Planning a clinic visit at Callang? Please note these.

In order to facilitate your follow-up visit at Callang with me, please note these procedures we have instituted.

For FOLLOW-UP visits,
1. Appointment numbers will be given in person by Misael on the day of the clinic as early as 700AM.
2. Patients given follow-up appointments for that clinic day will always be given a slot.
3. Early follow-up visits due to urgent concerns will likewise be given a slot.

For NEW patients,
1. We accept walk-ins up to the maximum number set for the day.
2. Appointment numbers will given by Misael on the day of the clinic visit.
3. You may choose to be seen on a different clinic by asking for an appointment for that day. Numbers will still be assigned on the day of the actual visit.

You may continue to TEXT 0918-9334458 to verify our clinic schedule in advance. Please allow up to the end of the working day for a reply.

Change of Clinic Schedule in Citimedic (Tuguegarao) Clinic

We changed one of our scheduled days. There will be NO clinic on 8-Oct. We will hold a NEW clinic day on 1-Oct. The schedule will  also be kept for the 3-Dec date.

Our apologies for the change. Hope that you can plan ahead to accommodate it.

Change of Clinic Schedule in Santiago Clinic

We changed a few of our published clinic days. There will be no clinic on 1-Sep and 6-Oct at the Callang General Hospital clinic. A NEW clinic day will be scheduled for 29-Sep. We will keep the scheduled days on 3-Sep and 20-Oct. Please make a note of it.

Our apologies for any inconvenience on your part.

Rayuma-tologist, part two

I found this link page on "What is a Rheumatologist?" in the ACR website. Let me know if this is helpful in choosing your doctor for your medical problem.What is a Rheumatologist?

Dr. Katz' Super 6 for adding years to your life

Dr. Katz writes about six habits to add years to your life, as follows: feet, forks, fingers, sleep, stress and love. His review of the topic was inspired by one of his patients who is in his first year after surgery for cancer and wants to find out what he can do to stay healthy.

Dr. Katz' Super 6

Drugs to Avoid or use with Caution in Older Adults: Updated list of Potentially Inappropriate Medications for Older Adults

Updated 2012 AGS Beers criteria for potentially inappropriate medications for older adults now includes 53 medications or medication classes divided into three groups: (1) avoid for ALL, (2) avoid for those with certain diseases/conditions, and use with caution. The usual suspect anticholinergics are still there, but with new or stronger wording against NSAIDs, antihistamines, benzodiazepines and antipsychotics. VERY useful for the primary care clinician who would like to reduce adverse events due to medications.


Updated 2012 AGS Beers Criteria

Managing Gout in patients with chronic kidney disease

Three common scenarios when I treat these patients with a nephrologist:
1. Colchicine is given every two days. Use of low-dose acute gout colchicine regimen is disapproved (2 tabs NOW, then 1 tab in 6h).
2. Allopurinol is started at a low dose AND kept there whatever the serum uric acid results.
3. Routine use of febuxostat, instead of allopurinol.

This article confirms my practice that does NOT follow the above three.
http://www.ccjm.org/content/77/12/919.full