### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doc! My C-reactive protein as per fasting blood sugar is positive (96) Ref. range 0-6 mg/lt (qualitative method). My Vitamin D is 5.90. Erythrocyte sedimentation rate is 63 ( Ref. range 0-20 mm at the end of 1hr.) as per Westerngren method. I was admitted on 24th oct. to hospital with symptoms of difficulty in walking, joint pain, swelling, fever. The x-rays showed synovitis of the feet etc. The test for chikungunya came negative. I am on a lot of medication like eezflam, sompraz, trinerve, uprise D-3, Kalzin -c, ostium - kz, supanac 50mg, calpol 650 mg, becozinc, limcee. I have been told to repeat the test for chikungunya tomorrow 13.11.11. I am 39 yrs old. I have been told I have rheumatoid arthritis and severe D-3 deficiency. I am also onto physiotherapy. I want to know whether I would ever be able to lead a healthy life and how I can get back to normal routine. I am a working woman with two children.

### output:

Hello, It looks from your details that you are having severe deficiency of vitamin D with RA. You should do following to have relief- -Your vitamin D levels are very low. With oral supplementation this takes to long to take it is to normal. I shall advise you to discuss injectable form of vitamin D to take it rapidly to normal. This will help in taking back some of your symptoms to normal. -The RA is one of chronic disease. For this you should take medicines for long term. Some time with long term therapy it goes into remission. Please do not despair. Keep your moral high. Please add yoga and meditation in your therapy plan. This will help you in recovering early and well. Hope I have answered your query. Let me know if I can assist you further. Take care 