Dr. Tommy Bangayan - Arthritis and Lupus Clinic

Autoimmune disease: Vitamin D and omega-3 supplements may reduce risk A long-term clinical study finds that vitamin D and/or omega-3 fatty acid supplements may reduce the risk of developing an autoimmune disease.

Many areas in Davao City is under water again and many people are at risk to develop Leptospirosis which sometimes can be fatal in 10% of people who develop severe disease, including kidney failure and/or liver damage, meningitis, difficulty breathing, and bleeding. Case fatality rate is 5 to 15% in cases with severe clinical illness.

Here are the recommended post-exposure prophylaxis for leptospirosis from the Philippine Society of Microbiology and Infectious Disease (PSMID):

LOW-RISK EXPOSURE is defined as those individuals with a single history of wading in flood or contaminated water without wounds, cuts or open lesions of the skin.

Doxycycline 200 mg single dose within 24 to 72 hours from exposure [Grade B]

MODERATE-RISK EXPOSURE is defined as those individuals with a single history of wading in flood or contaminated water and the presence of wounds, cuts, or open lesions of the skin, OR accidental ingestion of contaminated water.

Doxycycline 200 mg once daily for 3-5 days to be started immediately within 24 to 72 hours from exposure [Grade C]

HIGH-RISK EXPOSURE is defined as those individuals with continuous exposure (those having more than a single exposure or several days such as those residing in flooded areas, rescuers and relief workers) of wading in flood or contaminated water with or without wounds, cuts or open lesions of the skin. Swimming in flooded waters especially in urban areas infested with domestic/sewer rats and ingestion of contaminated water are also considered high risk exposures.

Doxycycline 200 mg once weekly until the end of exposure [Grade B]

For your virtual (online) consultation needs regarding rheumatologic conditions, arthritis, tendonitis, bursitis, lupus, scleroderma, ankylosing spondylitis, psoriatic arthritis, gout - simple and complicated, back pains, osteoporosis, vasculitis, etc……
Scan the QR code and book your appointment.

Download the Now Serving app from App Store if you are using iPhone or Google Play if you are using and android cellphone.

Alamin kung ano ang Soft Tissue Rheumatism.
Baka meron ka nito.

Sine Rayuma Soft Tissue Rheumatisms

World Arthritis Day is celebrated every year on October 12 around the world to create awareness about the importance of adopting a healthy lifestyle and encouraging early detection of arthritis.

What Is Arthritis

Arthritis is an inflammation of the joints. It can affect one joint or multiple joints. There are more than 100 different types of arthritis, with different causes and treatment methods. The most common types are osteoarthritis (OA) and rheumatoid arthritis (RA).

Joint pain, stiffness, and swelling are the most common symptoms of arthritis. Medication, physiotherapy or sometimes surgery helps reduce symptoms and improve quality of life.

History of World Arthritis Day

October 12 is celebrated as World Arthritis Day. It was first celebrated in 1996. It was started by the Arthritis and Rheumatism International to increase global awareness about rheumatic and musculoskeletal diseases.

World Arthritis Day 2020 Theme

The theme for World Arthritis Day 2020 is “Time2Work”.
World Arthritis Day Activities

You can get involved with World Arthritis Day by spreading awareness about arthritis. You can educate people around you. Encouraging early detection of arthritis. Together, on World Arthritis Day, we can make a difference! Share information on social media to promote World Arthritis Day.

World Arthritis Day 2020 hashtags

Awareness is the key to making World Arthritis Day a success. Share your cure arthritis pictures on social media using hashtags to show your support and raise awareness that it is time for a cure!

Softdrinks and other sweetened beverages can trigger attacks of gout due to the use of high-fructose corn syrup as sweetener.

High-fructose corn syrup is also the culprit in obesity and impaired glucose tolerance leading to diabetes.

So to stay healthy, avoid softdrinks if you can.

Studies Link Gout Flares to Consuming Sodas A systematic review and meta-analysis recently published the Journal of Human Nutrition and Dietetics finds that consuming sugar-sweetened beverages is significantly associated with increased serum uric acid concentrations associated with gout flares.

Here is another way for you to schedule an online consultation with me.

Electronic Prescription for the Filipino Doctor Send prescriptions to your patients electronically via the PPD ePrescription App! Know more about this mobile application that can maximize your reach to your patients. Through your device, you can issue prescriptions digitally anytime, anywhere.

One way to prevent the complications of gout like tophaceous gout and kidney failure is to stick to your maintenance medication to lower your uric acid levels.

REMEMBER, COLCHICINE DOES NOT LOWER YOUR URIC ACID IN THE BLOOD.

Many people who develops the complication are maintaining on their own the wrong medicine. Before you know it, complications set in which oftentimes are irreversible.

Pinoy MD: Paano ba maiiwasan at makokontrol ang gout? Aired (November 16, 2019): Nahihirapan ka bang maglakad pagkagising sa umaga? ‘Yung parang naninigas at nananakit ang iyong mga binti? Naku, Kapuso! Baka sen...

SCLERODERMA is a long-lasting disease that affects your skin, connective tissue, and internal organs. It happens when your immune system causes your body to make too much of the protein collagen, an important part of your skin.

As a result, your skin gets thick and tight, and scars can form on your lungs and kidneys. Your blood vessels may thicken and stop working the way they should. This leads to tissue damage and high blood pressure.

There’s no cure for scleroderma, but treatment can ease your symptoms so you feel better.

There are two kinds of scleroderma:
1. Localized scleroderma mainly affects your skin.
2. Systemic scleroderma, also called generalized scleroderma, can involve many body parts or systems. There are two types:
A. Limited scleroderma.
B. Diffuse scleroderma.

Living with Systemic Sclerosis (SSc) Hear from Janice, Sheila, Gerald, and Jeniffer- four people living with systemic sclerosis (SSc), a debilitating rare autoimmune disease that causes an overp...

Your body makes HYALURONIC ACID. It's a natural part of the fluid that helps lubricate and cushion your joints and keeps them working smoothly.

When you have osteoarthritis (OA), the hyaluronic acid in the affected joint thins. Hyaluronic acid injections add to your body's natural supply. We also call these injections as "viscosupplementation," which literally means they help the fluid in your joints.

We can't predict who will benefit from hyaluronic acid injections. But we give them to people with knee OA whose symptoms don’t get better with painkillers or applying heat or ice compress.

Hyaluronic injections are also often tried by people who can't take painkillers because of its side effects like ulcer bleeding or kidney failure/damage or can't have (or aren't ready for) total knee replacement surgery.

Hyaluronic Acid and Osteoarthritis of the Knee Hyaluronic Acid and Osteoarthritis of the Knee Osteoarthritis is the degeneration and breakdown of cartilage that leads to inflammation in a joint. Pain deve...

OSTEOARTHRITIS is the most common form of arthritis. It occurs when the protective cartilage that cushions the ends of your bones wears down over time.

It commonly affects joints in your hands, knees, hips and spine. Risk factors include age, obesity/overweight, genetics and history of trauma to the joint.

Osteoarthritis symptoms can usually be managed, although the damage to joints can't be reversed. Staying active, maintaining a healthy weight and some treatments might slow progression of the disease and help improve pain and joint function.

Stages of Knee Osteoarthritis In this video we discuss the stages of knee osteoarthritis. ► BIOVENTUS official website https://www.bioventusglobal.com/ -------------------------- 𝗙𝗢𝗟𝗟𝗢𝗪 𝗨...

If you think you have Lupus or you know someone to have Lupus, consult a rheumatologist.

Salamat Dok: Information about lupus Dr. Sandra Navarra gives information about lupus, lists the factors that trigger the autoimmune disease, and explains why the condition is very difficult to ...

Understanding Rheumatoid Arthritis

Rheumatoid Arthritis Animation To license this video for patient education or content marketing, visit: http://www.nucleushealth.com/?utm_source=youtube&utm_medium=video-description&utm_ca...

So, about masks — they do next to nothing if you don't wear them properly.

Masks are effective only if they cover your mouth, nose and chin.

Beware of these three familiar mask mistakes 😷
1. It's too loose.
2. You forgot your nose.
3. You put it back on and touched it.

Masks are effective only if you wear them properly. Here's the right (and wrong) way So, about masks -- they do next to nothing if you don't wear them properly. Masks are effective only if they cover your mouth, nose and chin.

If someone close to you has lupus, your life will likely be affected, as well. It is important to understand your loved one's illness and what he or she may be expecting from you. The following are some tips for living with someone who has lupus:

***Learn about lupus and its treatment. Understanding the illness can help you know what to expect, and provide better support and understanding.

***Don't push. Give your loved one enough space to deal with the illness and regain some control over his or her life.

***When possible, go with the person to the doctor. This is a good way to offer support and to listen to what the doctor says. Sometimes, a person feels overwhelmed and cannot take in everything the doctor says.

***Encourage the person to take care of himself or herself and to follow the doctor's treatment plan, but do it gently. Be patient and don't nag.

***Be open with the person. Talk about your own fears and concerns, and ask the person about his or her fears and needs.

Someone You Know May Have Lupus Due to extreme fatigue, pain and stiffness a morning routine can be a real challenge for somebody with lupus. Lupus is an incurable immune system illness, pr...

Rheumatoid Arthritis can be debilitating. But you can do something about it.

Talk to your rheumatologist.

Rheumatoid Arthritis - It is more serious than you think! If you have RA. If you work here at NRAS. If you are a friend, colleague, family member of someone affected by RA. If you are a rheumatology health care prof...

The World Health Organization (WHO) announced that COVID 19 “may never go away”. Many scientists agree that it is here to stay and like HIV, we will learn to live with it. We will not go back to 2019. We will not do the things we used to do: greet friends with kisses and hugs, attend lavish parties with hundreds of guests, cheer in jam packed basketball games, or just walk freely in and out of crowded malls. Things will look different. Public and private health measures to contain the virus and prevent a second surge shall continue. We shall undergo Quarantine in its various forms (ECQ, GCQ, MECQ, etc.) and applications.

Our new reality will be much like what we have been doing these last 2 months.

After Lockdown: Perspectives from the Medical Field The announcement from the Philippine government easing quarantine restrictions in the Philippines has left many of us with questions. “How will my life change after the lockdown? Will it be safe to go outside? How do I stay safe and protect those I love? What if a second surge occurs?” We are an...

Telemedicine is something new to me and for all my patients. Because of the covid-19 pandemic, we are forced to embrace this technology right away with few preparations.

Here is a video to help you go though a teleconsultation.
Be well and stay safe during this time.

Telemedicine Tips : Preparing for your Virtual Visit | Johns Hopkins Medicine Telemedicine is increasingly used for health care delivery. Telemedicine is new for most people. Some are apprehensive about technology and other concerns wi...

WHEN SHOULD YOU SEE A RHEUMATOLOGIST?

When Should I see a Rheumatologist? If you think you have rheumatic disease, ask your primary care doctor to refer you to a rheumatologist. Don’t wait. The sooner you get diagnosed and begin tr...

Osteoarthritis vs. Rheumatoid Arthritis To learn more about arthritis, please visit https://cle.clinic/33J8b8E Learn about the two different types of arthritis, osteoarthritis and rheumatoid arthritis, and what can cause these types of joint pain and inflammation over time.

GET VACCINATED. SET YOUR APPOINTMENT WITH MY SECRETARY.

A cough and fever are usually the first signs of flu. The same with COVID-19 —and even trained medical professionals have a hard time telling them apart without proper testing. The chance is increased if you happen to live with people who are at greater risk, like your grandparents, an expecting mom, or kids. With a flu shot, you have better chances of fighting the flu virus and avoiding these symptoms, making peace of mind a little more attainable in these worrying times of COVID-19 pandemic.

Could This Actually Be The Right Time To Get a Flu Shot? A cough and a fever are the last things you need right now.

Most rheumatology drugs don’t increase COVID-19 hospitalization risk “These results provide, for the first time, information about the outcome of COVID-19 in patients with rheumatic and musculoskeletal diseases.”

OBJECTIVES
COVID-19 outcomes in people with rheumatic diseases remain poorly understood. The aim was to examine demographic and clinical factors associated with COVID-19 hospitalisation status in people with rheumatic disease.

METHODS
Case series of individuals with rheumatic disease and COVID-19 from the COVID-19 Global Rheumatology Alliance registry: 24 March 2020 to 20 April 2020. Multivariable logistic regression was used to estimate ORs and 95% CIs of hospitalisation. Age, s*x, smoking status, rheumatic disease diagnosis, comorbidities and rheumatic disease medications taken immediately prior to infection were analysed.

RESULTS
A total of 600 cases from 40 countries were included. Nearly half of the cases were hospitalised (277, 46%) and 55 (9%) died. In multivariable-adjusted models, prednisone dose ≥10 mg/day was associated with higher odds of hospitalisation (OR 2.05, 95% CI 1.06 to 3.96). Use of conventional disease-modifying antirheumatic drug (DMARD) alone or in combination with biologics/Janus Kinase inhibitors was not associated with hospitalisation (OR 1.23, 95% CI 0.70 to 2.17 and OR 0.74, 95% CI 0.37 to 1.46, respectively). Non-steroidal anti-inflammatory drug (NSAID) use was not associated with hospitalisation status (OR 0.64, 95% CI 0.39 to 1.06). Tumour necrosis factor inhibitor (anti-TNF) use was associated with a reduced odds of hospitalisation (OR 0.40, 95% CI 0.19 to 0.81), while no association with antimalarial use (OR 0.94, 95% CI 0.57 to 1.57) was observed.

CONCLUSIONS
We found that glucocorticoid exposure of ≥10 mg/day is associated with a higher odds of hospitalisation and anti-TNF with a decreased odds of hospitalisation in patients with rheumatic disease. Neither exposure to DMARDs nor NSAIDs were associated with increased odds of hospitalisation.

Characteristics associated with hospitalisation for COVID-19 in people with rheumatic disease: data from the COVID-19 Global Rheumatology Alliance physician-reported registry Objectives COVID-19 outcomes in people with rheumatic diseases remain poorly understood. The aim was to examine demographic and clinical factors associated with COVID-19 hospitalisation status in people with rheumatic disease. Methods Case series of individuals with rheumatic disease and COVID-19 fr...

Covid-19 changed the way we look at viruses. We have to relearn what we learned in medical school. Everyday we learn something new of the disease. There is so much that we don’t know about this virus in the beginning and every now and then we still surprised at how the virus is unfolding. It totally changed the way we live our lives.

At this time, little is known about how patients with rheumatic diseases are affected by the virus. So, if you are a lupus or scleroderma patient, patient with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, or vasculitis patient, please participate in the survey in the link below.

Thank you for your participation.

Patient Experience Survey | The COVID-19 Global Rheumatology Alliance Patient Experience Survey Click here to take the COVID-19 Rheumatology Patient Experience Survey (Available in English, Arabic, Chinese, French, German, Hebrew, Italian, Portuguese and Spanish) About this study The COVID-19 (Novel coronavirus) pandemic has quickly infected over a million people worl...

In these uncertain times, patients with rheumatic diseases represent a vulnerable population whose health and wellness are particularly threatened, not only by the risk of COVID-19, but also by reduced access to usual medical care (in-person clinic visits), potential treatment interruptions (eg, planned infusion therapies), and the ongoing shortage of hydroxychloroquine, to name a few.

Maintaining an open line of communication with our patients (by phone or telemedicine) has become more essential than ever. It is through these communications that we best understand our patients' concerns and provide support and personalized treatment decisions.

The COVID-19 pandemic has presented us all with unprecedented challenges. As rheumatologists, it is our duty to lead our patients through this uncharted territory with close communication, information, advocacy, and personalized treatment decisions. Each of these is central to the management of rheumatology patients during the COVID-19 pandemic.

Treating Rheumatic Diseases in a COVID-19 Epicenter 'Should I stop my medication to lower my risk for infection?' Three NYC rheumatologists share what they know to answer this and other FAQs about COVID-19 and rheumatologic diseases.

This is my temporary schedule in this time of new normal.

Rheumatology is a sub-speciality of medicine that focuses on the treatment of rheumatic conditions which affect the joints, soft tissues and muscles, including autoimmune diseases. Clinicians who specialise in Rheumatology are called Rheumatologists.

Rheumatological disorders include:

Rheumatoid arthritis
Ankylosing spondylitis
Psoriatic arthritis
Reiter’s syndrome
Lupus (SLE)
Scleroderma
Myositis
Sjögren’s syndrome
Vasculitis (e.g. giant cell arteritis)
Behcet’s disease
Gout and pseudogout (CPPD)
Osteoarthritis
Osteoporosis
Soft tissue rheumatism (tendonitis and bursitis) and many more.

SLE and RA in time of COVID-19 Take this survey powered by surveymonkey.com. Create your own surveys for free.