Mr D, is a young man with RA. The first few times I saw him he literally limped into and out of the office due to the intense inflammation in his hands and feet. For the last 15 months he has been using a TNF blocker. He ran a triathalon this past spring, beating his previous best time. He is currently training for the ironman triathalon next spring in Madison, Wisconsin. Not everyone can achieve similar results. But the treatment goal for everyone should be to optimize their treatment and attempt to resume their normal life and activity levels. This is an example of a great outcome utilizing state of the art treatment in someone who is highly motivated to get better.

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