The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- eye examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- antinuclear antibodies- ANA (SSA/Ro, SSB/La)
- rheumatoid factor (RF)
- Anti-dsDNA
- Erythrocyte sedimentation rate (ESR)
- C-reactive protein (CRP)
- indicators blood coagulation
- mouth (salivary gland) biopsy on indications
- salivary flow
- Schirmer test
- consultation of related specialists
- symptomatic specific treatment
- the cost of essential medicines and materials
- nursing services
- control examinations
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
Service
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About the department
The Department of Rheumatology at the Rambam Health Care Campus Haifa provides all medical services for the diagnostics and treatment of the full range of rheumatic diseases, including inflammatory joint diseases, connective tissue diseases, dystrophic and metabolic joint pathologies. The department also has extensive experience in the treatment of patients with collagenoses and rheumatic lesions of the heart, lungs and digestive system. The department carries out intra-articular injections, as well as individually selects physiotherapy and ergotherapy regimes. The Chief Physician of the department is Prof. Dr. med. Alexandra Balbir.
The department's doctors provide the emergency diagnostics of joint and tendon diseases using a portable ultrasound device. In addition, the department has rich experience in the use of biological drugs. It conducts all types of treatment using anti-TNF drugs, MabThera, Actemra, Abatacept, Benlysta and intravenous immunoglobulin.
Preference is given to multidisciplinary approach to treatment, which involves the cooperation of a rheumatologist, a nurse with special training in rheumatology, a clinical research coordinator, a physiotherapist, an occupational therapist, a social worker and a psychologist. This approach is particularly successful in patients suffering from systemic rheumatic diseases.
The department is part of the Faculty of Medicine at the Technion, where the doctors from Israel and other countries undergo internships. The medical facility has received national recognition in the area of its specialization and is the training center for therapists, family doctors, as well as interns. Moreover, the department takes part in numerous research projects on scleroderma, inflammatory joint diseases, ultrasound examinations of the musculoskeletal system and the use of biological drugs.
The key fields of the department's clinical practice include:
- Diagnostics and treatment of rheumatoid arthritis
- Diagnostics and treatment of ankylosing spondylitis
- Diagnostics and treatment of arthropathia psoriatica
- Diagnostics and treatment of connective tissue diseases (systemic lupus erythematosus, systemic scleroderma, vasculitis, myositis, Sjogren's syndrome)
- Diagnostics and treatment of autoimmune inflammatory diseases (Behcet's disease, familial Mediterranean fever)
- Diagnostics and treatment of degenerative joint diseases
- Diagnostics and treatment of metabolic diseases (gout, pseudogout)
- Diagnostics and treatment of pain syndromes (enthesopathy, regional pain syndromes, fibromyalgia)
- Diagnostics and treatment of osteoporosis
- Diagnostics and treatment of rheumatic lesions of the lungs, heart and gastrointestinal tract
- Diagnostics and treatment of other diseases
Curriculum vitae
Prof. Alexandra Balbir has been the Chief Physician of the Department of Rheumatology at the Rambam Health Care Campus Haifa since 2007. She immigrated to Israel from Ukraine in 1989 and completed her residency in Internal Medicine (1990 - 1994) in the Department of Internal Medicine at B’nai Zion Hospital (she specialized in Rheumatology at Rambam (1994 - 1997)) and has been a Senior Rheumatologist since 1997. In 2000, she had a fellowship in the Section for Connective Tissue Diseases at the Royal Free Hospital in London. Dr. Balbir is a Clinical Assistant Professor at the Rappaport Faculty of Medicine of the Technion (Israel Institute of Technology), where her lectures and bedside teaching are highly appreciated by students.
Prof. Balbir is a Member of the Executive Committee of the Israeli Society of Rheumatology. She is also a Member of international organizations, including ACR and EULAR. She is an Active Member of the Scleroderma Research Group (EUSTAR) and a Member of the EULAR Target US initiative. Dr. Balbir maintains the largest Israeli scleroderma registry and operates a Scleroderma Clinic and a Multidisciplinary Fibrovascular Clinic for patients with respiratory problems and rheumatic diseases. She has published articles in the field of scleroderma, myositis, vasculitis, rheumatoid arthritis, biological therapies. Prof. Balbir has organized several US courses for Israeli rheumatologists, and every two years she organizes an International Rheumatology Scientific Conference.
Photo of the doctor: (c) Rambam Health Care Campus Haifa
About hospital
The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million locals, as well as the members of the Israel Defense Forces, UN Peacekeeping Forces and the United States Sixth Fleet. The medical center houses 61 inpatient departments, 73 specialized departments, 10 medical institutes and 25 laboratories. It is also the clinical and academic base of the Technion – Israel Institute of Technology.
The medical center includes the Ruth Rappaport Children's Hospital. It is a multidisciplinary medical facility specializing in the diagnostics and treatment of various pathologies, including extremely rare ones, in children of all age groups.
The total number of employees in the medical facility is 4,000 (715 doctors and 1,407 nurses). Many doctors are world-famous in the field of their clinical specialty and participate in advanced research projects in order to offer new treatment methods not only to their patients, but also to the world community.
The medical center is a leader in the field of medical care in emergency cases with a large number of victims. In addition, the hospital is certified in accordance with the strict standards of the Joint Commission International (JCI).
During the long-term and successful clinical practice, the medical center has formed a clear vision of optimal medical support and system of values. These suggest that the primary focus is always on the patient with his individual needs and wishes, while the medical services are professional, high-quality and safe. In addition, the specialists of the hospital apply the most effective and innovative treatment methods, as well as create a favorable environment, which contributes to the improvement of physical and emotional health and well-being of the patient. The key role in the daily work of the hospital is also played by a tolerant attitude towards all patients.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Rambam Health Care Campus Haifa live in comfortable rooms designed in light colors. The standard room includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, an armchair and chairs for receiving visitors, a TV, a telephone. Each room is equipped with an ensuite bathroom with shower and toilet.
Meals and Menus
The patients of the hospital are offered tasty and balanced three meals a day: breakfast, lunch and dinner. The menu also includes dietary and vegetarian dishes.
Further details
Standard rooms include: