Traditional adult rheumatology training includes four years of medical school, one year of medical internship, two years of medical inpattern and two years of rheumatism association. The American board of Internal Medicine offers a sub-specialty committee for rheumatology certification that can provide board approval to approved rheumatologists. A recent article by Jim Epstein and Nick Gillespie on Reason.com reports that some shrewd soul has come up with a perception to yank additional tax money beyond cabbies: If they want to continue operating their taxis, they need to buy a metal plate that attaches to the vehicle'hence the name medallion. The cost is going to be $5,000 per medallion for that independent drivers: What's up your? In the case of RA, you may feel tired or suffer from loss of appetite due to inflammation caused by immune system activity. You may also become anemic - meaning you have fewer red blood cells - or have a mild fever. Severe RA may lead to joint deformities, if not treated.