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Dr. William Lages

Internal Medicine - Rheumatology
Santa Cruz, CA
70 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 43-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes for Claritin (loratadine) D: Flonase contains a corticosteroid and should not interfere with usual blood tests. Claritin (loratadine) D contains pseudoephedrine which can cause so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
See below: Autoimmune gastritis is when your body develops antibodies to a part of the stomach. H pylori is a gastric infection and should be treated with antibi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Uric acid lowering: Allopurinal is a drug used to treat and prevent gout attacks by lowering the blood uric acid. It is not used for acute episodes but used for long ter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
What joint: You don't say what joint and what drugs you have taken or are on. The correct person to handle aseptic necrosis is an Ortopedic surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
It can be: The longer one is on prednisone therapy and the higher the dose the more hazardous it is to lower the dose too rapidly. You should not attempt this y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Acquired clubbing: Non hereditary or acquired clubbing can be caused by many lung disorders,as well as some gastrointestinal diseases such inflammatory bowel disease and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Perfume allergy: Perfume allergy is not uncommon. You should buy and use unscented products such as deoderants and shampoo on yourself, and just avoid other people who... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Not necesarily: While these tests point to a probability of a collagen vascular disease, this could be lupus, mixed connective tissue disease, etc. The doctor orderin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: Gralise {gabapentin} js used to treat neuropathy and can be slowly increased to a maximum of 1800mg daily. Though officially approved by the FDA for n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: Be sure to follow dose directions and have some milk, cheese or other protein in the stomach first.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Chelation: Penicillamine is a cheating agent which ties up lead so it can be excreted without being toxic
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: New onset rheumatoid arthritis can cause morning stiffness, joint pain and swelling, muscle pain and weakness, and a feeling like having the flu. Wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Don't do it: If you truly have Celiac disease you have to meticulously avoid gluten. So don't add it and play with fire unless your doctor supervises.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Need exam: The knee has ligaments, tendons, meniscus, cartilage and muscle involved in its actions. You could have injured any one of these. If you have residual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
R.A. can be serious: There is no natural remedy or cure. Spontaneous remission is very unusual and can't be brought about or depended on. You need to see a rheumatologis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Several types: Young people can be affected by several types of arthritis-Juvenile polyarthritis, Juvenile rheumatoid arthritis, juvenile osteoarthritis, Stills dise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Iron infusion info: Hard to give information because no diagnosis given. All iron infusions are iron-carbohydrate nanoparticles. They can differ in size and configurat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: Scleroderma causes scarring, hyperpigmentation, and vitiligo of skin as well as raynauds phenomenon, and scarring and vascular changes in the hands an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 68-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Important: Generally speaking with any significant renal insufficiency it is important to control hypertension, diabetes, lipids, and protein intake. Besides th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
ANA explanation: ANA are antinuclear antibodies which are seen in Systemic Lupus and some other disorders. Titer means how many dilutions in the test are still positi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
No effect: Omega 3,s in fish oil do not affect blood sugar or diabetes, but they do have beneficial antiinflammatories effects.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: Yes. The pathologist can use several different cuts and stains and keep the specimen for further use.Depending on what she/ he sees, even a culture.It... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Maybe: Sle itself is not treated with topamax (topiramate) which is a drug used for migraine headaches and prevention of seizures. Not knowing your symptoms ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Several things: Since there are several things that could be responsible you need to see your physician for an examination and work up.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Autoantibodies: Lupus nephritis is produced when autoantibodies cause inflammation of the kidney glomeruli and tubules. It is one of the organs affected by lupus Ofte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Unlikely,but: Tizanidine is a muscle relaxant used for.muscle spasms seen in multiple sclerosis and simllar disorders.It acts centrally on the brain and is associa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Elaborate: That's an unusual diagnosis requiring physical therapy. You need to provide more information.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Codon 816: A mutation of A to T at codon 816 of c-kit can be tested for but is not widely available. Other tests are 24 hour urine for histamine metabolites, a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes but: Muscle relaxers can help with the pain from muscle spasm but it is uncommon to use them alone in large joint pain. They are more commonly used with no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Listen to him: A Rheumatologist is uniquely trained to diagnose, treat and consult on lupus and to determine how severe and even know it might not be.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Surgery proposed?: You don't make it clear how recent the injury or what kind of surgery is proposed . This requires more explanation by your doctor because there are a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
No : No, but it is probably a more healthy sweetener than sugar.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
No: Vitamin B12 is not known for helping with weight loss, and not needed by the average dieter. Omega 3 has antiinflammatory properties, but only after w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: The piriformis syndrome is caused by the piriformis muscle compressing the sciatic nerve. Usually it causes pain and tingling in the buttocks, but if ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Is positive: This test is positive but only the doctor ordering it can explain to you the significance. ANA tests are notoriouisly positive in people without dise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
No : There is no literature or study showing any correlation between Lyme disease a.nd B12 deficiency.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
A TNF targeter: Enbrel or etanercept is an anti-tumor necrosis factor drug used to treat psoriatic arthritis, rheumatoid arthritis and juvenile arthritis. It is tak... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
24-48 hours: It will take 24-48 hours to completely clear, but most is gone in 12 hours.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Withdrawn: Bextra {generic name valdecoxib} was removed from the market in 2005 by G.D. Searle because of increased risk of heart attack ad stroke. It is a COX-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: From a lot of dissimilar causes and a good neurologist should be able to work this through for you.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Not really: All the Ibuprofen you take orally gets into the intestinal tract. There is I.V. Ibuprofen but obviously that's impractical. The only NSAID that can ge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Don`t worry: Your bodies cortisol is produced by a servo mechanism with other glands including the pituitary. You need to do nothing except eat and live healthy. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 70-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
.Need exam: You need to be examined. You have either broken your shoulder or have ruptured or injured a muscle or tendon. Not all fractures show up on X-Ray early... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Could be, but: When one weight bearing is painful, has crepitus and is sore it could be arthritis, injury, tendonitis, tendon damage and a few other disorders. Make ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 67-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: A lot of prunes can give you diarrhea and depending on how gout is treated, some medications can cause diarrhea too.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Nerve irritation: You didn't,t say what area the chiropractor adjusted, but what you,'re describing sounds like a fifth lumbar, first sacral nerve root irritation. See ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Not much risk: Meralgia Paresthetica is caused by entrapment or infringement of the lateral femoral cutaneous nerve (L2-L3), with pain, hyperasthesia, and numbness o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Depends: In a doctor patient relationship it would be proper to ask her what information will be gained by repeating the EMG.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Needs thorough exam: This is way too.much for fibromyalgia. She needs to be examined for a physical cause and if none found depression must be seriously considered and tre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Lack of stimuli: At night and during rest many people feel more pain whatever the origin. This is felt to be due to lack of the many stimuli during the day that compet... 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.

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
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