Day in the Life of a Doctor: Rheumatology Clinic (Ft. Rheumatoid Arthritis)
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- Äas pĆidĂĄn 6. 06. 2024
- Join me for a day in the life of a doctor in a rheumatology clinic! Learn about swollen joints, see the difference between rheumatoid arthritis and wear-and-tear osteoarthritis, and learn about the exciting new treatments that are available!
Thank you to Dr. Pavlova, Anna and Sophia for participating in this video and allowing you to see "behind the scenes" in a rheumatology clinic!
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đââïž Letâs stay connected!
Instagram: Violin.MD
Facebook: @realviolinmd
Twitter: Violin_MD
Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2
See you in the next video!
~ Siobhan (Violin MD) ~
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đž Image Credits:
- RA Hand: By James Heilman, MD - Own work, CC BY-SA 3.0, commons.wikimedia.org/w/index.php?curid=11110471
- Swollen knee: By James Heilman, MD - Own work, CC BY-SA 3.0, commons.wikimedia.org/w/index.php?curid=10429260
- X-ray hands: Case courtesy of Dr Benoudina Samir, radiopaedia.org/cases/76288
- CT chest: Case courtesy of Assoc Prof Frank Gaillard radiopaedia.org/cases/12274
itâs so nice that the doctors you work with act with you to show us everything!
I agree! 4:08 seeing the delivery and tone of next steps is important for patient-dr relationships to build trust
Iâd love to see Dr. Pavlova ⊠my rheumatologist was awful to me, didnât want to see me in person, didnât believe my symptoms were real. Instead she reduced me to tears, and made me fight to be tested. Turns out it was Dermatomyositis, thankfully my dermatologist pushed to get me tested and is helping me find a new rheum. Such a horrible process. Care, compassion, and good bedside manner goes so far with patients who have chronic illness.
I am sorry you went through this! I am glad you have a diagnosis so its symptoms can be controlled!
Primum non nocere is unknown in Rheumatology. They feel too exalted to bother with fully informed consent. They are the most entitled and paternalistic doctors around. Many of them love to degrade their patients. I suppose that makes it easier to rationalize the damage they do. I am bitter about rheumatology and Iâm actually holding my tongue here lol. For dermatomyositis you might want to investigate a combination of boswellia turmeric & ginger. Ginger is anticoagulant so you may need to be a bit careful. No you do not need your physicians permission to take supplements but I would strongly recommend that you consult a knowledgeable sympathetic pharmacist if you are on prescription meds. Other supplements such as pine bark grapeseed and green tea may also be helpful.
Thank you, so informative.
There is nothing worse than a doctor that doesnt actually believe you.
I've been through this.
He never asked further questions, he never ordered more tests.
He just said... nahhh, its nothing. (and got paid for this "diagnosis")
I felt terrible, i started questioning myself. Maybe i was exaggerating? Maybe im being weird.
Turns out he was wrong and i was right to be suspicious about it.
Worst feeling ever.
@@brucedeo1981 Hey George I hope you are feeling better now and I couldnât agree more with you! I believe thereâs a lot of great doctors out there but like ever field you still have some rude ones. Iâve definitely had my fair share which is why thereâs nothing wrong with getting a second opinion and finding that right doctor for you who doesnât just treat you as another number. Wishing you the best!
The world needs more physicians like this. đ
I think many start out like this and then get burnt out and/or hearts harden.
Definitely agree with you. Shes just so warm and bright. You can be more inspired to be come a doctor and can help many lives.
@@akg1649 I agree. I have watched physician struggle with the insurance companies, constantly changing policies and laws. It's no wonder they burn out.
We need more people joining the medical field. There's lots of good, smart people out there. We need them joining the medical field to be people like Dr Siobhan.
I know I wish my doctors were like this I wouldnât be in bad health if these Doctor I keep getting worse over time by the time Iâm done my body will be shutting down
The Queen has uploaded. You motivate me every time i watch you work. Its so therapeutic.
Hi Nina - that makes my day, thanks!
That's how I feel! :)
Donât forget the king đ
Dr Pavlova seems like such an encouraging and energetic mentor. Glad you have someone great helping you along your path!
I love when the Drs play along with the videos!!
Dr pavlova seems so enthusiastic great team
Nothing makes me feel like a million bucks than seeing your sweet videos
Exactlyyyyy
aw thanks Brian! Great to see you!
Thank you so much for choosing the field of Rheumatology!
I'm sure this will save a life by sharing this information and introduce to you DR AZAKA CURE REMEDIES on CZcams who cured my disease which I'll rather be private about, I was cured from HPV with his herbal medicine, I wasn't really expecting a herbal medicine to be as effective as I experienced, my test results proves that I've been cured from HPV , and you can as well Contact him and be free from any kind of infections or diseases , I'm pretty much certain you'll all thank me later
i was diagnosed with RA at 19 yrs old. i'm so glad you decided to go into rheumatology! i have a feeling i'll learn a lot more about my illness from you than any doctors i've seen irl lol
I too wish I had a good doctor. An infectious disease specialist tested and diagnosed me with Sjogrens. My Ro and La are negative so other docs dismissed me. The Early Sjogrens Panel confirmed my diagnosis. Sjogrens is so much more than dry eyes but doctors act like itâs nothing! It causes damage and can lead to lymphoma!! I wish all doctors cared to get properly educated for their patientsâ sake.
Change doctor if you don't learn from them or the rest of the team.
i got diagnosed at 25 but apparently had it sense i was 14 no doc could figure out what i had but im not an easy patient because im so phobic of needles.
@@mamashiraz I hear you. I had to make a decision to stay with a bad doctor or find a new one. And a lot of non-chronically ill/disabled people have no idea just how daunting of a task that is. I'm in the US & I have private ins through my parent bc I'm under 26-- so I knew that if I didn't start at least trying as soon as possible, one day I might really suffer for it. So I looked. It took me 3 months of calling everyone I could to find someone in-network that was taking new patients before I got two appointments. First one I booked was in 8 months but really close to where I live, the second was in 3 but pretty far away. I kept both just in case, but the 3 month one went beautifully. So now I have a new Rheumatologist who understands me and my needs as a CI & disabled person.
I guess what I'm trying to say is that, even if you know you'll have to wait years to see them, start looking now. Because when the day comes it might change everything for the better. Good luck. I know things are really really awful right now, but future you will thank you.
And the way I see it is that the farther out the appointment, the more time I have to save up $. And I can always cancel if I find someone better, sooner. I wish you well. You deserve exceptional care.
@@noctusowl I did ! Though unfortunately I had to go through two doctors for reasons worse than not learning enough. First one moved, second one didn't respect my bodily autonomy. But I'm on #3 now and her and her team are great!
I usually go to the internet (reputable, accurate, and verifiable info only, of course) if I have specific questions, but sometimes there's stuff you just won't think to ask, especially when you're chronically ill/disabled and have so much medical stuff to think about and meds to take. So I agree, it's so important to have a Dr. that can tell you what you won't even think to ask!
Dr.Pavlova seems like an amazing mentor and someone who you can talk openly with. So supportive!
I have RA and use injectable DMARDS and Biologics and mostly have the RA under controlâŠ. love watching your clinics to see the âbehind the scenesâ, since I know how much goes into patient treatment. Another educational and cool videoâ€ïž
I love Dr Pavlovaâs style. Walking into that office would immediately make me feel comfortable.
Patients need passionate doctors like you đ
Hearing how compassionate you all are warms my heart. I always feel I'm bothering my rheumatologist but it isn't like I wake up and decide to have active disease. She's very kind to me and it seems you're so wonderful for your patients too! Thanks for being you!
Can I just say how adorable Dr. Pavlova is? I love her accent too!
Just like her energy and enthusiasm in every video. It makes me cheerful
Tu es une personne en or , les mĂ©decins et spĂ©cialistes devraient tous ĂȘtre passionnĂ©s comme toi ! â„
I am an RN and have SLE so love the Rheumatology videos.
My mom has rheumatoid arthritis, and itâs an awful painful disease. Thank you so much for doing what you do. Because of doctors like you, she got a little bit of her quality of life back â€ïžâ€ïž
What kind of treatments? Every time my mom goes to the doctor about her RA they give her more pain killers. Just incompetency.
I have RA and have struggled to find a good rheumatologist in my area!! My symptoms appeared 12 years ago and I have so much permanent damage. Itâs so rough and I can honestly say that the chronic fatigue is almost worst than the pain!!! Itâs so cool to see it from the doctors perspective!! â€ïž
Iâve been diagnosed with rheumatoid arthritis since I was 21 (now almost 24), with symptoms still before then. I love seeing this! Itâs so relatable, kinda like seeing behind the scenes lol
I just saw her today and now I'm obsessed with her channel
Iâm a medical assistant student doing my clinicals before graduating in a couple weeks and Iâve gotten to work in the rheumatology clinic a few times and I love it!! I have so much respect for not only the rheumatologists I work with, but also rheumatologists all around. You do so much for patients who suffer with so much everyday pain. I also have so SO much respect for rheumatology patients. I canât even begin to imagine what theyâre going through and they have always been my sweetest patients Iâve had so far. To the rheumatologists out there, thank you so much for the incredible work you do!! And to the rheumatology patients, never give up, although living with a rheumatologic disease may be excruciating and highly difficult, YOU still matter and are worth so much!!
My daughter has RA. As mentioned in the vlog, she has issues with her heart. She had to have a mitral valve replacement when she was 27. She then had to go on warfarin, but it was a struggle to get her inr levels within the normal range. Last year she needed more surgery when they found a blood clot around the valve. Before they could operate, she had a stroke, and then had to have open hear surgery 2 days later. They replaced the valve with a pigs valve. Her surgery went well but they had to place her in an induced coma for a week, then she had her second stroke. She fought back and after 8 weeks at the steoke rehabilitation unit, she was finally well enough to go home. Not a lot of people realise theres more to arthritis than swollen joints.
I hope your daughter is doing well now. x
@@lynneanthony168 shes doing as well as can be expected. She will never be fully recovered. The heart valve lasts 7-10 years, so she will most definitely require more open heart surgery.
Hi Caroline! Iâm so sorry to hear about your daughterâs strokes and needing surgery :( I can only imagine how scary that was for you and her. Iâll be praying for her! I myself not just last week had a stroke scare with my sickle cells disease. I had no idea that RA could cause all theses serious complications as well. Thank you sharing your story and educating us! Sending you well wishes and love! đ
@@elisabethdixie thankyou! A lot of people dont realise that theres a lot more to RA than inflammation and painful joints. I hope you are feeling better after your scare last week.
I love how doctors are showing us the behind the scenes. It really helps humanize the profession. Also I can live vicariously through the vids. Being a doctor was my childhood dream.
It is so obvious that you love your job and helping people. Watching your videos always puts a smile on my face. Thank you for all you're doing đ
I have had a very interesting rheumatology journey that started overseas and featured the same hospital system where you are, and I was treated incredibly well. After many tests and scans, I was diagnosed with RA and now it is under control. Thank you for caring well for your patients with the same kindness and care that I have received from my rheumatologists!
Dr.Pavlova is so sweet!!!! đ„ș
I've said this so many times but I love it so much you're in rheumatology!!! I love how I can see the behind the scenes of the type of doctor I see for my lupus
You were born to be doctor!!! I love your videos and how much you care about your patients and co-workers! I always look forward to new videos. Stay safe!
I was so glad when you said you were going to be a rheumatologist. My first experience with a rheum was horrible, but I have an amazing rheumatologist now. I have psoriatic arthritis, currently on Remicade after failing Methotrexate, Cimzia, and Symponi Aria. Humira worked for me but insurance stopped covering it. Good luck with your continued education and practice. You'll be an amazing Rheumatologist.
This is by far the best and my favorite video of Violin MD. Talk about positive energy :)
I'm on remicade. A biologic. Had this dammed disease for over 20 years now.
Good to see your channel doing so well.
I'm learning stuff from your channel.
This video brought my heart so much joy. I nursed my mum for 14 years who died from lupus sle, crest and sclerederma complications and I now 39 have had, psoriatic arthritis, fibromyalgia, osteoarthritis and kyphoscoliosis since I was 27. I am on MTX-inj, salasopyryn and tremfya - inj plus topirimate. Watching you thrive and work so happily in this field, brings my heart joy. It's so wonderful to know amazing doctors continue to join this interesting and intriguing field.
I love how colorful the clinic is!! đ. It gives the clinic such a happier vibe.
Your journey and attitude is so empowering. This is helpful to see how much our healthcare workers go through to make us better! Thanks for everything you do for us on you tube, and your patients! Your great attitude is contagious!!
Itâs awesome that you have the other doctors participating, it really enhances the video experience. Almost like being there in person.
Doctors are gifts from god. Any kind of arthritis is painful I'm glad you spot light rheumatology. Doctors like you bring a sense of comfort. I also think it's so amazing you have almost 1million subscribers and you don't run ads on your videos. Your love for helping mankind brings faith back into humanity.
I am so proud of you and your team. I hope you keep that great attitude over the years and not let the negative people bring you down. I'm just an old guy but I love what you are
doing for your patients. Keep up the great work and attitude!! Thank You!!
I absolutely love your enthusiasm and your dedication to your field. I bet your enthusiasm is infectious and those around you are very happy to work with you. I'm glad that you appreciate the administration staff. I think you are an awesome doctor.
I love these videos. I was diagnosed with Sjogren's Syndrome around the time you said you were going to be a rheumatologist. I've never heard much on rheumatology before but it makes me so glad when I see these videos pop up. â€
Serious woman power going on! I love seeing everyone working together. Iâve had some horrible doctors and will only go to my family doctor unless itâs an emergency. Wish there was more out there like you ladies đ
I worked in medicine for 49 yrs before having to medically retire. I LOVE your attitude! Your passion to help is so refreshing to see. I was dx w/ Ssc (diffuse systemic scleroderma). This autoimmune is rare and is no fun to have. There is no cure but we have meds that can help us w/ the joint pain, lung issues and other internal organ issues. My disease was discovered by a blood test checking for arthritis. Keep up that great work and attitude, you will go many great places with your profession. PS: I have had wonderful physicians caring for me and I have been seen at the Univ of WA Medical Center where they have a scleroderma clinic, so the providers are aware of the complexity that this disease causes us to deal with.
Man, Iâm loving Dr. Pavlovaâs vibe. Sheâd be a great doctor to have!
This is so awesome! Thank you đ. I do have a question, do you ever treat Lupus patients And if so would you ever show us a lupus patients and how you would go about treating a lupus patients in a video?
As a multiple chronic illness patient and a health professional, I love watching your videos, but I adore the colours all through the clinic, it makes a huge change to the clinical white white white you seem to see everywhere
Itâs so cool to see your career evolve! Iâm so happy for you! Thank you for all of your videos and sharing your life! Keep them comingđđœđ
I have PSA and boy was it a struggle to get diagnosed and finally treated! Iâm glad rheumatology is your passion and you are helping the most by listening to your patients!
Watching this video just makes my day there's so much positive energy! Love it!
Wish rheumatology offices were more common.
Agree that the support staff are AMAZING! The amount of time it would take to organize and follow-up on everything without them would be so overwhelming. I swear the secretary in our family medicine clinic has 4 different ears she can listen with at the same time with the amount of multi-tasking she is able to accomplish. Great video!
I am so happy to see you branching into what you love to do!! Bonessss!!
This seems like such a fantastic clinic to work at! Your colleagues seem so positive and radiantâ€ïž So happy your speciality has lead you to this position
If you do more Rheumatology videos I would LOVE to see a video talking about Ankylosing Spondylitis, especially in younger patients. I think it's a really fascinating (and terrible) disease. My partner was diagnosed in his early twenties and it was hard to convince doctors to do any kind of tests/send him to a rheumatologist because he was otherwise young and healthy so I think advocating for treatment in younger patients would be really helpful.
As someone who has their first rheumatologist appointment in 3 weeks, this made me less nervous to see the enthusiasm you and your colleagues have for getting answers for your patients and making them feel better. Thank you for sharing!
Having been diagnosed with RA at 19, I find it relaxing and educational to watch your rheumatology videos!
You are exactly how I aim to be each time I see patients. I am currently doing my internship year in Mexico, so basically it's still basic education to become a general physician. You are a great inspiration with your dedication, good-natured spirit and passion for your work. Keep it up!
Greetings from Querétaro!
As an RA patient, I appreciate my rheumatologist so much. She listens to me and I feel like weâre a team trying to keep this beast under control. Immediately after my RA diagnosis, she started aggressively treating me to minimize joint damage. She thoroughly explained the medications she prescribed me and addressed all my concerns. I am really happy I found a great doctor because you hear so many horror stories. Iâm sure youâre going to be equally as awesome as my doctor. â€ïž
So excited for doctors like you and future of empathetic doctors especially in rheumatology! Us women EDSer, small fiber neuropathy, RSD/CRPS, dysautonomia/sjogrens, fibro, mast cell activation disease peeps need doctors like you. It's not ok how often we get written off for years on end. đż ivig and dupixent have been game changers for me!
I love these videos! They brighten up my dayđâïžđ
Love your enthusiasm!! And I agree!! Can't work without the admin people, HCAs, housekeeping, porters, volunteers etc!!
I'm so excited to watch and learn how things work behind the scenes, being a woman who suffers from RA I'm hanging on every word you say. So refreshing to see your enthusiasm for knowledge and desire to help give your patients the best quality of life. I'm also very interested in RA and pregnancy. Can't wait to see more. Xo
Just discovered your AMAZING channel đ€©
You remind me of my daughter whoâs 17 and a senior in hs. Iâm already trying to prepare for her leaving for college in 8 monthsđđđ
LOVE your voice, Canadian accent, how upbeat and happy you are, and the way you explain things.
Thank you for this wonderful channel đ€
as someone with juvenile arthritis, itâs so cool to see this!
My rheumatology experience has been a long road but we finally are headed in the right direction! I have seronegative RA, Sjogrens, and Hashimotoâs and I love watching your rheumatology videos especially. I live in southern Ontario as well so itâs really encouraging to see such amazing doctors are not far at all! I always look forward to the next video!
I love my RA doctor, she saved me. I was in so bad shape when I went to see her for the first time, I was taking so many pain killers for 2 months before I got my appt. and that day we had a snow storm and I got a call from her office, if I was going to make it and I said I could not miss it. I had tears in my eyes when the doctor saw me, I was so happy and she was the only one who can take this pain away and able to walk my children to school again. Thank you for choosing to be a RA doctor, I have so much respect for you đđ”đŠđšđŠđđŸ
I love your enthusiasm for your work. Its fantastic to see behind the scenes. Thanks for sharing.
Your videos makes my day. It is so thrilling to watch your video. Thank you so much!
I have seronegative RA, treated for almost 20 years, and thanks to doctors like you, I have been able to still walk and use my hands. Thank you for showing others that RA isnât just a name for bad arthritis and that itâs different from OA in many ways. Over the years, itâs been hard to explain to others that I canât diet and except use my way out of this chronic disease. Thanks to good medicine and good science, we are able to live better than ever with autoimmune disease.
Seems like a great team there!! Wish my rheumatologist team was like this - I did not have 'high enough' inflammation markers so I was told it was in my head and was given a referral to a psychologist. Made me leave their office in tears only with a offer to xray my wrists to 'prove there's nothing wrong.'
Got a fibromyalgia diagnosis after months and months of battling for a second opinion. Only took me 5 years to finally get an answer haha.
You will be changing peoples lives by showing this amount of care and compassion.
Ahh how awesome to see the whole team! I love how much you allow us to participate in your work day. It looks like a great environment for learning!
I would love more videos about rheumatology!! So interesting
Thank You for the video. Keep up the Amazing positive personality. The world needs more of that.
I'm not looking to be a doctor, but I do suffer from MCTD with arthritis as a big part of it -- I appreciate your videos because it helps me to understand my disease more and I also love seeing the care that you & other doctors you work with treat your patients with!
I love your blazer! Your attending is fantastic! I love when they give you confidence and free range to make decisions!
Stay strong and Safe !!! and thank you for your serviceâđ»đȘđ»
This is the type of doctor I want. She loves her job, she is professional, and I would never feel embarrassed with her she is such a sweetheart â€
I spend a lot of time in primary care doing annual rheumatology reviews so it's cool to see what happens on the other side.
it's been couple of years watching all your videos now they are a dose of motivation for me â€
Love Saturday Siobhan energy and vibes! Like their clinic. Have a great day everyoneđ
This style of video is my favourite! I love your manner Siobhan and Dr Pavolva sounds like such a great mentor.
I have ankylosing spondylitis, I use injectable bDMARDs and am hoping for a pregnancy in the future, so this was lovely to see.
Your smile lights up the room to compliment the happy paint colors!
The people you work with are so sweet and smart! It's amazing to watch them! I can tell you all love your jobs so much! I find Rheumatology really interesting! I love learning more about it by watching your videos! :)
Omg this video come at the right moment for me! Im a second yr med student and this weekâs case discussion is about a pt with knee swelling. Super super insightful and helpful video!!đđđđ
my mom was diagnosed with RA in 2001 and was put on methotrexate to treat it! unfortunately she had an adverse reaction and was diagnosed with pulmonary fibrosisâŠ. in 2016 after other heath problems she declined and in 2018 received a double lung transplant in toronto! just this week she signed the list and is now waiting a second double lung transplant! a whole new journey but my family will get through this !!!! thank you for your videos, as a nursing student i learn so much and itâs nice seeing videos that relate to my mom as well!!!!
I love you Siobhan! You motivate me everyday! â€ïž
Jumped on to CZcams SO fast! Love all of your videos!!
I love your channel. As a medical student, I totally enjoy them. They are also super educative. Keep it on Doc. Iâm Nigerian đłđŹ but I currently live and study in The Philippines đ”đ
It looks like you really enjoy working at this clinic! All the best and look forward to more videos!
As a Sjogrens patient who just delivered my second child, I am so happy to hear your passion and love for supporting this special group of patients! Having amazing care partners makes the journey a lot more manageable! Thank you for all you do!
I'm sure this will save a life by sharing this information and introduce to you DR AZAKA CURE REMEDIES on CZcams who cured my disease which I'll rather be private about, I was cured from HPV with his herbal medicine, I wasn't really expecting a herbal medicine to be as effective as I experienced, my test results proves that I've been cured from HPV , and you can as well Contact him and be free from any kind of infections or diseases , I'm pretty much certain you'll all thank me later
I have an amazing rheumatologist but if I didnât have her Iâd be tracking you down. I love your charming personality and the way you actively listen to your patients.
I was studying rheumatology this afternoon and this video helped me so much to understand better the diseases!! Thanks!!
You have no idea how much your videos help me !!!! Thank youđđ
Congrats for 800k subscribers! You deserve itđ Watching your videos always puts me in a good mood, you radiate such a positive vibe! Greetings from Chileđšđ±
So, so cool! I really love these themed videos. Thanks a lot for doing this for us to see!
I have ra since I was 39 years old.I'm now 48 years old.in California USA.doctors just blow me off.you have given me more info than any doctors. Thank you.
I love this! It's a treat to see you at the beginning of your rheumatology career! Your patients and co-workers will be blessed to have you for two years in that clinic. And Dr. Pavlova will love you!
Just over a year left of her fellowship now.
@@MsStina84 Ahh, thanks. I've been watching Siobahn a long time and lose track of exactly where we are. :-) I hope I'm still watching in 10-20 years from now!
I am so excited to find these videos! I too have had really bad experiences and rheumatology and so has my sons. They were diagnosed with juvenile rheumatoid arthritis and then until we found a rheumatologist at children's hospital, they were treated like crap by other doctors. Children can't make up the pain they go through and they can't make up fevers and joint swelling! I was diagnosed with lupus before they were ever diagnosed with anyting and I've had three doctors confirm it and now I have a doctor after 30 years trying to tell me that I don't have it. The joint destruction in my body is becoming horrific and she's trying to say that it is osteoarthritis! I have a high ANA titer and there is inflammation in my body and in the joints. My right hand joints are now destroyed and I didn't even know it until she x-rayed them and now it has attacked my thumb joint it is a nightmare and it happened within a 4 month. I don't think osteoarthritis would warp my hands the way this stuff is warping me. So I want to say that I am grateful for this video and for your efforts to treat all of us with autoimmune problems as human beings who need love care and healing and information! Keep going sweetheart and I am really glad that you are doing this and it would be great to be your patient! You are going to be a fabulous doctor!
I loved this video and I so wish I was closer to your clinic!