the reference product.” 

For this trial, one group will be given the currently approved and available medication Rituxan® (rituximab) and the other will be on a biosimilar version of rituxumab. Neither group will receive a placebo. The goal of the trial is to see if the study drug is as safe and effective in patients with rheumatoid arthritis and attempt to show it has no clinically meaningful difference to the reference product (Rituxan®).

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MORE ABOUT THE STUDY FROM THE SPONSOR:

The purpose of this study is to compare the proposed biosimilar study drug rituximab (GP2013) against a standard approved treatment rituximab (Rituxan®) to see if the study drug is as safe and effective in patients with rheumatoid arthritis.

• The study drug (GP2013 and Rituximab) is administered by IV Injection (IV).
• At least 174 people have already taken this drug in clinical trials
• All study related medications, analysis, hospital visits and procedures are free

Eligibility Criteria:

Participants must:

• be at least 18 years old
• have been diagnosed with rheumatoid arthritis for at least 6 months
• have had inadequate response or intolerance to DMARDs (disease-modifying anti-rheumatic drugs) and 1 – 3 anti-TNF (tumor necrosis factor) therapies
• have received methotrexate for at least 4 months with 25 mg/week as the maximal dose

Participants must not:

• have significant liver disease, or congestive heart failure
• be taking a high potency of opioid analgesics (e.g. methadone, hydromorphone, morphine)

For more information about the study, please visit the link provided to you by your Ambassador.

For more General Information" about Clinical Trials see this link:

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Cure Click! There'is A New Way "in town" to find Clinical Trials in your area!

There is a brand new way you can find those "Clinical Trials" that you may have wanted to try and enroll in, but wading through the "red tape" of those, trying to find ones in your area, for your particular type of illness can be a very daunting experience!

Now here is "Cure Click"! It can make your search for a clinical trial much simpler, and allow you to possibly participate without wading through pages and pages on websites. If you have any questions, feel free to post, or contact me. Below is more information about the program, and more explanation on how this could be the answer you have been waiting for as far as a Clinical Trial Experience!  Rhia

RHEUMATOID ARTHRITIS CLINICAL TRIAL SEEKING PARTICIPANTS

Rheumatoid Arthritis is a chronic inflammatory disorder affecting small joints in the hands and feet that affects about 1.5 million people in the United States today.
There is a clinical study available to those with Rheumatoid Arthritis, where the purpose of the study is to compare the proposed biosimilar study drug rituximab (GP2013) against a standard approved treatment rituximab (Rituxan®) to see if the study drug is as safe and effective in treating rheumatoid arthritis.
More about the study:

• The study drug (GP2013 and Rituximab) is administered by IV Injection (IV).
• At least 174 people have already taken this drug in clinical trials

If you are interested, the full study details and eligibility criteria are listed here.
Eligibility Criteria:
Participants must:

• be at least 18 years old
• have been diagnosed with rheumatoid arthritis for at least 6 months
• have had inadequate response or intolerance to DMARDs (disease-modifying anti-rheumatic drugs) and 1 – 3 anti-TNF (tumor necrosis factor) therapies
• have received methotrexate for at least 4 months with 25 mg/week as the maximal dose

Participants must not:

• have significant liver disease, or congestive heart failure
• be taking a high potency of opioid analgesics (e.g. methadone, hydromorphone, morphine)

Please complete the online questionnaire to check if you’re eligible for the trial.
If you’re not familiar with clinical trials, here are some FAQs:

What are clinical trials?

Clinical trials are research studies to determine whether investigational drugs or treatments are safe and effective for humans. All new investigational medications and devices must undergo several clinical trials, often involving thousands of people.

Why participate in a clinical trial?

You will have access to new investigational treatments that would be available to the general public only upon approval. You will also receive study-related medical care and attention from clinical trial staff at research facilities. Clinical trials offer hope for many people and an opportunity to help researchers find better treatments for others in the future.
Learn why I’m talking about Clinical Trials