A 44-Year-Old Psychology Professor with a History of Chronic Rheumatoid

A 44-year-old psychology professor with a history of chronic rheumatoid arthritis comes to the office for a follow-up examination.  She is currently taking prednisone and infliximab, a regimen that has successfully stabilized her condition.  She enjoys swimming 3 or 4 times a week, which helps with her strength and keeps her weight on target.  Temperature is 37.2 C (99 F) , blood pressure is 110/70 mm Hg, pulse is 78/min, and respirations are 16/min.  The patient weighs 65 kg (143.3 lb) and is 162.5 cm (5 ft 4 in) tall.  Physical examination reveals no significant changes.  Toward the end of the visit, the patient mentions that a family friend who suffers with chronic pain secondary to a spinal fusion has had a good response to acupuncture.  She would like to try acupuncture instead of the medications she is taking currently.  Which of the following is the most appropriate response to this patient's request?

A) Acupuncture is definitely something we can try; alternative treatments can be very beneficial.
B) Acupuncture should not be used as it has not demonstrated efficacy for rheumatoid arthritis.
C) I am concerned that your condition will worsen rapidly if you stop your medications.
D) I am not familiar with acupuncture but can refer you to a clinician experienced in the procedure.
E) Tell me more about your interest in trying acupuncture for your condition.