Fati tigue Don Thomas, Jr., MD, FACP, FACR Author of The Lupus - - PowerPoint PPT Presentation

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Fati tigue Don Thomas, Jr., MD, FACP, FACR Author of The Lupus - - PowerPoint PPT Presentation

Jan 09, 2023 647 likes •1.27k views

Fati tigue Don Thomas, Jr., MD, FACP, FACR Author of The Lupus Encyclopedia: A Comprehensive Guide for Patients and Families Arthritis and Pain Associates PG County, Greenbelt, MD www.arthritispainpg.com : 301-345-5600 Associate Professor

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Fati tigue

Don Thomas, Jr., MD, FACP, FACR Author of “The Lupus Encyclopedia: A Comprehensive Guide for Patients and Families Arthritis and Pain Associates PG County, Greenbelt, MD www.arthritispainpg.com : 301-345-5600 Associate Professor of Medicine Uniformed Services University of the Health Sciences Bethesda, MD

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Exhausted

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Exhausted

“Can’t do the things I enjoy and want to do! Help!”

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Exhausted Stopped enjoyable things

Low concentration

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Exhausted Stopped enjoyable things Low concentration

Can’t sleep

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Exhausted Stopped enjoyable things Low concentration Can’t sleep

20 pounds weight gain

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Requests: Sleeping pill Weight loss pill Energy vitamins

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Inflammation Labs

Sed rate (ESR) C-reactive protein (CRP) Gammaglobulins Anti-dsDNA

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Inflammation Labs

Sed rate (ESR) C-reactive protein (CRP) Gammaglobulins Anti-dsDNA

Low complement levels (C3, C4)

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Organ Inflammation Labs

Liver Function Tests (LFTs) Muscle enzymes Increased protein in urine Anemia of inflammation Low white blood cell count Low platelet count

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Other Sjogren’s organ problems

Interstitial lung disease Primary biliary cholangitis (previously cirrhosis)

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SLIDE 19 Health News Florida
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SLIDE 20 Biologics HQ
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SLIDE 21 Pharmaceutical Quotes
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SLIDE 22 The Today Show
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Sjogrens.org

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Dysautonomia Autonomic dysfunction

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Dysautonomia Autonomic dysfunction

POTS

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POTS

Postural orthostatic tachycardia syndrome

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POTS

Fatigue Weak Dizzy Lightheaded Heart palpitations

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SLIDE 28 https://blog.daveasprey.com/at-home-tests/

10 minutes: If HR increases ≥30 bpm but no decrease in BP POTS?

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POTS Treatments

Exercise

Drink lots of fluids Avoid inactivity

Winker R, et al. Endurance exercise training in orthostatic intolerance: a randomized, controlled trial. Hypertension. 2005 Mar;45(3):391-8. Epub 2005 Feb 7.
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POTS Treatments

Exercise Drink lots of fluids Avoid inactivity

Medicines

Winker R, et al. Endurance exercise training in orthostatic intolerance: a randomized, controlled trial. Hypertension. 2005 Mar;45(3):391-8. Epub 2005 Feb 7.
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Exercise

as important for Living as Eating & Sleeping

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How do you motivate yourself to exercise?

Share in the Chat Box

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SLIDE 34 www.dysautonomiainternational.org
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Treatable

Blood counts

Thyroid Vitamin B12 Vitamin D Celiac disease Hepatitis C

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Treatable

Blood counts

Thyroid

Vitamin B12 Vitamin D Celiac disease Hepatitis C

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Treatable

Blood counts Thyroid

Vitamin B12

Vitamin D Celiac disease Hepatitis C

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Treatable

Blood counts Thyroid Vitamin B12

Vitamin D

Celiac disease Hepatitis C

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Treatable

Blood counts Thyroid Vitamin B12 Vitamin D

Celiac disease

Hepatitis C

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Treatable

Blood counts Thyroid Vitamin B12 Vitamin D Celiac disease

Hepatitis C

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SLIDE 41 Healthy Debate healthydebate.ca
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Drugs that cause fatigue

Alcohol

Pain medicines Antidepressants Blood pressure medicines (beta-blockers, diuretics) Proton pump inhibitors (such as pantoprazole) Anti-anxiety pills Sleeping pills Muscle relaxants Antihistamines Statins Antibiotics Anti-psychotics

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Fatigue: most common causes

Insomnia with poor sleep hygiene Obstructive Sleep Apnea Depression Anxiety Disorder Fibromyalgia

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Fatigue: most common causes

Insomnia with poor sleep hygiene Depression

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Rx

Exercise Sleep hygiene Healthy Diet Weight loss

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Rx

Exercise Sleep hygiene Healthy Diet Weight loss

Meds?: Paxil

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SLIDE 47 NBC News at nbcnews.com
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CRESTA

Fatigue Clinic

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CRE RESTA Fatigu gue Clinic Met Method

Pain management

Exercise Pilates Sleep hygiene Energy management Stress reduction

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CRESTA Fatigue Clinic Method

Pain management

Exercise

Pilates Sleep hygiene Energy management Stress reduction

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CRESTA Fatigue Clinic Method

Pain management Exercise

Pilates

Sleep hygiene Energy management Stress reduction

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CRESTA Fatigue Clinic Method

Pain management Exercise Pilates

Sleep hygiene

Energy management Stress reduction

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CRESTA Fatigue Clinic Method

Pain management Exercise Pilates Sleep hygiene

Energy management

Stress reduction

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CRESTA Fatigue Clinic Method

Pain management Exercise Pilates Sleep hygiene Energy management

Stress reduction

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Join Join their Facebook

CRESTA Fatigue Clinic Health Champions

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150

minutes/week

Moderate aerobic exercise

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Exercise

as important for Living as Eating & Sleeping

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SLIDE 60 NBC News at nbcnews.com
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