Dr. Douglas Mund

Rheumatology
Holtsville, NY
48 years experience

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Rheumatology

Languages spoken

English

Doctor Q&A

304 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Simple injections: The process is quite simple. Humira (adalimumab) comes in two froms: a standard pre-filled syringe or a "pen" in both cases you allow the medication ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Unlikely: Appropriately treated septic arthritis ( both proper antibiotic and length of treatment) should be curative. Unless a new bug has entered the joint it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Penicillamine: This is a chela ting agent that binds to certain heavy metals that may be present in the blood. It has also been used as a treatment for scleroderma c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Either is fine: Depending on how much folic acid is needed you may need more than is usually found in a general supplement in that case a separate folic acid pill may... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
May be very dangerou: There are many reasons for a very rapid heart rate. Some may be quite serious and even life threatening You should see your physician and be evaluated... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Douglas Mund
Rheumatology 48 years experience
It should be: Both have the ability to suppress breathing and cause sleepiness however after 5 hours the effect of the Vicodin should have worn off
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Joint swelling: In the most classical presentation there is symmetrical swelling around the middle joints (pip) in the fingers and in the knuckles. The end joints, ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Separate diseases: There is a significant co-existence of these two diseases but they are separate diseases. Both are auytoimmune in nature but the presence of sjogren's... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
An autoimmune diseas: Sjögren's is an autoimmune disease where the body "turns against itself" and makes antibodies against the mucous secreting areas of the body- the eyes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Different areas: Collagen vascular diseases or multi-system diseases are just that. They are a group of diseases characterized by autoimmune aberrations. Varied organ ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Sense of tightness o: Stiffness in the fingers can be due to many different problems as there are many structures in the fingers. It might be due to joint disease or arthri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Unlikely: It is very unusual to be allergic to orednisone. Often, a known reaction to steroid use is interpreted as an allergy. Many people develop facial flush... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
It depends: Pain in the knee can be due to any number of problems, an injury arthritis or many other types of disease. It is first important to know why the pain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Favorable: For aapropriate patients the experience with Benlysta (belimumab) has been good. There has been improvement in general features of fatigue with improv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Maybe: Osteoporosis causes a reduction in bone mass with weakenning of bone strength. This can lead to a fracture in any area of the body.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Pain and limited mot: Bursitis or inflammation involving a bursal sack is usually seen with acute pain in a local area. The pain is usually worsened on activity. There may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Yes: You can...The drugs do not interact. I would question why you would need all three drugs. Usually even the worst attack of gout is treatable with indo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Not at all: Lupus is a disease that affects many organ systems in the body. There are 11 criteria that help make the diagnosis and if 4 of 11 are present it fulf... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Pain and motion loss: Inflammation of a hip bursa, whether septic or not results in pain, swelling and decreased motion. With a septic process fever and other constitutiona... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Several are availabl: For acute bursitis, local steroid injection is often curative. When this is not possible or when symptoms are more chronic then using anti-inflammato... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Varied ways: Pain in R.A. Can be due to many things. A ctive inflammation can cause pain and can be managed with anti-inflammatory medication, steroids or other di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
A protein in blood: Rheumatoid factor is a protein-igm- directed against another protein- igg in the blood and is seen in high frequency(>80%) of patients with rheumatoid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Yes: It has never been shown to have any therapeutic benefit in osteoarthritis or any other form of arthritis..But it cannot hurt.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Maybe: Your question is very vague and impossible to answer in this format. There are dozens of arthritis types with different treatments and different short... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
No: Even significant infectious drainage would be destroyed in the acid of your stomach.
Created for people with ongoing healthcare needs but benefits everyone.
A 70-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Yes: There are no known interactions between these two medications
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Difficult: It is very hard to lose weight while on prednisone. The best way is to decrease or stop the Prednisone if you can. There are some steroid sparing drug... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
No: Spinal arthritis represents a mechanical and anatomic change with new bone growth ( osteophytes) that can impinge on excisting nerve and muscle causin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Varied measures: If you have known chronic mechanical back pain then you can use topical applications of heat for spasm and ice for pain. In lieu of the Acetaminophen ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Tlaking: It takes alot of time to explain the nature of the process and what is involved in the diagnosis and treatment it is also verty important to reassure ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Anytime: Fibromyalgia is seen in young teenagers and pwards. There is no time element as to when symptoms may occur.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Probably nothing: These two drugs really do not interact you should have no problems if you take both.
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Might be neck relate: Many possibilties here. Most likely cervical spine disease with possible nerve impingement causing the numbness. Other possibilities include thyroid d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Nothing: When you crack your knuckles you are forcing s, mall amounts of gas out of your joints. You are not harming yourself or doing any damage to the joints... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old male asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Many things: The most important fact to know is what kind of arthritis you have. Generically using pain medication like tylenol (acetaminophen) or using anti infl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Depends : The approach to proper treatment depends on how the disease presents. If just skin rash simple antibiotics may be all that is necessary. Of more signi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 72-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
A form of arthritis : Ankylosing spondylitis is an inflammatory disease of the spine . It is usually seen in younger persons and more commonly in med most commonly see earl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Safe within limits: They are as safe as any other form of ibuprofen. Similar concerns regarding stomach upset or bleeding and effects on liver and kidney function are the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
It might: Lupus, as a multisystem disease can affect muscle as we'll . There may be muscle achenes or inflammation of muscle with muscle damage weakness and atr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Depends on symptoms: If the disease goes into remission it may be possible to stop medication this is something to discuss with your rheumatologist. If the disease is stil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Many possibilities: There are many forms of arthritis and you need to be seen and evaluated. There is likely little relation to your pregnancy as it occurred 6 months ear... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Yes: With any condition treated if a medication did not work it makes no sense to stay on it. Methotrexate is very commonly used and can be very effective... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Yes: Both drugs can have adverse effects on kidney function it is important that while on either of these drugs your kidney and liver function be monitored... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
They might: Pregnancy causes many physiologic and anatomical changes including loosening of many ligaments about the pelvis to allow for the expansion of the fetu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Many possibilities: It is unclear form your problem whether the problem is directly in the joints or if the joint pain reflects another process. It is important to know i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Not so simple : It sounds like there may be more than one process in play. The knee pain sounds more like a local issue with either injury to the knee or local arthri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Possible ligament st: It is possible that you injured one of the liga, nets in the wrist or possibly a mild dislocation of one of the wrist bones. See an orthopedist for fu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old male asked:
Dr. Douglas Mund
Rheumatology 48 years experience
See a podiatrist: This sounds like a localized problem could be trauma, crystal inflammation like gout or even possible fracture. A podiatrist can evaluate and diagnose... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Treatment not cure: Raynauds is a spasm of small blood vessels with increased sensitivity to cold or emotional stimuli. Treatment involves keeping digits warm and use of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Douglas Mund
Rheumatology 48 years experience
Yes: Raynauds can be seen associated with rheumatoid arthritis or may be part of a syndrome of overlap or mixed connective tissue disease. It is important ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
598
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Mund is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Mund is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thank you have been having hives and red flushing have been on predesone 5mg for 2 yrs to control four attacks
HealthTap member
Thank you, your quick reply made me feel good! I'm with rheumatoid arthritis can and vitamins d problem I in chronic
HealthTap member
Thank you, your answer was very helpful! Thank you, I'm seeing my surgeon next week. Just wanted reassurance.

Education & Training

Medical/Graduate school

State University of New York Downstate Medical Center College of Medicine, NY
Graduated 1975MD

Awards

Top Rheumatologist , First Place, New York - Winter
2013
Top Rheumatologist , First Place, New York - Summer
2013
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