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

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


  1. 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

  2. Exhausted

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

  4. Exhausted Stopped enjoyable things Low concentration

  5. Exhausted Stopped enjoyable things Low concentration Can’t sleep

  6. Exhausted Stopped enjoyable things Low concentration Can’t sleep 20 pounds weight gain

  7. Requests: Sleeping pill Weight loss pill Energy vitamins

  8. Inflammation Labs Sed rate (ESR) C-reactive protein (CRP) Gammaglobulins Anti-dsDNA

  9. Inflammation Labs Sed rate (ESR) C-reactive protein (CRP) Gammaglobulins Anti-dsDNA Low complement levels (C3, C4)

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

  11. Other Sjogren’s organ problems Interstitial lung disease Primary biliary cholangitis (previously cirrhosis)

  12. Health News Florida

  13. Biologics HQ

  14. Pharmaceutical Quotes

  15. The Today Show

  16. Sjogrens.org

  17. Dysautonomia Autonomic dysfunction

  18. Dysautonomia Autonomic dysfunction POTS

  19. POTS Postural orthostatic tachycardia syndrome

  20. POTS Fatigue Weak Dizzy Lightheaded Heart palpitations

  21. 10 minutes: If HR increases ≥30 bpm but no decrease in BP POTS? https://blog.daveasprey.com/at-home-tests/

  22. 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.

  23. 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.

  24. Exercise as important for Living as Eating & Sleeping

  25. How do you motivate yourself to exercise? Share in the Chat Box

  26. www.dysautonomiainternational.org

  27. Treatable Blood counts Thyroid Vitamin B12 Vitamin D Celiac disease Hepatitis C

  28. Treatable Blood counts Thyroid Vitamin B12 Vitamin D Celiac disease Hepatitis C

  29. Treatable Blood counts Thyroid Vitamin B12 Vitamin D Celiac disease Hepatitis C

  30. Treatable Blood counts Thyroid Vitamin B12 Vitamin D Celiac disease Hepatitis C

  31. Treatable Blood counts Thyroid Vitamin B12 Vitamin D Celiac disease Hepatitis C

  32. Treatable Blood counts Thyroid Vitamin B12 Vitamin D Celiac disease Hepatitis C

  33. Healthy Debate healthydebate.ca

  34. 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

  35. Fatigue: most common causes Insomnia with poor sleep hygiene Obstructive Sleep Apnea Depression Anxiety Disorder Fibromyalgia

  36. Fatigue: most common causes Insomnia with poor sleep hygiene Depression

  37. Rx Exercise Sleep hygiene Healthy Diet Weight loss

  38. Rx Exercise Sleep hygiene Healthy Diet Weight loss Meds?: Paxil

  39. NBC News at nbcnews.com

  40. CRESTA Fatigue Clinic

  41. CRE RESTA Fatigu gue Clinic Met Method Pain management Exercise Pilates Sleep hygiene Energy management Stress reduction

  42. CRESTA Fatigue Clinic Method Pain management Exercise Pilates Sleep hygiene Energy management Stress reduction

  43. CRESTA Fatigue Clinic Method Pain management Exercise Pilates Sleep hygiene Energy management Stress reduction

  44. CRESTA Fatigue Clinic Method Pain management Exercise Pilates Sleep hygiene Energy management Stress reduction

  45. CRESTA Fatigue Clinic Method Pain management Exercise Pilates Sleep hygiene Energy management Stress reduction

  46. CRESTA Fatigue Clinic Method Pain management Exercise Pilates Sleep hygiene Energy management Stress reduction

  47. Join Join their Facebook CRESTA Fatigue Clinic Health Champions

  48. 150 minutes/week Moderate aerobic exercise

  49. Exercise as important for Living as Eating & Sleeping

  50. NBC News at nbcnews.com

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