And #PRA2018 PreConvention Ends

To review the day that was... My story posted on the PRA website (which I also manage). http://rheumatology.org.ph/2018/02/15/and-pra2018/

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Vitamin B for Aches and Pains

Even before you can properly assess any complaint of joint pain, paresthesias, tingling, numbness or ngalay, the typical Filipino patient already has an expectation that he'll be prescribed vitamin B. And if you do decide NOT to give it, the Pinoys will make sure to ask you about it. Some physicians give in, thinking there's … Continue reading Vitamin B for Aches and Pains

ACR 2015 Guidelines on Rheumatoid Arthritis Part 2: Conflicts

There's this expectation that guidelines put perspective into the scheme of things as new evidence is obtained on the use of both novel and established agents. Personally, a well made algorithm is the core of guidelines as it organizes the tools available to a physician after weighing in concerns such as efficacy, safety, tolerability and, … Continue reading ACR 2015 Guidelines on Rheumatoid Arthritis Part 2: Conflicts

ACR 2015 Guidelines for Rheumatoid Arthritis Part 1: Affirmations

Sessions on rheumatoid arthritis are guaranteed crowd-drawers in any rheumatology conference. Speakers discussing guidelines draw attention because it is a challenge keeping up with the evidence and guidelines, hopefully, put things in perspective. You can just imagine how exciting a session on RA guidelines would be. I remember attending several where the ACR 2015 guidelines … Continue reading ACR 2015 Guidelines for Rheumatoid Arthritis Part 1: Affirmations

What is DOH A.O. 2015-0053?

Let's take a break from the medical posts and discuss something related to practice! I've heard of stories on how the pharmas have influenced the doctor-patient relationship. I recall one story shared by Dr. Tony Dans (circa 2003?) of how prescriptions for a drug changed  in relation to an out-of-town launch (on a cruise, if I'm … Continue reading What is DOH A.O. 2015-0053?

EULAR posts its 2016 Guidelines for Gout: A comparison of sorts

I am amused that in a country recognized internationally for its high prevalence of gout (yes, I'm referring to the Philippines!), there has only been ONE gout guideline. But other nations and groups have produced several iterations of recommendations. Case in point, EULAR released last month its second version of gout guidelines - this time … Continue reading EULAR posts its 2016 Guidelines for Gout: A comparison of sorts

Obesity in Rheumatoid Arthritis

Physical activity is advised for patients with chronic inflammatory arthritis as this helps relieve some symptoms such as stiffness and pain. While the inflammatory process takes it's toll on the patient's body (patients also complain of malaise, anorexia and fatigue), we still encounter obese patients suffering from these conditions. Should this be a reason for … Continue reading Obesity in Rheumatoid Arthritis

Be careful when using pregabalin in pregnant patients

PREGABALIN is an effective drug  used in treating painful neuropathic conditions, anxiety disorders and is also adjunct therapy for partial seizure disorders. It's safety in pregnancy is under FDA Category C - which means  that animal studies suggest adverse fetal outcomes  but no controlled human studies have been done. As such, when considering its use during pregnancy, … Continue reading Be careful when using pregabalin in pregnant patients

Low dose steroids in SLE (Reflections from the Lupus SIG)

I recently attended the Lupus Special Interest Forum held last 30 May at the CME Auditorium, UST Hospital. One of the topics I was looking forward to was the one given by Prof. Guillermo Luis-Irastorza (Cruces University Hospital, Spain) during the recent Lupus Academy on using low doses of glucocorticoids in managing SLE. He started … Continue reading Low dose steroids in SLE (Reflections from the Lupus SIG)