Rheumatologist OnCall

Rheumatologist OnCall Rheumatologist OnCall is a telemedicine practice actively seeing patients in multiple US states

Rheumatologist OnCall provides people with convenient and accessible access to specialized rheumatology care. With the goal of addressing the unique needs of patients dealing with rheumatic conditions, this innovative platform offers a range of benefits:

ðŸ‘Ļ‍⚕ïļ Expert Consultations: Rheumatologist OnCall connects patients with experienced rheumatologists who specialize in diagnosing and treating co

nditions such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and other autoimmune disorders.

ðŸ“ą Telehealth Convenience: Patients can access consultations from the comfort of their homes, eliminating the need for time-consuming and potentially challenging in-person visits.

🌐 Accessible Anywhere: Whether you reside in a rural area or a bustling city, Rheumatologist OnCall ensures that expert care is available to you, regardless of your location. Check out the states where we are licensed!

🔒 Secure and Private: The platform prioritizes patient privacy and data security, adhering to strict confidentiality standards.

📋 Comprehensive Care: Rheumatologist OnCall offers a comprehensive approach to managing rheumatic conditions, from diagnosis to ongoing treatment and support.

⏰ Timely Assistance: Patients can schedule appointments at their convenience, reducing waiting times and ensuring prompt attention to their healthcare needs.

💞 Collaborative Care: The platform encourages collaboration between patients and physcians, fostering a patient-centered approach to managing rheumatic conditions.

📊 Education and Resources: Rheumatologist OnCall strives to empower patients with information and resources to better understand and manage their conditions.

06/04/2026

A new cure for autoimmune disease — and it's a vaccine. But not the kind you're thinking of.
I'm Dr. Girnita, founder of Rheumatologist OnCall. With my colleagues Dr. Devalla and Dr. Titianu, our team treats lupus, RA, scleroderma, myositis, and multiple sclerosis across 21 US states.
I know what you're thinking. Another vaccine? Stay with me.
For the last 100 years, every vaccine we've ever made has done the same thing — train your immune system to ATTACK a virus, a bacteria, a cancer cell.
But what if your immune system is already attacking too much? That's exactly what happens in lupus, rheumatoid arthritis, multiple sclerosis, type 1 diabetes, celiac disease.
So scientists asked a brilliant question: What if we made a vaccine that does the OPPOSITE — one that teaches the immune system to STOP attacking your own body?
They invented one. They're called inverse vaccines. And they're already in human trials.
Here's what we know so far:
🧠 Multiple sclerosis: Phase 1/2 trials showed the inverse vaccine was safe and well-tolerated. The 0.5 mg dose REDUCED inflammatory brain lesions on MRI. Honestly — it didn't significantly reduce clinical relapses or slow disability yet. So it's not the finish line. But it IS proof the concept works.
ðŸŒū Celiac disease: TAK-101 (a PLGA nanoparticle inverse vaccine) reduced gliadin-specific immune attack by 88% in a placebo-controlled trial. Other platforms (TPM502, KAN-101) are also in trials.
💉 Type 1 diabetes: Patients developed real immune tolerance to insulin after a single dose.
ðŸĶī Rheumatoid arthritis: Preclinical (animal) studies are reversing joint inflammation. Human trials being designed.
This isn't immune suppression. This isn't a biologic. This isn't a steroid.
This is a vaccine that doesn't vaccinate. It re-educates. It resets your immune system.
So tell me — why is no one talking about this?
📚 Read the science:
🔎 Tremain AC et al. "Synthetically glycosylated antigens for the antigen-specific suppression of established immune responses." Nature Biomedical Engineering. 2023.
→ https://www.nature.com/articles/s41551-023-01086-2
ðŸŒū Kelly CP et al; TAK-101 Study Group. "TAK-101 Nanoparticles Induce Gluten-Specific Tolerance in Celiac Disease." Gastroenterology. 2021;161(1):66-80.
→ https://pubmed.ncbi.nlm.nih.gov/33722583/
⚠ïļ Important: No inverse vaccine is FDA-approved yet. These are in clinical trials.
📞 See our team from your couch. Telehealth rheumatology in 21 US states.
🌐 rheumatologistoncall.com
☎ïļ 650-525-4404

06/04/2026

How much does CAR-T cell therapy actually cost? 💰

For cancer, CAR-T runs $400,000 to over $600,000 per patient in the United States — and total treatment costs can exceed $1 million when you add hospitalization and monitoring.

Why so expensive? Every dose is custom-manufactured from your own cells. There is no mass production.

But here is what most patients don't know — for autoimmune disease (lupus, scleroderma, myositis, refractory RA), CAR-T is currently only available through clinical trials, and the trial sponsor usually covers the cost.

And the future? Off-the-shelf CAR-T from healthy donors is in development. Costs could drop by 90% in the next 5 years.

Have you been told CAR-T is "too expensive" to consider? Drop your diagnosis in the comments — Dr. Devalla and I will tell you if a clinical trial may be an option. 💎

ðŸĐš Rheumatologist OnCall — telehealth in 21 states, no referral needed
🌐 rheumatologistoncall.com
📞 650-525-4404

ðŸ‘Ļ⚕ïļ With Dr. Vishnuteja Devalla, MD
📚 Thriving with Rheumatoid arthritis on Amazon → https://amzn.to/3ZVmKpX

06/03/2026

After years of treating arthritis patients in my rheumatology practice, I can tell you this: what you put on your plate matters almost as much as what's in your medicine cabinet.
Here's how I honestly score 6 of the most-asked-about foods:
🐟 Salmon — 9/10. One of the best foods I recommend. It's loaded with omega-3 fatty acids that directly reduce inflammatory cytokines. I tell my patients to aim for 2 to 3 servings per week — wild-caught when possible.
ðŸŦ’ Extra virgin olive oil — 9/10. This is the secret weapon I tell every patient about. EVOO contains a compound called oleocanthal that works like ibuprofen at the molecular level — blocking the same inflammatory enzymes. Use it daily. Cold. Drizzle it on salads and foods. Don't fry with it.
ðŸŦ Berries — 8/10. Blueberries, strawberries, raspberries — packed with polyphenols and anthocyanins that reduce inflammation. A daily handful is all I tell my patients they need.
ðŸĨĐ Red meat (daily) — 3/10. Occasional? Fine. Daily? A problem. I see it constantly in my practice — red meat is high in saturated fat and arachidonic acid, both pro-inflammatory. I tell patients to swap it for fish or plant-based proteins most days of the week.
🍎 Sugar — 1/10. This one is important. Every time you spike your blood sugar, you spike your inflammatory markers. I tell my patients to cut it — especially during a flare.
ðŸŒ― Processed seed oils (soybean, corn, canola) — 1/10. High in omega-6, which feeds inflammation. They're hidden in almost every processed food on the shelf. Read the label. Swap for olive oil or avocado oil.
Diet alone won't fix arthritis — but the right diet alongside the right treatment can change your life.
📞 See me from your couch. I offer telehealth rheumatology consultations in 21 US states through Rheumatologist On Call.
🌐 rheumatologistoncall.com
☎ïļ 650-525-4404

06/02/2026

Happy Birthday, Pearl!🎉
It's hard to believe it's almost been a year with us — the whole team is so grateful to have you here at .

Hope your day is filled with everything you love. Enjoy your special day! ðŸĨģ💐

06/02/2026

Not all back pain is the same, and treating the wrong type can waste years of your life.
There are two completely different categories, and the distinction matters more than most people realize.
Mechanical back pain (the most common kind):

Usually starts after activity, lifting, or injury
Worse with movement, better with rest
Morning stiffness resolves within 30 minutes
Pain is often sharp and localized
Improves with physical therapy and time

Inflammatory back pain (the kind seen in ankylosing spondylitis):

Starts insidiously, no specific injury or trigger
Better with movement and exercise, worse with rest and prolonged sitting
Morning stiffness lasts more than 30 to 45 minutes
Often wakes you up in the early morning hours
NSAIDs provide significant, rapid relief
Does not improve with physical therapy alone

If your back pain fits the inflammatory pattern, especially if you're under 45, you need a rheumatology evaluation. Physical therapy and chiropractic care won't treat the underlying immune attack causing your pain.
Getting the right diagnosis is the difference between years of frustration and a real treatment plan.
If this sounds like your back pain, Dr. Devalla and our team are here to help.

Call 650-525-4404 or book a consultation on our website, rheumatologistoncall.com

Early diagnosis changes everything.
Follow for more patient-centered rheumatology education.

06/02/2026

A new treatment is curing autoimmune diseases — and after 20 years in rheumatology, I'm telling my patients something I never thought I'd say.

Save this. Send it to anyone you love with autoimmune disease

I'm Dr. Girnita, founder of Rheumatologist OnCall.

My colleagues Dr. Devalla, Dr. Titianu and I treat patients with lupus, scleroderma, myositis, rheumatoid arthritis, and MS across 21 US states.

For 20 years, I told my patients the same thing — autoimmune disease is for life. You'll be on medication forever.

I don't say that anymore.

A team in Germany gave 24 patients with severe lupus, scleroderma, and myositis a single infusion of CAR-T cell therapy — the same treatment originally built to cure leukemia.

22 out of 24 are still in remission 2 to 3 years later. No steroids. No immunosuppressants. No symptoms.

For the first time in my career, the word cure is on the table.

⚠ïļ Educational content. CAR-T for autoimmune disease is currently only available through clinical trials.

📞 Want our team to look at your autoimmune disease?

Rheumatologist OnCall — telehealth in 21 US states.
🌐 rheumatologistoncall.com
☎ïļ 650-525-4404

06/01/2026

Which arthritis cream is actually worth buying?

If you've ever stood in the pain-relief aisle wondering whether to grab the Aspercream, the CBD rub, or the diclofenac gel — this one's for you.

As a rheumatologist, let me break it down: what actually reduces inflammation vs. what just feels good on the skin:

ðŸŒķïļ Capsaicin cream — 8/10. Depletes the chemical that sends pain signals to your brain. Works as well as oral NSAIDs in some studies.

💊 Diclofenac gel — 9/10. The only FDA-approved topical NSAID for arthritis. Delivers anti-inflammatory medicine directly into the joint — without the stomach, kidney, or heart risks of oral ibuprofen.

❄ïļ Aspercream / menthol rubs — 5/10. Cooling distraction, not real anti-inflammatory action.

ðŸŒŋ CBD creams — 6–7/10. Promising but quality varies wildly between brands.

🌞 Arnica — 5/10. Popular, but the evidence is weak for true arthritis inflammation.

If joint pain is running your life, you don't have to figure this out alone.

📞 Rheumatologist OnCall — telehealth in 21 US states
See a board-style rheumatologist from your couch.

🌐 rheumatologistoncall.com
☎ïļ 650-525-4404

06/01/2026

Patients ask us this every single week: "Which pain pill is actually safe for my joints?"
Save this before you reach for another bottle

📌I'm Dr. Girnita. At Rheumatologist OnCall, my colleagues Dr. Devalla, Dr. Titianu and I treat joint pain across 21 states — and the painkiller question comes up in nearly every visit.

So here's how we honestly score the 5 most common ones:

💊 Tylenol — safe-ish, but missing the point
ðŸ”Ĩ Ibuprofen — effective, but watch the cost to your gut and kidneys
⏰ Naproxen — longer-lasting cousin of ibuprofen
ðŸĐļ Aspirin — better for your heart than your joints
ðŸ›Ąïļ Celebrex — the prescription option we reach for often

A theme we see in our clinic every day: pain pills are tools, not a treatment plan.

If you're taking them more than a few days a week, that's a conversation with a rheumatologist — not the pharmacy aisle.

⚠ïļ Educational content. Talk to your doctor before starting or stopping any medication.

📞 Want our team to look at your joint pain?
Rheumatologist OnCall — telehealth in 21 US states.

🌐 rheumatologistoncall.com
☎ïļ 650-525-4404.

05/31/2026

Can cherries stop a gout attack?

They can help. They are not a cure. Here's what the research actually shows.
Studies suggest people who eat cherries or drink tart cherry juice during a gout flare have up to a 35% lower risk of recurrent attacks. The effect appears even stronger when combined with allopurinol. The likely reason: cherries contain anthocyanins, plant compounds that lower inflammation and may modestly reduce uric acid levels.
But here's what most patients aren't told:
Cherries won't dissolve the urate crystals already sitting in your joints. They won't replace urate-lowering therapy. And they won't get your uric acid below 6 mg/dL, which is the actual target for preventing future attacks and long-term joint damage.
If you're having repeated gout flares, the answer isn't more cherries. It's a real treatment plan built around lowering uric acid to target.

Ready to stop chasing flares and actually treat the disease?

Call 650-525-4404 or book a consultation at rheumatologistoncall.com.

Follow for more patient-centered rheumatology education.

Address

19712 MacArthur Bldv
Irvine, CA
92612

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