Monday, 11 Nov 2019

View Our Coverage from ACR 2019 in Atlanta

TODAY'S HEADLINES

T2T Lowers Mortality in Gout

A Spanish prospective cohort of active, uncontrolled gout patients were followed and showed that failure to reach a target serum uric acid (sUA) level of 6 mg/dl (0.36 mmol/L) or less was associated with a 2-3 fold increase in mortality.

In RA, Activity Protects Cognition

Physical activity appeared to be protective against the development of cognitive impairments among patients with rheumatoid arthritis (RA), a prospective cohort study found.

Most Psoriatics Go on Biologics

A cohort study of 97 patients with psoriatic arthritis (PsA) examined the prescribing practices in PsA, and found biologics are commonly initiated as the primary mode of therapy in outpatients with PsA. However, treatment modifications can be made regarding patients who are managed with apremilast alone.

New EMA Warnings for Tofacitinib in Patients at Risk for Clots

The European Medicines Agency safety committee (PRAC) has concluded that Xeljanz (tofacitinib - TOFA) could increase the risk of blood clots in the lungs and in deep veins in patients who are already at high risk for venous thromboembolic events. The PRAC is recommending that TOFA should be used with caution in patients at high risk of blood clots (VTE), regardless of dose used.

Mallinckrodt Receives SEC Subpoena

Reuters reports that Mallinckrodt Plc has received a subpoena from the U.S. Securities and Exchange Commission for documents related to the drugmaker’s lawsuit against the U.S. Department of Health and Human Services (HHS).

Sponsored by AbbVie
Dr. Alvin Wells highlights data from the SELECT clinical program and discusses treatment goals in RA.
BLOG
Since moving to South Florida (also popularly known as "God's Waiting Room" by the locals). I've learned a lot more about Lipstick Rheumatology. This moniker was made famous by my friend and colleague, Dr. Kathryn Dao, who first wrote about the nuances of being a female with rheumatic disease. This blog focuses on three popular products recommended by my female patients that serve as life improving hacks.
A water pipe in my house broke, and I had to call for emergency plumbing service. The next day I went to the hospital, where I was on my two weeks of General Medicine inpatient attending. An elderly man was admitted, cared for, and following this patient's successful hospital discharge several days later, something occurred to me.
After a few clinic no-shows, our clinic partner discussions lapsed into a discussion of clinics, especially bad clinics. Amidst the cussing and discussing of clinic experience, my partner, Dr. Dao, threw out the phrase, “clinic exorcism”! What a great title for a different kind of blog. When clinic operations and operators are truly bad, who you gonna call? Not Clinic Busters. Think about clinic exorcisms designed to eradicate potentially hazardous patients, employees, partners or certain clinic practices.
How do you help your patients who are resistant to your medical recommendations when they are receiving biased information from friends, family, and the internet? I wanted to share with you two cases and my approach.
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