We are continuing to update our office practices daily as we learn more about the COVID-19 situation. Our first priority as always is your safety.
As of March 16, 2020 our office will be temporarily closed and is tentatively scheduled to re-open for in-office visits on March 22, 2020
We will be offering telemedicine for follow up appointments only starting today. We will not be offering this for annual physicals or new patients consults. If you would like to change your follow up visit to a virtual visit, please contact our office.
Current recommendations for our practice:
Patients over the age of 60 and those with chronic illnesses should self-quarantine and avoid contact with others. Please see the CDC recommendations on self-quarantine protocols.
We recommend that you cancel all travel for the near future, domestic and international.
If you must travel, please follow any CDC recommendations on isolating yourself for two full weeks after you return, to minimize effects on others.
There is no specific data on the rate and severity of COVID-19 virus infection in patients with rheumatic diseases, especially those taking prednisone, DMARDs, biologics or other immunosuppressive medications. Therefore, we will be following our current practice guidelines for interrupting therapy during an infection. Please call our office prior to discontinuing any medication. - We are recommending that patients stay up to date and receive all appropriate vaccinations, including seasonal influenza, pneumonia, pertussis, and shingles vaccines. These will not prevent the COVID- 19 virus, but may lessen the chance of a secondary infection and will prevent illnesses that could be confused with COVID-19. You should wash your hands frequently and in general avoid touching your face and other mucous membranes including your mouth, nose, eyes and ears.
There are currently no prophylactic or therapeutic treatments for COVID-19 at the present time. Testing of potential therapies is underway in the U.S., Japan, and China, and work to develop a vaccine is also moving forward. However, it is unclear when these will be available. - Please keep in mind that we are still in flu season and are continuing to see cases of Influenza as well as the common cold and symptoms of allergies all of which can mimic mild symptoms of COVID-19 virus. - The best way to prevent the spread of COVID-19 virus is to limit exposure to others. Limit social activities that include large gatherings of people and unnecessary exposures.
There is limited testing available for the COVID-19 virus and is only available for patients who screen positive for a possible infection. Current recommendations for testing include:
Any person who has returned from any travel outside of LA county in the last 14 days AND has a fever, cough, shortness of breath or other acute respiratory symptoms.
Any person who has been in close contact with a person diagnosed with the COVID-19 virus AND has fever, cough, shortness of breath or other acute respiratory symptoms.
Patients with fever, cough or shortness of breath AND 1. Recent travel to China, Iran, South Korea, Japan or Europe. 2. Direct contact with a known confirmed case of COVID-19 in the last 14 days. Please let us know if you have any of the above risk factors. We understand that many patients want to be tested. If you have mild symptoms, we recommend that you stay home. If you have more severe symptoms, we will assess if COVID-19 testing is appropriate. Also, if you do have more severe respiratory symptoms, we will be recommending that you be seen in the emergency room or urgent care. At urgent care, you can be tested for more common viral and bacterial illnesses including Influenza, RSV, Strep and other viruses that can mimic the symptoms of COVID-19 virus.
You can understand how many calls we are getting about this topic. We thank you for your patience while we try to get back to everyone in a timely way. We are here to help you during this time and will stay in close contact to provide you with any new updates as they become available.
A: If you are considering treatment for your arthritis in Los Angeles, contact an internal medicine doctor or a rheumatologist.
Q: Who is at risk for arthritis?
A: Several factors are associated with developing arthritis. For example, arthritis is more common in women, the elderly, and individuals who are overweight or obese.
Q: What causes arthritis?
A: Arthritis is associated with a number of causes including certain types of infections, genetic defects, or diseases.
Q: What is dermatitis herpetiformis?
A: Dermatitis herpetiformis is a common symptom of celiac disease that features an itchy, blistery skin rash on the elbows, knees, torso, scalp, and buttocks. Proper treatment for the underlying celiac disease will also treat dermatitis herpetiformis.
Q: When should I see a doctor for celiac disease?
A: If you experience symptoms of celiac disease or general digestive discomfort for more than two weeks, you should consult an experienced Beverly Hills rheumatologist or internal medicine specialist.
Q: How is celiac disease diagnosed?
A: Your internist may request a complete medical history and need to perform a blood test and/or endoscopy of the small intestines for a proper diagnosis.
Q: How is scleroderma diagnosed?
A: Blood tests, tissue samples, pulmonary function tests, CT scans, and echocardiograms all help doctors diagnose scleroderma.
Q: Who is at risk for developing scleroderma?
A: Although scleroderma can happen at any age, it is most commonly reported in individuals in mid-life. It is 4 to 5 times more common in women than in men. It can occur in almost anyone, hypothyroidism is more common in women over the age of 60.
Q: Is hormone therapy for hypothyroidism right for me?
A: To determine if you have hypothyroidism and how best to treat it, always consult an experienced internal medicine specialist. Each individual is unique, so your treatment plan will be tailored for your needs.
Q: What are musculoskeletal ultra-sound guided joint injections?
A: Treatment will depend on the type any severity of your condition. If you have specific questions regarding pricing, contact a psoriatic arthritis specialist.
Q: Who should I consult about my psoriatic arthritis?
A: If you think you may have psoriatic arthritis, is important to speak with either a rheumatologist or an internal medicine specialist. During a one-on-one consultation, your physician will be able to assess your condition and recommend a course of treatment.
Q: What treatment options are available for psoriatic arthritis?
A: The most effective form of symptom management for psoriatic arthritis is medication. Your physician will determine which medication will best relieve your symptoms.
The information available on this web site is provided for informational purposes only. This information is not intended to replace a medical consultation where a physician's judgment may advise you about specific disorders, conditions and or treatment options. We hope the information will be useful for you to become more educated about your health care decisions.