Friday, 20 Oct 2017

Blog

Step Into Sunshine

I recently had a follow up with an SLE patient who wanted to discuss sun protection options since moving to Dallas, where we have 232 days of sunshine yearly. Sun protection is important for our patients. As rheumatologists, we have an obligation to go beyond 'avoid the sun or wear sunscreen when you're out' platitudes.

Across the Table: Cush & Erkan on Antiphospholipid Syndrome

DErkan

The antiphospholipid syndrome (APS) is a common disorder affecting patients with and without autoimmune disease. Despite wider recognition of APS among physicians as well as the expanding research collaborations, many clinical questions are still encountered in clinical practice, which require further evidence-based studies. In this “Across the Table” edition, Drs. Cush and Erkan discuss some of these APS-related questions. Our guest expert, Dr. Doruk Erkan offers up his approach to diagnosis and management of APS.

Online Reviews - of Burritos and Doctors

A new patient came in today; he noted that he made an appointment with me after reading a favorable online review on YELP about our practice. 

Rules for Drug Cessation with Infection

Everyone gets their education about drug-related infection risk from television ads. Rheumatologists should know what the real risks are and educate their patients that they have a higher than normal rate of nonserious infections. But the infection risk is way more related to inflammation than any specific drug risk.

Q Fever - The Intersection of Rheum and ID

Today in clinic, I saw a patient with longstanding seropositive, erosive rheumatoid arthritis who had been treated with etanercept for over 10 year

Ten Things to Do At Every Visit

Busy days, overbooked patients and EMR overloads will certainly derail your day, especially if you don’t have a system to optimize efficiency.  However, in your harried efforts you may overlook several simple, smart, if not crucial, tasks while seeing your next patient.

The Story Teller

Angie is my last patient before lunch. I've known her since her RA diagnosis at age 17 years. And for the last 7 years, she’s matured into a fabulous young woman who has adeptly grown her professional life, her dating life and developed her independence, despite her severely active rheumatoid arthritis. But today I see she has a troubled and anxious look as I greet her. 

The ONE Thing

Rheumatology is the perfect blend of opposites: art and science; technology and skills; young and old; novel and traditional.

“The Big Sick” Movie Review

It's Monday morning and my first patient is a newly diagnosed rheumatoid. This is his first visit back after starting methotrexate 6 weeks ago. Despite doing great and in remission with only one active joint, he asks, “Are sure this is RA? Or could this be Still’s disease?” Admittedly, this is a weird second-visit question, but I was impressed.  

Forced, Rational or Glitch-Ridden Prescribing Practices

A recent analysis of 3 groups of treatment-naïve, early rheumatoid arthritis (ERA) patients looked at the factors that influenced the choice of the

Rheumatologist's Vacation Checklist

Nearly half of all available vacation days go unused and over 40% of Americans failed to use any vacation days in 2015. Common sense says that taking more time off (not less) is likely to lead to increased work productivity. Your next vacation is essential to building a better you. Here are some tips to insure you get the most from your time off.

Wine and Food and the Rheumatologist: Notes from EULAR 2017 in Madrid

Many restaurants brag about various things, including their Michelin stars, their wine list, and their reviews, but Botin merely tells you it is the oldest restaurant in the world!  That’s a pretty great start and no doubt serves to remind you there is a reason that this place, situated in the medieval Austrias area of Madrid and founded by the Frenchman Jean Botín in 1725, is still there.