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 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 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 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 29-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Several things: Make sure your immunizations are up to date. Wash your hands frequently with soap and water after touching people or school things. You can carry a sm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Can have both: Disc deterioration or damage leads to increased load on the spinal facet joints between each vertebra, so both are associated. The psychiatrist can co... 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
Not a supplement: Hydroxychloroquin or Placquenil is not a supplement. It is an important treatment for your lupus. Certainly a dietician can steer you to a higher pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes but: Yes it can be subtle and not overtly seen by others. But, there is binocular and monocular diplopia. Monocular diplopia is when it occurs in one eye a... 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
Yes: Yes they are. Others are medlineplus.gov, Mayo Clinic.com. Also look for HONcode seal at bottom of page at other sites.
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
Not without exam: If your tendonitis is in any of the lower extremity tendons you should be supervised and advised by a physical therapist or physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Depends: It depends on why were you on estrogen, whether you are post menopausal and how long, have you had a hysterectomy, have you had any cancers such as br... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Depends on use: Calcium pyruvate is currently being pushed as a supplement for weight loss, but without proof. It has not been evaluated for treatment or prevention o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Several days: It may take several days to a week to show improvement.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Staloral drops: Staloral drops were developed for sublingual use for grass pollens and are shown to be effective and much safer than injections. There is no literatu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
No: If you have lupus and breast tenderness you need to be examined for something else. It is not common due to lupus.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
No: Since this disorder does not have a proven cause but likely reflects some disorder of the immune system and many central nervous system symptoms, it w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Different: Multiple myeloma is a malignant proliferation of plasma cells from a single clone. Primary symbiosis is a clonal B cell disorder in which protein and ... 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
No: It is not generally worrisome to have high albumin and CO2 if they are just slightly up. Not related to R.A. Ask doctor abut tests who ordered.
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 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 33-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Maybe: Nextel, Remicade (infliximab) and Humira will be generic but it usually takes a couple of years and they will still be costlier than most generics bec... 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 41-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Vet use only: Adequate is used to treat arthritis in animals such as dogs and horses. The nearest human equivalent is glucosamine and chondroitin sulfate which is o... 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 43-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Not proven drugs: These drugs individually and separately have not been proven to benefit arthritis even though often taken. There is limited but unconfirmed evidence t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
See him: A calcification in the spleen can be several things including a parasitic infection.
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
Not proven: Goldenseal is a herb found from the northeast to Arkansas. It contains berberine which has been used in several medical conditions without proof. Mo... 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
Internist: Best bet is a specialist in Internal Medicine, board certified, older, with a known interest in solving difficult problems.
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
S.I.B.O.: Small Intestinal Bacterial Overgrowth is a syndrome that can mimic coeliac disease. Discuss with Gastroenterologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: Hereditary pancreatitis occurs as a mutation in a gene on chromosome 7. It will require follow up and family checking if found. Recurrent pancreatiti... 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
A little different: We don`t know the exact reason but ankylosing spondylitis is less common in women and in general less severe. But treatment is the same. Incidentally... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Ask M.D..: Ask the Rheumatologist treating you. It could be due to several causes, some may be trivial. Good luck
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
Yes: Yes if your sitting abnormally on your coccyx. Get a new chair that fits well. Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Gastroenterologist: There is more than one cause for malabsorption syndrome and you need to see a board certified gastroenterologist who can properly diagnose and treat.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Yes: Paragard is a copper IUD. The copper produces an inflammatory reaction that is toxic to sperm.There is no reported problem with autoimmune diseases .
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
May need followup: Alkaline phosphatase can be of both bony and liver origin, so your doctor may do follow-up. NSAIDS have been studied for effect on ALP and found not t... 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
Rarely,but yes: Nearly all of the non-selective NSAIDS have been implicated in Stevens-Johnson syndrome. They are cyclooxygenase inhibitors. But these reactions are v... 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
Possibly: Loratadine is an antihistaminic, and in large doses does produce tachycardia, and it is possible to do so in sensitive people in lesser doses.
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 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 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 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 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 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 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 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 37-year-old member asked:
Dr. William Lages
Internal Medicine - Rheumatology 70 years experience
Doubtful: Lurosil is a combination of glucosamine, MSM, chondroitin, and hyaluronic acid. Some but not many studies suggest glucosamine may help with some osteo... 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 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.

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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