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Dr. William Lages

Internal Medicine - Rheumatology
Santa Cruz, CA
69 years experience male

About

Bio

Retired Clinical Professor of Medicine (Rheumatology) Stanford University, retired Chief Division of Rheumatology Santa Clara Valley Medical Center, San Jose, CA.

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.

Internal Medicine - Rheumatology

Rheumatology

Languages spoken

English

Doctor Q&A

524 Answers
229 Agrees
The number of answers this doctor has agreed with.
A 37-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Ignore: Do stay on prescribed medicines and diet. Don't stop meds or start meds yourself.Don't ignore diet.
A 35-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
D-ribose and ATP: D-ribose is a sugar the body uses in the metabolism of ATP, important in muscle metabolism. It is claimed to increase energy including that of muscles... Read More
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Yes: Benzonatate is the active ingredient in Tessalon. It works by numbing the throat and upper respiratory tree.There is no conflict.
A 29-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Yes but: cocodamol is codeine with paracetamol. This is used for pain relief. Valium is a central nervous system depressant and used for anxiety, sleep and mus... Read More
A 41-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Safest: Safest while on prednisone would be saline nose drops, cold or warm mist , acetaminophen and an antihistamine not containing any thing but antihistami... Read More
A 25-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Exam and possible re: Miscarriage is a loss, and a D&C adds physical trauma to the situation. This stress should be managed by an exam by your primary care physician a... Read More
A 17-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
See a doctor ASAP: That is alarming. You need to see a doctor and be examined soon as possible.
A 17-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
No: Backtracking is for gram positive bacteria and vaginitis is caused by other bacteria and yeast infection. You need a slide and culture done with an ex... Read More
A 24-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Yes but: The real question is why bilateral foraminal stenosis at L4_L5 at your age. Is there disc disease, spondlolisthesis, history of trauma, and abnormalit... Read More
A 50-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
No: Vyvanse (lisdexamfetamine) and phenylephrin are both stimulants and you are on ambient, cymbals and valium which are depressants. You need a doctor wh... Read More
A 32-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
See below: Paragard is a long lasting copper I.U.D. Generally it is well tolerated in autoimmune diseases. However, some of the drugs used to treat autoimmune di... Read More
A 66-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Studies show: Controlled studies show good results for treatment of adolescent idiopathic scoliosis with SpineCor, but I have seen no such studies in older age grou... Read More
A 23-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Ask lab: This is not listed as an accepted acronym in PAP smear reporting. Ask lab or ordering M.D.
A 28-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Can be intermittent: If a herniated disc causes signs like straight leg raising or sciatic nerve tenderness, it can be intermittent. So can any neurological or muscular si... Read More
A 29-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Sometimes: There is no specific treatment but some infections spontaneously go away. But don't rely on this. Instead get PAP smears every year as 16 and 18 have ... Read More
A 27-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Treatment needed: With lupus all infections and fevers need to be looked at and if necessary treated. See your primary M.D. Or rheumatologist. It sounds like an ear inf... Read More
A 25-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
No: It would be very unusual so you should be tested for other causes such as hypothyroidism connective tissue disease diabetes etc. See a doctor for a co... Read More
A 43-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Prescription vitamin: Metanx is a prescription vitamin formulation used to treat diabetic neuropathy. It has very active and large doses of folic acid derivative, vitaminB1... Read More
A 50-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Two things: One is the effect of hypertension on kidney function and cautions of arthritis drugs and impaired renal function. For one example NSAIDS. The other ... Read More
A 50-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
See below: Urticarial vasculitis unlike the usual urticarial is an immune complex disease in which the lesions last and can be idiopathic; a reflection of under... Read More
A 47-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Several things: Several things can cause coma in SLE;lupus cerebritis (autoimmune), cerebral vasculitis,arterial thrombosis,hemorrhagic stroke, renal failure,diabetic... Read More
A 18-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
No: When you are virginal this could happen once or twice, but every time you need to be examined and he needs to be aware to stop until you are.
A 29-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Seizure workup: Depending on the history and physical and laboratory exam by a Neurologist, EGGs and perhaps brain scanning can be done looking for tumors, A-V malfo... Read More
A 16-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Could be: You need to be examined and likely an x-ray-it could be fractured or a ligamentous or meniscus injury. Your PCP may refer you to an Orthopedic Surgeo... Read More
A 48-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Slow: Healing after levofloxacin muscle and tendon reaction can take weeks to months. Since this antibiotic ties up magnesium at the neural and muscle endpo... Read More
A 31-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Ask M.D..: Ask your doctor if this puzzling pain could be piriformis syndrome where the piriformis muscle in the gluteal area compresses the sciatic nerve and ca... Read More
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Not unless: Not unless you have an abrasion or lesion on your genitals as a port of entry and you didn`t get al the blood off. But assuming ;this didn`t exist, no... Read More
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Perhaps some: The cervical disc pathology may be responsible for arm and neck pain and if you are taking NSAIDs such as Aleve (naproxen) you probably have G.I. blee... Read More
A 37-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Ignore: While good vegetarians shun all meat, they watch protein,B12 in what they eat.
A 44-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
See below: Most common drugs involved in drug induced lupus are isoniazid, used to treat Rbc ;hydrazine, used to treat hypertension; and procainamide used In ca... Read More
A 40-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Sleep hygiene: One carispodol 350 is capitulating, not addicting. If you stop you will deal with the insomnia you had that led to taking it So gradually stop by one... Read More
A 47-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
90% women get them: 90% of pregnant women get them to some degree as the baby grows faster than the skin can accommodate. To keep at a minimum don`t gain over a healthy 2... Read More
A 47-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Antihistamines: Looks like you are allergic to one of the components of augmentin. Most likely the penicillin group of drugs, but even could be the clavulenic acid to... Read More
A 48-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
NSAIDS side effects: Diclofenac is a nonsteroidal drug and nearly all can cause gastrointestinal problems such as nausea,heartburn,ulcers,diarrhea, and GI hemorrhage. They... Read More
A 29-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Depends on veins: Since Remicade (infliximab) is given IV over a two or more hour period the veins must be large enough and good enough to prevent tissue infiltration. ... Read More
A 23-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Chest CT thoracic sp: A CT of the chest does show some of the thoracic spine and disc spaces, but not the lumbar spine where most symptomatic herniated discs are
A 43-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Suggestion: If your are doing well on this regimen and are under the care of a Rheumatologist you should continue. If you are not doing well, are not being tested... Read More
A 66-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Yes: Both Voltaren and Nexium (esomeprazole) can cause either diarrhea or constipation. A stool softener should help. Nexium (esomeprazole) is now over th... Read More
A male asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Can be: Miller Fisher is a variant of Guilian-Barre syndrome with paralysis of eye muscles, ataxia and areflexia. G-B syndrome follows an infection, usually a... Read More
A 35-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Get exam ASAP: Plaquenil (hydroxychloroquine) can cause some loss in appetite, but 30 pounds in three months is extreme and needs a thorough investigation. You docto... Read More
A 44-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Yes: Meloxicam can cause several gastrointestinal side effects including heartburn, nausea, gastric pain, peptic ulcers, G.I. Bleeding, constipation and di... Read More
A 23-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Have doctor look: It is not a usual symptom of fibromyalgia to have wheat or warmth in the lower back. Have your doctor check. It may be a simple explanation like cold ... Read More
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
None: It might taste good. but there are no proven benefits in Psoriasis.
A 37-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Depends: It depends on the disease, the stage of the disease and and is it the best alternative for the disease.
A 17-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
To detect problem: The Fulkerson procedure is an to stabilize the kneecap to prevent chronic dislocation. He is being thorough and at your age that is important.
A 50-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
See below: 60 50mg generic azothioprin range from 30+ dollars at CVS, Walgreens and Rite Aid to 24-25 dollars at Walmart and Target.
A 27-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
No: The sacroiliac joint is ligamentously very closed and stable. But if the inflammation is severe enough it can irritate elements of the sciatic nerve w... Read More
A 26-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
Ask Rheumatologist: It is very unusual for rheumatoid arthritis symptoms not to be helped by 20mg prednisone daily. You need to talk to your Rheumatologist about this, a... Read More
A 35-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
See below: Coccidioidomycosis is a fungal disease picked up through inhalation. Often the symptoms are mild and the disease not recognized. In one to three weeks... Read More
A 49-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 69 years experience
A lot: Orencia (abatacept) is one of the newer biologics used to treat Rheumatoid arthritis. It affects the T cells a little lower in the inflammatory chain,... Read More

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

9
Recommendations
368
Thank you notes
Dr Lagas immediately answered my question put out for curbside consult with reassuring and informative advice. My hat is off to him for his willingness to share such a wealth of experience and knowle...Read More
Apr 10, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
Dec 1, 2014
Awesome responses and so much knowledge depth!
HealthTap member
This was very helpful. Thanks! Thank you very much for your kind answer. it was nurse who cleaned the wax and not the doctor. Its been 5 days nowi still have dizzy spells.
HealthTap member
This was very helpful. Thanks! Again thanks for your help. I hope this time diagnostic work up will be fruitful and my disease finally given the name.
HealthTap member
This was very helpful. Thanks! I had already ordered a bottle , so I'll try it and let you know if it makes any difference . Thanks for your help

Education & Training

Medical/Graduate school

U.C.S.F.
Graduated 1953MD

Residency

U.C.L.A.
Completed 1960

Awards

Top Doctor, Second Place, Santa Cruz Region - Summer
2014
Top Rheumatologist , First Place, California - Summer
2014
Most Influential Doctor, Second Place, Santa Cruz Region - Summer
2014
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less