Showing posts with label rheumatologists. Show all posts
Showing posts with label rheumatologists. Show all posts

Saturday, 8 October 2022

It's All In The Jeans

lupus.cheezburger.com
I've gone down a jeans size!

How did this amazing thing happen, when I've been unsuccessfully battling weight for years?

A while ago, I talked my rheumatologist into letting me try a lower dose of prednisone.

He told me that the 5mg dose I was on shouldn't be enough to make me gain weight. However, he was finally persuaded to let me gradually reduce to 3mg per day.

It doesn't seem like a lot, does it?

I knew it would mean extra pain, and I was prepared for that.  I find I'm using more meloxicam (anti-inflammatory tablets) and anti-inflammatory gels and rubs. With that help, I'm managing the pain.

But I stuck to Calorie King, which regular readers know I've been doing for years, and slowly, something is starting to change.

My weight still fluctuates wildly from day to day because of my problem with retaining fluid, so I really can't reliably tell how much I've lost, but my jeans had been getting looser and looser.

About a week ago, I found I could pull them on without undoing them.

Today, I found an older, smaller pair.  They're loose.

So poo to you, prednisone.  For once, I win.

Thursday, 26 May 2022

Dr Irwin Lim - A Blogging Rheumatologist Worth Following.

I love that there are rheumatologists who blog, and share useful information with people like me who want to stay well informed about our condition. Taking time out of a busy practice to keep us all informed is a pretty awesome thing to do.

One of the rheumatologists who has a blog I find well worth following is Dr Irwin Lim.  You can find his blog here. 

The following article is reposted from his blog (original is here) about his appearance on the cover of a magazine for Australian doctors.



BJC Health in Best Practice magazine.

I feature in an article in Best Practice magazine, produced by BOQ Specialist, a finance company which deals with the health industry. BJC Health funded our recent expansions at our Chatswood and Parramatta clinics with BOQ Specialist's help.

They then kindly profiled our clinic and yours truly.

Given my mission this year is to keep sharing the narrative of our clinic, why we do what we do, and why we aim to keep improving, I thought I'd share with you the article:

'From the start rheumatologist Dr Irwin Lim was in no doubt as to the type of practice he wanted to lead. He didn't have to look far to find others willing to support his vision.

It began with a broad mind and a grand plan. It resulted in a unique arthritis and rheumatology centre that operates across three separate Sydney locations, with over 40 staff and servicing a 50,000-strong client base.

Father-of-three Dr Irwin Lim completed his rheumatology training at Sydney’s Westmead Hospital in early 2004, joining Parramatta’s two-year-old The Bone and Joint Clinic shortly after.  The clinic, which had been started by another rheumatologist and exercise physiologist, involved a group of individuals working towards a team approach in the treatment of musculoskeletal disease.

“My brother, Errol, who is conveniently a top physiotherapist, owned a successful practice in Chatswood called Help St Physiotherapy and Sports Injuries Clinic. Between 2002 and 2008 Errol steadily built up that clinic, introducing remedial massage and gym services, as well as employing additional physiotherapists.

 “It made sense for the two clinics to join.” But the brothers were worried about mixing business and family. However in 2008 the temptation grew too great and the two clinics merged, with Errol joining as director.

Having evolved to incorporate endocrinology, psychology, geriatric medicine and dermatology to its list of services the duo felt a change of name was in order, so the clinics relaunched as BJC Health.

The year 2010 was a big year for the group, commencing an in-house ultrasound service and pathology collection at its Parramatta site. In May the same year, BJC Health opened its third clinic at Brookvale while a third director was invited into the fold—rheumatologist Dr Rob Russo. Another rheumatology colleague, Dr Herman Lau, joined as director in July 2013.

Dr Lim says while expansion has always been on the cards, the group took its time to develop its offering so that everything fit with BJC Health’s vision.

“There is a key theme of patient convenience and communication. We recognised that the way forward in improving the treatment of acute and chronic musculoskeletal injury would involve a coordinated, comprehensive service that no one doctor or allied health professional could reasonably provide. So we’ve set out to recruit practitioners who, under the right working environment, will come together as a team.”

Technological advancements have seen the group welcome arthritis patients from all over the state, drawn to BJC Health’s unique positioning as a world-class arthritis clinic.

Dr Lim says the group has moved beyond standard consulting rooms to better assist its patients. Clients have direct access to the practitioners via email, can call between appointments and can interact with them online.  Client files are kept on remote servers that the doctors can access at any time, and a recent upgrade has seen the group set up a system for online appointment booking.

Its physiotherapy team use an online exercise portal called MedBridge. Clients are able to watch video links or have handouts printed with pictures. All of which has been done, Dr Lim says, to engage, motivate and empower patients.

“For our patients with inflammatory arthritis, our rheumatology care coordinator can email them videos detailing aspects of the condition as well as the medications to be used. There are hyperlinks to access more patient information on our website and blogs.”

“We want to enhance the conversation and empower our clients. While we are proud of what we have achieved, there is so much more we want to do.”'