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  • ANNOUNCEMENT – 2/22/2021

    As many of you have recently discovered we are having a significant problem with our telephones. Verizon is working on… Read more…

  • For Your Information

    Patients have told us that topical Voltaren which is now available over the counter (no prescription) is cheaper at Bed… Read more…

  • A Rheumatology View of Covid

    For the last 6 months, it has been difficult for all of us to think of anything else other than… Read more…

  • Main Line Rheumatology & Osteoporosis Continues to Function

    As we remain under what looks to be a long siege, Main Line Rheumatology & Osteoporosis continues to function. We… Read more…

  • Covid-19 & Your Medications

    As we have written previously, it is not clear whether Covid 19 creates additional risk for the biologic medications our… Read more…

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Additional Services We Provide

Infusion Center for Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis & Osteoporosis

Musculoskeletal Ultrasound of the Joints

Nutrition Counseling

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Krystexxa – Infusion Medication for Gout

MLR&O on Facebook

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Research shows that earlier bone density screening and osteoporosis therapies could be highly beneficial for at-risk men, who are underdiagnosed and undertreated.
#osteoporosis #menandosteoporosis #bonedensity

creakyjoints.org/diagnosis/older-men-underdiagnosed-undertreated-osteoporosis/?fbclid=IwAR3kO6HY1...
... See MoreSee Less

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More than 90% of Older Men with Bone Fractures Do Not Have a Diagnosis or Treatment for Osteoporosis

creakyjoints.org

Learn more about new research that found most older men with bone fractures did not have a diagnosis or treatment for osteoporosis.

1 week ago

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After years of dedicated service to Main Line Rheumatology and Osteoporosis, Cheryl Wieczorek, CRPN, MSN, has retired. All of us here will miss Cheryl and her contribution to our practice, we wish her the best. The staff is ready to provide you with same excellent care. If you have any questions or concerns, please contact us at info@mlrdocs.com or call the office (610) 896-8400. ... See MoreSee Less

2 weeks ago

After years of dedicated service to Main Line Rheumatology and Osteoporosis, Cheryl Wieczorek, CRPN, MSN, has retired. All of us here will miss Cheryl and her contribution to our practice, we wish her the best. The staff is ready to provide you with same excellent care. If you have any questions or concerns, please contact us at info@mlrdocs.com or call the office (610) 896-8400.
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Cheryl you will be greatly missed especially by me. Thank you so much for all your help. Enjoy your retirement

Sad for myself- so happy for Cheryl!! She’s the best and will be missed!

Cheryl was so perfect. Great bedside manner. Always did the right thing. Only very few people can also teach while nursing. I will miss you very much!

Please thank Cheryl for me. She was always so knowledgeable and kind. Enjoy your next adventure!

Happy retirement!!!

Wishing you all the very best Cheryl! It has been a pleasure to learn from you and work with you!

Happy Retirement!!

Thank you Cheryl for such quality care! You will be greatly missed! Chuck and I wish you the best!

Enjoy your retirement Cheryl, I know you will be missed...

Thank you Cheryl for your kindness, compassion , and integrity shown towards all of the lives that you helped . It’s always been appreciated and I say thank you on behalf of them and me -Dan Lazowick

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Main Line Rheumatology and Osteoporosis continues to have issues with the telephone lines. If you cannot get through to the office please email questions regarding your care, and include your doctor's name to info@mlrdocs.com. We apologize for the inconvenience. ... See MoreSee Less

2 weeks ago

Main Line Rheumatology and Osteoporosis continues to have issues with the telephone lines. If you cannot get through to the office please email questions regarding your care, and include your doctors name to info@mlrdocs.com. We apologize for the inconvenience.
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Can some one call me? I have emailed several times with no response.

Wishing you a happy Valentine’s Day. ... See MoreSee Less

3 weeks ago

Wishing you a happy Valentine’s Day.
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Some steps you can take to help prevent weakening of the bones include eating foods that are rich in calcium and vitamin D and engaging in regular physical activity. www.nia.nih.gov/health/osteoporosis?fbclid=IwAR0wuPwtZAep9rxsixEZY6Ppj9gqbU2ZsETKxQykhlDPllrtsb1q... ... See MoreSee Less

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Osteoporosis

www.nia.nih.gov

Learn about osteoporosis—a disease that weakens bones—including risk factors, early signs and osteopenia, bone density testing, treatment, and prevention.

4 weeks ago

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Osteoporotic bones have lost density or mass and contain abnormal tissue structure. As bones become less dense, they weaken and are more likely to break. Learn more: www.youtube.com/watch?fbclid=IwAR3XPc3kzIh3a2xudfY26TXOeo0UUZS_2PUvpOnsfRWUjy_6RBWMnsnf-xw&v=xbZ8...
#osteoporosis #Rheumatology #medicine #healthcare
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1 month ago

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As many of you have recently discovered we are having a significant problem with our telephones. Verizon is working on it but it is not resolved. We apologize and ask you to email questions regarding your care to Info@mlrdocs.com ... See MoreSee Less

1 month ago

As many of you have recently discovered we are having a significant problem with our telephones. Verizon is working on it but it is not resolved. We apologize and ask you to email questions regarding your care to Info@mlrdocs.com
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Terribly sorry. New phones delivered today but Comcast has to hook them up Try email please info@MLRdocs.com

Any update on your phone lines or do you have an alternative # to call?

Are you aware that your phones NEVER work ? Tried 10x today. How do you not have this fixed yet as a Dr office ? Any other way to get a hold of this office ?

Hi, can someone please help me? Need refills on 2 RX & cannot get through via phone for 2 weeks, pharmacy also not receiving communication. I have sent an email Tues when I finally found this post, no reply. I’m a patient of Cheryl Wieczorek, NP.

Main Line Rheumatology and Osteoporosis is joining Bryn Mawr Multi-Specialty Association. We are implementing a new electronic medical record system which is temporarily slowing us down a bit, but it will have advantages including directly sending laboratory and X-Ray requests to the lab and radiology suites. You should see no other change in the care we offer. ... See MoreSee Less

1 month ago

Main Line Rheumatology and Osteoporosis is joining Bryn Mawr Multi-Specialty Association. We are implementing a new electronic medical record system which is temporarily slowing us down a bit, but it will have advantages including directly sending laboratory and X-Ray requests to the lab and radiology suites. You should see no other change in the care we offer.
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"Perhaps the most exciting aspect of modern hip replacement is the increasing use of robotic surgery." Excellent article worth the read.
#rheumatology #osteoporosis #medicine
www.nytimes.com/2021/01/18/well/live/hip-replacement-surgery.html
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It’s Not Your Parents’ Hip Replacement Surgery

www.nytimes.com

Perhaps the most exciting aspect of modern hip replacement is the increasing use of robotic surgery.

1 month ago

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Received my vaccination today, looking forward to the day we are Covid free! ... See MoreSee Less

2 months ago

Received my vaccination today, looking forward to the day we are Covid free!
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Thankful for my Covid vaccination. Moving forward to a healthy future! ... See MoreSee Less

2 months ago

Thankful for my Covid vaccination. Moving forward to a healthy future!
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Awesome! So good to see you ! Stay well.

Here’s to a healthier, happier future!! ... See MoreSee Less

2 months ago

Here’s to a healthier, happier future!!
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Thankful we are moving towards a Covid free tomorrow! ... See MoreSee Less

2 months ago

Thankful we are moving towards a Covid free tomorrow!
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Me too

... See MoreSee Less

2 months ago

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Findings in a new paper show that treatment regimens involving the drugs tocilizumab or sarilumab reduced the death rate among Covid patients in intensive care.
#covid #arthritis #HealthCare
www.nytimes.com/2021/01/08/health/covid-arthritis-drugs-reduced-deaths.html
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2 Arthritis Drugs Reduce Deaths in Very Ill Covid Patients, Study Finds

www.nytimes.com

The big dip in mortality shown in the trial of about 800 patients has caught some experts by surprise because previous studies of the drugs showed little benefit.

2 months ago

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The doctors of Main Line Rheumatology & Osteoporosis continue to see current and new patients through TeleMed via the Internet and telephone. We are using Zoom, Doxy.me, and FaceTime. Please call the office, (610) 896-8400 to set up an appointment.
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#telemedicine #rheumatology #rheumatoidarthritis #osteoporosis #healthcare #medicine #doctor #arthritis
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2 months ago

The doctors of Main Line Rheumatology & Osteoporosis continue to see current and new patients through TeleMed via the Internet and telephone. We are using Zoom, Doxy.me, and FaceTime. Please call the office, (610) 896-8400 to set up an appointment.
^
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^
^
#telemedicine #rheumatology #rheumatoidarthritis #osteoporosis #healthcare #medicine #doctor #arthritis
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"In what is probably the definitive word on how little exercise we can get away with, a new study finds that a mere four seconds of intense intervals, repeated until they amount to about a minute of total exertion, lead to rapid and meaningful improvements in strength, fitness and general physical performance among middle-aged and older adults."

#rheumatology #healthylifestyle #Healthcare

www.nytimes.com/2020/12/30/well/move/can-4-seconds-of-exercise-make-a-difference.html?referringSo...
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Can 4 Seconds of Exercise Make a Difference?

www.nytimes.com

Four seconds of intense intervals, repeated until they amount to a minute of total exertion, led to rapid improvements in strength and fitness in middle-aged and older adults.

2 months ago

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New Year? Yes please! Here’s to better times ahead for us all! Wishing you a happy, safe and healthy 2021. ... See MoreSee Less

2 months ago

New Year? Yes please! Here’s to better times ahead for us all! Wishing you a happy, safe and healthy 2021.
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We've gotten many questions from our patients with rheumatic diseases asking whether they are at an increased risk for Covid (the answer is no) and whether their medication (i.e. prednisone, methotrexate and biologic medications) will be a problem when they get their Covid vaccine. The concern is whether these medicines blunt the body's ability to mount a robust antibody reaction to the vaccine. First, we think it is important to get vaccinated as the risk from Covid is much greater than the few case reports of side effects of the Covid vaccines (both Pfizer and Moderna brands). They include a few case reports of Bell's Palsy and anaphylactoid reactions in patients with a previous history of anaphylaxis. These are small numbers of the 70,000 patients who have been vaccinated.

As to the timing of when to get the vaccine in relation to the biologics and methotrexate, there is no solid data, but based on the science as we currently understand it and experience with other vaccines, we think that if you take methotrexate, it would be best to skip 2 weeks before getting the Covid vaccine. With regard to the biologics that inhibit B cells such as Rituxan and Benlysta, we think it is advisable to get vaccinated towards the end of the cycle (i.e. 5-6 months from the last Rituxan shot). Prednisone does not appear to be a factor in minimizing the immune response generated by the vaccine.

Pfizer has just agreed to make another 100 million doses by March 2021. Moderna, a small start-up company, is also ramping up its production. Hopefully there will be announcements relatively soon as to when you can expect to be vaccinated.
... See MoreSee Less

2 months ago

Weve gotten many questions from our patients with rheumatic diseases asking whether they are at an increased risk for Covid (the answer is no) and whether their medication (i.e. prednisone, methotrexate and  biologic medications) will be a problem when they get their Covid vaccine. The concern is whether these medicines blunt the bodys ability to mount a robust antibody reaction to the vaccine.  First, we think it is important to get vaccinated as the risk from Covid is much greater than the few case reports of side effects of the Covid vaccines (both Pfizer and Moderna brands). They include a few case reports of Bells Palsy and anaphylactoid reactions in patients with a previous history of  anaphylaxis. These are small numbers of the 70,000 patients who have been vaccinated.

As to the timing of when to get the vaccine in relation to the biologics and methotrexate, there is no solid data, but based on the science as we currently understand it and  experience with other vaccines, we think that if you take methotrexate, it would be best to skip 2 weeks before getting the Covid vaccine. With regard to the biologics that inhibit B cells such as Rituxan and Benlysta, we think it is advisable to get vaccinated towards the end of the cycle (i.e. 5-6 months from the last Rituxan shot). Prednisone does not appear to be a factor in minimizing the immune response generated by the vaccine.

Pfizer has just agreed to make another 100 million doses by March 2021. Moderna, a small start-up company, is also ramping up its production. Hopefully there will be announcements relatively soon as to when you can expect to  be vaccinated.
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Osteoporosis and Your Spine — Bone Talk ... See MoreSee Less

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Osteoporosis and Your Spine — Bone Talk

www.bonetalk.org

Your spine is made up of small bones called vertebrae. When these bones break, they’re called spine fractures, vertebral fractures or compression fractures. Broken bones in the spine are the most co...

2 months ago

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Health, happiness and peace during this holiday season and through the coming year. ... See MoreSee Less

2 months ago

Play
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"Several times a day, whether I’m indoors or out, my bone doctor’s mantra reverberates in my head: “Do Not Fall!”' Enjoy this article by Jane Brody on the benefits of balance and “Postural Retraining.”

www.nytimes.com/2020/12/14/well/live/elderly-balance-falls.html
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Improving Your Balance to Prevent Falls

www.nytimes.com

Balance is something the body learns to do automatically by engaging the postural muscles.

3 months ago

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Happy Hanukkah to those who celebrate! ... See MoreSee Less

3 months ago

Happy Hanukkah to those who celebrate!
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Osteoporosis is somewhat arbitrarily defined as having a T score of -2.5 on a DEXA scan. There are exceptions to this and such factors as being on steroids are not necessarily reflected in weakness In our bones. However, the bone density test is a safe test with only minimal radiation.
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www.health.harvard.edu/womens-health/whats-your-t-score-bone-density-scans-for-osteoporosis?fbcli...
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What's your t-score? Bone density scans for osteoporosis - Harvard Health

www.health.harvard.edu

Several technologies can assess bone density, but the most common is known as dual energy x-ray absorptiometry (DEXA). For this procedure, a machine sends x-rays through bones in order to calculate bo...

3 months ago

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Proud to announce Gary V Gordon, MD, FACP, FACR, Thomas Harder, MD, Amy Lundholm, DO & Hyon Ju Park, MD have been voted TOP DOCTORS 2020!

Physicians voted for their colleagues in a variety of specialties via online ballot.
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#mainlinerheumatology #rheumatology #rheumatologist #topdoctors #osteoporosis #arthritis
... See MoreSee Less

3 months ago

Proud to announce Gary V Gordon, MD, FACP, FACR, Thomas Harder, MD, Amy Lundholm, DO & Hyon Ju Park, MD have been voted TOP DOCTORS 2020! 

Physicians voted for their colleagues in a variety of specialties via online ballot. 
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#mainlinerheumatology #rheumatology #rheumatologist #topdoctors #osteoporosis #arthritis
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MLR&O on Twitter

Main Line Rheumatology & OsteoporosisFollow

Main Line Rheumatology & Osteoporosis

Research shows that earlier bone density screening and osteoporosis therapies could be highly beneficial for at-risk men, who are underdiagnosed and undertreated.
#osteoporosis #menandosteoporosis #bonedensity

https://creakyjoints.org/diagnosis/older-men-underdiagnosed-undertreated-osteoporosis/?fbclid=IwAR3kO6HY1vlviOdb2fWKlGbaaFM6WtvTUFFMeazLrh9kQyiMBcTrXZJ59uk

Reply on Twitter 1366596573572997123Retweet on Twitter 13665965735729971231Like on Twitter 1366596573572997123Twitter 1366596573572997123
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MLR&O on Instagram

mainlinerheumandosteoporosis

Main Line Rheumatology and Osteoporosis continues Main Line Rheumatology and Osteoporosis continues to have issues with the telephone lines. If you cannot get through to the office please email questions regarding your care, and include your doctor's name to info@mlrdocs.com. We apologize for the inconvenience.
After years of dedicated service to Main Line Rheu After years of dedicated service to Main Line Rheumatology and Osteoporosis, Cheryl Wieczorek, CRPN, MSN, has retired. All of us here will miss Cheryl and her contribution to our practice, we wish her the best. The staff is ready to provide you with same excellent care. If you have any questions or concerns, please contact us at info@mlrdocs.com or call the office (610) 896-8400.
Wishing you a happy Valentine’s Day. Wishing you a happy Valentine’s Day.
As many of you have recently discovered we are hav As many of you have recently discovered we are having a significant problem with our telephones. Verizon is working on it but it is not resolved. We apologize and ask you to email questions regarding your care to 
Info@mlrdocs.com
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