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October 13, 2017

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Raynaud's phenomenon is an exaggerated vascular response to cold temperature and/or emotional stress that causes red, white, and blue color changes of the finger; and not the nail bed or fingertips. 

Raynaud's phenomenon is not a numbness of the fingers when cold.

This i...

An interesting thing about rheumatoid arthritis (RA) is that it is not just a joint disease. Some patients may develop lung involvement. 

Lung involvement in RA is also an inflammatory process that generally occurs if joint disease is active.

Say, your RA...

September 30, 2017

Rheumatologist are few and far between. The supply is low but the demand is high. 

Patients with rheumatoid arthritis account for about 1 percent of our population and are in constant need to be evaluated by their rheumatologists. Well, what about those living in rural...

Photosensitivity has been associated with lupus and lupus flares. 

The most important question is what does that mean?

Photosensitivity in lupus means that sunlight exposure activates the immune system. 

The most common reaction is a facial rash but the key is that the ra...

I have been working with Vigilias, LLC (FreeState Health Care) as a rheumatology consultant on their Telehealth platform for a year now providing outreach in remote towns in rural Kansas. I have been able to help many, which is the sole purpose of my participation. The...

When patients ask me about gout, I ask them why do you ask about gout?

Patient: I was diagnosed with gout.

Me: How were your diagnosed?

Patient 1: By blood tests.

Patient 2: My foot hurt after working.

Patient 3: I ate a lot of crabs and then my toe started to hurt.

Me: Did...

Many patients complain to me about neck pain or shoulder pain. The pain is aching, throbbing or even burning. My doctor said "you have arthritis in my neck." 

The most common reason, in my opinion, for neck/shoulder pain is poor neck posture. The muscles in the neck tha...

* denotes most common side effect if one were to have a side effect

All medications have potential side effects. Most people do not suffer from these side effects. A random few people do and unfortunately, there is no way to predict it. This can be said regarding napro...

If you are on a DMARDs (Disease Modifying Anti-Rheumatic Drugs), such as hydroxychloroquine, sulfasalazine, methotrexate, or leflunomide and have an upcoming non-invasive surgery, such as colonoscopy, cataracts, gall bladder removal, or even dental work, you should not...

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